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Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy
Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy Mohamed 34,905 Views • 3 years ago

Internal hemorrhoids and loose rectal mucosa may block the exposure during the purse string suturing in stapled hemorrhooidopexy, and this may cause some complications. To retract the prolapsing rectal mucosa we modified the purse string anoscope of the PPH01 kit (Ethicon-Endosurgery, Cincinnati, O...H, USA) and produced a special anoscope. The open part of the purse string suture anoscope is covered by transparent acrylic (Orthoacryl�, Dentaurum, Pforzheim, Germany). The covering material had complete cylindrical outer and inner surfaces and was thin enough to let the anoscope easily rotate in the anal dilator and to let the 26 mm curved, round bodied needle of the 2/0 polypropilene suture move in the anoscope. A window, 3 cm long and 3-4 mm wide, was opened at the angled part of the anoscope 2 cm to the tip of the anoscope. This special anoscope was used for the purse string suture during stapled hemorrhoidopexy procedure in five patients. No postoperative complications, early or late, were encountered, and we propose that stapled hemorrhoidopexy procedure can be applied more easily by using this special anoscope.

Colectomy Anterior Approach
Colectomy Anterior Approach Scott 13,093 Views • 3 years ago

Colectomy Anterior Approach

Hypertension
Hypertension samer kareem 1,929 Views • 3 years ago

High blood pressure is a common condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease. Blood pressure is determined both by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure. You can have high blood pressure (hypertension) for years without any symptoms. Even without symptoms, damage to blood vessels and your heart continues and can be detected. Uncontrolled high blood pressure increases your risk of serious health problems, including heart attack and stroke. High blood pressure generally develops over many years, and it affects nearly everyone eventually. Fortunately, high blood pressure can be easily detected. And once you know you have high blood pressure, you can work with your doctor to control it.

Inversion on transverse baby
Inversion on transverse baby samer kareem 1,932 Views • 3 years ago

Thoracic outlet syndrome surgery
Thoracic outlet syndrome surgery samer kareem 1,809 Views • 3 years ago

Thoracic outlet syndrome is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause pain in your shoulders and neck and numbness in your fingers. Common causes of thoracic outlet syndrome include physical trauma from a car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy. Sometimes doctors can't determine the cause of thoracic outlet syndrome. Treatment for thoracic outlet syndrome usually involves physical therapy and pain relief measures. Most people improve with these approaches. In some cases, however, your doctor may recommend surgery.

Introduction to Clinical Medicine
Introduction to Clinical Medicine samer kareem 5,495 Views • 3 years ago

Superior Capsular Reconstruction
Superior Capsular Reconstruction samer kareem 1,432 Views • 3 years ago

Superior capsule reconstruction (SCR) is a promising alternative treatment for irreparable posterosuperior rotator cuff tears (Figure 1). It utilizes a graft from the superior glenoid to the greater tuberosity to stabilize the humeral head. In a study by Mihata and colleagues of 23 patients who underwent SCR with a fascia lata autograft at a minimum of 2 years follow-up, the American Shoulder and Elbow Surgeons (ASES) score improved significantly from 23.5 preoperatively to 92.9. Postoperative MRI showed 83% of patients had intact reconstructions with no progression of muscle atrophy.

Pulmonary Edema Treatment
Pulmonary Edema Treatment samer kareem 4,851 Views • 3 years ago

Pulmonary edema is almost always treated in the emergency room or hospital. You may need to be in an intensive care unit (ICU). Oxygen is given through a face mask or tiny plastic tubes are placed in the nose. A breathing tube may be placed into the windpipe (trachea) so you can be connected to a breathing machine (ventilator) if you cannot breathe well on your own. The cause of edema should be identified and treated quickly. For example, if a heart attack has caused the condition, it must be treated right away. Medicines that may be used include: Diuretics that remove excess fluid from the body Medicines that strengthen the heart muscle, control the heartbeat, or relieve pressure on the heart

Your Pregnancy in 2 Minutes
Your Pregnancy in 2 Minutes samer kareem 1,490 Views • 3 years ago

What is Sickle Cell Anemia?
What is Sickle Cell Anemia? samer kareem 6,479 Views • 3 years ago

Sickle cell anemia (sickle cell disease) is a disorder of the blood caused by an inherited abnormal hemoglobin (the oxygen-carrying protein within the red blood cells). The abnormal hemoglobin causes distorted (sickled) red blood cells.

bipolar microscopic tonsillectomy
bipolar microscopic tonsillectomy samer kareem 7,043 Views • 3 years ago

Microsurgical bipolar cautery tonsillectomy compares favorably with traditional techniques in terms of intraoperative bleeding, postoperative pain, otalgia, and hemorrhage. This technique combines the hemostatic advantage of cautery dissection, the excellent visualization achieved by a microscope, and, with the use of a video, greatly improves the physician's ability to teach how to perform a tonsillectomy.

SHAPE OF YOUR BUTT
SHAPE OF YOUR BUTT samer kareem 1,677 Views • 3 years ago

This Is What The SHAPE OF YOUR BUTT Has To Say About Your Health. AMAZING!!

How is Semen Analysis done?
How is Semen Analysis done? samer kareem 2,008 Views • 3 years ago

Normal sperm densities range from 15 million to greater than 200 million sperm per milliliter of semen. You are considered to have a low sperm count if you have fewer than 15 million sperm per milliliter or less than 39 million sperm total per ejaculate.

digital ulcer examination part III
digital ulcer examination part III rzahora 5,986 Views • 3 years ago

How to diagnose digital ulceration in out patient clinic.part III

Liver cholestasis
Liver cholestasis samer kareem 2,927 Views • 3 years ago

Cholestatic liver disease is a condition that results from an impairment of bile formation or bile flow to the gallbladder and duodenum (first section of the small intestine). ... The effects of cholestasis are profound and widespread, leading to worsening liver disease and systemic illness.

open hemisplenectomy for splenic cyst in child
open hemisplenectomy for splenic cyst in child samer kareem 4,555 Views • 3 years ago

hemisplenectomy is removal of the half of the spleen.It was done firstly in Azerbaijan by prof. Dr Med Qurban Muslimov in 12 years old child with simple syst of the spleen.

Electromagnetic Navigation Diagnostic Bronchoscopy Used to Detect Lung Cancer
Electromagnetic Navigation Diagnostic Bronchoscopy Used to Detect Lung Cancer Mohamed 15,500 Views • 3 years ago

Learn about electromagnetic navigation diagnostic bronchoscopy, a new technology used to diagnose small lung cancer tumors as small as a pencil eraser before they have the chance to spread. Cleveland Clinic physician Dr. Thomas Gildea demonstrates how this endobronchial ultrasound procedure, which involves using a small camera probe inserted thru the nose into the lungs, allows doctors to reach possible cancer in the lungs that they could never reliably get to before

Do not look away challenge  (Leg Surgery)
Do not look away challenge (Leg Surgery) samer kareem 15,189 Views • 3 years ago

Never looked away once great video

Radial Artery Catheterization
Radial Artery Catheterization Mohamed Ibrahim 19,507 Views • 3 years ago

Radial Artery Catheterization

Crushing of a bladder stone
Crushing of a bladder stone Mohamed Ibrahim 14,951 Views • 3 years ago

Endoscopic crushing of a bladder stone very interesting medical video

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