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Classic Procedure: The approach is the same as described earlier for open mitral valvotomy. The excision starts with an anterior incision on the anterior leaflet at 12o'clock position, 2mm distal to the annulus. The incision is extended. The anterior leaflet with the chordae and the tip of the papillary muscle are removed. If the posterior leaflet is calcified, it is also excised along with chordae and tips of papillary muscles. Over zealous excision and suturing may cause venticular rupture or damage to circumflex coronary arteiy. Valve size is assessed according to the type of valve selected by the surgeon. The valve can be sutured by a continuous suture technique or interrupted pledgetted mattress sutures using 2 '0' braided polyester sutures. The pledgets are usually placed on the atrial aspect or rarely on the ventricular aspect.
excretory organ of agama lizard
Define Post-surgical Nutrition Support for CHD Patient? Nutrition support should be started as soon as possible. If oral not possible, enteral nutrition support should be pr
Wound breakdown With careful flap design and gentle tissue handling this is a rare complication. The healing which follows is by secondary intention and can be aided by chlorhe
Define influence of polyphenols on Carbohydrates? Binding of proteins may indirectly affect carbohydrate absorption. Inhibition of amylolytic enzymes and subsequent reduction o
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Weiss's Theory of Fibroosseous Fixation Weiss' theory stated that there is a fibro-osseous ligament formed between the implant and the bone and this ligament can be considered
Estimation of Depth of Burn Injury: A thermal injury is described as partial thickness or full thickness, depending on the depth and severity of tissue damage a) First D
The food components are in the form of solids, in solutions or in the form of colloids - sols or emulsions. The properties of these components determine the quality of food. The
What are the benefits of Soil testing Soil testing is done to assess the nutrient supplying capacity of the soil. The data obtained as a result of testing is useful for recom
Q Show Rules followed by diabetic patients? A "sick day" is any health problem diabetic patient may have. This could include a common cold, infection, diarrhoea, fever, injury
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