Background: The number of patients demanding endoscopic neck surgery is rising. The access trauma of the axillary, breast and chest approaches is bigger than in open or video assisted surgery. We tested the feasibility of he sublingual transoral access which is in our opinion the only real minimally...-invasive extracollar endoscopic access to the thyroid gland Methods: We performed an experimental investigation in a porcine model. In 10 pigs we made 10 endoscopic transoral thyroidectomys with a modified axilloscope with the help of ultrasonic scissors and a neuro-monitoring system for identification of the recurrent laryngeal nerve. Results: The average operation time from the introduction to the removal of the obturator just above the larynx was 57 seconds. The mean operation time was 43 minutes. With the help of the neuro-monitoring system we proved in all cases the function of the recurrent laryngeal nerve on both sides. The pigs were observed for another two hours after operation. During and after the operation no complications appeared. Conclusions: We could show that the endoscopic transoral thyroid resection in pigs is possible and save. Our results might be useful for using this access for endoscopic thyroid resection in humans.

Colectomy Anterior Approach

A video showing how to draw blood for sampling

We will present technique of lifting a corneal flap, 10 months post IntraLASIK surgery, after epithelial nest. The nest changed in size and started to grow. The technique is minimal invasive and included partial flap lifting.

Challenges of cataract surgery in the eye with a history of radial keratotomy include IOL power calculation, protection of the cornea and aviodance of capsular complications.

A video of modern cataract surgery employing a temporal, clear-corneal approach with topical anesthesia and ultrasound phacoemulsification; an aspheric silicone lens implant is inserted

Diabetes contributes to Perio Disease

Esthetic Dentistry Today

Endoscopic Drainage of an Orbital Mucocoele

Demonstration of a one-hand tie for suturing in the operating room.

removal of a "toxic" phaeochromocytoma

Laparoscopic repair of incisional hernia

Urological surgeons have become proficient at performing complex pelvic urological procedures, such as radical prostatectomy, using the laparoscopic approach. Declan Murphy and Daniel Moon share their experience of four less common procedures they have performed recently using laparoscopic techniques. These include: excision of a urachal cyst; partial cystectomy for endometriosis (combined endoscopic-laparoscopic approach); repair of an intra-peritoneal bladder rupture; and repair of a ureteric injury (combined endoscopic-laparoscopic approach).

DMC Eye specialist restores a woman's vision by removing cataracts and installing an artificial lens. ~ Detroit Medical Center

A Video showing a fine needle biopsy guided with ultrasound of a thyroid nodule

The video describes ECG findings in case of pulmonary Embolism. Please see website for discalimer.

living with chronic fatigue syndrome

Urinary System Structure and Function

Wound healing, or wound repair, is the body's natural process of regenerating dermal and epidermal tissue. When an individual is wounded, a set of complex biochemical events takes place in a closely orchestrated cascade to repair the damage. These events overlap in time and may be artificially categorized into separate steps: the inflammatory, proliferative, and remodeling phases (Some authors consider healing to take place in four or more stages, by splitting different parts of inflammation or proliferation into separate steps.). In the inflammatory phase, bacteria and debris are phagocytized and removed, and factors are released that cause the migration and division of cells involved in the proliferative phase.

This 3D Animation video shows the process of acne formation and its treatment