Epidural at T9 – T10 (HIPEC Series: Part 1)
Xiaodong Bao, MD, PhD
Anesthesiology
Massachusetts General Hospital
Dr. Bao administers an epidural at T9 – T10 before the patient undergoes a HIPEC surgery with Dr. Cusack. This is part 1 of our HIPEC series with more to follow. #mgh #anesthesiology #epidural #HIPEC
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
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.
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.
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.
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.
Minimally Invasive Parathyroidectomy under Local Cervical Block
Yale School of Medicine
Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
A 60-year-old female’s biochemical workup concluded she had primary hyperparathyroidism, and preoperative images suggested a left lower parathyroid lesion. Consequently, Dr. Tobias Carling performed a minimally invasive parathyroidectomy under local cervical anesthesia while preserving the esophagus and recurrent laryngeal nerve. Intraoperative PTH proved complete resection.
Mastoidectomy
Duke University Medical Center
David M. Kaylie, MD, MS
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences
Dr. David Kaylie performs a standard mastoidectomy, outlining the critical steps that are necessary for this workhorse procedure in otology.
Revision Bascom Cleft Lift Pilonidal Cystectomy
Tufts University School of Medicine
Michael Reinhorn, MD, MBA, FACS
Associate Clinical Professor of Surgery
Dr. Michael Reinhorn performs a pilonidal cleft lift procedure, thoroughly describing the pre-op, post-op, and intraoperative steps, on a young man who previously had surgery but experienced recurrence.
Mastoid Obliteration
Duke University Medical Center
Calhoun D. Cunningham III, MD
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences
After a canal-wall-down mastoidectomy for cholesteatoma, a patient presented with recurrence and persistent infection. Dr. Calhoun Cunningham III performs a mastoid obliteration with ossicular chain reconstruction to both eradicate the disease and restore the patient's hearing.