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How laser works in EVLT See more here: http://www.vasculab.com.br Laser em varizes
Alagille syndrome (AS) is an autosomal dominant disorder (OMIM 118450) associated with abnormalities of the liver, heart, skeleton, eye, and kidneys and a characteristic facial appearance. In 1973, Watson and Miller reported 9 cases of neonatal liver disease with familial pulmonary valvular stenosis.
The procedure of Suprapubic Cystostomy
Baby is born with 2 faces: 4 eyes,2 mouth orifices,2 noses, 2 ears
An ingrown toenail may be painful, but most you can treat at home. Here's how -- and when to call a doctor:
This is a very funny video from and episode of "House". you have to watch. It is hilarious
A Lecture Presented By Dr. Mostafa Yakoot, MD to THE INTERNATIONAL CONGRESS OF PED. HEPATOLOGY AND GASTROENTEROLOGY. September 2010
Mr. Dan underwent 5 suregries in a single go-Both sided hernias+both sided varicocoele and one hydrocoele.Our web site: http://www.desarda.com โComplete cure from groin hernia is now possible with Dr.Desarda's repair technique.......โ Mesh is a foreign body, a simple piece of cloth prepared from the synthetic threads. Therefore, its use in inguinal hernia repairs is known to cause all sorts of complications like pain, recurrence, infection etc. We have developed an innovative new technique of inguinal hernia repair without mesh. It uses your own body muscle for repair and gives virtually complete cure from inguinal hernia problem. An undetached strip of the external oblique aponeurosis is stitched on the weak area between the muscle arch and the inguinal ligament to form a new, strong and physiologically dynamic posterior wall that gives protection and prevents re-herniation. Normally patient goes home in a day after surgery and can drive car and go to office in 3-4 days time. This "Dr.Desarda's hernia repair" is now followed in many countries all over the world. We are surprised to see the enquiries from many patients in the developed countries asking for this repair in their country. This is because this operation does not use any foreign body like mesh for repair and therefore there are no complications that are seen in mesh repairs. A visit to Topix or other hernia forums show thousands of posts showing sufferings of many patients due to mesh repairs. But still why surgeons from developed countries are interested in mesh repairs is a big question for us. Please visit our website for more details: http://www.desarda.com or http://herniasurgery.tripod.com Our cell number: +91 9373322178
Overview of Coronary Artery Disease
Animation 3D
A 28 years old man lost his right arm with a conveyor device in 2014. The video is taken 2 years after replantation. You can see another videos in my site: https://drliaghatclinic.com, https://instagram.com/liaghatclinic, https://t.me/liaghatclinic
LIS Closed done at 5 O clock position, using Scalpel blade 15. After feeling the groove between internal and external anal sphincter, the blade is passed in and the lower 1/2 of Internal anal sphincter is cut. Remain below dentate line. If anal mucosa is accidently cut suture with 4-0 rapid vicryl. In event of bleeding, pinchcock for 5 minutes.
A very funny video showing the other non-bright side of being a doctor
Watch that Human Fat Body Medical Autopsy
Watch that Complete Chopped Hand Microvascular Re-implantation Surgery
Repair of an indirect inguinal hernia
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.
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ุงุฒุงูุฉ ุงูุดุนุฑ ุจุงูููุฒุฑ ุนูุงุฌ ุงููุงูุงุช ุงูุณูุฏุงุก ุชุฌู
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http://www.rhinoplastyspecialist.com This video will take you through Donnaโs experience with Revision Rhinoplasty Specialist Dr. Paul Nassif. Follow Donna as she goes through the process before, during and after surgery. Listen to what Donna has to say about Dr. Paul Nassif and his staff in regards to the overall operation. Patients seeking revision rhinoplasty have a number of concerns. The foremost is a poor aesthetic and functional result. Second is often the loss of trust in their first surgeon, and the third: will surgery help improve them or just cause more deformity. Dr. Nassif and his staff are well trained in helping patients overcome these fears. They are sensitive to the reluctance patients have over considering more surgery. The staff will help you feel at ease from the beginning; recognizing your courage to address the need for revision surgery and consider improving upon what was your less than ideal surgical result. Together we can work towards achieving our mutual goals of looking and breathing better. By choosing the right specialist for surgery, the goal is to improve the functional and aesthetic results from prior treatment. Dr. Nassif often states that revision rhinoplasty follows the architectural theme "form follows function." Noses that look pinched typically don't work well and vice versa. Improving nasal airflow usually has the consequence of also enhancing the appearance of the nose. Revision surgery is about restoring structure and strength. Finally, I will use the computer image as a goal in surgery. Often times, patients will bring photos (models, movie stars, etc.) of what they feel their nose should look like. My goal is to take what you have and make a moderate, and sometimes, significant difference in the appearance and function of your nose, creating an aesthetically pleasing, natural nose. Following surgery, the majority of patients have minimal pain. I will ask you to clean your incisions and the inside of your nose approximately twice a day. You will be instructed to spray salt water (saline) into your nose with a spray bottle and a baby bulb syringe. Your cast and the stitches will be removed in one week (assuming that you are having an open revision rhinoplasty). For the second week, your nose will be taped. Following the second week, if needed, I will instruct you on how to tape your nose nightly to help reduce the swelling. The most important attribute that you, the patient, can possess following revision nasal surgery is PATIENCE. It may well take one year for the swelling to completely resolve. I can promise you that I will do the best job possible to improve the health of your nose and your spirit. http://www.rhinoplastyspecialist.com 120 S. Spalding Drive Suite 315 Beverly Hills, CA 90212 Tel: (310)-275-2467