Our Pain Center is the nation & leading Pain Center featuring award winning Pain Specialists. Our Pain Doctors are Harvard Trained and are experts in Facet Injections, Epidural, Knee Injection, Back Surgery, Knee Surgery, and Orthopedic Surgery.

LIPO LASER PAPADA COSMETIC LASER CENTER

Effect of smoking,it's very dangerousAfter watch this video I hope smoker stop smoke now it is dangerously for human

Watch that Ectopic Pregnancy Baby Abortion Surgery

Spirotome macrobiopsy of a lung as a minimal invasive way to complete the diagnosis of lung lesions.

Watch that Male Catheter Insertion Procedure

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.

Pancreatic pseudocyst drainage was the first therapeutic application of EUS. The cyst is punctured under ultrasound guidance, contrast injected, and a guidewire inserted. Initial dilation to 8mm is performed over the wire The EUS scope is then exchanged over the wire for a forward viewing endoscope.... A second dilation to 18mm is performed. This enables entry of the endoscope into the cyst perform cystoscopy, debridement if necessary, and insertion of multiple large bore double pigtail stents. The curved linear array-or CLA—echoendoscope has oblique viewing optics located proximal to an oblique scanning transducer. The accessory exits from the shaft of the echoendoscope at an ablique angle, adjustable between 15 and 30 degrees. There are several technical limitations using this echoendoscope. The oblique angle of exit results in a weekend transfer of force when advancing the accessory, difficult deployment of larger bore accessories, and in instrument tunneling effect relative to the bowel wall. There is the potential loss of access during endoscope exchange. A novel CLA echoendoscope was developed by the Olympus Corporation that shifts the orientation of endoscopic and ultrasound views from oblique to forward viewing. The channel is therapeutic at 3.7mm Note that the working channel is located adjacent to the ultrasound transducer at the endoscope tip. The accessory exits the working channel in the axis of the shaft. Shown here are balloon inflation and deployment of a Dormia basket. We report on the use of the prototype forward viewing echoendoscope in six consecutive patients who were referred for pancreatic cyst drainage. Here you see endoscopic view-indistinguisable from that of a gastroscope-showing a bulge where the cyst impinges against the posterior gastric wall. Power Doppler is switched on and highlights multiple vessels interposed in the wall This allows selection of a safe vessel-free window for a cyst puncture A 19 G needle is advanced into the cyst lumen. A sample of contents is aspirated for fluid analysis. A guidewire under ultrasound guidance into the cyst. An 18mm balloon is coaxially thread over the wire and advanced across the cyst wall, Note that resistance is encountered, but the forward transfer of force overcome this. The dilation is performed under forward viewing endoscopuc and ultrasound guidance. As the balloon is maximally inflated we see the cystgastrostomy open up. The balloon is then deflated while simultaneously advancing the scope into the cyst cavity. Cystoscopy isnow performed showing the cyst contents to be filled with pasty wall-adherent necroses. Pulsed power Doppler is switched on we can see and hear arterial flow vessels within the wall of the cyst. This identifies sensitive areas at bleeding risk when performing debridement In this case vigorous water jet irrigation is performed through an accessory water irrigation channel built into the echoendoscope. This issued to clear nonadherent debris. Our experience has shown that it is not necessary to actively remove wall-adherent debris using extraction tools as such Dormia or Roth net basket to achieve cyst resolution. Three large bore 10 Fr double pigtail stents are now inserted into the cyst under direct endoscopic guidance. The first stent is delivered over a guide catheter. The second stent. And the third stent All three stents are deployed. Finally, a nasocystic catheter is inserted for maintenance irrigation. In another patient we used the Cook Cystome to perform cystgastrostomy. We have found the Cystotome easy to delivery through the forward viewing echoendoscope. As shown, we advance the Cystotome into the cyst while applying diathermy. This is performed under and endoscopic guidance, entering the cyst at a near perpendicular orientation. After entry, the Cystotome is removed and cyst fluid gushes from the cystagastrotomy site.

quick-stitch endoscopic sutering system in laproscopic Gastric Bypass surgery

Endoscopic Removal of Coin from Esophagus

Dieta Alcalina Recetas, Listado De Alimentos Alcalinos, Que Es El Agua Alcalina, Menu Para Adelgazar-- http://dieta-alcalina-alimentos.good-info.co -- Entendiendo los Efectos del nivel de pH en el cuerpo El nivel de pH en el cuerpo tiene la habilidad de afectar cada célula del cuerpo. Cuando la sangre tiene un pH alcalino en vez de un pH ácido, ocurre un efecto positivo en cada función corporal del sistema. El cerebro, el sistema circulatorio, los nervios, los músculos, el sistema respiratorio, el sistema digestivo y reproductivo se pueden beneficiar de un nivel adecuado de pH. Por otro lado, cuando el pH del cuerpo es muy ácido, es susceptible a muchas enfermedades y problemas. Ganancia de peso, enfermedades del corazón, envejecimiento prematuro, fatiga, problemas nerviosos, alergias, enfermedades musculares y cáncer son las más probables a ocurrir cuando el pH del cuerpo no está al nivel óptimo. Ya que todos estos problemas son más probables a ocurrir cuando el pH del cuerpo está muy ácido, tiene sentido consumir una dieta rica en alimentos alcalinos. El objetivo principal es usualmente comer aproximadamente entre 75-80% de alimentos alcalinos junto con solamente entre 20-25% de alimentos ácidos. Si se mantiene este nivel en la dieta, el resultado final es un nivel de pH bajo en el cuerpo, el que se requiere para una salud óptima. Descubre como la dieta alcalina funciona & por qué los alimentos alcalinos son altamente recomendados para tu salud. Haz clic aquí http://dieta-alcalina-alimentos.good-info.co

Watch that video to know if you have Trypophobia

Watch that video to know if it is safe to have anal Intercourse?

brain surgery Blood Clot, removal of blood clot in brain, hematoma brain surgery

Dr. Chadrick Denlinger, MUSC transplant surgeon, describes what must take place when a patient receives a lung transplant.

An animation of blood flow inside the hollow fiber of a hemofilter, or a dialyzer, and the flow of the dialysate in an opposite direction with increased extraction of waste and small molecules from the blood as the concentration of these molecules is reduced downstream and exposed to new dialysate.

To learn about Hemodialysis..
https://www.thevirtualnephrolo....gist.com/specialties

The Virtual Nephrologist is your gateway to optimal health.
To learn more about Hypertension, Kidney Disease and Dialysis:
https://thevirtualnephrologist.com/

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.

MEET DR. RIFAI
https://www.thevirtualnephrologist.com/rifai/

Follow The Virtual Nephrologist on SOCIAL MEDIA:
-Facebook: https://www.facebook.com/thevirtualnephrologist
-Instagram: https://www.instagram.com/thevirtualnephrologist/
-Twitter: https://twitter.com/VNephrologist
-TikTok: https://www.tiktok.com/@thevirtualnephrologist

Schedule a virtual consult:
https://www.thevirtualnephrolo....gist.com/schedule-a-

Best wishes for great health | The Virtual Nephrologist

A video showing the cesarean section birth

demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear. Animation showing what is going on within the inner ear is also shown in the 2nd half of the video.

Here Drs Oetting and Shriver of the University of Iowa demonstrate the McCannel technique of fixing an IOL to the iris. In this video both the standard McCannel suture retrieval technique and the Siepser/Chang modifed technique are demonstrated. A 10-O prolene with a long curved ctc-6 needle is u...sed to place a suture through the iris and under an 3 piece IOL haptic. Using the standard technique the two ends of the suture are retrieved through a common paracentesis near the fixation site and tied externally. The other haptic is tied using the Siepser sliding knot technique as described by Chang for this indication with an internal knot. The standard technique is a bit easier but does not allow as thight a knot for fixation of the iris to the haptic.

Sex easily falls to the wayside during pregnancy. Research shows that good sex has a significant impact upon not just the relationship, but also a woman’s ability to have an easeful and even joyful birth. Unfortunately, sex during pregnancy can be quite complicated for a variety of physical and emotional reasons. This week’s video will outline how to overcome these hurdles and make sure you continue to enjoy the wonders of sex as you embark on the first steps of parenthood.