Spurting Gastric Varices (GOV 1), injected Cyanoacrylate (Histoacryl®).

Dr. Mohamed Abeid

From the " Endoscopy Atlas " :
http://www.facebook.com/group.php?gid=16900943915

Michael Marcus, MD Pediatric Pulmonary www.DrMDK.com Maimonides Medical Center Fellowship:Children’s Hospital of Philadelphia www.DrMDK.com

Motor examination of Lower Limb from the USMLE collection

This video describes how to minimize injury to the facial nerve during parotid gland surgery using a nerve integrity monitor.

Examination of the upper limb by Loyola medical school, Chicago Part 2

vocal fold paralysis

Intercostal Nerve Block

Aortic Valve-Sparing Operation in a Patient with Aortic Root Aneurysm using a new Prosthesis for Anatomical Reconstruction of the Sinuses of Valsalva

On screening colonoscopy, this abnormality was encountered in the cecum. This round worm is Ascaris Lumbricoides, one of the most common human parasites in the world. When ingested, the durable Ascaris eggs hatch in the small intestine releasing larva that migrate through the intestinal wall, and t...ravel both hematogenously and lymphatically to the heart and lungs. Over the next several days, the larva mature in the alveoli, then migrate up the trachea to be swallowed back into the gastrointestinal tract. These larva will then mature in the small bowel; adults couples will succeed in producing an extraordinary number of eggs, over 200,000 ova per day. The adults live one to two years. The majority of Ascaris infections are as in this example asymptomatic. Symptoms are a consequence of either the immunologic hypersensitivity of the host to the worm as in the pulmonary stage referred as Loffler's syndrome or to mechanical obstruction of lumen by the worm. Heavy worm burden can result in intestinal obstruction and migrating worms can cause pancreatitis and/or cholangitis when involving the pancreatobiliary tree. Multiple medical therapies are approved for its treatment including mebendazole. Epidemiologically, infections are most common in areas of lower socio-economic conditions. This man manages a pig farm in China that is used to test pharmaceutical agents. From an endoscopic standpoint it is noteworthy that the worms do not like light and will move away fro the attention it is receiving. In this example, the endoscopist was too slow to snare his prey which succeeded in escaping temporarily into the cooler and darker confines of the small bowel out of reach of the endoscope but not from the soon to be consumed anti-helminthic therapy.

Thoracoscopic Discectomy

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

Descemet’s stripping automated endothelial keratoplasty (DSAEK) avoids a full-thickness corneal procedure and provides rapid visual rehabilitation. Successful graft positioning while minimizing intraoperative donor endothelial trauma may determine long-term graft survival. Previously described t...echniques for graft insertion may be problematic in some patients with intraoperative floppy iris syndrome (IFIS), anatomically shallow or unstable anterior chambers, or intraoperative increased posterior pressure. This video displays alternative method called the suture drag technique, which may facilitate lamellar endothelial graft insertion under these special circumstances.

Direct puncture capsulorhexis with a slightly barbed 30g needle on a TB syringe with BSS permits excellent control even with very high vitreous pressure without use of viscoelastic. Ideal for biaxial (microincision) cataract surgery.

TRAM only in cases where a Diep or Gracilis is not applicable

This video demonstrates the approach to a large base of tongue tumor, which was invading the ramus of the mandible. The procedure, named after Dr. Trotter, is really a median labiomandibuloglossotomy. In this case this poorly differentiated tumor was resected along with a portion of the floor of mouth. The entire area was reconstructed with a pectoralis major myocutaneous flap.

Ingrown Toenail Removal

Two small diverticuli are seen on the way in

A 3D animation showing the diaphragm demonstrating mecanics of respiration

Lecture presented by Dr. Mostafa Yakoot, to the European Multicongress of parasitology Valencia, Spain

American Andy received a Birmingham hip resurfacing surgery by Dr.Venkatachalam in Chennai India. The BHR is a highly successful treatment for patients for osteo-arthritis seeking relief from hip arthritis.
Hip resurfacing is offered by Madras Joint Replacement center by Dr.Venkatachalam. Visit http://www.hipsurgery.in