Category Archives: Content

Otolaryngology, Print Release

PUBLISHED: Subtotal Parotidectomy and Unilateral Lateral Neck Dissection (Levels II, III, and IV) for Right Parotid Mucoepidermoid Carcinoma Involving the Deep and Superficial Lobes and Extending into Parapharyngeal Space

Subtotal Parotidectomy and Unilateral Lateral Neck Dissection (Levels II, III, and IV) for Right Parotid Mucoepidermoid Carcinoma Involving the Deep and Superficial Lobes and Extending into Parapharyngeal Space
Veenadhari Kollipara, BA1,2; Kunal A. Koka, BS1,2; Quentin C. Durfee, BS1; Emily K. Funk, MD1,2; Neerav Goyal, MD, MPH, FACS1,2; Guy Slonimsky, MD1,2
1Penn State College of Medicine
2Penn State Health Milton S. Hershey Medical Center

Mucoepidermoid carcinoma (MEC) is the most common malignant tumor of the salivary glands, predominantly affecting the parotid gland. It commonly presents as a painless neck mass. Diagnostic workup includes physical examination, imaging, and fine needle aspiration biopsy. Superficial, subtotal, or total parotidectomy, with or without neck dissection and possible adjuvant radiation therapy, is recommended in most cases according to tumor stage, grade, and adverse pathological features. In the case presented here, subtotal parotidectomy with facial nerve preservation and neck dissection followed by adjuvant radiation therapy was elected. Post-treatment imaging at three-month intervals showed no evidence of persistent disease. The attached video demonstrates subtotal right parotidectomy via combined anterograde and retrograde nerve dissection and right selective neck dissection of levels IIa, IIb, III, and IV.

Otolaryngology, Plastic Surgery, Print Release

PUBLISHED: Anterolateral Thigh Free Flap Reconstruction of Parotidectomy Defect

Anterolateral Thigh Free Flap Reconstruction of Parotidectomy Defect
Kunal A. Koka, BS1,2; Quentin C. Durfee, BS1; Veenadhari Kollipara, BA1,2; Emily K. Funk, MD2; Guy Slonimsky, MD2; Neerav Goyal, MD, MPH, FACS2
1Penn State College of Medicine
2Penn State Health Milton S. Hershey Medical Center

Anterolateral Thigh (ALT) free flap is a widely utilized technique for the reconstruction of head and neck soft tissue defects. Key steps of this procedure include flap design for reconstruction of surgical defect, identification and dissection of perforator vessels and vascular pedicle for harvest of the anterolateral thigh free flap, microvascular anastomosis of the pedicle to head and neck vessels, and flap inset for reconstruction at recipient site. The ALT free flap is a versatile tool that can be utilized for reconstruction throughout the body but is very frequently utilized for reconstruction in oncologic resections of the head and neck. In this case, it was utilized for reconstruction of a soft tissue defect resulting from a parotidectomy with resulting skin and soft tissue defect, performed for removal of a mucoepidermoid carcinoma.

Print Release, Surgical Technology

PUBLISHED: Setup for a Laparoscopic Appendectomy (Kingsborough Community College, Brooklyn, NY)

Setup for a Laparoscopic Appendectomy (Kingsborough Community College, Brooklyn, NY)
Roxanne West, BS, CST
Kingsborough Community College, Brooklyn, NY

Correct preoperative setup of the sterile field, including surgical instrumentation, is critical to ensure patient safety and optimize surgical outcomes. Educational videos such as this provide important resources for surgical technology students and other healthcare professionals who are learning how to master these foundational skills. This video demonstrates a complete setup of the back table and Mayo stand for a laparoscopic appendectomy, during which all instruments are identified and counted in accordance with established safety protocols. The setup process includes verification of sterile indicators to confirm sterility, followed by a systematic count of soft goods and sharps and identification of specialized laparoscopic instrumentation.

Print Release, Surgical Technology

PUBLISHED: Setup for an Open Pancreatectomy (Kingsborough Community College, Brooklyn, NY)

Setup for an Open Pancreatectomy (Kingsborough Community College, Brooklyn, NY)
Gina Forsythe, CST
Kingsborough Community College, Brooklyn, NY

Open pancreatectomy is a complex abdominal procedure requiring detailed preoperative preparation by the surgical technologist. An efficient sterile back table and Mayo stand setup is important for patient safety and operative workflow. In this educational video, the setup sequence demonstrates sterility verification, instrument organization, the initial surgical count, and medication labeling. All steps were conducted in accordance with perioperative safety standards.

Print Release, Surgical Technology

PUBLISHED: Setup for an Open Cholecystectomy (Kingsborough Community College, Brooklyn, NY)

Setup for an Open Cholecystectomy (Kingsborough Community College, Brooklyn, NY)
Dana Donovan, BA, CST
Kingsborough Community College, Brooklyn, NY

This instructional video shows how to prepare a back table, Mayo stand, and ring stand for an open cholecystectomy. Surgical instrumentation, radiopaque sponges, sutures, and blades are organized carefully prior to an initial count with a circulating nurse or other licensed professional.

General Surgery, Print Release

PUBLISHED: Left Lateral Neck Dissection for Metastatic Papillary Thyroid Carcinoma

Left Lateral Neck Dissection for Metastatic Papillary Thyroid Carcinoma
Sarah A. Brownlee, MD; Allison S. Letica-Kriegel, MD, MSc; Antonia E. Stephen, MD
Massachusetts General Hospital

Papillary thyroid carcinoma frequently metastasizes to lateral neck lymph nodes, necessitating compartment-based lymph node dissection following initial thyroidectomy. Surgical education videos provide valuable resources for training surgeons in complex neck dissection techniques. A detailed surgical procedure was documented in a patient with biopsy-proven metastatic papillary thyroid carcinoma in level IV lymph nodes following prior total thyroidectomy and central neck dissection. A compartment-based dissection of levels IIb, III, and IV was performed with preservation of vital neurovascular structures. The procedure was successfully completed with removal of metastatic lymph nodes while preserving the critically important physiological structures throughout the dissection.

Print Release, Surgical Technology

PUBLISHED: Setup for a Breast Biopsy (Kingsborough Community College, Brooklyn, NY)

Setup for a Breast Biopsy (Kingsborough Community College, Brooklyn, NY)
Dana Donovan, BA, CST
Kingsborough Community College, Brooklyn, NY

Proper preparation of the operative field is essential for safe and efficient breast biopsy procedures. This instructional video was recorded at Kingsborough Community College and illustrates a setup performed by a certified surgical technologist. This demonstration includes preparation of the Mayo stand, back table, and ring stand; verification of medications on the sterile field; instrument organization; and performance of the initial count with the circulating nurse. This setup aligns with established best practices for a breast biopsy, which is a diagnostic technique used to examine suspicious breast lesions discovered through histologic examination. This demonstration aims to reinforce standardized preparation practices that support patient safety and efficient surgical workflow.

Print Release, Surgical Technology

PUBLISHED: Setup for a Laparoscopic Appendectomy (Eastwick College, Ramsey, NJ)

Setup for a Laparoscopic Appendectomy (Eastwick College, Ramsey, NJ)
Hansel Samson Perez, AAS, CST; Karen L. Chambers, MHA/Ed, CST, FAST
Eastwick College, Ramsey, NJ

Laparoscopic appendectomy has become the standard surgical approach for acute appendicitis. Organization and maintenance of the sterile field are necessary in order to protect the patient’s safety and ensure an efficient surgical workflow. This educational video demonstrates how to prepare a back table, Mayo stand, and ring basin for a laparoscopic appendectomy using an efficient method that promotes patient safety.

General Surgery, Print Release

PUBLISHED: Robotic Hepatectomy for a Segment V/VI Suspected HCC Lesion with Cholecystectomy and Evaluation by Ultrasound and Excisional Biopsy of a Segment IVb Lesion

Robotic Hepatectomy for a Segment V/VI Suspected HCC Lesion with Cholecystectomy and Evaluation by Ultrasound and Excisional Biopsy of a Segment IVb Lesion
Ji Ho Park, MD; Corbin S. Morris, MD; Kelsey L. Fletcher, MD; Charles C. Vining, MD, FACS, FSSO; Lawrence M. Knab, MD, FACS, FSSO; Rushin D. Brahmbhatt, MD, FACS
Penn State Health Milton S. Hershey Medical Center

Hepatocellular carcinoma (HCC) is the most common primary liver cancer and is associated with high morbidity and mortality. In this case, the patient was incidentally found to have a segment V/VI lesion consistent with HCC and a IVb lesion indeterminate probability of malignancy. He underwent a robotic-assisted hepatectomy for a segment V/VI lesion with cholecystectomy and evaluation by ultrasound and excisional biopsy of a segment IVb lesion. His postoperative course was unremarkable, and he was discharged on postoperative day four. The pathology demonstrated well-differentiated HCC with resection margins negative for carcinoma. This video demonstrates an experienced surgeon’s technique for performing a robotic hepatectomy for a segment V/VI lesion with cholecystectomy and evaluation by ultrasound and excisional biopsy of a segment IVb lesion. It also highlights effective management of bleeding during hepatic parenchymal transection.

Print Release, Surgical Technology

PUBLISHED: Setup for a Laparoscopic Hemicolectomy (Eastwick College, Ramsey, NJ)

Setup for a Laparoscopic Hemicolectomy (Eastwick College, Ramsey, NJ)
Ana M. Anilmis, AAS, CST; Karen L. Chambers, MHA/Ed, CST, FAST
Eastwick College, Ramsey, NJ

Laparoscopic hemicolectomy is a minimally invasive surgical intervention requiring careful organization and clear setup procedures. A systematic approach to this setup ensures all necessary equipment is available, and it supports optimal surgical outcomes and patient safety. This educational video provides a demonstration of a setup for a laparoscopic hemicolectomy including back table organization, Mayo stand preparation, instrument arrangement, and the initial count with a circulator.