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Dr. Celia Divino, Chief, Division of General Surgery at The Mount Sinai Hospital, performs a laparoscopic appendectomy. Visit the Division of General Surgery at http://bit.ly/18z944M. Click here to learn more about Dr. Celia Divino http://bit.ly/12RF0ee
This Basic Laparoscopic Surgery: Abdominal Access and Trocar Introduction course will teach you the steps of Laparoscopic Surgery. View the full course for free by signing up on our website: https://www.incision.care/
What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.
Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions
Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training โ forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.
This Basic Laparoscopic Surgery: Abdominal Access and Trocar Introduction course will teach you:
- How to access the abdomen using an open, closed, and direct optical-entry technique
- Principles underlying safe abdominal insufflation
- The vascular anatomy of the abdominal wall and its implications for trocar placement
- How to introduce trocars into the peritoneal cavity
- The principle of triangulation and how this can be applied to organizing a laparoscopic surgical field
Specific attention is given to these hazards you may encounter:
- Intravascular, intraluminal, or extraperitoneal needle position
- Limitations of a closed introduction technique
- Abdominal surgical history
- Limitations of an open introduction technique
- Optical trocar entry in thin individuals
- Visualization of non-midline structures
- Limitations of direct optical-entry techniques
- Limitations of clinical examination to confirm intraperitoneal insufflation
- Leakage of insufflation gas
These tips are designed to help you improve your understanding and performance:
- Alternative left upper quadrant approach
- Testing Veress needle before use
- Lifting the abdominal wall for Veress needle introduction
- "Hanging-drop test"
- Palmer's test
- Confirming intra-abdominal insufflation
- Subcutaneous tissue retraction
- Anatomy of the umbilicus
- Retraction of abdominal wall fascia
- Finger sweep of anterior abdominal wall
- Lifting the abdominal wall for optical trocar introduction
- Identification of venous bleeding at the end of a procedure
- Identification of inferior epigastric vessels by direct vision
- Peritoneal folds of the anterior abdominal wall
- Transillumination of superficial epigastric vessels
- Infiltration of local anesthetic at port sites
- Aiming of trocars
- Selection of trocar size
- Maintaining direct vision
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This 3D medical animation depicts the surgical removal of the appendix (appendectomy) using laparoscopic instruments. The surgery animation begins by showing an inflamed appendix (appendicitis), followed by the placement of the laparoscope. Afterward, one can see the surgical device staple, cut and remove the inflamed appendix. Following the removal of the appendix the abdomen is flushed with a sterile saline solution to ensure all traces of infection have been removed.
#laparoscopy #appendix #appendicitis
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Dr. Neel Joshi, Clinical Chief, Department of Surgery at Cedars Sinai, describes his technique for trocar removal at the end of laparoscopic cholecystectomy.
#medicaleducation #laparoscopicsurgery
As you consider Fort HealthCare and our Pediatric Surgical Services, here is a quick tour to give you and your child an idea of what to expect.
We look forward to helping you.
To find out more information, please visit forthealthcare.com/PediatricSurgery
Video production by Highlights Media, LLC
Shoutout to director/videographer Valentina Vee and producer Sean Tien for helping me bring this to life.
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Follow one family's journey through the agony of waiting for a donor, a 31-hour surgery, and the prospect of a long road to recovery.
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#NationalGeographic #KatieStubblefield #FaceTransplant
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Youngest Face Transplant Recipient in U.S. | National Geographic https://youtu.be/quU9s7I1NLI
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This video shows you how to examine the hand and wrist and how to identify common causes of pain.
This video clip is part of the FIFA Diploma in Football Medicine and the FIFA Medical Network. To enrol or to find our more click on the following link http://www.fifamedicalnetwork.com
The Diploma is a free online course designed to help clinicians learn how to diagnose and manage common football-related injuries and illnesses. There are a total of 42 modules created by football medicine experts. Visit a single page, complete individual modules or finish the entire course.
The network provides the opportunity for clinicians around the world to meet and share ideas relating to football medicine. Ask about an interesting case, debate current practice and discuss treatment strategies. Create a profile and log on to interact with other health professionals from around the globe.
This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional.
Knee Examination - Orthopaedic Knee OSCE - Medicine Explained - Clinical Skills - Dr Gill
โโ-
* error clarification
Varus or valgus deformity depends on the joint you are looking at
Valgus deformity is where the bone DISTAL to a joint is angled outward, ie way from the body's midline
Thus a VARUS deformity of the knee is colloquially โbow-leggedโ
โโ-
This Knee Exam Deep Dive looks at the details of the examination of a patient with knee issues, highlighting what is being checked for during special tests and examination findings
In this video, we demonstrate how to perform a clinical examination of the knee for your medical school Clinical Skills OSCE. As orthopaedic exams are core skills when it comes to examining patients, students should assume that a knee assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, in a knee exam follow the approach of:
- Look
- Feel
- Move
HOWEVER, a knee examination OSCE station does not just involve pressing around the joint, as this video also demonstrates some of the specialised examination techniques required in examining patients such as the anterior draw test, checking for sag sign, along with discussion about McMurray's test
Reduction in movement, pain and general concerns about knee issues is a common reason for patients to see a doctor, and in general, practice is probably one of the hardest joints to accurately diagnose a problem in
This video has two other knee demonstration videos associated with it:
https://youtu.be/oyKH4EYfJDM - Knee assessment Demo
https://youtu.be/5qJaf7gW-B0 - Gait, Arms, Legs, Spine - GALS screen
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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
Some people viewing this medical examination video may experience an ASMR effect
#clinicalskills #Knee #DrGill
Inguinal or groin hernias are the most common type of hernias and most of the time occur in men. We talked with CU Medicine surgeon, Dr. Sam Phinney, about groin hernias and how they are treated. https://www.cumedicine.us/abou....t-cu-medicine/health
#HerniaRepair #HerniaSurgery #LaparoscopicHerniaRepair #OpenHerniaRepair #InguinalHernia #UmbilicalHernia #VentralHernia #MeshRepair #HerniaRecovery #HerniaComplications
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Contact us to find out more http://www.londonvisionclinic.com/contact-us/ A video of an actual lasik eye surgery procedure taking place, using VisuMax and MEL 80 at the London Vision Clinic.
Visit http://www.londonvisionclinic.....com/are-you-suitable to find out more about the laser eye surgery process.
Recovery Tips
LASIK eye surgery is the best known and most commonly performed laser refractive surgery to correct vision problems. The total recovery time is 1 to 2 weeks. However, vision may fluctuate slightly over the next 2 months.
Avoid watching television or reading for the first few days.
You can get back to work after 1 week.
Avoid applying pressure on the eyes for 7 days.
Avoid dust, smoke, yard and garden work, and eye make-up.
Wear eye shields at night given by a surgeon for 1 week.
Driving is allowed after 4 to 5 days.
Avoid swimming or using a hot tub for 2 weeks after surgery.
While using the computer, take frequent breaks and lubricate your eyes with artificial tears.
For treatment assistance in your country or abroad:
Email: hello@vaidam.com
Phone/WhatsApp/Viber: +91-9650001746
Website: www.vaidam.com
Vaidam is an ISO and NABH accredited medical assistance company. Patients from 100+ countries have used our services.
Useful Links:
India
Doctors: https://www.vaidam.com/doctors/opthalmology/lasik-procedure/india
Hospitals: https://www.vaidam.com/hospitals/opthalmology/lasik-procedure/india
Cost of Lasik Eye Surgery: https://www.vaidam.com/cost/lasik-procedure-cost-in-india
Turkey
Doctors: https://www.vaidam.com/doctors/opthalmology/lasik-procedure/turkey
Hospitals: https://www.vaidam.com/hospitals/opthalmology/lasik-procedure/turkey
#lasik #eyesurgery #BusinessInsiderIndia #lasereyesurgery
Business Insider's Michelle Yan has been nearsighted since she was 9 years old. After laser eye surgery, she has 20/20. She walks us through the pre-surgery steps, the actual surgery which the doctor referred to as a spa for eyes, as well as the recovery process.
Don't miss the suggestions and recommendations she has for all those who are planning to undergo laser eye surgery for themselves, towards the end.
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What It's Like To Get Laser Eye Surgery
Welcome to the very first episode of our podcast.
In this video, Dr. Rajat and Dr. Gautam discuss the ins and outs of plastic and cosmetic surgery. They cover common myths, the types of surgeries available, the safety and affordability of these procedures, and how they can positively impact one's confidence and well-being. We also dive into the importance of a good hospital setup and patient care.
What are we discussing in this first episode?
โ
What is plastic surgery? - Itโs a wide field including reconstructive and cosmetic surgeries.
โ
Do plastic surgeons use plastic in surgeries? - No, it's a common misconception.
โ
Who gets cosmetic surgery? - Common people, not just celebrities, undergo these surgeries.
โ
Is cosmetic surgery safe? - Yes, when performed by qualified surgeons in proper settings.
โ
Are these surgeries affordable? - Yes, especially in India, they are reasonably priced.
โ
Can insurance cover cosmetic surgery? - Some functional aspects of cosmetic surgery can be covered by insurance.
โ
What is the role of a good hospital setup? - It ensures patient safety and reduces complications.
โ
Do all patients get happy results? - Most patients are satisfied, but addressing any issues is important for us.
โ
Why are we starting this podcast? - To spread awareness and provide valuable information about plastic and cosmetic surgery.
โ
What are the common misconceptions about plastic surgery? - That itโs only for celebrities and involves using actual plastic.
โ
How common is gynecomastia in men? - Very common, and its treatment is widely available.
โ
What is the impact of cosmetic surgery on mental health? - It boosts confidence, reduces anxiety, and improves social interactions.
โ
How do we ensure patient satisfaction? - Through careful procedures, follow-ups, and addressing any concerns promptly.
โ
What precautions should be taken for safe surgery? - Ensuring the doctor is qualified, the hospital setup is adequate, and thereโs an ICU backup.
โ
How do we handle complications? - By being prepared and following up diligently to ensure patient well-being.
โ
Is cosmetic surgery worth the cost? - Yes, considering the significant positive impact on a personโs life and confidence.
โ
How do we support patients post-surgery? - With follow-up care and minimal extra costs for touch-ups.
โ
What is the importance of human touch in our field? - Building trust and ensuring patient happiness through personalized care.
We hope this podcast helps you understand more about plastic and cosmetic surgery. If you have any questions or topics you want us to cover, please leave a comment below.
Stay tuned for our upcoming episodes, where we will share more useful insights about specific procedures and how they can benefit you!
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About Dr. Rajat Gupta and RG Aesthetics
At RG Aesthetics, Indiaโs best plastic surgeon, Dr. Rajat Gupta is at your service! With 13 years of experience, brand certification, and international recognition, Dr. Gupta is the solution to all your contouring needs.
His expertise in liposuction techniques combined with the state-of-the-art technology available at RG Aesthetics ensures we continue providing the most reliable services with incredible, instantaneous results!
Our equipment allows for every kind of liposuction there is โ especially the minimally invasive kinds. Dr. Gupta reflects RG Aestheticsโ belief of the patientโs comfort always being paramount. Procedures at RG Aesthetics, under Dr. Rajat Gupta, minimize trauma and speed up recovery time for the best results!
Schedule a Consultation:
โ
Call: +91 - 9251-711-711
โ
contact@drrajatgupta.com
โ
Visit: www.drrajatgupta.com
#plasticsurgery #cosmeticsurgery #mythsbusted #drrajat #drgautam #healthcare #confidenceboost #affordablesurgery #safesurgery #medicalawareness #patientcare #hairtransplant #mommymakeover #liposuction #podcastseries #boardcertifiedplasticsurgeon
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An animation of blood flow inside the Hemodialysis circuit.
About Dr. Rifai:
Dr. Ahmad Oussama Rifai is certified by the American Board of Internal Medicine (ABIM) in the specialty of Internal Medicine and the sub-specialty of Nephrology.
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Best wishes for great health | The Virtual Nephrologist
Research from Mayo Clinic finds that half of elderly patients who start dialysis after age 75 will die within one year.
Lead study author and a health care delivery scholar with the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Dr. Bjorg Thorsteinsdottir says many elderly patients and their families feel that they have no choice but to start dialysis, with several expressing regret from having initiated therapy.
The findings were presented at the American Society of Nephrology's Kidney Week 2013 in Atlanta.