Top videos

Facial Nerve During Parotid Surgery
Facial Nerve During Parotid Surgery Scott 12,880 Views • 2 years ago

How To Save The Facial Nerve During Parotid Gland Surgery

Assessment of Hearing
Assessment of Hearing Surgeon 10,697 Views • 2 years ago

A video shows how to examine the hearing sensation

All Suture Techniques Part 1
All Suture Techniques Part 1 Scott 49,725 Views • 2 years ago

If you are 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

Scalpel Holding and Cutting
Scalpel Holding and Cutting Scott 10,488 Views • 2 years ago

Scalpel Holding and Cutting

Burying The Knot
Burying The Knot M_Nabil 10,536 Views • 2 years ago

Burying The Knot

PCO Poly Cystic Overy
PCO Poly Cystic Overy DrHouse 13,885 Views • 2 years ago

An animation showing what PCO is

Endoscopic Transgastric Distal Pancreatectomy
Endoscopic Transgastric Distal Pancreatectomy Mohamed 10,959 Views • 2 years ago

Natural Orifice Endoscopic Transgastric Distal Pancreatectomy, A Prospective Randomized Controlled Trial. Natural orifice surgery may represent a paradigm shift in the area of minimally invasive surgery and therapeutic endoscopy. However, studies to date have been limited primarily to small ca...se series with small sample sizes. There has been no large rigorous randomized controlled trial of natural orifice surgery to date. Early work on procedures such as peritoneoscopy, oophorectomy and tubal ligation, while pioneering, have reproduced laparoscopic procedures with minimal morbidity and mortality. In contrast, distal pancreatectomy has a post-operative morbidity of more than 50% even in high volume tertiary care centers. As a highly morbid surgery, the post-operative event rate would allow for a significant difference to be seen in a trial of conventional versus NOTES distal pancreatectomy. We have recently completed a prospective randomized controlled trial of NOTES versus laparoscopic distal pancreatectomy in a swine model which builds on our earlier non-survival work. This video focuses on the endoscopic technique.

Endoscopic Transgastric Pancreatic Necrosectomy
Endoscopic Transgastric Pancreatic Necrosectomy Mohamed 14,239 Views • 2 years ago

We herein describe endoscopic treatment of symptomatic pancreatic pseudocyst with significant necrosis and a fistula. Fifty eight year old man had presented to us with a large pseudocyst following an episode of acute pancreatitis. He was complaining of significant abdominal pain for two months. A... CT scan abdominal had revealed a large retro-gastric pseudocyst with necrosis and portal venous thrombosis. An upper GI endoscopy had revealed small linear fundal varcies. Endoscopic as well as surgical treatment for the cyst was discussed with the patient. Patient wished not to undergo surgical treatment and therefore endoscopic treatment was selected after a proper consent. EUS was performed to see for the interposed vessel prior to the pseudocyst puncture. Needle knife puncture was made and a guide wire was passed in the pseudocyst cavity. After confirming the wire placement in the cyst, the tract was dilated up to 20 mms using a CRE balloon. Fluid from the cyst was emptied out in the stomach. An ERCP scope was passed in to the cyst cavity, which revealed a significant necrotic material (much more than what the CT scan had revealed). All the free lying necrotic material was taken out with the help of a snare and a dormia basket. A lot of necrotic was stuck to the cyst wall, which was removed with the help of water jet, mechanical scooping and cutting through using a needle knife papillotome. Three 10 fr. Pigtail stents were placed at the end of the procedure. Further necrosectomy was carried out on alternate days for three more sessions. Dilation was required prior to each session three pigtail trans-gastric stents were placed at the end of each session. Single stent was kept in situ during each procedure to guide the path (the position of the stoma changed dramatically once the cyst was empty). During the last lesion (session four), a pancreatogram was taken. It revealed a mildly dilated CBD in the head, normally duct in the proximal body with a leak from the distal body, and contrast was seen going in to the pseudocyst cavity. The duct could not be opacified distally. A 7 fr. 15 cms stent was placed trans-papillary. When the cyst cavity was reentered through trans-gastric route, the trans-papillary pancreatic stent was clearly visible with soft necrotic material around it. In fact, the stent guided further necrosis removal. It also helped in diverting the pancreatic juice to the duodenum rather than in the pseudocyst cavity. Patient was discharged after this session and was followed up regularly. A CT scan was obtained after three months, which revealed a complete resolution of the necrosis and pseudocyst. There was a possibility of a persistent fistula after the removal of trans-papillary stent and a recurrence of the pseudocyst. Fistula closure with cyanoacrylate glue is well described in the literature. The procedure can have obvious complications secondary to accidental blockage of the main pancreatic duct. So, we thought it prudent to use a safer alternative to treat the condition. We removed the longer pancreatic stent and replaced it with a shorter pancreatic stent occupying only the head region. The patient was followed up after a month; sonography of the abdomen did not reveal any recurrence of the pseudocyst. All the stents were removed at this examination.

Chromoendoscopy of Colon Polyps
Chromoendoscopy of Colon Polyps Mohamed 11,115 Views • 2 years ago

Chromoendoscopy of Colon Polyps

Cataract Surgery Procedure Video
Cataract Surgery Procedure Video Scott 9,797 Views • 2 years ago

A videos of cataract surgery

Removal of 5 Releasable sutures from the Eye
Removal of 5 Releasable sutures from the Eye DrHouse 9,027 Views • 2 years ago

Removal of 5 Releasable sutures from the Eye

Pregnancy and Gingivitis
Pregnancy and Gingivitis Dentist 10,332 Views • 2 years ago

How pregnancy can affect gingivitis

Glaucoma Trabeculectomy Surgery
Glaucoma Trabeculectomy Surgery DrHouse 14,046 Views • 2 years ago

Trabeculectomy with mitomycin-C for complex glaucoma. video

Microkeratome
Microkeratome Mohamed 8,672 Views • 2 years ago

Microkeratome in Lasik

Cornea Transplant
Cornea Transplant Mohamed 20,374 Views • 2 years ago

Cornea Transplant

Laser for Eye Cancer
Laser for Eye Cancer Mohamed Ibrahim 8,326 Views • 2 years ago

Using a common laser for treatment of eye cancer may benefit some patients by preserving site.

Laparoscopic Gastric Bypass Surgery
Laparoscopic Gastric Bypass Surgery DrPhil 7,377 Views • 2 years ago

Laparoscopic Gastric Bypass Surgery

Unweighted Treadmill Therapy
Unweighted Treadmill Therapy Emery King 10,159 Views • 2 years ago

Re-educating the legs to walk again is the ultimate goal of this therapy for those who have suffered a stroke. ~ Detroit Medical Center

Seeing is Believing: Cataract Surgery
Seeing is Believing: Cataract Surgery Emery King 12,251 Views • 2 years ago

DMC Eye specialist restores a woman's vision by removing cataracts and installing an artificial lens. ~ Detroit Medical Center

Hip resurfacing UK patient story
Hip resurfacing UK patient story A.K. Venkatachalam 8,102 Views • 2 years ago

A UK patient praises Dr.Venkatachalam for her Hip resurfacing surgery. She was able to get full movements after surgery which wouldn't have been possible with a hip replacement

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