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Whether you're a medical student, a resident, a primary care physician or you practice in an emergency department, you can improve your suture skills with this detailed instruction. As you practice towards a cosmetically perfect technique, your confidence will increase, especially when dealing with complex wounds. Areas of study include: methods of closure, closure materials, anesthetics, suture removal, infection, prophylaxis, when to call in a plastic surgeon, recapping techniques and more
Loop duodenal switch is an end-to-side proximal duodeno-ileal bypass with a sleeve gastrectomy. The proximal duodenal stump is anastomosed to an ileal loop, 200 cm from the ileocecal valve. The procedure is a malabsorptive operation with some theoretical advantages: only one anastomosis is performed..., and so the operative time is shorter, and there is no mesenteric opening. It is not a mini-gastric bypass, as the gastric antrum, the pylorus and the first centimeters of the duodenum are preserved. The short term outcome shows a very good weight loss curve with no metabolic disturbances.
Next to esophagojejunostomy stapling for the reconstruction following total gastrectomy, several silk stitches anchoring the jejunum to endoabdominal fascia are made to restore the function of phrenoesophageal ligament.
anchoring suture reduces the impairment of the anastomotic blood flow that is caused by gravitational tension and so is useful to protect the esophagojejunostomy after total gastrectomy.
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.