Top videos

Knee Medical Exam
Knee Medical Exam DrPhil 29,344 Views • 2 years ago

Full clinical and physical assessment of the knee and the knee joint

Positive Pressure Ventilation
Positive Pressure Ventilation Mohamed Ibrahim 24,200 Views • 2 years ago

Positive Pressure Ventilation with a face mask and a bag-valve device

Pancreatectomy
Pancreatectomy Mohamed 12,486 Views • 2 years ago

Surgery during a Pancreatectomy. One can see the pancreas half extracted. This is Experimental Surgery, taken during a Pancreas transplantation

Unresponsive Airway Obstruction
Unresponsive Airway Obstruction wss4m 11,423 Views • 2 years ago

A video showing Unresponsive Airway Obstruction and how to deal with it

Fetal Development
Fetal Development Mohamed 18,220 Views • 2 years ago

This video shows the process of development and growth of the fetus intrauterine.

Laparoscopic Orchidopexy
Laparoscopic Orchidopexy Scott 12,646 Views • 2 years ago

Laparoscopic fixation of intraabdominal testis into the scrotum in a case of undescended testis.

AMAZING WORM EXTRACTION FROM BILE DUCTS
AMAZING WORM EXTRACTION FROM BILE DUCTS Scott 17,964 Views • 2 years ago

A 30 YEAR WOMEN WITH INTRACTABLE BILIARY COLIC CASE REPORT: This 30 year women developed severe pain right upper quadrant for last 10 days. She sought many consultations and was given intravenous analgesics both (nonnarcortic and narcotic). Pain did not subside and she sought my consultation. Examination revealed her to be in agony with severe upper abdominal pain. General physical examination was otherwise unremarkable. Abdominal examination revealed mild tenderness in right hypochondrium with doubtful Murphy's sign. Urgent abdominal ultrasound showed a linear structure in bile ducts making slow writhing movements. The structure had an anechoic tube (alimentary canal) inside suggestive of a large Ascarid. Urgent ERCP was performed and bile duct and pancreatic duct cannulated selectively. Pancreatic duct was normal. Bile ducts contained a long linear filling defect extending from lower end of common bile duct to right intrahepatic duct (see image gallery for ERCP plate). A basket was introduced in the duct (see video clip) and the linear structure was engaged with soft closure and extracted out of the bile duct. Accompanying the basket was a 25 cm thick highly motile Ascarid. To recover the worm, endoscope was withdrawn along with the basket and the friendly catch. While the endoscope was being withdrawn and the basket was in the duodenum with the worm out of bile duct, patient indicated of relief of abdominal pain. A relook cholangiogram showed no more structures in the duct. She was given antihelmintic therapy and passed hundreds of worms with the feces. The worms recovered form stools were both male and female population and varied in length and size. However the lone worm recovered form bile ducts was the longest and the thickest male worm. The phenomenal behavior of this ubiquitous infection remains unexplained. (Source Records from Dr. Khuroo's Medical Clinic. Review prepared by Mehnaaz Sultan Khuroo Host website www.drkhuroo.org , E-mail: mkhuroo@yahoo.com ).

Deeply Place Knot
Deeply Place Knot Scott 10,254 Views • 2 years ago

Deeply Place Knot

Continuous Everting Mattress Pattern Suture
Continuous Everting Mattress Pattern Suture M_Nabil 12,875 Views • 2 years ago

Continuous Everting Mattress Pattern Suture

Tubal Ectopic Pregnancy Salphingectomy
Tubal Ectopic Pregnancy Salphingectomy M_Nabil 20,821 Views • 2 years ago

Removal of pregnancy within the fallopain tube using laparoscopic keyhole surgery. A segment of the tube together with the pregnancy within is removed video.

PCO Poly Cystic Overy
PCO Poly Cystic Overy DrHouse 13,881 Views • 2 years ago

An animation showing what PCO is

Dual Sphincterotomy with a Needle Knife Over a Stent for Sphincter of Oddi Dysfunction
Dual Sphincterotomy with a Needle Knife Over a Stent for Sphincter of Oddi Dysfunction Mohamed 17,512 Views • 2 years ago

This 38 year old woman has increasingly intractable RUQ pain after cholecystectomy done one year prior. LFTs and pancreatic enzymes have been normal, and ducts are non-dilated, thus she is a Type III possible SOD patient. Initial goal is to define course of pancreatic duct for manometry. 5-4-3 Co...ntour catheter (Boston Scientific) is used to perform the pancreatogram which shows a small straight distal duct. The aspirating triple lumen manometry catheter (Wilson Cook) is used to cannulate the pancreatic duct, with continuous aspiration of fluid once the duct is entered. Careful stationed pullthrough manometry shows markedly abnormal basal pressures in both leads in the pancreatic sphincter. Plan is dual pancreatic and biliary sphincterotomy. Biliary manometry will not now change our plan therefore is omitted. Our first goal is to access the pancreatic duct so we can guarantee wire access for placement of a small caliber pancreatic stent which is critical for safety. Contrast is injected as the 0.018in Roadrunner wire (Wilson Cook) is advanced in order to outline the course of main duct. A separate biliary orifice is clearly seen, unusual in SOD patients. A soft 4Fr 3cm single inner flange pancreatic stent (Hobbs Medical) is placed. We did not want to use our typical 9cm long unflanged stent as even a 3 or 4 French stent might be traumatic to the tiny caliber of this duct out in the body of the gland. Next the bile duct is cannulated with a papillotome (Autotome 39, Boston Scientific), showing a small perhaps 6mm bile duct. Biliary sphincterotomy is performed in very careful stepwise fashion as landmarks are unclear and perforation is higher risk in small duct SOD patients. On the other hand, inadequate sphincterotomies offer limited chance of symptom relief. You can see here a patulous sphincterotomy. Next a pancreatic sphincterotomy is performed with the needle knife (Boston Scientific) over the pancreatic stent. Again this is performed cautiously due to the small size of the pancreatic duct. We are reaching along the stent and cutting the fibers deeply. This is a limited pancreatic sphincterotomy due to small pancreatic duct size, and concern for scarring of the pancreatic duct. It is important to document passage of the stent by xray or remove it endoscopically with two weeks or so. We and many other specialized centers perform dual sphincterotomies at the first ERCP in all SOD patients with abnormal pancreatic manometry and frequent or intractable symptoms based on the belief that response rates are better than for biliary sphincterotomy alone.

Suture drag technique in Descemet's stripping automated endothelial keratoplasty (DSAEK)
Suture drag technique in Descemet's stripping automated endothelial keratoplasty (DSAEK) DrHouse 10,236 Views • 2 years ago

Descemet’s stripping automated endothelial keratoplasty (DSAEK) avoids a full-thickness corneal procedure and provides rapid visual rehabilitation. Successful graft positioning while minimizing intraoperative donor endothelial trauma may determine long-term graft survival. Previously described t...echniques for graft insertion may be problematic in some patients with intraoperative floppy iris syndrome (IFIS), anatomically shallow or unstable anterior chambers, or intraoperative increased posterior pressure. This video displays alternative method called the suture drag technique, which may facilitate lamellar endothelial graft insertion under these special circumstances.

Trabeculectomy Surgery
Trabeculectomy Surgery DrHouse 10,882 Views • 2 years ago

Trabeculectomy surgery

Bilateral knee replacements UK  patient experience with Dr.Venkatachalam
Bilateral knee replacements UK patient experience with Dr.Venkatachalam A.K. Venkatachalam 11,407 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.

NTI Tension Suppression System
NTI Tension Suppression System Dentist 12,194 Views • 2 years ago

NTI Tension Suppression System

Arestin Antibiotic for Periodontal Disease
Arestin Antibiotic for Periodontal Disease Dentist 17,696 Views • 2 years ago

Arestin Antibiotic for Periodontal Disease

Glaucoma Trabeculectomy Surgery
Glaucoma Trabeculectomy Surgery DrHouse 14,042 Views • 2 years ago

Trabeculectomy with mitomycin-C for complex glaucoma. video

LASIK Surgery Procedure
LASIK Surgery Procedure Mohamed 11,374 Views • 2 years ago

LASIK Surgery Procedure

The Pegasus Transport System
The Pegasus Transport System InnovativeVideo 8,891 Views • 2 years ago

This is an amazing device designed to transport body organs and blood long distances. The inventor of this life-saving device is Randal Miller.

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