Breast reconstruction 3D Animation
on Friday, December 17, 2010




The primary part of the procedure can often be carried out immediately following the mastectomy. As with many other surgeries, patients with significant medical comorbidities (high blood pressure, obesity, diabetes) and smokers are higher-risk candidates. Surgeons may choose to perform delayed reconstruction to decrease this risk. Patients expected to receive external beam radiation as part of their adjuvant treatment are also commonly considered for delayed autologous reconstruction due to significantly higher complication rates with tissue expander-implant techniques in those patients. Breast reconstruction is a large undertaking that usually takes multiple operations. Sometimes these follow-up surgeries are spread out over weeks or months. If an implant is used, the individual runs the same risks and complications as those who use them for breast augmentation but has higher rates of capsular contracture (tightening or hardening of the scar tissue around the implant) and revisional surgeries. Outcomes based research on quality of life improvements and psychosocial benefits associated with breast reconstruction served as the stimulus in the United States for the 1998 Women's Health and Cancer Rights Act which mandated health care payer coverage for breast and nipple reconstruction, contralateral procedures to achieve symmetry, and treatment for the sequelae of mastectomy. This was followed in 2001 by additional legislation imposing penalties on noncompliant insurers. Similar provisions for coverage exist in most countries worldwide through national health care programs. There are many methods for breast reconstruction. The two most common are: * Tissue Expander - Breast implants This is the most common technique used in worldwide. The surgeon inserts a tissue expander, a temporary silastic implant, beneath a pocket under the pectoralis major muscle of the chest wall. The pectoral muscles may be released along its inferior edge to allow a larger, more supple pocket for the expander at the expense of thinner lower pole soft tissue coverage. The use of acellular human or animal dermal grafts have been described as an onlay patch to increase coverage of the implant when the pectoral muscle is released, which purports to improve both functional and aesthtic outcomes of implant-expander breast reconstruction. o In a process that can take weeks or months, saline solution is percutaneously injected to progressively expand the overlaying tissue. Once the expander has reached an acceptable size, it may be removed and replaced with a more permanent implant. Reconstruction of the areola and nipple are usually performed in a separate operation after the skin has stretched to its final size. * Flap reconstruction The second most common procedure uses tissue from other parts of the patient's body, such as the back, buttocks, thigh or abdomen. This procedure may be performed by leaving the donor tissue connected to the original site to retain its blood supply (the vessels are tunnelled beneath the skin surface to the new site) or it may be cut off and new blood supply may be connected. o The latissimus dorsi muscle flap is the donor tissue available on the back. It is a large flat muscle which can be employed without significant loss of function. It can be moved into the breast defect still attached to its blood supply under the arm pit (axilla). A latissimus flap is usually used to recruit soft-tissue coverage over an underlying implant. Enough volume can be recruited occasionally to reconstruct small breasts without an implant. o Abdominal flaps The abdominal flap for breast reconstruction is the TRAM flap or its technically distinct variants of microvascular "perforator flaps" like the DIEP/SIEP flaps. Both use the abdominal tissue between the umbilicus and the

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The products of a surgical abortion.

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What Happens During an Erection?
In order to attain an erection, messages from the brain and other sense organs trigger the arteries of the penis to dilate. This allows an increased amount of blood to flow into three columns of spongy tissue in the penis.

As the arteries supplying blood to the corpus spongiosum and to the two larger columns, the corpus cavernosa, become filled with blood; the penis grows and becomes rigid. Pressure of the engorged tissue against the veins in the penis effectively traps blood within the penis until climax is reached or the sensation wanes.

What Are Penile Implants?
Impotence, or the inability to attain or maintain an erection, can be caused by a disruption at any stage in this process. Several types of penile implants are available that create an artificial erection. Two common types of implants are the semi-rigid malleable rod and the inflatable implant.

•The semirigid malleable rod is usually made of plastic with a core of flexible wire. These rods can be bent down to conceal the penis under clothing or raised to form an artificial erection.


•The inflatable implant is more complex and involves several working parts: a reservoir of fluid that is implanted into the abdomen, a pump system located in the scrotal sac near the testes, and two inflatable cylinders.
How Penile Implants Help Erectile Fuctioning
In order to attain an erection, the scrotal pump must be squeezed repeatedly to propel fluid into the penile cylinders. When an erection is no longer desired, a release valve is pressed on the side of the pump and the cylinders deflate.
Before Having Penile Implant Surgery
Persons considering these types of implants should speak with their physician or healthcare professional about possible risks and complications.

This video documents the experience of one of our Mommy Makeover patients. She is 39 years old, 5’4” tall, and of average weight. Following the birth of her twins, she wanted to improve her abdominal wall contour and correct the lack of shape and firmness in her breasts.

This case study video from www.5thavesurgery.com shows a 19 year old patient getting breast reduction surgery in NYC. This surgery made a tremendous difference in the life of this young woman, see how it can do the same for you.

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Rhabdomyolysis is a condition in which damaged skeletal muscle (Ancient Greek: rhabdomyo-) tissue breaks down rapidly (Greek –lysis). This damage may be caused by physical (e.g. crush injury), chemical, or biological factors. Breakdown products of damaged muscle cells are released into the bloodstream; some of these, such as the protein myoglobin, are harmful to the kidney and may lead to kidney dysfunction. The severity of the symptoms (which may include muscle pains, vomiting and confusion) depends on the extent of the muscle damage, and whether kidney failure develops. The mainstay of treatment is generous intravenous fluids, but could include dialysis or hemofiltration.

Rhabdomyolysis and its complications are significant problems for those injured in disasters such as earthquakes and bombing. Relief efforts in areas struck by earthquakes often include medical teams with skills and equipment for treatment of survivors with rhabdomyolysis. The disease and its mechanisms were first fully elucidated during the Blitz of London in 1941.

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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

This child is suffering from sleep-related breathing disorder. He has very large adenoids and tonsils obstructing his way to normal breathing. Adenotonsillectomy is the best TTT modality to relieve the obstruction.

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