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Female Pelvic Floor Part 1
Female Pelvic Floor Part 1 Mohamed 71,402 Views • 2 years ago

The pelvic floor or pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. The pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei, with which may be included the parietal pelvic fascia on their upper and lower aspects. The pelvic floor separates the pelvic cavity above from the perineal region (including perineum) below.

The right and left levator ani lie almost horizontally in the floor of the pelvis, separated by a narrow gap that transmits the urethra, vagina, and anal canal. The levator ani is usually considered in three parts: pubococcygeus, puborectalis, and iliococcygeus. The pubococcygeus, the main part of the levator, runs backward from the body of the pubis toward the coccyx and may be damaged during parturition. Some fibers are inserted into the prostate, urethra, and vagina. The right and left puborectalis unite behind the anorectal junction to form a muscular sling . Some regard them as a part of the sphincter ani externus. The iliococcygeus, the most posterior part of the levator ani, is often poorly developed.

The coccygeus, situated behind the levator ani and frequently tendinous as much as muscular, extends from the ischial spine to the lateral margin of the sacrum and coccyx.

The pelvic cavity of the true pelvis has the pelvic floor as its inferior border (and the pelvic brim as its superior border.) The perineum has the pelvic floor as its superior border.

Some sources do not consider “pelvic floor” and “pelvic diaphragm” to be identical, with the “diaphragm” consisting of only the levator ani and coccygeus, while the “floor” also includes the perineal membrane and deep perineal pouch. However, other sources include the fascia as part of the diaphragm. In practice, the two terms are often used interchangeably.

Inferiorly, the pelvic floor extends into the anal triangle.

Shave and Punch Skin Biopsy
Shave and Punch Skin Biopsy Doctor 18,458 Views • 2 years ago

a video showing the technique of Shave and Punch Skin Biopsies nique of

paediatric tracheostomy
paediatric tracheostomy Imran Saeed 14,918 Views • 2 years ago

pediatric tracheostomy

Autopsy Movie: (Cancer)
Autopsy Movie: (Cancer) Doctor 67,837 Views • 2 years ago

Plastination pioneer Gunther Von Hagens gives us a view inside the bodies of 2 people who have died of cancer.

circumcision
circumcision united state 65,759 Views • 2 years ago

"The act of cutting off the prepuce or foreskin of males, or the internal labia of females." Webster's Revised Unabridged Dictionary (1913)

ChildBirth
ChildBirth Osama Kloub 35,253 Views • 2 years ago

A great video showing the multiple presentations of the baby which the doctor may encounter while delivery like breech presentation..etc

Heart Valve Surgery Animation
Heart Valve Surgery Animation Alicia Berger 33,763 Views • 2 years ago

An animation illustrating valvular heart surgery

Wound Healing Phases
Wound Healing Phases Mohamed 21,260 Views • 2 years ago

A video showing the phases of normal wound healing

Leopold's Maneuvers for Childbirth
Leopold's Maneuvers for Childbirth Mohamed 34,292 Views • 2 years ago

Leopold's Maneuvers are difficult to perform on obese women and women who have hydramnios. The palpation can sometimes be uncomfortable for the woman if care is not taken to ensure she is relaxed and adequately positioned. To aid in this, the health care provider should first ensure that the woman has recently emptied her bladder. If she has not, she may need to have a straight urinary catheter inserted to empy it if she is unable to micturate herself. The woman should lie on her back with her shoulders raised slightly on a pillow and her knees drawn up a little. Her abdomen should be uncovered, and most women appreciate it if the individual performing the maneuver warms their hands prior to palpation. First maneuver: Fundal Grip While facing the woman, palpate the woman's upper abdomen with both hands. A professional can often determine the size, consistency, shape, and mobility of the form that is felt. The fetal head is hard, firm, round, and moves independently of the trunk while the buttocks feel softer, are symmetric, and the shoulders and limbs have small bony processes; unlike the head, they move with the trunk. Second maneuver After the upper abdomen has been palpated and the form that is found is identified, the individual performing the maneuver attempts to determine the location of the fetal back. Still facing the woman, the health care provider palpates the abdomen with gentle but also deep pressure using the palm of the hands. First the right hand remains steady on one side of the abdomen while the left hand explores the right side of the woman's uterus. This is then repeated using the opposite side and hands. The fetal back will feel firm and smooth while fetal extremities (arms, legs, etc.) should feel like small irregularities and protrusions. The fetal back, once determined, should connect with the form found in the upper abdomen and also a mass in the maternal inlet, lower abdomen. Third maneuver: Pawlick's Grip In the third maneuver the health care provider attempts to determine what fetal part is lying above the inlet, or lower abdomen.[2] The individual performing the maneuver first grasps the lower portion of the abdomen just above the symphysis pubis with the thumb and fingers of the right hand. This maneuver should yield the opposite information and validate the findings of the first maneuver. If the woman enters labor, this is the part which will most likely come first in a vaginal birth. If it is the head and is not actively engaged in the birthing process, it may be gently pushed back and forth. The Pawlick's Grip, although still used by some obstetricians, is not recommended as it is more uncomfortable for the woman. Instead, a two-handed approach is favored by placing the fingers of both hands laterally on either side of the presenting part. Fourth maneuver The last maneuver requires that the health care provider face the woman's feet, as he or she will attempt to locate the fetus' brow. The fingers of both hands are moved gently down the sides of the uterus toward the pubis. The side where there is resistance to the descent of the fingers toward the pubis is greatest is where the brow is located. If the head of the fetus is well-flexed, it should be on the opposite side from the fetal back. If the fetal head is extended though, the occiput is instead felt and is located on the same side as the back. Cautions Leopold's maneuvers are intended to be performed by health care professionals, as they have received the training and instruction in how to perform them. That said, as long as care taken not to roughly or excessively disturb the fetus, there is no real reason it cannot be performed at home as an informational exercise. It is important to note that all findings are not truly diagnostic, and as such ultrasound is required to conclusively determine the fetal position.

No mesh direct inguinal hernia repair-Dr. Desarda Repair
No mesh direct inguinal hernia repair-Dr. Desarda Repair Mohan desarda 11,420 Views • 2 years ago

Inguinal hernia repair without mesh, Desarda Repair, no recurrence, pain, no mesh hernia surgery, hernia operation, no mesh, without mesh, hernia operation, hernia surgery, new method. http://www.desarda.com

gastic sleeve
gastic sleeve mohamed al emadi 6,610 Views • 2 years ago

AL EMADI HOSPITAL-QATAR-DOHA

Pes      (  Piles Treatment ) Piles Treatment piles: HAL Hemorrhoidal Artery Ligation new
Pes ( Piles Treatment ) Piles Treatment piles: HAL Hemorrhoidal Artery Ligation new drjamil hashmi 20,171 Views • 2 years ago

Piles Treatment
contact : drjamil79@yahoo.com
Rubber band application around the pile is a pain free procedure.Patient is put to sleep for a few minutes and can go home after a few hours.In this procedure anal fissure was also treated with the transparent anoscope that comes with the PPH gun set.
Piles Treatment piles: HAL Hemorrhoidal Artery Ligation new fast and painless treatment of haemorrhoids dr jamil ahmad hashmi -PainlessRubber band application around the pile is pain free procedure.Patient put to sleep for few minutes can go home after hours.In this procedure anal fissure was also treated with transparent anoscope that comes PPH gun set. Category: health

Mechanism of Vaginal Childbirth
Mechanism of Vaginal Childbirth Doctor 477,211 Views • 2 years ago

Childbirth (also called labour, birth, partus or parturition) is the culmination of a human pregnancy or gestation period with the birth of one or more newborn infants from a woman's uterus. The process of normal human childbirth is categorized in three stages of labour: the shortening and dilation of the cervix, descent and birth of the infant, and birth of the placenta. In many cases, with increasing frequency, childbirth is achieved through caesarean section, the removal of the neonate through a surgical incision in the abdomen, rather than through vaginal birth. In the U.S. and Canada it represents nearly 1 in 3 (31.8%) and 1 in 4 (22.5%) of all childbirths, respectively.

Laparoscopic Gastric Plication
Laparoscopic Gastric Plication mohamed al emadi 6,804 Views • 2 years ago

Laparoscopy by Dr. Emadi in Qatar

Immunohistochemistry IHC Staining
Immunohistochemistry IHC Staining Doctor 9,883 Views • 2 years ago

Immunohistochemistry or IHC refers to the process of detecting antigens (e.g., proteins) in cells of a tissue section by exploiting the principle of antibodies binding specifically to antigens in biological tissues.[1] IHC takes its name from the roots "immuno," in reference to antibodies used in the procedure, and "histo," meaning tissue (compare to immunocytochemistry). Immunohistochemical staining is widely used in the diagnosis of abnormal cells such as those found in cancerous tumors. Specific molecular markers are characteristic of particular cellular events such as proliferation or cell death (apoptosis). IHC is also widely used in basic research to understand the distribution and localization of biomarkers and differentially expressed proteins in different parts of a biological tissue. Visualising an antibody-antigen interaction can be accomplished in a number of ways. In the most common instance, an antibody is conjugated to an enzyme, such as peroxidase, that can catalyse a colour-producing reaction. Alternatively, the antibody can also be tagged to a fluorophore, such as fluorescein or rhodamine

Stroke: surviving is just the beginning
Stroke: surviving is just the beginning News Canada 9,344 Views • 2 years ago

The lasting physical and emotional effects of a stroke can take a large toll on patients as well as family members with many stroke survivors needing to learn how to walk, talk and perform basic daily activities all over again.

Mediplus Ltd Suprapubic Foley Catheter Introducing Set - S-Cath
Mediplus Ltd Suprapubic Foley Catheter Introducing Set - S-Cath jamesurieUK 21,844 Views • 2 years ago

http://www.mediplus.co.uk A new and safer method of inserting a Foley catheter suprapubically. The technique allows the insertion to be carried out in an Outpatient setting, thus saving time, cost and effort. By using the Seldinger technique, the product reduces the chances of bowel or bladder perforation and resultant morbidity.
The product has been chosen by The NHS National Technology Adoption Centre to help facilitate adoption of the product.

HD Brain Surgery
HD Brain Surgery Scott Stevens 22,642 Views • 2 years ago

HD High Definition Brain Surgery Medical Video

McRoberts Maneuver for Shoulder Dystocia Birth
McRoberts Maneuver for Shoulder Dystocia Birth Scott Stevens 3,829 Views • 2 years ago

McRoberts Maneuver for Shoulder Dystocia Birth

Pilonidal Cyst Removal with Laser
Pilonidal Cyst Removal with Laser Medical_Videos 10,294 Views • 2 years ago

Pilonidal Cyst Removal with Laser

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