J Vasc Surg. 2009 Jul;50(1):134-9. Celiac artery compression syndrome managed by laparoscopy. Baccari P, Civilini E, Dordoni L, Melissano G, Nicoletti R, Chiesa R. Department of General Surgery, Scientific Institute San Raffaele University Hospital, Milan, Italy. paolo.baccari@hsr.it Abstr...

act OBJECTIVE: Celiac artery compression syndrome (CACS) is an unusual condition caused by abnormally low insertion of the median fibrous arcuate ligament and muscular diaphragmatic fiber resulting in luminal narrowing of the celiac trunk. Surgical treatment is the release of the extrinsic compression by division of the median arcuate ligament overlying the celiac axis and skeletonization of the aorta and celiac trunk. The laparoscopic approach has been recently reported for single cases. Percutaneous transluminal angioplasty (PTA) and stenting of the CA alone, before or after the surgical relief of external compression to the celiac axis, has also been used. We report our 7-year experience with the laparoscopic management of CACS caused by the median arcuate ligament. METHODS: Between July 2001 and May 2008, 16 patients (5 men; mean age, 52 years) were treated. Diagnosis was made by duplex ultrasound scan and angiogram (computed tomography [CT] or magnetic resonance). The mean body mass index of the patients was 21.2 kg/m(2). One patient underwent laparoscopic surgery after failure of PTA and stenting of the CA, and two patients after a stenting attempt failed. RESULTS: All procedural steps were laparoscopically completed, and the celiac trunk was skeletonized. The laparoscopic procedures lasted a mean of 90 minutes. Two cases were converted to open surgery for bleeding at the end of the operation when high energies were used. The postoperative course was uneventful. Mean postoperative hospital stay was 3 days. On follow-up, 14 patients remained asymptomatic, with postoperative CT angiogram showing no residual stenosis of the celiac trunk. One patient had restenosis and underwent aortoceliac artery bypass grafting after 3 months. Another patient had PTA and stenting 2 months after laparoscopic operation. All patients reported complete resolution of symptoms at a mean follow-up of 28.3 months. CONCLUSIONS: The laparoscopic approach to CACS appears to be feasible, safe, and successful, if performed by experienced laparoscopic surgeons. PTA and stenting resulted in a valid complementary procedure only when performed after the release of the extrinsic compression on the CA. Additional patients with longer follow-up are needed.

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When you look at yourself in the mirror, there may be several causes for discontent with your body and every single one is valid. That said, many people primarily focus on their faces and the positions of their eyes, nose, etc. searching for a semblance of symmetry.
Facial asymmetry is a significant worry for many people.

They feel unhappy and less attractive with such a lack of symmetry. And, one of the most common causes for this is the recessed chin. A recessed chin occurs when you measure your face in thirds and realise that your thumb is not touching your chin in the last third. This means that your chin has gone in, or you have a recessed chin.

And, if you have this condition, then this video is perfect for you!
Since such a sizeable population remains discontent because of this feature, we asked Dr. Rajat Gupta, our very own board-certified plastic surgeon, to tell us exactly how you fix a recessed chin. How do you bring it out? How do you make a patient’s face proportional again?

Well, as he says, bringing out a recessed chin is through chin enhancement surgery or genioplasty. He performs the procedure in two ways:
1. Fillers
2. Implants
Fillers are made of hyaluronic acid and are injected. Although the procedure is very short, the results also last for an equally quick time. Therefore, if you want a short-term, non-permanent solution, then this is your best bet. However, for permanent results, you need silicone implants.

These silicone implants are customized to precisely fit your jaw and, depending on the implant you choose; you get a broader or narrower jawline. The U-shaped implants give you the former while the conical implants give you the latter. Apart from having these choices about what your result looks like, Dr. Gupta’s technique also leaves your scar-free.

A short and quick procedure; we do it within a day, and you can go home on the same day. While Dr. Gupta elaborates on the timeline in the video, there is nothing to worry about. As long as your surgery is done by a competent board-certified surgeon like Dr. Rajat Gupta, in a well-equipped center like RG Aesthetics, you will be fine.

The procedure is very satisfying, especially since you get everything customized to fit you perfectly. Dr. Gupta adheres to the highest international standards of patient care and that means always placing the patient at the center of the procedure. It is always about what the patient truly wants. And Dr. Gupta always delivers precisely the results you desire, ensuring they are scar-free and look as natural as possible!

Watch the full video for detailed information.

Related Videos:
1. Chin Augmentation Explained: https://youtu.be/V0U7hCv2lZg

For more details, contact us on +91-9251-711-711 or contact@drrajatgupta.com

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About Dr Rajat Gupta and RG Aesthetics

At RG Aesthetics, India’s best plastic surgeon, Dr. Rajat Gupta is at your service! With 10 years of experience, brand-certification, and international recognition, Dr. Gupta solves 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 non-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!

#chinaugmentation #plasticsurgery #drrajatgupta

Dr. Lohith U, Consultant Surgical Gastroenterology, Bariatric and GI Oncology, Manipal Hospital Sarjapur, speaks about advanced laparoscopic surgery in this informative video. He shares details about the procedure,insights on its advantages, and how it can help treat gastrointestinal issues without making large incisions in a patient’s body. To know more watch this video.

Consult the experts here - https://bit.ly/3RiWqPr

#ManipalHospitalSarjapur #YourManipal #LifesOn #Healthcare #LaparoscopicSurgery

Watch that video to know the Surprising Cause of Pain During Sexual Intercourse

Two methods to reduce the shoulder are demonstrated and the need for analgesia or anesthesia discussed

Juvenile polyposis syndrome (JPS) is a hereditary condition that is characterized by the presence of hamartomatous polyps in the digestive tract. Hamartomas are noncancerous (benign) masses of normal tissue that build up in the intestines or other places. These masses are called polyps if they develop inside a body structure, such as the intestines. The term “juvenile polyposis” refers to the type of polyp (juvenile polyp) that is found after examination of the polyp under a microscope, not the age at which people are diagnosed with JPS.

Not every woman undergoes a traditional vaginal delivery with the birth of her child. Under conditions of fetal or maternal distress, or in the case of breech presentation (when a baby is turned feet first at the time of delivery), or if the woman’s first baby was born by cesarean delivery, a procedure called a cesarean section may be required. During a cesarean, a doctor will make either a lateral incision in the skin just above the pubic hair line, or a vertical incision below the navel. As the incision is made, blood vessels are cauterized to slow bleeding. After cutting through the skin, fat, and muscle of the abdomen, the membrane that covers the internal organs is opened, exposing the bladder and uterus. At this time the physician will generally insert his or her hands into the pelvis in order to determine the position of the baby and the placenta. Next, an incision is made into the uterus and any remaining fluids are suctioned from the uterus. The doctor then enlarges the incision with his or her fingers. The baby’s head is then grasped and gently pulled with the rest of its body from the mother’s uterus. Finally, the abdominal layers are sewn together in the reverse order that they were cut. The mother is allowed to recover for approximately three to five days in the hospital. She will also be quite sore and restricted from activity for the following several weeks. There are several potential complications associated with this procedure that should be discussed with a doctor prior to surgery.

enile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED fail. There are two main types of penile implants, semirigid and inflatable.

Start in RLQ (so you don’t miss a giant spleen). Get your fingers set then ask patient to take a deep breath. Don’t dip your fingers or do anything but wait. When patient expires, take up new position. Note lowest point of spleen below costal margin, texture of splenic contour, and tenderness If spleen is not felt, repeat with pt lying on right side. Gravity may bring spleen within reach. “LET THE SPLEEN PALPATE YOUR FINGERS AND NOT THE OTHER WAY AROUND. THERE IS NO GOLD, SO DON’T DIG!”

Medispa offers Titan Skin tightening, laser skin tightening, eyetight laser blepharoplasty in NJ, Monmouth, and Shrewsbury. For more information on Titan Laser visit www.bnbmedispa.com

bilateral tubal ligation as modified Pomeroy technique during a C-Section

Ovulation is the release of eggs from the ovaries. In humans, this event occurs when the follicles rupture and release the secondary oocyte ovarian cells. After ovulation, during the luteal phase, the egg will be available to be fertilized by sperm

Watch that Huge Stomach Tumor Removal Medical Surgery

this video show the surgical technique of a perforator propeller flap for the reconstruction of the lower limb.

female condom

Obstructive lung diseases include conditions that make it hard to exhale all the air in the lungs. People with restrictive lung disease have difficulty fully expanding their lungs with air. Obstructive and restrictive lung disease share the same main symptom: shortness of breath with exertion.

Polycystic ovary syndrome (PCOS) is a common endocrine system disorder among women of reproductive age. Women with PCOS may have enlarged ovaries that contain small collections of fluid — called follicles — located in each ovary as seen during an ultrasound exam. Infrequent or prolonged menstrual periods, excess hair growth, acne, and obesity can all occur in women with polycystic ovary syndrome. In adolescents, infrequent or absent menstruation may raise suspicion for the condition. The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications, such as type 2 diabetes and heart disease.

Sean Langenfeld, M.D., UNMC College of Medicine