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Renal Artery Aneurysm Repair
Renal Artery Aneurysm Repair samer kareem 7,342 Views • 2 years ago

Indications for intervention in patients with a renal artery aneurysm (RAA) include the following [20, 8, 13, 14] : Rupture Symptomatic RAA - Hypertension (from associated renal artery stenosis, refractory to medical management), pain, renal ischemia or infarction secondary to embolization from the aneurysm sac RAAs in females who are pregnant or are contemplating pregnancy Diameter greater than 2 cm Enlarging RAA RAA associated with acute dissection Currently, there is no consensus regarding the size at which an RAA should be repaired in an asymptomatic patient. Experts have recommended RAA repair at diameters ranging from 1.5 to 3 cm, [8] though most suggest 2 cm. Some reports have even suggest that larger asymptomatic saccular aneurysms may be managed expectantly. Note that aneurysm rupture at a diameter of 1.5 cm has been reported. Complete calcification of the wall of the aneurysm sac manifests in about 40% of patients. This was once believed to confer protection against rupture [21] ; however, this belief has since been questioned. [30] Asymptomatic, small (<2 cm in diameter) RAAs do not usually require treatment. One notable exception is an RAA in a woman who is pregnant or contemplating pregnancy. In view of the increased risk of rupture in such cases, even small asymptomatic aneurysms should be repaired in this population. For diagnosis and preinterventional planning, gadolinium-enhanced magnetic resonance angiography (MRA) and computed tomography (CT) angiography (CTA) with three-dimensional (3D) reconstruction have essentially replaced conventional arteriography. Regular follow-up examination with ultrasonography (US) or CT) is recommended in patients who are treated expectantly. Spontaneous cure by thrombosis of small aneurysms has been described. Further refinements in endovascular techniques may allow more RAAs to be treated in this manner. So far, excellent short- and intermediate-term results have been described in the literature [40] ; however, there remains a need for further long-term outcome data.

What is Sickle Cell Anemia?
What is Sickle Cell Anemia? samer kareem 6,394 Views • 2 years ago

Sickle cell anemia (sickle cell disease) is a disorder of the blood caused by an inherited abnormal hemoglobin (the oxygen-carrying protein within the red blood cells). The abnormal hemoglobin causes distorted (sickled) red blood cells.

Frontal Craniotomy
Frontal Craniotomy samer kareem 11,943 Views • 2 years ago

Mini ALIF Surgery: Procedure Overview
Mini ALIF Surgery: Procedure Overview Surgeon 88 Views • 2 years ago

Orthopedic spine surgeons and vascular surgeons at UW Health in Madison, WI work together to perform minimally invasive anterior lumbar interbody fusion (Mini-ALIF). With this type of spinal fusion surgery, patients have smaller incisions, usually spend less time in the hospital and typically return to daily activities more quickly. Learn more https://www.uwhealth.org/ALIF

Revision knee replacement part 2
Revision knee replacement part 2 A.K. Venkatachalam 13,160 Views • 2 years ago

Revision knee replacement. After removal of the old implants, bone is prepared for re-implantation.

What is Nasal Polyp?
What is Nasal Polyp? samer kareem 1,738 Views • 2 years ago

Nasal polyps are soft, painless, noncancerous growths on the lining of your nasal passages or sinuses. They hang down like teardrops or grapes. They result from chronic inflammation due to asthma, recurring infection, allergies, drug sensitivity or certain immune disorders. Small nasal polyps may not cause symptoms. Larger growths or groups of nasal polyps can block your nasal passages or lead to breathing problems, a lost sense of smell and frequent infections. Nasal polyps can affect anyone, but they're more common in adults. Medications can often shrink or eliminate nasal polyps, but surgery is sometimes needed to remove them. Even after successful treatment, nasal polyps often return.

Basic Laparoscopic Surgery
Basic Laparoscopic Surgery Surgeon 437 Views • 2 years ago

Learn Basic Laparoscopic Surgery, the components of a laparoscopic surgical setup, optimal positioning and ergonomics in laparoscopic surgery, and much more. Check out the full course for free here: https://www.incision.care/free-trial

What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.

Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions

Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training — forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.

This Basic Laparoscopic Surgery Course Will Teach You:
- Abdominal access techniques and the different ways of establishing a pneumoperitoneum
- Principles of port placement and organization of the operative field
- Key elements of laparoscopic suturing, basic knotting and clip application

Specific attention is paid to the following hazards you may encounter:
- Fire hazard and thermal injury
- Lens fogging
- Contamination of insufflation system
- Complications from trocar introduction
- Limitations of Veress needle technique
- Limitations of open introduction technique
- Complications of the pneumoperitoneum
- Gas embolism
- Mirroring and scaling of instrument movements
- Firing clip applier without a loaded clip

The following tips are designed to improve your understanding and performance:
- Anatomy of a laparoscope
- Checking for optic fiber damage
- "White balance" of camera
- Checking integrity of electrosurgical insulation
- Access at Palmer's point
- Lifting abdominal wall before introduction
- Confirming position of Veress needle
- Umbilical anatomy
- Identification of inferior epigastric vessels under direct vision
- Translumination of superficial epigastric vessels
- Selection of trocar size
- Aiming of trocar
- Working angles in laparoscopic surgery
- Choice of suture material
- Instruments for suturing
- Optimal ergonomics for suturing
- Extracorporeal needle positioning
- Optimal suture lengths
- "Backloading" needle
- Intracorporeal needle positioning
- Hand movements when suturing
- Optimal positioning of scissors
- Extracorporeal knot tying
- Visualization of clip applier around target structure
- Common clip configurations

Lip Augmentation
Lip Augmentation samer kareem 4,137 Views • 2 years ago

Lip augmentation is a cosmetic procedure that can give you fuller, plumper lips. These days, an injectable dermal filler is the most commonly used method of lip augmentation. There are many types of dermal fillers that can be injected in your lips and around your mouth.

Ganglion Cyst Drainage
Ganglion Cyst Drainage Scott 12,588 Views • 2 years ago

Ganglion Cyst Drainage

BEHCET'S DISEASE
BEHCET'S DISEASE samer kareem 1,782 Views • 2 years ago

Behcet's (beh-CHETS) disease, also called Behcet's syndrome, is a rare disorder that causes blood vessel inflammation throughout your body. The disease can lead to numerous signs and symptoms that may seem unrelated at first. They may include mouth sores, eye inflammation, skin rashes and lesions, and genital sores. The effects of Behcet's disease vary from person to person and may clear up on their own. Treatment involves medications to reduce the signs and symptoms of Behcet's disease and to prevent serious complications, such as blindness.

Abnormal Female Genital Bleeding Causes
Abnormal Female Genital Bleeding Causes hooda 4,063 Views • 2 years ago

Watch that video to know the Abnormal Female Genital Bleeding Causes

Above Knee Leg Amputation Medical Surgery
Above Knee Leg Amputation Medical Surgery hooda 76,667 Views • 2 years ago

Watch that Above Knee Leg Amputation Medical Surgery

Baby Born Still Inside The Amniotic Sac
Baby Born Still Inside The Amniotic Sac samer kareem 22,368 Views • 2 years ago

Baby Born Still Inside The Amniotic Sac

Man's Hand Caught Inside Meat Grinder Removal
Man's Hand Caught Inside Meat Grinder Removal hooda 22,987 Views • 2 years ago

Watch that video of a v

Terrible Skin Full of Jiggers Removal Video
Terrible Skin Full of Jiggers Removal Video hooda 55,238 Views • 2 years ago

Watch that Terrible Skin Jiggers Removal Video

CT Scan  -- Chest
CT Scan -- Chest "Tree in Bud" sign academyo 19,863 Views • 2 years ago

The video will describe what is Tree in bud sign on CT scan of Chest. Please see disclaimer on my website www.academyofprofessionals.com

Chest x-ray --congenital lobar emphysema
Chest x-ray --congenital lobar emphysema academyo 15,069 Views • 2 years ago

the video will shed some light on congential lobar emphysema. Please visit my website for discliamer. www.academyofprofessionals.com

One Handed Knot Tie with Right Hand
One Handed Knot Tie with Right Hand Surgeon 16,977 Views • 2 years ago

One Handed Knot Tie with Right Hand

Orchidectomy and Orchidopexy in Testicular Torsion
Orchidectomy and Orchidopexy in Testicular Torsion Surgeon 35,851 Views • 2 years ago

Orchidectomy and Orchidopexy in Testicular Torsion

How to do Central Line Insertion
How to do Central Line Insertion samer kareem 1,373 Views • 2 years ago

Central venous catheter. Diagram showing a tunneled central line inserted into the right subclavian vein. A central venous catheter (CVC), also known as a central line, central venous line, or central venous access catheter, is a catheter placed into a large vein.

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