Warning: This video contains actual surgical footage, which may not be suitable for all viewers.

To learn more about coronary artery bypass surgery, please visit http://cle.clinic/3b7dqpE

Cardiothoracic surgeon Faisal Bakaeen, MD, discusses how he does single and bilateral internal mammary arteries, and the benefits of doing this type of coronary artery bypass.

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Instruments at work, innovation at play. 🔍

Watch on to discover the behind-the-scenes instruments utilised by our NUHCS cardiac surgery expert, A/Prof Theodoros Kofidis, Head of NUHCS' Department of Cardiac, Thoracic & Vascular Surgery (CTVS), for keyhole heart operations. 🔑

To find out more about Minimally Invasive Heart Surgery @ NUHCS, visit: https://[a]www.nuhcs.com.sg%2FOur-Services%2FSpecialties%2FPages%2FMinimally-Invasive-Cardiac-Surgery-Programme.aspx[/a]

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Today I'm using the best 3D animation to explain WHAT IS DIASTASIS RECTI and what you need to know about diastasis recti after pregnancy! Grab the Complete Diastasis Recti Healing Guide: https://landing.mailerlite.com..../webforms/landing/n0

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Jessica Pumple is a registered dietitian, and pre & postnatal fitness instructor and certified pregnancy and postpartum core exercise specialist (CPES). She helps pregnant women stay fit, have healthy babies, and easier labors. She helps new moms with postpartum recovery, to heal and strengthen their core and feel energized after pregnancy!

If you enjoy our content subscribe to our channel, hit the bell button, leave a comment and share with your friends so I can make you more of the videos you enjoy!

Disclaimer: This is general postnatal fitness only. Please check with your doctor or health care provider to see if this video is safe for you. Wait until you get clearance (usually 4-6 weeks or 6-8 weeks after a c-section).You are responsible for your own safety. Don’t do anything that feels unsafe for you or baby. Stop if you have any pain or discomfort, bleeding, chest pain or shortness of breath, dizziness or if you feel unwell. P&P Health Inc., Pregnancy and Postpartum TV and Jessica Pumple are not liable in any way for any injury, loss, damages, costs or expenses suffered by you in relation to this video or its content.



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Dr. James Wall performs a bilateral inguinial hernia repair surgical procedure.

Featured:
James Wall, MD
Assistant Professor of Surgery, Pediatric Surgery
Assistant Professor of Bioengineering (By Courtesy)
Lucile Salter Packard Children's Hospital

Micaela Esquivel, MD
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http://www.utexas.edu

Nursing students practice their skills on mannequins and each other in the Nursing Skills Lab.

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NG Tube Management (Nursing Skills)
In this video lesson, we will look at some of the things that you need to do when you are managing a patient that already has an NG tube or (nasogastric tube). Level up your nursing skills game with these helpful nursing tips. See video bookmarks below:

Bookmarks:
0:00 Intro
0:19 Measure tube length
0:58 Flush tube
1:52 Measure residuals
3:07 Return residuals
4:09 Clamp tube
4:20 Provide oral and nasal care


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NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NURSING.com.

If you have an active lifestyle or are often on the go with work, travel or family, then peritoneal dialysis at home may be the right choice. Home peritoneal dialysis offers additional freedom and flexibility as a treatment option that’s closest to natural kidney function and may require fewer dietary restrictions and medications. To learn more about Home PD, visit https://www.FreseniusKidneyCar....e.com/ckd-treatment/

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In the Dialysis Unit you have an opportunity to provide Dialysis care for a variety of patients, including those with End-Stage Chronic Kidney disease and acutely ill patients requiring dialysis and plasmapheresis.
The Chronic Dialysis Nurse focuses on patients receiving Hemodialysis, Peritoneal Dialysis, or Home Hemodialysis. Our patients range in age from newborns to young adults. The Hemodialysis patient receives their dialysis treatment in the clinic 3-5 times a week. The Peritoneal Dialysis and Home Hemodialysis treatments are provided in the patient’s home once the parent/caregiver is trained to operate the machine. They are followed monthly in clinic. The patient receiving Chronic Dialysis is supported by a multidisciplinary team that consists of a physician, nurses, social worker, nutritionist, pharmacist, child-life therapist, teacher, and counselor. The group works together to meet the medical and emotional needs of the patient and caregiver. Care is specialized to meet the needs of each individual patient.
The Acute Dialysis Nurse focuses on acute dialysis related therapies such as: Continuous Renal Replacement Therapy (CRRT); therapeutic plasmapheresis; or acute peritoneal dialysis. The acute dialysis team works with the multi-disciplinary inpatient nephrology team to provide acute dialysis services to the critically ill ICU patients. The work environment is highly technical and fast-paced.
The Dialysis Unit operates on 12hr shifts 7a – 7p; 7 days a week. Night call is required and shared by the nurses. We provide a detailed orientation plan to the nurse to become proficient in providing hemodialysis, peritoneal dialysis, continuous renal replacement therapy and plasmapheresis. Previous experience in dialysis or pediatrics is not required.

"Axillary Artery to Vein AV Graft for Dialysis Access"

Houston Methodist DeBakey Heart & Vascular Center, presents a cardiovascular procedure featuring Maham Rahimi, MD, M. Mujeeb Zubair, MD, and Louis Gomez, MD, as they demonstrate “Axillary Artery to Vein AV Graft for Dialysis Access".

Surgery: Maham Rahimi, MD, M. Mujeeb Zubair, MD, and Louis Gomez, MD
Narration: M. Mujeeb Zubair, MD

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The most reliable clinical sign to detect ascites is checking for bilateral flank dullness. If a patient with ascites is lying supine, fluid accumulates in the flank regions, leading to dullness on percussion. At the same time, the air-filled bowel loops are forced upwards by the free fluid due to buoyancy, resulting in tympanitic percussion. To locate specifically where dullness shifts to tympany, or the air-fluid level, percussion should be performed from the sides towards the middle. To confirm that the dullness is caused by ascites, ask the patient to switch to a lateral decubitus position. If ascites is present, the air-filled bowel loops will shift accordingly and remain at the surface of the fluid. As a result, the air-fluid level will shift as well. This is known as shifting dullness.

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Welcome to the official YouTube channel of Synergy Wellness Chiropractic & Physical Therapy. We are a multi discipline chiropractic and physical therapy practice located in the East Greenwich Village in Manhattan, New York City,
Schedule your new patient visit with us and start feeling better faster by calling
212-533-4900 or visit us on the web at www.SynergyWellnessNY.com.

If you've gotten any help from any of these videos we want to hear about your experience
***REVIEW US ON GOOGLE HERE:***
https://g.page/r/CX3qS6p7bjwPEAI/review

Follow Synergy Wellness Chiropractic and Physical Therapy on Facebook, Instagram and Twitter

Facebook: https://www.facebook.com/SynergyWellnessNY/
Instagram: https://www.instagram.com/synergywellnessnyc/
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Dr. David Kulla, DC, CN, CEAS ll is a well known Chiropractor and CEO of Synergy Wellness Chiropractic and physical therapy working for organizations as a certified ergonomics assessment specialist for the united nations, morgan stanley, goldman sachs, broadway actors, dancers, collegiate and professional athletes with experience spanning over 2 decades in the New York Metropolitan area as a celebrity chiropractor. If you are looking for an experienced, skilled, knowledgable chiropractor nearby in nyc , we are just a subway or cab ride away.
#SHORTS thanks for watching our youtube shorts!

Dr. David Kulla and the Synergy Wellness team in lower manhattan near gramercy park offers Certified Flexion Distraction Technique by our Chiropractor. Dr. Kulla is also certified in Neurological testing or electrodiagnostic testing (EMG and NCV Testing), and a CCEP Certified Chiropractic Extremities Practitioner adjusting non spinal joints like shoulders, elbows, wrists, hands and fingers. Dr. Kulla also adjusts hips, knees and ankles and feet.
At Synergy Wellness Chiropractic & Physical Therapy New York City office we pride ourselves in patient focused care. We offer other services like custom orthotics, cold laser therapy and our channel features real patients , real experiences and any NYC actors, athletes and celebrities have given us permission to be featured in our videos.
for our videos.
You will hear LOUD CRACKS or Chiropractic Adjustments with loud CRACKING, The LOUD ASMR CRACKS you hear after a CHIROPRACTIC ADJUSTMENT is merely a byproduct of the joint cavitating, gas bouncing off synovial fluid making that extremely loud chiropractic crack or cracking noise that many people find soothing to watch (aka ASMR). We hope you enjoy our chiropractic and physical therapy youtube channel and spread the word! Thanks for TUBIN in!
Disclaimer: don't try any of these maneuvers or techniques at home on yourself or loved ones unless specifically told it ok to do on yourself or others safely.

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This video demonstrates Laparoscopic Cholecystectomy Fully Explained Skin-to-Skin Video with Near Infrared Cholangiography performed by Dr R K Mishra at World Laparoscopy Hospital. A laparoscopic cholecystectomy is a minimally invasive surgical procedure that involves removing the gallbladder. It is typically performed using small incisions in the abdomen, through which a laparoscope (a thin tube with a camera and light) and surgical instruments are inserted. The surgeon uses the laparoscope to visualize the inside of the abdomen and to guide the instruments in removing the gallbladder.

Near-infrared cholangiography is a technique that uses a special camera and fluorescent dye to visualize the bile ducts during surgery. The dye is injected into the cystic duct (the tube that connects the gallbladder to the bile ducts) and the camera detects the fluorescence emitted by the dye, allowing the surgeon to see the bile ducts more clearly.

The combination of laparoscopic cholecystectomy and near-infrared cholangiography has become a standard of care in many hospitals and surgical centers. It allows for a more precise and efficient surgery, reducing the risk of complications such as bile duct injury.

The use of indocyanine green (ICG) with near-infrared imaging during laparoscopic cholecystectomy has several advantages. Here are some of them:

Better visualization of the biliary anatomy: ICG with near-infrared imaging allows for better visualization of the biliary anatomy during surgery. This helps the surgeon identify important structures, such as the cystic duct and the common bile duct, and avoid injuring them.

Reduced risk of bile duct injury: With better visualization of the biliary anatomy, the risk of bile duct injury during surgery is reduced. Bile duct injury is a serious complication that can occur during laparoscopic cholecystectomy and can lead to long-term health problems.

Improved surgical precision: ICG with near-infrared imaging also improves surgical precision. The surgeon can better see the tissues and structures being operated on, which can help reduce the risk of bleeding and other complications.

Shorter operating time: The use of ICG with near-infrared imaging can shorten the operating time for laparoscopic cholecystectomy. This is because the surgeon can more quickly and accurately identify the biliary anatomy, which can help streamline the surgery.

Overall, the use of ICG with near-infrared imaging is a valuable tool in laparoscopic cholecystectomy that can improve surgical outcomes and reduce the risk of complications.

Like any surgical procedure, laparoscopic cholecystectomy (gallbladder removal) has potential complications. Here are some of the most common ones:

Bleeding: Bleeding during or after the surgery is a possible complication of laparoscopic cholecystectomy. Most cases are minor and can be easily controlled, but in rare cases, significant bleeding may require a blood transfusion or even additional surgery.

Infection: Any surgical procedure carries a risk of infection. After laparoscopic cholecystectomy, there is a risk of infection at the site of the incisions or within the abdomen. Symptoms may include fever, pain, redness, or drainage from the incision sites.

Bile leakage: In some cases, a small amount of bile may leak from the bile ducts into the abdominal cavity after gallbladder removal. This can cause abdominal pain, fever, and sometimes requires further surgery or treatment.

Injury to nearby organs: During the surgery, there is a small risk of unintentional injury to nearby organs such as the liver, intestines, or bile ducts. This can cause additional complications and may require further treatment.

Adverse reactions to anesthesia: As with any surgery requiring general anesthesia, there is a small risk of adverse reactions to the anesthesia, such as an allergic reaction, respiratory problems, or heart complications.

Most patients recover without complications following a laparoscopic cholecystectomy, but it is important to discuss any concerns or questions with your surgeon beforehand.

Contact us
World Laparoscopy Hospital
Cyber City, Gurugram, NCR Delhi
INDIA : +919811416838

World Laparoscopy Training Institute
Bld.No: 27, DHCC, Dubai
UAE : +971525857874

World Laparoscopy Training Institute
8320 Inv Dr, Tallahassee, Florida
USA : +1 321 250 7653





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Dr. Debbie Song at Gillette Children's describes in detail selective rhizotomy surgery.

A selective dorsal rhizotomy is an operation performed to treat spasticity. It is thought that high tone and spasticity arise from abnormal signals that are transmitted through sensory or dorsal nerve roots to the spinal cord. In a selective dorsal rhizotomy we identify and cut portions of the dorsal nerve roots that carry abnormal signals thereby disrupting the mechanisms that lead to spasticity. Potential patients go through a rigorous assessment that includes an in-depth gait and motion analysis as well as a physical therapy evaluation.

They are evaluated by a multidisciplinary team that includes a pediatric rehabilitation doctor, a neurosurgeon, and an orthopedist, Appropriate patient selection is vital. Ideal candidates for selective dorsal rhizotomy are children who are between four and ten years of age, have a history of being born prematurely, and have a diagnosis of diplegia cerebral palsy. These patients usually walk independently or with the assistance of crutches or a walker. They typically function at a level one, two, or three in the gross motor function classification system or gmfcs. A selective dorsal rhizotomy involves the coordinated efforts of the neurosurgery, physiatry, anesthesia and nursing teams. The operation entails making an incision in the lower back that is approximately six to eight inches long. We perform what we call a laminoplasty in which we remove the back part of the spinal elements from the lumbar one or l1 to l5 levels. At the end of the procedure the bone is put back on. We identify and open up the Dural sac that contain the spinal fluid spinal cord and nerve roots. Once the Dural sac is opened ,we expose the lumbar and upper sacral nerve roots that transmit information to and from the muscles of the lower extremities.

At each level we isolate the dorsal nerve root, which in turn is separated into as many as 30 smaller thread light fruitlets.

Each rootlet is then electrically stimulated. Specialized members of the physiatry team look for abnormal responses in the muscles of the legs as each rootless is being stimulated. If an abnormal response is observed then the rootlet is cut.

If a normal response is observed, then the rootlet is not cut. We usually end up cutting approximately 20 to 40 percent of the rootlets. The Dural sac is sutured closed and the l1 through l5 spinal elements are put back into anatomic position, thus restoring normal spinal alignment. The overlying tissues and skin are then closed and the patient is awoken from surgery. The entire operation takes between four and five hours. A crucial component to the success of our rhizotomy program is the extensive rehabilitation course following surgery. With their tone significantly reduced after a rhizotomy, patients relearn how to use their muscles to walk more efficiently through stretching, strengthening, and gait training. Approximately one to two years after a rhizotomy patients undergo repeat gait and motion analysis. The orthopedic surgeons assess the need for interventions to correct bone deformities, muscle contractures, poor motor control, impaired balance, or other problems related to cerebral palsy.

At Gillette we work closely with patients and families to ensure that our selective dorsal rhizotomy program meets their goals for enhancing their function and improving their quality of life.

VISIT https://www.gillettechildrens.org/ to learn more

0:00 Why choose selective dorsal rhizotomy?
0:56 Who is a good candidate for selective dorsal rhizotomy?
1:31 What does a selective dorsal rhizotomy entail?
3:26 What is recovery from selective dorsal rhizotomy like?