A vaginoplasty is a surgical procedure that tightens the vagina. This is done by removing excess vaginal lining and tightening the surrounding soft tissues and muscles. During delivery of a baby the vagina and surrounding tissues and muscles become stretched. After delivery the vagina may return to a more “normal” size, but it often fails to return to its’ pre pregnancy diameter. Generally, the more vaginal deliveries, the worse the condition gets. Many women will complain of decreased sensation and sexual satisfaction during intercourse. Commonly this is due to a lack of friction. Often their partner may notice a change although he may say nothing. Kegel exercises are often recommended but rarely succeed in restoring vaginal tightness.

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Barrett's esophagus is a complication of chronic (long lasting) and usually severe gastrointestinal reflux disease (GERD), but occurs in only a small percentage of patients with GERD. Criteria are needed for screening patients with GERD for Barrett's esophagus. Until validated criteria are available, it seems reasonable to do screening endoscopies in GERD patients who cannot be taken off acid suppression therapy after two to three years. The diagnosis of Barrett's esophagus rests upon seeing (at endoscopy) a pink esophageal lining that extends a short distance (usually less than 2.5 inches) up the esophagus from the gastroesophageal junction and finding intestinal type cells (goblet cells) on biopsy of the lining. There is a small but definite increased risk of cancer of the esophagus (adenocarcinoma) in patients with Barrett's esophagus.

Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (less extreme than mania), you may feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly. Episodes of mood swings may occur rarely or multiple times a year. While most people will experience some emotional symptoms between episodes, some may not experience any. Although bipolar disorder is a lifelong condition, you can manage your mood swings and other symptoms by following a treatment plan. In most cases, bipolar disorder is treated with medications and psychological counseling (psychotherapy).

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Finger metacarpophalangeal (MCP) joint collateral ligament sprains should not be overtreated. First-degree sprains may require a brief period of protection, usually consisting of buddy taping for 2-3 weeks. Second-degree sprains are immobilized in mid flexion for 3 weeks. Finger MCP joint hyperextension injuries may be treated by gently flexing the proximal phalanx and immobilizing the MCP joint in 30° of flexion for 2-3 weeks. A dorsal extension-block splint protects the healing volar plate while allowing active flexion of the finger. Early protected motion minimizes postinjury stiffness. Thumb MCP joint hyperextension injuries ("locked MCP joint") are immobilized in 20° MCP joint flexion for 3 weeks.

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Aumentar Gluteos, Como Hacer Crecer Los Gluteos En Una Semana, Eliminar Celulitis Gluteos.--- http://aumente-gluteos.plus101.com/ --- Para conseguir aumentar tu cola sin ejercicio, debes utilizar algunas cremas naturales caseras, sencillas y fáciles de preparar en la zona de tus glúteos, estas cremas le darán a tu cola una buena forma, firmeza y además una piel libre de manchas, estrías y celulitis. 1. Crema Con Omega 3, Vitamina E y Vitamina C Esta crema es bastante fácil de realizar y sumamente efectiva, solo necesitas tres capsulas de omega 3, dos de vitamina E y dos de vitamina C, los resultados se harán notar en cuestión de días. Con una aguja saca en contenido de cada una de las capsulas y mézclalas en un recipiente, una vez que estén bien mezcladas aplícala sobre tu cola dando masajes circulares que abarquen todo el trasero. Para mejores resultados envuelve la zona de tus glúteos en plástico y déjala actuar durante 30 minutos, luego retira el plástico, colócate un bóxer levanta cola y duerme con esta crema casera, por la mañana la puedes retirar con agua tibia y repetir este proceso todas las noches hasta que consigas los resultados que deseas. 2. Crema Con Aceite De Almendras, Pepino y Avena Esta crema es maravillosa, le dará a tu cola una atractiva apariencia, solo necesitas 3 cucharadas de aceite de almendras, un pepino pequeño y tres cucharadas de avena en hojuelas. El procedimiento es bastante sencillo, debes triturar muy bien el pepino, agregar la avena y luego el aceite de almendras, mezcla hasta que los ingredientes se compacten y listo. Aplica esta crema con suavidad sobre tu cola dando masajes de abajo hacia arriba para vencer los efectos de la gravedad, déjala actuar durante 45 minutos y retírala con agua fría, esta crema casera cuidará muy bien tu piel y le dará a tus glúteos una gran firmeza. 3. Vitamina C, Ciruelas y Aceite De Girasol Una crema divina que te dará una cola perfecta en poco tiempo, ayuda a regenerar la piel de la zona de tus glúteos, tonificándolos y moldeándolos, solo necesitas 3 capsulas de vitamina C, 5 ciruelas grandes y 3 cucharadas de aceite de girasol. Cientos de mujeres en todo el mundo están aumentando el tamaño de sus glúteos gracias a los conocimientos secretos de esta guía, Ingresa ya a: http://aumente-gluteos.plus101.com/

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Massive bone defects (>8 cm) will not unite without an additional intervention. They require a predictable, durable, and efficient method to regrow bone. The Ilizarov method of tension stress, or distraction osteogenesis, first involves a low-energy osteotomy1 - 5. The bone segments are then pulled apart, most often using an external device at a specific rate and rhythm (distraction phase), after which the newly formed bone (the regenerate) requires time for consolidation. The consolidation phase is variable and usually requires a substantially greater amount of time before the external device can be removed. Our technique of tibial bone transport over an intramedullary nail using cable and pulleys combines internal and external fixation, allowing the external fixator to be removed at the end of the distraction phase. This increases the efficiency of limb reconstruction and decreases the external-fixator-associated complications.