Top videos

marin vinasco
4,344 Views · 2 years ago

Keratosis Pilaris Treatment, What Causes Keratosis Pilaris, Cream For Keratosis Pilaris, Kp Cause---- http://banishmybumps.plus101.com/ --- Keratosis Pilaris Treatment, What Causes Keratosis Pilaris, Cream For Keratosis Pilaris, Kp Cause. Natural Treatments for Keratosis Pilaris. Keratosis Pilaris or KP is a very common skin condition, but has a quite unknown cause, and this affects more than fifty percent of adults all over the world. Most people who have this illness do not even know about it. KP causes a small red bump that normally appears on the legs, upper arms and buttocks. This skin condition can form also on your face, where it closely resembles acne. Though these red bumps are harmless, these can affect the person’s self-esteem and could lessen a person’s lifestyle quality. In order to avoid these circumstances, here are some of the natural treatments for Keratosis pilaris. If you are searching for KP treatment, bear in mind that this skin condition doesn’t need to be cured using conventional medication that may worsen the problem. Begin with the basics like proper skin care and proper diet, and this will essentially enhance your condition. In your diet, include foods rich in vitamin E and essential fatty acids like omega-3, 6 and 9 as well as GLA as these aids in regulating the abnormal production of your skin outer layers. In short, they aid stimulate a healthy process of skin exfoliation that in turn helps your skin get rid of the body toxins. Regular cleansing washes away the dead skin cells from your body. In some circumstances, you may need to help the process of exfoliation by using exfoliating cleansers or soaps or even body loofah. This skin condition usually indicates imbalance immune system and lack of moisture. You want to bring back the moisture of your skin and this can be done by increasing your water intake and using skin moisturizer. Additionally, you need to re-establish balance by means of detoxifications and proper nutrition in order to remove the toxins which affect your immune health. Urea cream is also used to treat Keratosis pilaris. But before considering this treatment, you have to know that nitrogen, a waste product of human protein metabolism, is the main ingredient of urea. Urea is transmitted into the urine and is impassive from your body. It is utilized in creams medically, supposedly to bring back moisture. There are natural substitutes for moisturizing your skin such as borage oil, Vitamin E oil, and many more, so there is really no need to use a waste product to perform the job. Some of the prescribed creams which contain urea might include other harmful components that can worsen your situation. So, instead of using urea, try to use natural skin care home remedies such as rose hip oil, Vitamin E bath oil, exfoliating soap made of Burt’s. You can try detoxification and cleansing program in order to get rid of all the toxins inside your system. Try to avoid allergens that may aggravate your skin condition such as dust mites, harsh detergents, toothpaste with fluoride and etc. It is good to know that keratosis pilaris is harmless enough and can be treated easily. With proper diet and modifying your lifestyle, you can fight this condition easily. Choose the natural cure for keratosis pilaris to prevent more toxins to get into the body that can worsen the skin condition. Proper diet and healthy lifestyle is your way of having a healthy and flawless skin. Research has shown that all-natural keratosis pilaris treatment systems, such as Banish My Bumps, are a successful way to seek relief. You can learn more at http://banishmybumps.plus101.com/

marin vinasco
1,226 Views · 2 years ago

Bloating And Gas, Flatulence Remedy Ginger, Get Rid Of Gas And Bloating, Involuntary Flatulence--- http://flatulence-cure.plus101.com --- 7 tips on Flatulence Treatment and help you get rid of flatulence forever. 1. Flatulence is such a broad term, with so many connected and side issues, that it is rather short sighted to refer to it simply as "farting" - which so many people do. Certainly, the breaking of wind is the key identifier for flatulence. However, to merely concentrate on the noise and the smell of flatulence is to miss out on the important facts that govern its causes, its symptoms and its remedies. Picking the right flatulence treatment means needing to concentrate on the type of flatulence you have, the health issues surrounding it and the general health situation of the sufferer. 2. Be Realistic in Your Flatulence Treatment If the definition of flatulence was simply that you had wind a few times a day and occasionally broke wind in embarrassing situations, then flatulence treatment really would not be that much of a priority. However, the truth of the matter is that excessive flatulence will affect more than just social situations. It is thankfully uncommon enough to suffer from painful stomach flatulence, but that is not to say that it is something you should ever ignore. Your digestive system is vitally important for your health, and if problems arise then they need to be addressed with the right flatulence treatment. 3. When you are suffering from flatulence problems, you need to identify why it is a problem and what the problem can be traced back to. We all have flatulence every so often, most of us having wind at least once a day and usually more often. Getting rid of the gases that our system generates when digesting food is essential, as is finding a kind flatulence treatment - otherwise we would soon become quite unwell. It is how often you release those gases and how they are released that matters more than anything. The last thing you want is to have occasional, sporadic flatulence that hurts, smells foul or is particularly audible. 4. Gas is a by-product of digestion, and if you are not breaking wind at all then there is probably a problem. Excessive flatulence means that you are producing too much gas when digesting food, and means that your digestive system is not functioning as it should be. 5. Painful flatulence occurs when you are digesting the food badly, because the stomach is failing to break it down as smoothly as it should. It is not that uncommon to feel, perhaps, a little bit of burning flatulence - this can happen after too much spicy food - but if it is becoming the norm then it is something that needs to be addressed with the right flatulence treatments. 6. Keep A Note For Best Flatulence Treatment Results 7. By identifying which foods are connected with which problems, you can begin the right flatulence treatment. It is better to do this, and deal with the problem before it grows rather than trying to cure a bigger problem. Would you like to cure your gas problems and bloating today! Then you need to see this website below: http://flatulence-cure.plus101.com

marin vinasco
2,986 Views · 2 years ago

Boqueras Causas, Como Se Quitan Las Boqueras, Porque Salen Boqueras En La Boca, Queilitis Angular --- http://queilitis-angular.good-info.co --- Hay Que Actuar Ante Los Primeros Signos De Queilitis Angular. Las Primeras Manifestaciones De Queilitis Angular Suelen Ser Tenues Y Apenas Molestas. Pero No Por Ello Hay Que Ignorarlas, Porque Pueden Derivar En Problemas Mayores. La Queilitis Angular O Lo Que Comúnmente Se Llaman Boqueras, Comienza Por Grietas Minúsculas En Los Extremos De La Boca. También Se Empieza A Sentir Ardor Y Molestias Al Mover Los Labios O Al Abrir La Boca. ¿Qué Sucede Si No Se Atienden De Inmediato Esas Pequeñas Molestias? Difícilmente Se Irán Por Si Solas Sino Que, Por El Contrario, Comenzarán A Agravarse. Las Minúsculas Grietas Se Harán Cada Vez Más Pronunciadas Por El Continuo Movimiento De La Boca. Al Intensificarse Las Grietas Pueden Llegar A Convertirse En Llagas Y A Sangrar. Y Las Infecciones No Tardarán En Aparecer. La Queilitis Angular Puede Ser En Un Primer Momento Molesta Para Quien La Sufre. A Medida Que Avanza, Las Pequeñas Manifestaciones En La Boca Comienzan A Ser Bien Visibles Y Desagradables. Por Lo Que Al Ardor, Picazón Y Dolor, Se Le Suma El Hecho De Querer Ocultar La Afección Ante Los Demás. Cosa Que No Es Fácil De Lograr. A Pesar De Ser Pequeña, La Boca Es Uno De Los Lugares Más Visible Y Observado. Si Hablamos, Comemos, Bebemos, Nuestra Boca Está En Primer Plano. Ante Los Primeros Signos De Queilitis Se Puede Recurrir A Una Crema O Pomada Adecuada, Antiséptica, Antimicótica O Antifúngica. Si Bien Los Extremos De La Boca Deben Permanecer Libres De Saliva O Transpiración, Deben Estar Bien Hidratados. Cualquier Crema Antiséptica Que Se Utilice Debe Ser Libre De Perfumes Y Colorantes Químicos. Debe Detener La Descamación, A La Vez Que Calmar El Picor. El Área Afectada Tendrá Que Permanecer Bien Aseada, Procediendo A Secarla Sin Frotar, Como Para Que No Se Resienta Aún Más La Piel De Los Labios Y Sus Adyacencias. Para Curar La Queilitis Angular No Alcanza Con Los Tópicos Que Se Puedan Utilizar, Por Más Efectivas Que Sean Sus Fórmulas Desde Las Primeras Aplicaciones. Hay Que Llevar A Cabo Una Nutrición Balanceada, Variada Y Suficiente, Con Vitaminas, Minerales Y Oligoelementos. Un Análisis De Laboratorio Podrá Determinar Si Está Haciendo Falta El Aporte De Alguna Vitamina O Mineral. Asimismo, Conviene Evitar Los Lugares Muy Fríos Y/O Húmedos, Así Como Los Espacios Contaminados Por Polvillos O Cualquier Sustancia Irritante Para La Piel. Recomendamos Siempre Actuar Ante Los Primeros Síntomas De Queilitis. Si Se Frena La Dolencia Antes De Que Prospere Y Haga Eclosión, Se Evitará El Sufrimiento Que Puede Implicar Lidiar Contra Lesiones Serias En La Boca. Y Se Evitarán Las Temibles Huellas De Cicatrices Que Pueda Dejar Una Afección Prolongada. ¿Qué Podemos Hacer Ya Mismo? Hoy Existe Un Novedoso Tratamiento, Totalmente Natural Y Muy Simple, Con El Que Se Puede Eliminar La Queilitis Angular O Boqueras En Tan Solo 7 Días (O Menos). Este Revolucionario Sistema Ataca La Verdadera Causa De La Enfermedad Y No Solo Los Síntomas, Asegurando Resultados A Largo Plazo. Si Usted Desea Eliminar Para Siempre Esas Grietas Dolorosas Y La Vergüenza Que Causa Esta Afección, Puede Conocer Este Método De Resultados Comprobados Haciendo Clic En El Siguiente Enlace http://queilitis-angular.good-info.co

marin vinasco
2,219 Views · 2 years ago

Vitiligine Cura, Vitiligine Rimedi Naturali, Vitiligine Omeopatia, Rimedi Per La Vitiligine -- http://vitiligine-cura.good-info.co --- Vitiligine Cura, Vitiligine Rimedi Naturali, Vitiligine Omeopatia, Rimedi Per La Vitiligine. Soffri Di Uno Qualunque Dei Seguenti Sintomi Emotivi O Fisici? Qualsiasi tipo di vitiligine (qualsiasi livello di gravità) su viso, schiena, guance, palmi delle mani, gambe o piedi? Sei affetto da macchie o scoloramento della pelle? Provi ansia nel doverti togliere la maglia in pubblico? Provi costantemente insicurezza? Provi esasperazione per il disturbo della vitiligine? Spendi molti soldi in farmaci o parafarmaci che sembrano non funzionare? Vuoi curare la vitiligine ma non sai quale sia la giusta cura a causa di un sovraccarico di informazioni? "Una Presentazione Video Gratuita Spiega Un Singolare Consiglio Per Eliminare La Vitiligine Per Sempre In 45-60 Giorni - Garantito!" http://vitiligine-cura.good-info.co

marin vinasco
2,950 Views · 2 years ago

Anti Rides Efficace, Comment Faire Un Régime Pour Mincir Vite, Aliment Brûle Graisse, Poids Graisse ---- http://rajeunir-de-10-ans.info-pro.co --- 5 Raisons pour lesquelles le Cardio traditionnel n’est PAS bon pour vous. Voici le problème : si vous cherchez à rentabiliser au maximum le temps que vous passez à vous entrainer, le cardio de longue durée à faible intensité n'est pas la voie à suivre… et pour de nombreuses raisons. Voici le top 5 de ces raisons : 1. Un nombre réduit de calories brûlées : 45 minutes sur un tapis de course peut vous aider à brûler au maximum 300 calories si vous êtes chanceux, l'équivalent de 50 grammes de graisse. En faisant dix heures de tapis de course par semaine vous pourriez perdre un demi-kilo ! 2. Beaucoup trop de temps consacré : je ne sais pas pour vous, mais je n'ai pas des heures et des heures de mon temps à mettre dans l’entraînement chaque semaine. En fait, j'ai seulement le temps de faire quelques heures d'exercice par semaine, et vous savez quoi ? C'est tout ce dont vous avez besoin. En fait, la recherche a montré que plus de 90 minutes par semaine peuvent être nuisibles! Au-delà de cela, le cardio de longue durée et faible intensité est : 3. Ennuyeux à mourir : assis sur un vélo d'exercice à regarder le mur en face de moi pendant 45-60 minutes ? Non merci. Mais peut-être pire encore est le fait que le cardio de longue durée et à faible intensité ne fournit : Pas d’avantages prolongés au niveau métabolique : saviez-vous qu’avec de l'exercice avec plus d'intensité il est possible de continuer à brûler des calories pour un maximum de 48 heures après l'entraînement ? C'est vrai. Mais vous savez ce qui est vrai également ? Le cardio de longue durée et à faible intensité ne fournit pratiquement aucune stimulation prolongée du métabolisme. En fait, avec un cardio lent et à faible intensité, le métabolisme revient à la normale presque immédiatement après la séance d'exercice. Et enfin, la raison qui l'emporte sur toutes les autres : 5. Une perte de graisse minimale : un minimum de calories sont brûlées pendant la session et pratiquement aucunes calories supplémentaires ne sont brûlées après… donc aucune perte de graisse supplémentaire. Et soyons honnêtes, la seule raison pour laquelle quelqu'un fait du cardio c'est pour avoir des "résultats visibles". Donc, si le cardio de longue durée à faible intensité n'est pas la solution idéale, quelle est-elle ? ET bien les solutions sont multiples et vous n'avez pas besoin de passer des heures et des heures chaque semaine à vous entrainer de façon stupide pour obtenir les meilleures résultats possibles. Les étapes Pour Rajeunir De 10 Ans Plus Jeunes Cliquez Ici: http://rajeunir-de-10-ans.info-pro.co

Scott
36,647 Views · 2 years ago

What are blackheads? Blackheads are small bumps that appear on your skin due to clogged hair follicles. These bumps are called blackheads because the surface looks dark or black. Blackheads are a mild type of acne that usually form on the face, but they can also appear on the following body parts: back chest neck arms shoulders Acne affects nearly 50 million Americans and is the most common skin disorder in the United States, according to the American Academy of Dermatology. What do blackheads look like? What causes blackheads? Blackheads form when a clog or plug develops in the opening of hair follicles in your skin. Each follicle contains one hair and a sebaceous gland that produces oil. This oil, called sebum, helps keep your skin soft. Dead skin cells and oils collect in the opening to the skin follicle, producing a bump called a comedo. If the skin over the bump stays closed, the bump is called a whitehead. When the skin over the bump opens, exposure to the air causes it to look black and a blackhead forms. Some factors can increase your chances of developing acne and blackheads, including: producing too much body oil the buildup of the Propionibacterium acnes bacteria on the skin irritation of the hair follicles when dead skins cells don’t shed on a regular basis undergoing hormonal changes that cause an increase in oil production during the teen years, during menstruation, or while taking birth control pills taking certain drugs, such as corticosteroids, lithium, or androgens Some people believe that what you eat or drink can affect acne. Dairy products and foods that increase blood sugar levels, such as carbohydrates, may play a part in triggering acne, but researchers aren’t convinced that there’s a strong connection. ADVERTISING What are symptoms of blackheads? Because of their dark color, blackheads are easy to spot on the skin. They’re slightly raised, although they aren’t painful because they aren’t inflamed like pimples. Pimples form when bacteria invade the blockage in the hair follicle, causing redness and inflammation. How are blackheads treated? Over-the-counter (OTC) treatments Many acne medications are available at drug and grocery stores and online without a prescription. These medications are available in cream, gel, and pad form and are put directly on your skin. The drugs contain ingredients such as salicylic acid, benzoyl peroxide, and resorcinol. They work by killing bacteria, drying excess oil, and forcing the skin to shed dead skin cells. Prescription medications If OTC treatment doesn’t improve your acne, your doctor may suggest that you use stronger prescription medications. Medications that contain vitamin A keep plugs from forming in the hair follicles and promote more rapid turnover of skin cells. These medications are applied directly to your skin and can include tretinoin, tazarotene, or adapalene. Your doctor may also prescribe another type of topical medication that contains benzoyl peroxide and antibiotics. If you have pimples or acne cysts in addition to your blackheads, this type of medication may be particularly helpful. Manual removal Dermatologists or specially trained skin care professionals use a special instrument called a round loop extractor to remove the plug causing the blackhead. After a small opening is made in the plug, the doctor applies pressure with the extractor to remove the clog. Microdermabrasion During microdermabrasion, a doctor or skin care professional uses a special instrument that contains a rough surface to sand the top layers of your skin. Sanding the skin removes clogs that cause blackheads. Chemical peels Chemical peels also remove clogs and get rid of the dead skins cells that contribute to blackheads. During a peel, a strong chemical solution is applied to the skin. Over time, the top layers of the skin peel off, revealing smoother skin underneath. Mild peels are available over the counter, while stronger peels are performed by dermatologists or other skincare professionals. Laser and light therapy Laser and light therapies use tiny beams of intense light to decrease oil production or kill bacteria. Both lasers and light beams reach below the surface of the skin to treat blackheads and acne without damaging the top layers of the skin. How can blackheads be prevented? You can prevent blackheads without spending a lot of money by trying a few of the following ideas: Wash regularly Wash your face when you wake up and before you go to bed to remove oil buildup. Washing more than twice each day can irritate your skin and make your acne worse. Use a gentle cleanser that doesn’t make your skin red or irritated. Some acne cleansing products have antibacterial ingredients that kill P. acnes bacteria. Consider washing your hair every day, too, particularly if it’s oily. Hair oils can contribute to clogged pores. It’s also important to wash your face after you eat oily foods such as pizza, because oil from these foods can clog pores. Use oil-free products Any product that contains oil can contribute to new blackheads. Choose oil-free or noncomedogenic makeup, lotions, and sunscreens to avoid making your problem worse. Try an exfoliating product Exfoliating scrubs and masks remove dead skin cells from your face and can help reduce blackheads. Look for products that don’t irritate your skin.

DrPhil
22 Views · 2 years ago

Talley + O'Connor's essential video guide to Abdominal Examination is here! Brush up on your skills and be sure to ace your OSCEs!

Mohamed Ibrahim
42 Views · 2 years ago

Curious about LASIK eye surgery? NVISION's Dr. Richard Mauer talks risks, life-changing benefits, and outcomes (plus why he loves what he does!).

Want to start your journey to better vision? Schedule your complimentary consult today! https://bit.ly/3H2i0FU

NVISION: The Eye Doctors' #1 Choice in LASIK and Laser Cataract Surgery

DrPhil
18 Views · 2 years ago

The dentin is a hard tissue that forms the bulk of the tooth. It is similar to bone but is slightly harder, although softer than enamel. The dentin has numerous dentinal tubules that run across its length. Each dentinal tubule houses the cytoplasmic process of an odontoblast (odontoblastic process).
📄Notes for the video: https://www.hackdentistry.com/....bundles/revision-nin

💻Website: https://www.hackdentistry.com/
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Study resources on our website-
📖Oral pathology Revision Ninja (Notes, Videos & MCQs): https://www.hackdentistry.com/bundles/oral-pathology-revision-ninja
📖Oral Histology Revision Ninja (Notes, Videos & MCQs): https://www.hackdentistry.com/....bundles/revision-nin
📖Periodontics Revision Ninja (Notes & MCQs): https://www.hackdentistry.com/bundles/perio-rn
📖Question Bank: https://www.hackdentistry.com/bundles/question-bank
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References and further reading:
💡Berkovitz BKB, Hollan GR, Moxham BJ. Oral Anatomy, Histology and Embryology. 4th ed. Mosby Elsevier; 2009.
💡Nanci A. Tencate’s Oral Histology. Development, Structure and Function. 8th ed. Elsevier; 2013.
💡Kumar GS. Orban’s Oral Histology and Embryology.13th ed. Elsevier; 2011.
💡Avery JK. Oral development and Histology. 3rd ed. Thieme Medical Publishers; 2002.

Log in to https://www.hackdentistry.com and get access to:
I) Numerous Notes/Cheatsheets and Videos II) Thousands of quiz questions from our vast Question Bank!

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myjohnwill23
15 Views · 3 months ago


Tadalista Super Active 20mg Softgel Capsule is an effective piece of medication that has enabled numerous men to overcome erectile dysfunction (ED) and enjoy a sensual, fruitful life.The medication is a powerful treatment that combines the effects of two active ingredients, tadalafil and dapoxetine, to give a more effective treatment of ED. Tadalafil is a PDE5 inhibitor that enhances blood supply to the man's genital organ, making him achieve and maintain an erection. Dapoxetine is an SSRI that postpones ejaculation, thus enhancing sensuous performance.You can buy Tadalista Super Active 20 mg softgel capsule online.The most important benefit of Tadalista Super Active 20 mg is its rapid action composition.This drug is designed to start working within 20 minutes of being taken, and it assists men in regaining sensual spontaneity and confidence immediately. In addition, the effects of Tadalista Super Active 20 mg may extend for a period of 36 hours, which is long enough for men to enjoy numerous sensuous encounters. Tadalista Super Active 20 mg is also accompanied by a good safety profile, which makes it men's favorite when it comes to a reliable and effective erectile dysfunction treatment. It is worth mentioning that, as any medication, Tadalista Super Active 20mg may produce adverse effects in some individuals. Nevertheless, the majority of such side effects are mild and temporary, and they can be easily managed with proper medical care.Buy Tadalista Super Active 20mg Softgel online at our web store https://www.firstchoicemedss.c....om/tadalista-super-a

RSM Enterprises
15 Views · 3 months ago

⁣Super Tadapox (Tadalafil 40mg + Dapoxetine 60mg) Tablets opens blood vessels within the penis that allows for an erection when the necessary sexual stimulation is applied.
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RSM Enterprises
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Dr Rajat Gupta
15 Views · 2 months ago

Dimples creation Surgery/ Dimpleplasty is a type of plastic surgery used to create dimples on the cheeks. Dimples are the indentations that occur when some people smile. They’re most often located on the bottoms of the cheeks. Not everyone is born with this facial trait. In some people, dimples are naturally occurring due to defect in smiling muscle. Dimples are perceived as a sign of beauty.

How dimples are formed ?
Dimples are formed because of the defect in the smiling muscle called as Zygomaticus Major. A very small part of this muscle is attached to skin. So whenever a person smiles the skin lying over this defect gets wedged into it, in the connective tissue, creating dimples in the cheeks which is perceived as a beautiful features on one's face.

Procedure of Dimple Creation
1.Before the surgery the doctors mark the position of the dimple based on patients on where the patient wants the dimple. The doctor also guides the patient regarding the position of dimples.
2.This surgery is performed under local anaesthesia .
3.Doctors perform this surgery from inside the mouth (inside of cheek) in order ensure there are no scars on the face.A small cut of 3-4mm is made inside the cheek area.
4.After making this incision, depending on where you want the dimple, a suture is passed through. This connects your skin to the underlying muscle, creating the dimple. You can see the dimple immediately.

Static and Dynamic Dimple
This type of dimple is called as static dimple.These dimples do not change in position or depth with animation. They remain like a sore thumb even when the person has no expression. As an absorbable stitch is used used during surgery, gradually the skin will, however, flatten out when the stitch is absorbed. The internal scarring —which takes place — will connect the muscle to the skin, creating a dimple which becomes prominent when one smiles and the static dimple will convert into dynamic dimples after two months .

Dimple creation surgery is a daycare procedure. It only takes 30 minutes, and you can go home soon after surgery. You are fit to resume your daily activities from the next day itself.

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Our equipment allows for every kind of liposuction there is – especially the minimal invasive kinds. Dr Gupta reflects RG Aesthetics’ belief of the patient’s comfort always being paramount. Procedures at RG Aesthetics, under Dr Rajat Gupta, minimize trauma and speed up recovery time for the best results!

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RSM Enterprises
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Mohamed
14,816 Views · 2 years ago

Perineal rectosigmoidectomy

DrHouse
14,916 Views · 2 years ago

Transoral Access in Endoscopic Thyroid Surgery Background: The number of patients demanding endoscopic neck surgery is rising. The access trauma of the axillary, breast and chest approaches is bigger than in open or video assisted surgery. We tested the feasibility of he sublingual transoral access which is in our opinion the only real minimally...-invasive extracollar endoscopic access to the thyroid gland Methods: We performed an experimental investigation in a porcine model. In 10 pigs we made 10 endoscopic transoral thyroidectomys with a modified axilloscope with the help of ultrasonic scissors and a neuro-monitoring system for identification of the recurrent laryngeal nerve. Results: The average operation time from the introduction to the removal of the obturator just above the larynx was 57 seconds. The mean operation time was 43 minutes. With the help of the neuro-monitoring system we proved in all cases the function of the recurrent laryngeal nerve on both sides. The pigs were observed for another two hours after operation. During and after the operation no complications appeared. Conclusions: We could show that the endoscopic transoral thyroid resection in pigs is possible and save. Our results might be useful for using this access for endoscopic thyroid resection in humans.

Mohamed
32,449 Views · 2 years ago

This is the CT of a 43 year old male patiënt with infected necrotizing pancreatitis that will undergo a VARD procedure; Videoscopic Assisted Retroperitoneal Debridment. Two weeks before this procedure two large bore percutaneous drains were placed in the peripancreatic collection. The patient i...s placed in supine position with the left side 30 degrees elevated. A 5-7 cm subcostal incision is made in the left flank. With help of CT images and by following the percutaneous drain, the subcutaneous tissue and the fascia are dissected and we enter the retroperitoneal peripancreatic collection. First, with a regular suction device any pus encountered is removed. Two long sympathectomy hooks are inserted in order to keep in the incision open. We than insert the zero degree laparoscope. The first necrosis encountered is removed under direct sight with the use of long grasping forceps. Following the percutaneous drain deeper into the cavity, parts of loosely adherent necrotic material are removed. Gently pulling we remove the necrotic tissue. The suction device is helpful in removing any fluid obstructing the view. Complete necrosectomy is not the ultimate aim of this procedure. Only loosely adherent pieces of necrosis are removed thereby keeping the risk of tearing underlying blood vessels to a minimum. In the rare case of extensive bleeding, the retroperitoneal cavity can be easily packed, either awaiting the bleeding to definitely stop or to act as a bridge to angiographic coiling. This patient is now 6 weeks after onset of disease. We always try to postpone surgical intervention, if possible up to 30 days. On the left side of the collection is the percutaneous drain. In this patient the drain had worked well for 2 weeks. When the patient deteriorated again it was decided to perform the VARD procedure. Large pieces of necrotic pancreas can be removed with VARD. This is a big advantage ov VARD over pure endosopic or percutaneous techniques. When all the necrotic tissue is removed we clean the cavity. Two drains are left in situ as a postoperative lavage system. The VARD procedure is performed via a 6 cm incision, which is closed and continuous postoperative lavage started immediately.

Mohamed
10,881 Views · 2 years ago

Hysteroscopy adhesiolysis for treating Ashermann syndrome

Mohamed
16,342 Views · 2 years ago

A video showing how to draw blood for sampling

Mohamed
12,929 Views · 2 years ago

Cardiac Arrest Resuscitation




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