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Owen Harding Wangensteen
Owen Harding Wangensteen (September 21, 1898 – January 13, 1981) was an American surgeon who developed the Wangensteen tube, which used suction to treat small bowel obstruction, an innovation estimated to have saved a million lives by the time of his death. He founded the Surgical Forum at the American College of Surgeons (ACS) and was renowned for his surgical teaching. Amongst his most notable students were Walton Lillehei, Christiaan Barnard, K. Alvin Merendino, Norman Shumway and Edward Eaton Mason. He made contributions to surgical practices in other areas, including appendicitis, peptic ulcers and particularly gastric cancer. In his later life, he showed a keen interest in the history of medicine and co-wrote a number of books on the subject with his wife. Early life Owen Harding Wangensteen was born in 1898 to Ove Wangensteen and his wife Hannah and brought up on the family farm in Lake Park, Minnesota. His parents were Norwegian-immigrant farmers and he spent his ear ...
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Lake Park, Minnesota
Lake Park is a city in Becker County, Minnesota, United States. The population was 728 at the 2020 census. History The area upon where Lake Park was founded, started to be settled in 1841 by fur traders while a Dakota encampment still existed on Lake Flora on which part of the City Park is now located. The area was originally founded as Liberty Township. In 1871, the Liberty Township Board changed the name to Lake Park Township; for which the name "Lake Park" comes from a Dakota phrase of "Where the Prairies meet the Waters" as the site became a railway stop for the Great Northern Railway by the town founder, James Canfield. The city was officially incorporated separate from the township on the along the border of Lake Park and Cuba Townships. It was thenceforth known officially as the Village of Lake Park until the 1970s, when Lake Park was converted by the State of Minnesota into a City of the Fourth Class (Population under 5,000), for which it remains today. For many deca ...
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Domestic Pig
The pig (''Sus domesticus''), often called swine, hog, or domestic pig when distinguishing from other members of the genus '' Sus'', is an omnivorous, domesticated, even-toed, hoofed mammal. It is variously considered a subspecies of ''Sus scrofa'' (the wild boar or Eurasian boar) or a distinct species. The pig's head-plus-body length ranges from , and adult pigs typically weigh between , with well-fed individuals even exceeding this range. The size and weight of hogs largely depends on their breed. Compared to other artiodactyls, a pig's head is relatively long and pointed. Most even-toed ungulates are herbivorous, but pigs are omnivores, like their wild relative. Pigs grunt and make snorting sounds. When used as livestock, pigs are farmed primarily for the production of meat, called pork. A group of pigs is called a ''passel'', a ''team'', or a ''sounder''. The animal's bones, hide, and bristles are also used in products. Pigs, especially miniature breeds, are kept as pets ...
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Abdominal Distension
Abdominal distension occurs when substances, such as air (gas) or fluid, accumulate in the abdomen causing its expansion. It is typically a symptom of an underlying disease or dysfunction in the body, rather than an illness in its own right. People with this condition often describe it as "feeling bloated". Affected people often experience a sensation of fullness, abdominal pressure, and sometimes nausea, pain, or cramping. In the most extreme cases, upward pressure on the diaphragm and lungs can also cause shortness of breath. Through a variety of causes (see below), bloating is most commonly due to buildup of gas in the stomach, small intestine, or colon. The pressure sensation is often relieved, or at least lessened, by belching or flatulence. Medications that settle gas in the stomach and intestines are also commonly used to treat the discomfort and lessen the abdominal distension. Causes One of the causes of abnormal bloating is excessive eating and air swallowing, ...
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Nasogastric Tube
Nasogastric intubation is a medical process involving the insertion of a plastic tube (nasogastric tube or NG tube) through the nose, down the oesophagus, and down into the stomach. Orogastric intubation is a similar process involving the insertion of a plastic tube (orogastric tube) through the mouth. Abraham Louis Levin invented the NG tube. Nasogastric tube is also known as Ryle's tube in Commonwealth countries, after John Alfred Ryle. Uses A nasogastric tube is used for feeding and administering drugs and other oral agents such as activated charcoal. For drugs and for minimal quantities of liquid, a syringe is used for injection into the tube. For continuous feeding, a gravity based system is employed, with the solution placed higher than the patient's stomach. If accrued supervision is required for the feeding, the tube is often connected to an electronic pump which can control and measure the patient's intake and signal any interruption in the feeding. Nasogastric tubes may ...
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Enterostomy
An enterostomy ('' entero-'' + '' -stomy''; ) is either (1) a surgical procedure to create a durable opening (called a stoma) through the abdominal wall into an intestine ( small intestine or large intestine) or (2) the stoma thus created. The various types of enterostomy are named according to which intestinal segment is involved. Indications for surgery and complications are dependent on the site of the enterostomy. Gastrostomies and enterostomies can be used to provide nutrition in digestive disorders. Hernia development at both permanent and temporary enterostomy sites in a common complication. See also * Gastrostomy Gastrostomy is the creation of an artificial external opening into the stomach for nutritional support or gastric decompression. Typically this would include an incision in the patient's epigastrium as part of a formal operation. It can be perfor ... References {{reflist Medical procedures ...
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Adhesion (medicine)
Adhesions are fibrous bands that form between tissues and organs, often as a result of injury during surgery. They may be thought of as internal scar tissue that connects tissues not normally connected. Pathophysiology Adhesions form as a natural part of the body's healing process after surgery in a similar way that a scar forms. The term "adhesion" is applied when the scar extends from within one tissue across to another, usually across a virtual space such as the peritoneal cavity. Adhesion formation post-surgery typically occurs when two injured surfaces are close to one another. According to the "classical paradigm" of adhesion formation, the pathogenesis starts with inflammation and activation of the coagulation system which causes fibrin deposits onto the damaged tissues. The fibrin then connects the two adjacent structures where damage of the tissues occurred. The fibrin acts like a glue to seal the injury and builds the fledgling adhesion, said at this point to be "fibrinou ...
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Small Bowel Obstruction
Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. Either the small bowel or large bowel may be affected. Signs and symptoms include abdominal pain, vomiting, bloating and not passing gas. Mechanical obstruction is the cause of about 5 to 15% of cases of severe abdominal pain of sudden onset requiring admission to hospital. Causes of bowel obstruction include adhesions, hernias, volvulus, endometriosis, inflammatory bowel disease, appendicitis, tumors, diverticulitis, ischemic bowel, tuberculosis and intussusception. Small bowel obstructions are most often due to adhesions and hernias while large bowel obstructions are most often due to tumors and volvulus. The diagnosis may be made on plain X-rays; however, CT scan is more accurate. Ultrasound or MRI may help in the diagnosis of children or pregnant women. The condition may be treated conserva ...
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John Najarian
John Sarkis Najarian (December 22, 1927 – September 1, 2020) was an American transplant surgeon and clinical professor of transplant surgery at the University of Minnesota. Najarian was a pioneer in thoracic transplant surgery. Early life Najarian was born in Oakland, California to Armenian immigrants. He studied medicine at the University of California, Berkeley, where he was also an offensive tackle for the college's football team, and played in the 1949 Rose Bowl. Career After college, Najarian achieved success as a transplant surgeon, and soon joined the University of Minnesota under Owen Wangensteen, whom he succeeded in 1967 as head of the surgical department. Then, he built a program where he was a leader at kidney, liver, pancreas and other transplants. Najarian was chairman of the department of surgery at the University of Minnesota Medical School from 1967 until 1993. He was the author of nearly a thousand articles in the medical literature. He was a founding me ...
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Socratic Method
The Socratic method (also known as method of Elenchus, elenctic method, or Socratic debate) is a form of cooperative argumentative dialogue between individuals, based on asking and answering questions to stimulate critical thinking and to draw out ideas and underlying presuppositions. It is named after the Classical Greek philosopher Socrates and is introduced by him in Plato's Theaetetus as midwifery ( maieutics) because it is employed to bring out definitions implicit in the interlocutors' beliefs, or to help them further their understanding. The Socratic method is a method of hypothesis elimination, in that better hypotheses are found by steadily identifying and eliminating those that lead to contradictions. The Socratic method searches for general commonly held truths that shape beliefs and scrutinizes them to determine their consistency with other beliefs. The basic form is a series of questions formulated as tests of logic and fact intended to help a person or group di ...
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Emil Theodor Kocher
Emil Theodor Kocher (25 August 1841 – 27 July 1917) was a Swiss physician and medical researcher who received the 1909 Nobel Prize in Physiology or Medicine for his work in the physiology, pathology and surgery of the thyroid. Among his many accomplishments are the introduction and promotion of aseptic surgery and scientific methods in surgery, specifically reducing the mortality of thyroidectomies below 1% in his operations. He was the first Swiss citizen and first surgeon to ever receive a Nobel Prize in Medicine. He was considered a pioneer and leader in the field of surgery in his time. Early life and personal life Childhood Kocher's father was Jakob Alexander Kocher (1814–1893), the sixth of seven children to Samuel Kocher (1771–1842), a carpenter, and Barbara Sutter (1772–1849). Jakob Alexander Kocher was a railway engineer and he moved in 1845 to Burgdorf, Switzerland (near Bern), because of his job as regional engineer of Emmental (''Bezirksingenieur''). He ...
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Fritz De Quervain
Fritz de Quervain (4 May 1868 – 24 January 1940) was a Swiss surgeon born in Sion. He was a leading authority on thyroid disease. In 1892 he received his doctorate from the University of Bern, and several years later became director of the surgical department at a hospital in La Chaux-de-Fonds in the canton of Neuchâtel. In 1910 he was appointed to the chair of surgery at the University of Basel, and from 1918 was a professor of surgery at Bern and director of the Inselspital. Quervain published many papers devoted to thyroid disease, ranging from the epidemiology of the disease to technical procedures on thyroidectomy. His book ''Spezielle chirurgische Diagnostik'' (Special Surgical Diagnosis) was a leading textbook on surgery in its day. He co-developed an operating table which won the Grand Prix at the World Exhibition in Paris in 1914. He also is responsible for introducing iodized table salt in order to help prevent goitre. Two eponymous diseases are named after Querv ...
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William James Mayo
William James Mayo (June 29, 1861 – July 28, 1939) was a physician and surgeon in the United States and one of the seven founders of the Mayo Clinic. He and his brother, Charles Horace Mayo, both joined their father's private medical practice in Rochester, Minnesota, US, after graduating from medical school in the 1880s. In 1919, that practice became the not-for-profit Mayo Clinic. Augustus Stinchfield was also asked to join the medical practice in 1892 by William Worrall Mayo. Once Stinchfield was hired, W. W. Mayo retired at age 73. Others who were invited to be part of the enterprise were C. Graham, E. Starr Judd, Henry Stanley Plummer, Melvin Millet and Donald Balfour. Early years William James Mayo was born to William Worrall Mayo and his wife Louise in Le Sueur, Minnesota, in his parents' home. As a child, William and his brother Charles frequently accompanied their father as he went about his business as a pioneer physician. They began by helping out with very menial ...
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