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Minimally invasive kidney and ureteral stone surgery using holmium laser performed at El Camino Urology Medical Group,

A narrated laparoscopic tubal ligation using a Fallope ring is shown in this gynecology video. The surgeon lifts the fallopian tube and applies the ring to a loop of tube, with the ovary and uterus in view. It is presented for education in sterilization procedures. The procedure is shown in under a minute in total.

Function and Anatomy: The hip is a ball and socket type joint, formed by the articulation of the head of the femur with the pelvis. Normal range of motion includes: abduction 45 degrees, adduction 20-30 degrees, flexion 135 degrees, extension 30 degrees, internal and external rotation. Hip pathology can cause symptoms anywhere around the joint, though frequently pain is anterior and radiates to the groin region. Additionally, pathology outside of the hip can be referred to this region. History and exam obviously help in making these distinctions.

Common Benign Pain Syndromes--Symptoms and Etiology:
1. Non-specific musculoskeletal pain: This is the most common cause of back pain. Patients present with lumbar area pain that does not radiate, is worse with activity, and improves with rest. There may or may not be a clear history of antecedent over use or increased activity. The pain is presumably caused by irritation of the paraspinal muscles, ligaments or vertebral body articulations. However, a precise etiology is difficulty to identify.
2. Radicular Symptoms: Often referred to as "sciatica," this is a pain syndrome caused by irritation of one of the nerve roots as it exits the spinal column. The root can become inflamed as a result of a compromised neuroforamina (e.g. bony osteophyte that limits size of the opening) or a herniated disc (the fibrosis tears, allowing the propulsus to squeeze out and push on the adjacent root). Sometimes, it's not precisely clear what has lead to the irritation. In any case, patient's report a burning/electric shock type pain that starts in the low back, traveling down the buttocks and along the back of the leg, radiating below the knee. The most commonly affected nerve roots are L5 and S1.
3. Spinal Stenosis: Pain starts in the low back and radiates down the buttocks bilaterally, continuing along the backs of both legs. Symptoms are usually worse with walking and improve when the patient bends forward. Patient's may describe that they relieve symptoms by leaning forward on their shopping carts when walking in a super market. This is caused by spinal stenosis, a narrowing of the central canal that holds the spinal cord. The limited amount of space puts pressure on the nerve roots when the patient walks, causing the symptoms (referred to as neurogenic claudication). Spinal stenosis can be congenital or develop over years as a result of djd of the spine. As opposed to true claudication (pain in calfs/lower legs due to arterial insufficiency), pain resolves very quickly when person stops walking and assumes upright position. Also, peripheral pulses should be normal.
4. Mixed symptoms: In some patients, more then one process may co-exist, causing elements of more then one symptom syndrome to co-exist.

Shoulder Exam
I think that the most daunting aspect of the shoulder exam is appreciating the functional anatomy of this incredibly mobile joint. The primary benefit of the ball and socket arrangement is that it allows the hand to be positioned precisely in space, maximizing our ability to function. In terms of functionality, the shoulder might be best described as having a golf ball-on-a-tee design.
Location Of The Muscle Groups Is Approximated In The Pictures Above.

Start by looking at the normal (or more normal) side. Note any scars, obvious asymmetry, discoloration, swelling, or muscle asymmetry.

Palpation
Gently palpate around the shoulder, touching each of the landmarks noted above. Make note of pain.

open multi puncture testicular biopsy to retrieve sperm for ICSI (IntaCytoplasmic Sperm Injection) Procedure video

Small colon polyp (redish bump)and many diverticuli (small outpouches in wall of the colon)

At Hutzel Women's Hospital, Dr. Giancarlo Mari performs breakthrough in-utero surgery to save the lives of high-risk twins developing with a rare "shared" circulatory problem. ~ Detroit Medical Center

DMC Interventional Radiologist Doctor Bruce Wolf uses minimally invasive surgery called Balloon Kyphoplasty to bring relief to a patient suffering from severe back pain caused by spinal compression fractures. This new procedure is especially beneficial to patients suffering from osteoporosis. ~ Detroit Medical Center

Insertion of an intravenous line and cannula is demonstrated in this clinical skills video. The recording shows the steps used to place a cannula into a vein for intravenous access. It is a training resource for medical and nursing students learning venipuncture and cannulation technique.

Central Line Placement

esophago-gastro- duodinoscopy
Gastroduodinoscopy requires special training and considerable experience but affords valuable information.
By its implement the whole of the interior of the stomach as well as esophagus, the first part and the proximal section of the second part of the duodenum and both efferent and afferent loops of the gastrojujenostomy if present can be scrutinized.
Gastroscopy is valuable in the diagnosis of gastric ulcers, in checking the results of medical treatment of chronic gastric ulcer. Gastroduodinoscopy is valuable in differential diagnosis between chronic peptic ulcer and gastric carcinoma, in diagnosis of small gastric neoplasm, in the detection of certain forms of gastritis, in examination of a stoma, in cases of gastrojujenostomy, in cases of duodinitis and duodenal ulcer.
Now its' the Era of
VIDEOGASROSCOPE
Direct means of diagnosis of upper G.I. diseases
Continuous Video recording of the entire procedure is there by which
we can review the whole procedure by playing the Video.
We are doing final diagnosis of upper G.I. lesions with biopsy.
Treatment becomes easy and to the point.
Early detection of pre malignant and malignant lesions is appreciable.

This documentary profiles Consumers United for Evidence-based Health Care, a coalition of US consumer advocacy groups. Contributors describe using Cochrane systematic reviews and plain-language summaries, scrutinising industry-funded research, and campaigning for public access to reliable evidence in treatment decisions. It is an overview of evidence-based healthcare advocacy.

This video is a patient-testimonial interview about recovery after a mesh-free Desarda inguinal hernia repair in India. The patient, who travelled from Los Angeles, explains why he wished to avoid mesh and describes being active again within days, in the clinic's own presentation. The recovery account and its claims are the patient's and clinic's own.

Una revision unica de fertilizacion, desarrollo embrionario y de los procedimientos llevados acabo durante un ciclo de fertilizacion invitro. Tome un tour virtual exclusivo de unos de los laboratorios de fertilizacion invitro mas avanzados del mundo y con tecnologia de punta en reproduccion asistida para que conozca con mas detalle como RMA de NY realiza estos procedimientos bajo control estricto de calidad.
Este video proporciona documentacion acerca de la aspiracion de ovulos, inseminacion de ovulos, desarrollo embrionario desde etapa de clivaje (2-3 dias) hasta etapa de blastocisto (5-6 dias), inyeccion intracitplasmatica de esperma (ICSI)), eclosion asistida, transferencia embrionaria y congelacion de embriones.

Mexico City
Dr. Benjamin Sandler
Reproductive Medicine Associates International
http://www.rmany.com/mexicointernatio...
Prolongacion Paseo de la Reforma 1232, Oficina 1213
Colonia Lomas de Bezares
Delegacion Miguel Hidalgo
Mexico, Distrito Federal 11910
Tel: 011-52-55-2167-2515
Fax: 011-52-55-2167-6434

Minimally Invasive treatment of Ureteral stones after failed Extracorporeal Shockwave Lithotripsy

Laparoscopic cornuotomy is
1. perfect for hemostasis
2. no adjuvant treatment
3. Probaility of preservation of cornua & tube
4. Possibility of vaginal delivery in Subsequent pregnancy

This video is showing the Laparoscopic transabdominal preperitoneal hernia repair for direct inguinal Hernia

Revision knee replacement. After removal of the old implants, bone is prepared for re-implantation.

The revision knee operation with real implants is completed and the wound is closed.