I have no context

Apologies if this is a repost

Image 1: You can see the tumors in the pelvic region

Images 2 and 3: Turning the thigh into a flap

Image 4: Patching up the end

Image 5: The flap took.

a Clinical manifestation after admission in abdomen view; b clinical manifestation in perineum view; c emergency surgical debridement was performed to control the invasive infection that involved the subcutaneous tissue and fascia, but muscle involvement was not obvious; d the excised necrotic tissue; e wound in perineum; f wound in right buttock; g repeated debridement was performed on the 5th day after admission; h wound bed manifestation after NPWT; i abdominal wound was closed by secondary suture and skin graft; j wound in right buttock was closed by secondary suture

One of my friends is a nurse and said it is surprising how often this happens. Last guy said it started out as a small boil and by the time he got to them it looked like this 🙃

Hey guys, I'm back after a while. I got pretty occupied with life but I'll try to make up for lost time! :

This is from a patient undergoing an amputation, showcasing the extraction of healthy bone marrow

This young man attempted suicide by decapitation with a chainsaw, and survived. It was successfully managed operatively.

DESTRUCTIVE DELIVERY / INTRAUTERINE FETAL DEATH

In intrauterine fetal death (IUFD) do not perform C/S.

Severe maternal infection with fatal sepsis is a substantial risk.

Deliver vaginally

By destructive delivery if needed

INSTRUMENTS

Basiotribe – Perforator – Heavy scissors – Delivery hook

CEPHALIC PRESENTATION

CRANIOTOMY

Perforate the skull with perforator or a pair of heavy scissors

In face presentations use an eye as entry point

Open the shanks of the perforator

Break all intracranial septa

Apply the basiotribe with the solid leg inside and fenestrated leg outside of the skull

Be careful not to catch part of cervix or vagina in the grip

Tighten grip as much as possible

Extract the fetus.

Do this slowly

Allow time for the head to collapse.

In lack of a basiotribe use:

Ordinary delivery forceps

Several heavy toothed clamps

Remove the placenta manually

Check with a hand in the uterine cavity for rupture

Proximal femoral resection and reconstruction with endoprosthesis.

A: proximal femoral resection site;

B: resection specimen and endoprosthesis;

C: site after placement of endoprosthesis;

D: soft tissue fascial and muscular closure over endoprosthesis;

E: primary closure of soft tissue defect is possible, given anatomic orientation of soft tissue defect and reconstruction

The attached image demonstrates cobblestoning of intestine. It is seen in Crohn's disease. The condition can also be seen in:

• Hirschsprung disease

• candida esophagitis

• eosinophilic gastritis

• Brunner gland hyperplasia

• duodenitis

• nodular lymphoid hyperplasia

Reference:

https://radiopaedia.org/articles/cobblestone-appearance-hollow-viscera

Image via:

https://radiopaedia.org/articles/cobblestone-appearance-hollow-viscera