technique of combined cataract surgery and glaucoma tube shunt using triamcinolone to verify fluid outflow

Clamping the umbilical cord and assessment of the apgar score of the baby

new fundus camera for examining the retina without dilating the pupil

ENDOSCOPIC (NON-SURGICAL) REMOVAL OF MULTIPLE LARGE TUMORS FROM STOMACH IN A PATIENT WITH PEUTZ-JEGHERS SYNDROME
PEUTZ-JEGHERS SYNDROME: Peutz-Jeghers syndrome (PJS) is a familial syndrome consisting of mucocutaneous pigmentation, gastrointestinal polyposis and cancers of gut & other sites like breast, ovary, and testes. PJS has an autosomal dominant inheritance with variable and incomplete penetrance. Germline mutations of STK11/LKB1 gene on 19p cause this syndrome. Mucocutaneous pigmentation may be noted in early infancy. These deposits of melanin are most commonly found around the mouth, nose, lips, buccal mucosa, hands, and feet, and may also be present in perianal and genital areas. PJS polyps may be found in stomach, small intestine, or colon, but they tend to be prominent in the small intestine. These polyps may increase in size and cause small intestinal obstruction or intussusceptions that may occur in early infancy. Acute upper gastrointestinal bleeding and chronic faecal blood may complicate the disease.
PATIENT: The patient was a 25 yr male who had mucocutaneous pigmentation and multiple polyps in the stomach and duodenum. He presented with bleeding from gastric polyps. As the polyps in stomach were numerous, (more than 20 in number) and were large in size (some equal to small egg size), he had been advised to undergo surgery. Surgery planned was total gastrectomy.
PROCEDURE: The patient underwent video-endoscopy of the esophagus, stomach and duodenum. All polyps were examined for size and presence or absence of stalk. A plan to remove all the gastric polyps at endoscopy was made in the same sitting. He received light conscious sedation. Flat polyps were raised form the gastric wall by injection of saline in to polyp base to let these lesions have a stalk. This was done by needle injector. Each polyp was engaged in a snare and the polyp stalk was cut by coagulation cutting current. The cuts were clean without any bleeding. All polyps were recovered for histology. The histology revealed all polyps to be hamartomous lesions. None of the polyps were cancerous. Patient has been followed up for over one year and is doing fine without any further bleeding or pain.
Video shows the procedure of videoendoscpy and endoscopic removal of polyps.

Examination of the upper limb by Loyola medical school, Chicago

Examination of the upper limb by Loyola medical school, Chicago Part 2

Fistulectomy procedure surgery

Pectus excavatum (hollow chest) deformity is not uncommon (sometimes mild and other times severe in its form). The chest deformity is often the source of self-consciousness for the patients while growing up. Several surgical techniques (Nuss procedure, Ravitch procedure, etc) are available.

ANEURYSMS OF THE CEREBRAL VESSELS CAUSE SUBARACHNOID HEMORRHAGE. MICRONEUROSURGICAL CLIPPING ELIMINATES DEFINITIVE THE RISK OF RERUPTURE, ENABLES TO TREAT VASOSPASMS AND ELIMINATES THE NEED FOR RE-ANGIOGRAPHIES. INTRAOPERATIVE PUNCTURE CHECKS IMMEDIATLY THE ELIMINATION OF THE ANEURYSM.

a video showing subcutaneous injection

A 49-year old female patient complainig of cough. X-ray and chest CTscan showed a 2.5cm nodule in the left upper lobe. Transthoracic biopsy was consistent with adenocarcinoma. PET-Scan and CT Scan showed no mediastinal disease. The procedure was performed through three incisions.

Single tooth implant

LASIK or Laser-Assisted In Situ Keratomileusis is a surgical procedure intended to reduce a person's dependency on glasses or contact lenses.

LASIK surgery is most commonly performed as a cure for myopia (nearsightedness), but can also be used to cure hyperopia (farsightedness) or astigmatism (corneal irregularities).

LASIK is a procedure that permanently changes the shape of the cornea using a special laser and thus focusing the light rays exactly on the retina.

The steps of the procedure are as follows:

A suction ring is placed on the eye to stabilize and check the eye pressure.

The microkeratome, a cutting instrument, is attached to the suction ring.

The blade of the microkeratome is used to cut a flap in the cornea.

The exposed inner layer of the cornea is then reshaped with an excimer laser.

The corneal flap is returned to its original position.

LASIK is an ambulatory procedure; the patient can walk into the surgery center, have the procedure and walk out again and is awake the whole time. Occasionally, the doctor may administer a mild oral sedative.

Osteochondral Allograft

Demonstration of staple insertion and removal technique for laceration repair or wound closure in the operating room.

Sprains and Strains

removal of a "toxic" phaeochromocytoma

This minimally invasive procedure connects electrodes to the brain and places a pacemaker-like device under the skin. When activated, electrical impulses minimize shaking due to "dyskinesia syndrome" in patients with Parkinson's disease. ~ Detroit Medical Center

At Children's Hospital, Dr. Mary Bedard and the NICU nursing staff save the life of a tiny infant struggling from a serious intestinal infection. ~ Detroit Medical Center

DMC pediatric heart specialist uses less invasive technique to repair a child's Atrial Septal Defect ("Hole in the heart.".) ~ Detroit Medical Center