Top videos

How to Read ECG Part 3
How to Read ECG Part 3 M_Nabil 21,793 Views • 2 years ago

How to Read ECG Part 3:
1-All
2-How to Read an ECG
3-ST Segment Changes
4-T Wave Changes
5-Effects of Drugs
6-Revision

Endoscopic Transgastric Pancreatic Necrosectomy
Endoscopic Transgastric Pancreatic Necrosectomy Mohamed 14,234 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.

Acoustic Neuroma
Acoustic Neuroma DrHouse 11,382 Views • 2 years ago

Acoustic Neuroma

subfrontal approach to the anterior skull base with combined Le fort osteotomy
subfrontal approach to the anterior skull base with combined Le fort osteotomy M_Nabil 13,499 Views • 2 years ago

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

Rubber band - Validated Exercise for Laparoscopy in Box Trainer
Rubber band - Validated Exercise for Laparoscopy in Box Trainer Scott 11,959 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]

Cataract Surgery Procedure Video
Cataract Surgery Procedure Video Scott 9,792 Views • 2 years ago

A videos of cataract surgery

Suture Burial Technique in Scleral Fixation
Suture Burial Technique in Scleral Fixation Scott 13,302 Views • 2 years ago

Scleral fixated IOLs in case of inadequacy of capsular support and scleral sutured capsular tension rings when adequate zonular support is inavailable have been recently used in cataract surgery. In these techniques, polypropylene suture is used and the suture ends over the sclera after the knot ha...s been formed, may erode the conjunctiva and become exposed. Thus, the erosion may lead to the development of endophtalmitis. In order to prevent the aforementioned complication, scleral flaps, otologous cornea, duramater or fascia lata patches have been used to cover the knot and rotation of the knot into the tissues has been described.

Lap Band Surgery
Lap Band Surgery Mohamed 11,718 Views • 2 years ago

Lap Band Procedure done on a patient with a BMI of 45. Minimal editing and includes narration.

Phlebotomy Procedure
Phlebotomy Procedure Mohamed Ibrahim 20,783 Views • 2 years ago

Phlebotomy Procedure

Baby CPR
Baby CPR Doctor 13,237 Views • 2 years ago

Baby CPR

Surgery with Less Risks & Pains
Surgery with Less Risks & Pains Emery King 10,731 Views • 2 years ago

Doctors at the Detroit Medical Center pioneer laparoscopy procedures and other minimally invasive techniques that result in less pain, fewer risks, and quicker recovery time for surgical patients. ~ Detroit Medical Center

Peripheral Arterial Disease: An Alternative to Amputation
Peripheral Arterial Disease: An Alternative to Amputation Emery King 11,554 Views • 2 years ago

Clogged leg arteries can be opened through a minimally invasive procedure with the SILVERHAWK, a mini drill with a tiny rotating blade for cutting away plaque. The procedure only involves a tiny puncture in the patient's groin. ~ Detroit Medical Center

Minimally Invasive Surgery Corrects Urinary Incontinence
Minimally Invasive Surgery Corrects Urinary Incontinence Emery King 18,445 Views • 2 years ago

A DMC patient with urinary stress incontinence regains control with less-invasive surgery at DMC Sinai-Grace, performed by DMC Ob/Gyn specialist Dr. Korial Atty. ~ Detroit Medical Center

Introducing an IM Injection
Introducing an IM Injection Mohamed 11,556 Views • 2 years ago

Introducing an IM Injection

Central Line Placement
Central Line Placement Anatomist 25,301 Views • 2 years ago

Central Line Placement

Upper Endoscopy for a normal Esophagus
Upper Endoscopy for a normal Esophagus Surgeon 28,033 Views • 2 years ago

Upper Endoscopy for a normal Esophagus

Revision knee Replacement part 1 Video
Revision knee Replacement part 1 Video A.K. Venkatachalam 14,040 Views • 2 years ago

A revision knee replacement operation is shown in four parts. In this first part, an account of the patient is given on why he wanted a revision. This patient was dissatisfied with the range of movement that he got after a primary TKR. The first part shows the exposure and removal of the old implants. From www.kneeindia.com

Oxygen Saturation
Oxygen Saturation academyo 16,720 Views • 2 years ago

The video will describe what is oxygen saturation? What is Oxygen content and what is oxygen capacity. Please see my web site for disclaimer.

Cricothyroidotomy Video
Cricothyroidotomy Video Surgeon 15,215 Views • 2 years ago

Cricothyroidotomy Video

MiniArc MiniSling performed by Dr. Robert Moore and Dr. John Miklos
MiniArc MiniSling performed by Dr. Robert Moore and Dr. John Miklos atlantaua 24,131 Views • 2 years ago

Drs. Moore and Miklos are very excited to be one of the first centers in the US to offer the next step in minimally invasive treatment for Stress Urinary Incontinence, the single incision Mini-sling. The procedure utilizes the same concepts of the tension-free tape mid-urethral slings, however only one incision is needed and the procedure can be completed in as little as 5-10 minutes under local anesthesia.

The procedure was initially released in September of 2006 by Gynecare with a procedure called the TVT-Secure and Dr Miklos and Moore were some of the first surgeons to evaluate and study the procedure. They liked the concept of a single incision sling, however were not enthused by the engineering and design of the Secure sling. In early 2007, with development input from Dr Moore and Miklos, American Medical Systems made several improvements to the procedure and in April, Dr Moore was the first surgeon in the United States to place the Mini-Arc mini-sling. Dr Moore’s and Miklos’s center in Atlanta, because of their reputation of being world leader’s in treatment for Stress Urinary Incontinence, was chosen as the lead center in the USA to evaluate and study the Mini-Arc procedure. Dr Moore was chosen as principal investigator, leading 5 centers in the USA and the world, to study and present the initial results in the USA, which have been excellent and very exciting!

Showing 346 out of 378