The period between stages one and two of labour

Inspection of the mouth

A good case comprising of laparoscopic cholecystectomy with lap. assisted vaginal hysterectomy done simultaneously

New York Plastic Surgery ,Dr. Robert Vitolo ,board certified plastic surgeon , brings you into the operating room for a glimpse at how his transumbilical breast augmentation procedure is performed. Dr. Vitolo, a pioneer in the 'no visible scar' breast enlargement surgery, has been using this technique since 1994. Dr. Vitolo use Allergan Natrelle saline breast implants and Mentor saline implants. Dr. Vitolo also performs a removal of silicone gel implants and replacement with saline implants using the transumbilical method.

This is a video of a carpal tunnel release surgery

Flexor compartment synovectomy in a patient with rheumatoid arthritis presenting with loss of finger movement and local pain due to synovitis. Performed at the Queen Victoria Hospital, East Grinstead.

I call this technique deep rendering. I basically stacked graphical cross-sections (in this case, MRI rendering data), using proper increments and clip through them with the camera. This way I am able to explore all internal components in full 3D real-time.

I actually was able to figure out how to colorize different organs to help distinguish them apart from each other but couldn't get the shader to render real-time in Maya.

Credit: MRI scans courtesy of University of Washington Digital Anatomist Program

The complex circuitry interconnecting different areas in the brain, known collectively as white matter, is composed of millions of axons organized into fascicles and bundles. Upon macroscopic examination of sections of the brain, it is difficult to discern the orientation of the fibers. The same is true for conventional imaging modalities. However, recent advancements in magnetic resonance imaging (MRI) make such task possible in a live subject. By sensitizing an otherwise typical MRI sequence to the diffusion of water molecules it is possible to measure their diffusion coefficient in a given direction1. Normally, the axonal membrane and myelin sheaths pose barriers to the movement of water molecules and, thus, they diffuse preferentially along the axon2. Therefore, the direction of white matter bundles can be elucidated by determining the principal diffusivity of water. The three-dimensional representation of the diffusion coefficient can be given by a tensor and its mathematical decomposition provides the direction of the tracts3; this MRI technique is known as diffusion tensor imaging (DTI). By connecting the information acquired with DTI, three-dimensional depictions of white matter fascicles are obtained4. The virtual dissection of white matter bundles is rapidly becoming a valuable tool in clinical research.

Our journey begins with a transverse section of tightly packed axons as seen through light microscopy. Although represented as a two-dimensional "slice", we see that these axons in fact resemble tubes. A simulation of water molecules diffusing randomly inside the axons demonstrates how the membranes and myelin hinder their movement across them and shows the preferred diffusion direction --along the axons. The tracts depicted through DTI slowly blend in and we ride along with them. As we zoom out even more, we realize that it is a portion of the corpus callosum connecting the two sides of the brain we were traveling on and the great difference in relative scale of the individual axons becomes evident. The surface of the brain is then shown, as well as the rest of the white matter bundles--a big, apparently chaotic tangle of wires. Finally, the skin covers the brain.

With the exception of the simulated water molecules, all the data presented in the animation is obtained through microscopy and MRI. Computer algorithms for the extraction of the cerebral structures and a custom-built graphics engine make our journey through the brain's anatomy possible in a living person.

Micrograph courtesy of Dr. Christian Beaulieu, University of Alberta.
Music by Mario Mattioli.

References:
1. Stejskal, E.O., et al., J. Chem. Phys., 1965. 42:
2. Beaulieu, C., NMR Biomed., 2002. 15:435-55.
3. Basser, P.J., et al., J. Magn. Reson. B, 1994. 103:247-54.
4. Mori, S., et al., NMR Biomed., 2002. 15:468-80.

The ABC's of Adult CPR

Subcutaneous Pattern Suture

Deep Tie

Instrumental Tie

Use of Skin Stapler Remover

Lateral internal sphincterotomy

Interscalene Block

Off-Pump CABG in Dextrocardia; A New Challenge for a New Era

Laparoscopic Sleeve Gastrectomy Operation

Cholecystectomy & Retroperitoneal Tumor Removal

Resection of a glioblastoma multiforme, a very malignant, aggressive brain tumor.

This task requires cutting a circle from a rubber glove streched over 16 nails in a wooden board. Penalties are calculated when the cutting deviated from the drawn line. Score = time (seconds) + surface of glove in mgs deviated from circle. Performance standard: Score = 189 sec