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Subcuticular Pattern Continuous Suture
Possible complications could include: Difficulty healing. Infection. Stump pain (severe pain in the remaining tissue) Phantom limb pain (a painful sensation that the foot or toe is still there) Continued spread of gangrene, requiring amputation of more areas of your foot, toes or leg. Bleeding. Nerve damage.
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.
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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 ฮปฮฑฯฮฌฯฮฑ (lapรกra) 'flank, side', and ฯฮบฮฟฯฮญฯ (skopรฉล) 'to see') is an operation performed in the abdomen or pelvis using small incisions (usually 0.5โ1.5 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 ยตm 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 0.5โ1.0 cm, or more recently, a single incision of 1.5โ2.0 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
summary of an orthotopic heart transplant
This particular video is intended as a demonstration of Neurologic Examination. This demonstration is intended as an example of a neurologic exam which may be used as part of the initial evaluation of patients with complaints that may have an underlying neurologic origin. This video is solely for educational purposes and intended for use to prepare for OSCEs incorporating standardized patient encounters. It is not intended as a demonstration of a comprehensive neurologic examination and is not intended as medical advice or medical guidelines.
It is not intended as a complete instructional video and should not be considered a source of complete physical examination instruction.
Instead, it should be treated as a supplement to independent learning using primary Osteopathic Clinical Skills instructional resources. Clinical skills are best learned and developed with support from faculty in the context of a complete Osteopathic Medical School Curriculum.
Osteopathic Clinical Skills is a channel dedicated to discussing and exploring Osteopathic Clinical Skills concepts for medical students, residents, and clinicians and presenting them in an easy to understand manner.
Attributions:
Many thanks to the University of North Texas Health Science Center Texas College of Osteopathic Medicine (UNTHSC - TCOM) for permitting use of the Simulation facilities and equipment during the production of this video.
Additional thanks to the UNTHSC-TCOM standardized patient and faculty volunteers who participated in this production and provided permission for the use of their image in this video.
A simple conversation can go a long way in protecting your loved ones from atrial fibrillation related strokes.
Homanโs sign test also called dorsiflexon sign test is a physical examination procedure that is used to test for Deep Vein Thrombosis (DVT). A positive Homanโs sign in the presence of other clinical signs may be a quick indicator of DVT. Clinical evaluation alone cannot be relied on for patient management, but when carefully performed, it remains useful in determining the need for additional testing (like D-dimer test, ultrasonography, multidetector helical computed axial tomography (CT), and pulmonary angiography) [1][2].
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
Female Reproductive System Anatomy
This implantation method is very common and used in both FUE hair transplant surgery and strip surgery (FUSS). During this implantation method, site creation and graft implantation are performed simultaneously as part of a one or two step process.
โฃSildigra Super Power is typically taken 30 to 60 minutes before sexual activity. It is most effective when taken on an empty stomach and requires sexual stimulation to work.
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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:
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2:04 What is Gynecomastia, and how common is it?
Gynecomastia is the enlargement of breast tissue in men, affecting one in seven men.
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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.
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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.
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5:25 How is Gynecomastia diagnosed?
It can be diagnosed through physical examination, clinical signs like enlarged areolas, and ultrasound if necessary.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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23:28 How does one choose the right surgeon and facility?
To ensure safe and effective surgery, it is important to assess the surgeonโs qualifications, the facilityโs standards, and the use of advanced technologies.
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25:00 What is the importance of a supportive environment for patients?
A supportive environment, including informed parents and friends, can significantly enhance the patientโs 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.
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Get insights from our patient community
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Ask our board-certified plastic surgeons anything
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View the before-and-after patients' results
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Connect with other patients & ask them about their experience
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First of its a kind initiative in INDIA for patient education and interaction
Gynecomastia Helpline: +91 95689 99333
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About Dr. Rajat Gupta and RG Aesthetics
At RG Aesthetics, Indiaโs 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 โ especially the minimally invasive kinds. Dr. Gupta reflects RG Aestheticsโ belief of the patientโs 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:
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Call: +91 - 9251-711-711
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contact@drrajatgupta.com
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Visit: www.drrajatgupta.com
#gynecomastia #malebreastreduction #plasticsurgery #cosmeticsurgery #gynecomastiasurgery #hormonalimbalance #anabolicsteroids #bodyconfidence #healthandwellbeing #patientjourney #surgicaltechniques #plasticsurgeon #mentalhealth #postsurgeryrecovery
Ever heard medical terms like MRI or EKG? Funny speaker for nurses and doctors and all-around healthcare speaker Dr. Brad Nieder discusses the funny medical jargon he's encountered during his medical career.
He jokes about medical acronyms and big healthcare terms. His funny medical humor makes the conference attendees burst with laughter and he reads the medical definition for "laugh."
As an experienced physician and keynote speaker, he's perfect for any in-person or virtual conference or event. He's also a great healthcare speaker to bring in for continuing medical education (cme) units!
Learn more about Brad's keynote and virtual speaking, and book him for your next conference or virtual event: https://www.HealthyHumorist.com
Find Dr. Brad on social media:
https://www.facebook.com/HealthyHumor...
https://www.linkedin.com/in/BradNieder
https://twitter.com/HealthyHumorist
https://www.youtube.com/c/BradNiederMD
https://vimeo.com/BradNieder
Brad Nieder, MD, CSP*
The Healthy Humorist
Doctor, Keynote Speaker, Clean Comedian
*CSP=Certified Speaking Professional
"Medical Lingo"
From the DVD "The Healthy Humorist in Orlando: Laughter is the Best Medicine"
In this video, we're going to share 11 things you should NOT do after a tummy tuck. These tips will help you recover from your surgery and keep you from having some common post-tummy-tuck complications. If you're considering a tummy tuck, then be sure to follow these post-operative guidelines!
Dr. William will share all the information you need to make the best decisions for your surgery and recovery. So sit back, relax, and enjoy this video on what NOT to do after an abdominoplasty!
#tummytuck #abdominoplastia #drwilliam
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Mothers can do everything for her baby
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.
Watch that video to know How to Get Pregnant With Twins