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Minimally Invasive Total Thyroidectomy
Minimally Invasive Total Thyroidectomy samer kareem 6,238 Views • 3 years ago

Minimally invasive open thyroidectomy (MIT) is similar to conventional thyroidectomy in its surgical approach. The major difference is the length of the neck incision. A smaller incision improves cosmesis and reduces discomfort. Typically, a skin incision less than 6 cm is considered minimally invasive. The remainder of the procedure is exactly the same as is used in conventional thyroidectomy. Adaptations to this technique include transection rather than lateral retraction of the strap muscles (the Sofferman technique). [1]

Modern Hernia Technique
Modern Hernia Technique M_Nabil 23,563 Views • 3 years ago

Modern technique of hernia's operations

Subcutaneous Abdominal Injection
Subcutaneous Abdominal Injection DrPhil 28,143 Views • 3 years ago

Subcutaneous Abdominal Injection

Temporal Arteritis
Temporal Arteritis Alicia Berger 5,848 Views • 3 years ago

Temporal Arteritis: what is it? how to treat it? follow up?

Digital rectal exam
Digital rectal exam samer kareem 15,816 Views • 3 years ago

During the examination, the doctor gently puts a lubricated, gloved finger of one hand into the rectum. He or she may use the other hand to press on the lower belly or pelvic area. A digital rectal exam is done for men as part of a complete physical examination to check the prostate gland .

Foot Drop
Foot Drop samer kareem 1,931 Views • 3 years ago

Foot drop is a gait abnormality in which the dropping of the forefoot happens due to weakness, irritation or damage to the common fibular nerve including the sciatic nerve, or paralysis of the muscles in the anterior portion of the lower leg. It is usually a symptom of a greater problem, not a disease in itself.

Sprains and Strains
Sprains and Strains Doctor 9,443 Views • 3 years ago

Sprains and Strains

Shoulder Injection
Shoulder Injection DrPhil 17,877 Views • 3 years ago

Shoulder Injection

Phenylketonuria Genetics
Phenylketonuria Genetics samer kareem 1,261 Views • 3 years ago

Classical PKU is an autosomal recessive disorder, caused by mutations in both alleles of the gene for phenylalanine hydroxylase (PAH), found on chromosome 12. In the body, phenylalanine hydroxylase converts the amino acid phenylalanine to tyrosine, another amino acid.

Baby CPR
Baby CPR Doctor 13,269 Views • 3 years ago

Baby CPR

Abscess Drainage
Abscess Drainage samer kareem 1,791 Views • 3 years ago

An abscess is an infectious process characterized by a collection of pus surrounded by inflamed tissue. [1, 2] Abscesses can form anywhere in the body, from a superficial skin (subcutaneous) abscess to deep abscesses in muscle, organs, or body cavities. Patients with subcutaneous skin abscesses present clinically as a firm, localized, painful, erythematous swelling that becomes fluctuant (see the image below).

Videoscopic Assisted Retroperitoneal Debridement for infected necrotizing pancreatitis
Videoscopic Assisted Retroperitoneal Debridement for infected necrotizing pancreatitis Mohamed 32,516 Views • 3 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.

Contraction of the heart
Contraction of the heart samer kareem 12,811 Views • 3 years ago

Premature ventricular contractions (PVCs) are extra, abnormal heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). These extra beats disrupt your regular heart rhythm, sometimes causing you to feel a flip-flop or skipped beat in your chest.

Histology of Dense Bone
Histology of Dense Bone Histology 4,085 Views • 3 years ago

Histology of Dense Bone

treat Flat Nipples
treat Flat Nipples samer kareem 2,599 Views • 3 years ago

The Lansinoh Latch Assist has been designed to extend inverted nipples - watch this video to see how.?

USMLE Step 2 CS - EPIGASTRIC
USMLE Step 2 CS - EPIGASTRIC usmle tutoring 4,652 Views • 3 years ago

USMLE Step 2 CS - EPIGASTRIC This is just preview video. To get full access please visit our website : www.usmletutoring.com

Fistulectomy Surgery
Fistulectomy Surgery Mohamed 16,360 Views • 3 years ago

Fistulectomy surgery procedure video

Cardiac Conduction System
Cardiac Conduction System samer kareem 8,103 Views • 3 years ago

The normal electrical conduction in the heart allows the impulse that is generated by the sinoatrial node (SA node) of the heart to be propagated to (and stimulate) the cardiac muscle (myocardium). The myocardium contracts after stimulation.

Intradermal Injection
Intradermal Injection DrPhil 13,763 Views • 3 years ago

Intradermal Injection

Vaginal Speculum and Bimanual Exam
Vaginal Speculum and Bimanual Exam Medical_Videos 51,535 Views • 3 years ago

Vaginal Speculum and Bimanual Exam

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