Natural Orifice Endoscopic Transgastric Distal Pancreatectomy, A Prospective Randomized Controlled Trial. Natural orifice surgery may represent a paradigm shift in the area of minimally invasive surgery and therapeutic endoscopy. However, studies to date have been limited primarily to small ca...se series with small sample sizes. There has been no large rigorous randomized controlled trial of natural orifice surgery to date. Early work on procedures such as peritoneoscopy, oophorectomy and tubal ligation, while pioneering, have reproduced laparoscopic procedures with minimal morbidity and mortality. In contrast, distal pancreatectomy has a post-operative morbidity of more than 50% even in high volume tertiary care centers. As a highly morbid surgery, the post-operative event rate would allow for a significant difference to be seen in a trial of conventional versus NOTES distal pancreatectomy. We have recently completed a prospective randomized controlled trial of NOTES versus laparoscopic distal pancreatectomy in a swine model which builds on our earlier non-survival work. This video focuses on the endoscopic technique.

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.

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.

Removal of 5 Releasable sutures from the Eye

A 49-year old female patient complainig of cough. X-ray and chest CTscan showed a 2.5cm nodule in the left upper lobe. Transthoracic biopsy was consistent with adenocarcinoma. PET-Scan and CT Scan showed no mediastinal disease. The procedure was performed through three incisions.

How pregnancy can affect gingivitis

Hemostasis after Tooth Extraction

A LASAG Yag laser is in thermal mode, 1.5 Joules/pulse to treat the trabecular meshwork between the cornea and iris for glaucoma. The view is of the inside anterior eyeball.

LASIK or Laser-Assisted In Situ Keratomileusis is a surgical procedure intended to reduce a person's dependency on glasses or contact lenses.

LASIK surgery is most commonly performed as a cure for myopia (nearsightedness), but can also be used to cure hyperopia (farsightedness) or astigmatism (corneal irregularities).

LASIK is a procedure that permanently changes the shape of the cornea using a special laser and thus focusing the light rays exactly on the retina.

The steps of the procedure are as follows:

A suction ring is placed on the eye to stabilize and check the eye pressure.

The microkeratome, a cutting instrument, is attached to the suction ring.

The blade of the microkeratome is used to cut a flap in the cornea.

The exposed inner layer of the cornea is then reshaped with an excimer laser.

The corneal flap is returned to its original position.

LASIK is an ambulatory procedure; the patient can walk into the surgery center, have the procedure and walk out again and is awake the whole time. Occasionally, the doctor may administer a mild oral sedative.

Oral Surgery and Dental Implants

Percutaneous Endoscopic Colostomy

Mesenteric artery illuminated with luciferase

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.

nurses removing chest tube from surgery after spontaneous pneumothorax

This video features a testimonial of Okino Mosses from Nigeria recovers from nerve decompression after his Lumber spine decompression surgery at Mumbai in India who recovered from nerve decompression after his lumber spine surgery at Mumbai in India. Okino was suffering from nervous spine decompression and was in need of a good doctor plus medical solution and then he came to know of international quality spine treatment available in India at a reduced cost. Availing the assistance of medical tourism in India Okino was able to get an international quality and cost effective lumber spine decompression surgery at Mumbai in India. Lumber spine decompression surgery is a surgical procedure that is performed to alleviate pain caused by pinched nerves (neural impingement). This surgery provides assured medical recovery to medical patients who suffer from nervous decompression disorder. In the procedure of lumber spine decompression surgery a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to give the nerve root more space and provide a better healing environment. Several conditions may cause neural impingement, including spinal stenosis, a disc herniation, isthmic spondylolisthesis, degenerative spondylolisthesis, or (rarely) a spinal tumor. And lumber spine decompression surgery provides medical recovery from these spine disorders. Indian spine surgery hospitals of Delhi, Mumbai and Chennai have got good medical state of art facilities for abroad patients who want to get lumber spine surgery in India at a reduced price budget. The price of spine surgery procedure in India is affordable and the best doctors operate them to give patients a positive medical feed back after the surgery. 24/7 hours patient care provided by well trained Indian medical staff makes India a reliable medical destination. Medical tourism in India provides good care and assistance to patients who far in abroad to plan a cost effective medical trip to India. You may get more details about lumber spine surgery in India at http://www.dheerajbojwani.com or mail your queries at contact@dheerajbojwani.com

Laparoscopic repair of incisional hernia

Voice annotated arthroscopic surgery on the right shoulder to perform a subacromial decompression.
Surgery was performed by Dr. Lamont Cardo

A thin polymer film that seals surgical wounds could make sutures a relic of medical history.

Measuring just 50 microns, the film is placed on a surgical wound and exposed to an infrared laser, which heats the film just enough to meld it and the tissue, thus perfectly sealing the wound. Known as Surgilux, the device's raw material is extracted from crab shells and has Food and Drug Administration approval in the US

A DMC patient with urinary stress incontinence regains control with less-invasive surgery at DMC Sinai-Grace, performed by DMC Ob/Gyn specialist Dr. Korial Atty. ~ Detroit Medical Center

DMC Plastic Surgeon Doctor Bruce Chau uses minimally invasive surgery called Liposelection to ultrasonically "melt" fat and remove it, resulting in smoother, younger-looking skin and body. Watch as one patient feels transformed through a procedure to revitalize her breasts and her outlook. ~ Detroit Medical Center