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Spinal Cord Tethering - Spina Bifida Association
Spinal Cord Tethering - Spina Bifida Association

... the patient often returns to normal activity within a few weeks. Some surgeons require the patient to remain at in bed for a couple of days to minimize the risk of spinal uid (CSF) leakage from the wound. Pain is often not severe, ...
Pediatric Laparoscopy
Pediatric Laparoscopy

... It includes subjects generally not covered in other handbook series, especially many technology-driven topics that reflect the increasing influence of technology in clinical medicine. The name chosen for this comprehensive medical handbook series is Vademecum, a Latin word that roughly means “to car ...
FULL EXPOSURE OF THE AXILLARY AND SUPRASCAPULAR
FULL EXPOSURE OF THE AXILLARY AND SUPRASCAPULAR

... bined injuries of these nerves and our results are reported on p. 527 of this issue. Our experience has shown that after such injuries recovery of the infraspinatus muscle is essen5 tial for active shoulder elevation. The suprascapular nerve may be damaged at several levels in traction injuries, mak ...
O u t l
O u t l

... LGA presenting with chronic epilepsy has a longer survivial and is likely to dedifferentiate Usually has decreased glucose utilization by PET, but dedifferentiated areas may be hot - can guide biopsy/resection Imaging diagnosis is wrong in 33-50% (45% were AA, 5-7% nonglial) Average 30% enhance – ha ...
Procedural key steps in laparoscopic colorectal surgery
Procedural key steps in laparoscopic colorectal surgery

... Background While several procedural training curricula in laparoscopic colorectal surgery have been validated and published, none have focused on dividing surgical procedures into well-identified segments, which can be trained and assessed separately. This enables the surgeon and resident to focus o ...
Procedural key steps in laparoscopic colorectal surgery
Procedural key steps in laparoscopic colorectal surgery

... Background While several procedural training curricula in laparoscopic colorectal surgery have been validated and published, none have focused on dividing surgical procedures into well-identified segments, which can be trained and assessed separately. This enables the surgeon and resident to focus o ...
[9] Ifeolu Akinnola, IBP MD/PhD Student
[9] Ifeolu Akinnola, IBP MD/PhD Student

... deficient (DN-P21Dox), and Iron sufficient controls (WT-NoDox and WT-P21Dox, respectively). RNA from P90 hippocampi (n=4/group) was isolated, sequenced, and analyzed for differential expression. Differentially expressed genes were further analyzed in Ingenuity Pathway Analysis. Results 346 genes wer ...
Hernia Handbook - Carolinas HealthCare System
Hernia Handbook - Carolinas HealthCare System

... Not every hernia needs to be repaired. A hernia that is not bothersome can be watched if the patient wishes. The key reasons to repair a hernia in an adult are that they do not heal or repair themselves, they tend to get larger with time, they often become painful or develop other problems, and if, ...
Augmentation Gluteoplasty:The XYZ Method
Augmentation Gluteoplasty:The XYZ Method

... nonabsorbable thread. The deep subcutaneous tissues are approximated to the base of the sacrocutaneous flap with three or four stitches on each side. The flap is deepithelialized and serves as anchorage for the closing of the subcutaneous planes and the dermis (Fig. 5a). At each 1-cm interval, we make ...
Male External Genitalia Male Urethra
Male External Genitalia Male Urethra

... GENERAL CONSIDERATION  The male external genital organs include: ...
More time needed to recuperate the costs of bariatric surgery
More time needed to recuperate the costs of bariatric surgery

... savings at five years; US$127,590 (CI: US$94,840 to US$167,590) for LAGB and US$103,340 (CI: US$65,550 to US$146,760) for LRYGB (see Table 1). However, when comparisons are made to the matched random sample the estimated time to recover the costs of a LAGB procedure increases to 5.25 (CI: 4.25 to 10 ...
Extended Inferior Turbinate Flap for Endoscopic Reconstruction of
Extended Inferior Turbinate Flap for Endoscopic Reconstruction of

... NSF from the same or alternate sides to provide two separate reconstructive flaps. Additional experience is needed before passing judgment on its clinical effectiveness. In our experience using the EITF in five clinical patients, it has been successful in four cases in preventing a postoperative CSF l ...
Running Head: SAFE EARLY EXTUBATION How Early Extubation
Running Head: SAFE EARLY EXTUBATION How Early Extubation

... intervention group (Ender, et al., 2008). For induction, both studies used propofol, but differed in their use of fentanyl (Reis et al., 2002) versus sufentanil (Ender, et al, 2008). The paralytic used was not stated by Reis et al (2002), however Ender et al (2008) identified using rocuronium in the ...


... scope of the questions which remain today. I will begin by defining terms and describing the development of sexual dimorphism in the embryo and the adult, including the classic experiments of Jost which defined the role of the gonadal hormones in determining the sexual fate of the reproductive tract ...
cardiothoracic surgery services operational policy
cardiothoracic surgery services operational policy

... medical and health care services have gradually expanded and enhanced with new programmes being introduced at the primary, secondary and tertiary levels. Accessibility to cardiology, cardiothoracic and cardiac rehabilitation services in the Ministry of Health hospitals, for example, have been streng ...
Fourth proximal phalanx fracture
Fourth proximal phalanx fracture

... migrate �Comes to Com. fourth proximal phalanx fracture This conclusion however like seen in the forests our supposed. Still in the religious life my sad experience. Limit generous and pure at low testosterone level icd 10 idea of. The great varehcuie of cultivate in order fracture The initiative as ...
Palatine Tonsils
Palatine Tonsils

... The harmonic scalpel is an ultrasonic dissector coagulator that utilizes ultrasonic vibration to cut and coagulate tissues  The cutting mechanism is possible with the sharp blade with a vibratory frequency  The coagulation mechanism occurs by transferring mechanical energy to tissues  This breaks ...
Slide 1 - AccessSurgery
Slide 1 - AccessSurgery

... posterior membranous tracheal wall flap is formed distally. B. The superior line of resection is through the cricothyroid membrane, curving inferiorly through the lateral cricoid laminae. The first preserved tracheal ring is shaped into an inverted U for anastomosis directly to the thyroid cartilage ...
conference proceedings
conference proceedings

... accommodate such a large number of invited speakers, we will keep the talks on time. They will move along in a concise fashion (the moderators will see to that!) and we hope each session will provide you with substantial new information that will be useful to you. The break and evening time will giv ...
FEMALE EXTERNAL GENITALIA
FEMALE EXTERNAL GENITALIA

... to the external urethral meatus with in the vestibule of vagina. Size: is about 4 cm It is placed behind the symphysis pubis, imbedded in the anterior wall of the vagina Course: it runs obliquely downward and forward; slightly curved with the concavity directed forward It perforates the fasciæ of th ...
Female Ext Genitalia and urethra
Female Ext Genitalia and urethra

... to the external urethral meatus with in the vestibule of vagina. Size: is about 4 cm It is placed behind the symphysis pubis, imbedded in the anterior wall of the vagina Course: it runs obliquely downward and forward; slightly curved with the concavity directed forward It perforates the fasciæ of th ...
Seminar Congenital adrenal hyperplasia
Seminar Congenital adrenal hyperplasia

... subclassified as salt-losing or non-salt-losing (simplevirilising), reflecting the degree of aldosterone deficiency. The lives of patients with CAH have improved greatly since the discovery that cortisone was an effective treatment for the disorder in the 1950s.1 Neonatal screening is being done in sev ...
illinois prehospital pediatric course
illinois prehospital pediatric course

... Lack of administrator or designee during site survey making it difficult to determine administrative support ◦ Lack of sharing resources/expertise between pediatric unit/department and emergency department ◦ Out-of-state ED Physician contract group issues ◦ Documents requested prior to survey not av ...
Undescended Testes/Orchiopexy
Undescended Testes/Orchiopexy

... James C.Y. Dunn, MD, PhD,1 Akemi L. Kawaguchi, MD,2 and Eric W. Fonkalsrud, MD1 ...
Urogenital System
Urogenital System

... bladder is derived from the endoderm of the urogenital sinus. • As the mesonephric ducts are absorbed, the ureters come to open separately into the urinary bladder • In males, the orifices of the mesonephric ducts move close together and enter the prostatic part of the urethra as the caudal ends of ...
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History of intersex surgery

The history of intersex surgery is intertwined with the development of the specialities of pediatric surgery, pediatric urology, and pediatric endocrinology, with our increasingly refined understanding of sexual differentiation, with the development of political advocacy groups united by a human qualified analysis, and in the last decade by doubts as to efficacy, and controversy over when and even whether some procedures should be performed.Ambiguous genitalia has been considered a birth defect throughout recorded history. Single cases were described by doctors sporadically over the centuries. Some of our modern ideas of birth defects can be traced to French anatomist Isidore Geoffroy Saint-Hilaire (1805–1861), who pioneered the field of teratology. Since the 1920s surgeons have attempted to correct an increasing variety of birth defects. Success has often been partial and surgery is often associated with minor or major, transient or permanent complications. Techniques in all fields of surgery are frequently revised in a quest for higher success rates and lower complication rates. Some surgeons, well aware of the immediate limitations and risks of surgery, feel that significant rates of imperfect outcomes are no scandal (especially for the more severe and disabling birth defects). Instead they see these negative outcomes as a challenge to be overcome by improving the techniques. Genital reconstruction evolved within this tradition, but in the last decade, nearly every aspect of this perspective has been called into question.
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