Sunday, April 15, 2012

Hernia Repair Surgery with mesh video



The hernia means a protrusion of a body tissue through a wall of a cavity due to weakness in the abdominal wall.
The peritoneum protrudes through the opening and this defect causes a bulging of the abdominal wall.
See this video about hernial repair with mesh:

The patient with abdominal hernia complain of pain ,tenderness and swelling in the abdomen in the groin area.

The different types of abdominal hernias are:

Epigastric, umbilical, incisional, lumbar, internal, inguinal, hiatal, and Spigelian hernias

This video explain Direct and Indirect scrotal hernia

 


And this is educational Hernia Repair Inguinal:

We hope that topic interesting 
Regards


Friday, April 6, 2012

Lower Leg Amputation Surgery (Amputated Leg) video



Amputation is acut or removal of apart of a body extremity by trauma, prolonged constriction, or surgery. As a surgical measure,Amputation is still often viewed as a failure of treatment , it is aimed to control pain or a disease process in the affected limb or extremity, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventative surgery for such problems. A special case is that of congenital amputation, a congenital disorder, where fetal limbs have been cut off by constrictive bands. In some countries, amputation of the hands, feet or other body parts is or was used as a form of punishment for people who committed crimes. Amputation has also been used as a tactic in war and acts of terrorism; it may also occur as a war injury. In some cultures and religions, minor amputations or mutilations are considered a ritual accomplishment. Unlike some non-mammalian animals (such as lizards that shed their tails, salamanders that can regrow many missing body parts, and hydras, flatworms, and starfish that can regrow entire bodies from small fragments), once removed, human extremities do not grow back, unlike portions of some organs, such as the liver. A transplant or a prosthesis are the only options for recovering the loss.
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 Contraindications:
 The decision to perform an amputation often comes after all other options have been exhausted. It is a final decision that cannot be reversed once initiated. The only contraindication to amputation is poor health that impairs the patient's ability to tolerate anesthesia and surgery. However, the diseased limb is often at the center of the patient's illness, leading to a compromised medical status. The removal of the diseased limb is necessary to eliminate systemic toxins and save the patient's life. 
SEE THIS SAMPLE VIDEO:

Indications:

Although safer equipment exists and improvements in limb salvage surgery have been made, traumatic limb loss continues to occur because of industrial and motor vehicle accidents. These accidents involve high-grade open fractures with associated nerve injury, soft tissue loss, and ischemia and unreconstructable neurovascular injury. In this setting, limb salvage may initially be successful, only to end in an infected painful extremity that affects the patient's activities of daily living and work. Attempts at limb salvage are often made with less-than-favorable results, leaving the patient with an extremity that is less functional than a prosthesis would be and resulting in workdays lost and expense in treatment. 


The goal in treating malignant bone tumors is to remove the lesion with the lowest risk of recurrence. Limb salvage surgery has replaced amputation as the primary treatment for bone tumors. To recommend limb salvage, the risk of local recurrence must be equal to that of amputation, and the salvaged limb must be functional.
Congenital absence and limb malformations account for a small percentage of amputations. These situations are evaluated on an individual basis because these limbs are often functional and amenable to orthotic management or limb reconstruction. When considering amputation, a higher and more functional level than the patient's current level should be obtainable.
Whatever the indication for amputation, the goal remains length preservation and surgical reconstruction that maintains the most functional limb possible. 

Thursday, March 15, 2012

Clinical examination Thyroid examination video



Thyroid gland is situated in front of the neck and it responsible of secretion of thyroid hormone.
thyroid gland stimulated by pitutary gland by TSH (Thyroid stimulating hormone)and FT3 and FT4.
SEE this video


 This is anather video to explain how you can examine the thyroid gland
see this video
Enjoy with us

Friday, February 17, 2012

Forceps in Childbirth (delivery) video

Forceps are a surgical instrument that like a pair of tongs and used in surgery for grabbing,delivary, maneuvering, or removing various things within or from the body. used also to assist the delivery of a baby as an alternative to the ventouse method
and the video you will see explain how it used in delivery






Technique

The cervix must be fully dilated and retracted and the membranes ruptured. The urinary bladder should be empty, perhaps with the use of a catheter. High forceps are never indicated in this era. Mid forceps can occasionally be indicated but require operator skill and caution. The station of the head must be at least +2 in the lower birth canal. The woman is placed on her back, usually with the aid of stirrups or assistants to support her legs. A mild local or general anesthetic is administered (unless an epidural anesthesia has been given) for adequate pain control. Ascertaining the precise position of the fetal head is paramount, and though historically was accomplished by feeling the fetal skull suture lines and fontanelles, in the modern era, confirmation with ultrasound is essentially mandatory. At this point, the two blades of the forceps are individually inserted, the posterior blade first, then locked. The position on the baby's head is checked. The fetal head is then rotated to the occiput anterior position if it is not already in that position. An episiotomy may be performed if necessary. The baby is then delivered with gentle (maximum 30 lbf or 130 Newton[6]) traction in the axis of the pelvis


we hope that is good for you and we wait your comment
see you later with anather new videos

Friday, November 25, 2011

Abdominal Aorta Palpation Video



We report seven cases of dissection of the abdominal aorta. Three patients had acute back pain, whereas four patients had more chronic courses. In six cases, as a result of the palpation of a pulsatile abdominal mass,
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clinical diagnosis was an atheromatous aneurysm. Angiography and CT scanning demonstrated a dissected abdominal aorta and a normal thoracic aorta. Six patients with an infrarenal dissection were treated by replacement of the aorta with a Dacron prothesis, and one patient with an suprarenal dissection was treated conservatively. With a mean follow-up of 3 years, all patients were alive and free of symptoms. These results favor graft replacement in case of infrarenal aortic dissection and more selective surgical indications in suprarenal aortic dissection.


 In the concrete assay of belly aortic aneurysm (AAA), the alone action of approved amount is belly palpation to ascertain aberrant addition of the aortic pulsation. Palpation of AAA appears to be safe and has not been appear to accelerate rupture. The best affirmation on the accurateness of belly palpation comes from 15 studies of patients not ahead accepted to accept AAA who were buried with both belly palpation and ultrasound. When after-effects from these studies are pooled, the acuteness of belly palpation increases decidedly with AAA bore (P<.001), alignment from 29% for AAAs of 3.0 to 3.9 cm to 50% for AAAs of 4.0 to 4.9 cm and 76% for AAAs of 5.0 cm or greater. Absolute and abrogating likelihood ratios with 95% aplomb intervals (CIs) application a blow point for AAAs of 3.0 cm or greater are 12.0 (95% CI, 7.4-19.5) and 0.72 (95% CI, 0.65-0.81), respectively, and for AAAs of 4.0 cm or greater are 15.6 (95% CI, 8.6-28.5) and 0.51 (95% CI, 0.38-0.67). The absolute predictive amount of palpation for AAA of 3.0 cm or greater in these studies was 43%. Limited abstracts advance that belly blubber decreases the acuteness of palpation. Belly palpation accurately directed at barometer aortic amplitude has abstinent acuteness for audition an AAA that would be ample abundant to be referred for anaplasty but cannot be relied on to exclude AAA, abnormally if breach is a possibility.

Total Abdominal Hysterectomy



http://www.mayoclinic.com/images/image_popup/thumbs/w7_abdominal_incisionthu.jpg
Abdominal hysterectomy is a surgical action that removes your uterus through an cavity in your lower abdomen. Your uterus — or abyss — is area a babyish grows if you're pregnant. Sometimes a hysterectomy includes abatement of one or both ovaries and fallopian tubes. Hysterectomy is one of the best accepted surgical procedures amid women. 

Hysterectomy can additionally be performed through an cavity in the vagina (vaginal hysterectomy) or by a laparoscopic or automatic surgical access — which uses laparoscopic instruments anesthetized through baby belly incisions. Belly hysterectomy may be recommended over added surgical approaches if you accept a ample uterus or if your doctor wants to analysis added pelvic organs for signs of disease. 


Lasik Surgery - 3D Medical Animation Video



What is LASIK?
The eye and eyes errorsThe genitalia of the eye. Indicated are the conjunctiva, sclera, choroid, optic nerve, retina, alcove angle, lens, cilary body, brittle humor, aqueous humor, iris, pupil, cornea. 
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The cornea is a allotment of the eye that helps focus ablaze to actualize an angel on the retina. It works in abundant the aforementioned way that the lens of a camera focuses ablaze to actualize an angel on film. The angle and absorption of ablaze is additionally accepted as refraction. Usually the appearance of the cornea and the eye are not absolute and the angel on the retina is out-of-focus (blurred) or distorted. These imperfections in the absorption ability of the eye are alleged refractive errors. There are three primary types of refractive errors: myopia, hyperopia and astigmatism. Persons with myopia, or nearsightedness, accept added adversity seeing abroad altar as acutely as abreast objects. Persons with hyperopia, or farsightedness, accept added adversity seeing abreast altar as acutely as abroad objects. Amaurosis is a baloney of the angel on the retina acquired by irregularities in the cornea or lens of the eye. Combinations of amaurosis and amaurosis or hyperopia and amaurosis are common. Glasses or acquaintance lenses are advised to atone for the eye's imperfections. Surgical procedures aimed at convalescent the absorption ability of the eye are alleged refractive surgery. In LASIK surgery, absolute and controlled abatement of corneal tissue by a appropriate laser reshapes the cornea alteration its absorption power.
Other types of refractive surgery
Radial Keratotomy or RK and Photorefractive Keratectomy or PRK are added refractive surgeries acclimated to adapt the cornea. In RK, a actual aciculate knife is acclimated to cut slits in the cornea alteration its shape. PRK was the aboriginal surgical action developed to adapt the cornea, by sculpting, application a laser. Later, LASIK was developed. The aforementioned blazon of laser is acclimated for LASIK and PRK. Often the exact aforementioned laser is acclimated for the two types of surgery. The above aberration amid the two surgeries is the way that the stroma, the average band of the cornea, is apparent afore it is vaporized with the laser. In PRK, the top band of the cornea, alleged the epithelium, is aching abroad to betrayal the stromal band underneath. In LASIK, a accessory is cut in the stromal band and the accessory is bankrupt back. 

Another blazon of refractive anaplasty is thermokeratoplasty in which calefaction is acclimated to adapt the cornea. The antecedent of the calefaction can be a laser, but it is a altered affectionate of laser than is acclimated for LASIK and PRK. Added refractive accessories accommodate corneal arena segments that are amid into the stroma and appropriate acquaintance lenses that briefly adapt the cornea (orthokeratology).


 
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