Short video of tension free repair of indirect inguinal hernia using a prolene mesh after herniotomy

Laparoscopic Colon Resection video

this video shows the Supine assessment of reflexes

Inspection of the mouth

Technique was suggested by Nissen as a surgical treatment for the Gastro-Esophageal Reflux GERD and a 360 degrees wrap of fundus of the stomach is fashioned by means of 3 sutures around the lower end of esophagus.
Collis was the first to perform it laparoscopic.

Incision of the bladder neck for a small prostate

different aging and other skin spots can be treated succesfully with Co2 laser.

Examination of the upper limb by Loyola medical school, Chicago

Examination of the knee from Loyola medical school, Chicago

A video from Loyola medical school, Chicago showing the cardiovascular medical and clinical examination

Loyola Full Thorax Exam Part 2 A video from Loyola Medical School, Chicago showing the medical and clinical examination of the respiratory system.

Part 5: from Loyola Medical School, Chicago showing clinical examination of the neurological system.

Deep Tie

Squared Notch-1

Laparoscopic repair of hernia with mesh

Laparoscopic Sleeve Gastrectomy Operation

Chromoendoscopy of Colon Polyps

Excision of breast cancer that is visible only on mammogram. diagnosis is typically established on stereotactic biospy and excision is done with wire localization. This techniques involves localization by sonography of the hematoma that is left behind at the time of biopsy. It provides not only accu...rate location of the tumor but ensures adequate margins of excision.

Surgical technique: A 3cm skin incision under spinal or general anesthesia, depending on the patients’ preference, starts half way the line between the superior anterior iliac spine towards the midline in a 30° angle to the pubic tubercle. Scarpa’s fascia is opened as well as the external obliq...ue aponeurosis. By using this skin line incision the internal ring will be immediately visualized. Although it is important to look for both direct and indirect hernias evaluating the groin, we do not taper the cord and directly evaluate the ring for indirect hernias. In case of an indirect hernia the sac is reduced or resected according to the preference of the surgeon and the preperitoneal space is entered bluntly through the dilated internal ring. In case of a direct hernia the approach slightly differs. One could prefer to open the transversalis fascia through the internal ring over a few centimeters or you can open the fascia more medially, at the site of the direct hernia. As primary point of concern the epigastric vessels should be identified and retracted softly upwards. Then a gauze can be introduced into the preperitoneal space and by doing so most of the space needed medially will be created. Then one can already palpate Cooper’s ligament and the pubic bone. Laterally to the internal ring more digital dissection is needed to create just the appropriate space for the mesh. By placing the mesh it is important not to introduce the mesh too medially. Laterally of the internal ring an adequate overlap of the mesh is necessary, especially in indirect hernias. No splitting of the mesh seems necessary. The patient will be asked to strain and push on the ring to control its place and to check adequate spreading of the mesh to cover the whole myopectineum of Fruchaud. One single stitch of vicryl 3/0 is placed taking both the fascia transversalis and the mesh.

Total laparoscopic hysterectomy using staples to secure major blood vessels. Vaginal colpotomy and mobilization of bladder performed initally with suture line at junction of vagina and cervix visualized laparoscopically.