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Anterior Elevate Mesh Repair performed by Dr. Robert Moore and Dr. John Miklos
Anterior Elevate Mesh Repair performed by Dr. Robert Moore and Dr. John Miklos atlantaua 41,992 Views • 3 years ago

Anterior vaginal wall relaxation (cystocele) is one of the most commonly diagnosed forms of pelvic organ prolapse in women. More than 200,000 cystocele repairs are completed yearly, however to date the procedures that are completed do not provide very high cure rates and/or poor anatomic outcomes. Successful treatment of anterior vaginal wall prolapse remains one of the most challenging aspects of pelvic reconstructive surgery we face. We have developed very good procedures that provide excellent support for the posterior wall (ie rectoceles) and the apex of the vagina (ie vaginal vault prolapse) and reproduce normal anatomy. We were one of the first centers in the country to utilize grafts in rectocele repairs and have seen improved cure rates to over 90% with minimal complications. It has been known for many years that abdominal sacralcolpopexy with placement of a mesh graft at the top of the vagina for vaginal vault prolapse is the most successful procedure in the literature. We have made advancements with this procedure as well in being able to offer our patients a laparoscopic minimally invasive approach for sacralcolpopexy, with the same excellent cure rates (>92%) and with hospital stays typically less than 24 hours and reduced complications. However the anterior wall has been one of the most difficult compartments in the vagina to get good anatomic results and high cure rates with traditional repairs and at the same time not cause sexual dysfunction, pain with intercourse, voiding dysfunction (ie incontinence or urgency/frequency syndrome), or a shortened or scarred down vagina. The transobturator approach was developed as a less invasive way to place an anterior wall graft (see below) however this still involved blind needle passes and the graft did not support the apex of the vagina, therefore the search for improvements in these procedures is ongoing.

Endotracheal Intubation Sample Animation
Endotracheal Intubation Sample Animation Doctor 68,192 Views • 3 years ago

Endotracheal Intubation Sample Animation

Local Anaesthetic Injection
Local Anaesthetic Injection Doctor 26,451 Views • 3 years ago

Local Anaesthetic Injection

Chest x-ray -- Histoplasmosis
Chest x-ray -- Histoplasmosis academyo 19,905 Views • 3 years ago

Presentation of histoplasmosis on a chest x-ray. Please see disclaimer on my website. www.academyofprofessionals.com

2 handed knot
2 handed knot Surgeon 14,255 Views • 3 years ago

A video by UT Houston Student Surgical Association (SSA) illustrating the 2 handed not.

Difficult Laparoscopic Cholecystectomy
Difficult Laparoscopic Cholecystectomy Surgeon 12,663 Views • 3 years ago

Difficult Laparoscopic Cholecystectomy for Gall bladder Stones

Orchidectomy and Orchidopexy in Testicular Torsion
Orchidectomy and Orchidopexy in Testicular Torsion Surgeon 35,936 Views • 3 years ago

Orchidectomy and Orchidopexy in Testicular Torsion

Robot-Assisted Laparoscopic Rectal Resection for Endometriosis
Robot-Assisted Laparoscopic Rectal Resection for Endometriosis Surgeon 13,861 Views • 3 years ago

Robot-Assisted Laparoscopic Rectal Resection for Endometriosis

Resuscitation in Neonates - Tanta University
Resuscitation in Neonates - Tanta University kollerxp2002 16,058 Views • 3 years ago

Video illustrating the techniques of resuscitation in neonates

Fistulotomy Surgery Video
Fistulotomy Surgery Video Surgeon 83,071 Views • 3 years ago

A Fistulotomy is the surgical opening or removal of a fistulous tract. They can be performed by excision of the tract and surrounding tissue, simple division of the tract, or gradual division and assisted drainage of the tract by means of a seton; a cord passed through the tract in a loop which is slowly tightened over a period of days or weeks.

Fistulas can occur in various areas of the human body, and the location of the fistula influences the necessity of the procedure. Some, such as ano-vaginal and perianal fistulas are chronic conditions, and will never heal without surgical intervention.

Resection of Trachea
Resection of Trachea okan 18,632 Views • 3 years ago

1 yıldır astım tedavisi gören 45 yaşında bayan hasta. Nefes darlığı şikayeti artması üzerine yapılan bronkoskopide trakea lümenini tamayakın tıkayan kitle gözlendi. Coller insizyonu ve parsiyel sternotomi ile yaklaşıldı ve rezeke edildi.

Caesarean section for a breech
Caesarean section for a breech Mohamed Ibrahim 26,604 Views • 3 years ago

Caesarean section is the most common way to deliver a breech baby in the USA, Australia, and Great Britain. Like any major surgery, it involves risks. Maternal mortality is increased by a Caesarean section, but still remains a rare complication in the First World. Third World statistics are dramatically different, and mortality is increased significantly. There is remote risk of injury to the mother’s internal organs, injury to the baby, and severe hemorrhage requiring hysterectomy with resultant infertility. More commonly seen are problems with noncatastrophic bleeding, postoperative infection and wound healing problems. It should be added that the increase in maternal mortality rates could be slightly skewed due to the fact that Caesarean sections are often used during high-risk pregnancies and/or when mortality is already a strong possibility.

One large study has confirmed that elective cesarean section has lower risk to the fetus and a slightly increased risk to the mother, than planned vaginal delivery of the breech however elements of the methodology used have undergone some criticism.

The same birth injuries that can occur in vaginal breech birth may rarely occur in Caesarean breech delivery. A Caesarean breech delivery is still a breech delivery. However the soft tissues of the uterus and abdominal wall are more forgiving of breech delivery than the hard bony ring of the pelvis. If a Caesarean is scheduled in advance (rather than waiting for the onset of labor) there is a risk of accidentally delivering the baby too early, so that the baby might have complications of prematurity. The mother’s subsequent pregnancies will be riskier than they would be after a vaginal birth (uterine rupture). The presence of a uterine scar will be a risk factor for any subsequent pregnancies.

Radiofrequency Ablation of HCC Animation
Radiofrequency Ablation of HCC Animation Doctor Samir Abdelghaffar 15,266 Views • 3 years ago

An animation showing the general principle of Radiofrequency Ablation of Hepatocellular carcinoma HCC.

laparoscopic anterior resection
laparoscopic anterior resection ashrafhamadasurgery 14,049 Views • 3 years ago

laparoscopic anterior resection

Urinary catheterization male
Urinary catheterization male nurseclinicals 80,567 Views • 3 years ago

ACTUAL CATHETERIZATION A clinical view of insertion into the male urethra. A 14 french coude cath was used.

Male Catheterization  Educational  Nursing Video
Male Catheterization Educational Nursing Video nurseclinicals 240,551 Views • 3 years ago

NURSING VIDEO ACTUAL CATHETERIZATION PROCEDURE OF MALE. FULL LENGTH VERSION Clear quality photography. This video provides an excellant clinical view of the entire procedure.

Postmartem Male
Postmartem Male Dr.Krishna Kant Singh 105,733 Views • 3 years ago

This is the postmortem of a male who died of due to a blunt injury to abdomen n thus the ruptue of the spleen. there was no any scra or wond on epidermis. but the 4th rib was fractured. all the above mentioned conditions are clearly seen in this video.

Vacuum Extraction
Vacuum Extraction al2phoenix 27,286 Views • 3 years ago

Uploaded by http://nursing-resource.com

Brain Cancer Vaccine
Brain Cancer Vaccine Mohamed 10,637 Views • 3 years ago

Source ABC7, 24 November 2009 An initial single-arm Phase II trial (ACT II) has reported promising preliminary data in 23 patients who received CDX-110 vaccine. Median time to disease progression was 16.6 months and estimated median overall survival was 33.1 months. This compared favorably with data for a historical control group in which median time to progression was 6.4 months and median overall survival was 15.2 months. The study was sponsored by Celldex Therapeutics Inc. of Phillipsburg, NJ

LDL and HDL Cholesterol (Good and Bad Cholesterol)
LDL and HDL Cholesterol (Good and Bad Cholesterol) samer kareem 3,594 Views • 3 years ago

LDL (Bad) Cholesterol LDL cholesterol is considered the “bad” cholesterol because it contributes to plaque, a thick, hard deposit that can clog arteries and make them less flexible. This condition is known as atherosclerosis. If a clot forms and blocks a narrowed artery, heart attack or stroke can result. Another condition called peripheral artery disease can develop when plaque buildup narrows an artery supplying blood to the legs. View an animation of cholesterolHDL (Good) Cholesterol HDL cholesterol is considered “good” cholesterol because it helps remove LDL cholesterol from the arteries. Experts believe HDL acts as a scavenger, carrying LDL cholesterol away from the arteries and back to the liver, where it is broken down and passed from the body. One-fourth to one-third of blood cholesterol is carried by HDL. A healthy level of HDL cholesterol may also protect against heart attack and stroke, while low levels of HDL cholesterol have been shown to increase the risk of heart disease.

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