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Fully Trombosed Giant Fusiform Aneurysm

Fully Trombosed Giant Fusiform Aneurysm

Giant, fully trombosed fusiform aneurysm of right MCA branch in 16yrs old girl suffering from epilepsia and TIA was microsurgically exposed and excised with no neurologicall consequences.

C2-6 Allogenic Block and Particulate Bone Grafting for Congenitally Missing Lateral Incisors

C2-6 Allogenic Block and Particulate Bone Grafting...

- Utilization of block vs. particulate graft material based on site presentation - Incision design, flap reflection and defect site preparation - Bone block hydration, shaping, and fixation - Bone block fixation - Particulate graft preparation and placement - Membrane placement and PRP Application - Flap closure technique for each site - Four month re-entry

Nerve Repositioning

Nerve Repositioning

This is a video of a surgery, in which the inferior alveolar nerve of the mandible is lateralized, in order to facilitate the placement of dental implants of proper length

Implants in the Posterior Maxilla (Grafted)

Implants in the Posterior Maxilla (Grafted)

This is a video showing the placement of a dental implant in to the posterior maxilla of a patient, which had been grafted six months earlier via a Sinus Augmentation. There is an annotation in the video, showing the graft.

Chin Block Graft Harvesting

Chin Block Graft Harvesting

This video shows the harvesting of a block graft from the symphysis area of the chin. There is quite a bit of cross talk during the surgery, because this was a C.E. course demo surgery with residents inside the OR.

V-Lock Endostich

V-Lock Endostich

New instrumentation combining an Endostich and V-Lock Suture in Laparoscopic Surgery

Laparoscopic oophoropexy for recurrent adnexal torsion

Laparoscopic oophoropexy for recurrent adnexal...

This video demonstrate laparoscopic oophoropexy by Dr R K Mishra. For laparoscopic oophoropexy for a recurrent ovarian torsion; we encourage the use of this simple, minimally invasive procedure in cases of recurrent adnexal torsion. Using an extracorporeal suturing technique, a laparoscopic oophoropexy performed to prevent any further rotatory movement.

ECG Case: Pulmonary Embolism

ECG Case: Pulmonary Embolism

ECG findings in Pulmonary Embolism: -Sinus Tachycardia (only 30-50%) -SIQIII or SIQIIITIII , a.k.a. Rightward Axis (not sensitive or specific) -New RBBB or incomplete RBBB -Superventricular tachydysrhythmias -Ventricular dysrhythmias -ST-segment elevations or depressions -T-wave inversions

Operating Room Teaching

Operating Room Teaching

Rocky Vista University College of Osteopathic Medicine (RVU) in Parker, Colorado conducted its annual Intensive Surgical Skills Course (ISSC) at Strategic Operations' U.S. Navy designated Simulated Ambulant Lab the week of 4-9 May 2014. Overhead catwalks and video camera systems enabled live viewing and after action review. Thirty-nine live-action, Hyper-Realistic™ simulations of both medical and surgical problems were created, immersing the participants from point-of-injury all the way through the ER and OR. Trauma scenarios included overturned cars, active shooters, improvised explosive devices, industrial accidents, and fires. All occurred at Strategic Operations on the back lot of Stu Segall Productions TV/film studio and the emergency and operating rooms were simulation labs where surgeries were performed on live humans – wearing Strategic Operations simulators called “Cut Suits.” The following video, one of twenty-one surgeries simulating various pathologies and trauma, is titled: “Teaching Open Damage Control Surgery through Simulated Hyper-Realistic Laparotomy, Thoracotomy, and External Pelvic Fixation.” Twenty-one RVU second-year medical students, many teaching faculty and visiting surgeons and physicians, as well as surgical and ER residents and staff from Balboa Naval Hospital participated. Since the end of the "see one, do one, teach one" era, physicians in training have had significantly less hands-on experience in which they have been allowed to make decisions and be responsible for the consequences of those decisions. Success is often born of failure. But being allowed to make mistakes - to fail - is no longer permissible in surgical education, for obvious and good reasons: patient safety. This is surgical simulation as you have never seen it before. It is truly a return to the "see one, do one, teach one" method. Participating Surgeons, Medical Students, and Physicians: Mark Lee MD FACS; Anthony J. LaPorta MD FACS; Tuan Hoang CDR MC USN, MD FACS; Reggie Francoise MD FACS; Jonathan R. Gower MD, LT MC USN; Chelsea Zahler MS3; Ryan Slattery MS3; Douglas Robinson MS3

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Tokyo Medical University Hospital

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Orthopaedic Surgeon, Dir. of the Teaching & Learning Resource Centre, The Chinese University of Hong Kong, China