Endoscopic fenestration of arachnoid cyst in middle fossa

Transcript of the videos for you:
What we will be talking about to you today is post massive weight loss body contouring procedures. If you are someone who has lost a lot of weight or if you know someone who has lost a lot of weight, then this video is for you because I will be discussing in-depth about post massive weight loss body contouring.
Keep watching this video because this might benefit you and may change your life forever.
I am Dr. Rajat Gupta, a board-certified plastic surgeon working in Delhi, with an experience of over 2000 body contouring procedures.
So, let’s talk about what is massive weight loss.
Now, any individual can lose a lot of weight. But massive weight loss means the loss of at least 10kg in 3 months time. So, lot of individuals lose a lot of weight either due to exercise, dieting or they undergo some procedures like bariatric surgery, in which there are different options of sleeve gastrectomy, roux en y bypass – all as simple as a balloon insertion into the stomach.
After all these interventions, a person loses a lot of weight and they reduce their subcutaneous fat a lot. Now, once they lose this weight and the subcutaneous fat what happens is that their skin starts sagging or the skin gets loose.
You may notice that they lose fat from their face and neck and the face and neck skin start loosening up. Or, majorly, they lose a lot of fat from their abdomen and their abdominal skin gets loose and it doesn’t look nice if they remove their clothes. There is a huge amount of skin which is sagging. At the same time,
they may have some loose skin in their thigh area which does not look nice.
In females, once they lose a lot of fat, they may also get breast sagging. Their breasts may sag. Which also doesn’t look nice. Depending upon what areas an individual has got sagging and in, we plan the correction for those areas. Basically, what they need is removal of excess skin.
Now, whether this excess skin is in their neck, in their chest, in their abdomen, in their arms or thighs, the treatment is customized depending upon what an individual’s needs or requirements are. So, suppose someone has a lot of excess skin in their abdomen. What it needs is the removal of excess skin from the lower abdomen or a procedure known as tummy tuck or abdominoplasty. If a person has excess skin in their thighs or arms, then they need a reduction in their excess skin, in those areas and the procedure is called a thigh lift or an arm lift. For face and neck sagging, a person may undergo a procedure
called face or neck lift. And for the sagging of breasts, they need a procedure called breast lift or mastopexy.
Now, all these procedures are actually customized and tailored for each individual. But a person who has lost a large amount of weight and has sagging skin, they would eventually need this because sagging skin is
not only an aesthetic concern but that area is also very difficult to clean. The sweat gets accumulated, they may have some fungal infections there, and it doesn’t look nice altogether. I’ve seen such individuals, when they remove their clothes, it’s not only that they don’t look nice, they also lose a lot of their confidence.
They display inhibitions even though they have lost such a large amount of weight and they look nice with clothes on. They would be inhibited by removing their clothes and going swimming or for a beach holiday.
So, understand that the ramifications of this procedure are not only for aesthetic concerns but also for the self-confidence of that person.
These procedures are reasonably safe procedures if done by a good plastic surgeon at a good center. Now, you need to choose your plastic surgeon keeping in mind a person who has experience with post massive weight loss contouring because these are some things which are very different to contour, the skin excess is in all dimensions, and therefore your plastic surgeon has to be smart enough and artistic enough that they understand how to remove the excess skin while giving you minimal scars and, at the same time,
enhancing the shape of your body.
I’ve tried to answer the indications of body contouring after post massive weight loss procedures. If you have any more questions regarding these procedures, please write into us and I will be there to help you. Thank you.

#plasticsurgery #bodycontouring #drrajatgupta

An MRCP scan is a scan that uses magnetic resonance imaging (MRI) to produce pictures of the liver, bile ducts, gallbladder and pancreas. Note: the information below is a general guide only. The arrangements,and the way tests are performed, may vary between different hospitals.

Watch that video of 232 Teeth Were Removed from Indian Boy's Mouth

Fistulotomy - Removal of Seton

Pectus excavatum (hollow chest) deformity is not uncommon (sometimes mild and other times severe in its form). The chest deformity is often the source of self-consciousness for the patients while growing up. Several surgical techniques (Nuss procedure, Ravitch procedure, etc) are available.

For patients in extremis from respiratory failure or shock, securing vascular access is crucial, along with establishing an airway and ensuring adequacy of breathing and ventilation. Peripheral intravenous catheter insertion is often difficult, if not impossible, in infants and young children with circulatory collapse. Intraosseous (IO) needle placement, shown in the images below, provides a route for administering fluid, blood, and medication. An IO line is as efficient as an intravenous route and can be inserted quickly, even in the most poorly perfused patients.

.

Chapters

0:00 Introduction
1:04 Why do doctors perform laparoscopy?
2:11 How is laparoscopy performed?
3:22 Result
3:47 Risk of laparoscopy

Laparoscopy (from Ancient Greek λαπάρα (lapára) 'flank, side', and σκοπέω (skopéō) 'to see') is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.[1]

Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time. The key element is the use of a laparoscope, a long fiber optic cable system that allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.

Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. Specific surgical instruments used in laparoscopic surgery include obstetrical forceps, scissors, probes, dissectors, hooks, and retractors. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. The first laparoscopic procedure was performed by German surgeon Georg Kelling in 1901. There are two types of laparoscope:[2]

A telescopic rod lens system, usually connected to a video camera (single-chip or three-chip)
A digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system

The mechanism mentioned in the second type is mainly used to improve the image quality of flexible endoscopes, replacing conventional fiberscopes. Nevertheless, laparoscopes are rigid endoscopes. Rigidity is required in clinical practice. The rod-lens-based laparoscopes dominate overwhelmingly in practice, due to their fine optical resolution (50 µm typically, dependent on the aperture size used in the objective lens), and the image quality can be better than that of the digital camera if necessary. The second type of laparoscope is very rare in the laparoscope market and in hospitals.[citation needed]

Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon) to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar. The abdomen is usually insufflated with carbon dioxide gas. This elevates the abdominal wall above the internal organs to create a working and viewing space. CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. It is also non-flammable, which is important because electrosurgical devices are commonly used in laparoscopic procedures.[3]
Procedures
Surgeons perform laparoscopic stomach surgery.
Patient position

During the laparoscopic procedure, the position of the patient is either in Trendelenburg position or in reverse Trendelenburg. These positions have an effect on cardiopulmonary function. In Trendelenburg's position, there is an increased preload due to an increase in the venous return from lower extremities. This position results in cephalic shifting of the viscera, which accentuates the pressure on the diaphragm. In the case of reverse Trendelenburg position, pulmonary function tends to improve as there is a caudal shifting of viscera, which improves tidal volume by a decrease in the pressure on the diaphragm. This position also decreases the preload on the heart and causes a decrease in the venous return leading to hypotension. The pooling of blood in the lower extremities increases the stasis and predisposes the patient to develop deep vein thrombosis (DVT).[4]
Gallbladder

Rather than a minimum 20 cm incision as in traditional (open) cholecystectomy, four incisions of 0.5–1.0 cm, or more recently, a single incision of 1.5–2.0 cm,[5] will be sufficient to perform a laparoscopic removal of a gallbladder. Since the gallbladder is similar to a small balloon that stores and releases bile, it can usually be removed from the abdomen by suctioning out the bile and then removing the deflated gallbladder through the 1 cm incision at the patient's navel. The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures.[citation needed]
Colon and kidney

A simple conversation can go a long way in protecting your loved ones from atrial fibrillation related strokes.

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.

Carefully select the site for injection so major blood vessels and nerves are avoided. Buttock (Gluteus Medius)- Hip (Ventrogluteal) - Leg (Vastus Lateralis) - Arm (Deltoid)

Robot-Assisted Laparoscopic Rectal Resection for Endometriosis

Welcome to the latest episode of our Plastic Surgery Podcast!

In this episode, we discuss one of the most common cosmetic procedures in India - Gynecomastia surgery, also known as male breast reduction surgery.

Join us as we explore the causes, treatments, and personal experiences related to this condition.

Questions Answered in the Podcast:
✅2:04 What is Gynecomastia, and how common is it?
Gynecomastia is the enlargement of breast tissue in men, affecting one in seven men.
✅3:40 What causes Gynecomastia?
Common causes include hormonal imbalances during adolescence and the misuse of anabolic steroids. Other causes include certain medications like spironolactone and finasteride.
✅4:12 Can Gynecomastia be treated without surgery?
While weight loss can reduce fat, glandular tissue requires surgical intervention for complete removal. Medications like Tamoxifen may block estrogen effects but cannot remove existing glandular tissue.
✅5:25 How is Gynecomastia diagnosed?
It can be diagnosed through physical examination, clinical signs like enlarged areolas, and ultrasound if necessary.
✅9:16 How is Gynecomastia graded, and why is it important?
Gynecomastia is graded into four stages, which helps in planning the appropriate surgical approach. Grades range from mild enlargement to severe feminization of the chest.
✅10:15 What are the surgical techniques for treating Gynecomastia?
Techniques range from traditional subcutaneous mastectomy to advanced procedures using peri-areolar incisions to our unique technique of lateral chest incisions to minimize scarring.
✅14:13 What is the recovery process like post-surgery?
Patients can generally resume normal activities within a week, with full recovery and visible results in about six weeks. Compression garments are recommended for six weeks to aid in skin tightening.
✅16:02 What are the social and psychological impacts of Gynecomastia?
Many men experience social embarrassment, reduced self-confidence, and mental health issues due to the condition.
✅18:00 Are there any risks or complications?
Risks include bleeding, infection, and seroma formation. Choosing an experienced surgeon and a proper medical facility can minimize these complications.
✅20:22 Will insurance cover Gynecomastia surgery?
Generally, Gynecomastia surgery is considered a cosmetic procedure and is not covered by insurance, although functional benefits exist.
✅21:40 Can Gynecomastia recur after surgery?
Recurrence is rare unless there are ongoing hormonal imbalances or continued use of medications that affect hormones. Proper pre-surgery assessment helps in minimizing the risk of recurrence.
✅23:28 How does one choose the right surgeon and facility?
To ensure safe and effective surgery, it is important to assess the surgeon’s qualifications, the facility’s standards, and the use of advanced technologies.
✅25:00 What is the importance of a supportive environment for patients?
A supportive environment, including informed parents and friends, can significantly enhance the patient’s confidence and post-surgery recovery experience.

Thank you for watching this episode of our Plastic Surgery Podcast.

If you have any questions or need further guidance regarding Gynecomastia or any other cosmetic procedures, feel free to reach out.

We're here to provide honest, scientific, and candid advice.

Be a part of our Gynecomastia community.

✅ Get insights from our patient community
✅ Ask our board-certified plastic surgeons anything
✅ View the before-and-after patients' results
✅ Connect with other patients & ask them about their experience
✅ First of its a kind initiative in INDIA for patient education and interaction
Gynecomastia Helpline: +91 95689 99333

------------------------------------------------------------------------------------------------------------------------

About Dr. Rajat Gupta and RG Aesthetics

At RG Aesthetics, India’s best plastic surgeon, Dr. Rajat Gupta is at your service! With 13 years of experience, brand certification, and international recognition, Dr. Gupta is the solution to all your contouring needs.

His expertise in liposuction techniques combined with the state-of-the-art technology available at RG Aesthetics ensures we continue providing the most reliable services with incredible, instantaneous results!

Our equipment allows for every kind of liposuction there is – especially the minimally invasive kinds. Dr. Gupta reflects RG Aesthetics’ belief of the patient’s comfort always being paramount. Procedures at RG Aesthetics, under Dr. Rajat Gupta, minimize trauma and speed up recovery time for the best results!

Schedule a Consultation:
✅ Call: +91 - 9251-711-711
✅ contact@drrajatgupta.com
✅ Visit: www.drrajatgupta.com

#gynecomastia #malebreastreduction #plasticsurgery #cosmeticsurgery #gynecomastiasurgery #hormonalimbalance #anabolicsteroids #bodyconfidence #healthandwellbeing #patientjourney #surgicaltechniques #plasticsurgeon #mentalhealth #postsurgeryrecovery

In this instructional video, Director of Critical Care Nephrology, Sevag Demirjian, MD goes over the steps for in-hospital production of ultra-pure continuous hemodialysis fluid.

By using the information in this video and/or any other materials made available by Cleveland Clinic related to the dialysate solution, you agree to comply with and be bound by the terms of the Permissive Use Agreement, a copy of which is available at https://bit.ly/3f9lN4j

Watch that Ectopic Baby Medical Abortion Surgery

This gentleman has a significant lumbar herniated disc with a positive well straight leg raise test. In this evaluation I test his deep tendon reflexes, sensation, muscle strength, and perform a straight leg raise test, Braggards's test and Well straight leg raise test.

✅ Support OEP: https://paypal.me/OrthoEvalPal?locale.x=en_US
✅ OEP Website: https://orthoevalpal.com/
✅ Online Coaching: https://orthoevalpal.com/coaching
✅ OEP Podcasts: https://orthoevalpal.com/podcast

▶▶ Like us on facebook: https://www.facebook.com/OrthoEvalPal
▶▶ Follow on Instagram: https://www.instagram.com/
▶▶ Follow on Twitter: https://twitter.com/home

✔ Get our NEW downloadable 1.5 hour shoulder anatomy with cadaver dissection lecture: http://www.meorthopedicseminar....s.com/shop/shoulder-
✔Get our NEW downloadable 7.5 hour cervical and lumbar continuing ed course: http://www.meorthopedicseminar....s.com/shop/rehabilit
✔Get our NEW downloadable 6.0 hour shoulder continuing ed course: http://www.meorthopedicseminar....s.com/shop/comprehen

Interested in our Sponsor Product
EZ Slant (http://ezslant.com/)

Check out our new OEP merchandise: 👚👕☕️https://www.youtube.com/channe....l/UC76MsdkAQaBkCb35K

#wellstraightlegraise #herniateddisc #LBP #lowbackpain #OrthoEvalPal #SpecialTests #Orthopedics #physicaltherapy #physicaltherapytests #athletictraining

Acute sinusitis can be triggered by a cold or allergies and may resolve on its own. Chronic sinusitis lasts up to eight weeks and may be caused by an infection or growths. Symptoms include headache, facial pain, runny nose, and nasal congestion. Acute sinusitis usually doesn't require any treatment beyond symptomatic relief with pain medications, nasal decongestants, and nasal saline rinses. Chronic sinusitis may require antibiotics.

Prenatal repair of myelomeningocele (MMC), the most common and severe form of spina bifida, is a delicate surgical procedure where fetal surgeons open the uterus and close the opening in the baby's back while they are still in the womb.

Watch that video to know How to Get Pregnant With Twins