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Drainage of a Submandibular Mouth Abscess

Alexandra J. Golby, MD, Director, Image-guided Neurosurgery at Brigham and Women’s Hospital, discusses technological advancements to improve the precision of surgery to remove brain tumors.

It’s estimated that each year nearly 80,000 people are diagnosed with primary brain tumors and 100,000 with metastatic brain tumors. Nearly everybody is at risk for developing a brain tumor. Brain tumors can affect people from childhood to the last years of their lives. Men are slightly more affected than women and the causes of most brain tumors are not known.

There are a number of unique challenges in treating brain tumors. One challenge is that primary tumors can have indistinct margins that are difficult to see. Another challenge is that the tissue around a brain tumor is uniquely important and may impact things like language, visual and motor function.

The AMIGO Suite, opened in 2011 at Brigham and Women’s Hospital, is the Advanced Multimodality Image Guided Operating Suite. It's an NIH-funded national center which was developed with the goal of translating technological advances into improvements in surgical and interventional care for patients. In the AMIGO Suite, there is an intraoperative MRI scanner which can be brought in and out of the operating room during surgery to help surgeons visualize a patient’s tumor better.

Image-guided surgery uses the information obtained from advanced imaging and translates that into the planning and execution of surgery by acquiring high resolution and specialty structural images of the brain and also functional images of the brain. These images can be registered to one another and then to the patient's head during surgery. This allows surgeons to pinpoint the location of the tumor as well as the areas that we would like to preserve, areas that serve critical brain functions are located.

One of the big challenges, even with image-guided surgery, is that as we perform the surgery, the configuration of the brain is changing, and we call that brain shift. And it's due to changes in the brain itself and also as we remove tissue, things are constantly shifting and moving. When we're talking about doing brain tumor surgery, a few millimeters of movement can be a big difference. How to measure and track brain shift is an important area of research and a number of technologies are being studied to understand how to measure brain shift during surgery.

The development of various intraoperative imaging technologies allows surgeons to provide the most accurate surgical treatment for each individual patient.

Learn more about precision brain surgery at Brigham and Women’s Hospital:
https://www.brighamandwomens.o....rg/neurosurgery/brai

Peripheral Vascular Examination OSCE - Clinical Skills - Dr Gill

In the cardiovascular examination, particularly in the case of an OSCE station, we conclude the examination often by stating that the examiner would want to perform:
- An ECG
- Check full blood count
- and "do a peripheral vascular examination

In this video, we demonstrate that oft-talked about, but comparatively less common examination.

Starting off, with the examination of the hands, the radial, brachial and carotid pulses. before moving down to assess for a AAA, checking the femoral and popliteal pulses, before wrapping up around the ankle with the posterior tibial and dorsalis pedis pulses

For completeness, the cardiovascular examination is demonstrated here
https://www.youtube.com/watch?v=ECs9O5zl6XQ&t=2s

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Watch that video to know the Premature Ejaculation Causes and Cures

he Allium Ureteral Stents are intended for temporary long or short-term use in malignant or benign chronic Ureteral Stenosis. Allium Ureteral Stents are mounted on a ready to use 8 or 10Fr delivery system. By using the appropriate delivery system their deployment procedure can be performed either retrogradely or percutaneously. Indicated for all chronic ureteral stricturesLarge caliber for intra-lumenal flowLong dwelling timeAntegrade or retrograde insertionEasy insertion and stent positioningExcellent patient comfortNo tissue in-growthAnti-reflux designEasy removal of the device

This video shows vaginal breech birth which is recommended to be delivered by C.Section in modern obstetrics

Product demonstration video for the Cardinal Health™ Laparoscopic Abdominal Drape (cat. no. 9438)

Distal Urethroplasty with Dorsal Dartos Flap

No-scalpel,no-needle vasectomy procedure performed by Dr. Neil Pollock M.D., Vancouver BC Canada.

Women experience unwanted changes in the size, shape, and position of their breasts over time due to certain life events. Fortunately, cosmetic surgery offers women the often life-changing opportunity to restore or achieve their figure through breast augmentation, breast lift, and other complementary procedures. With the multitude of treatment options available, it can often be difficult for patients to determine which procedure may be best suited to their individual needs, whether its breast augmentation or breast lifting. Let us understand the difference between Breast Lift and Breast Augmentation.

Breast lift is known as mastopexy surgery whereas breast augmentation is a mastopexy augmentation. Some women require breast augmentation and some need breast lifting. There are some who might need both breast lifting and breast augmentation. But it's confusing for patients to opt for these procedures.

Breast Augmentation In Sagging Breast Vs Normal Breast
There might be many issues regarding the size and shape of the female breasts. Let us understand what are their issues and what type of surgery they should opt for.
1. Breast Sagging
Causes of Breast sagging
- Post pregnancy
-Weight Loss
-Heavy size of the breast
Breast sagging can be corrected with the Breast Lift Surgery or Mastopexy. Breast lift surgery is designed specifically to improve the position of the breasts. Mastopexy removes and tightens excess tissue and repositions the nipple and areola to raise sagging breasts. In this surgery size of the breast is not changed.

2. Small breasts
Causes of Small Breast
-Post pregnancy
-Breast development at puberty.
If any woman has, small breast size then Breast Augmentation Surgery is performed in order to increase breast size.

Two types of Breast Augmentation Procedure
-Implants
-Fat Transfer

3. Breast sagging + Small Breasts
Mastopexy Augmentation Surgery is performed in this case as the breasts are lifted as well as their size is increased.

Patients should keep in mind that breast sagging does not require breast augmentation procedure as it will in turn lead to more sagging due to more fats.
The patients who want to undergo both the surgeries, of Breast Augmentation and Breast lifting, should discuss with their doctor whether they want to go for both the surgeries at the same time or maybe do it one by one.
All these three procedures are different, all three surgeries are done in a different way Also the scars are different for all three. The technique used during surgery is the lollipop scar technique.
A woman suffering from sagging need to undergo breast lifting surgery, a woman with small breast need to undergo breast augmentation and woman who has sagging breast, as well as small breast, need to undergo Mastopexy Augmentation Surgery.

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Pregnancy ultrasounds are performed mainly using transabdominal ultrasound. For many women, especially after 8 weeks gestation, sufficient information about the baby may be obtained with transabdominal ultrasound only. However, in the early pregnancy, the developing embryo is very small (at 6 weeks gestation, the baby is only 5-9mm long) and a transvaginal ultrasound may be required to get a better image of the baby. Transvaginal ultrasound is safe and commonly performed during all stages of pregnancy, including the first trimester. It will not harm you or your baby.

Neurosurgeon Sujit Prabhu, M.D., discusses what happens after surgery and how a patient recovers.

Learn more: http://www.mdanderson.org/educ....ation-and-research/d

Request an appointment at MD Anderson by calling 1-877-632-6789 or online: https://my.mdanderson.org/requestappointment

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Dr. Jeffrey Ojemann, director of epilepsy surgery at Seattle Children's Hospital, explains a cutting-edge treatment for epilepsy: minimally invasive MRI-guided laser ablation surgery. Laser ablation surgery is much safer and more precise than other treatments, with fewer side effects.

A special thanks to patient Keoni Giauque.

For more information, visit: http://www.seattlechildrens.or....g/clinics-programs/n

"One Last Look" music rights via RoyaltyFreeMusic.com

Watch that video to know what G spot is

A video showing the surgery of vaginal hysterectomy Operation

Level of fundus and exam