AV fistulas provide the crucial vascular access required for patients receiving hemodialysis, a life-saving procedure for end-stage renal disease. Such patients have irreversible kidney damage and must receive a new kidney. While waiting, patients rely on hemodialysis to filter their blood to stay alive, and AV fistulas provide the sustainable vascular access required for hemodialysis.
Participate in a masterclass with MGH Chief of Surgery, Dr. Keith Lillemoe, as he performs and narrates a complete Whipple procedure in the latest video-article published by JOMI.
The Whipple procedure, or pancreaticoduodenectomy, is most notably known for its use in the treatment of cancer that is confined to the head of the pancreas. Because of the intricate blood supply between the pancreas, duodenum, gallbladder, and common bile duct, these structures must be resected along with the head of the pancreas. The remaining structures must then be carefully and precisely anastomosed in order to preserve digestive functioning.
This procedure is a complex and difficult operation that can have serious risks; however, it is responsible for saving countless lives.
Abstract: Total knee arthroplasty has evolved into a very successful procedure to relieve pain and restore function in the arthritic knee with advanced structural damage. Optimal results are dependent on the restoration of alignment and ligament stability. Operative techniques involve either preservation of the posterior cruciate ligament or substitution of its function through increased prosthetic constraint. The vast majority of knees do not require cruciate substitution to establish appropriate stability and function. This video outlines the operative technique used by the author for posterior cruciate-retaining total knee arthroplasty in a patient with a preoperative varus deformity.
Dr. Li addresses an ACL torn after a pivot shift incident using a BTB autograft. The anteromedial approach to ACL reconstruction offers the advantage of reliably reproducing the native anatomy of the ACL on the femur footprint by drilling the femoral tunnel independently of the tibial tunnel.