Sunday, October 3, 2010

Complications in Cardiothoracic Surgery: Avoidance and Treatment

Alex G. Little MD, Walter H. Merrill MD "Complications in Cardiothoracic Surgery: Avoidance and Treatment"
Wiley-Blackwell | English | 2009-11-16 | ISBN: 1405181036 | 496 pages | PDF | 3,8 MB

Drs. Little and Merrill draw on their expertise in general thoracic and cardiac surgery to review tracheobronchial operations, lung volume reduction operations, lung transplantation, minimally invasive esophagectomy, pleural operations, revascularizations, myocardial operations, and aortic and great vessel operations. For each operation, leading practitioners provide specific advice on what to be aware of to prevent complications -- and how to manage them if they do occur.



Indications and Contra-indications of Chest Tube Insertion

Indications for Chest-Tube Insertion.

In all patients on mechanical ventilation
When pneumothorax is large
In a clinically unstable patient............

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About Dermatomyositis

A type of auto immune inflammatory myositis (recognized in females).It has 2 types according to age of presentation :...............

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Kayser-Fleischer Ring

This is sometimes called as "copper ring" since it appears as a brownish-green copper deposit on the inside surface of the peripheral cornea. It is associated with Wilson disease, a failure to metabolize copper properly.The upper pole is affected more frequently than the lower.

Kayser-Fleischer rings are noted in 90% of patients with Wilson disease and occasionally, in patients with prolonged cholestasis or cryptogenic cirrhosis. The ring is noted most easily in patients with blue eyes. In other patients, slit-lamp examination may be required.
A corresponding gene defect has been mapped to chromosome 13. This is an example of an ocular manifestation of a genetic disease.

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Thyroid Examination

Heart Bypass Surgery (CABG)

This 3D medical animation of the heart shows a coronary artery bypass graft (CABG) procedure used to combat coronary artery disease.
Beginning with a midline sternal incision, the heart is connected to a perfusion machine which will take over the duties of the heart while the surgery takes place. Two different grafts are used to bypass the blocked coronary arteries: the internal thoracic artery from inside the chest wall, and the saphenous vein from the leg. After the procedure, the heart is shocked to restart its beating.
A drainage tube is left at the incision site to drain away excess fluid. The animation continues to show two other types of approaches to a coronary artery bypass graft, off-pump bypass surgery and minimally invasive bypass surgery.

This is similar to the procedure performed on former president Bill Clinton and California governor (movie star) Arnold Schwarzenegger.

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Histopathology Ovary--Serous cystadenocarcinoma

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