#Surgical Techniques

[drmayurdalvi]

Percutaneous Nephrolithotomy (PCNL)

 Percutaneous nephrolithotomy (PCNL) is a surgical procedure to remove kidney stones that are too large to pass naturally or by other non-invasive treatments. In this procedure, a small incision is made in the back to create a tunnel through the skin and tissue to access the kidney. Then an endoscope is inserted through the incision to find and remove kidney stones.

  PCNL is usually performed under general anesthesia and requires a short hospital stay of 1-3 days. This procedure has a high success rate and is considered safe and effective in treating large or complex kidney stones. This procedure is recommended for patients with kidney stones larger than 2 cm or located in areas of the kidney that are difficult to access with other non-invasive treatments. PCNL is also used in patients with other medical conditions that make other treatments less safe or effective.

 Prior to the procedure, the patient may need to have imaging tests, such as a CT scan or ultrasound, to locate kidney stones and determine the best method for their removal. Patients are also advised to stop taking blood thinners such as aspirin and warfarin before surgery to reduce the risk of bleeding.

 During surgery, the patient lies on their back and a small incision is made in their back.  A guidewire is then inserted into the kidney through the incision and tunneled with a series of dilators. A nephroscope,  a thin tubular instrument with a camera and light source, is inserted through a tunnel to locate and remove kidney stones. After the stone is removed, a tube called a nephrostomy tube is inserted into the kidney to drain any remaining fluid and debris. 

 After the procedure, patients may experience pain or discomfort in the back or abdomen and may be given pain relievers to manage these symptoms. Patients are also advised to drink plenty of fluids to wash away any remaining stone debris. In some cases, patients may need to undergo additional procedures to completely remove all kidney stones.

  Overall, PCNL is a safe and effective surgical procedure for treating large or complex kidney stones. Patients should discuss the risks and benefits of this procedure with their doctor to determine if this is the best treatment option for their individual needs.

For more information Visit: www.drmayurdalvi.com

[louiemarcgcontreras]

Pain management after surgery is a crucial aspect of the recovery process, helping patients return to normal activities as smoothly as possible. While general surgery in Valencia, California offers essential solutions to treat various health conditions, it is important to address the discomfort that may follow. Proper pain management can significantly improve healing outcomes and enhance the quality of life during recovery. By understanding the options available, patients can collaborate with their healthcare providers to develop effective strategies for managing post-surgical pain safely.

[nextgenerationorthopedicands]

Knee surgery has become a transformative solution for individuals suffering from severe knee pain and mobility issues. For residents seeking top-notch orthopedic services in Woodlands, Texas, understanding the profound benefits of this procedure can encourage them to take the necessary steps towards improved quality of life.

[market-insider]

Cholecystectomy Device Market Dynamics: From Laparoscopy to Robotic Surgery

The global cholecystectomy devices market size is expected to reach USD 85.98 million by 2030. The industry is projected to be driven by the rising acceptance of elective laparoscopic surgery. For instance, laparoscopic cholecystectomy is one of the most frequently performed procedures, with almost 400,000 ambulatory laparoscopic cholecystectomies performed in the United States in 2019. Since the 1990s, laparoscopic cholecystectomy has been regarded as the preferred surgical procedure for treating gallstone disease. The advancement of cholecystectomy technologies is thought to be a significant market driver.

Gain deeper insights on the market and receive your free copy with TOC now @: Cholecystectomy Devices Market Report

A number of major players are investing in R&D to introduce cutting-edge products. One significant development in the field is the introduction of medical robots that help surgeons during operations. Robotic surgery has lately gained acceptability and application in general surgery, and in specific gastrointestinal operations, it may provide superior results over laparoscopic surgery. Robotic cholecystectomy has been proven to be a secure and efficient procedure. According to reports, the robot has enhanced instrumentation, dexterity, and visualization during minimal access surgery. The industry is also being driven by the growing geriatric population as elderly people are more at risk for gallstone diseases.

People aged 70 years and above have an almost 50% chance of acquiring gallstones, whereas people under the age of 40 years have an about 8% chance of developing gallstones. In addition, due to an increased preference for laparoscopic operations and an increase in elective surgery volumes, the rate of cholecystectomy surgeries has grown by 60%. But, approximately, 10% of cholecystectomy patients experienced comparable post-surgery symptoms; this disorder is referred to as a post-cholecystectomy syndrome. Moreover, risks, such as infection of the surgical site, bile duct damage, retained gallstones, abscess formation, severe bleeding, and bile duct stenosis, may hamper the growth of the industry in the future.

[vaginadentatas69]

Thinking about Wade who has a hard time engaging with vanilla sex because most of his rapists presented themselves as loving and caring for him. Vanessa, with her profession, was really good at working with him & his baggage; their relationship was the most prolific horny period of Wade’s life. They explored, they found work-arounds, she let Wade try topping her with a strap and coaxed him through trying anal when vaginal penetration was still too tied up in his head with negative associations, they found out he’s a masochist who likes it degrading and rough and most importantly playful. And after their relationship ended, so did Wade’s sex life. He couldn’t trust anyone with his bare skin the way he could trust her, and he tells himself he’s ok with that, that he’s not disappointed going back to having little to no sex like he was before he met her.

Which is why it knocks Wade off his feet when Logan “grins while blood drips in his mouth from a fight well-played” Howlette steps into his life. He’s everything Wade finds attractive, and their fighting gets Wade wetter than he thinks he ever got for Ness. It’s rough and brutal and bloody and it makes Wade’s body sing with all kinds of endorphins. Of course Wade wants to hide it and of course Logan can smell it off him anyways. And on e Logan realizes Wade’s a masochist? Realizes that Wade wants him to keep pushing him limits, because after becoming immortal Wade lost every sense of a limit he had. It’s what ended his relationship with Vanessa; she couldn’t hurt him like this, dig into him this hard, but Logan relishes in it and in how well Wade can dole it back out.

[macrophagee]

I love that some times the fine details of proper surgical technique exist because it’ll make the future scars look better, or to avoid marking the tissue beyond what’s absolutely necessary. And some times they exist because if you do it the wrong way you’ll blow your patient up

[boatcats]

@ask-roach-questions is live XD

Probably don't follow if you have a medical squick...

[ask-a-vetblr]

i was wondering how common it was for vets to use spay hooks? i currently work w a vet n she hates them n prefers not to use them, but shes the only one i know who doesnt use a hook in my area.

she has never life threatening complications w spays, so its not more dangerous to my knowledge? she uses thumb forceps and her fingers to find the uterus

gettingvetted here.

I have never heard of a vet that doesn't use one. I use one, for sure. I think I'd have to create a much larger incision if I was going to look for the uterus without a spay hook. And spay/neuter vets make incisions so small that you couldn't fit a finger through them if you wanted to. It doesn't mean it's wrong for someone *not* to, it would just be considered highly unusual.

[secret-bug-pain-blog]

@febuwhump Day 29 - Not Allowed To Die

And now, this finishes. Fun fact, this was finished... second out of all of these prompts. Behold, the return of our Cool Fic That We Need To Actually Write On Its Main Front. It's been a lovely Febuwhump! Just... don't worry about what we're doing over here.

It knows that it's probably waited too long already.

The flattened shapes in its claws waver under the force of its magic, the charmcraft weave tangled above them warping and weaving apart. They can sense the torn edges even without the clarity of touch in their claws, Blight magic highlighting the gaping wounds as they decay at the enchantment. It can still sense the mind trapped within them, dulled as it is.

It has been so long since it has lost a member of its colony. It will not allow its record to be broken now.

Snap.

The weave around one of her parts breaks, Kjdrira's rot finally overcoming any strength it might have bad. It traps the fresh-bleeding segment of limb beneath its claws as it begins to work on the next one. Were it any other curse, it knows, the death of its sufferer would have disrupted the spell-weave, but even the damage to her charm-ridden body is not enough to undo it on its own, what should be mortal injury simply shrugged off.

The code they wrote to track her body's disparate parts comes to good use, at least, even if the tiny pieces are awkward to wrangle into place beneath its claws. It takes more effort than it cares to admit to fish the bits of her out of the sack without damaging them further, its claws made for gripping stone and roach-shell rather than handling fragile paper.

She was an eroding disk from the moment that it made contact with her. It should not feel so broken-up that its efforts were made to one likely to die. Perhaps it has been too long since it's had to deal with a Sibling it knew would fail. It should know better than to get so torn up over bugs who never would have survived.

There is so very little holding her mind together, compared to its own programs. It is all that it can do to keep her partially conscious as it works.

The pain-fuzzed thoughts float around the edges of its mind are subtly different to those of the Siblings it is familiar with. Not designed to operate with the same network, even if they are compatible - ZB-162's frustration at their null-target conversations seems to make just a sliver more sense, now that the bug is close enough to register the differences between its own driver and the spell that governs the eroding drive.

Snap.

The programming around connections aids it far more than anything else might. It cannot read the inscriptions on the tiny pieces of sealing-paper, but it can feel out the unshielded thoughts in the disk's mind just enough to orient itself, its claws echoing sensations into the matrix that is its new colonymate's mind. It isn't quite sure if she can sense it anymore - she would have hated feeling them poke about her thoughts, were she more lucid - but it tries not to dwell on it.

There is only so much time for it to work before the body will grow cold, and it is a mage, not a charmsmith. It knows enough by now to be well aware of how unprocessed dead flesh impacts the living.

Snap. Snap. Snap.

Fingers connect to hand connect to arm connect to shoulder. It's hasty work, but it doesn't matter how obvious the join is as long as it works. Guts shiver back into place, joined in ropes of tangled scar tissue, parts of abdomen partially fused together as it forgoes mobility for speed. It can fix it later, it knows, but the base work must be in place first.

Kjdrira rebuilds as it goes, preventing its magic from killing the bug outright. It must destroy to rebuild, rot away the frayed edges before it can merge them back together, and it is well aware of just how much harm it can do undirected. Its magic is caustic, and it eats away at all the organic matter it encounters, breaking it down to biomass and magic fuel. It takes careful work to avoid making things unusable.

Snap.

The heart, set back in place, threatens to stop for a few heart-wrenching minutes. Kjdrira forces itself into the cracks, twisting as much of a claw around it as it can. Manual stimulation forces the heart to beat, even in absence of the ganglia that might have carried the command.

The damage to her body is obvious, great weeping rents torn in fragile shell. The wounds attempt to proliferate every time that it undoes the enchantment on a damaged segment, only force of will and its own experience with repairing its colonymates holding it through.

With the most damaged, it is forced to begin stitching pieces back together before the enchantment even finishes releasing. The modularity of it makes it feel strange against their claws when they put her back together. One segment of her abdomen, overtaken with rending claws, connects to two segments nearly undamaged. The twisting in her flesh where it sewed her back together meets with unmarked flesh, an abrupt line between scar tissue and healthy flesh. It can only hope that it doesn't have too bad of an impact later.

There are still pieces missing. It tries not to dwell on them. A stinger isn't vital, even if the lack of indication to its location chafes at it. The lack of eyes is something that it did on her request, anyways. It is survivable. It is something that it can help.

The final torn card awaits.

Her body still lays empty. This card is marked as something vital, same as her heart was, same as most of her inner organs were. It's something that, from what little it can glean from her programming, is related to her central nervous system, a piece that would have catastrophic consequences on her thought capacity if left out.

It lays a claw on her empty body's forehead.

it takes less than a second for its magic to map out her vacant body. Even without its occupant, it seems, it still lives. A host without anything to drive it, a beating heart with no intelligence behind it.

The half-conscious tatters of an eroding disk tangle around its mind.

It proceeds.

The strands of the enchantment begin to snap, one by one.

This repair will have to be quick. Their fast work is bulky and clunky, they know, more scar tissue than anything usable, but they can improve on them afterwards. As much as they know now, they cannot fix death - cannot call the soul back to a vacent body, cannot call back data lost to the beyond.

It has one chance, and nothing more. The sequence that holds its colonymate's eroding mind is not physical, not like it once suspected - there are no crystals to back her mind up on, no hardware to catch her when she falls. If it fails here, she will die, thought-matrix sputtering into irretrievable nothing.

It won't let that happen.

Her body's head pops open, needing greater effort than expected, veins quickly sealed shut before they can bleed on the floor. The torn card in its claw is dripping hemolymph and brain-fluid, the enchantment unweaving in knots and binds. It keeps a firm claw on what it can retain of its sibling's mind, holding the knot of her thoughts closed even as the rest of the enchantment disintegrates.

Nerves knit into ganglia. Flesh joins with flesh. It can feel the ungraceful knots of scar tissue form, as quickly as it can make them, and it only barely manages to shift things around enough to avoid putting too much pressure on the brain. It only has minutes before the cut-off blood flow has major consequence, less time before the ambient cold threatens to damage its new sibling's body - flesh is so much more delicate than crystal, living bodies so much more fragile, and it can feel her heart threatening to give out even as it works.

It does not stop.

It will proceed. It will fix this. There is no possible other option. It is Kjdrira, it is the protector of its Siblings, it is the defender of this lab. It will succeed, because there is no other choice but to succeed.

It holds the tatters together with bare claws. It keeps the surgery going with little more than raw will.

It is loyal to its siblings. It is strong, it is capable, it knows what it is doing now far more than when it was a newly-sprouted experiment grasping at straws to save its siblings.

It is better than it was then.

Again, the shreds of consciousness try to flicker out. Again, it draws them back.

The procedure will be risky. But the eroded disk will not die.

It will not allow it.

[excomingback]

Can Breast Enlargement Exercises Be Done at Home?

Being a woman, I’ve often felt worried about my breast size. This concern has been on my mind a lot. I tried many ways to make them look bigger. I looked into natural options and looked at surgery. But, finding a way to get a bigger, perkier chest was tough. Then, I found out about breast enlargement exercises. The idea of making my chest better without surgery was interesting. I dug into the…

[fauvester]

julian: well i am SO excited to meet you! come on, sit down, I want to hear all about your work and research! your areas of interest! your favorite professors at starfleet medical!

rulada, who wanted to do psychiatry on Qu'oronos before being laughed off the planet, did no research and barely passed Star Med by the skin of her teeth, slowly pulling a chair out:

[horrid-mothlegs]

I LOVE when artists show off a character's personality through their top surgery scars. Yes please make them into funky shapes that match the character design I love you

[louiemarcgcontreras]

In the ever-evolving field of healthcare, minimally invasive surgery (MIS) has emerged as a groundbreaking advancement, particularly in surgical treatments in Valencia, California. This innovative approach offers numerous advantages over traditional surgery, ensuring patients experience quicker recoveries, reduced pain, and minimal scarring. By utilizing state-of-the-art technology and techniques, minimally invasive surgery has become the preferred choice for both patients and surgeons alike.

[ganitsoni]

facial-rejuvenation in Hyderabad

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[iconhub2023]

Bravona Forte is a breast enlargement kit.

Bravona Forte is a breast enlargement kit, which includes a food supplement and a cream. The product is intended for women who want to improve the shape and size of their breasts. The natural composition and safety of application make women willingly choose Bravona Forte. The effects of the cream and the food supplement are visible after just a few weeks. Bigger and more beautiful breasts with Bravona Forte!

The product is rich in phytoestrogens, which positively influence women's hormonal balance and help improve the appearance of the bust. Bravona Forte can be an excellent alternative to expensive, invasive treatments. Breast enlargement has never been so easy!

[deepspaceclawstation]

I was fantasising about future historians finding my remains (as you do) when I remembered. I'm probably getting cremated. So now I low-key don't want to be cremated