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De Vega Annuloplasty : Classic De Vega annuloplasty is done using 2'0' double armed polyester suture with pledgets on either end. It starts with one of the needles passed from a point just beyond the cormnissure between posterior and septal leaflets. It stops after crossing the commissural between the anterior and septal leaflets. Then the second needle is passed similarly after incorporating a Dacron pledget. After both needles come out, they are passed through another pledget. By tightening these sutures, a purse string narrowing of posterior and anterior parts of annulus is achieved. It is then tied. The narrowing can be adjusted by tying over a Starr-Edwards mitral valve sizer of 24-34mm.
Excitation of Heart - Circulation The heart has an inherent capacity to contract rhythmically without any external stimulus. Proof of this is obtained when we see that the hea
PHYLUM PORIFERA Definition and Introduction Lowest multicellular animals or metazoans without true tissues, i.e. , at Cellular level or body organization. Familiar
What is the evolutionary importance of the fruits for the angiosperms? The fruits have seeds and they can detach from the plant falling on the ground or can serve as food for a
SKI N GRAFTING - Skin for grafting is taken from another part of body of the same persons. Now it is possible to grow a sheet of skin in culture from a small piece of skin
Regulation of HMP Pathway The following factors play an important role in regulation of HMP pathway: a) The first reaction of this pathway catalysed by glucose-6-phosphate
Define Corneal Scar - Micronutrient Deficiencies? The corneal ulcer, on healing, leaves a white scar, which may vary in size depending upon the size of the ulcer. When the scar
What are similarities and differences among the transcription process and the replication processes? A DNA polynucleotide chain serves as a template in replication (DNA duplica
The components of treatment of NKHDC are: 1) control of water loss. 2) control of sugar using insulin. 3) adjust electrolytes like sodium and potassium. 4) control infe
Q. List some points to keep in mind while counselling? 1. Judgment Do not be judgemental. Be a patient listener. Assess and make decision. 2. Patience and Acceptance
TRANSPLAN T PROCEDURE - Operation is done under general anaesthesia, duration 3-4 hrs. Cut is given in the lower abdomen. Donar's kidney is transplanted retroposistonicaly
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