57 results about "Surgical technical" patented technology

Methods of generating a surgical operative note for a surgical procedure, such as a spinal surgical procedure, and associated systems and devices are disclosed herein. In some embodiments, a representative method includes capturing surgical procedure data of the surgical procedure with a sensor array positioned to view the surgical procedure, and identifying features in the surgical procedure data relevant to the surgical procedure. The method can further comprise processing the identified features to provide contextual information about the surgical procedure, and utilizing an artificial intelligence (AI) application to generate the operative note based on the identified features and the contextual information. The operative note can include a natural language, structured, and coherent description of the surgical procedure that summarizes the surgical procedure, including the type of surgery performed, specific surgical techniques used, intraoperative findings, and / or postoperative care instructions.

The invention relates to the technical field of liver surgery, and discloses a liver surgery planning system based on data fusion. The system comprises an image data fusion module, a three-dimensional model construction module, an operation path planning module, a risk assessment module and a scheme optimization module. The image data fusion module integrates CT and MRI images to generate a standardized image fusion model; a three-dimensional model building module generates a liver three-dimensional visual model according to the three-dimensional model; the operation path planning module plans an optimal resection path to form a preliminary operation path scheme; the risk assessment module assesses the surgical risk and generates a report; the scheme optimization module generates a final surgical planning scheme based on the report adjustment parameters. According to the system, through the multi-source data fusion and three-dimensional visualization technology, the liver structure and the tumor position are accurately presented, the operation path is scientifically planned, the operation risk is evaluated and avoided, the operation scheme is optimized, and accurate implementation of the liver operation is assisted.

The present disclosure provides systems including a cannulated surgical drill tool with electrical conductivity sensing capabilities, and surgical techniques for using such tools in minimally invasive surgical procedures for accessing the SI joint via a posterior approach using an electrical conductivity feedback to facilitate accurate placement into or across the SI joint. For example, the cannulated surgical drill tool may include one or more pairs of electrodes at its distal penetration tip configured to measure electrical conductivity of tissue in contact with the distal tip during a drilling procedure and may emit an alert indicative of the measured electrical conductivity, and accordingly, the type of tissue in contact with the distal tip of the cannulated surgical drill tool, in real-time.

The utility model relates to the technical field of spine surgery, and discloses spine stabilizing and protecting equipment which comprises a back plate, a containing groove is formed in one end of the back plate, a connecting plate is fixed in the containing groove, a back protecting pad is fixed to one end of the connecting plate, and a protecting soft pad is arranged at the end, away from the connecting plate, of the back protecting pad. Multiple first threaded holes are formed in the inner side of the end, away from the containing groove, of the back plate, inserting grooves are formed in the two sides of the back plate, inserting plates are slidably connected into the inserting grooves, and multiple second threaded holes are formed in the surfaces of the inserting plates. According to the utility model, through the cooperative arrangement of the slot, the inserting plate, the back plate, the fixing bolt, the first threaded hole and the second threaded hole, the inserting plate is inserted into the slot of the back plate during use, then the fixing bolt is rotated to enable the surface of the bolt to fix and detach the inserting plate through the first threaded hole and the second threaded hole, and then the inserting plate is fixed into the slot; the distance between the arc-shaped clamping plates can be conveniently adjusted, so that the patients with different figures can be fixed, and the use universality of the device is improved.

The utility model provides a neck collar for brain surgery nursing, which belongs to the technical field of brain surgery, and comprises a connecting disc, an adjusting assembly and an auxiliary assembly, the auxiliary assembly comprises a soft cushion arranged in the connecting disc, an air bag is arranged in a tray, the outer wall of the soft cushion and the outer wall of the air bag are respectively adhered and connected with a contact belt, and ventilation slots are arranged in the two contact belts. Two shoulder straps are arranged at the bottom of the connecting disc, a plurality of binding straps are arranged in the middles of the two shoulder straps, and first buckles shaped like the Chinese character'ri 'are arranged at the ends of the two binding straps. When the anti-acne mask is worn, a user can fix the anti-acne mask on the shoulder by utilizing the matching of the shoulder strap, the binding strap and the first buckle shaped like the Chinese character'ri ', so that the anti-acne mask is prevented from deviating, the stability is improved, and a patient can wear the anti-acne mask more comfortably.

The utility model relates to the technical field of thoracic surgery, and discloses a portable puncture drainage device which comprises a storage bag, the outer wall of the storage bag is fixedly sleeved with a bandage, the outer wall of the storage bag is fixedly provided with an insertion groove, the inner wall of the insertion groove is slidably connected with an insertion block, the top of the storage bag is fixedly provided with a flow guide pipe, and the flow guide pipe is fixedly connected with the insertion block. And a fixing head is fixedly installed at the top of the flow guide pipe, a liquid outlet is fixedly formed in the bottom of the inner wall of the storage bag, and the inner wall of the insertion block is rotationally connected with a rotating shaft. A storage bag is placed on the abdomen of a user, an inserting block is pulled at the moment, a bandage extends, a rotating shaft is driven to rotate through extension of the bandage, one end of a clockwork spring is driven by the rotating shaft, the clockwork spring generates pulling force, the inserting block is placed in an inserting groove, and then the bandage is tightened through the pulling force of the clockwork spring; and the equipment is worn on the body of the user, so that the portability of the equipment is improved.

The invention discloses a retractor for surgical operation, and relates to the technical field of surgery. Comprising a bottom plate and a retracting hook, and further comprises a lifting mechanism for controlling the retracting hook to move in the Z-axis direction, a position adjusting mechanism for controlling the retracting hook to move in the Y-axis direction, a symmetrical displacement mechanism for controlling the retracting hook to move in the X-axis direction and an angle adjusting mechanism for controlling the retracting angle. The position adjusting mechanism comprises a rapid adjusting mechanism and a fine adjusting mechanism, the rapid adjusting mechanism is arranged on the fixing plate, and the fine adjusting mechanism is arranged above the rapid adjusting mechanism. The lifting mechanism adjusts the position of the retracting hook in the Z-axis direction, the position adjusting mechanism controls the position of the retracting hook in the Y-axis direction, the symmetrical displacement mechanism controls the position of the retracting hook in the X-axis direction, the angle adjusting mechanism can adjust the retracting angle, and the degree of freedom is high when medical staff adjust the position of the retracting hook. And the device can be accurately moved to a target position, so that the working efficiency of medical staff is improved.

The utility model relates to a screw plug extractor, and belongs to the technical field of spine surgery. The tool is mainly used for solving the safety problems that a wrench fails due to deformation of a hexagonal hole or a plum blossom hole of a screw plug in a spinal operation, and metal fragments are generated due to the fact that a U-shaped nail arm needs to be damaged in a traditional taking-out method. According to the technical scheme, the tool is characterized by comprising a left clamping jaw, a right clamping jaw, a left linking arm, a right linking arm, a left handle, a right handle and screws; trapezoidal clamping grooves are formed in the heads of the clamping jaws, the size of the minimum ends of the clamping grooves is slightly smaller than that of U-shaped openings of the U-shaped nails, and R-shaped arc grooves are formed in the middles of the clamping grooves and used for clamping orthopedic rods; the handle adopts the extension arm design, and the operating force is reduced through the lever principle. During operation, the handle is folded to enable the clamping groove to be clamped into the U-shaped opening, the U-shaped opening is gradually expanded by about 0.5 mm, the screw plug is separated from the spine nail, and therefore the screw plug is taken out without damage. The tool is compact in structure and easy and convenient to operate, metal fragments can be effectively prevented from being generated, and the operation safety and efficiency are improved.

The utility model discloses a guide plate for spine surgery, which relates to the technical field of spine surgery, and comprises a guide plate main body, the top of the guide plate main body is provided with a concave frame, the top of the concave frame is provided with a chute, the inner side of the chute is provided with an angle adjusting mechanism, and the inner side of the angle adjusting mechanism is movably provided with an adjusting ball. By the adoption of the structure, the angle adjusting mechanism is arranged, the adjusting handrail is twisted to drive the oval guide plate to rotate, the oval guide plate abuts against the guide plate at the inner end of the isosceles triangle, the guide plate moves outwards, the connecting frame and the limiting block are driven to move outwards, the suction cup is separated from the adjusting ball, and therefore the adjusting ball can rotate to adjust the inclination angle of the puncture catheter. After the angle is adjusted, the adjusting handrail is loosened, the limiting spring enables the limiting block to reset, and the suction cup makes contact with the adjusting ball to be fixed, so that the inclination angle can be adjusted through rotation of the adjusting ball, flexible inclination guiding puncture is achieved, and adaptability is improved.

Methods of repairing tissue include obtaining a suture including a first end defining an opening and a second end capable of passing through the opening; passing the first end through the tissue at a first location; passing the second end through the tissue at a second location; forming a luggage tag configuration by passing the second end through the first end; and securing the luggage tag configuration against the tissue. In some examples, the suture is a continuous closed loop, and in others the suture has a barbell configuration, with a linear central portion and a loop at each end. In still examples, the suture has a loop at one end and a tail at the other. The suture may be used without an anchor or may be part of a suture assembly including a suture anchor and, optionally, at least one other suture.

Methods of generating a surgical operative note for a surgical procedure, such as a spinal surgical procedure, and associated systems and devices are disclosed herein. In some embodiments, a representative method includes capturing surgical procedure data of the surgical procedure with a sensor array positioned to view the surgical procedure, and identifying features in the surgical procedure data relevant to the surgical procedure. The method can further comprise processing the identified features to provide contextual information about the surgical procedure, and utilizing an artificial intelligence (AI) application to generate the operative note based on the identified features and the contextual information. The operative note can include a natural language, structured, and coherent description of the surgical procedure that summarizes the surgical procedure, including the type of surgery performed, specific surgical techniques used, intraoperative findings, and / or postoperative care instructions.

The utility model relates to the technical field of urinary surgery. The urinary postoperative flushing device comprises a main body structure, and the main body structure comprises a flushing seat, a connecting pipe and a rack; and the flushing structure comprises a connecting seat and a fixing block, the outer surface of the connecting seat is fixedly connected with the outer surface of one end of the rack, and the upper surface of one end of the flushing seat is fixedly connected with a cushion. A power source can be provided for the driving motor through an external power source, the driving motor can drive the gear to rotate after being started, the gear can drive the rack to move in the other end of the flushing base when rotating, and the rack can drive the flushing structure to integrally and synchronously move when moving. By means of the design, the flushing structure can be adjusted according to the specific conditions of a patient during use, and therefore the use flexibility of the flushing structure can be improved to a certain degree.

The utility model discloses a tibia vertical osteotomy auxiliary device for unicompartmental knee arthroplasty, and relates to the technical field of unicompartmental knee arthroplasty. The device comprises a base, a stand column, a machine box, a winding shaft, an inhaul cable and a drag hook, a fixing area is arranged in the middle of the base, the stand column is arranged at the upper end of the base, the machine box is arranged above the stand column, and a small self-locking motor is fixed in the machine box. According to the utility model, the inhaul cable and the drag hook are locked through the small self-locking motor, the winding disc, the motor driver and the touch screen, so that medical personnel can adjust the degree of tightness of traction according to the number of turns of winding of the winding disc as required, and an assistant can carry out long-time bare-handed traction; secondly, the two extendable extension rods and the corresponding drag hooks are mounted on the mounting seat, so that the medical staff can adjust the distance between the two drag hooks according to the exposure requirement of the surgical incision, the surgical exposure area is expanded, and a doctor can conveniently perform an operation.

The invention relates to the technical field of surgery, and provides an adjustable hand and foot microsurgery blood vessel anastomosis clamp which comprises an anastomat body, a supporting frame is arranged on the upper surface of the anastomat body, an adjusting assembly is arranged at the top of the supporting frame, a hollow plate is fixedly connected to the outer portion of the adjusting assembly, and the hollow plate is fixedly connected to the outer portion of the supporting frame. An anastomosis clamp is arranged at one end of the anastomat body, an illuminating lamp is arranged on one side of the hollow plate, a connecting plate is fixedly connected to one side of the illuminating lamp, fixing pieces are arranged on the two sides of the interior of the hollow plate, and a pushing piece is arranged between the fixing pieces; according to the adjustable hand and foot microsurgery blood vessel anastomosis clamp, by adopting the adjusting assembly, the angle of the illuminating lamp can be adjusted, so that the illuminating lamp can be efficiently matched with the anastomat body to treat a patient, and meanwhile, the illuminating lamp can be taken out to be maintained or replaced.

The utility model discloses a debridement table for the general surgery department and relates to the technical field of the general surgery department. The debridement table for the general surgery department comprises a rectangular frame, a lifting mechanism and a clamping mechanism, a lifting plate is arranged over the rectangular frame, a water pool is arranged over the lifting plate, the clamping mechanism is arranged between the lifting plate and the water pool and comprises clamping plates, clamping sleeves and clamping grooves, and the two clamping plates are fixedly installed at the top of the lifting plate; the outer surfaces of the two sides of the water pool are each fixedly provided with a set of clamping sleeves, the bottoms of the two sets of clamping sleeves are each provided with a set of clamping grooves, and the two sets of clamping plates are clamped into the corresponding clamping grooves. According to the debridement table for the general surgery department, through cooperation of the lifting plate, the water pool and the clamping mechanism, the water pool can be independently detached, the flexibility is high, the debridement table can be conveniently placed in disinfection equipment to be independently subjected to high-temperature disinfection treatment, and then the practicability of the debridement table is improved.

The application discloses a brain surgery path intelligent planning method based on reinforcement learning and relates to the technical field of brain surgery. A standardized surgery environment data set is formed; a three-dimensional brain structure topology model is obtained; a dynamic three-dimensional constraint tensor is generated; a surgery timing decision Token sequence is formed; the surgery timing decision Token sequence is input into a Decision Mamba path decision network based on a selective scanning state space model to perform strategy optimization, and an underlying obstacle avoidance candidate path decision vector sequence is output; a safe candidate path sequence meeting an anatomical safety constraint is obtained; an executable surgery trajectory instruction set is generated; the dynamic three-dimensional constraint tensor and the surgery timing decision Token sequence are updated and recalled, and path decision and safety correction are re-executed. The application improves the response speed and precision of intraoperative path adaptive re-planning in a strong dynamic environment of brain tissue stress deformation.

The invention discloses a threading bone screw, and relates to the technical field of clinical medicine bone surgery, the threading bone screw comprises a screw body, the screw body is made of a titanium alloy material, one end of the screw body is provided with a telescopic assembly used for changing the number of screw threads, and the telescopic assembly comprises a hollow rod. According to the threading bone screw, when the threading bone screw needs to be used for fixing a fracture part and when a patient with dense sclerotin needs to use the bone screw for fixing a bone, a rotating block is rotated anticlockwise, a hollow rod is driven to cover more threaded rings, and the number of exposed threaded rings of the threading screw is reduced; when a patient with relatively loose sclerotin needs to use the bone screw for fixation, the rotating block is rotated clockwise to drive the hollow rod to move reversely, so that the exposed part of the threaded ring is increased, and the exposed threaded ring of the threading bone screw can be adjusted according to the actual condition of the bone of the patient.

The utility model belongs to the technical field of urinary surgery, and particularly relates to an improved urine washing bag. The device comprises a urine bag, the urine bag is connected with a connecting pipe, the top of the connecting pipe is provided with a connecting block, the connecting block is connected with a urine pipe communicated with the connecting pipe, the connecting block is connected with a branch pipe communicated with the urine pipe, the tail end of the branch pipe is vertically and fixedly provided with a disc, and the left side of the disc is horizontally provided with a liquid inlet pipe and a liquid outlet pipe. The disc is provided with an adjusting assembly enabling the liquid inlet pipe and the liquid outlet pipe to be alternately communicated with the branch pipes. According to the utility model, blood clots are sucked out through the branch pipe under the condition that the connection state of the ureter and the connecting pipe is not damaged, so that the leakproofness of the ureter and the connecting pipe is maintained.

The utility model belongs to the technical field of urinary surgery, particularly relates to a postoperative binding sleeve, and aims to solve the problems that when gauze is used for winding a genital organ too tightly and a patient touches the penis carelessly during turning over or moving, pain is caused, and when the gauze is wound loosely, the gauze is easy to fall off. The outer wall of the first binding sleeve is rotatably connected with a second binding sleeve, the inner wall of the first binding sleeve and the inner wall of the second binding sleeve are fixedly connected with sponge pads, gauze is placed in the first binding sleeve and the second binding sleeve, and the outer wall of the first binding sleeve and the outer wall of the second binding sleeve are fixedly connected with semicircular rubber pads. Through the arrangement of the first binding sleeve, the second binding sleeve, the semicircular groove, the sponge pad, the air outlet hole, the gauze and the semicircular rubber pad, the penis is protected, and meanwhile the gauze is prevented from being wound too tightly.

The utility model relates to the technical field of neurosurgery, in particular to a scaleplate drainage clamp which comprises a box body, a groove is formed in the box body in a communicated mode, rulers are fixed to the positions, on the two sides of the groove, of the box body, and two first limiting grooves are symmetrically formed in the box body in a communicated mode. A movable rod is inserted into the box body and the two first limiting grooves jointly, arrows are fixed to the two ends of the movable rod, two hooks are fixed to the movable rod, a locking mechanism is arranged on the movable rod and the box body jointly, a cylinder is arranged above the box body, and threaded rods are inserted into the two ends of the cylinder in a threaded mode. When in use, the drainage bag can be protected, the safety of the drainage bag is ensured, the top plate is propped against a bed board of a sickbed, the position of the box body is limited, even if a foot kicks the box body, the box body and the drainage bag cannot topple over, the safety of the drainage bag in use can be ensured, and potential safety hazards are avoided.

This utility model belongs to the field of urological technology, and in particular to a clinical urine collection device, including a base plate, a protective plate fixedly connected to the top surface of the base plate, a collection box provided on the inner side of the protective plate, a seat plate provided on the top of the collection box, a reserved hole opened at the center of the seat plate, and a lifting structure provided on the seat plate. The lifting structure includes symmetrically arranged first fixed plates. By using the cooperation of the lifting plate and the first threaded rod, when the height of the urine collection device needs to be adjusted, the first threaded rod can be rotated, so that the first threaded rod drives the lifting plate to move up and down. When the lifting plate moves, it will drive the first connecting column to move together, so that the first connecting column drives the seat plate to move up and down, thereby realizing the height adjustment of the urine collection device, allowing the urine collection device to be adjusted according to the height of the patient, improving the patient's comfort during use.

The utility model belongs to the technical field of urinary surgery, and particularly relates to a flushing device for urinary surgery nursing, which comprises a spray head, a blocking cover, a zipper component and two splicing heads. The blocking cover is a cover body with one side provided with an arc-shaped opening, a wiring notch is formed in the side wall, opposite to the arc-shaped opening, of the blocking cover, the upper part of the blocking cover is cut by the wiring notch, the spray head is movably connected to the lower end, close to the wiring notch, of the blocking cover, and a liquid outlet is formed in the bottom of the blocking cover; the zipper assembly is arranged in the wiring notch and provided with two pullers opposite in meshing direction. The sides, close to each other, of the two pull heads are each fixedly connected with a splicing head, the two splicing heads are each provided with at least two notches in a one-to-one correspondence mode, and when the two splicing heads make contact with each other, the two splicing heads are spliced into a through hole allowing a catheter to penetrate through. According to the device, in the state that the catheter is safe and stable, splashing of cleaning liquid in the cleaning process can be effectively blocked, the cleaning liquid is fully collected, and the risk that the cleaning liquid infects the focus is reduced.

An electrosurgical system includes an electrosurgical generator configured to output electrosurgical energy to an electrosurgical device for application to tissue. The electrosurgical generator is configured to determine a condition of contact between at least one electrode of the electrosurgical device and tissue or a surgical technique of using the electrosurgical device and to control the electrosurgical energy output by the electrosurgical generator based on the determined condition or surgical technique.

The utility model relates to the technical field of hand and foot surgery, and discloses a hand and foot surgery minimally invasive operating table which comprises a fixing plate, a base is fixedly connected to the middle of the upper surface of the fixing plate, a fixing column is fixedly connected to the middle of the upper surface of the base, and an operating table body is fixedly connected to the top of the fixing column. According to the minimally invasive surgery operating table, a doctor can observe a surgical site more clearly through the arrangement of the camera device, so that the accuracy and safety of a surgery are improved, due to the design of the minimally invasive surgery operating table, a surgical incision is smaller, surgical wounds are reduced, and a patient can recover more quickly; the operating table is provided with various auxiliary devices such as a drainage groove and a bandage, the limbs of a patient can be better fixed, dirty liquid generated in the operation process can be better collected, the surface of the operating table is kept relatively dry, the liquid is prevented from affecting the operation, and meanwhile cleaning work after the operation is facilitated.

A surgical implant device and method of using the same for fixation of the greater trochanter is provided. The surgical implant device comprises a plate defining a flat portion and a bulbous portion each defining pre-drilled holes configured to provide a drill guide for insertion of a plurality of screws and / or cables to hold the surgical implant device in the desired location. The device is configured to provide stable fixation of the greater trochanter while mitigating cable degradation and soft tissue damage / irritation present in legacy surgical techniques.

The utility model discloses a single-hand bar bending device, which belongs to the technical field of spine surgery, solves the problems of shape fixing and complicated operation in the bending process of an orthopedic bar, and can be used for bending the orthopedic bar by reducing the size of a handle, utilizing two oblong holes of a front force arm, enabling two pin shafts of a central seat 12 to slide back and forth and forming an oblong groove at the rear end of the central seat 12. The two handles and the four stabilizing pieces are fixed together through the fixing pin, the pin shaft can slide in the long circular groove of the center base, the front protrusion of the center base 12 abuts forwards, the front force arm moves backwards, and the two cylinders on the front force arm and the front protrusion of the center base 12 form an arc-shaped triangular point. After a straight rod is placed, the rod is gradually bent along with the movement of the central seat 12. And one-hand operation and repeated bending are realized.

The present invention provides an upper limb fixing frame for neonatal surgery, belonging to the technical field of neonatal surgery. It includes a main annular bracket, characterized in that a secondary annular bracket is installed on the side of the main annular bracket; an auxiliary clamping component, which is used to enhance the fixation at the upper limb humeral fracture of a neonate, and the auxiliary clamping component is interconnected with the main annular bracket and the secondary annular bracket. Through the above-mentioned auxiliary clamping component, the sliding plate is slid to a position where it can be clamped with the secondary annular bracket, so as to fix the position of the secondary annular bracket in the inner cavity of the main annular bracket. Finally, the main annular bracket and the secondary annular bracket are stretched to ensure that the main annular bracket and the secondary annular bracket can completely cover the position of the upper limb humeral fracture of the neonate. On the one hand, the installation efficiency is improved, saving time and effort. On the other hand, the adaptability effect can be improved by continuously changing the position, reflecting the adaptability of the device, so as to ensure the recovery of the fracture position of the neonate.

The utility model discloses a medical neurosurgery drainage tube fixing and nursing device, and relates to the technical field of neurosurgery. The nursing bed comprises two angle irons distributed on the two sides of a sickbed, the tops of the two angle irons are fixedly connected with a first fixing frame and a second fixing frame respectively, one side of the second fixing frame is fixedly connected with an insertion plate, and the insertion plate is connected with the first fixing frame in an inserted mode. A slide way is formed in the top of the second fixing frame, a through sliding block is slidably connected into the slide way, a limiting frame for supporting the back of the patient is fixedly connected to the bottom of the sliding block, and a space for a drainage tube to pass through is formed in the middle of the limiting frame. In the using process of the device, the function of supporting the back of a patient can be achieved, the situation that the patient turns over to press the drainage tube when the patient falls asleep is avoided, meanwhile, the drainage tube can be squeezed through the jackscrew, then the flow speed of the drainage tube is changed, using flexibility is improved, and using is convenient.

The utility model relates to the technical field of medical surgery, and discloses a surgical suture device. According to the device, the device can be roughly divided into a pushing part and a clamping part, the pushing part is composed of a connecting clamping plate, a connecting shaft and a pushing plate which are connected with the side surface of the attaching plate, and the clamping part is composed of the pushing plate, a bottom through hole, a top through hole, a threaded shaft, a fastening nut and other parts. An operator places and fits a plurality of fitting plates near a knife edge in a mirror symmetry manner, then utilizes a connecting clamping plate, a connecting shaft and a pushing and pressing plate to push meat tissues on the periphery of the knife edge to be close, and utilizes a threaded shaft, a fastening nut, a plurality of bottom through holes and a plurality of top through holes to realize clamping; an operator can push human tissue near the knife edge to the close position, then fixation is achieved, needle sewing operation is facilitated, and the physical strength of the operator is reduced.

The present embodiment relates generally to methods of performing surgical technique maxillary sinus floor augmentation with a lateral approach using a pre-portioned and ready pre-packaged bone graft composition in gelatin bags and method of producing gelatin bags. In addition the present inventions can be widely used in other medical fields such as dentistry, orthopedic surgery, spine surgery, plastic and reconstruction surgery, sport medicine, trauma surgery, phinoplasty surgery and veterinary.