This document discusses open versus laparoscopic surgery for inguinal hernias. It notes that open surgery is still preferred for acute, large, symptomatic or complicated hernias, while laparoscopic surgery is preferred for bilateral, recurrent, and uncomplicated hernias if the surgeon has expertise. The choice of procedure depends on factors like hernia type and size, the surgeon's technical ability, and cost. Overall, the surgeon's skills and experience are more important than the type of repair.
This document provides an overview of the anatomical structures of the anterior abdominal wall including landmarks, planes, quadrants, muscles, fascial layers, the inguinal canal, femoral canal, and relevant laparoscopic anatomy. Key structures discussed include the external oblique muscle, internal oblique muscle, transversus abdominis muscle, rectus abdominis muscle, rectus sheath, inguinal canal, femoral canal, spaces of Bogros and Retzius, and triangles/circles that are important for laparoscopy.
WHY LAP INGUINAL HERNIA REPAIR IS PROGRESSING AT SLOW MOMENTUM ? OUR E...Aymen Ahmad Khan
This study evaluated factors contributing to the slow adoption of laparoscopic inguinal hernia repair compared to open repair. Of 60 hernia patients, 93.3% were unaware of the laparoscopic option. While post-operative pain was lower with laparoscopy and cosmesis was better, its costs were higher due to use of mesh and tackers. If suturing was used instead to reduce costs, it required more time and strain for surgeons. Complication and recurrence rates did not significantly differ between the two approaches. However, laparoscopic repair has a steeper learning curve for surgeons to acquire skills. Adoption of laparoscopic repair depends more on surgeon confidence and motivation than clear advantages over open
Laparoscopic anatomy of inguinal canalGergis Rabea
This document provides an in-depth overview of the anatomy of the inguinal region as viewed laparoscopically. It describes key anatomical landmarks such as Cooper's ligament, the umbilical artery, and epigastric vessels that define the spaces where direct and indirect inguinal hernias occur. Understanding the complex relationships between osseofascial, vascular, and visceral structures in the preperitoneal space is essential to avoid injury during laparoscopic hernia repair.
1) The document discusses different techniques for performing laparoscopic hernia repair surgery, including Total Extraperitoneal (TEP) and Transabdominal Preperitoneal (TAPP) approaches.
2) It provides details on pre-operative preparation, port placement, dissection techniques, types of mesh that can be used, and methods for fixing the mesh.
3) Potential complications of the procedures are noted, as well as tips for dealing with issues that may arise like accidental pneumoperitoneum or difficulty dissecting in complicated cases that could require conversion to an open surgery.
Laparoscopic repair of hernia- A Guide to Laparoscopic Hernia SurgeryDr Md Omar Tabrez
It includes all the essential details a Surgeon or Post graduate should know about the Laparoscopic Inguinal Hernia Anatomy and step by step Surgery along with illustrative pictures.
This document provides an anatomical overview of the inguinal-scrotal region in males. It describes landmarks like the mid-inguinal point and inguinal ligament. It details the deep and superficial inguinal rings that form the entrance and exit of the inguinal canal. The document outlines the boundaries, contents, and structures that pass through the inguinal canal like the spermatic cord. It also describes the layers of the scrotum and its contents like the testes, epididymis, and vas deferens. The document provides a detailed explanation of male reproductive anatomy from the testes through the vas deferens.
This document describes the technique of laparoscopic herniorrhaphy (TEP). It involves: 1) Dissecting the preperitoneal space to create working space; 2) Reducing any hernia sacs; 3) Placing a large mesh that extends beyond the hernia borders; 4) Optionally fixing the mesh with minimal staples. The goal is to reproduce the open 'Stoppa repair' technique laparoscopically using a large mesh with wide coverage and minimal fixation to reduce risks of nerve injury, pain, and recurrence."
Laparoscopic ventral hernia repair involves placing mesh over the hernia defect using laparoscopic techniques. It has advantages over open repair such as lower wound complications, recurrence rates, hospital stay and pain. While more technically challenging, it is effective for primary and recurrent hernias. Outcomes are better in non-obese patients, with obese patients having higher recurrence rates and longer operating times.
This document provides an overview of the anatomical structures of the anterior abdominal wall including landmarks, planes, quadrants, muscles, fascial layers, the inguinal canal, femoral canal, and relevant laparoscopic anatomy. Key structures discussed include the external oblique muscle, internal oblique muscle, transversus abdominis muscle, rectus abdominis muscle, rectus sheath, inguinal canal, femoral canal, spaces of Bogros and Retzius, and triangles/circles that are important for laparoscopy.
WHY LAP INGUINAL HERNIA REPAIR IS PROGRESSING AT SLOW MOMENTUM ? OUR E...Aymen Ahmad Khan
This study evaluated factors contributing to the slow adoption of laparoscopic inguinal hernia repair compared to open repair. Of 60 hernia patients, 93.3% were unaware of the laparoscopic option. While post-operative pain was lower with laparoscopy and cosmesis was better, its costs were higher due to use of mesh and tackers. If suturing was used instead to reduce costs, it required more time and strain for surgeons. Complication and recurrence rates did not significantly differ between the two approaches. However, laparoscopic repair has a steeper learning curve for surgeons to acquire skills. Adoption of laparoscopic repair depends more on surgeon confidence and motivation than clear advantages over open
Laparoscopic anatomy of inguinal canalGergis Rabea
This document provides an in-depth overview of the anatomy of the inguinal region as viewed laparoscopically. It describes key anatomical landmarks such as Cooper's ligament, the umbilical artery, and epigastric vessels that define the spaces where direct and indirect inguinal hernias occur. Understanding the complex relationships between osseofascial, vascular, and visceral structures in the preperitoneal space is essential to avoid injury during laparoscopic hernia repair.
1) The document discusses different techniques for performing laparoscopic hernia repair surgery, including Total Extraperitoneal (TEP) and Transabdominal Preperitoneal (TAPP) approaches.
2) It provides details on pre-operative preparation, port placement, dissection techniques, types of mesh that can be used, and methods for fixing the mesh.
3) Potential complications of the procedures are noted, as well as tips for dealing with issues that may arise like accidental pneumoperitoneum or difficulty dissecting in complicated cases that could require conversion to an open surgery.
Laparoscopic repair of hernia- A Guide to Laparoscopic Hernia SurgeryDr Md Omar Tabrez
It includes all the essential details a Surgeon or Post graduate should know about the Laparoscopic Inguinal Hernia Anatomy and step by step Surgery along with illustrative pictures.
This document provides an anatomical overview of the inguinal-scrotal region in males. It describes landmarks like the mid-inguinal point and inguinal ligament. It details the deep and superficial inguinal rings that form the entrance and exit of the inguinal canal. The document outlines the boundaries, contents, and structures that pass through the inguinal canal like the spermatic cord. It also describes the layers of the scrotum and its contents like the testes, epididymis, and vas deferens. The document provides a detailed explanation of male reproductive anatomy from the testes through the vas deferens.
This document describes the technique of laparoscopic herniorrhaphy (TEP). It involves: 1) Dissecting the preperitoneal space to create working space; 2) Reducing any hernia sacs; 3) Placing a large mesh that extends beyond the hernia borders; 4) Optionally fixing the mesh with minimal staples. The goal is to reproduce the open 'Stoppa repair' technique laparoscopically using a large mesh with wide coverage and minimal fixation to reduce risks of nerve injury, pain, and recurrence."
Laparoscopic ventral hernia repair involves placing mesh over the hernia defect using laparoscopic techniques. It has advantages over open repair such as lower wound complications, recurrence rates, hospital stay and pain. While more technically challenging, it is effective for primary and recurrent hernias. Outcomes are better in non-obese patients, with obese patients having higher recurrence rates and longer operating times.
Rhinoplasty is a complex nose reshaping surgery commonly performed in cities like Bangalore and Hyderabad in India. The recovery process from rhinoplasty typically involves bruising and swelling that decreases over several weeks. In the first week, splints are removed and pain medication is used. By the second week, bruises fade and a soft diet is followed. Normal activities can resume in the third and fourth weeks once swelling goes down further, though heavy exercise is avoided for a month. Full healing is usually complete within a year.
Dr. Gaurav Gangwani: Leading Interventional Radiologist in Mumbai, IndiaGaurav Gangwani
Dr. Gaurav Gangwani, a leading interventional radiologist in Mumbai, excels in minimally invasive treatments, significantly advancing patient care and IR practices in India.
Laparoscopic Low Anterior Resection for Cancer : “Pursued or just Permitted?”...Dimitris P. Korkolis
Potential Advantages of Lap TME
- Less blood loss
- Faster recovery
- Earlier return of gut function
- Lower morbidity and mortality
- Magnified view allows precise dissection (pelvic autonomics)
- Earlier hospital discharge
Dr. Gaurav Gangwani_ Leading Interventional Radiologist in Mumbai,India.pdfGaurav Gangwani
Dr. Gaurav Gangwani, a leading interventional radiologist in Mumbai, excels in minimally invasive treatments, significantly advancing patient care and IR practices in India.
The document describes a radial lounge concept for uncomplicated percutaneous coronary intervention (PCI) patients. It aims to improve patient comfort and experience, increase efficiency, and reduce costs by allowing selected patients to be discharged after 4-6 hours of observation instead of overnight hospitalization. Studies presented found that among patients who met criteria for uncomplicated radial PCI, discharging after 4-6 hours had low rates of complications and readmissions within 3 months, demonstrating the radial lounge is a safe approach for streamlining low-risk PCI care.
Adaptation and Implementation of Evidence-Based Clinical Practice Guidelines for Antibiotic Prophylaxis in Surgery in King Saud University Hospitals in Riyadh, Saudi Arabia
The Society of American Gastrointestinal and Endoscopic Surgeons endorses endolumenal therapies as a less invasive alternative to surgery for treating gastrointestinal diseases. These new techniques have the potential to effectively treat conditions like GERD and obesity with faster recovery times compared to open surgery. Further research is still needed to identify the best candidates and ensure high quality outcomes. SAGES supports responsible development and evaluation of new endolumenal technologies and procedures.
Presentation from OIS@ASCRS 2016
Russ Trenary, President & CEO
Video Presentation:
https://www.youtube.com/watch?v=xMfqxDsyA8M&index=25&list=PL1dmdBNnPTZJBhQxPOp0vdNg3s3wtN2yw
INTERVENTIONAL GLAUCOMA: SLT AND MIGS
A Roundtable Discussion Of Nondestructive Interventional Treatments For Open-angle Glaucoma
Cataract & Refractive Surgery Today
SUPPLEMENT | AUGUST 2018
Sponsored by Ellex Medical
Source: https://crstoday.com/articles/2018-aug/interventional-glaucoma-slt-and-migs/
-----
Iqbal Ike K. Ahmed, MD, FRCSC, introduces this roundtable discussion of different paradigms in glaucoma therapy, with Mahmoud A. Khaimi, MD; Mark J. Gallardo, MD; David Richardson, MD; Nathan M. Radcliffe, MD; and I. Paul Singh, MD. The surgeons share their current treatment strategies for open-angle glaucoma and discuss how to incorporate selective laser trabeculoplasty and minimally invasive glaucoma surgery (MIGS) into practice.
-----
At ASCRS 2018 in Washington, DC, a group of surgeons experienced in interventional glaucoma therapies sat down to discuss the roles of selective laser trabeculoplasty (SLT) and microinvasive glaucoma surgery (MIGS) for treatment of openangle glaucoma (OAG).
The term interventional glaucoma refers to more than simply technology. It is a mindset that the available technologies bring to us as surgeons and clinicians. Instead of being passive and watchful, waiting for our patients to progress, interventional glaucoma allows us to be actively involved in their care by providing interventional therapies that change the course of the disease. I am very excited about interventional glaucoma and how it shapes the future of glaucoma care.
In this roundtable, we will discuss a number of technologies used in the interventional glaucoma model. First, we want to hear about SLT and its relevance in glaucoma therapy today, including the interplay of SLT and MIGS options. We also will talk about our experiences with ab interno canaloplasty (ABiC) performed with the iTrack surgical system (Ellex), its role in rejuvenating the natural outflow system, and its place among MIGS procedures.
—Iqbal “Ike” K. Ahmed, MD, FRCSC, Moderator
Sunshine Hospitals! I thank you for visiting our website and personally welcome you to Sunshine Hospitals. It has been my dream project and brain child for which, I had taken every measure to provide quality healthcare to the citizens of India as well as to people from Abroad.
India has a large medical market with potential but also challenges like lack of access and affordability due to a shortage of doctors, especially in rural areas. iMedrix developed an affordable 6-lead ECG device for telemedicine that is rugged, low maintenance, and designed for the Indian context. Through fast trials and iterations with over 2000 readings in 3 months, iMedrix proved clinical validity and signed their first commercial contracts. Their low-cost subscription model and experience iterating quickly positions them for growth in India's emerging telemedicine industry.
http://www.drsandeepagrawal.com/spine.php
There are many different types of conditions that cause back pain. Like most medical conditions, back pain is treatable through several methodologies. Determining what condition you have is the key to determining the right treatment option for you. Back pain comes in many forms, lower back pain, middle back pain, and upper back pain are just a few of the symptoms associated with spinalconditions. You may also have pain or tingling in your extremities that may be indications of spinal conditions. Feel free to browse through our articles about conditions. Contact your doctor to set up an appointment to start your road to recovery.
Every person is different, so symptoms of conditions may present
differently for different people. Symptoms also vary depending on the
condition, its severity, location, and other factors.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 25th publication IJCAR 1st name
This document compares digital and standard radiographs in dentistry. It discusses that while new technologies are generally improvements, dental professionals must critically analyze them. Digital radiographs have benefits like lower radiation exposure for patients and the ability to adjust settings after exposure. However, they also have higher acquisition costs. Standard radiographs produce waste from used materials. Overall, both methods have advantages and disadvantages, so dental professionals should consider the specific needs of their practice and patients when deciding.
The document discusses the duochrome or bichrome test, which is used to refine the spherical endpoint during monocular refraction. It uses chromatic aberration and different wavelengths of light to determine if a patient is emmetropic, hyperopic, or myopic. The test involves showing the patient red and green filters and adding plus or minus lenses until the clarity is the same between the colors. It can detect refractive errors as small as 0.25 diopters and is reliable for patients with visual acuity of 6/9 or better. The document provides details on interpreting test results and final refractive corrections.
DRK Beauty Clinic was established in 2003 and has since expanded to offer specialized cosmetic and dermatological treatments at multiple locations in Bangkok. The clinic strives to provide innovative technologies and personalized care. Treatments include plastic surgeries like blepharoplasty and rhinoplasty, non-surgical procedures like Botox and fillers, hair transplants, laser treatments, and specialized services for anti-aging and permanent makeup. DRK works with a team of trained and experienced medical professionals to ensure safe and quality care.
This document reports on a study examining treating open hand injuries as elective day surgery rather than emergency admissions. The study found that treating open hand injuries as semi-elective day surgery procedures rather than surgical emergencies avoided 76.45% of unnecessary admissions, saved 578 bed days, and increased day surgery utilization by 196.3% with consultant-delivered care. Of the 232 open hand injury cases treated, 3 patients (1.3%) developed deep infections, showing delayed treatment of up to 120 hours did not significantly impact infection rates. The study demonstrates open hand injuries can be safely treated as elective day surgery.
Rhinoplasty is a complex nose reshaping surgery commonly performed in cities like Bangalore and Hyderabad in India. The recovery process from rhinoplasty typically involves bruising and swelling that decreases over several weeks. In the first week, splints are removed and pain medication is used. By the second week, bruises fade and a soft diet is followed. Normal activities can resume in the third and fourth weeks once swelling goes down further, though heavy exercise is avoided for a month. Full healing is usually complete within a year.
Dr. Gaurav Gangwani: Leading Interventional Radiologist in Mumbai, IndiaGaurav Gangwani
Dr. Gaurav Gangwani, a leading interventional radiologist in Mumbai, excels in minimally invasive treatments, significantly advancing patient care and IR practices in India.
Laparoscopic Low Anterior Resection for Cancer : “Pursued or just Permitted?”...Dimitris P. Korkolis
Potential Advantages of Lap TME
- Less blood loss
- Faster recovery
- Earlier return of gut function
- Lower morbidity and mortality
- Magnified view allows precise dissection (pelvic autonomics)
- Earlier hospital discharge
Dr. Gaurav Gangwani_ Leading Interventional Radiologist in Mumbai,India.pdfGaurav Gangwani
Dr. Gaurav Gangwani, a leading interventional radiologist in Mumbai, excels in minimally invasive treatments, significantly advancing patient care and IR practices in India.
The document describes a radial lounge concept for uncomplicated percutaneous coronary intervention (PCI) patients. It aims to improve patient comfort and experience, increase efficiency, and reduce costs by allowing selected patients to be discharged after 4-6 hours of observation instead of overnight hospitalization. Studies presented found that among patients who met criteria for uncomplicated radial PCI, discharging after 4-6 hours had low rates of complications and readmissions within 3 months, demonstrating the radial lounge is a safe approach for streamlining low-risk PCI care.
Adaptation and Implementation of Evidence-Based Clinical Practice Guidelines for Antibiotic Prophylaxis in Surgery in King Saud University Hospitals in Riyadh, Saudi Arabia
The Society of American Gastrointestinal and Endoscopic Surgeons endorses endolumenal therapies as a less invasive alternative to surgery for treating gastrointestinal diseases. These new techniques have the potential to effectively treat conditions like GERD and obesity with faster recovery times compared to open surgery. Further research is still needed to identify the best candidates and ensure high quality outcomes. SAGES supports responsible development and evaluation of new endolumenal technologies and procedures.
Presentation from OIS@ASCRS 2016
Russ Trenary, President & CEO
Video Presentation:
https://www.youtube.com/watch?v=xMfqxDsyA8M&index=25&list=PL1dmdBNnPTZJBhQxPOp0vdNg3s3wtN2yw
INTERVENTIONAL GLAUCOMA: SLT AND MIGS
A Roundtable Discussion Of Nondestructive Interventional Treatments For Open-angle Glaucoma
Cataract & Refractive Surgery Today
SUPPLEMENT | AUGUST 2018
Sponsored by Ellex Medical
Source: https://crstoday.com/articles/2018-aug/interventional-glaucoma-slt-and-migs/
-----
Iqbal Ike K. Ahmed, MD, FRCSC, introduces this roundtable discussion of different paradigms in glaucoma therapy, with Mahmoud A. Khaimi, MD; Mark J. Gallardo, MD; David Richardson, MD; Nathan M. Radcliffe, MD; and I. Paul Singh, MD. The surgeons share their current treatment strategies for open-angle glaucoma and discuss how to incorporate selective laser trabeculoplasty and minimally invasive glaucoma surgery (MIGS) into practice.
-----
At ASCRS 2018 in Washington, DC, a group of surgeons experienced in interventional glaucoma therapies sat down to discuss the roles of selective laser trabeculoplasty (SLT) and microinvasive glaucoma surgery (MIGS) for treatment of openangle glaucoma (OAG).
The term interventional glaucoma refers to more than simply technology. It is a mindset that the available technologies bring to us as surgeons and clinicians. Instead of being passive and watchful, waiting for our patients to progress, interventional glaucoma allows us to be actively involved in their care by providing interventional therapies that change the course of the disease. I am very excited about interventional glaucoma and how it shapes the future of glaucoma care.
In this roundtable, we will discuss a number of technologies used in the interventional glaucoma model. First, we want to hear about SLT and its relevance in glaucoma therapy today, including the interplay of SLT and MIGS options. We also will talk about our experiences with ab interno canaloplasty (ABiC) performed with the iTrack surgical system (Ellex), its role in rejuvenating the natural outflow system, and its place among MIGS procedures.
—Iqbal “Ike” K. Ahmed, MD, FRCSC, Moderator
Sunshine Hospitals! I thank you for visiting our website and personally welcome you to Sunshine Hospitals. It has been my dream project and brain child for which, I had taken every measure to provide quality healthcare to the citizens of India as well as to people from Abroad.
India has a large medical market with potential but also challenges like lack of access and affordability due to a shortage of doctors, especially in rural areas. iMedrix developed an affordable 6-lead ECG device for telemedicine that is rugged, low maintenance, and designed for the Indian context. Through fast trials and iterations with over 2000 readings in 3 months, iMedrix proved clinical validity and signed their first commercial contracts. Their low-cost subscription model and experience iterating quickly positions them for growth in India's emerging telemedicine industry.
http://www.drsandeepagrawal.com/spine.php
There are many different types of conditions that cause back pain. Like most medical conditions, back pain is treatable through several methodologies. Determining what condition you have is the key to determining the right treatment option for you. Back pain comes in many forms, lower back pain, middle back pain, and upper back pain are just a few of the symptoms associated with spinalconditions. You may also have pain or tingling in your extremities that may be indications of spinal conditions. Feel free to browse through our articles about conditions. Contact your doctor to set up an appointment to start your road to recovery.
Every person is different, so symptoms of conditions may present
differently for different people. Symptoms also vary depending on the
condition, its severity, location, and other factors.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 25th publication IJCAR 1st name
This document compares digital and standard radiographs in dentistry. It discusses that while new technologies are generally improvements, dental professionals must critically analyze them. Digital radiographs have benefits like lower radiation exposure for patients and the ability to adjust settings after exposure. However, they also have higher acquisition costs. Standard radiographs produce waste from used materials. Overall, both methods have advantages and disadvantages, so dental professionals should consider the specific needs of their practice and patients when deciding.
The document discusses the duochrome or bichrome test, which is used to refine the spherical endpoint during monocular refraction. It uses chromatic aberration and different wavelengths of light to determine if a patient is emmetropic, hyperopic, or myopic. The test involves showing the patient red and green filters and adding plus or minus lenses until the clarity is the same between the colors. It can detect refractive errors as small as 0.25 diopters and is reliable for patients with visual acuity of 6/9 or better. The document provides details on interpreting test results and final refractive corrections.
DRK Beauty Clinic was established in 2003 and has since expanded to offer specialized cosmetic and dermatological treatments at multiple locations in Bangkok. The clinic strives to provide innovative technologies and personalized care. Treatments include plastic surgeries like blepharoplasty and rhinoplasty, non-surgical procedures like Botox and fillers, hair transplants, laser treatments, and specialized services for anti-aging and permanent makeup. DRK works with a team of trained and experienced medical professionals to ensure safe and quality care.
This document reports on a study examining treating open hand injuries as elective day surgery rather than emergency admissions. The study found that treating open hand injuries as semi-elective day surgery procedures rather than surgical emergencies avoided 76.45% of unnecessary admissions, saved 578 bed days, and increased day surgery utilization by 196.3% with consultant-delivered care. Of the 232 open hand injury cases treated, 3 patients (1.3%) developed deep infections, showing delayed treatment of up to 120 hours did not significantly impact infection rates. The study demonstrates open hand injuries can be safely treated as elective day surgery.
Similar to Ing hernia open vs lap ahm 2013 sept (20)
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Treating inguinal hernias BMJ 2004;328:59–60 VOLUME 328 10 JANUARY 2004 bmj.com Andrew Kingsnorth professor of surgery Derriford Hospital, Plymouth PL6 8DH andrew.kingsnorth@phnt.swest.nhs.uk)
Prospective Randomized Trial- 2164 patients at 14 Veteran ’ s Affairs medical centers to receive open or laparoscopic procedure. The surgical protocol was standardized for each type of procedure, and surgeons must have performed at least 25 of their chosen procedure to qualify for the study. Patients were followed up for two years, and 1696 (86%) completed the follow up. Patients who had lap repair experienced less pain after surgery and returned to work sooner (4 v 5 days; 95%). However, the difference in pain was generally minor, between 6 and 10 on a 100 point visual scale There were more complications with lap repair, including more life threatening complications (0.1% v 1.1%; odds ratio 11.2, 1.3 to 95.3). The recurrence rate at two years was also lower in the open repair group (4.9% v 10.1%) Bottom line Although lap repair is associated with a small reduction in pain and gets your patient back to work a day sooner, it carries a greater risk of serious complications and recurrence.