the technique of insertion of a tube into the abdomen to diagnose intra-abdominal bleeding

Laparoscopic Colon Resection video

Examination of varicose veins

Video shows a fine needle biopsy with guided ultrasound of a thyroid nodule.

A video showing the AED

An Emergency Medicine video showing how to perform Jaw Thrust technique

An animation illustrating carcinoma of the colon

Use of Skin Stapler Remover

How to read ECG:
Part 1 Shows:
1-All
2-Introduction
3-Rate and Axis
4-Chamber Hypertrophy
5-Bundle Branch Block
6-Myocardial Infarction

Scleral Buckling: Slinging Muscles & Marking Breaks VR1 Basic Techniques

Can bile duct injuries be prevented? A new technique in laparoscopic cholecystectomy

Over the last decade, laparoscopic cholecystectomy has gained worldwide acceptance and considered to be as "gold standard" in the surgical management of symptomatic cholecystolithiasis. However, the incidence of bile duct injury in laparoscopic cholecystectomy is still two times greater ...compared to classic open surgery. The development of bile duct injury may result in biliary cirrhosis and increase in mortality rates. The mostly blamed causitive factor is the misidentification of the anatomy, especially by a surgeon who is at the beginning of his learning curve. Biliary tree injuries may be decreased by direct coloration of the cystic duct, ductus choledochus and even the gall bladder. Methods gall bladder fundus was punctured by Veress needle and all the bile was aspirated. The same amount of fifty percent methylene blue diluted by saline solution was injected into the gall bladder for coloration of biliary tree. The dissection of Calot triangle was much more safely performed after obtention of coloration of the gall bladder, cystic duct and choledocus. Results Between October 2003 and December 2004, overall 46 patients (of which 9 males) with a mean age of 47 (between 24 and 74) underwent laparoscopic cholecystectomy with methylene blue injection technique. The diagnosis of chronic cholecystitis (the thickness of the gall bladder wall was normal) confirmed by pre-operative abdominal ultrasonography in all patients. The diameters of the stones were greater than 1 centimeter in 32 patients and calcula of various sizes being smaller than 1 cm. were documented in 13 cases. One patient was operated for gall bladder polyp (our first case). Successful coloration of the gall bladder, cystic duct and ductus choledochus was possible in 43 patients, whereas only the gall bladder and proximal cystic duct were visualised in 3 cases. In these cases, ductus choledochus visibility was not possible. None of the patients developed bile duct injury. Conclusion The number of bile duct injuries related to anatomic misidentification can be decreased and even vanished by using intraoperative methylene blue injection technique into the gall bladder fundus intraoperatively.

Access to processes within the skull base with lateral extension to the pterygopalatine fossa are reached by combined subfrontal osteotomy and Le Fort I osteotomy

Total Laparoscopic Hysterectomy

The Pulsed Electron Avalanche Knife, a new electrosurgical knife for “cold” and traction-less cutting, was successfully used for a variety of surgical maneuvers commonly encountered in patients undergoing ocular surgery.

Allograft material is placed submucosally to expand tissue to simulate turbinate tissue. It is placed in a location to direct the airstream toward "virgin" tissue that can sense airflow. Empty Nose Syndrome (ENS) is an iatrogenic disease characterized by paradoxical obstruction: a hugely patent no...

se with subjective "blockage" or poor nasal breathing.

Diagnosis of dental problems

Adult CPR Video Demonstration

Video demonstration of proper CPR for a child

The back part of the upper jaw has the highest failure rate abotu 20% overall due to the presence of the sinus and the soft quality of bone.

Dr. Schreiber at Harper University Hospital pioneers a new minimally invasive treatment to prevent stroke in patients with carotid artery disease. ~ Detroit Medical Center