SlideShare a Scribd company logo
CERVICAL DISC ARTHROPLASTY
ORSI ACADEMY 5 JUNE 2024
LEFLOT JEAN-LOUIS M.D.
UH BRUGMANN BRUSSELS
UH MONT-GODINNE YVOIR
FUSION VERSUS DISC PROSTHESIS ?
ANATOMY
PATHOLOGICAL ANATOMY
SAGITTAL DISBALANCE
SAGITTAL DISBALANCE
Analgesic position
Decrease the pressure
on the back of the disc
Open the foramens
Degenerative
Intersomatic height loss
SAGITTAL DISBALANCE
OUR SURGICAL CHALLENGES
 Neurological release
 Sagittal balance
 Preserve the function
SURGICAL APPROACH
Positioning of the Head!
Slight left rotation for a right anterolateral
approach
AVOID HYPEREXTENSION !!!
Risk of aggravation of cervical myelopathy
Shoulder traction by tensoplast
Oblique incision straddling the SCM (3 fingers
C3C4, C4C5 and 4 fingers C5C6 and C6C7)
SURGICAL APPROACH
The right approach is easier for the right-handed and for
better centering of a prosthesis (position of the
esophagus)
For low cervical levels : visualize the recurrent laryngeal
nerve to avoid voice disorder
Horizontal is more aesthetic
Vertical for more than 3 levels, but scar more visible and
less flexible
SURGICAL APPROACH
SURGICAL APPROACH
Pre-vascular anterolateral
approach
«Smith-Robinson»
Atraumatic
Finger and "Peanut" tampon
dissection
SURGICAL APPROACH
SURGICAL APPROACH
Low incidence of complications but some
very serious
 Dysphagia
 Hematoma
 Paralysis n. Recurrent laryngeal
 Dural injury
 Esophageal perforation
 Aggravation myelopathy
 Syndrome of Claude Bernard Horner
CERVICAL FUSION
Neurological release
Stability and sagittal
balance
Loss of function and
adjacent overload
CERVICAL FUSION
DECOMPENSATION OF ADJACENT LEVELS
DECO
CERVICAL FUSION
DECOMPENSATION OF ADJACENT LEVELS
DE
CERVICAL DISC PROSTHESIS
Preserve the function
to reduce constraints
on adjacent segments
CERVICAL DISC PROSTHESIS
Neurological release
Stability and sagittal
balance
Restore the Function
CERVICAL DISC PROSTHESIS PRODISC C VIVO (Centinel Spine)
The choice of the
PRODISC C VIVO
is a long journey in my
experience
CERVICAL DISC PROSTHESIS WHICH ONE TO USE ?
 Design
Range of Motion
Materials
Heights (mm)
Footprints
Shape
Fixation
Regulatory
CERVICAL DISC PROSTHESIS BRYAN (MEDTRONIC)
My revelation in 2002 for
dynamic surgery of the
cervical spine
Motion occurs within
polymer & provides
compression
Mimics properties of
natural disc
CERVICAL DISC PROSTHESIS BRYAN (MEDTRONIC)
Control at 10
years
CERVICAL DISC PROSTHESIS BRYAN (MEDTRONIC) 14Y
CERVICAL DISC PROSTHESIS BRYAN (MEDTRONIC) 15Y
CERVICAL DISC PROSTHESIS PCM (CERVITECH LINK)
M-47y
 multistage lesions with more osteophytosis
at levels C3C4 and C5C6
 Hybrid stabilization to reduce the rigidity of
the treated segment, with excellent
restitution of cervical lordosis
CERVICAL DISC PROSTHESIS PCM (CERVITECH LINK)
CERVICAL DISC PROSTHESIS M6C (SPINALKINETICS)
Motion occurs within
polymer & provides
compression
Mimics properties of
natural disc
CERVICAL DISC PROSTHESIS M6C (SPINALKINETICS)
CERVICAL DISC PROSTHESIS M6C (SPINALKINETICS) 1Y
CERVICAL DISC PROSTHESIS M6C (SPINALKINETICS) 5Y
CERVICAL DISC PROSTHESIS M6C (SPINALKINETICS) 4Y
CERVICAL DISC PROSTHESIS M6C (SPINALKINETICS)
PROBLEM OF WEAR DEBRIS-5Y
CERVICAL DISC PROSTHESIS M6C (SPINALKINETICS)
PROBLEM OF WEAR DEBRIS-6Y
CERVICAL DISC PROSTHESIS M6C (SPINALKINETICS)
PROBLEM OF WEAR DEBRIS
Journal of Neurosurgery : Spine 2019
CERVICAL DISC PROSTHESIS MOBI-C (LDR ZIMVIE)
CERVICAL DISC PROSTHESIS MOBI-C (LDR ZIMVIE)
CERVICAL DISC PROSTHESIS MOBI-C (LDR ZIMVIE)
M 48y
Corporectomy
Fusion C4-C7
Mobi-C C3C4
Controle
4y
CERVICAL DISC PROSTHESIS MOBI-C (LDR ZIMVIE)
MOBI-C Risk
Dislocation described including one case in my
experience with very important osteolysis !
CERVICAL DISC PROSTHESIS MOBI-C (LDR ZIMVIE)
2018
2018 2024
CERVICAL DISC PROSTHESIS MOBI-C (LDR ZIMVIE)
Very severe
osteolysis with
metallosis “candles”
in adjacent
vertebral bodies
CERVICAL DISC PROSTHESIS MOBI-C (LDR ZIMVIE)
Need for
corpectomy and
reconstruction with
arthrodesis
CERVICAL DISC PROSTHESIS PRODISC C VIVO (Centinel Spine)
Primary stability
thanks to :
- a design perfectly
suited to the shape
of the vertebral trays
PRODISC C VIVO (Centinel Spine)
Surgical technique
- Level identification (RX scopy)
- Prevascular approach (right)
- Control of the recurring nerve laryngeal
- Implementation of the parallel Caspard
retractor
PRODISC C VIVO (Centinel Spine)
Surgical technique
PRODISC C VIVO (Centinel Spine)
Surgical technique
- Complete Discectomy
- Avivement vertebral trays
- Parallel distraction to open the posterior
space and the foramens
- Bone resection with micromotor (3 mm
diam) and Kerisson of 1, 2 and 3 mm
posterior osteophytes and cervicale
uncarthrosis
PRODISC C VIVO (Centinel Spine)
Surgical technique
PRODISC C VIVO (Centinel Spine)
Surgical technique
Test implant with
Adaptation of the stop
Control of the perfect adaptation of the test implant
PRODISC C VIVO (Centinel Spine)
Surgical technique
PRODISC C VIVO (Centinel Spine)
Surgical technique
PRODISC C VIVO (Centinel Spine)
Surgical technique
PRODISC C VIVO (Centinel Spine)
PRODISC C VIVO (Centinel Spine)
Chrome-Cobalt alloy trays
Fixed Polyethylene Core of
specific radius
to provides:
- Controlled, predictable
motion
- Controlled translation
coupled with flexion-extension
PRODISC C VIVO
THE « GOLD STANDARD » IN MY PRACTICE
PRODISC-C Vivo
- Return to work faster
- Results at 7 years as good and even better
- Less surgical revision at adjacent levels
Problem of wear debris ?
Cross-linked polyethylene core with
minimization of mechanical stresses
Clinical Cases
Clinical Cases
Clinical Cases
Clinical Cases
Conclusions Prodisc C Vivo
My « Gold Standard » !
- Precise but easy technique
- Controlled, predictable motion
- Controlled translation coupled with flexion-extension
- Excellent primary stability without keel (interesting for
stabilizations on several levels or hybrid stabilizations)
- Excellent secondary stability thanks to the 3D
coating
- No wear problem

More Related Content

Similar to Cervical Disc Arthroplasty ORSI 2024.pptx

Evaluation and management of cervical spine injury
Evaluation and management of cervical spine injuryEvaluation and management of cervical spine injury
Evaluation and management of cervical spine injury
Love2jaipal
 
Hip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN reviewHip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN review
docortho Patel
 
Non union neck of femur
Non union neck of femurNon union neck of femur
Non union neck of femur
ramachandra reddy
 
Knee arthroplasty for FRCS Orth course Newcastle
Knee arthroplasty for FRCS Orth course NewcastleKnee arthroplasty for FRCS Orth course Newcastle
Knee arthroplasty for FRCS Orth course Newcastle
Professor Deiary Kader
 
Cervical Hybrid Arthroplasty by Pablo Pazmino MD
Cervical Hybrid Arthroplasty by Pablo Pazmino MDCervical Hybrid Arthroplasty by Pablo Pazmino MD
Cervical Hybrid Arthroplasty by Pablo Pazmino MD
Pablo Pazmino
 
Subperiosteal resection of mid-clavicle in sprengel's.pdf
Subperiosteal resection of mid-clavicle in sprengel's.pdfSubperiosteal resection of mid-clavicle in sprengel's.pdf
Subperiosteal resection of mid-clavicle in sprengel's.pdf
Prof Freih Abu Hassan البروفيسور فريح ابوحسان
 
05 cascade ddd
05 cascade ddd05 cascade ddd
05 cascade ddd
Zoi Tsapou
 
Evolution of surgical strategies instrumentation in scoliosis- dr.shashidhar...
Evolution of surgical strategies  instrumentation in scoliosis- dr.shashidhar...Evolution of surgical strategies  instrumentation in scoliosis- dr.shashidhar...
Evolution of surgical strategies instrumentation in scoliosis- dr.shashidhar...
Dr. Shashidhar B K
 
New trend in the managment of lumbar canal stenosis niles
New trend in the managment of lumbar canal stenosis nilesNew trend in the managment of lumbar canal stenosis niles
New trend in the managment of lumbar canal stenosis niles
Prof. Rehab Yousef
 
Copy of pelvic_fractures_o6th_u_presentation by dr. mahmoud Abdel Kareem
Copy of pelvic_fractures_o6th_u_presentation by dr. mahmoud Abdel KareemCopy of pelvic_fractures_o6th_u_presentation by dr. mahmoud Abdel Kareem
Copy of pelvic_fractures_o6th_u_presentation by dr. mahmoud Abdel Kareem
Ahmed-shedeed
 
Orthopedics 5th year, 1st lecture (Dr. Hamid)
Orthopedics 5th year, 1st lecture (Dr. Hamid)Orthopedics 5th year, 1st lecture (Dr. Hamid)
Orthopedics 5th year, 1st lecture (Dr. Hamid)
College of Medicine, Sulaymaniyah
 
Ostetomies around hip by hemant mamc
Ostetomies around hip by hemant mamcOstetomies around hip by hemant mamc
Ostetomies around hip by hemant mamc
Hemant Pippal
 
Recurrence of synostosis following surgery for isolated sagittal craniosynost...
Recurrence of synostosis following surgery for isolated sagittal craniosynost...Recurrence of synostosis following surgery for isolated sagittal craniosynost...
Recurrence of synostosis following surgery for isolated sagittal craniosynost...
All India Institute of Medical Sciences
 
vascular safe zones in hip arthroscopy
vascular safe zones in hip arthroscopyvascular safe zones in hip arthroscopy
vascular safe zones in hip arthroscopy
Saul Rivera
 
Limb salvage
Limb salvageLimb salvage
Limb salvage
Rohit Vikas
 
New developments in shoulder arthroscopy
New developments in shoulder arthroscopyNew developments in shoulder arthroscopy
New developments in shoulder arthroscopy
Shoulder Library
 
Cervical degenerative disease and injuries
Cervical degenerative disease and injuriesCervical degenerative disease and injuries
Cervical degenerative disease and injuries
Neurosurgeon Mumtaz Ali Narejo
 
Adjacent Segment Disease CS v3
Adjacent Segment Disease CS v3Adjacent Segment Disease CS v3
Adjacent Segment Disease CS v3
Cory Jensen
 
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANKAUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
Dr Khushbu
 
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANKAUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
Dr Khushbu
 

Similar to Cervical Disc Arthroplasty ORSI 2024.pptx (20)

Evaluation and management of cervical spine injury
Evaluation and management of cervical spine injuryEvaluation and management of cervical spine injury
Evaluation and management of cervical spine injury
 
Hip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN reviewHip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN review
 
Non union neck of femur
Non union neck of femurNon union neck of femur
Non union neck of femur
 
Knee arthroplasty for FRCS Orth course Newcastle
Knee arthroplasty for FRCS Orth course NewcastleKnee arthroplasty for FRCS Orth course Newcastle
Knee arthroplasty for FRCS Orth course Newcastle
 
Cervical Hybrid Arthroplasty by Pablo Pazmino MD
Cervical Hybrid Arthroplasty by Pablo Pazmino MDCervical Hybrid Arthroplasty by Pablo Pazmino MD
Cervical Hybrid Arthroplasty by Pablo Pazmino MD
 
Subperiosteal resection of mid-clavicle in sprengel's.pdf
Subperiosteal resection of mid-clavicle in sprengel's.pdfSubperiosteal resection of mid-clavicle in sprengel's.pdf
Subperiosteal resection of mid-clavicle in sprengel's.pdf
 
05 cascade ddd
05 cascade ddd05 cascade ddd
05 cascade ddd
 
Evolution of surgical strategies instrumentation in scoliosis- dr.shashidhar...
Evolution of surgical strategies  instrumentation in scoliosis- dr.shashidhar...Evolution of surgical strategies  instrumentation in scoliosis- dr.shashidhar...
Evolution of surgical strategies instrumentation in scoliosis- dr.shashidhar...
 
New trend in the managment of lumbar canal stenosis niles
New trend in the managment of lumbar canal stenosis nilesNew trend in the managment of lumbar canal stenosis niles
New trend in the managment of lumbar canal stenosis niles
 
Copy of pelvic_fractures_o6th_u_presentation by dr. mahmoud Abdel Kareem
Copy of pelvic_fractures_o6th_u_presentation by dr. mahmoud Abdel KareemCopy of pelvic_fractures_o6th_u_presentation by dr. mahmoud Abdel Kareem
Copy of pelvic_fractures_o6th_u_presentation by dr. mahmoud Abdel Kareem
 
Orthopedics 5th year, 1st lecture (Dr. Hamid)
Orthopedics 5th year, 1st lecture (Dr. Hamid)Orthopedics 5th year, 1st lecture (Dr. Hamid)
Orthopedics 5th year, 1st lecture (Dr. Hamid)
 
Ostetomies around hip by hemant mamc
Ostetomies around hip by hemant mamcOstetomies around hip by hemant mamc
Ostetomies around hip by hemant mamc
 
Recurrence of synostosis following surgery for isolated sagittal craniosynost...
Recurrence of synostosis following surgery for isolated sagittal craniosynost...Recurrence of synostosis following surgery for isolated sagittal craniosynost...
Recurrence of synostosis following surgery for isolated sagittal craniosynost...
 
vascular safe zones in hip arthroscopy
vascular safe zones in hip arthroscopyvascular safe zones in hip arthroscopy
vascular safe zones in hip arthroscopy
 
Limb salvage
Limb salvageLimb salvage
Limb salvage
 
New developments in shoulder arthroscopy
New developments in shoulder arthroscopyNew developments in shoulder arthroscopy
New developments in shoulder arthroscopy
 
Cervical degenerative disease and injuries
Cervical degenerative disease and injuriesCervical degenerative disease and injuries
Cervical degenerative disease and injuries
 
Adjacent Segment Disease CS v3
Adjacent Segment Disease CS v3Adjacent Segment Disease CS v3
Adjacent Segment Disease CS v3
 
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANKAUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
 
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANKAUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
AUTOLOGUS CHONDROCYTE IMPLANTATION PRIYANK
 

More from LEFLOT Jean-Louis

Anterior Lumbar Surgery Brugmann 2023.pptx
Anterior Lumbar Surgery Brugmann 2023.pptxAnterior Lumbar Surgery Brugmann 2023.pptx
Anterior Lumbar Surgery Brugmann 2023.pptx
LEFLOT Jean-Louis
 
Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L
Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L
Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L
LEFLOT Jean-Louis
 
Anterior Approach & Lumbar Disc Prosthesis
Anterior Approach & Lumbar Disc ProsthesisAnterior Approach & Lumbar Disc Prosthesis
Anterior Approach & Lumbar Disc Prosthesis
LEFLOT Jean-Louis
 
Lumbar anterior approach leflot
Lumbar anterior approach   leflotLumbar anterior approach   leflot
Lumbar anterior approach leflot
LEFLOT Jean-Louis
 
Surgical Treatment of Low Back Pain & Sciatics
Surgical Treatment of Low Back Pain & SciaticsSurgical Treatment of Low Back Pain & Sciatics
Surgical Treatment of Low Back Pain & Sciatics
LEFLOT Jean-Louis
 
Surgical Treatment of Low Back Pain & Sciatics
Surgical Treatment of Low Back Pain & SciaticsSurgical Treatment of Low Back Pain & Sciatics
Surgical Treatment of Low Back Pain & Sciatics
LEFLOT Jean-Louis
 
Nonfusion
NonfusionNonfusion
PCM
PCMPCM
DIAM
DIAMDIAM
TDA
TDATDA
ALIF
ALIFALIF
Resurfacing
ResurfacingResurfacing
Resurfacing
LEFLOT Jean-Louis
 
Low Back Pain
Low Back PainLow Back Pain
Low Back Pain
LEFLOT Jean-Louis
 

More from LEFLOT Jean-Louis (14)

Anterior Lumbar Surgery Brugmann 2023.pptx
Anterior Lumbar Surgery Brugmann 2023.pptxAnterior Lumbar Surgery Brugmann 2023.pptx
Anterior Lumbar Surgery Brugmann 2023.pptx
 
Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L
Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L
Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L
 
Anterior Approach & Lumbar Disc Prosthesis
Anterior Approach & Lumbar Disc ProsthesisAnterior Approach & Lumbar Disc Prosthesis
Anterior Approach & Lumbar Disc Prosthesis
 
Lumbar anterior approach leflot
Lumbar anterior approach   leflotLumbar anterior approach   leflot
Lumbar anterior approach leflot
 
M6 c casereport
M6 c casereportM6 c casereport
M6 c casereport
 
Surgical Treatment of Low Back Pain & Sciatics
Surgical Treatment of Low Back Pain & SciaticsSurgical Treatment of Low Back Pain & Sciatics
Surgical Treatment of Low Back Pain & Sciatics
 
Surgical Treatment of Low Back Pain & Sciatics
Surgical Treatment of Low Back Pain & SciaticsSurgical Treatment of Low Back Pain & Sciatics
Surgical Treatment of Low Back Pain & Sciatics
 
Nonfusion
NonfusionNonfusion
Nonfusion
 
PCM
PCMPCM
PCM
 
DIAM
DIAMDIAM
DIAM
 
TDA
TDATDA
TDA
 
ALIF
ALIFALIF
ALIF
 
Resurfacing
ResurfacingResurfacing
Resurfacing
 
Low Back Pain
Low Back PainLow Back Pain
Low Back Pain
 

Recently uploaded

Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...
Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...
Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...
NephroTube - Dr.Gawad
 
STAPHYSAGRIA.BHMS.MATERIA MEDICA.HOMOEOPATHY
STAPHYSAGRIA.BHMS.MATERIA MEDICA.HOMOEOPATHYSTAPHYSAGRIA.BHMS.MATERIA MEDICA.HOMOEOPATHY
STAPHYSAGRIA.BHMS.MATERIA MEDICA.HOMOEOPATHY
DRPREETHIJAMESP
 
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpanaGAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
AparnaNandakumar12
 
Surat @Girls @ℂall 👄 XX000000XX 👄 With Cash Payment Home Delivery
Surat @Girls @ℂall 👄 XX000000XX 👄 With Cash Payment Home DeliverySurat @Girls @ℂall 👄 XX000000XX 👄 With Cash Payment Home Delivery
Surat @Girls @ℂall 👄 XX000000XX 👄 With Cash Payment Home Delivery
khandiya#G05
 
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
MARIALUISADELROGONZL
 
Endocrine Physiology - Insulin and Glucagon
Endocrine Physiology -  Insulin and GlucagonEndocrine Physiology -  Insulin and Glucagon
Endocrine Physiology - Insulin and Glucagon
MedicoseAcademics
 
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
CarriePoppy
 
General Endocrinology and mechanism of action of hormones
General Endocrinology and mechanism of action of hormonesGeneral Endocrinology and mechanism of action of hormones
General Endocrinology and mechanism of action of hormones
MedicoseAcademics
 
pharmaceutical care plan scope application.pptx
pharmaceutical care plan scope application.pptxpharmaceutical care plan scope application.pptx
pharmaceutical care plan scope application.pptx
Wajid Ali
 
Hypothyroidism / Underactive thyroid gland presentation
Hypothyroidism / Underactive thyroid gland presentationHypothyroidism / Underactive thyroid gland presentation
Hypothyroidism / Underactive thyroid gland presentation
riyaramesh2003
 
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
sonamrawat5631
 
STRATEGIES FOR RATIONALISING/REDUCING CAESAREAN SECTION RATE BY USE OF "SION ...
STRATEGIES FOR RATIONALISING/REDUCING CAESAREAN SECTION RATE BY USE OF "SION ...STRATEGIES FOR RATIONALISING/REDUCING CAESAREAN SECTION RATE BY USE OF "SION ...
STRATEGIES FOR RATIONALISING/REDUCING CAESAREAN SECTION RATE BY USE OF "SION ...
Niranjan Chavan
 
Prostatitis Severity- How to Determine if You Have Mild Symptoms.pptx
Prostatitis Severity- How to Determine if You Have Mild Symptoms.pptxProstatitis Severity- How to Determine if You Have Mild Symptoms.pptx
Prostatitis Severity- How to Determine if You Have Mild Symptoms.pptx
AmandaChou9
 
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
NephroTube - Dr.Gawad
 
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga
 
World Population Day 2024_Overview_Dr Bijan Das
World Population Day 2024_Overview_Dr Bijan DasWorld Population Day 2024_Overview_Dr Bijan Das
World Population Day 2024_Overview_Dr Bijan Das
srmnchatripura
 
Prevention of Cruelty to animals act 1960
Prevention of Cruelty to animals act 1960Prevention of Cruelty to animals act 1960
Prevention of Cruelty to animals act 1960
PratibhaSonawane5
 
Building a Strong Partnership with Your Medical Team
Building a Strong Partnership with Your Medical TeamBuilding a Strong Partnership with Your Medical Team
Building a Strong Partnership with Your Medical Team
bkling
 
Introduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptxIntroduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptx
Dr. Dheeraj Kumar
 
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Anindya Das Adhikary
 

Recently uploaded (20)

Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...
Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...
Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...
 
STAPHYSAGRIA.BHMS.MATERIA MEDICA.HOMOEOPATHY
STAPHYSAGRIA.BHMS.MATERIA MEDICA.HOMOEOPATHYSTAPHYSAGRIA.BHMS.MATERIA MEDICA.HOMOEOPATHY
STAPHYSAGRIA.BHMS.MATERIA MEDICA.HOMOEOPATHY
 
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpanaGAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
 
Surat @Girls @ℂall 👄 XX000000XX 👄 With Cash Payment Home Delivery
Surat @Girls @ℂall 👄 XX000000XX 👄 With Cash Payment Home DeliverySurat @Girls @ℂall 👄 XX000000XX 👄 With Cash Payment Home Delivery
Surat @Girls @ℂall 👄 XX000000XX 👄 With Cash Payment Home Delivery
 
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
 
Endocrine Physiology - Insulin and Glucagon
Endocrine Physiology -  Insulin and GlucagonEndocrine Physiology -  Insulin and Glucagon
Endocrine Physiology - Insulin and Glucagon
 
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
 
General Endocrinology and mechanism of action of hormones
General Endocrinology and mechanism of action of hormonesGeneral Endocrinology and mechanism of action of hormones
General Endocrinology and mechanism of action of hormones
 
pharmaceutical care plan scope application.pptx
pharmaceutical care plan scope application.pptxpharmaceutical care plan scope application.pptx
pharmaceutical care plan scope application.pptx
 
Hypothyroidism / Underactive thyroid gland presentation
Hypothyroidism / Underactive thyroid gland presentationHypothyroidism / Underactive thyroid gland presentation
Hypothyroidism / Underactive thyroid gland presentation
 
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
 
STRATEGIES FOR RATIONALISING/REDUCING CAESAREAN SECTION RATE BY USE OF "SION ...
STRATEGIES FOR RATIONALISING/REDUCING CAESAREAN SECTION RATE BY USE OF "SION ...STRATEGIES FOR RATIONALISING/REDUCING CAESAREAN SECTION RATE BY USE OF "SION ...
STRATEGIES FOR RATIONALISING/REDUCING CAESAREAN SECTION RATE BY USE OF "SION ...
 
Prostatitis Severity- How to Determine if You Have Mild Symptoms.pptx
Prostatitis Severity- How to Determine if You Have Mild Symptoms.pptxProstatitis Severity- How to Determine if You Have Mild Symptoms.pptx
Prostatitis Severity- How to Determine if You Have Mild Symptoms.pptx
 
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
 
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
 
World Population Day 2024_Overview_Dr Bijan Das
World Population Day 2024_Overview_Dr Bijan DasWorld Population Day 2024_Overview_Dr Bijan Das
World Population Day 2024_Overview_Dr Bijan Das
 
Prevention of Cruelty to animals act 1960
Prevention of Cruelty to animals act 1960Prevention of Cruelty to animals act 1960
Prevention of Cruelty to animals act 1960
 
Building a Strong Partnership with Your Medical Team
Building a Strong Partnership with Your Medical TeamBuilding a Strong Partnership with Your Medical Team
Building a Strong Partnership with Your Medical Team
 
Introduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptxIntroduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptx
 
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
 

Cervical Disc Arthroplasty ORSI 2024.pptx