Unbounded Medicine

Lakshmi is the hindu goddess of of wealth, fortune, love and beauty, the lotus flower and fertility. She is represented by an icon of a lady with four arms.

Lakshmi Tatma is a girl who is two years old but she was born with 8 limbs, because she is joined at the pelvis to what is, […]

This surgical model is made of glass fiber and has abdominal and thoracic compartments separated. A selective bronchial intubation can be done in this model. It also has a structure that simulates a diaphragm. You can perform both laparoscopy and thoracoscopy.
The organs of a pig are placed within the model.

The model is intubated with an […]

A previously healthy 63 years old male underwent laparoscopic Nissen fundoplication. Pneumoperitonium was induced with CO2 at a pressure of 13 mmHg. 30 minutes later, he developed hypercarbia (44mmHg) and subcutaneous emphysema without hemodynamic instability, desaturation or fever. Other causes of hypercarbia was ruled out. The procedure was uneventful and completed successfully. Pneumoperitoneum was released. […]

The english organization Marie Stopes International maintains a campaign to alert british citizens on the risks of acquiring venereal diseases or non-wished pregnancies when traveling to Mexico.
“What is more embarrassing, his hat or what he might give you? Make sure don’t come home with any unwanted holiday souvenirs”
This poster is very offensive and annoying. It’s […]

Welcome to the third edition of SurgeXperiences, the first carnival of surgery. I’m honored to bring you this surgical carnival.
This will be a practical and concise edition. The objective of blogs (in my point of view) is to answer questions as quickly as possible, so lets start with the HOW-TOs. Enjoy.

How to classify fingertip […]

I am pleased to announce that the new edition of SurgeXperiences is going to be hosted here at Unbounded Medicine next week. I’ll be accepting ALL your submissions.
Please feel free to post about anything related to surgery, like surgical procedures, mistakes during surgery of your training, lessons learnt, and tips, first operation done solo, memorable […]

This is how a Crohn’s disease looks in colonoscopy.

This is a case of a 67 years old male with history of chronic constipation (20 years) and chronic hemorrhoidal disease came to the office with rectal bleeding and a non-redicible anal mass.
On physical examination we found Grade IV hemorrhoidal disease.

We decide to perform a PPH procedure with an hemorrhoidal circular stapler (33 mm) kit.

Note […]

A previously healthy 27 years old female came to the emergency department with a chief complaint of one-month diffuse and intermitent abdominal pain, transitory relief with bowel movements, nausea without vomit, early saciety, postprandial fullness and weight loss of 4 kilos in 1 month.
On the physical exam, we found a 10×15 cm tumor in the […]

A 68 year old female patient came to the E.D. with a chief complaint of sudden, severe epigastric pain, retching without vomitus and distention of the upper abdomen.
The patient was alert, very anxious, and in severe pain.
blood pressure of 160/120; pulse of 126; respiratory rate of 24; normal temperature; SatO2 of 96% without O2 supplement.
She […]

On January 25th, a car crash took place in Nebraska and Shannon Malloy (a previously healthy 30 year old woman) was seriously injuried. Her skull became separated from her cervical spine, this is what is called internal decapitation.
“I remember the impact and then I had no control over my head… I wasn’t focused so much […]

Artist Koen Hauser is a specialist in digital picture manipulation. This collection is called Modische Atlas der Anatomie.

Lovely work I said.
Via

Neurosurgery is about to change with the arrival of Neuro Arm, a new robot system developed by specialists of The Calgary University.

This device was designed by Garnette Sutherland, a neurosurgeon who worked the last 6 years to make the device that frees the surgeons of the possible faults caused by the human hand.
“Many of our […]

Byron and Lincoln Ryman were born within a minute of each other, first Byron (3lb 6oz) was precisely three times bigger than his brother.
Eleven weeks premature, both boys were given a little chance of survival - particularly Lincoln, weighing only 1lb 2oz at birth.
But yesterday this twins, now they are five weeks old, are doing […]

Its benefits include treatment of ulcerative colitis, irritable bowel syndrome, colon cancer and Crohn disease.
The compounds of blue agave (the cactus used for making tequila) showed nice results in studies performed at the University of Guadalajara in Mexico.

This development could be the first step in better treatments for ulcerative colitis, irritable bowel syndrome and other […]