a video showing how to perform Percutaneous tracheostomy

Ileostomy Closure

Defecography showing Enterocele

Transoral Access in Endoscopic Thyroid Surgery Background: The number of patients demanding endoscopic neck surgery is rising. The access trauma of the axillary, breast and chest approaches is bigger than in open or video assisted surgery. We tested the feasibility of he sublingual transoral access which is in our opinion the only real minimally...-invasive extracollar endoscopic access to the thyroid gland Methods: We performed an experimental investigation in a porcine model. In 10 pigs we made 10 endoscopic transoral thyroidectomys with a modified axilloscope with the help of ultrasonic scissors and a neuro-monitoring system for identification of the recurrent laryngeal nerve. Results: The average operation time from the introduction to the removal of the obturator just above the larynx was 57 seconds. The mean operation time was 43 minutes. With the help of the neuro-monitoring system we proved in all cases the function of the recurrent laryngeal nerve on both sides. The pigs were observed for another two hours after operation. During and after the operation no complications appeared. Conclusions: We could show that the endoscopic transoral thyroid resection in pigs is possible and save. Our results might be useful for using this access for endoscopic thyroid resection in humans.

Scleral fixated IOLs in case of inadequacy of capsular support and scleral sutured capsular tension rings when adequate zonular support is inavailable have been recently used in cataract surgery. In these techniques, polypropylene suture is used and the suture ends over the sclera after the knot ha...s been formed, may erode the conjunctiva and become exposed. Thus, the erosion may lead to the development of endophtalmitis. In order to prevent the aforementioned complication, scleral flaps, otologous cornea, duramater or fascia lata patches have been used to cover the knot and rotation of the knot into the tissues has been described.

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.

Bilateral High flex knee replacements for British patient. 81 year old Ken Perris is highly satisfied after double flexible knee replacements in Chennai hospital by Orthopaedic surgeon Dr.A.K.Venkatachalam of www.kneeindia.com. High flex or flexible knee replacements confer the ability to kneel, squat, sit cross legged. Minimally invasive surgical approaches reduce pain and hasten recovery.

The operation was done by cut opening the abdomen for resection anastamoses of intestine. You can see all intestines. The patient unfortunately died of sepsis. He was just 15 yrs old

Osteochondral Allograft

Laparoscopic Gastric Bypass Surgery

Stephen has sharing his experience with the others.

Baby CPR

removal of a "toxic" phaeochromocytoma

How to infuse a local anesthetic into a wound.

DMC Sports Medicine Specialist Dr. Scott Lemos helps a young football start get back in the game after an ACL injury. ~ Detroit Medical Center

How to properly apply a tourniquet

This 25 second video clip demonstrates the effect of "post-tetanic facilitation" in a patient receiving rocuronium (a neuromuscular blocking agent)under general anesthesia

Closed Rhinioplasty Exposing The Nasal Structures

Laparoscopic varicocellectomy Surgery