TEP repair is nearly equal to open repair in the management of primary unilateral hernia, but it is more time consuming with more difficulty. However, it is still preferred in cases of bilateral and recurrent hernias because of lesser tissue trauma and lower incidence of complications.
Laparoscopic repair of inguinal hernias Gergis Rabea
Since the introduction of laparoscopic cholecystectomy, surgeons have developed laparoscopic approaches to other commonly performed open abdominal and thoracic procedures
Laparoscopic repair of inguinal hernias Gergis Rabea
Since the introduction of laparoscopic cholecystectomy, surgeons have developed laparoscopic approaches to other commonly performed open abdominal and thoracic procedures
The esophageal hiatus is an elliptical opening in the diaphragmatic muscular portion. The crura of diaphragm originate from the anterior surface of the first four lumbar vertebrae on the right and L2–L3 on the left to insert anteriorly into the transverse ligament of the central portion of diaphragm.
Almost all groin hernias should be surgically repaired. When the potential complications as incarceration and strangulation are weighed against the minimal risks of hernia repair (particularly when local anesthesia is used), the early repair of groin hernias is clearly justified. This is especially true in the case of femoral hernias, since the rigid borders of the femoral canal increase the risk of incarceration
Inguinal hernia in females: do we know enough? KETAN VAGHOLKAR
Inguinal hernia in females is quite uncommon as compared to males. However in females it may pose both a diagnostic as well as a surgical challenge to the attending surgeon. Awareness of the anatomy of the region and all the possible contents is essential to prevent untoward complications. A case of an indirect inguinal hernia in a female is presented along with a review of literature to highlight the intricacies of the surgical anatomy and management.
Hernia (in Latin, the rupture of a portion of a structure) is defined as a protrusion of the normal internal abdominal viscera through a weakness or defect in the fascial and muscular layers which normally confine them. The groin region, lying between the lower abdomen and the thigh, represents one of the weakest natural points of the abdominal wall and is the site of most common abdominal wall hernias
The esophageal hiatus is an elliptical opening in the diaphragmatic muscular portion. The crura of diaphragm originate from the anterior surface of the first four lumbar vertebrae on the right and L2–L3 on the left to insert anteriorly into the transverse ligament of the central portion of diaphragm.
Almost all groin hernias should be surgically repaired. When the potential complications as incarceration and strangulation are weighed against the minimal risks of hernia repair (particularly when local anesthesia is used), the early repair of groin hernias is clearly justified. This is especially true in the case of femoral hernias, since the rigid borders of the femoral canal increase the risk of incarceration
Inguinal hernia in females: do we know enough? KETAN VAGHOLKAR
Inguinal hernia in females is quite uncommon as compared to males. However in females it may pose both a diagnostic as well as a surgical challenge to the attending surgeon. Awareness of the anatomy of the region and all the possible contents is essential to prevent untoward complications. A case of an indirect inguinal hernia in a female is presented along with a review of literature to highlight the intricacies of the surgical anatomy and management.
Hernia (in Latin, the rupture of a portion of a structure) is defined as a protrusion of the normal internal abdominal viscera through a weakness or defect in the fascial and muscular layers which normally confine them. The groin region, lying between the lower abdomen and the thigh, represents one of the weakest natural points of the abdominal wall and is the site of most common abdominal wall hernias
Inguinal Hernia is the commonest problem in General surgery. All medical students should know everything about this common problem. In this ppt presentation I have covered all the details regarding Inguinal hernia thoroughly.
Inguinal hernia surgery, one of the commonest and oldest operations practiced throughout history, did not escape revolutionary advances witnessed in medicine in the last few decades
Laparoscopic Natural Orifice Specimen Extraction (NOSE) Total Colectomy with ...semualkaira
The benefit of laparoscopic surgery in terms of
reduced pain and fewer cosmetic problems is not always obvious,
and surgeons continue to seek the best ways to limit incision trauma and improve outcomes in laparoscopic colorectal surgery
Basics of laproscopic surgery..
by dr navdeep s kamboj presented at sgrdumsar amritsar.
topics covered--
1 basics of laparoscopy
2 lap cholecystectomy
3 lap appendixcectomy
pneumoperitonem
merits and demerits of laproscopy
ligasure
endoscopy,
laparoscopic instruments
The transversus abdominis plane, more commonly referred to as the TAP block,
Places local anesthetic in the lateral abdominal wall in a plane between the internal oblique and the transversus abdominis muscles.
Here, the local anesthetic block can block many of the abdominal nerves as they pass to the abdominal structures.
Laparoscopic anatomy of inguinal canalGergis Rabea
Since laparoscopy has been used in the treatment of patients with inguinal hernias, new interest has developed in the anatomy of the inguinal region of the posterior aspect of the abdominal wall. Anatomists and laparoscopists have published interesting articles on the surgical anatomy of this region, which they call the laparoscopic inguinal anatomy
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Evaluation of antidepressant activity of clitoris ternatea in animals
Summary of the work
1. Summary
Surgical repair of the hernia is considered to be the only definitive
management of hernia. The outcome of hernia surgery is highly surgeon
dependent "no disease of the human body, belonging to the province of
surgeons requires in its treatment a greater combination of accurate
anatomical knowledge with surgical skill than hernia in all its varieties".
Inguinal hernia repair is the most common general surgical
procedure in the western world. In Sweden alone (population nine
million), an average of 18.000 inguinal hernia operations are performed
annually, of which ∼ 16% are for recurrent hernias.
The exact cause of inguinal hernia is still unknown but the
following factors contribute in its occurrence. A preformed congenital sac
raised intra-abdominal pressure and weak abdominal musculature.
In 1887, Bassini published his original description of inguinal
hernia repair. Later on, many modern modifications such as the Shouldice
repair and the Lichtenstein "tensionless" mesh repair have originated
from it.
Within a decade in the 1990s, laparoscopic enthusiasts had already
described three forms of laparoscopic repairs, namely: the intraperitoneal
mesh (IPOM) repair, the trans-abdominal preperitoneal repair (TAPP),
and the totally extraperitoneal (TEP) repair.
Laparoscopic inguinal hernia repairs, especially total
extraperitoneal (TEP) inguinal hernia repair, have gained ground in the
past few years. TEP is preferred over TAPP as it is less invasive and
preserves the "peritoneal sanctity".
160
Summary
2. Prospective randomized trials comparing TEP with open
Lichtenstein repair have shown TEP as a better alternative than open
repair in terms of lesser postoperative pain, earlier ambulation, earlier
return to work and better cosmetic results. However, TEP has a longer and
steeper learning curve due to the "inside out anatomical view", to which
the surgeon is not accustomed.
TEP repair is nearly equal to open repair in the management of
primary unilateral hernia, but it is more time consuming with more
difficulty. However, it is still preferred in cases of bilateral and recurrent
hernias because of lesser tissue trauma and lower incidence of
complications.
161
Summary