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A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II (paraesophageal) hiatus hernia , it is the first-line procedure.
E♭ — down a major second (used for horn on pitches with multiple sharps until Richard Strauss) D — down a minor third. C — down a perfect fourth. B♭ basso — down a perfect fifth. Some less common transpositions include: A♭ alto — up a minor third (used in Schubert's 4th symphony, 2nd movement) F♯ — up a minor second.
Posterior pharyngeal flap surgery is the most commonly used operation to restore velopharyngeal competence (i.e., develop a functional seal between the vocal and the oral cavity), and therefore correct hypernasality and nasal air escape (Ysunza et al., 2002). Posterior pharyngeal flaps can be based superiorly or inferiorly and the velum can be ...
The horizontal mattress stitch is a suture technique used to close wounds.It everts skin well and spreads tension along the wound edge. [1] [2] [3] This makes it ideal for holding together fragile skin [4] as well as skin under high tension such as the distant edges of a large laceration or as the initial holding suture in complicated repairs.
The first minimally invasive heart cardiac surgery was performed in the United States on January 21, 2005, at The Heart Institute at Staten Island University Hospital in Staten Island, New York by a team led by Dr. Joseph T. McGinn. This technique is an off-pump coronary artery bypass surgery.
Vascular Closure Devices were introduced in the early 1990s in an effort to reduce the time to hemostasis, enable early ambulation and improve patient comfort. Initially, devices focused on technologies involving a suture or a collagen plug. [4] These technologies are effective at closing the hole; however, they often leave an intravascular ...
Nasal reconstruction using a paramedian forehead flap. Nasal reconstruction using a paramedian forehead flap within oral and maxillofacial surgery, is a surgical technique to reconstruct different kinds of nasal defects. [1] In this operation a reconstructive surgeon uses skin from the forehead above the eyebrow and pivots it vertically to ...
Ross procedure. Good if performed in specialist centre, [1] 80% to 90% 10 year survival. [3] The Ross procedure, also known as pulmonary autograft, is a heart valve replacement operation to treat severe aortic valve disease, such as in children and young adults with a bicuspid aortic valve. [1] It involves removing the diseased aortic valve ...