The majority of fetuses are in a breech presentation early in pregnancy. By week 38th week of gestation, however, the fetus normally turns to a cephalic presentation. Although the fetal head is the widest single diameter, the fetus’s buttocks [ breech], plus the lower extremities, actually takes up more space. The fundus, being the largest part of the uterus, probably accounts for the fact that in approximately 97% of all pregnancies, the fetus turns so that the buttocks and lower extremities are in the fundus. Vaginal delivery of a breech presentation requires great skill if the fetus is not to be damaged. With the low rate of vaginal breech deliveries in the developed world, experience is being lost. 6% of women with breech presentation still have a vaginal breech delivery as they present too late - so units need to retain a high level of preparedness. Types of breech presentation: I. Complete breech [ flexed breech]: The fetal attitude is one of complete flexion, with hips and knees both flexed and the feet tucked in beside the buttocks. The presenting part consists of two buttocks, external genitalia and two feet. It is commonly present in multiparae. II. Incomplete breech: This is due to varying degrees of extension of thighs or legs at podalic pole. Three varieties are possible; - Breech with extended legs [ frank breech ]: The breech presents with the hips flexed and legs extended on the abdomen. 70% of breech presentations are of this type and it is particularly common in primigravidae whose good uterine muscle tone inhibits flexion of the legs and free turning of the fetus. - Footling breech: This is rare. One or both feet present because neither hips nor knees are fully flexed. The feet are lower than the buttocks, which distinguishes it from the complete breech. - Knee presentation: This is very rare. Thighs are extended but the knees are flexed, bringing the knees down to present at the brim.

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Surgical Examination of an ulcer in a proper way

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http://www.rhinoplastyspecialist.com
This is my rhinoplasty before and after video

Watch my experience from initial consult to final result as I have an ethnic rhinoplasty procedure performed by Dr. Paul S. Nassif of Spalding Drive Cosmetic Surgery & Dermatology located in Beverly Hills.

The results are incredible! It's like a dream come true. I am so happy that I chose Dr. Nassif as my surgeon. He is truly a gifted and wonderful surgeon.

There where many procedures performed to get the incredible results I received including:
Deep Temporalis Fascia Harvesting
Septoplasty
Turbinoplasty
Open Rhinoplasty
Nasal Smas Excicion
Vestibular Tissue Release
Tip Cartilage Contouring / Cephalic Trim
Columella Strut Placement
Shield Graft
Ear (conchal) Cartilage Harvest
Rim Graft
Osteotomies
Narrowing of Nasal Dorsum
Build up of Radix & Dorsum (cartilage and fascia grafts)
Alar Base Reduction

Rhinoplasty in Los Angeles also specializes in ethnic rhinoplasty for African American, Hispanic and Asian patients. As part of his information campaign on cosmetic surgery in Beverly Hills, those who are interested in rhinoplasty and plastic surgery can get loads of up-to-date information straight from Dr. Nassif through his websites Media Page. This web page contains articles written by Dr. Nassif that have been published in famous plastic surgery journals and books.

The Media Page also contains actual rhinoplasty and revision rhinoplasty surgery captured on video. These videos were aired in Discovery Channel, ET, and other shows. Patients who want to know more about Dr. Paul Nassif can check out his curriculum vitae. Whether you decide to attempt this procedure or not, rhinoplastyspecialist.com can give you an accurate and detailed perspective.

AFRICAN AMERICAN NASAL ANATOMY:
1. Skin: Thick, Abundant Fibrofatty tissue
2. Radix: Deep, Inferiorly-Set & Low
3. Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition
5. Base: Wide, Thick, Horizontal & Flaring Nostrils
6. Nasolabial Junction: Retracted, Under-Developed Nasal Spine
7. Maxilla: Usually Retrusive & Hypoplastic

HISPANIC NASAL ANATOMY:
1. Skin: Thick, Abundant Sebaceous Glands
2. Radix: Low to Normal
3. Nasal Bridge: Wide
4. Dorsum: Convex (Nasal Hump)
5. Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition
6. Columella: Short to Normal
7. Base: Wide, Thick, Horizontal & Flaring Nostrils
8. Maxilla: Within Normal Limits

ASIAN NASAL ANATOMY:
1. Skin: Heavy, Thick & Sebaceous
2. Radix: Deep & Flat
3. Nasal Bridge & Dorsum: Low, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
5. Columella: Short, Minimal Show (Retracted)
6. Base: Wide, Thick, Oblique & Flaring Nostrils
7. Maxilla: Usually Retrusive

DESIRED RHINOPLASTY GOALS:
1. Bridge: Moderately Thinner
2. Dorsum: Higher (Augmented)
3. Tip: Refined, Increased Projection, Increased Rotation
4. Base: Vertical-Oblique Nostrils & Triangular Nasal Base
5. Columella: Increased Columellar Show & Length
6. Maxilla: Less Retrusive
7. Skin-Soft Tissue Envelope: Moderate Thickness that Provides Good Tip Definition African American Rhinoplasty
~NWLN

Recovery after a facelift surgery in Delhi is just as important as the surgery itself. In this video, we’ll walk you through the key dos and don’ts after your facelift so you heal properly and get the best results.

For the first 3 days, cold compression every hour helps reduce swelling and bruising. Stick to the medication plan given to you at discharge and follow every instruction carefully. Avoid heavy lifting, bending, and intense activities for at least 2 weeks.

Keep your head elevated even while sleeping—it really helps with swelling. Avoid smoking and alcohol as they slow down healing. Eat soft food, stay hydrated, and stay out of direct sun. If you must go out, wear sunglasses and sunscreen. Most importantly, attend your follow-up appointments and get your stitches removed as advised.

Healing well means following the plan. If you have questions or concerns, contact a board-certified plastic surgeon in Delhi.

Our team is here to support you throughout your recovery.

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About Dr. Rajat Gupta and RG Aesthetics

At RG Aesthetics, India’s best plastic surgeon in India, Dr. Rajat Gupta is at your service! With 15 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!
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A video showing the delivery of the placenta

Examination of Peripheral Vascular System - Clinical Skills OSCE Revision - Dr Gill

In this video, we demonstrate the peripheral vascular examination - a less common examination, but still vitally important, particularly amongst the older population

Starting with the examination of the hands looking for clinical signs of vascular compromise, we then check the pulses of the major arteries of the upper body - the radial, brachial and carotid arteries, before moving down to assess for an abdominal aortic aneurysm.

At this point, I feel it's a practical step to check the femoral pulses before doing the overview of the legs.

After visually assessing we must examine the major vascular areas of leg.- namely the popliteal pulses, before wrapping up around the ankle with the posterior tibial and dorsalis pedis pulses

For completeness, the cardiovascular examination is demonstrated here
https://www.youtube.com/watch?v=ECs9O5zl6XQ&t=2s

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Ear Infection Drainage Time Lapse Video

a video showing how to perform Percutaneous tracheostomy

The fovea was moved 425 to 1,700 microm (965+/-262 microm) superiorly or inferiorly. Follow-up time was 2 to 12 months (median 8 months). Complications included macular pucker (3 eyes), subfoveal hemorrhage (2 eyes), macular hole (1 eye), and progression of cataract in phakic eyes (3 eyes). Thirteen of 20 eyes showed various degrees of proliferative vitreoretinopathy with epiretinal membrane formation over the inferior peripheral retina with the inferior retinal detachment stabilized by the silicone oil. One eye progressed to phthisis bulbi. Initial visual acuity ranged from 20/80 to 20/800 (median 20/150) and final visual acuity ranged from light perception to 20/200 (median 20/1000).

In this video, learn how to suture like a plastic surgeon! We'll go over the different types of sutures, appropriate needle sizes, and the correct technique for suturing different types of wounds. Whether you're a medical student or just interested in improving your suturing skills, this video is for you! Join us and start mastering this essential surgical skill.

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Splenectomy for a giant spleen

When foreign organisms such as bacteria enter the body, the immune system sends white blood cells to fight the infection. This causes swelling (inflammation) at the site of infection and the death of nearby tissue, creating a hole called a cavity, which fills with pus to form an abscess.

Watch that video to know How They Autopsy Human Body for Poison

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finger pulp abscess drainage EXPLOSION of pus

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Empyema can develop after you have pneumonia. Many different types of bacteria may cause pneumonia, but the two most common are Streptococcus pneumoniae and Staphylococcus aureus. Occasionally, empyema may happen after you've had surgery on your chest. Medical instruments can transfer bacteria into your pleural cavity