An umbilical hernia is a condition where the abdominal wall behind the navel is damaged, allowing abdominal contents to bulge through. There are three main types of umbilical hernias: exomphalos, which is a developmental anomaly where organs protrude outside the abdomen; infantile hernias caused by weakening of the umbilical scar in neonates; and acquired hernias in adults due to factors like obesity or pregnancy. Treatment depends on the type and size of hernia, ranging from observation for small infantile hernias to surgical repair using techniques like suture or mesh placement. Mesh repairs have lower recurrence rates than suture alone.
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A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most commonly of the inguinal type but may also be femoral
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A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most commonly of the inguinal type but may also be femoral
Definition
Type of Hernia
risk factor
pathophysiology
diagnostic procedure
physical assessment
management for hernia
Nursing Diagnosis
Health Education
An epigastric hernia is where fat pushes out through a weakness in the wall of your abdomen between your umbilicus (belly button) and sternum and forms a lump
Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes, the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids are also called piles.
Ventral hernia is protrusion of peritoneal sac through anterior abdominal wall defects except Groin hernias. In this presentation I have discussed Epigastric, Umbilical, Para umbilical, Incisional, Spigelian and Lumbar hernias.
Information about Management of Appendicular Lump by Dr Dhaval Mangukiya.
Details of Appendicular Lump, Basic to Above the Basics, Incidence, Safe Approach Interval Laparoscopy, Early Surgery etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
In this presentation I have shown the etiology, clinical features and treatment for both Phimosis & Paraphimosis. I have also showed various methods of circumcision for both infants and adults.
Definition
Type of Hernia
risk factor
pathophysiology
diagnostic procedure
physical assessment
management for hernia
Nursing Diagnosis
Health Education
An epigastric hernia is where fat pushes out through a weakness in the wall of your abdomen between your umbilicus (belly button) and sternum and forms a lump
Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes, the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids are also called piles.
Ventral hernia is protrusion of peritoneal sac through anterior abdominal wall defects except Groin hernias. In this presentation I have discussed Epigastric, Umbilical, Para umbilical, Incisional, Spigelian and Lumbar hernias.
Information about Management of Appendicular Lump by Dr Dhaval Mangukiya.
Details of Appendicular Lump, Basic to Above the Basics, Incidence, Safe Approach Interval Laparoscopy, Early Surgery etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
In this presentation I have shown the etiology, clinical features and treatment for both Phimosis & Paraphimosis. I have also showed various methods of circumcision for both infants and adults.
A brief presentation on inguinal hernia covering the all aspects regarding anatomy, presentation, treatment and complications, esp for undergraduate and post graduate students.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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2. An umbilicqal hernia is a health condition
where the abdominal wall behind the navel is
damaged.
The buldge can often be pressed back
through the hole in abdominal wall, and may
pop out when coughing or otherwise acting
to increase intra-abdomial pressure.
3. Umbilical hernia is herniation at the site of
umbilicus.
Paraumbilical hernia is herniation at the
midline 3 cm below or above the umbilicus
..… Europian hernia society
4.
5.
6. Basically there are three types of umbilical
hernia are seen:
1. EXOMPHALOS:
It is developmental anamoly due to failure of
whole or part of the miidgut to return to the
abdominal cavity during early foetal life. So
the organs remain protruded being covered
by membrane;
Which contents
1.amniotic membrane
2. whortans gelly
3. iiner layer of peritoneum
7.
8.
9. 1. exomphalos minor:
Where the sac is relatively small and to its
summit is attached the umbilical cord.
treatment: just twist of cord and retained by
ferm strapping.
1. exomphalos major:
Umblical cord is attached to the inferior
aspect of large swelling containing samll and
large intestine and the portion of liver.
treatment: emergency surgery advised.to
avoid bursting of abdomen.
10. This is from weak umbilical scar, neonal sepsis
It is symptomless
Bulge seen when baby is crying
More often in male child than female 2:1 ratio
Initially spherical but if size increases it become
conical.
Strangulation is extrmely rare.
Treatment: 90% cases it cures spontaniously
within 12 to 18 months
If not cured surgical intervention after 5 yrs.
Counselling of parents.
11. Its protrusion through the linia alba just
above the umbilicus(supraumbilical) or
infraumbilical
Contents:
Greater omentum, small intestine transverse
colon
Majority of cases sac is loculated and
adhesions of omentum to fundus.
Seldom reducible.
Females are far major victims 5:1 ratio.
12. infantile/ congenital hernia:
Delay in closure of ring
Neonal sepsis
Failure to return coils
Aquired umbilical/ paraumbilical hernia:
Obesity
Multiple pregnancies
Ascitesabdominal tumours
Heavy excersise
13. Infantile umbilical hernia:
Upto 10% of infants higher in premature
babies
Symptomless and appear within few weeks of
birth.
Umbilical mass
Increase on crying toa classical conical shape
Stragulation is extremely rare below 3 yrs.
14. Female>males, commonly overweight
Mass above and below umbilicus,protruding
through umbilicus
Crescent shape of umbilicus
Painless or dragging pain due tissue
tension/obstruction
Firm and dull on percussion-omentocele
Soft and Resonant on percussion- enterocele
Mostly non reducible
Sometimes reducible
Expansile cough impulse in reducible cases.
17. 1. if defect is less than 1cm
Simple figure eight suture after reducing
contents in cavity
Repaired by darn technique.
18. 2.defect upto 2cm:
Mayo’s vest over pants repair
Mesh plasty for tensionless repairand
reinforcementof wall.
Apronectomy(excision of excess skin after
mayos repair)
19. Transeverse curviline incison
Hernia sac was identified and desected off
Adhesions were seperated
Sac was opened contents were reduced
Non viable tissue removed
Peritoneum closed
Defect in anterior rectus sheath extended
laterallyon both sides.
Elevated to create flaps(upper and lower)
Double bresting was done
Suction drain was kept
20.
21.
22. Defect is more than 2 cm:
Mesh repair is recommended.
1.within peritoneal cavity;(UNDERLAY)
Tissue seperating meshtrough the defect
fixed with overlap of 5cm
2.extraperitonealspace ; (preperitoneal)
Plane below posterio rectus sheath
developed
Care to be taken to avoid button holing in
peritoneum.
Linia alba closed over mesh
23. Retromuscular(sublay): linia alba opened
vertically.
Posterior rectus sheath sutured together
Rectus muscle elevatedto form retromuscular
space for mesh.
Mesh overlaps midline by 5 cm laterally.
Maximum diameter of mesh is 10cm
Most secure method.
24. INLAY mesh: applied by plugs
Having high recurrence rate.
ONLAYmesh repair:
Subcuticular
Simplest open repair
Close linia alba vertically
Mesh placed on anterior rectus sheath
Prone to infection
Seroma is major complication
Posterior and anterior componant seperation:
In giant and complex hernia.
25.
26.
27. Pneumoperitonum created.
2mm ports were inserted on lateral sides
lower abdomen and on on upper 10mm.
Contents of hernia were reduced by traction
and external pressure.
Non adherant mesh for intraperitoneal use
was fixed to peritoneum and posterior rectus
sheathusing staples, tracks or sutures.
28.
29. In cases of simple incarseration without
cliniacal evedence ofstrangulationrepair may
be attempted laproscopically
Mostly open surgery.
Open suture repair.
No mesh plasty is advised.
2stage repair may be advised.
30. Large seroma
Surgical site infection
Patients bmi more than 30 and defect more
than 2 cm
Cirhosis with uncontrolled ascites
Wrong surgical technique.
31. Use of mesh repair results decresed
recurrence rates for primary umbilical
hernias
For multiple comorbidity alwys repaire with
mesh.
There is high possibility of fewest ssi and
recurrence in sublay repair.
Topical gentamycinin addition to
preoperative intravenous prophylaxis to
lower infection rates.