Anterior vaginal wall relaxation (cystocele) is one of the most commonly diagnosed forms of pelvic organ prolapse in women. More than 200,000 cystocele repairs are completed yearly, however to date the procedures that are completed do not provide very high cure rates and/or poor anatomic outcomes. Successful treatment of anterior vaginal wall prolapse remains one of the most challenging aspects of pelvic reconstructive surgery we face. We have developed very good procedures that provide excellent support for the posterior wall (ie rectoceles) and the apex of the vagina (ie vaginal vault prolapse) and reproduce normal anatomy. We were one of the first centers in the country to utilize grafts in rectocele repairs and have seen improved cure rates to over 90% with minimal complications. It has been known for many years that abdominal sacralcolpopexy with placement of a mesh graft at the top of the vagina for vaginal vault prolapse is the most successful procedure in the literature. We have made advancements with this procedure as well in being able to offer our patients a laparoscopic minimally invasive approach for sacralcolpopexy, with the same excellent cure rates (>92%) and with hospital stays typically less than 24 hours and reduced complications. However the anterior wall has been one of the most difficult compartments in the vagina to get good anatomic results and high cure rates with traditional repairs and at the same time not cause sexual dysfunction, pain with intercourse, voiding dysfunction (ie incontinence or urgency/frequency syndrome), or a shortened or scarred down vagina. The transobturator approach was developed as a less invasive way to place an anterior wall graft (see below) however this still involved blind needle passes and the graft did not support the apex of the vagina, therefore the search for improvements in these procedures is ongoing.

The video will describe pneumomediastinum on a chest x-ray. Please see disclaimer on my website www.academyofprofessionals.com

Presentation of histoplasmosis on a chest x-ray. Please see disclaimer on my website. www.academyofprofessionals.com

A video showing thyroidectomy surgery

Causes of declining libido in women

1 yıldır astım tedavisi gören 45 yaşında bayan hasta. Nefes darlığı şikayeti artması üzerine yapılan bronkoskopide trakea lümenini tamayakın tıkayan kitle gözlendi. Coller insizyonu ve parsiyel sternotomi ile yaklaşıldı ve rezeke edildi.

Splenectomy is a surgical procedure that partially or completely removes the spleen.

Laparoscopic Tubal Ligation using Filshie Clips. Brought to you by http://nursing-resource.com

Source ABC7, 24 November 2009 An initial single-arm Phase II trial (ACT II) has reported promising preliminary data in 23 patients who received CDX-110 vaccine. Median time to disease progression was 16.6 months and estimated median overall survival was 33.1 months. This compared favorably with data for a historical control group in which median time to progression was 6.4 months and median overall survival was 15.2 months. The study was sponsored by Celldex Therapeutics Inc. of Phillipsburg, NJ

Liposuction, also known as lipoplasty (”fat modeling”), liposculpture suction lipectomy or simply lipo (”suction-assisted fat removal”) is a cosmetic surgery operation that removes fat from many different sites on the human body. Areas affected can range from the abdomen, thighs, buttocks, to the neck, backs of the arms and elsewhere.

Suction-assisted lipectomy of bilateral outer thighs

Several factors limit the amount of fat that can be safely removed in one session. Ultimately, the operating physician and the patient make the decision. There are negative aspects to removing too much fat. Unusual “lumpiness” and/or “dents” in the skin can be seen in those patients “over-suctioned”. The more fat removed, the higher the surgical risk.

While reports of people removing 50 pounds (22.7 kg) of fat has been claimed, the contouring possible with liposuction may cause the appearance of weight loss to be greater than the actual amount of fat removed. The procedure may be performed under general or local (”tumescent”) anesthesia. The safety of the technique relates not only to the amount of tissue removed, but to the choice of anesthetic and the patient’s overall health. It is ideal for the patient to be as fit as possible before the procedure and not to have smoked for several months.

This a very interesting video showing liposuction and tummy tuck surgery video

After watching our video on nasal irrigation for natural sinus relief, visit http://www.nasalcleanse.com/index.html. Learn how & why this natural sinus remedy really works! Unlike messy, old-fashioned neti pots or competitors with badly designed, backflow-prone squeeze bottles that can cause sinus infection, NasalCare has a patented nasal rinse system that delivers a comfortable, soothing formula throughout the nasal passages, preventing sinus infection, allergy and post nasal drip. A mix of sea salt and Aloe Vera extract washes away nasal irritants and the common causes of colds and flu while providing nasal congestion relief. NasalCare also acts as a sinus rinse for allergy treatment. Used for centuries in the Orient as a natural remedy and preventative measure for all sinus conditions, nasal irrigation is just catching on here.

When positive, the patient's thumb will flex and adduct.
Production of this reflex is indicative of cervical cord compression or intracranial central nervous system disorders.

Colon - Chromoendoscopy during Ulcerative Colitis Surveillance

1800Endoscope.com Equine Video Endoscope Endoscopy Systems

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A video showing the procedure of Tubular Diskectomy of a herniated disk. Uploaded on MedicalVideos.us.Discussing the management of Sciatica.

“Complete cure from groin hernia is now possible with Dr.Desarda's repair technique" Our web site: http://www.desarda.com Mesh is a foreign body, a simple piece of cloth prepared from the synthetic threads. Therefore, its use in inguinal hernia repairs is known to cause all sorts of complications like pain, recurrence, infection etc. We have developed an innovative new technique of inguinal hernia repair without mesh. It uses your own body muscle for repair and gives virtually complete cure from inguinal hernia problem. An undetached strip of the external oblique aponeurosis is stitched on the weak area between the muscle arch and the inguinal ligament to form a new, strong and physiologically dynamic posterior wall that gives protection and prevents re-herniation. Normally patient goes home in a day after surgery and can drive car and go to office in 3-4 days time. This "Dr.Desarda's hernia repair" is now followed in many countries all over the world. We are surprised to see the enquiries from many patients in the developed countries asking for this repair in their country. This is because this operation does not use any foreign body like mesh for repair and therefore there are no complications that are seen in mesh repairs. A visit to Topix or other hernia forums show thousands of posts showing sufferings of many patients due to mesh repairs. But still why surgeons from developed countries are interested in mesh repairs is a big question for us. Please visit our website for more details: http://www.desarda.com or http://herniasurgery.tripod.com Our cell number: +91 9373322178

Combined Complete Total Gastrectomy with Left Hemipancreatectomy, Splenectomy, Resection of Mesocolon, D3-Lymphadenectomy for Local Advanced Gastric Cancer with Stage IV (T4N2M0).

Toxin is a protein produced by the bacterium Clostridium botulinum, and is extremely neurotoxic.