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Removal of multiple stomach tumors
Removal of multiple stomach tumors DrHouse 23,924 Views • 2 years ago

ENDOSCOPIC (NON-SURGICAL) REMOVAL OF MULTIPLE LARGE TUMORS FROM STOMACH IN A PATIENT WITH PEUTZ-JEGHERS SYNDROME
PEUTZ-JEGHERS SYNDROME: Peutz-Jeghers syndrome (PJS) is a familial syndrome consisting of mucocutaneous pigmentation, gastrointestinal polyposis and cancers of gut & other sites like breast, ovary, and testes. PJS has an autosomal dominant inheritance with variable and incomplete penetrance. Germline mutations of STK11/LKB1 gene on 19p cause this syndrome. Mucocutaneous pigmentation may be noted in early infancy. These deposits of melanin are most commonly found around the mouth, nose, lips, buccal mucosa, hands, and feet, and may also be present in perianal and genital areas. PJS polyps may be found in stomach, small intestine, or colon, but they tend to be prominent in the small intestine. These polyps may increase in size and cause small intestinal obstruction or intussusceptions that may occur in early infancy. Acute upper gastrointestinal bleeding and chronic faecal blood may complicate the disease.
PATIENT: The patient was a 25 yr male who had mucocutaneous pigmentation and multiple polyps in the stomach and duodenum. He presented with bleeding from gastric polyps. As the polyps in stomach were numerous, (more than 20 in number) and were large in size (some equal to small egg size), he had been advised to undergo surgery. Surgery planned was total gastrectomy.
PROCEDURE: The patient underwent video-endoscopy of the esophagus, stomach and duodenum. All polyps were examined for size and presence or absence of stalk. A plan to remove all the gastric polyps at endoscopy was made in the same sitting. He received light conscious sedation. Flat polyps were raised form the gastric wall by injection of saline in to polyp base to let these lesions have a stalk. This was done by needle injector. Each polyp was engaged in a snare and the polyp stalk was cut by coagulation cutting current. The cuts were clean without any bleeding. All polyps were recovered for histology. The histology revealed all polyps to be hamartomous lesions. None of the polyps were cancerous. Patient has been followed up for over one year and is doing fine without any further bleeding or pain.
Video shows the procedure of videoendoscpy and endoscopic removal of polyps.

HCG Injection Procedure
HCG Injection Procedure Scott 38,886 Views • 2 years ago

HCG Injection Procedure

Diaphragmatic Hernia
Diaphragmatic Hernia Scott 11,397 Views • 2 years ago

A laparoscopic view of the diaphragmatic hernia

Loyola oral Presentation for Rounds Part 2
Loyola oral Presentation for Rounds Part 2 Loyola Medicine 13,835 Views • 2 years ago

Loyola oral Presentation for Rounds video

Scalpel Holding and Cutting
Scalpel Holding and Cutting Scott 10,490 Views • 2 years ago

Scalpel Holding and Cutting

Aortic Valve-Sparing Operation
Aortic Valve-Sparing Operation DrHouse 13,672 Views • 2 years ago

Aortic Valve-Sparing Operation in a Patient with Aortic Root Aneurysm using a new Prosthesis for Anatomical Reconstruction of the Sinuses of Valsalva

Acoustic Neuroma
Acoustic Neuroma DrHouse 11,389 Views • 2 years ago

Acoustic Neuroma

Rubber band - Validated Exercise for Laparoscopy in Box Trainer
Rubber band - Validated Exercise for Laparoscopy in Box Trainer Scott 11,966 Views • 2 years ago

This task requires streching a rubber band around 16 nails on a wooden board. A penalty is calculated when the rubber band is not streched around a nail at the end of the task. Score = time (seconds) + number of missed nails x 10. Performance standard: Score = 62 sec [Kolkman 2008]

TRAM operation for Breast Reconstruction
TRAM operation for Breast Reconstruction DrHouse 18,190 Views • 2 years ago

TRAM only in cases where a Diep or Gracilis is not applicable

Trans tracheal catheter insertion under direct bronchoscopic guidance
Trans tracheal catheter insertion under direct bronchoscopic guidance Mohamed Ibrahim 29,701 Views • 2 years ago

SCOOP transtracheal oxygen is indicated for patients with chronic hypoxemia which persists in spite of optimal medical therapy. Arterial blood gases obtained while breathing room air should show a PaO2< 55 mm Hg. SCOOP transtracheal oxygen is also indicated for patients with a PaO2 of 56-59 mm Hg ...

if they also have: 1) dependent edema suggesting congestive heart failure, 2) "P" pulmonale on EKG (P wave greater than 3mm in standard leads II, III or AVF), or 3) erythrocythemia with a hematocrit of >55%.

Bilateral knee replacements UK  patient experience with Dr.Venkatachalam
Bilateral knee replacements UK patient experience with Dr.Venkatachalam A.K. Venkatachalam 11,413 Views • 2 years ago

Bilateral High flex knee replacements for British patient. 81 year old Ken Perris is highly satisfied after double flexible knee replacements in Chennai hospital by Orthopaedic surgeon Dr.A.K.Venkatachalam of www.kneeindia.com. High flex or flexible knee replacements confer the ability to kneel, squat, sit cross legged. Minimally invasive surgical approaches reduce pain and hasten recovery.

Lasik Surgery
Lasik Surgery Doctor 14,517 Views • 2 years ago

A video showing the laser eye surgery

Teeth Crowns
Teeth Crowns Dentist 15,310 Views • 2 years ago

teeth crowns

Pregnancy and Gingivitis
Pregnancy and Gingivitis Dentist 10,334 Views • 2 years ago

How pregnancy can affect gingivitis

Anatomy of the Prostate
Anatomy of the Prostate Doctor 36,512 Views • 2 years ago

Anatomy of the Prostate

Blocked coronary arteries
Blocked coronary arteries M_Nabil 10,505 Views • 2 years ago

Blocked coronary arteries.

Laparoscopic Gastric Bypass Surgery
Laparoscopic Gastric Bypass Surgery DrPhil 7,379 Views • 2 years ago

Laparoscopic Gastric Bypass Surgery

Liposuction for Weight Loss
Liposuction for Weight Loss Doctor 14,335 Views • 2 years ago

This is an Abdominal Liposuction surgery performed by Dr. Art Foley. Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas including the abdomen, hips, buttocks, thighs, knees, upper arms and neck. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight loss methods.

Laser Liposuction for Weight Loss
Laser Liposuction for Weight Loss Doctor 12,106 Views • 2 years ago

Laser Liposuction for Weight Loss

Phlebotomy Procedure
Phlebotomy Procedure Mohamed Ibrahim 20,790 Views • 2 years ago

Phlebotomy Procedure

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