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The Principles of Laparoscopic Suturing
The Principles of Laparoscopic Suturing DrPhil 14,392 Views • 2 years ago

The Principles of Laparoscopic Suturing

Biliary Metal Stent Placement
Biliary Metal Stent Placement samer kareem 3,719 Views • 2 years ago

The placement of a percutaneous expandable biliary endoprosthesis was first reported in 1985 by Carrasco et al. in a canine model,[1] and the endoscopic placement of expandable metal stents to relieve biliary strictures in patients was first described in 1989.[2,3] Over the past two decades, the endoscopic approach to biliary endoprosthesis placement has largely supplanted the percutaneous approach. Self-expanding metal stents (SEMS) have traditionally been used for palliation of obstructive jaundice in patients with unresectable pancreaticobiliary tumors. However, SEMS are increasingly being used in patients with resectable cancers[4] and benign biliary strictures.[5] Uncovered SEMS (uSEMS) have been shown to have longer patency periods than plastic stents when used for malignant biliary obstruction and to be cost effective if the patient's life expectancy is greater than 4–6 months.[6–8] The common causes of malignant biliary obstruction are pancreatic cancer and cholangiocarcinoma.[9–11] Biliary drainage prior to surgical resection is controversial; several investigators have reported it to be beneficial owing to the improved tissue healing with reduced bilirubin levels,[12,13] but others have also reported its deleterious effects secondary to the additional intervention..

True Story: Youngest Mother In History (5 years old)
True Story: Youngest Mother In History (5 years old) Mohamed Ibrahim 4,126 Views • 2 years ago

Real Story: Youngest Mother In History (5 years old) Pregnant FIVE YEAR OLD! Youngest Mother In The World, Lina Medina's True Story!

Rhode Island Hospital's Outpatient Dialysis Program
Rhode Island Hospital's Outpatient Dialysis Program Scott 133 Views • 2 years ago

Rhode Island Hospital's outpatient dialysis program cares for patients with chronic kidney disease. Learn more about the program, which includes a new, state of the art dialysis center in East Providence. http://www.rhodeislandhospital.....org/outpatient-dial

Anatomy of The Gastrointestinal Tract GIT
Anatomy of The Gastrointestinal Tract GIT Anatomy_Videos 12,701 Views • 2 years ago

Anatomy of The Gastrointestinal Tract GIT

Chalazion
Chalazion samer kareem 6,466 Views • 2 years ago

A chalazion is a lump of the lid that is caused by obstruction of the drainage duct of an oil gland within the upper or lower eyelid. This lump may increase in size over days to weeks and may occasionally become red, warm, or painful.

Understanding hemodialysis
Understanding hemodialysis Scott 46 Views • 2 years ago

Hemodialysis is the process of cleaning the patient’s blood outside the body. Learn more about this renal replacement therapy option.

Read more: http://www.freseniusmedicalcar....e.com/en/patients-fa

Myelomeningocele Closure
Myelomeningocele Closure samer kareem 2,658 Views • 2 years ago

Myelomeningocele remains the most complex congenital malformation of the central nervous system that is compatible with life. This lesion results when the neural tube fails to fold normally during postovulatory Days 21 to 27.[6] The exact cause of disorders remains under some historical debate and is not within the scope of this paper. Myelomeningocele within the context of this discussion refers only to lesions that involve an open caudal neural tube defect on the surface of the skin

Tracheostomy
Tracheostomy Doctor 41,829 Views • 2 years ago

Tracheostomy

How to Prevent Strokes
How to Prevent Strokes samer kareem 4,589 Views • 2 years ago

Here are seven ways to start reining in your risks today, before a stroke has the chance to strike. Lower blood pressure. ... Lose weight. ... Exercise more. ... Drink — in moderation. ... Treat atrial fibrillation. ... Treat diabetes. ... Quit smoking.

Dealing with bleeding
Dealing with bleeding Doctor 9,199 Views • 2 years ago

Dealing with bleeding

Scoliosis Fusion  Surgery
Scoliosis Fusion Surgery samer kareem 25,024 Views • 2 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.

Breastfeeding Position and Latch
Breastfeeding Position and Latch samer kareem 3,466 Views • 2 years ago

 Testing for Occult Blood in the Stool
Testing for Occult Blood in the Stool Scott 11,407 Views • 2 years ago

This video demonstrates how to test for trace amounts of blood in the patients stool. Trace amounts of blood in the stool can be sign of a number of problems, colon cancer being the most worrisome.

Knee Aspiration
Knee Aspiration samer kareem 1,505 Views • 2 years ago

The clinician performing the procedure should be familiar with the anatomy of the specific joint and cognizant of the relevant landmarks in order to avoid puncture of tendons, blood vessels, and nerves (see the images below).

Medical Animation: HIV and AIDS
Medical Animation: HIV and AIDS Scott 31 Views • 2 years ago

To learn more about licensing this video for content marketing or patient education purposes, visit: http://www.nucleushealth.com/?utm_source=youtube&utm_medium=video-description&utm_campaign=hiv-112513

This video, created by Nucleus Medical Media, shows the function of white blood cells in normal immunity. It also portrays how the human immunodeficiency virus (HIV) affects the immune system and causes acquired immunodeficiency syndrome (AIDS). Common types of antiretroviral medications used to treat HIV and AIDS are also shown.

#HIV #AIDS #HumanImmunodeficiencyVirus
ANH13111

Anatomy of The Pelvic Outlet and Perineum
Anatomy of The Pelvic Outlet and Perineum Anatomy_Videos 11,477 Views • 2 years ago

Anatomy of The Pelvic Outlet and Perineum

Tracheostomy procedure 3D animation
Tracheostomy procedure 3D animation Scott 125 Views • 2 years ago

https://bit.ly/3HIStRc #shorts


Tracheotomy and tracheostomy are surgical procedures that create an opening in the trachea (windpipe) to help patients breathe when they have difficulty doing so through the nose or mouth. Though they are similar in purpose, there are some key differences between them.

Tracheotomy is a temporary procedure that involves creating a small incision in the trachea to insert a breathing tube. The tube is typically removed once the patient no longer requires it, and the incision heals on its own. Tracheostomy, on the other hand, is a more permanent solution that involves creating a hole in the trachea and inserting a tracheostomy tube, which remains in place for an extended period.

Indications for these procedures include:

Airway obstruction due to trauma, tumors, or infection
Severe respiratory distress or failure
Prolonged mechanical ventilation
Inability to protect the airway due to neurological disorders or impaired consciousness
Steps for performing a tracheotomy and tracheostomy:

Preparation: The patient is positioned, and the neck area is cleaned and draped. Local anesthesia is often administered, although general anesthesia may be used in some cases.
Incision: A small incision is made in the neck, and the muscles and tissues are carefully separated to expose the trachea.
Tracheal opening: A small opening is made in the trachea, typically between the second and third tracheal rings.
Tube insertion: A tracheotomy tube is inserted through the incision and into the trachea for a tracheotomy, while a tracheostomy tube is inserted for a tracheostomy. Both tubes are secured in place.
Confirmation: Proper placement of the tube is confirmed by listening for breath sounds and checking for adequate ventilation.
Pre-operative care typically involves a thorough assessment of the patient's medical history, as well as any necessary imaging studies or lab tests to ensure the procedure is appropriate and safe. Informed consent should be obtained from the patient or their legal representative.

Post-operative care includes monitoring the patient's vital signs, ensuring the tube remains secure and patent, and managing any pain or discomfort. For tracheostomy patients, regular cleaning and maintenance of the stoma (the opening in the trachea) and the tracheostomy tube are essential to prevent infection and other complications. Long-term care may involve speech therapy, respiratory therapy, and support from a multidisciplinary team to address any ongoing needs.

It's crucial to remember that these procedures should only be performed by trained medical professionals in a clinical setting.



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Colonoscopy with diverticulosis and a polyp
Colonoscopy with diverticulosis and a polyp Mohamed Ibrahim 17,650 Views • 2 years ago

Small colon polyp (redish bump)and many diverticuli (small outpouches in wall of the colon)

Barrett esophagus Therapy
Barrett esophagus Therapy samer kareem 3,508 Views • 2 years ago

Barrett's esophagus is a complication of chronic (long lasting) and usually severe gastrointestinal reflux disease (GERD), but occurs in only a small percentage of patients with GERD. Criteria are needed for screening patients with GERD for Barrett's esophagus. Until validated criteria are available, it seems reasonable to do screening endoscopies in GERD patients who cannot be taken off acid suppression therapy after two to three years. The diagnosis of Barrett's esophagus rests upon seeing (at endoscopy) a pink esophageal lining that extends a short distance (usually less than 2.5 inches) up the esophagus from the gastroesophageal junction and finding intestinal type cells (goblet cells) on biopsy of the lining. There is a small but definite increased risk of cancer of the esophagus (adenocarcinoma) in patients with Barrett's esophagus.

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