PREPRINT RELEASE: Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy
Massachusetts General Hospital

Denise W. Gee, MD
Assistant Professor of Surgery
Harvard Medical School

A female patient presented with a few months of abdominal pain following the eating of fatty foods. Imaging showed gallbladder sludge, small stones, or potentially a polyp. Here, Dr. Denise W. Gee performs a laparoscopic cholecystectomy to alleviate these symptoms. #MGH #generalsurgery #gallbladder #cholecystectomy

PREPRINT RELEASE: Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)

Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)
Smilow Cancer Hospital at Yale New Haven

Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine

A 45-year-old patient with a growing thyroid nodule undergoes a left thyroid lobectomy after fine needle biopsy showed Hurthle cell neoplasm. Here, Dr. Carling performs a TOETVA, which has the added benefit of avoiding any conspicuous neck scars. #thyroidectomy #TOETVA #yale #endocrinology #generalsurgery #ENT

PREPRINT RELEASE: Anterior Skull Base Resection of Esthesioneuroblastoma (Endoscopic)

Anterior Skull Base Resection of Esthesioneuroblastoma (Endoscopic)

David W. Jang, MD
Head and Neck Surgery & Communication Sciences
Duke University

Ali R. Zomorodi, MD
Neurosurgery
Duke University

C. Scott Brown, MD
Resident Physician
Head and Neck Surgery & Communication Sciences
Duke University

Feras Ackall, MD
Resident Physician
Head and Neck Surgery & Communication Sciences
Duke University

A patient with anosmia and intermittent epistaxis is found to have an esthesioneuroblastoma. Rhinologist and skull base specialist Dr. David Jang facilitates exposure for neurosurgeon Dr. Ali Zomorodi in this endoscopic, transnasal approach to the anterior skull base. #ENT #Neurosurgery #Duke

PREPRINT RELEASE: Cystoscopy and Placement of Uretal Stents (HIPEC Series: Part 2)

Cystoscopy and Placement of Uretal Stents (HIPEC Series: Part 1)

Francis McGovern, MD
Department of Urology
Massachusetts General Hospital

Dr. McGovern performs a cystoscopy and places uretal stents in a patient who is about to undergo a HIPEC surgery. This is part 2 of our HIPEC series with Dr. Cusack with more to follow. #mgh #urology #cystoscopy #HIPEC

PREPRINT RELEASE: Transmastoid Repair of Superior Semicircular Canal Dehiscence

Transmastoid Repair of Superior Semicircular Canal Dehiscence
Duke University Medical Center

David M. Kaylie, MD, MS
Associate Professor of Surgery1
C. Scott Brown, MD
Resident Physician1

1Division of Head and Neck Surgery & Communication Sciences

Dr. David Kaylie repairs a superior semicircular canal dehiscence via a transmastoid approach in a patient who experienced autophany and aural fullness by plugging the anterior and posterior limbs of the canal. #neurotology #ENT #Duke

PREPRINT RELEASE: Right Laparoscopic Adrenalectomy

Right Laparoscopic Adrenalectomy
Massachusetts General Hospital

Richard Hodin, MD
Professor of Surgery
Harvard Medical School

In this case, a 58-year-old female was found to have hyperaldosteronism, and a CT scan revealed bilateral cortical adenomas. Here, Dr. Richard Hodin, MD, walks the viewer through the analysis of adrenal vein sampling and performs a right laparoscopic adrenalectomy at MGH.

PREPRINT RELEASE: Right Posterior Retroperitoneoscopic Adrenalectomy

Right Posterior Retroperitoneoscopic Adrenalectomy
Smilow Cancer Hospital at Yale New Haven

Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine

One of the early adaptors of the approach, Tobias Carling, MD, PhD, FACS, performs a right posterior retroperitoneoscopic adrenalectomy on a patient that presented with subclinical Cushing's syndrome. Specifically, she had elevated urinary cortisol, failed a dexamethasone suppression test, and had a growing adrenal tumor as revealed by serial imaging. Due to the patient’s anatomy, Dr. Carling used a lateral approach to ligating the right adrenal vein; this video includes his usual medial approach as an additional module.

PREPRINT RELEASE: Hypoglossal Nerve Stimulator

Hypoglossal Nerve Stimulator
Duke University Medical Center

Russel Kahmke, MD
Assistant Professor of Surgery1
Adam Honeybrook, MBBS
Resident Physician1
C. Scott Brown, MD
Resident Physician1

1Division of Head and Neck Surgery & Communication Sciences

Dr. Russel Kahmke implants a hypoglossal nerve stimulator in a patient with obstructive sleep apnea. He is one of only several surgeons currently performing this procedure in North Carolina. 

PREPRINT RELEASE: Mako Robotic Arm Assisted Total Knee Arthroplasty

Mako Robotic Arm Assisted Total Knee Arthroplasty
Tufts Medical Center
Jeffrey S. Zarin, MD
Chief, Division of Arthroplasty

In this case a 66-year-old patient presents with arthritis predominantly in the medial compartment. Dr. Jeffrey Zarin explains how to use the Mako robot to precisely plan and perform a total knee arthroplasty surgery on this patient. Preoperatively, he uses a CT scan to create a model of the patient in order to determine the appropriate implant size, and intraoperatively, he utilizes the Mako robot to assist in ligament and gap balancing, perform the osteotomies, and make precise corrections.