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

Incision of the bladder neck for a small prostate

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.

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

Superficial Palpation of the Abdomen

Examination of the upper limb by Loyola medical school, Chicago

Examination of the knee from Loyola medical school, Chicago

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.

A video showing the correct way to hold a forceps

Deep Tie

Fistulectomy procedure surgery

Ultra Sound-Guided Interscalene Block

Polycystic ovary syndrome (PCOS, also known clinically as Stein-Leventhal syndrome), which is an endocrine disorder that affects 5--10% of women. It occurs amongst all races and nationalities, is the most common hormonal disorder among women of reproductive age, and is a leading cause of infertility. The symptoms and severity of the syndrome vary greatly between women. While the causes are unknown, insulin resistance (often secondary to obesity) is heavily correlated with PCOS.

Sentinel Lymph Node removal in breast Cancer en Français

Arterial Coronary Off-Pump Revascularization

This 81 year old man with severe CAD and CHF was referred for VCE following a negative endoscopic workup for chronic guaiac positive stools. Seen on only three frames, this sequence reveals a single mid small bowel telangectasia, a possible source for his chronic GI blood loss. He has been managed c...onservatively and continues to require intermittent transfusions despite oral iron therapy.

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.