An appendectomy (sometimes called appendisectomy or appendicectomy) is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis.

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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

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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 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

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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

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Video shows how fast patient recovers after inguinal hernia repair without mesh by Dr.Desarda technique. Patient normally can drive car and go to office within 3-4 days.No recurrence, no pain.
A STORY OF MR. DAVID FROM USA LOS ANGELES IS WORTH LISTENING:
Mr. David said that he did not wish to insert a foreign body like mesh in his body for hernia repair. He had heard from his friends and well wishers and also read and learnt from the internet about complications of a foreign body or mesh and the chances of recurrences after mesh repair. He made an immense research on the internet for any available technique of hernia repair that does not use mesh. He found to his amazement that there are only two centers all over the world which specialize in pure tissue repair of hernia. One is ‘Shouldice center’ in Canada and another is ‘Desarda Center’ in India. This is how he came to know about ‘Desarda’s Repair’ while searching on internet and liked it because it is without mesh or any foreign body and virtually free from recurrences thereafter.
David Williamson, a 37 years patient from Los Angeles, USA came to Pune to Dr. Desarda for getting operated for his groin hernia. Mr. David flew from USA and reached Mumbai and then Pune at 4AM in the morning on 7.10.2007. He was operated at 11 AM in Poona Hospital on the same day and was allowed to move out of bed and go to bathroom within 4-5 hours after surgery. He was permitted to move freely all around as and when he wanted. There were no restrictions. He was freely moving all around the ward on second day. He came down the staircase on third day with his hand bag luggage, took auto-rickshaw and went on his own to ATM centre to withdraw the money. On 4th day he went to Rajneesh Oschio Ashram and spent whole day there to attend there various course activities. A local patient is discharged from the hospital on the same day or next day morning and he is advised to attend all his routine work without any restrictions thereafter.
The story of Mr. Ted and Mr. Ron who also came to India for their hernia surgery is also similar to this story. If American surgeons had adopted this technique in their practice, many patients like David who wish to have no foreign body inserted for hernia repair could get easily operated there and could avoid this long distance journey and other hassles of going to some other country for such operation.
“Complete cure from groin hernia is now possible with Dr.Desarda's repair technique.......”
Mesh is a foreign body. Therefore, its use in hernia repairs is known to cause all sorts of complications like pain, recurrence, infection etc. We have developed an innovative new technique of inguinal hernia repair without mesh. It uses your own body muscle for repair and gives virtually complete cure from inguinal hernia problem. An undetached strip of the external oblique aponeurosis is stitched on the weak area between the muscle arch and the inguinal ligament to form a new, strong and physiologically dynamic posterior wall that gives protection and prevents re-herniation. Normally patient goes home in a day after surgery and can drive car and go to office in 3-4 days time. This "Dr.Desarda's hernia repair" is now followed in many countries all over the world. We are surprised to see the enquiries from many patients in the developed countries asking for this repair in their country. This is because this operation does not use any foreign body like mesh for repair and therefore there are no complications that are seen in mesh repairs. A visit to Topix or other hernia forums show thousands of posts showing sufferings of many patients due to mesh repairs. But still why surgeons from developed countries are interested in mesh repairs is a big question for us.
Please visit our website for more details: http://herniasurgery.tripod.com Our cell number: +91 9373322178

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reast Augmentation: From Cost to Complications || Common gynaecological problems in women Breast augmentation (aka augmentation mammaplasty) is one of the most popular cosmetic procedures performed in the U.S. today. Despite controversy over the use of silicone breast implants, women have shown a continuing and growing eagerness to surgically enhance the size and shape of their breasts. If you are a healthy, non-smoking women who are at or near their ideal weight, with enough of their own breast tissue to cover and support an implant adequately, then you are a good candidate for breast augmentation surgery.