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Transverse Loop Colostomy Closure
Transverse Loop Colostomy Closure samer kareem 7,557 Views • 3 years ago

Care must be taken to prevent stenosis at the anastomotic site. If the diameter of the anastomosis is less than 2 cm, the anastomosis should be taken down and resected. A classic end-to-end anastomosis should be performed to ensure adequate diameter to the intestine. If the posterior wall of the colon has been preserved, care should be taken to close the colostomy prior to opening the peritoneal cavity. This will reduce intraperitoneal contamination from the stoma site. Copious irrigation of the wound should be made prior to primary closure. If gross contamination has occurred, delayed closure of the wound should be considered.

The Big OW!
The Big OW! Info4YourLife 8,508 Views • 3 years ago

Stop suffering alone and get relief from vaginal atrophy symptoms

When Do You Ovulate - How to Know When You Are Ovulating
When Do You Ovulate - How to Know When You Are Ovulating hooda 19,549 Views • 3 years ago

Watch that video to learn How to Know When You Are Ovulating

Anatomy of Superficial Thorax and Abdomen
Anatomy of Superficial Thorax and Abdomen Anatomy_Videos 8,460 Views • 3 years ago

Anatomy of Superficial Thorax and Abdomen

What is dementia?
What is dementia? samer kareem 1,509 Views • 3 years ago

Dementia is the name for a group of symptoms that commonly include problems with memory, thinking, problem solving, language and perception. In a person with dementia, these symptoms are bad enough to affect daily life.

Bleeding from Duodenal Ulcer
Bleeding from Duodenal Ulcer Scott 14,757 Views • 3 years ago

Bleeding from Duodenal Ulcer

Intramuscular (IM) injection Tutorial for Nurses
Intramuscular (IM) injection Tutorial for Nurses Mohamed Ibrahim 5,159 Views • 3 years ago

Intramuscular (IM) injection Tutorial for Nurses Video

BENIGN  LIVER TUMORS
BENIGN LIVER TUMORS samer kareem 5,687 Views • 3 years ago

This form of liver cancer is called primary liver cancer. Noncancerous, or benign, liver tumors are common. They do not spread to other areas of the body, and they usually do not pose a serious health risk. In most cases, benign liver tumors are not detected because they cause no symptoms.

How to Collect Blood Cultures
How to Collect Blood Cultures samer kareem 1,800 Views • 3 years ago

How to Collect Blood Cultures

Modified Radical Mastectomy
Modified Radical Mastectomy samer kareem 4,408 Views • 3 years ago

A modified radical mastectomy is a procedure in which the entire breast is removed, including the skin, areola, nipple, and most axillary lymph nodes; the pectoralis major muscle is spared. Historically, a modified radical mastectomy was the primary method of treatment of breast cancer. [1, 2] As the treatment of breast cancer evolved, breast conservation has become more widely used. [3, 4] However, mastectomy still remains a viable option for women with breast cancer. [5, 6]

Scoliosis Fusion  Surgery
Scoliosis Fusion Surgery samer kareem 25,099 Views • 3 years ago

In as many as 80% of cases, doctors don’t find the exact reason for a curved spine. Scoliosis without a known cause is what doctors call “idiopathic.” Some kinds of scoliosis do have clear causes. Doctors divide those curves into two types -- structural and nonstructural. In nonstructural scoliosis, the spine works normally, but looks curved. Why does this happen? There are a number of reasons, such as one leg’s being longer than the other, muscle spasms, and inflammations like appendicitis. When these problems are treated, this type of scoliosis often goes away.

Female Condom Application and Removal
Female Condom Application and Removal Scott 51,703 Views • 3 years ago

A usage instruction on how to use a female condom (also know as a Femidom). Female Condom Application and Removal.

infected sebaceous cyst
infected sebaceous cyst samer kareem 15,123 Views • 3 years ago

Usually a sebaceous cyst grows very slowly and doesn't cause pain. However, they can become inflamed or infected, with the overlying skin becoming red, tender, and sore. Sometimes, they occur on a site that is constantly irritated, such as a cyst on your neck that rubs against your collar.

The Worst skin Jiggers Removals
The Worst skin Jiggers Removals hooda 79,650 Views • 3 years ago

Watch that video of The Worst skin Jiggers Removals

Combined Penetrating Keratoplasty (PK) and Cataract Surgery ( PK Triple Procedure)
Combined Penetrating Keratoplasty (PK) and Cataract Surgery ( PK Triple Procedure) Surgeon 274 Views • 3 years ago

Christopher J. Rapuano, MD, Director of the Cornea Service at Wills Eye Institute describes his surgical approach of a Combined Penetrating Keratoplasty (PK) and Cataract Surgery

Doctors give soldier New Ear after growing it in her arm
Doctors give soldier New Ear after growing it in her arm Mohamed Ibrahim 1,274 Views • 3 years ago

Shamika Burrage survived a near-fatal car accident two years ago, but not without losing something pretty important: her left ear. Now, thanks to a novel procedure performed at an Army medical center in Texas, Burrage is getting that ear back in a most unusual way. Plastic surgeons harvested cartilage from Burrage's ribs to create a new ear and then grew it under the skin of her forearm. Then the doctors at William Beaumont Army Medical Center in El Paso successfully transplanted the ear from her arm to her head. The technique -- a first time in the Army -- is called prelaminated forearm free flap, said Lt. Col. Owen Johnson III, chief of plastic and reconstructive surgery at William Beaumont Army Medical Center. Some of the big advantages of it is that it reduced the chance of more scarring around Burrage's ear. Also, growing the ear under the skin of her forearm allows new blood vessels to form. "(The ear) will have fresh arteries, fresh veins and even a fresh nerve so she'll be able to feel it," Johnson said on the US Army's website. Burrage, a 21-year-old private, still has to endure two more surgeries, but she's feeling more optimistic about the future than ever in the years since her accident. "It's been a long process for everything, but I'm back," said Burrage.

HEMATOMA EVACUATIONS
HEMATOMA EVACUATIONS samer kareem 1,576 Views • 3 years ago

A hematoma is a common complication of surgical procedures. A large, expanding hematoma can result in necrosis of the overlying skin (1,2) or adjacent subcutaneous fat, increased incidence of infection, scarring, skin hyperpigmentation, tissue edema and a prolonged convalescence.

Cataract Surgery | Inside the OR
Cataract Surgery | Inside the OR Surgeon 777 Views • 3 years ago

The patient is awake as a laser cuts her cataract into six pieces. Then, she heads into the operating room. When she wakes up, her cataracts and nearsightedness are gone.

#insidetheor

Acalculous Cholecystopathy - Umbilical Hernia
Acalculous Cholecystopathy - Umbilical Hernia Doctor 9,295 Views • 3 years ago

Patient 65-year-old of age who comes to the medical consultation with pain moderated pain in the right hypochondrium of “several years of evolution” but that it increased one week ago. Also, she shows pain in the umbilical region of “many years of evolution”, that is supported according to the patient - in a constant way.rnTo the examination, we observe an umbilical hernia, apparently divided into two parts. The hernia of the external region measures 25.1 centimeters x 18.0 centimeters and the one that occupies the average region measures 12.0 centimeters x 10.0 centimeters.rnPatient who comes to the medical consultation with moderated pain in the right hypochondrium of one year of evolution but it increased one week ago after eat duck.rnIn the ultrasound scan of the region of the right hypochondrium (patient came having breakfast, that is to say, without previous preparation ) we can observe the liver of 123.8 millimeters high, as well as the porta vein with a diameter of 7.3 millimeters.rnOn having observed the Gallbladder, we think that a side wall is increased in 2.7 mm (hyperechogenic) with several “echogenics points” in the interior (”Biliary Mud”).

The measurements of the gallbladder were: 39.0 x 17.4 millimeters.rnWe can appreciates an echogenic image in the interior that it would make think about stone. The stones are identified as echogenic foci casting acoustic shadowing but but this image did not appear and a re-evaluation is decided in 15 days.

Acalculous cholecystopathy which means disease or condition of the gallbladder without the presence of gallstones. You might also call it functional gallbladder disorder or impaired gallbladder emptying. Some causes may be chronic inflammation, a problem with the smooth muscles of the gallbladder or the muscle of the Sphincter of Oddi being too tight.

REMEMBER:
Umbilical hernia is a congenital malformation, especially common in infants of African descent, and more frequent in boys. An Acquired umbilical hernia directly results from increased intra-abdominal pressure and are most commonly seen in obese individuals.
Presentation:A hernia is present at the site of the umbilicus (commonly called a navel, or belly button) in the newborn; although sometimes quite large, these hernias tend to resolve without any treatment by around the age of 5 years. Obstruction and strangulation of the hernia is rare because the underlying defect in the abdominal wall is larger than in an inguinal hernia of the newborn. The size of the base of the herniated tissued is inversely correlated with risk of strangulation (i.e. narrow base is more likely to strangulate).
Babies are prone to this malformation because of the process during fetal development by which the abdominal organs form outside the abdominal cavity, later returning into it through an opening which will become the umbilicus.
Differential diagnosisrnImportantly this type of hernia must be distinguished from a paraumbilical hernia which occurs in adults and involves a defect in the midline near to the umbilicus, and from omphalocele.

Sex Change Operation in Thailand
Sex Change Operation in Thailand ThailandMedical Tourism 4,695 Views • 3 years ago

Thailand is the global leader for sex change operations.

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