ویدیوهای برتر
A laparoscopic view of the diaphragmatic hernia
Lembert Pattern Suture
Aortic Valve-Sparing Operation in a Patient with Aortic Root Aneurysm using a new Prosthesis for Anatomical Reconstruction of the Sinuses of Valsalva
A 49-year old female patient complainig of cough. X-ray and chest CTscan showed a 2.5cm nodule in the left upper lobe. Transthoracic biopsy was consistent with adenocarcinoma. PET-Scan and CT Scan showed no mediastinal disease. The procedure was performed through three incisions.
Laparoscopy in acute bowel obstruction following previous surgery is a difficult procedure and avoided by most of the surgeons due to the difficulty in obtaining pneumoperitoneum, port placement, lack of working space, adhesions and risk of bowel injury.
Here is a patient who had a previous laparotomy for trauma with a midline incision from xyphysternum to pubis; after unsuccessful conservative management he underwent a laparoscopy; a prior CT scan showed adhesions in the left side and a distal-mid small bowel obstruction. The pneumoperitoneum was obtained with the Visiport placed in the right lower quadrant; although the abdomen was grossly distended, under significant tension and distended loops of small bowel were occupying most the peritoneal cavity, with muscle relaxation there is usually enough space to perform a thorough inspection of the abdominal cavity. Port placement has to be done with special care as there is no room to push and usually a blunt trocar directed away from the bowel is employed in my practice. The collapsed loops of small bowel point quickly to the site of obstruction -- it is better to avoid manipulating the distended bowel as it is heavy, oedematous and prone to be lacerated with the instruments; once the pathology is identified, in this case the obstructive band, light packing is performed in order to expose the working space and protect the bowel from instruments like scissors or diathermy. In this case the band adhesion was slightly more difficult to separate from the bowel and required a combination of sharp and gentle blunt dissection.
Once the obstruction is release and the transit of contents is confirmed in the collapsed bowel the procedure is terminated. No abdominal drainage is usually necessary.
Needle Insertion Transversus Abdominus Block
Conjoined twins Alex and Angel Mendoza from Phoenix, Ariz. were successfully separated after more than 12 hours in surgery, reports Dr. Debbye Turner Bell.
Dr. Schreiber at Harper University Hospital pioneers a new minimally invasive treatment to prevent stroke in patients with carotid artery disease. ~ Detroit Medical Center
"Targeted" radiation therapy goes right to the problem, not throughout your system. Moreover, discomfort is minimal. ~ Detroit Medical Center
After losing control of his entire right side from a massive stroke, a teenager overcomes a long, difficult, and uncertain recovery with courage, grit, and determination. ~ Detroit Medical Center
DMC Plastic Surgeon Doctor Bruce Chau uses minimally invasive surgery called Liposelection to ultrasonically "melt" fat and remove it, resulting in smoother, younger-looking skin and body. Watch as one patient feels transformed through a procedure to revitalize her breasts and her outlook. ~ Detroit Medical Center
A discussion and demonstration of suturing techniques with Lee Dresang, MD from the University of Wisconsin Department of Family Medicine
Prosthetic PHS repair placed on anterior way (low access)
Detroit Medical Center video on Bariatric surgery for diabetes patients. ~ Detroit Medical Center
Arterial line insertion usually involves cannulation of the radial artery with a 20 gauge catheter for the purposes of beat-by-beat blood pressure monitoring all along with arterial blood gas monitoring.
Quick Cranial Nerve Assessment
Bunion Correction with Scarf Akin Procedure
Video demonstrates the action of the isolated lumbar multifidis muscle
Conjoined Twins
