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.

To record the sequence, Stephan Gordts and Ivo Brosens of the Leuven Institute for Fertility & Embryology in Belgium performed transvaginal laparoscopy, which involves making a small cut in the vaginal wall and observing the ovary with an endoscope.

"This allows us direct access to and observation of the tubo-ovarian structures without manipulation using forceps," says Gordts.

For the photos of ovulation, which only accidentally captured the critical moment, Jacques Donnez at the Catholic University of Louvain (UCL) in Brussels, Belgium, used gas to distend the organs for photography. However, Gordts and Brosens planned the procedure to coincide with ovulation and used saline solution to "float" the structures.
Perfect timing

Observation was timed for the day of the peak of the patient's luteal hormone cycle. Ovulation was predicted to occur on the evening of the day of the LH peak, and the endoscope introduced at 6 pm.

A small amount of saline was used to float the opening of the fallopian tube, its fimbriae (the "fingers" that sweep the egg into the tube) and the ovary itself. This gives a more natural appearance than gas, says Gordts.

In the video, the fimbriae can be seen sweeping in time with the patient's heartbeat. A mucus plug can be seen protruding from the ovary – this contains the egg.

"The ovum is not captured 'naked'," says Gordts. "There is no eruption like a volcano."

Gordts says that in clinical practice it is not easy to organise the observation of ovulation. "We were probably lucky to be successful at our first attempt," he says.

This video shows submandibular gland being surgically removed.

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
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Endoscopic fenestration of arachnoid cyst in middle fossa

Deep Palpation of the Abdomen

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.

SCOOP transtracheal oxygen is indicated for patients with chronic hypoxemia which persists in spite of optimal medical therapy. Arterial blood gases obtained while breathing room air should show a PaO2< 55 mm Hg. SCOOP transtracheal oxygen is also indicated for patients with a PaO2 of 56-59 mm Hg ...

if they also have: 1) dependent edema suggesting congestive heart failure, 2) "P" pulmonale on EKG (P wave greater than 3mm in standard leads II, III or AVF), or 3) erythrocythemia with a hematocrit of >55%.

Bone cancer symptoms. Possible symptoms of bone cancer include: Bone pain: Pain is the most common sign of bone cancer, and may become more noticeable as the tumor grows. Bone pain can cause a dull or deep ache in a bone or bone region (e.g., back, pelvis, legs, ribs, arms).

Homan’s sign test also called dorsiflexon sign test is a physical examination procedure that is used to test for Deep Vein Thrombosis (DVT). A positive Homan’s 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].

Dilation and Curettage D and C

Insertion of Spanner Prostatic Stent

Elbow. In primates, including humans, the elbow joint is the synovial hinge joint between the humerus in the upper arm and the radius and ulna in the forearm which allows the hand to be moved towards and away from the body.

If the artery were severed, blood would flow out unimpeded, although the artery wall would contract in an effort to stop the bleeding. After losing >30% of one's blood volume blood pressure would start dropping, and with less pressure the rate of bleeding would go down. At this stage if the blood loss wasn't replaced the person could die. Losing halve to two thirds of one's blood volume is considered to be fatal even if later on blood transfusion is attempted. One's total blood volume at 70ml/kg is estimated to be between 5 to 7 liters, so that makes a blood loss of between 2,5 to 4,7 L.

The cardiac conduction system is a group of specialized cardiac muscle cells in the walls of the heart that send signals to the heart muscle causing it to contract. The main components of the cardiac conduction system are the SA node, AV node, bundle of His, bundle branches, and Purkinje fibers.

Thought a snake in your boot was bad? That old 19th-century idiom is nothing compared to one in your ear.

Shocking footage captured the alleged moment that a “surgeon” tried to remove a live snake that infiltrated a woman’s ear. Video of the herpetological surgery has racked up more than 125,000 views as viewers speculate whether or not the squirm-inducing footage is authentic.

“The snake has gone in the ear,” reads the caption to the bizarre Facebook clip, which was posted Sept. 1 by an India-based social media star named Chandan Singh to his 20,126 followers. However, it’s unclear where, when or how this unfortunate event transpired, local outlet the Economic Times reported.

In the nearly four-minute clip, an alleged medical practitioner can be seen using tweezers in a desperate attempt to extract a black and yellow serpent that’s peeking its head out from a female patient’s ear.

summary of an orthotopic heart transplant

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Angioplasty is a procedure to restore blood flow through the artery. You have angioplasty in a hospital. The doctor threads a thin tube through a blood vessel in the arm or groin up to the involved site in the artery. The tube has a tiny balloon on the end.