Showing posts with label Medical. Show all posts
Showing posts with label Medical. Show all posts

Thursday, September 26, 2013

Chest Wall Sarcoma

A young lady came in with a mass fixed to her chest wall. the overlying skin was soft and mobile. Clearly this is some type of sarcoma. We removed the clavicle and ribs 1-3 en bloc and were able to get clear margins. We repaired the defect with mesh. The right lung definitely has no metastases-haha. She went home after 5 days






Hairy Nevus

This beautiful young woman, Rita,  presented at the end of the last trip. Rita wants to be an attorney and is quite determined for a 17 year-old with a giant congenital hairy nevus-a lesion with a significant malignant potential. We planned on a multistage surgery beginning this trip.

The first stage consisted of a cheek-neck-chest rotation flap as outlined. Next trip, we will repair the infraorbital area. Hopefully, there will be no malignant transformation.




Fibrous dysplasia

Pre and post maxillectomy for fibrous dysplasia. The floor of the orbit was destroyed by the tumor and the eye was sitting on the tumor



Thursday, September 5, 2013

Abdominal Surgery


This patient had a hernia repair about six days before my arrival at an outside clinic. The patient developed an enterocutaneous fistula from the cecum due to a surgical error. I operated on the patient two days ago and did a right hemicolectomy and debridement of the anterior abdominal wall due to necrotizing fasciitis. We took him back to surgery today and he had necrosis the right side of the abdominal wall. We debrided the dead tissue and closed the abdomen with Vicryl mesh. We will do a more definitive repair if he survives.





Thursday, August 22, 2013

Anatomy Class Scenes (Dissection Class)

Dissection is usually the process of disassembling and observing something to determine its internal structure and as an aid to discerning the functions and relationships of its components. It may also refer to some dissasembly as spontaneous aortic dissection in the natural process.

Dissection is usually applied to the examination of plants and animals. The term is also used in relation to mechanisms, computer programs, written materials, etc., as a synonym for terms such as reverse engineering or literary deconstruction. The dissection is usually performed by students in the course of biology, botany and anatomy and in association with medical studies and arts.