Importance of Regular Dental Exams

Anatomy of The Peritoneal Cavity

Laparoscopic removal of the spleen

Patty Jackson WDAS Interviews Renee Brown & Nnamdi G. Osuagwu, Co-Founders of The Fibroids Project (FibroidsProject.com).

Female Condom Demonstration

Dr. Katherine Scovner from the Division of Nephrology at Massachusetts General Hospital discusses kidney dialysis.

How to inject IM: How to draw substance

Everything You Need To Know about injections

This is the CT of a 43 year old male patiënt with infected necrotizing pancreatitis that will undergo a VARD procedure; Videoscopic Assisted Retroperitoneal Debridment. Two weeks before this procedure two large bore percutaneous drains were placed in the peripancreatic collection. The patient i...s placed in supine position with the left side 30 degrees elevated. A 5-7 cm subcostal incision is made in the left flank. With help of CT images and by following the percutaneous drain, the subcutaneous tissue and the fascia are dissected and we enter the retroperitoneal peripancreatic collection. First, with a regular suction device any pus encountered is removed. Two long sympathectomy hooks are inserted in order to keep in the incision open. We than insert the zero degree laparoscope. The first necrosis encountered is removed under direct sight with the use of long grasping forceps. Following the percutaneous drain deeper into the cavity, parts of loosely adherent necrotic material are removed. Gently pulling we remove the necrotic tissue. The suction device is helpful in removing any fluid obstructing the view. Complete necrosectomy is not the ultimate aim of this procedure. Only loosely adherent pieces of necrosis are removed thereby keeping the risk of tearing underlying blood vessels to a minimum. In the rare case of extensive bleeding, the retroperitoneal cavity can be easily packed, either awaiting the bleeding to definitely stop or to act as a bridge to angiographic coiling. This patient is now 6 weeks after onset of disease. We always try to postpone surgical intervention, if possible up to 30 days. On the left side of the collection is the percutaneous drain. In this patient the drain had worked well for 2 weeks. When the patient deteriorated again it was decided to perform the VARD procedure. Large pieces of necrotic pancreas can be removed with VARD. This is a big advantage ov VARD over pure endosopic or percutaneous techniques. When all the necrotic tissue is removed we clean the cavity. Two drains are left in situ as a postoperative lavage system. The VARD procedure is performed via a 6 cm incision, which is closed and continuous postoperative lavage started immediately.

Dr. Erica Hodgman discusses pediatric surgery at the Johns Hopkins Children's Center Pediatric General Surgery program, what common surgeries the program specializes in, what makes the program unique and her work as a pediatric surgeon. #PediatricSurgery #JohnsHopkinsChildrenCenter

Questions Answered:
0:03 Describe the pediatric general surgery division at Johns Hopkins Children's Center.
1:00 What makes this program unique?
1:31 What are some common pediatric surgery cases?
2:23 Explain your work as a pediatric general surgeon?

Resection of sigmoid colostomy prolapse

Rhinoplasty, sometimes referred to as a "nose job" or "nose reshaping" by patients, enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose. What surgical rhinoplasty can treat Nose size in relation to facial balance Nose width at the bridge or in the size and position of the nostrils Nose profile with visible humps or depressions on the bridge Nasal tip that is enlarged or bulbous, drooping, upturned or hooked Nostrils that are large, wide or upturned Nasal asymmetry If you desire a more symmetrical nose, keep in mind that everyone's face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion. Rhinoplasty to correct a deviated septum Nose surgery that's done to improve an obstructed airway requires careful evaluation of the nasal structure as it relates to airflow and breathing. Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment.

Anti Rides Efficace, Comment Faire Un Régime Pour Mincir Vite, Aliment Brûle Graisse, Poids Graisse ---- http://rajeunir-de-10-ans.info-pro.co --- 5 Raisons pour lesquelles le Cardio traditionnel n’est PAS bon pour vous. Voici le problème : si vous cherchez à rentabiliser au maximum le temps que vous passez à vous entrainer, le cardio de longue durée à faible intensité n'est pas la voie à suivre… et pour de nombreuses raisons. Voici le top 5 de ces raisons : 1. Un nombre réduit de calories brûlées : 45 minutes sur un tapis de course peut vous aider à brûler au maximum 300 calories si vous êtes chanceux, l'équivalent de 50 grammes de graisse. En faisant dix heures de tapis de course par semaine vous pourriez perdre un demi-kilo ! 2. Beaucoup trop de temps consacré : je ne sais pas pour vous, mais je n'ai pas des heures et des heures de mon temps à mettre dans l’entraînement chaque semaine. En fait, j'ai seulement le temps de faire quelques heures d'exercice par semaine, et vous savez quoi ? C'est tout ce dont vous avez besoin. En fait, la recherche a montré que plus de 90 minutes par semaine peuvent être nuisibles! Au-delà de cela, le cardio de longue durée et faible intensité est : 3. Ennuyeux à mourir : assis sur un vélo d'exercice à regarder le mur en face de moi pendant 45-60 minutes ? Non merci. Mais peut-être pire encore est le fait que le cardio de longue durée et à faible intensité ne fournit : Pas d’avantages prolongés au niveau métabolique : saviez-vous qu’avec de l'exercice avec plus d'intensité il est possible de continuer à brûler des calories pour un maximum de 48 heures après l'entraînement ? C'est vrai. Mais vous savez ce qui est vrai également ? Le cardio de longue durée et à faible intensité ne fournit pratiquement aucune stimulation prolongée du métabolisme. En fait, avec un cardio lent et à faible intensité, le métabolisme revient à la normale presque immédiatement après la séance d'exercice. Et enfin, la raison qui l'emporte sur toutes les autres : 5. Une perte de graisse minimale : un minimum de calories sont brûlées pendant la session et pratiquement aucunes calories supplémentaires ne sont brûlées après… donc aucune perte de graisse supplémentaire. Et soyons honnêtes, la seule raison pour laquelle quelqu'un fait du cardio c'est pour avoir des "résultats visibles". Donc, si le cardio de longue durée à faible intensité n'est pas la solution idéale, quelle est-elle ? ET bien les solutions sont multiples et vous n'avez pas besoin de passer des heures et des heures chaque semaine à vous entrainer de façon stupide pour obtenir les meilleures résultats possibles. Les étapes Pour Rajeunir De 10 Ans Plus Jeunes Cliquez Ici: http://rajeunir-de-10-ans.info-pro.co

-The cremasteric reflex test is considered positive if there is elevation of the testis in response to stroking the upper inner thigh. This reaction is typically absent in testicular torsion and boys under the age of 6 months. Although not completely reliable in older boys and adults, an absent cremasteric reflex is highly suggestive of torsion. Patients with epididymitis usually have a normal cremasteric reflex, with pain and swelling isolated to

pediatric tracheostomy

http://www.proctoscopeexam.com This is a demonstration of a proctoscope examination of the rectum.

A new promising technique in saving the lives of patients with cancer of the esophagus. It is minimally invasive and the recovery time is quicker than ever. H. Lee Moffitt Cancer Center

Dr. Samir Abd Elghaffar, Associate professor of Intervetional Radiology at Ain Shams University , Faculty of Medicine is being interviewed and showing a case of a patient who has been successfully treated from Hepatocellular Carcinoma HCC by Radio Frequency Ablation RFA on the the famous satellite channel MBC.

الأستاذ الدكتور سمير عبد الغفار أستاذ الاشعة التداخلية في كلية الطب جامعة عين شمس يظهر في برنامج التفاح الأخضر على قناة ال ام بي سي ليبشر مرضى سرطان الكبد بالعلاج الجديد بالتردد الحراري مع احد المرضى

This video shows how to insert a catheter in a baby girl

The pelvic floor or pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. The pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei, with which may be included the parietal pelvic fascia on their upper and lower aspects. The pelvic floor separates the pelvic cavity above from the perineal region (including perineum) below.

The right and left levator ani lie almost horizontally in the floor of the pelvis, separated by a narrow gap that transmits the urethra, vagina, and anal canal. The levator ani is usually considered in three parts: pubococcygeus, puborectalis, and iliococcygeus. The pubococcygeus, the main part of the levator, runs backward from the body of the pubis toward the coccyx and may be damaged during parturition. Some fibers are inserted into the prostate, urethra, and vagina. The right and left puborectalis unite behind the anorectal junction to form a muscular sling . Some regard them as a part of the sphincter ani externus. The iliococcygeus, the most posterior part of the levator ani, is often poorly developed.

The coccygeus, situated behind the levator ani and frequently tendinous as much as muscular, extends from the ischial spine to the lateral margin of the sacrum and coccyx.

The pelvic cavity of the true pelvis has the pelvic floor as its inferior border (and the pelvic brim as its superior border.) The perineum has the pelvic floor as its superior border.

Some sources do not consider “pelvic floor” and “pelvic diaphragm” to be identical, with the “diaphragm” consisting of only the levator ani and coccygeus, while the “floor” also includes the perineal membrane and deep perineal pouch. However, other sources include the fascia as part of the diaphragm. In practice, the two terms are often used interchangeably.

Inferiorly, the pelvic floor extends into the anal triangle.