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LASIK or PRK? Which is right for me? Animation.
LASIK or PRK? Which is right for me? Animation. Mohamed Ibrahim 66 Views • 2 years ago

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Perfect for patient education purposes.
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LASIK, or "laser-assisted in situ keratomileusis," is the most commonly performed laser eye surgery to treat myopia, hyperopia and astigmatism. The goal of the treatment is to reshape the cornea to correct the refractive error of the eye.
The cornea is the transparent dome-shaped structure in front of the eye. The cornea refracts light and accounts for about two-thirds of the eye's total optical power. Altering the curvature of the cornea changes the way light rays enter the eye. As a result, the light rays can be focused properly onto the retina for clearer vision.
For nearsighted people, the laser is used to flatten the cornea. For farsighted people, the cornea is made steeper. For patients with astigmatism, the laser is used to smooth the irregularly-shaped cornea into a more regular shape.
The outer layer of the cornea - the epithelium – is capable of replacing itself within a few days after being damaged or removed. The deeper layer of the cornea – the stroma, on the contrary, is a permanent corneal tissue with very limited regenerative capacity. The stroma, if reshaped by a laser, will remain that way permanently.
In this procedure, a thin, circular "FLAP" is created in the surface of the cornea to gain access to the permanent corneal tissue. This can be done with a mechanical cutting tool called a microkeratome, OR, for a blade-free experience, by a femtosecond laser. An excimer laser is then used to remove some corneal tissue to reshape the cornea. Excimer laser uses cool ultraviolet light beams to vaporize microscopic amounts of tissue in a precise manner to accurately reshape the cornea. The excimer laser is computer-controlled and is programmed based on the patient’s refractive error. The flap is then laid back in place and is allowed to heal.
LASIK eye surgery is mostly painless and can be completed within minutes. Improved vision can usually be seen overnight.

PRK, or photorefractive keratectomy, was the first type of laser eye surgery for vision correction and is the predecessor to the popular LASIK procedure. In PRK, NO flap is created. Rather, the epithelial cells on the eye surface are simply removed. An excimer laser is then used to reshape the cornea just like it does in LASIK.
The vision correction outcomes of PRK surgery are comparable to those of LASIK, but the recovery period is longer. This is because the epithelium is completely removed in PRK and it takes a few days to regenerate. PRK patients also have more discomfort and haziness of vision in the first few days after the surgery. Improved vision also takes longer to achieve.
PRK does, however, offer certain advantages. Because PRK does not involve creation of a flap, which contains both epithelial and deeper stromal tissue, the entire thickness of the stroma is available for treatment. The treatment range is therefore higher. This is particularly useful for patients with high levels of myopia or for those whose cornea is too thin for LASIK. PRK is also free of flap-related complication risks.

What you need to know about SMILE and LASIK eye surgery
What you need to know about SMILE and LASIK eye surgery Mohamed Ibrahim 42 Views • 2 years ago

If you go to research LASIK eye surgery online, you may get conflicting messages. Some articles rave about it, but in some cases, others link it to severe pain or even suicide. 7 Action News' Carolyn Clifford sat down with one of the area's biggest providers of eye surgery to try and separate fact from fiction, so if you go under the laser, you know the risk.

How knee replacement surgery is carried out
How knee replacement surgery is carried out Surgeon 46 Views • 2 years ago

Knee replacement involves replacing a knee joint that has been damaged or worn away, usually by arthritis or injury. Find out more here: https://www.bupa.co.uk/health-....information/knee-cli

How to suture like a plastic surgeon!
How to suture like a plastic surgeon! Surgeon 83 Views • 2 years ago

In this video, learn how to suture like a plastic surgeon! We'll go over the different types of sutures, appropriate needle sizes, and the correct technique for suturing different types of wounds. Whether you're a medical student or just interested in improving your suturing skills, this video is for you! Join us and start mastering this essential surgical skill.

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Laparoscopic vs. Robotic
Laparoscopic vs. Robotic Surgeon 57 Views • 2 years ago

They are the leaders of the pack when it comes to minimally invasive surgeries. Laparoscopic and robotic. Different techniques with the same benefits.

"There's significantly less blood loss, it's a quicker procedure, quicker recovery, less scarring, less chance for post operative wound complications or infections," says Dr. Darren Miter, laparoscopic surgeon with Lee Memorial Health System.

In a laparoscopic procedure surgeons operate through a series of poke holes, manually inserting thin cutting tools and a camera to provide magnified vision. It's used in a variety of surgical specialties.

"The vast majority of gallbladder surgeries are performed laparoscopically. A single incision in the belly button, one up under the breastbone and either one or two in the right upper side of the belly. Using long skinny instruments and looking up at a TV monitor, remove the gallbladder that way," says Dr. Miter.

While laparoscopic is a hands-on approach, robotic procedures are surgeon-controlled. Working at a console, surgeons direct the robotic arms, which have super-human capabilities and 3D, hi def vision.

"I mean you have to see it to believe it, that's a great tool to have. You got a very good depth perception. Plus the other thing when you're working with your hands it's more intuitive," says Dr. Nagesh Ravipati, colorectal surgeon with Lee Memorial Health System.

The robotic system performs maneuvers the human hand can't.

"Especially if you have to do any suturing, it is so much simpler with the robots because you can just turn around 360 degrees," says Dr. Ravipati.

Robotic surgery is gaining momentum in precise procedures, including the field of cancer.

"The robot is good when you're going to operate on just one field. For rectal surgery you're in one place, it's docked. It gives you the best 3 dimensional vision," says Dr. Ravipati.

Robotic and laparoscopic. Both cutting edge options, with less cutting.

View More Health Matters video segments at leememorial.org/healthmatters/

Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.

Visit leememorial.org

Tracheostomy Suctioning- Nursing Skills
Tracheostomy Suctioning- Nursing Skills nurse 82 Views • 2 years ago

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Tracheostomy Suctioning- Nursing Skills:

In this video we’re going to talk about suctioning a tracheostomy. You may need to do this before you do trach care or just because the patient requires suctioning. Make sure that you assess the patient before you start so that you know what their one sounds are, and what their oxygen saturation is. We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Introduction to trach suctioning
0:21 Suction setup
0:42 Opening suction kit
1:55 Sterile water
2:13 Starting trach suctioning
2:00 Catheter insertion
3:00 Catheter pass #2
3:26 Listen to lungs
3:31 Outro

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Tubal Pregnancy - Lapaoscopic Removal
Tubal Pregnancy - Lapaoscopic Removal DrPhil 39,872 Views • 2 years ago

Laparoscopic removal of ectopic pregnancy

Bad Lasik Surgery
Bad Lasik Surgery Mohamed Ibrahim 65,094 Views • 2 years ago

A very bad lasik eye surgery duringwhich the surgeon messed everything

Cryosurgery to Treat Warts
Cryosurgery to Treat Warts DrPhil 14,018 Views • 2 years ago

This video demonstrates how to treat venereal warts or condyloma using a cryosurgery technique.

Chest Tube
Chest Tube Mohamed Ibrahim 28,282 Views • 2 years ago

A video showing the insertion of chest tube

endometrial polyp shaver (IUR) procedure
endometrial polyp shaver (IUR) procedure M_Nabil 16,631 Views • 2 years ago

Endometrial Polyp is removed using a IUR (Smith@Nephew)by B.C. Schoot Gynaecologist dept OB/GYN Catharina Hospital Eindhoven The Netherlands

Laparoscopic Colon Resection
Laparoscopic Colon Resection M_Nabil 27,817 Views • 2 years ago

Laparoscopic Colon Resection video

 Supine assessment of reflexes
Supine assessment of reflexes Mohamed 14,747 Views • 2 years ago

this video shows the Supine assessment of reflexes

Examination of Arms
Examination of Arms Surgeon 11,207 Views • 2 years ago

Examination of the arms

Laparoscopic Roux-en-Y Gastric Bypass
Laparoscopic Roux-en-Y Gastric Bypass Mohamed 12,387 Views • 2 years ago

Laparoscopic Roux-en-Y Gastric Bypass with Hand-Sutured Anastomosis. Dr. Dennis Smith, Advanced Obesity Surgery, Marietta, GA

Fine Needle Biopsy of Thyroid Nodule
Fine Needle Biopsy of Thyroid Nodule Mohamed 32,299 Views • 2 years ago

Video shows a fine needle biopsy with guided ultrasound of a thyroid nodule.

Histology of Sympathetic Ganglion
Histology of Sympathetic Ganglion Mohamed 18,651 Views • 2 years ago

Histology of Sympathetic Ganglion

Meningeal Irritation Signs USMLE
Meningeal Irritation Signs USMLE USMLE 19,431 Views • 2 years ago

Meningeal Irritation Signs from the USMLE collection

Gynecomastia تصغير الثدى للرجال Dr. M. El-Rouby د. الروبى
Gynecomastia تصغير الثدى للرجال Dr. M. El-Rouby د. الروبى Mohamed El-Rouby 22,908 Views • 2 years ago

Gynecomastia means enlargement of male breast to resample female breast that is a common problem between males and causes many psychological problem
Dr. Mohamed El-Rouby
Consltant of Plastic surgery - Faculty of Medicine - Ain Shams University

Shoulder Exam
Shoulder Exam Scott 25,536 Views • 2 years ago

Shoulder Exam
I think that the most daunting aspect of the shoulder exam is appreciating the functional anatomy of this incredibly mobile joint. The primary benefit of the ball and socket arrangement is that it allows the hand to be positioned precisely in space, maximizing our ability to function. In terms of functionality, the shoulder might be best described as having a golf ball-on-a-tee design.
Location Of The Muscle Groups Is Approximated In The Pictures Above.

Start by looking at the normal (or more normal) side. Note any scars, obvious asymmetry, discoloration, swelling, or muscle asymmetry.

Palpation
Gently palpate around the shoulder, touching each of the landmarks noted above. Make note of pain.

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