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Daniel Klaristenfeld, MD's poster, American College of Surgeons, Annual Clinical Congress, 2013, examining the outcomes of laparoscopic colorectal surgery
Appendicitis | Laparoscopic Appendecectomy
APPENDICITIS is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen. The appendix doesn’t seem to have a specific purpose. Appendicitis causes pain in lower right abdomen. However, in most people, pain begins around the navel and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes severe. Although anyone can develop appendicitis, most often it occurs in people between the ages of 10 and 30. Standard treatment is surgical removal of the appendix.
Symptoms Signs and symptoms of appendicitis may include:
• Sudden pain that begins on the right side of the lower abdomen Sudden pain that begins around your navel and often shifts to your lower right abdomen
• Pain that worsens if you cough, walk or make other jarring movements
• Nausea and vomiting
• Loss of appetite
• Low-grade fever that may worsen as the illness progresses
• Constipation or diarrhea
• Abdominal bloating Causes A blockage in the lining of the appendix that results in infection is the likely cause of appendicitis.
The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated promptly, the appendix can rupture.
Complications:
Appendicitis can cause serious complications, such as:
A ruptured appendix. A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity.
A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess). In most cases, a surgeon drains the abscess by placing a tube through your abdominal wall into the abscess. The tube is left in place for two weeks, and you’re given antibiotics to clear the infection. Once the infection is clear, you’ll have surgery to remove the appendix. In some cases, the abscess is drained, and the appendix is removed immediately.
Diagnosis
To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and examine your abdomen. Tests and procedures used to diagnose appendicitis include: Physical exam to assess your pain. Your doctor may apply gentle pressure on the painful area. When the pressure is suddenly released, appendicitis pain will often feel worse, signaling that the adjacent peritoneum is inflamed. Your doctor also may look for abdominal rigidity and a tendency for you to stiffen your abdominal muscles in response to pressure over the inflamed appendix (guarding).
Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection.
Urine test. Your doctor may want you to have a urinalysis to make sure that a urinary tract infection or a kidney stone isn’t causing your pain.
Imaging tests. Your doctor may also recommend an abdominal X-ray, an abdominal ultrasound or a computerized tomography (CT) scan to help confirm appendicitis or find other causes for your pain.
OT Images Of Surgery By Laparoscopy
Treatment
Appendicitis Treatment usually involves surgery to remove the inflamed appendix. Before surgery you may be given a dose of antibiotics to prevent infection. Surgery to remove the appendix (appendectomy) Appendectomy can be performed as open surgery using one abdominal incision about 2 to 4 inches (5 to 10 centimetres) long (laparotomy).
LAPAROSCOPIC APPENDECECTOMY , surgery can be done through a few small abdominal incisions During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix. In general, laparoscopic surgery allows you to RECOVER FASTER and heal with LESS PAIN and scarring. It may be better for people who are elderly or obese. But laparoscopic surgery isn’t appropriate for everyone. If your appendix has ruptured and infection has spread beyond the appendix or you have an abscess, you may need an open appendectomy, which allows your surgeon to clean the abdominal cavity.
This amputation was the ultimate result of a poorly controlled diabetes mellitus. The initial injury was the cause of stepping on a small piece of broken glass. This led to an aggressive necrotizing faciaitis and multiple surgeries, from below the knee amputation to above knee amputation with multiple revisions.
Dr. Nir Hus MD., PhD.
@NirHus
Otto is REALLY good at removing squeakers from toys. If he doesn't do it the moment he gets his little paws on a new one, it will happen. It's just a matter of when.
Last night a friend came by for dinner. As it was raining all day and he'd been stuck indoors with his dog, Jake, he brought Jake along for some R&R with Otto.
After much trading of toys, guarding of bones, and competing for chewies Otto normally ignores, my friend and Jake left. They left behind a small red squeaking ball. Otto of course found it.
This afternoon Otto ran about the house squeaking it constantly. This evening, when I went to throw it for him, the squeaker no longer squeaked. It just rattles around inside the ball, a dead piece of plastic.
Somehow Otto managed to disable the squeaker without the usual shredding and left over body parts. A sort of laparoscopic squeakectomy. I've called him the surgeon before when he's dismembered some stuffed critter; I guess he's upgraded his skills.
365-48
Endometriosis cysts :- Your endometrium is the covering of your uterus. Once in a while, for reasons that specialists don't totally comprehend, this sort of tissue can begin to fill in different spots like your fallopian cylinders, bladder, or peritoneum (covering of pelvis and midsection). In the event that that occurs, specialists call it endometriosis.
On the off chance that the tissue gets to your ovaries, a growth structures. That is an endometrial growth, otherwise called an endometrioma. One sort of growth can frame on the ovaries.
You could have just one, or you could have a sore on every one of your ovaries. While they're frequently little (under 2 inches), these growths can develop as large as 8 crawls across.
The most widely recognized indication of endometriosis is torment in your lower midsection that doesn't disappear. It can deteriorate previously and during your period. You may likewise have exceptionally substantial dying. Agony during sex is probable.
A few ladies who have an endometrial sore believe sore or notice pressure. Others don't have any side effects whatsoever. You may not realize you have a growth until your PCP feels it during a pelvic test or sees it on ultrasound.
Your primary care physician will converse with you, pay attention to your indications, and get some information about any torment you have. During a pelvic test, they'll press on regions in your stomach. They might have the option to feel a pimple thusly.
Your primary care physician will presumably need to do an imaging test to see inside your body. One way is with a ultrasound. It utilizes sound waves to make an image. Attractive reverberation imaging (MRI) gives a more nitty gritty perspective on your ovaries. It utilizes an amazing attractive field.
Your primary care physician may likewise do a blood test to check for malignant growth, check whether you're pregnant, or then again in case there's a disease.
One more approach to check for an endometrial sore is through a laparoscopy. During this outpatient medical procedure, your PCP will make a small entry point (cut) in your tummy catch and addition a slight camera. This permits your her to perceive any sores very close, survey their size, and choose how best to treat them.
Bloom hospital is best the pediatric surgeon in chennai.we are providing the minor and major procedures performed are listed like circumcision, colostomy, hydrocele repair, Laparoscopy. If you want more information visit this website www.bloomchennai.com/pediatric-surgery-in-chennai.php
Well, sort of. This is my 12 year old son testing out the daVinci surgical robot by Intuitive Surgical. The surgeon manipulates the robot remotely. The use of this robot allows the surgeon much more precision.
I think I have a surgeon in the making.
This was taken with my Canon G9 handheld with available lighting.
Here's actual video of the robot being used during surgery: www.youtube.com/watch?v=JQ072FJne3Y&feature=related
Hydrosalpinx is the name for a condition in which a woman’s fallopian tube becomes blocked with fluid.
There are different causes for this condition and symptoms can vary depending on the individual. Some women do not experience any symptoms, but hydrosalpinx can have a severe impact on fertility.
Symptoms of hydrosalpinx include:
abdominal and pelvic pain
unusual vaginal discharge
Diagnosis
Hydrosalpinx is characterized by one or both fallopian tubes being filled with water.
A doctor can diagnose hydrosalpinx using several methods. These include:
An ultrasound: This is one way of looking for hydrosalpinx, but is not as effective.
Hysterosalpingogram (HSG): This is a type of X-ray that can display tubal blockages. A special dye visible to the X-ray is introduced through the vagina and cervix.
Laparoscopy: Also known as keyhole surgery, a laparoscopy is a surgical procedure where small incisions are made in the abdomen, and a camera is inserted. This allows a surgeon to see the organs and remove fluid or other issues.
A diagnostic laparoscopy can also determine whether there is another issue that may be causing infertility, such as endometriosis.
A surgeon will perform a hysterectomy through the vagina, a large incision in the abdomen, or laparoscopy. You can either have a total hysterectomy, a supracervical hysterectomy, or a radical hysterectomy. During the procedure, the surgeon will remove your fibroids by removing your entire uterus. The great part about a hysterectomy is that your fibroids can’t come back, but this procedure has the longest recovery time and poses the highest surgical risk.
The interventional radiologist will then numb your upper thigh, make a small incision, and insert a tiny catheter. A real-time x-ray called fluoroscopy helps guide the catheter into the uterine artery that supplies blood to fibroids.
The 6 inch scar, 5 months on, looking quite different to the initial pictures. It still feel tight and gets tender and often hurts inside but it has healed a huge amount. Just below the scar, in the middle, you can just about see another tiny scar, in the shape of a "dividing" sign. That's from the two laparoscopies I had before this surgery, one 2 years ago and one 6 years ago.
Wild elephant bull, Loxodonta africana, being made ready for vasectomy operation in bush by the Elephant Population Management Program team. Private game reserve in Limpopo, South Africa
A New Era of Surgical Innovation.
Vancouver General Hospital Establishes a Robot-Assisted Laparoscopy Program
In July of 2005, H. Krueger & Associates Inc. created a five-year business plan for Dr. Larry Goldenberg analyzing the cost-effectiveness of initiating a robot-assisted laparoscopy program in Vancouver Coastal Health. The plan concluded that a high-precision surgical robot, such as the da Vinci Robot, would be worth the high initial expenses because of its unique overall benefits. The da Vinci robot allows surgeons to operate inside difficult areas of the body such as the pelvis and chest, using smaller incisions and resulting in greater accuracy in procedures where meticulous precision is required. The surgical benefits to the patient are less blood loss, less pain and trauma, faster recoveries and shorter hospital stays.
Due to generous private donations from Jack Poole and Jim Pattison. the robot arrived at Vancouver General Hospital September 8, 2007. Jack Poole, the chairman of Vanoc, is a prostate cancer survivor himself and agreed to donate $3 million towards the initial costs of the surgical robot on the amusing condition that the robot be named “Jack”. A $1.5 million donation from Jim Pattison along with smaller private donations and some fund raising will round out the $6 million required to bring “Jack” to VGH.
After it’s arrival, VGH will be the third hospital in the country to have such a robot. H. Krueger & Associates Inc. is pleased to have been an integral part in this advancement of BC’s medical endeavors.
Evening before surgery: Waiting for the mag citrate to work...
(because of my history with abdominal adhesions and implants my dr wanted to make sure my bowels were empty before operating tomorrow, to reduce the risk of fatal complications. I don't like the thought of pooping myself half to death tonight, and I REALLY don't like the taste of the laxative, but I absolutely don't want her to have an increased risk of nicking my bowel and killing me :P ... so yeah :P )...
✌Went in for my second opinion last Saturday and the new doctor is a million times better than the first. She had the same recommendation: hysterectomy, but she spent about an hour with me explaining why, and doing another exam & ultrasound to make sure she knew what was going on.
✂️ Because I have several complications, she was leaning towards having to do the abdominal incision (instead of laparoscopic surgery), and she had me come back yesterday for a biopsy (not fun) to make sure there are no signs of cancer.
After the procedure yesterday she feels more confident that laparoscopy will be possible & that the results will be benign. But the actual pathology report comes back on Sat.
Until then: no lifting, no competing, try to rest & recover from the biopsy and all the stress.
I kinda lost my 💩 during training this past Monday when it all hit me (swipe to see that look). But I’m slowly starting to get my brain around it.
➡️ Surgery sucks, but this is a relatively common one, and I feel much more confident & supported by this doctor.
➡️ Missing this meet sucks, but it’s just one, there will be more.
➡️ Time off lifting sucks, but I’m grateful this was caught now before it got any worse.
One day at a time!
#xxfitness #powerlifter #girlswhopowerlift #gwpl #deadlift #masters1 #mastersathlete #womenwhopowerlift #fitover40 #squat #bench #powerliftingwomen #thisisfemalepowerlifting #thaipowerlifting #powerlifting #rpowerlifting #unifiedstrengthmethods #oldladygains #masterslifting #femaleathlete #femalepowerlifter
Photo showing Frank Kolkmann (DE), who won an Award of Distinction at the Prix Ars Electronica 2016 for his work OpenSurgery - a do-it-yourself surgery robot for domestic laparoscopy.
credit: Juuke Schoorl
Dr. Rabi Satpathy is one of the Best Gynecologist of Bhubaneswar, Odisha. He is considered to be one of the top Gynecologist, Infertility Consultant, Laparoscopy surgeon of Bhubaneswar, Odisha.
He has pioneered in the treatment of gynecological Laparoscopy, hysteroscopy, infertility treatment, fibroid management, pcos/ pcod, abnormal uterine bleeding, sexual dysfunction, intimacy issues, uterine prolapse & cosmetic gynecology.
In this photo, provided by Dr. Layyous, we have a laparoscopic view of one of the ovaries and the Fallopian tube. These anatomical structures are an important part of female anatomy necessary for fertility and conception. Laparoscopy is a type of surgical procedure in which a small incision is made, usually via the navel, through which a viewing tube (laparoscope) is inserted. This access allows doctors to examine abdominal and pelvic organs on a monitor. Other small incisions can then be made to insert instruments or to perform surgical procedures.
The pancreas is in the upper abdomen and lies behind the stomach and intestines (guts).
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Dr. Rabi Satpathy is one of the Best Gynecologist of Bhubaneswar, Odisha.
He is considered to be one of the top Gynecologist, Infertility Consultant, Laparoscopy surgeon of Bhubaneswar, Odisha.
He has pioneered in the treatment of gynecological Laparoscopy, hysteroscopy, infertility treatment, fibroid management, pcos/ pcod, abnormal uterine bleeding, sexual dysfunction, intimacy issues, uterine prolapse & cosmetic gynecology.
Dr. Rabi Narayan Satpathy is currently regarded as the first cosmetic gynecologist of odisha. All types of Gynec diseases being treated by him along with all gynec surgeries including Hymenoplasty in bhubaneswar. He practised only at Ashu Skin Care, Bhubaneswar.'
Dr Rabi Satpathy is a senior obstetrician and a gynaecologist Laparoscopy Surgeon, Infertility Specialist & Cosmetic Gynec surgeon par excellence With 20 years of expertise in the field of obstetrics and gynaecology in Bhubaneswar, Odisha.
Understanding Infertility - The Basics It is safe to say that you are attempting to have an infant yet pregnancy simply isn't occurring? You may think about whether you or your accomplice has a therapeutic issue that you have to look at. Take a couple of minutes to realize what barrenness implies and what can cause it. At that point converse with your specialist to discover what your subsequent stages ought to be. Ela Suggest Best Centre Rosalind Chongs Clinic for Women and Specialists call it fruitlessness when you don't get pregnant following a time of standard sex without utilizing anti-conception medication. In case you're a lady more than 35, fruitlessness implies you don't get pregnant following a half year of sex. Infertility doesn't generally mean you're "sterile" - unfit ever to have a kid. Half of couples who look for help can in the end have a youngster, either all alone or with therapeutic help. Men and ladies can have a fruitfulness issue. In around 20% of fruitless couples, the two accomplices have richness issues, and in around 15% of couples, no reason is found after the sum total of what tests have been finished. This is called unexplained barrenness. What Causes Fertility Problems in Men? In case you're a person, the most well-known purpose behind fruitlessness is an issue with sperm, including things like: Explained by Dr. Rosalind Chong . Low sperm check, which implies you have excessively few or no sperm in your semen. Your sperm don't move and in addition they should, which is called low sperm motility. You have strangely framed sperm. Your sperm pipes are blocked. Another regular issue is a transitory drop in the measure of sperm you make. This may happen when your balls get harmed. For example, it may be the case that your balls were excessively hot for a really long time, or you were in contact with chemicals or took drugs that influence the way you make sperm. On the off chance that you drink liquor or smoke, your sperm tally can go down. Additionally, men 40 and more established have bring down ripeness. What Causes Fertility Problems in Women? The principle explanation behind barrenness is that you don't ovulate, which implies you don't discharge an egg from an ovary. A condition called polycystic ovary disorder is the primary driver. Issues with your fallopian tubes, which convey eggs from the ovary to the uterus, are a typical reason for fruitlessness. Some of the time your tubes are obstructed by scar tissue from a disease or from a condition called endometriosis. Smoking can prompt richness issues in ladies, and being overweight or underweight can likewise assume a part. On the off chance that an egg makes its way through your fallopian tubes, numerous things can prevent it from embedding in your uterus. What's more, cervical bodily fluid can harm sperm or moderate their advance. As per Dr. Rosalind Chong gynecologist , In ladies, ripeness drops with age, and much more so after age 35. Getting pregnant after age 45 is uncommon. How Do Exercise, Weight, and Age Affect Fertility? Exercise Exercise ought to be supported for the two ladies and men who are adapting to endeavor to consider. Nonetheless, inordinate, strenuous exercise in ladies may bring about interruption of the ovulation cycle, in this manner influencing her periods. Typical exercise has not been connected to unnatural birth cycles (loss of pregnancy), but rather certain types of activity (for instance, high-effect or physical games or scuba jumping) ought to be maintained a strategic distance from in pregnancy. In men, an excess of activity may cause a low sperm tally. Weight and Fertility A sound eating routine is imperative for ladies who are striving for an infant. Being overweight can influence a lady's ripeness and can cause difficulties amid pregnancy. A lady who is overweight and who is arranging a pregnancy should shed pounds previously she imagines. Weight reduction with anorexia or bulimia can disturb a lady's menstrual cycle and in this manner diminish her odds of getting to be noticeably pregnant, Said By Dr. Rosalind of Rosalind Chongs Clinic for Women IUI IVF Clinic . Age and Fertility A lady's pinnacle richness is in her mid 20s. At age 35 and past (and especially after 40), the probability of getting to be noticeably pregnant lessens. As men age, levels of testosterone fall, and the volume and centralization of sperm change. Sound couples more youthful than 30 years who have customary sex and utilize no contraception have a 25% to 30% shot of accomplishing pregnancy every month. Your Guide to Female Infertility In case you're experiencing difficulty getting pregnant, your specialist will enable you to make sense of why, and work with you to discover a treatment that can help. What Causes Female Infertility? There are various things that might shield you from getting pregnant: Harm to your fallopian tubes. These structures convey eggs from your ovaries, which deliver eggs, to the uterus, where the infant creates. They can get harmed when scars shape after pelvic contaminations, endometriosis, and pelvic surgery. That can keep sperm from achieving an egg. Hormonal issues. You may not get pregnant in light of the fact that your body isn't experiencing the typical hormone changes that prompt the arrival of an egg from the ovary and the thickening of the coating of the uterus. Cervical issues. A few ladies have a condition that keeps sperm from going through the cervical trench. Uterine inconvenience. You may have polyps and fibroids that meddle with getting pregnant. Uterine polyps and fibroids happen when an excessive number of cells develop in the endometrium, the coating of the uterus. Different irregularities of the uterus can likewise meddle, "Unexplained" barrenness. For around 20% of couples who have fruitlessness issues, the correct causes are never pinpointed. Your specialist may arrange a few tests, including a blood test to check hormone levels and an endometrial biopsy to analyze the covering of your uterus. Hysterosalpingography (HSG). This method includes ultrasound or X-beams of your conceptive organs. A specialist infuses either color or saline and air into your cervix, which go up through your fallopian tubes. With this strategy, your specialist can verify whether the tubes are blocked. Laparoscopy. Your specialist puts a laparoscope - a thin tube fitted with a little camera - through a little cut close to your paunch catch. This gives him a chance to see the outside of your uterus, ovaries, and fallopian tubes to check for anomalous developments. The specialist can likewise check whether your fallopian tubes are blocked. How Is Female Infertility Treated? Laparoscopy. On the off chance that you've been determined to have tubal or pelvic sickness, one alternative is to motivate surgery to recreate your regenerative organs. Your specialist puts a laparoscope through a slice close to your gut catch to dispose of scar tissue, treat endometriosis, open blocked tubes, or evacuate ovarian pimples, which are liquid filled sacs that can frame in the ovaries. Hysteroscopy . In this methodology, your specialist puts a hysteroscope into your uterus through your cervix. It's utilized to expel polyps and fibroid tumors, isolate scar tissue, and open up blocked tubes. Prescription. In the event that you have ovulation issues, you might be endorsed medications, for example, clomiphene citrate (Clomid, Serophene), gonadotropins, (for example, Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. These medications likewise can likewise enable you to get pregnant by making your ovaries discharge various eggs. Regularly, just a single egg is discharged every month. Your specialist may recommend that you take gonadotropin on the off chance that you have unexplained fruitlessness or when different sorts of treatment haven't helped you get pregnant. Metformin (Glucophage) is another kind of pharmaceutical that may enable you to ovulate regularly in the event that you have insulin protection or PCOS (polycystic ovarian disorder). Intrauterine insemination. For this strategy, after semen gets washed with an exceptional arrangement, a specialist places it into your uterus when you're ovulating. It's occasionally done while you're taking meds that assistance trigger the arrival of an egg. In vitro preparation (IVF). In this strategy, your specialist places into your uterus that were prepared in a dish. You take gonadotropins that trigger the improvement of more than one egg. At the point when the eggs are develop, your specialist gathers them with a gadget called a vaginal ultrasound test. Sperm are then gathered, washed, and added to the eggs in the dish. A few days after the fact, fetuses - or prepared eggs - get set back into your uterus with a gadget called an intrauterine insemination catheter. In the event that you and your accomplice concur, additional developing lives can be solidified and spared to utilize later. ICSI (intracytoplasmic sperm infusion). A specialist infuses sperm straightforwardly into the egg in a dish and afterward puts it into your uterus. Blessing (gamete intrafallopian tube exchange) and ZIFT (zygote intrafallopian exchange). Like IVF, these systems include recovering an egg, joining it with sperm in a lab, and afterward exchanging it back to your body. In ZIFT, your specialist puts the prepared eggs - at this stage called zygotes - into your fallopian tubes inside 24 hours. In GIFT, the sperm and eggs are combined before a specialist embeds them. Egg gift. This can enable you in the event that you to have ovaries that don't work right however you have a typical uterus. It includes expelling eggs from the ovary of a benefactor who has taken ripeness drugs. After in vitro preparation, your specialist exchanges the treated eggs into your uterus. Contact Us Ela Ela Facebook Ela Twitter Ela Instagram Ela You Tube Ela Linkedin