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Trans Myocardial laser re vascularisation (TMLR) : Patients who have severe angina and diffuse coronary artery disease with no graftable vessels are at limes subjected to TMLR. In this procedure target areas of myocardium are marked based on pre-operative studies. On a beating heart with special laser equipment, laser channels are created one cm npa1.1 on selected areas of niyocnrdium of left vcntriclc. 10-12. such channels arc created on the anterior anti lateral walls of LV as required. These should be away from major coronary artery branches. At times there may be one or two graftable vessels and large areas of myocardium that cannot be revascularised. A hybrid procedure is done for these cases. TMLR is done first and after haemostasis patient is heparinised and grafting is done either on or off bypass. This procedure has been described ant1 popularized from Escorts hospital india by Dr. Naresh Trehan.
Descent of the Testis The testis develops on the posterior abdominal wall at the mesonephric ridge. To reach the adult position in the scrotum, it must decent. A fibrous cor
Precautions for Preparation of Selective and Differential Medium 1. Dissolve ingredients one by one. 2. Check and set the medium to appropriate pH. 3. Autoclave the mediu
Q. Complications of diverticular disease? The many complications of the disease include the 'following conditions: • A perforation (hole) in the intestine leading to perito
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Qualitative Changes The qualitative changes in the structure of proteins in response to stress can lead to the following: Resistance against denaturation of prote
PLANE OF CLEAVAGE - Each cleavage of the division zygote is marked by a cleavage furrow. Usually the first cleavage furrow is vertical & passes through the main axis of t
Explain about the Oral cavity and alimental-y tract? Various functional changes and decline in secretary function occur in the digestive tract with aging. These include: Or
Write briefly on neural mechanism of learning?
URINIFEROU S TUBULE - Unit of kidney. 3-5 cm. long (30 mm). Total length of nephrons is 65 km. A tubule consists of - 1 . Malpighian capsule (
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