It used to be when a woman needed a hysterectomy she could expect full abdominal surgery with a long recovery time. Dr. Melissa Lee uses less invasive methods that can cut the patients downtime in half.

"We were trained in more laparoscopic and minimally invasive cases so of course that's what I'm more comfortable with doing right now."

She sees a new generation of patients opting for laparoscopic surgery.

"Laparoscopy is the use of small cameras with small incisions and instruments that are guided by the hand, and you're able to see directly into the abdomen without actually fully opening the abdomen," says Dr. Lee, an obstetrician-gynecologist with Lee Memorial Health System.

Nowadays, even a large mass or uterus can be removed using the slender tools.

"There are multiple different laparoscopic instruments that you can use. Whether they're blunt dissections or just dissectors that hold and retract back or actual scissors or cutting instruments, there are multiple different options," says Dr. Lee.

While a standard abdominal hysterectomy requires a four to eight inch incision, the laparoscope needs only a quarter to half inch. It's enough to make a big difference in terms of recovery.

"They're able to get up and move around faster. They're able to recover faster, their pain level and their need for pain medicine is much lower," says Dr. Lee.

The laparoscopic procedure also cuts down on scarring and more importantly, shortens the hospital stay. The trend now is home within 24 hours.

"Where the patient is done early in the morning, they're doing well they're tolerating oral intake they're able to getup and move around. And those patients a lot of times will feel comfortable to go home that same nigh after a major surgery," says Dr. Lee.

New studies show women who've had a laparoscopic hysterectomy viewed their quality of life as better than those who had an open abdominal procedure, making this a good option for the right patient.

View More Health Matters video segments at leememorial.org/healthmatters/

Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.

Visit leememorial.org

Product demonstration video for the Cardinal Health™ Laparoscopic Abdominal Drape (cat. no. 9438)

Ettore Vulcano, MD, Foot and Ankle Orthopedic Surgeon at Mount Sinai West, discusses a new minimally invasive bunion surgery that has patients walking immediately after surgery, and getting back to an active lifestyle much quicker than with the traditional surgery.

This Basic Laparoscopic Surgery: Abdominal Access and Trocar Introduction course will teach you the steps of Laparoscopic Surgery. View the full course for free by signing up on our website: https://www.incision.care/

What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.

Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions

Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training — forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.

This Basic Laparoscopic Surgery: Abdominal Access and Trocar Introduction course will teach you:
- How to access the abdomen using an open, closed, and direct optical-entry technique
- Principles underlying safe abdominal insufflation
- The vascular anatomy of the abdominal wall and its implications for trocar placement
- How to introduce trocars into the peritoneal cavity
- The principle of triangulation and how this can be applied to organizing a laparoscopic surgical field

Specific attention is given to these hazards you may encounter:
- Intravascular, intraluminal, or extraperitoneal needle position
- Limitations of a closed introduction technique
- Abdominal surgical history
- Limitations of an open introduction technique
- Optical trocar entry in thin individuals
- Visualization of non-midline structures
- Limitations of direct optical-entry techniques
- Limitations of clinical examination to confirm intraperitoneal insufflation
- Leakage of insufflation gas

These tips are designed to help you improve your understanding and performance:
- Alternative left upper quadrant approach
- Testing Veress needle before use
- Lifting the abdominal wall for Veress needle introduction
- "Hanging-drop test"
- Palmer's test
- Confirming intra-abdominal insufflation
- Subcutaneous tissue retraction
- Anatomy of the umbilicus
- Retraction of abdominal wall fascia
- Finger sweep of anterior abdominal wall
- Lifting the abdominal wall for optical trocar introduction
- Identification of venous bleeding at the end of a procedure
- Identification of inferior epigastric vessels by direct vision
- Peritoneal folds of the anterior abdominal wall
- Transillumination of superficial epigastric vessels
- Infiltration of local anesthetic at port sites
- Aiming of trocars
- Selection of trocar size
- Maintaining direct vision

how to control arterial bleeding Learn more at http://www.ProTrainings.com

For more information about Mohs surgery, please visit https://cle.clinic/3x7CRTy

Mohs surgery is a highly effective skin cancer removal procedure that takes just a few hours. It is most often used to treat basal cell and squamous cell carcinomas, the two most common skin cancers.

Chapters:
0:00 How effective is Mohs Surgery?
0:23 When is Mohs Surgery used?
0:50 How does Mohs Surgery work?
1:55 Does Mohs Surgery cure skin cancer?
2:06 How long is the recovery period after Mohs Surgery?

Resources:
Skins Cancer: https://cle.clinic/3G2MMM8
How Skin Cancer Is Found and Removed — At the Same Appointment: https://cle.clinic/3r9Wzu6
The Best Strategies To Reduce Your Risk of Skin Cancer: https://cle.clinic/38Bazqn

The information in this video was accurate as of 4.8.2022 and is for information purposes only. Consult your local medical authority or your healthcare practitioner for advice.

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#ClevelandClinic #MohsSurgery #SkinCancer

watch that Enema Insertion Medical Procedure

Bone marrow examination refers to the pathologic analysis of samples of bone marrow obtained by bone marrow biopsy (often called a trephine biopsy) and bone marrow aspiration. Bone marrow examination is used in the diagnosis of a number of conditions, including leukemia, multiple myeloma, anemia, and pancytopenia. The bone marrow produces the cellular elements of the blood, including platelets, red blood cells and white blood cells. While much information can be gleaned by testing the blood itself (drawn from a vein by phlebotomy), it is sometimes necessary to examine the source of the blood cells in the bone marrow to obtain more information on hematopoiesis; this is the role of bone marrow aspiration and biopsy.

Spirotome macrobiopsy of a lung as a minimal invasive way to complete the diagnosis of lung lesions.

Foreceps Delivery Birth Video

Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used to get vascular access in trauma and hypovolemic shock patients when peripheral cannulation is difficult or impossible

Join the Amoeba Sisters a they explore different muscle tissues and then focus on the sliding filament theory in skeletal muscle! This video also briefly talks about muscle naming, some vocabulary (such as agonists and antagonists) before focusing on the sliding filament model. Video also mentions general roles of tropomyosin and troponin.
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Table of Contents:
00:00 Intro
0:39 Muscle Tissue Types
1:58 Muscle Characteristics
2:33 Skeletal Muscle Naming and Arrangement
3:26 Actin Myosin and Sarcomere
4:32 Sliding Filament Model
6:55 Tropomyosin an Troponin
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Factual References:

Betts, J. Gordon, et al. “10.3 Muscle Fiber Contraction and Relaxation - Anatomy and Physiology 2e | OpenStax.” Openstax.org, 20 Apr. 2022, openstax.org/books/anatomy-and-physiology-2e/pages/10-3-muscle-fiber-contraction-and-relaxation.

Urry, Lisa A, et al. Campbell Biology. 11th ed., New York, Ny, Pearson Education, Inc, 2017.
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Further Reading Recommendations:

What about I and A bands? What actually initiates the power stroke? How does calcium get released and from where? Remember, there is a lot more detail! We recommend this page from Openstax to learn more:
https://openstax.org/books/bio....logy-2e/pages/38-4-m

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The Amoeba Sisters videos demystify science with humor and relevance. The videos center on Pinky's certification and experience in teaching biology at the high school level. Amoeba Sisters videos only cover concepts that Pinky is certified to teach, and they focus on her specialty: secondary life science. Learn more about our videos here: https://www.amoebasisters.com/our-videos

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Cardiac Surgical Skills LaboratoryTraining Procedures:/n Aortic Cannulation and Decannulation/nCardiac surgery training

Watch that Large Jelly Like Hematoma Extraction

Stomach cancer usually begins in the mucus-producing cells that line the stomach. This type of cancer is called adenocarcinoma. For the past several decades, rates of cancer in the main part of the stomach (stomach body) have been falling worldwide. During the same period, cancer in the area where the top part of the stomach (cardia) meets the lower end of the swallowing tube (esophagus) has become much more common. This area of the stomach is called the gastroesophageal junction.

This one goes out to all the student, resident and fellows trying to clarify what their bosses are trying to say to the patient

Vitiligine News, Vitiligine Foto, Vitiligine Come Si Manifesta, La Vitiligine, Rimedi Vitiligine --- http://vitiligine-cura.good-info.co --- Non Importa Quanto Sia Grave La Tua Vitiligine, Puoi Iniziare A Utilizzare Questo Sistema Potente PROPRIO ORA Per Ottenere La Libertà Dalla Vitiligine Che Hai Sempre Sognato! Funziona In Tutti I Casi Seguenti: Vitiligine Leggera, Moderata O Grave Vitiligine Focale Vitiligine Segmentale Vitiligine Mucoidale Vitiligine acrofacciale Vitiligine vulgaris Vitiligine universale I trattamenti anti-vitiligine che la maggior parte della gente usa NON FUNZIONANO! Il 95% di tutti quelli che trattano la vitiligine finisce peggio di quando ha iniziato! Una Presentazione Video Gratuita Spiega Un Singolare Consiglio Per Eliminare La Vitiligine Per Sempre http://vitiligine-cura.good-info.co

What is peripheral neuropathy? Your peripheral nervous system connects the nerves from your brain and spinal cord, or central nervous system, to the rest of your body. This includes your: arms hands feet legs internal organs mouth face The job of these nerves is to deliver signals about physical sensations back to your brain.

Ever heard medical terms like MRI or EKG? Funny speaker for nurses and doctors and all-around healthcare speaker Dr. Brad Nieder discusses the funny medical jargon he's encountered during his medical career.

He jokes about medical acronyms and big healthcare terms. His funny medical humor makes the conference attendees burst with laughter and he reads the medical definition for "laugh."

As an experienced physician and keynote speaker, he's perfect for any in-person or virtual conference or event. He's also a great healthcare speaker to bring in for continuing medical education (cme) units!

Learn more about Brad's keynote and virtual speaking, and book him for your next conference or virtual event: https://www.HealthyHumorist.com

Find Dr. Brad on social media:

https://www.facebook.com/HealthyHumor...
https://www.linkedin.com/in/BradNieder
https://twitter.com/HealthyHumorist
https://www.youtube.com/c/BradNiederMD
https://vimeo.com/BradNieder

Brad Nieder, MD, CSP*
The Healthy Humorist
Doctor, Keynote Speaker, Clean Comedian

*CSP=Certified Speaking Professional

"Medical Lingo"
From the DVD "The Healthy Humorist in Orlando: Laughter is the Best Medicine"