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Welcome to Euro Hotels
A peaceful sleep... in peace & quiet... with peace of mind!
“Welcome to Euro Hotels” - the practical, value-for-money, alternative to sleepless nights in London’s city centre.
If you are looking for a relaxed and peaceful stay, extensive and carefully chosen guest facilities in comfortable contemporary furnished surroundings and attended by warm and friendly staff - then Euro Hotels has a room already reserved for you.
Wherever your destination in London may be, on business trip, leisure or pleasure, solo or with family and friends, one of our carefully chosen Euro Hotel locations within or outside central London will provide you your essential travelling accommodation needs.
[Welcome to Euro Hotels Group]
Euro Hotels
We are near to local bars and restaurants and often close-by historical cultural landmarks and a Euro Hotel is always to be found at a key public transport link. You are never more than a handful of stops away by rail or tube to your first central London appointment, business meeting, boutique window or retail counter.
And after your full and busy day, why not unwind and relax in one of our much favoured hotel bars or bistro, or take the opportunity to finally have that long, peaceful good night’s sleep .....
Wherever your destination may be, we help you make the very best of everything. Euro Hotels - more than just a bed for the night.
Euro Hotels
Our Hotels
Euro Hotels
Euro Hotels
Euro Hotels Euro Hotel Norfolk House Euro Hotels Euro Lodge London Clapham Euro Hotels Euro Hotel London Clapham Euro Hotels Euro Hotel Queens
Euro Hotels All Seasons London Leyton Euro Hotels Euro Hotel London Hounslow Euro Hotels Euro Hotel London Wembley Euro Hotels Euro Hotel Croydon Court
Euro Hotels Euro Hotel London Peckham
Euro Hotels
Euro Hotels
Euro Hotels
[Weddings]
Celebrate your Wedding day the special way
We at Euro Hotels will be delighted to hold your ‘special day‘ at one of our hotel function rooms. Our smartly furnished and spacious function suites are flexible and can cater for both large and small numbers of guests. Complete with their own bar and staging and lighting systems, they make the ideal venue for the perfect celebration! More info...
Euro Hotels
[Conferences]
London Conferences and Events Venues
Euro Hotels offer flexible business space facilities tailored to meet your specific requirements. Whether you are looking for a small meeting venue, conference facilities, or something in between, we have the perfect solution. Your planned event or meeting is important to how your business is perceived. You need to make the right impression and inspire confidence in your guests. More info...
Euro Hotels
Euro Hotels
Euro Hotels
Home Euro Hotel London Clapham Euro Hotel Norfolk House Euro Lodge London Clapham Euro Hotel Queens All Seasons London Leyton Euro Hotel London Hounslow Euro Hotel London Wembley Euro Hotel Croydon Court Euro Hotel London Peckham London Guide Terms & Conditions Groups Weddings Privacy Policy Contact Us special offers Special Offer Explorer Package Offers Conferences & Events Euro Hotels Group Promotional Offers Terms & Conditions Member Sign Up Customer Login Hotel Locations Contact Us
Euro Hotels
12 Mayıs 2011 Perşembe
Euro Hotels Home Weddings Groups Conferences & Events Offers Our Hotels Contact Us Sign Up Login [Euro Hotels] Euro Hotels Find a Room Select Hotel Room Type Error : Problem In Executing the Query:Resource id #42 MySQL Error: () Euro Hotels Euro Hotels Number of Nights Euro Hotels Number of Rooms Euro Hotels Check-in Date Euro Hotels Euro Hotels Special Offers [Group Bookings London] Euro Hotels [Weekender Package] Euro Hotels Welcome to Euro Hotels A peaceful sleep... in peace & quiet... with peace of mind! “Welcome to Euro Hotels” - the practical, value-for-money, alternative to sleepless nights in London’s city centre. If you are looking for a relaxed and peaceful stay, extensive and carefully chosen guest facilities in comfortable contemporary furnished surroundings and attended by warm and friendly staff - then Euro Hotels has a room already reserved for you. Wherever your destination in London may be, on business trip, leisure or pleasure, solo or with family and friends, one of our carefully chosen Euro Hotel locations within or outside central London will provide you your essential travelling accommodation needs. [Welcome to Euro Hotels Group] Euro Hotels We are near to local bars and restaurants and often close-by historical cultural landmarks and a Euro Hotel is always to be found at a key public transport link. You are never more than a handful of stops away by rail or tube to your first central London appointment, business meeting, boutique window or retail counter. And after your full and busy day, why not unwind and relax in one of our much favoured hotel bars or bistro, or take the opportunity to finally have that long, peaceful good night’s sleep ..... Wherever your destination may be, we help you make the very best of everything. Euro Hotels - more than just a bed for the night. Euro Hotels Our Hotels Euro Hotels Euro Hotels Euro Hotels Euro Hotel Norfolk House Euro Hotels Euro Lodge London Clapham Euro Hotels Euro Hotel London Clapham Euro Hotels Euro Hotel Queens Euro Hotels All Seasons London Leyton Euro Hotels Euro Hotel London Hounslow Euro Hotels Euro Hotel London Wembley Euro Hotels Euro Hotel Croydon Court Euro Hotels Euro Hotel London Peckham Euro Hotels Euro Hotels Euro Hotels [Weddings] Celebrate your Wedding day the special way We at Euro Hotels will be delighted to hold your ‘special day‘ at one of our hotel function rooms. Our smartly furnished and spacious function suites are flexible and can cater for both large and small numbers of guests. Complete with their own bar and staging and lighting systems, they make the ideal venue for the perfect celebration! More info... Euro Hotels [Conferences] London Conferences and Events Venues Euro Hotels offer flexible business space facilities tailored to meet your specific requirements. Whether you are looking for a small meeting venue, conference facilities, or something in between, we have the perfect solution. Your planned event or meeting is important to how your business is perceived. You need to make the right impression and inspire confidence in your guests. More info... Euro Hotels Euro Hotels Euro Hotels Home Euro Hotel London Clapham Euro Hotel Norfolk House Euro Lodge London Clapham Euro Hotel Queens All Seasons London Leyton Euro Hotel London Hounslow Euro Hotel London Wembley Euro Hotel Croydon Court Euro Hotel London Peckham London Guide Terms & Conditions Groups Weddings Privacy Policy Contact Us special offers Special Offer Explorer Package Offers Conferences & Events Euro Hotels Group Promotional Offers Terms & Conditions Member Sign Up Customer Login Hotel Locations Contact Us Euro Hotels
The whole team of All Seasons Leyton London welcomes you. You have the chance to consume better with our all-service offer at an economical price benefiting from a package that includes the room, all-you-can-eat buffet breakfast, free wifi connection anda host of little extras at no extra costs.Each of the 139 modern guest rooms has wireless internet, a flat screen TV and on site free secure car park. We are only minutes away from the city centre.
PLACES OF INTEREST
Whipps Cross University Hospital: 1.6 miles
London 2012 Olympics Village: 3.6 miles
Westfield Shopping Centre Stratford: 3 miles
Walthamstow Greyhound Stadium: 2.6 miles
Tottenham Hotspur FC: 4.2 miles
Arsenal (Emirates) Stadium: 4.8 miles
West Ham United FC: 5.3 miles
London Financial "city" district: 5.3 miles
Liverpool street: 5.2 miles
Tower of London: 6.9 miles
Excel Int\'l. and Exhibition and Conference centre: 9.2 miles
Camden Town: 7.4 miles
West end: 8.5 miles
London City airport: 10 miles
PUBLIC TRANSPORT INFORMATION
Walthamstow Central tube station: 0.9 mile 5 minute bus ride via Baker\'s Arms
PLACES OF INTEREST
Whipps Cross University Hospital: 1.6 miles
London 2012 Olympics Village: 3.6 miles
Westfield Shopping Centre Stratford: 3 miles
Walthamstow Greyhound Stadium: 2.6 miles
Tottenham Hotspur FC: 4.2 miles
Arsenal (Emirates) Stadium: 4.8 miles
West Ham United FC: 5.3 miles
London Financial "city" district: 5.3 miles
Liverpool street: 5.2 miles
Tower of London: 6.9 miles
Excel Int\'l. and Exhibition and Conference centre: 9.2 miles
Camden Town: 7.4 miles
West end: 8.5 miles
London City airport: 10 miles
PUBLIC TRANSPORT INFORMATION
Walthamstow Central tube station: 0.9 mile 5 minute bus ride via Baker\'s Arms
11 Mayıs 2011 Çarşamba
Truck Accident Lawyer
Truck Accident Lawyerv
Driver Fatigue Causing Trucking Accidents
[trucking accident lawyers]
Truck driver fatigue is defined as the exhausted, sleepy, or tired feeling a driver experiences while operating a commercial motor vehicle. Truck drivers work very long hours, face unrealistic deadlines, and have to meet tight rigorous schedules. Because of this fact, truck driver fatigue is one of the main reasons why truck accidents occur in the United States. Truck driver fatigue can severely impair the judgment of an individual who is behind the wheel of a commercial motor vehicle. It is particularly dangerous because one symptom includes the decreased ability to evaluate their own level of fatigue.
Read More about Truck Driver Fatigue
Driver Fatigue Causing Trucking Accidents
[trucking accident lawyers]
Truck driver fatigue is defined as the exhausted, sleepy, or tired feeling a driver experiences while operating a commercial motor vehicle. Truck drivers work very long hours, face unrealistic deadlines, and have to meet tight rigorous schedules. Because of this fact, truck driver fatigue is one of the main reasons why truck accidents occur in the United States. Truck driver fatigue can severely impair the judgment of an individual who is behind the wheel of a commercial motor vehicle. It is particularly dangerous because one symptom includes the decreased ability to evaluate their own level of fatigue.
Read More about Truck Driver Fatigue
Insurance Settlement Loans
Insurance settlement loans are usually applicable in cases where a plaintiff is awaiting an insurance settlement for some personal injury or loss. For instance, in cases of natural disasters, organizations like the U.S. Small Business Administration award financial assistance to people whose property has been devastated.
Insurance claim procedures can be a drawn-out process, especially where an element of doubt or ambiguity exists about the claim. The recipient may have to wait several years before the claim actually materializes into hard cash. In such cases, loans to tide the claimant over are generally obtainable.
The term insurance settlement loan is sometimes associated with the practice of turning eventual life insurance settlements into real and present money. This is also known as life settlement - a practice where a financing company actually buys the death benefits of an insured person's life insurance policy. Once this is done, the company pays all future premiums on the policy and eventually collects the death benefits. The full value of the life insurance will not be given to the beneficiary, however. This is because the only way that the insurance settlement company makes their money is by buying at a lower rate now but collecting big later. Both parties stand to benefit from this arrangement.
Other insurance policies pay a lump sum on maturity, such as retirement benefit policies. If the beneficiary does not, for any reason, wish to wait for this period to elapse, this policy may be eligible for a loan by a financial institution.
Settlement Loans provides detailed information on Settlement Loans, Lawsuit Cash Advance Loans, Lawsuit Settlement Loans, Pre-Settlement Loans and more. Settlement Loans is affiliated with Lawsuit Loan Companies [http://www.e-lawsuitloans.com].
Article Source: http://EzineArticles.com/?expert=Alison_Cole
Article Source: http://EzineArticles.com/226667
Insurance claim procedures can be a drawn-out process, especially where an element of doubt or ambiguity exists about the claim. The recipient may have to wait several years before the claim actually materializes into hard cash. In such cases, loans to tide the claimant over are generally obtainable.
The term insurance settlement loan is sometimes associated with the practice of turning eventual life insurance settlements into real and present money. This is also known as life settlement - a practice where a financing company actually buys the death benefits of an insured person's life insurance policy. Once this is done, the company pays all future premiums on the policy and eventually collects the death benefits. The full value of the life insurance will not be given to the beneficiary, however. This is because the only way that the insurance settlement company makes their money is by buying at a lower rate now but collecting big later. Both parties stand to benefit from this arrangement.
Other insurance policies pay a lump sum on maturity, such as retirement benefit policies. If the beneficiary does not, for any reason, wish to wait for this period to elapse, this policy may be eligible for a loan by a financial institution.
Settlement Loans provides detailed information on Settlement Loans, Lawsuit Cash Advance Loans, Lawsuit Settlement Loans, Pre-Settlement Loans and more. Settlement Loans is affiliated with Lawsuit Loan Companies [http://www.e-lawsuitloans.com].
Article Source: http://EzineArticles.com/?expert=Alison_Cole
Article Source: http://EzineArticles.com/226667
Hotel California
On a dark desert highway, cool wind in my hair
Warm smell of colitas, rising up through the air
Up ahead in the distance, I saw a shimmering light
My head grew heavy and my sight grew dim
I had to stop for the night
There she stood in the doorway;
I heard the mission bell
And I was thinking to myself,
’this could be heaven or this could be hell’
Then she lit up a candle and she showed me the way
There were voices down the corridor,
I thought I heard them say...
Welcome to the hotel california
Such a lovely place
Such a lovely face
Plenty of room at the hotel california
Any time of year, you can find it here
Her mind is tiffany-twisted, she got the mercedes bends
She got a lot of pretty, pretty boys, that she calls friends
How they dance in the courtyard, sweet summer sweat.
Some dance to remember, some dance to forget
So I called up the captain,
’please bring me my wine’
He said, ’we haven’t had that spirit here since nineteen sixty nine’
And still those voices are calling from far away,
Wake you up in the middle of the night
Just to hear them say...
Welcome to the hotel california
Such a lovely place
Such a lovely face
They livin’ it up at the hotel california
What a nice surprise, bring your alibis
Mirrors on the ceiling,
The pink champagne on ice
And she said ’we are all just prisoners here, of our own device’
And in the master’s chambers,
They gathered for the feast
The stab it with their steely knives,
But they just can’t kill the beast
Last thing I remember, I was
Running for the door
I had to find the passage back
To the place I was before
’relax,’ said the night man,
We are programmed to receive.
You can checkout any time you like,
But you can never leave!
Send "Hotel California" Ringtone to your Cell
The hottest songs from Eagles
Eagles - Hotel California Lyrics
Eagles - Love Will Keep Us Alive Lyrics
Eagles - Take It To The Limit Lyrics
Eagles - Take It Easy Lyrics
Eagles - I Can't Tell You Why Lyrics
Eagles - Lyin' Eyes Lyrics
Eagles - Peaceful Easy Feeling Lyrics
Eagles - Desperado Lyrics
Eagles - The Last Resort Lyrics
Eagles - Life's Been Good Lyrics
Warm smell of colitas, rising up through the air
Up ahead in the distance, I saw a shimmering light
My head grew heavy and my sight grew dim
I had to stop for the night
There she stood in the doorway;
I heard the mission bell
And I was thinking to myself,
’this could be heaven or this could be hell’
Then she lit up a candle and she showed me the way
There were voices down the corridor,
I thought I heard them say...
Welcome to the hotel california
Such a lovely place
Such a lovely face
Plenty of room at the hotel california
Any time of year, you can find it here
Her mind is tiffany-twisted, she got the mercedes bends
She got a lot of pretty, pretty boys, that she calls friends
How they dance in the courtyard, sweet summer sweat.
Some dance to remember, some dance to forget
So I called up the captain,
’please bring me my wine’
He said, ’we haven’t had that spirit here since nineteen sixty nine’
And still those voices are calling from far away,
Wake you up in the middle of the night
Just to hear them say...
Welcome to the hotel california
Such a lovely place
Such a lovely face
They livin’ it up at the hotel california
What a nice surprise, bring your alibis
Mirrors on the ceiling,
The pink champagne on ice
And she said ’we are all just prisoners here, of our own device’
And in the master’s chambers,
They gathered for the feast
The stab it with their steely knives,
But they just can’t kill the beast
Last thing I remember, I was
Running for the door
I had to find the passage back
To the place I was before
’relax,’ said the night man,
We are programmed to receive.
You can checkout any time you like,
But you can never leave!
Send "Hotel California" Ringtone to your Cell
The hottest songs from Eagles
Eagles - Hotel California Lyrics
Eagles - Love Will Keep Us Alive Lyrics
Eagles - Take It To The Limit Lyrics
Eagles - Take It Easy Lyrics
Eagles - I Can't Tell You Why Lyrics
Eagles - Lyin' Eyes Lyrics
Eagles - Peaceful Easy Feeling Lyrics
Eagles - Desperado Lyrics
Eagles - The Last Resort Lyrics
Eagles - Life's Been Good Lyrics
10 Mayıs 2011 Salı
Laparoscopic Retrpcecal Appendectomy
Video showing the surgery of Laparoscopic Retrpcecal Appendectomy
Laparoscopic Appendectomy
Another video showing laparoscopic removal of appendix in case of acute appendicitis.
Examination of Functional Integrity
Level of consciousness, cranial nerves, muscle strength and tone, reflexes, cerebellar functions, gait, sensations...
Examination of Lungs and Respiration
Examination of the lungs and respiration of newborn and children.
6 Mayıs 2011 Cuma
Pediatric Sensations,Gait and Meningeal Signs
Examination of pediatric sensations,gait and meningeal signs
Intravitreal Injection Technique
Instructional video explaining intravitreal injection technique used in endophthalmitis (a serious eye infection), macular degeneration, and other eye diseases.
Modern Cataract Surgery: Alcon ReSTOR IOL with LRI
Edited surgical video of cataract operation with limbal relaxing incisions placed prior to surgery and then insertion of an aspheric Alcon SN6AD3 multifocal intraocular lens implant; part 2 of 2.
Modern Cataract Surgery: Alcon ReSTOR IOL with LRI
Edited surgical video of cataract operation with limbal relaxing incisions placed prior to surgery and then insertion of an aspheric Alcon SN6AD3 multifocal intraocular lens implant; part 1 of 2.
Lower Limbs (Part 3 of 3)
Human anatomy dissection video.Mock Medical doctors of the Philipppines Cholinergic clinic.
Lower Limbs (Part 2 of 3)
Human anatomy dissection video.Mock Medical doctors of the Philipppines Cholinergic clinic.
Lower Limbs (Part 1 of 3)
Human anatomy dissection video.Mock Medical doctors of the Philipppines Cholinergic clinic.
Cataract Operation
Cataract surgery is the removal of the natural lens of the eye (also called crystalline lens) that has developed an opacification, which is referred to as a cataract. Metabolic changes of the crystalline lens fibers over the time lead to the development of the cataract and loss of transparency, causing impairment or loss of vision. During cataract surgery, a patients cloudy natural lens is removed and replaced with a synthetic lens to restore the lenss transparency.
Following surgical removal of the natural lens, an artificial intraocular lens implant is inserted (eye surgeons say that the lens is implanted). Cataract surgery is generally performed by an ophthalmologist (eye surgeon) in an ambulatory (rather than inpatient) setting, in a surgical center or hospital, using local anesthesia (either topical, peribulbar, or retrobulbar), usually causing little or no discomfort to the patient. Well over 90% of operations are successful in restoring useful vision, with a low complication rate. Day care, high volume, minimally invasive, small incision phacoemulsification with quick post-op recovery has become the standard of care in cataract surgery all over the world.
Vitrectomy For Retinal Detachment VR1 Basic Techniques
Vitrectomy For Retinal Detachment VR1 Basic Techniques
Sutureless Vitrectomy For Retinal Detachment
Vitrectomy using 25G sutureless technique for retinal detachment. Very elegant, minimal post opeartive discomfort and good success rates.
Liposuction
Liposuction, also known as lipoplasty, liposculpture suction lipectomy or simply lipo (suction-assisted fat removal) is a cosmetic surgery operation that removes fat from many different sites on the human body. Areas affected can range from the abdomen, thighs, buttocks, to the neck, backs of the arms and elsewhere.
Suction-assisted lipectomy of bilateral outer thighs
Several factors limit the amount of fat that can be safely removed in one session. Ultimately, the operating physician and the patient make the decision. There are negative aspects to removing too much fat. Unusual lumpiness and/or dents in the skin can be seen in those patients over-suctioned. The more fat removed, the higher the surgical risk.
While reports of people removing 50 pounds (22.7 kg) of fat has been claimed, the contouring possible with liposuction may cause the appearance of weight loss to be greater than the actual amount of fat removed. The procedure may be performed under general or local (tumescent) anesthesia. The safety of the technique relates not only to the amount of tissue removed, but to the choic of anesthetic and the patientâs overall health. It is ideal for the patient to be as fit as possible before the procedure and not to have smoked for several months.
Laparoscopic Choledocolithotomy
Choledocholithiasis is the presence of gallstones in the common bile duct. This condition causes jaundice and liver cell damage, and is a medical emergency, requiring the endoscopic retrograde cholangiopancreatography (ERCP) procedure or surgical treatment.
A tendency for this disease can be inherited.
While stones can frequently pass through the common bile duct into the duodenum, some stones may be too large to pass through the CBD and may cause an obstruction. One risk factor for this is duodenal diverticulum.
This obstruction leads to jaundice, elevation in alkaline phosphatase, increase in conjugated bilirubin in the blood and increase in cholesterol in the blood. It can also cause acute pancreatitis and ascending cholangitis.
Choledocholithiasis (stones in common bile duct) is one of the complications of cholelithiasis (gallstones), so the initial step is to confirm the diagnosis of cholelithiasis. Typically patients with cholelithiasis present with pain in the right upper quadrant of the abdomen with the associated symptoms of nausea and vomiting, especially after a fatty meal. The physician can confirm the diagnosis of cholelithiasis with an abdominal ultrasound that shows the ultrasonic shadows of the stones in the gallbladder.
The diagnosis of choledocholithiasis is suggested when the liver function blood test shows an elevation in bilirubin. The diagnosis is confirmed either with an MRCP, ERCP, or an intraoperative cholangiogram. If the patient must have the gallbladder removed for gallstones, the surgeon may choose proceed with the surgery, and obtain a cholangiogram during the surgery. If the cholangiogram shows stone in the bile duct, the surgeon may attempt to treat the problem by flushing the stone into the intestine or retrieve the stone back through the cystic duct.
On a different pathway, the physician may choose to proceed with ERCP before surgery. The benefit of ERCP is that it can be utilized not just to diagnose, but also to treat the problem. During ERCP the endoscopist may surgically widen the opening into the bile duct and remove the stone through that opening. ERCP, however, is an invasive procedure and has its own potential complication. Thus, if the suspicion is low, the physician may choose to confirm the diagnosis with MRCP, a non-invasive imaging, before proceeding with ERCP or surgery. Less
Laparoscopic Cholecystectomy
Cholecystectomy is the surgical removal of the gallbladder. Despite the development of non-surgical techniques, it is the most common method for treating symptomatic gallstones, although there are other indications for the procedure, including carcinoma. Surgery options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. A cholecystectomy is performed when attempts to treat gallstones with ultrasound to shatter the stones (lithotripsy) or medications to dissolve them have not proved feasible.
Traditional open cholecystectomy is a major abdominal surgery in which the surgeon removes the gallbladder through a 10 to 18 cm (4- to 7-inch) incision. Patients usually remain in the hospital overnight and may require several additional weeks to recover at home. It takes a minimum of 7 to 15 days to complete the treatment. or as long as 30 days.
Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. Sometimes, a laparoscopic cholecystectomy will be converted to an open cholecystectomy for technical reasons or safety.
Laparoscopic cholecystectomy requires several small incisions in the abdomen to allow the insertion of operating ports, small cylindrical tubes approximately 5-10 mm in diameter, through which surgical instruments and a video camera are placed into the abdominal cavity. The camera illuminates the surgical field and sends a magnified image from inside the body to a video monitor, giving the surgeon a close-up view of the organs and tissues. The surgeon watches the monitor and performs the operation by manipulating the surgical instruments through the operating ports.
To begin the operation, the patient is anesthetized and placed in the supine position on the operating table. A scalpel is used to make a small incision at the umbilicus. Using either a Veress needle or Hasson technique the abdominal cavity is entered. The surgeon inflates the abdominal cavity with carbon dioxide to create a working space. The camera is placed through the umbilical port and the abdominal cavity is inspected. Additional ports are placed inferior to the ribs at the epigastric, midclavicular, and anterior axillary positions. The gallbladder fundus is identified, grasped, and retracted superiorly. With a second grasper, the gallbladder infundibulum is retracted laterally to expose and open Calot’s Triangle (the area bound by the cystic artery, cystic duct, and common hepatic duct). The triangle is gently dissected to clear the peritoneal covering and obtain a view of the underlying structures. The cystic duct and the cystic artery are identified, clipped with tiny titanium clips and cut. Then the gallbladder is dissected away from the liver bed and removed through one of the ports. This type of surgery requires meticulous surgical skill, but in straightforward cases can be done in about an hour.
Recently, this procedure is performed through a single incision in the patients umbilicus. This advanced technique is called Single Incision laparoscopic Surgery or SILSTM.
Laparoscopic cholecystectomy does not require the abdominal muscles to be cut, resulting in less pain, quicker healing, improved cosmetic results, and fewer complications such as infection and adhesions. Most patients can be discharged on the same or following day as the surgery, and most patients can return to any type of occupation in about a week.
An uncommon but potentially serious complication is injury to the common bile duct, which connects the gallbladder and liver. An injured bile duct can leak bile and cause a painful and potentially dangerous infection. Many cases of minor injury to the common bile duct can be managed non-surgically. Major injury to the bile duct, however, is a very serious problem and may require corrective surgery. This surgery should be performed by an experienced biliary surgeon.
Abdominal peritoneal adhesions, gangrenous gallbladders, and other problems that obscure vision are discovered during about 5% of laparoscopic surgeries, forcing surgeons to switch to the standard cholecystectomy for safe removal of the gallbladder. Adhesions and gangrene, of course, can be quite serious, but converting to open surgery does not equate to a complication.
A Consensus Development Conference panel, convened by the National Institutes of Health in September 1992, endorsed laparoscopic cholecystectomy as a safe and effective surgical treatment for gallbladder removal, equal in efficacy to the traditional open surgery. The panel noted, however, that laparoscopic cholecystectomy should be performed only by experienced surgeons and only on patients who have symptoms of gallstones.
In addition, the panel noted that the outcome of laparoscopic cholecystectomy is greatly influenced by the training, experience, skill, and judgment of the surgeon performing the procedure. Therefore, the panel recommended that strict guidelines be developed for training and granting credentials in laparoscopic surgery, determining competence, and monitoring quality. According to the panel, efforts should continue toward developing a noninvasive approach to gallstone treatment that will not only eliminate existing stones, but also prevent their formation or recurrence.rnrnOne common complication of cholecystectomy is inadvertent injury to an anomalous bile duct known as Ducts of Luschka, occurring in 33% of the population. It is non-problematic until the gall bladder is removed, and the tiny supravesicular ducts may be incompletely cauterized or remain unobserved, leading to biliary leak post operatively. The patient will develop biliary peritonitis within 5 to 7 days following surgery, and will require a temporary biliary stent. It is important that the clinician recognize the possibility of bile peritonitis early and confirm diagnosis via HIDA scan to lower morbidity rate. Aggressive pain management and antibiotic therapy should be initiated as soon as diagnosed.
After removal, the gall bladder should be sent for biopsy (pathological examination) to confirm the diagnosis and look for an incidental cancer. If cancer is present, a reoperation to remove part of liver and lymph nodes will be required in most cases.rnrnBile is crucial to fat digestion, and after removal of a gallbladder, normal digestion can be adversely affected. Bile is still produced by the liver, but rather than being stored in a reservoir which releases large quantities when needed, bile is released in a continuous, slow trickle into the intestine. Thus, when eating a meal that is high in fat content, there may not be an adequate amount of bile in the intestine to properly handle the normal absorption process. Your doctor may prescribe medications to control the availability of bile salts.
As many as twenty percent of patients develop chronic diarrhea. The cause is unclear and the condition may last for many years.
A significant proportion of the population, up to 40%, develop a condition called postcholecystectomy syndrome, or PCS.Symptoms include gastrointestinal distress and persistent pain in the upper right abdomen. The cause is uncertain.
Laparoscopic Cholecystectomy
Cholecystectomy is the surgical removal of the gallbladder. Despite the development of non-surgical techniques, it is the most common method for treating symptomatic gallstones, although there are other indications for the procedure, including carcinoma. Surgery options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. A cholecystectomy is performed when attempts to treat gallstones with ultrasound to shatter the stones (lithotripsy) or medications to dissolve them have not proved feasible.
Cesarean Section
A Caesarean section (or Cesarean section in American English), also known as C-section or Caesar, is a surgical procedure in which incisions are made through a mothers abdomen (laparotomy) and uterus (hysterotomy) to deliver one or more babies. It is usually performed when a vaginal delivery would put the babys or mothers life or health at risk, although in recent times it has been also performed upon request for childbirths that could otherwise have been natural.The World Health Organization (WHO) recommends that the rate of Caesarean sections should not exceed 15% in any country.
Laparoscopic Instruments
Different instruments and tools which are used during laparoscopic procedures.
Cesarean Section With The Mobius Elastic Retractor
This patented, FDA cleared device enhances the safety of cesarean section deliveries while minimizing the size of required incisions.
Episiotomy
Episiotomy is commonly performed during childbirth to prevent tearing of the perineum. This 3D medical animation depicts two types of episiotomy during labor and delivery, a surgical procedure during vaginal birth in which an incision is made in the perineum to widen the vaginal opening, in order to allow a baby to pass through and be born. A midline incision extends straight down from the vagina toward the anus. A mediolateral incision is made on an angle from the vagina in the direction of the anus.
ASL Alphabet
Acquisition the A-B-Cs is essential in any new nomenclature. Ticker how to signalize the alphabet in American Sign Language, and consider why knowing the alphabet will help you fingerspell sure words of god
Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS), or median neuropathy at the wrist, is a medical condition in which the median nerve is compressed at the wrist, leading to paresthesias, numbness and muscle weakness in the hand. The diagnosis of CTS is often misapplied to patients who have activity-related arm pain, such as RSI.
Most cases of CTS are idiopathic (without known cause); genetic factors determine most of the risk, and the role of arm use and other environmental factors is disputed.
Night symptoms and waking at nigh the hallmark of this illness can be managed effectively with night-time wrist splinting in most patients. The role of medications, including corticosteroid injection into the carpal canal, is unclear. Surgery to cut the transverse carpal ligament is effective at relieving symptoms and preventing ongoing nerve damage, but established nerve dysfunction in the form of static (constant) numbness, atrophy, or weakness are usually permanent and do not respond predictably to surgery. Less
Amniocentesis Test
Amniocentesis (also referred to as amniotic fluid test or AFT), is a medical procedure used in prenatal diagnosis of chromosomal abnormalities and fetal infections , in which a small amount of amniotic fluid, which contains fetal tissues, is extracted from the amnion or amniotic sac surrounding a developing fetus, and the fetal DNA is examined for genetic abnormalities.
Before the actual procedure, a local anesthetic is sometimes given to relieve the pain when inserting the needle used to withdraw the fluid. A needle is usually inserted through the mothers abdominal wall through the wall of the uterus into the amniotic sac. With the aid of ultrasound-guidance, a physician aims towards an area of the sac that is away from the fetus and extracts approximately 20ml of amniotic fluid for testing. The puncture heals, and the amniotic sac replenishes the liquid over a day or so. After the amniotic fluid is extracted, the fetal cells are separated from it. The cells are grown in a culture medium, then fixed and stained. Under a microscope the chromosomes are examined for abnormalities. The most common abnormalities detected are Down syndrome, Edward syndrome [Trisomy 18] and Turner syndrome [Monosomy X]. Amniocentesis is most safely performed after the 14th-16th week of pregnancy, does not need to be done before then due to risk it can do to the babys limbs. Usually genetic counseling is offered prior to amniocentesis.
Although the procedure is routine, possible complications include infection of the amniotic sac from the needle, and failure of the puncture to heal properly, which can result in leakage or infection. Serious complications can result in miscarriage. Other possible complications include preterm labor and delivery, respiratory distress, postural deformities, fetal trauma and alloimmunisation (rhesus disease). Studies from the 1970s originally estimated the risk of amniocentesis-related miscarriage at around 1 in 200 (0.5%). A more recent study (2006) has indicated this may actually be much lower, perhaps as low as 1 in 1,600 (0.06%). In contrast, the risk of miscarriage from chorionic villus sampling (CVS) is believed to be approximately 1 in 100, although CVS may be done up to four weeks earlier, and may be preferable if the possibility of genetic defects is thought to be higher .
Recent studies have discovered that amniotic fluid can be a rich source of multipotent mesenchymal, hematopoietic, neural, epithelial and endothelial stem cells. A potential benefit of using amniotic stem cells over those obtained from embryos is that they side-step ethical concerns among pro-life activists by obtaining pluripotent lines of undifferentiated cells without harm to a fetus or destruction of an embryo.
Artificial heart valves, working tracheas, as well as muscle, fat, bone, heart, neural and liver cells have all been engineered through use of amniotic stem cells. Tissues obtained from amniotic cell lines show enormous promise for patients suffering from congenital diseases/malformations of the heart, liver, lungs, kidneys, and cerebral tissue.
Three Cases Of Ptosis
Three patients with ptosis: congenital ptosis, Marcus Gunn jaw-winking ptosis and myotonic dystrophy.
Thyroid Status Examination
This request usually follows orbit examination of a patient with thyroid eye disease. The aim is to look for signs of hyperthyroidism and less commonly hypothyroidism.
Orbit Examination
A popular clinical examination. The majority of cases relate to thyroid eye disease.
Examination of Pupil
The pupil is an opening located in the center of the iris of the eye that allows light to enter the retina.It appears black because most of the light entering the pupil is absorbed by the tissues inside the eye. In humans the pupil is round, but other species, such as some cats, have slit pupils. In optical terms, the anatomical pupil is the eyes aperture and the iris is the aperture stop. The image of the pupil as seen from outside the eye is the entrance pupil, which does not exactly correspond to the location and size of the physical pupil because it is magnified by the cornea. On the inner edge lies a prominent structure, the collarette, marking the junction of the embryonic pupillary membrane covering the embryonic pupil.
Foley Catheter Insertion in Male and Female
Foley catheters are flexible (usually latex) tubes that are passed through the urethra during urinary catheterization and into the bladder to drain urine. They are retained by means of a balloon at the tip which is inflated with sterile water. The balloons typically come in two different sizes: 5 cc and 30 cc. They are commonly made in silicone rubber or natural rubber which can cause irritation in most male recipients.
Circumcision Video 3D
Circumcision Video 3D
Insert Foley Catheter
Foley catheters are flexible (usually latex) tubes that are passed through the urethra during urinary catheterization and into the bladder to drain urine. They are retained by means of a balloon at the tip which is inflated with sterile water. The balloons typically come in two different sizes: 5 cc and 30 cc. They are commonly made in silicone rubber or natural rubber.
Dilatation and Curettage
Gina shares her experience during her first D and C procedure, which is used to treat abnormal uterine bleeding.
Laparoscopic Excision of Rectovaginal Nodule
This video diescibes the techniques of excision of rectovaginal endometriotic nodule and the complications association with this type of surgery.
Breast Exam
Learn about the circle method of doing a breast cancer self exam to identify breast cancer symptoms in this free health care video.
Physical Examination of the Hip
Dr. Amar Ranawat, Assistant Attending Orthopaedic Surgeon, Hospital for Special Surgery, demonstrates a physical examination of the hip.
Digital Rectal Examination
Dr. Satish Rao discusses his manuscript "Digital Rectal Examination Is a Useful Tool for Identifying Patients with Dyssynergia.
Foley Catheter
This is an instructional video for nursing students to review how to insert a Foley catheter into a male patient.
The demonstration is done on a VitalSim mannequin.
Asbestos and Lung Cancer
Mesothelioma Lawyer Michael Serling is a Trial Lawyer devoted to representing the rights of victims of Asbestos Exposure and their families. Mr. Serling has a reputation for taking large corporations to trial and holding them accountable for their actions
Recto Vaginal Exam
Many doctors perform a recto-vaginal exam along with a normal pelvic exam. A doctor inserts a gloved, lubricated finger into the vagina and one into the rectum. He or she will then palpate the abdomen with the other hand
Bimanual Examination
University at Buffalo (UB) students, find out the basics of the bimanual exam. Bimanual exams are conducted during gynecological visits to feel for irregularies or tenderness of the uterus, ovaries or cervix. Sexually active women should have their first GYN exam by age 21 whether your partner is male, female or both. Most UB health services are covered by the comprehensive fee included in your tuition bill.
Vaginal Delivery
Childbirth (also called labour, birth, partus or parturition) is the culmination of a human pregnancy or gestation period with birth of one or more newborn infants from a womans uterus. The process of normal human childbirth is categorized in three stages of labour: the shortening and dilation of the cervix, descent and birth of the infant, and birth of the placenta. In some cases, childbirth is achieved through caesarean section, the removal of the neonate through a surgical incision in the abdomen, rather than through vaginal birth.
Water Birth
Water birth is a method of giving birth, which involves immersion in warm water. Proponents believe that this method is safe and provides many benefits for both mother and infant, including pain relief and a less traumatic birth experience for the baby. However, critics argue that the procedure introduces unnecessary risks to the infant such as infection and water inhalation.
During the 1960s, Soviet researcher Igor Charkovsky undertook considerable research into the safety and possible benefits of water birth in the Soviet Union. In the late 1960s, French obstetrician Frederick Leboyer developed the practice of immersing newly-born infants in warm water to help ease the transition from the womb to the outside world, and to mitigate the effects of any possible birth trauma.
Another French obstetrician, Michel Odent, took Leboyers work further, using the warm-water birth pool for pain relief for the mother, and as a way to normalize the birth process. When some women refused to get out of the water to finish giving birth, Odent started researching the possible benefits for the baby of being born under water, as well as the potential problems in such births. By the late 1990s, thousands of women had given birth at Odents birthing center at Pithiviers, and the notion of water birth had spread to many other Western countries.
Water birth first came to the United States through couples giving birth at home, but soon was introduced into the medical environment of hospitals and free-standing birth centers by midwives and obstetricians. In 1991, Monadnock Community Hospital in Peterborough, New Hampshire became the first USA hospital to create a protocol for giving birth in water. More than three-quarters of all National Health Service hospitals in the UK provide this option for laboring women.
The benefits of water birth and its history among some primitive peoples have been advanced as evidence in support of the aquatic ape hypothesis.
Considerable research has been undertaken into the safety of water birth. Two of the most prolific researchers have been Michel Odent and the American obstetrician Michael Rosenthal. Dianne Garland, a midwife in the UK, has focused on gathering research through the National Health Service system, and has published a book called, Waterbirth: An Attitude to Care. In the US, Barbara Harper, a nurse and childbirth educator, has explored waterbirth throughout the world, and chronicled the history and current use of waterbirth in dozens of countries in her book, Gentle Birth Choices. Harper has compiled an extensive bibliography of research on the subject, which can be seen at the website for Waterbirth International.
Childbirth can be a strenuous experience for the baby. Properly heated water helps to ease the transition from the birth canal to the outside world because the warm liquid resembles the familiar intra-uterine environment, and softens light, colors and noises.
Harper reports that water birth is an effective form of pain management during labor and delivery (Harper 2000). Water birth is a form of hydrotherapy which, in studies, has been shown to be an effective form of pain management for a variety of conditions especially lower back pain (a common complaint of women in labor). In an appraisal of 17 randomized trials, two controlled studies, 12 cohort studies, and two case reports, it was concluded that there was a definite benefit from hydrotherapy in pain, function, self-efficacy and affect, joint mobility, strength, and balance, particularly among older adults, subjects with rheumatic conditions and chronic low back pain,� (Geytenbeek 2002). When compared with conventional pain management techniques for labor and delivery (e.g. anesthesia and narcotics), hydrotherapy is also possibly a safer alternative. In studies, epidural anesthesia (EDA) is correlated with an increased rate of instrumental (e.g. forceps in childbirth) delivery rates and also cesarean section rates (Ros et al. 2007). Full immersion in water promotes physiological responses in the mother that reduce pain including a redistribution of blood volume, which stimulates the release of oxytocin and vasopressin (Katz 1990), the latter which also increases oxytocin blood levels (Odent 1998). The Cochrane Database of Systematic Reviews[6] has found that the statistically significant reduction in maternal perception of pain and in the rate of epidural analgesia suggest that water immersion during the first stage of labour is beneficial for some women. No evidence was found that this benefit was associated with poorer outcomes for babies or longer labours.� It has also been found that in waterbirths the buoyancy of the mother and the baby allow for a gravitational pull. This pull not only opens up the mothers pelvis but also allows the baby to descend more easily.
Water birth is believed to aid stretching of the perineum and decrease the risk of skin tears. Support from the water slows crowning of the infants head and offers perineal support, which decreases the risk of tearing and reduces the use of episiotomy, a surgical procedure which can cause a number of complications. Indeed, there is a zero episiotomy rate in the waterbirth literature (Harper 2000). Moreover, perineal trauma is reported to be generally less severe, with more intact perineums for multips, but in some literature about the same frequency of tears for primips in or out of the water, (Harper 2000; also see Burn 1993 and Garland 1997).
A large-scale study of waterbirth in the UK (1994-1996) showed a decrease in perinatal mortality (1.2 per 1,000 for waterbirth vs. 4 per 1,000 for conventional birth during the same period) (Harper 2000; Gilbert 1999; London: Office for National Statistics 2005). While of the 150,000 recorded waterbirths worldwide between 1985 and 1999 problems comparable to non-water births did arise, there are no valid reports of infants deaths due to water aspiration or inhalation.
A review of the literature on water birth suggests that any controversy in the medical community stems from OBGYN and pre-natal care providers who generally support water birth, on the one hand, and pediatric specialists who criticize water birth, on the other (see Schuman 2006). While this is by no means a universal divide, it appears to correlate with the do no harm� credo. The American Academy of Pediatrics 2005 statement on water birth explains that because to date there is no adequate randomized controlled study to demonstrate any benefit to the newborn (only concern over possible complications), when parents are informed about water birth, risks (rather than benefits) should be stressed (Schuman 2006). However, on the other hand, studies have shown that laboring in water does offer significant benefits to the mother (as cited above). While as of 2006 the American College of Obstetricians and Gynecologists had not taken an official position on water birth (Schuman 2006), the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives explicitly support, Immersion in water during labour and birth, (Royal College of Midwives 2006). Studies that are critical of water birth generally object to or cite evidence from poorly managed or un-monitored water birth by inexperienced care providers
Another concern is that the water could increase the risk of infection. In a randomized controlled trial of the effects of water labor in Canada, no difference was noted in the low rates of maternal and newborn signs of infection in women with ruptured membranes. Due to the rigorous protocols for cleaning birthing tubs between labors (especially in hospitals), there is little (if any) risk of transferring bacteria from infant to mother or mother to infant. In a 1999 study of bacterial cultures carried out at the Oregon Health Sciences University Hospital, there were no instances of bacteria cultured from the birth pool itself. While Pseudomonas bacteria (common in tap water) were present, even those infants that tested positive for the bacteria needed no treatment for infections.
Due to the documented relaxing effects of water[citation needed], laboring in water is sometimes associated with a decrease in the intensity of contractions, and is thus thought to slow labor. While home birth experts (e.g. Harper, RN) argue that this must be evaluated on a case-by-case basis, some hospitals have adopted a 5 centimeter� rule, allowing women to enter the tub only once the cervix has already expanded to 5 centimeters (Harper 2000).
For care providers who are inexperienced in delivery in water, it may be difficult to assess the amount of maternal blood loss. While well-developed methods of determining maternal blood loss in water do exist, many providers prefer to deliver the placenta on land� for this reason (e.g. the University of Michigan hospital).
On the other hand, some doctors and midwives see that waterbirths have actually been known to reduce the amount of blood loss. The water surrounding the mother actually lowers the mothers blood pressure and heart rate. Mothers still lose significant amount of blood through the passing of the placenta[15].
Water birth is accepted and practised in many parts of the United States, Canada, Australia, and New Zealand, as well as many European countries, including the United Kingdom and Germany, where many maternity clinics have birthing tubs. Many independent birthing centers and many home birth midwives offer water birth services. At present, water birth is often practised by those who choose to have a home birth, because the majority of hospitals have not yet installed proper birth pools in their maternity wards. In 2006, Waterbirth International listed more than 300 U.S. hospitals that offered such facilities. At least two such hospitals were listed in the 2006 U.S. News and World Report Honor Roll� of best U.S. hospitals: Barnes-Jewish Hospital in St. Louis, Missouri and the University of Michigan hospital in Ann Arbor, MI.
David Attenborough has linked the claimed benefits of water birth to the aquatic ape hypothesis. This hypothesis is controversial but suggests that proto-humans had a more aquatic existence. The proponents of the theory point to several anatomical differences between humans and apes. In particular, babies have much more subcutaneous fat than apes. The fat appears in the thirtieth week of pregnancy and continues increasing for the first year after birth. As well the insulation for a baby while its mother is in water, the additional buoyancy has been noted as another benefit of fat. Babies float unaided. Vernix caseosa has also been cited as further evidence, as the only other species in which it has been observed are marine mammals. Less
Bimanual Pelvic Exam Of A Female
Bimanual pelvic exam of a female, using two fingers inside the vagina and one hand on the outside of the abdomen.
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