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 Painless vaginal hysterectomy - Dr. H. Clavé
from Dailymotion - channel tech & science
August 09, 2008
http://www.clave-henri.comPainless vaginal hysterectomy with thermal haemostasis and multimodal anesthesia : The new paradigm for Hysterectomy ? Study objective : To report an innovative surgical procedure for vaginal hysterectomy to fight pains and obtain a fast post-operative recovery. Design : The classical technic of vaginal hysterectomy is simplified using thermal haemostasis with ERBE Bi-Clamp® and multimodal anesthesia. Setting: Clinique St George Nice (France) Patients: Between march 2002 and july 2004, 152 patients presenting with benign lesions had been operated based on this innovative surgical technique. Interventions: This video describe with precisions each steps of the technique, and detailed the specific issues allowing a very low rate of adverse events. The multimodal anesthetic procedure is detailed to avoid nociceptive effects. The haemostasis with high-frequency current and modulated impulses depending of the impedance is made with the ERBE Bi-Clamp®. This tool with easy handling makes easier and faster difficult haemostasis particularly through narrow vagina or for infundibulo-pelvic ligaments. The branches are covered with a wide and smooth steel surface which reduce sticking effect and thereby the risk of carbonisation. There were only 2 instruments in the vagina: The Pozzi forceps for the positioning of the treated area, and alternately the Bi-Clamp® or the scissors. The Bi-Clamp® should always carried out as close as possible to the middle of the vaginal shaft at the edge of the uterus. Results: No serious immediate or secondary bleeding, no thermal trauma to the ureter or to the intestines was noted and no fistula developed. One randomized sub-group demonstrated a substantial reduction of pain. For the last 50 patients a standard hospital stay of one day was possible in 86% of cases. Conclusion: This easier and faster innovative procedure for vaginal hysterectomy expand the range of vaginal indications while shortening the patient’s stay to one day.Author: henriclave Tags: painless vaginal hysterectomy gynecology surgeon surgery Nice France french HC H.Clavé Clave Henri H.C. way procedure uterus saint george bleeding fibroma thermal haemostasis biclamp Posted: 09 August 2008 Rating: 3.7 Votes: 3
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 Jam Session 01
from YouTube :: Tag // incubus
August 05, 2007
Thiago Straioto e Ricardo Oliveira (guitas A-OK) e Fernando Campos na bateria. Jam session que começou com a gente tocando "Drive" do Incubus e acabou nisso aí que vocês estão vendo (ou verão agora). Author: kindacore Keywords: Thiago Straioto Ricardo Oliveira Fernando Campos HC rock jam session estúdio Added: August 5, 2007
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 D1249 and D1387 storm the bank to the Whistle Inn
from YouTube :: Tag // storm
July 31, 2007
D1249 and D1387 storm the bank to the Whistle Inn. As 1249's driver was told, the horn is not a play-thing!! WHOOPS sorry. PBR Diesel Gala 29-07-07 Author: PBR14akaAdam Keywords: D1249 Llanwern BSC EE English Electric Vulcan D1387 Hudswell Clarke HC NCB Pontypool Blaenavon Railway Added: July 31, 2007
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 Mysterious Sleepwalker
from - blip.tv (beta)
April 21, 2007
It took more than 1500 pictures to create this movie. It was shot with a D-SLR camera. Read more about the movie on: www.cph-sleepwalker.com
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