Transoral Access in Endoscopic Thyroid Surgery Background: The number of patients demanding endoscopic neck surgery is rising. The access trauma of the axillary, breast and chest approaches is bigger than in open or video assisted surgery. We tested the feasibility of he sublingual transoral access which is in our opinion the only real minimally...-invasive extracollar endoscopic access to the thyroid gland Methods: We performed an experimental investigation in a porcine model. In 10 pigs we made 10 endoscopic transoral thyroidectomys with a modified axilloscope with the help of ultrasonic scissors and a neuro-monitoring system for identification of the recurrent laryngeal nerve. Results: The average operation time from the introduction to the removal of the obturator just above the larynx was 57 seconds. The mean operation time was 43 minutes. With the help of the neuro-monitoring system we proved in all cases the function of the recurrent laryngeal nerve on both sides. The pigs were observed for another two hours after operation. During and after the operation no complications appeared. Conclusions: We could show that the endoscopic transoral thyroid resection in pigs is possible and save. Our results might be useful for using this access for endoscopic thyroid resection in humans.

Can bile duct injuries be prevented? A new technique in laparoscopic cholecystectomy

Over the last decade, laparoscopic cholecystectomy has gained worldwide acceptance and considered to be as "gold standard" in the surgical management of symptomatic cholecystolithiasis. However, the incidence of bile duct injury in laparoscopic cholecystectomy is still two times greater ...compared to classic open surgery. The development of bile duct injury may result in biliary cirrhosis and increase in mortality rates. The mostly blamed causitive factor is the misidentification of the anatomy, especially by a surgeon who is at the beginning of his learning curve. Biliary tree injuries may be decreased by direct coloration of the cystic duct, ductus choledochus and even the gall bladder. Methods gall bladder fundus was punctured by Veress needle and all the bile was aspirated. The same amount of fifty percent methylene blue diluted by saline solution was injected into the gall bladder for coloration of biliary tree. The dissection of Calot triangle was much more safely performed after obtention of coloration of the gall bladder, cystic duct and choledocus. Results Between October 2003 and December 2004, overall 46 patients (of which 9 males) with a mean age of 47 (between 24 and 74) underwent laparoscopic cholecystectomy with methylene blue injection technique. The diagnosis of chronic cholecystitis (the thickness of the gall bladder wall was normal) confirmed by pre-operative abdominal ultrasonography in all patients. The diameters of the stones were greater than 1 centimeter in 32 patients and calcula of various sizes being smaller than 1 cm. were documented in 13 cases. One patient was operated for gall bladder polyp (our first case). Successful coloration of the gall bladder, cystic duct and ductus choledochus was possible in 43 patients, whereas only the gall bladder and proximal cystic duct were visualised in 3 cases. In these cases, ductus choledochus visibility was not possible. None of the patients developed bile duct injury. Conclusion The number of bile duct injuries related to anatomic misidentification can be decreased and even vanished by using intraoperative methylene blue injection technique into the gall bladder fundus intraoperatively.

We will present technique of lifting a corneal flap, 10 months post IntraLASIK surgery, after epithelial nest. The nest changed in size and started to grow. The technique is minimal invasive and included partial flap lifting.

To present a new device for fixating the fibro-optic probe during phacoemulsification

Voice annotated arthroscopic surgery on the right shoulder to perform a subacromial decompression.
Surgery was performed by Dr. Lamont Cardo

The video will describe anatomial structures in a thoracic cavity as seen on a CT scan. Please see my website for disclaimer.

Walk through your mouth with Intra Oral Technology and see the unseen! Most of us can't really see what is going on in our mouths because it is a very small, and shadowed area. What we don't know is that many situations and conditions in the mouth and painless and not always visible to the naked eye.

The Intra Oral Camera is a fascinating innovation in dentistry that allows the client and our clinicians to look deep into the mouth and observe the teeth at a very close angle. This wand like camera which transfers images to a television, can see so close to a tooth that it can see mini fractures, chips, secondary decay, wear down of the teeth, damaged and broken fillings and crowns and even gum disease. At Yaletown we believe that people can decide what is best for their own health. The Intra Oral Camera is a wonderful educational tool for clients so they can learn about their mouths to help them on their journey to overall dental wellness.

This is a new device from Concentric medical that is an alternative to tPA in the treatment of ischemic stroke. It has a 6 hour window for use, whereas systemic tPA has a 3 hour window. This device has been approved by the FDA.

An Echocardiography showing an Acute Pulmonary Embolism

Laparoscopic Appendectomy in a Male Patient. Onset of Symptoms 12 hr ago. The Patient was taken to the OP Theater immediately after clinical evaluation and discharged less than 24 hr after the procedure.

In this video Erin K, a tubal reversal patient, explains the symptoms she experienced while suffering from Post Tubal Ligation Syndrome (PTLS). After having tubal reversal surgery her symptoms were relieved. Although numerous women suffer from adverse symptoms after having a tubal ligation, many physicians do not believe PTLS exists. In an ongoing study of over 300 patients reporting Post Tubal Ligation symptoms more than 90% have found relief after tubal reversal at Chapel Hill Tubal Reversal Center.

laparoscopic anterior resection

A man gets a face transplant from a Hollywood Exec and it's caught on tape by the people of Boston Med on ABC

This is a minimally invasive surgical technique using an endoscope to remove any type of lumbar disc herniation - prolapsed, sequestrated or migrating discs. This technique does not employ any specialist instruments.The procedure involves two 5 mm portals employed beside the midline at the appropriate level of disc prolapse and the approach is interlaminar. The success rate of this technique in my hands is more than 90%

Piles Treatment
contact : drjamil79@yahoo.com
Rubber band application around the pile is a pain free procedure.Patient is put to sleep for a few minutes and can go home after a few hours.In this procedure anal fissure was also treated with the transparent anoscope that comes with the PPH gun set.
Piles Treatment piles: HAL Hemorrhoidal Artery Ligation new fast and painless treatment of haemorrhoids dr jamil ahmad hashmi -PainlessRubber band application around the pile is pain free procedure.Patient put to sleep for few minutes can go home after hours.In this procedure anal fissure was also treated with transparent anoscope that comes PPH gun set. Category: health

Thai Medical Vacation is the largest medical tours facilitator in Asia. Solutions include Plastic surgery in Thailand,Knee and hip replacements in Thailand,fertility solutions Thailand,cancer therapy in Thailand and stem cell treatments in Thailand, dentistry abroad,and traditional chinese and thai treatments along with orthopedic joint treatments in Thailand

TMJ Surgery Temboro mandibular Joint HD

Histology of Lung

The Role and Function of Nursing

Surgical Mask How To Wear