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تضخم الثدى عند الرجال من المشاكل المنشرة جدا بين الشباب و تسبب الكثير من المشاكل النفسية و الصحية
د. محمد الروبى
استشارى جراحات التجميل - جامعة عين شمس
Laparoscopic fixation of intraabdominal testis into the scrotum in a case of undescended testis.
A 30 YEAR WOMEN WITH INTRACTABLE BILIARY COLIC CASE REPORT: This 30 year women developed severe pain right upper quadrant for last 10 days. She sought many consultations and was given intravenous analgesics both (nonnarcortic and narcotic). Pain did not subside and she sought my consultation. Examination revealed her to be in agony with severe upper abdominal pain. General physical examination was otherwise unremarkable. Abdominal examination revealed mild tenderness in right hypochondrium with doubtful Murphy's sign. Urgent abdominal ultrasound showed a linear structure in bile ducts making slow writhing movements. The structure had an anechoic tube (alimentary canal) inside suggestive of a large Ascarid. Urgent ERCP was performed and bile duct and pancreatic duct cannulated selectively. Pancreatic duct was normal. Bile ducts contained a long linear filling defect extending from lower end of common bile duct to right intrahepatic duct (see image gallery for ERCP plate). A basket was introduced in the duct (see video clip) and the linear structure was engaged with soft closure and extracted out of the bile duct. Accompanying the basket was a 25 cm thick highly motile Ascarid. To recover the worm, endoscope was withdrawn along with the basket and the friendly catch. While the endoscope was being withdrawn and the basket was in the duodenum with the worm out of bile duct, patient indicated of relief of abdominal pain. A relook cholangiogram showed no more structures in the duct. She was given antihelmintic therapy and passed hundreds of worms with the feces. The worms recovered form stools were both male and female population and varied in length and size. However the lone worm recovered form bile ducts was the longest and the thickest male worm. The phenomenal behavior of this ubiquitous infection remains unexplained. (Source Records from Dr. Khuroo's Medical Clinic. Review prepared by Mehnaaz Sultan Khuroo Host website www.drkhuroo.org , E-mail: mkhuroo@yahoo.com ).
Loyola oral Presentation for Rounds video
Subcutaneous Pattern Suture
How to read ECG:
Part 1 Shows:
1-All
2-Introduction
3-Rate and Axis
4-Chamber Hypertrophy
5-Bundle Branch Block
6-Myocardial Infarction
How to read ECG Part 2:
1-All
2-Myocardial Ischaemia
3-Ectopics, Sinus Pause
4-Atrial Arrhythmias
5-Ventricular Arrhythmia
6-A-V Block
An animation showing what PCO is
The colonoscope is slowly withdrawn during this screening colonoscopy down from the transverse colon, back around the splenic flexure, and down the descending colon, and reveals this finding a colonic diverticula. Diverticulosis is a common, acquired, age-related occurrence affecting over 50% of the... western adult population over the age of 50. It is seen rarely in Africa and Asia where the dietary fiber content is traditionally higher. Thus most investigators feel that low fiber diets are related to the development of this condition. Ironically, colonic diverticula are not true diverticula but rather pseudodiverticula in that the sac includes layers of the mucosa and submucosa that push through rather than include the outer muscular layer. As with the small bowel the colon has an inner circular muscular layer, but the outer longitudinal layer is composed of three bands of muscle that run the length of the colon known as teniae. Diverticula occur in rows between the mesenteric and two antimesenteric teniae where the colonic wall is further weakened by the defect caused by the perforating vasa recti artery which supplies the colonic mucosa. Occasionally, the anatomic propensity of diverticula to form in rows is quite apparent as seen when this clip is replayed in slow motion. Most often, however, the arrangement of the diverticula appears random due to the angulation of the bowel and thickening of the semi lunar folds. The conditions that cause these pulsion diverticula are not know with certainty but may include high intrahaustral pressures, muscular hypertrophy, and age related alterations in collagen cross linking. Diverticula can bleed or can abscess and perforate. The incidence of diverticulitis or diverticular bleeding is in the range of 1:1,000 patients with diverticulosis.
Laparoscopic Sleeve Gastrectomy Operation
Cholecystectomy
Removal of the superficial lobe is performed on a child presenting with a mass
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.
Oral Surgery and Dental Implants
Mini Gastric Bypass surgery Operation
1year follow up Video of Scott Kopperud who underwent Hip resurfacing Surgeon:- Dr.Vijay C Bose, ARCH Asian Regional ...
This is an Abdominal Liposuction surgery performed by Dr. Art Foley. Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas including the abdomen, hips, buttocks, thighs, knees, upper arms and neck. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight loss methods.
Laser Liposuction for Weight Loss
Fractured implant extraction
