Spigelian Hernia: A Rare Hernia With Peculiar Anatomy. (Case Report And Revie...KETAN VAGHOLKAR
Background: Spigelian hernia best described as
spontaneous lateral ventral hernia is an extremely rare type of
hernia. The anatomical peculiarities and diagnostic challenges
need to be understood in order to surgically mange this hernia.
Introduction: Spigelian hernia occurs through a defect in the
spigelian fascia typically lying in the spigelian zone.
Case report: A case of a large incarcerated spigelian hernia
is presented to highlight the diagnostic and anatomical
peculiarities of this hernia.
Discussion: The anatomical basis of this hernia along with
clinical presentation, diagnostic modalities and treatment
options is discussed.
Conclusion: Clinical suspicion confirmed by imaging is
necessary for diagnosis. Surgery is the mainstay of treatment.
The Cervical Cancer is the second most common cancers and it can be easily prevented by timely screening & proper education, awareness program for women.
Most ovarian abnormalities can be managed laparoscopically. Ovarian pathology can occur at any time from fetal life to menopause. First laparoscopic salpingooophorectomy was performed by Semm in 1984.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
3. Indication of Ovariohysterectomy
1.Birth control Programme
2.Neoplasm involving ovary and uterus
3.Ovarian cyst
4.Uterine diseases (Pyometra, metritis, chronic
endometrial hyperplasia, Prolapse)
5.Minimize the risk of mammary gland tumors
6. Vaginal edema
7. Prevention of hormonal changes that interferes
with therapy for dermatitis, diabetes or Epilepsy.
5. Drugs commonly used.
Atropine (0.04mg/kg)
Xylazine (1 mg/kg)
Ketamine (5mg/kg IV, 11mg/kg IM)
Diazepam (Dog /cat 0.1-0.5 mg /kg)
Patient preparation should be done once preanesthics
have been given
Dose of the induction agent will reduce if preanestetic is given
6. Step 1
Calculate the drug doses on case paper prior
starting of anesthesia
Step 2
Inject Xylazine and atropine and wait for 10
mins
Step 3
After 10 mins inject ketamine (Induction)
Anesthetic Procedure/Protocol
7. Calculation of Drug dose
Volume of Drug to be given (in ml) =
𝐷𝑜𝑠𝑒 𝑟𝑎𝑡𝑒 𝑖𝑛 𝑚𝑔/𝑘𝑔×𝑏𝑜𝑑𝑦 𝑤𝑒𝑖𝑔ℎ𝑡𝑖𝑛 𝑘𝑔
𝐶𝑜𝑛𝑐𝑒𝑛𝑡𝑟𝑎𝑡𝑖𝑜𝑛 𝑚𝑔/𝑚𝑙
Concentration of the drug is always mentioned on
the vial while drug dose rate should be known.
If the concentration of the drug is in % (Eg 20%),
always change to mg/ml using following unitary
method.
100%= 1000mg/ml
8. Equipment Required for Ovariohysterectomy.
1. Spay pack containing sterilized gauze at least 10
2. A Spay hook
3. At least 3 to 4 curved artery forceps
4. A scissor
5. A thumb forceps (Rat toothed)
6. A needle holder
7. Needle
8. Suture (vicryl, catgut, silk)
9. Towel clamp
10. A Shroud etc.
11. Scalpel blade handle
All these equipment should be thoroughly sterilized
9. Surgical Technique
Approach:
Midline incision on the linea alba. 1 or 2 inch
distal to umbilicus depending on the age of
the patient.
Surgeons position should be on the right for
OH & on the left if Castration with respect
to patient.
10. Surgical Technique:
1. Using sterile scalpel blade, make a clean
continuous incision on the skin linea alba (5 cm
approx. distal to Umbilicus).
2. Blunt dissect with artery forceps to
expose subcutaneous tissues and muscles.
3. Give a stab incision on the muscle making
sure not to stab the underlying organs.
11. 4. Blunt dissect the muscle with artery forceps to
expose white glistening peritoneum.
5. With a thumb forceps, lift the peritoneum and give a
stab incision to it with a scalpel blade.
6. Extend the incision hole with scalpel blade to the
size of skin incision length.
7.Always follow the tenets of Halsted.
8. Locate the left uterine horn with the help of spay
hook focusing on the left abdominal wall.
12. 9. Exteriorize the uterine horn and clamp below the
ovarian pedicle with two curved artery forceps.
10. To facilitate clamping, pierce the broad ligament
where no vessels are present.
11.Break the suspensory ligament with the help of
thumb and fore finger without pulling forcefully.
12. Ligate the