Category Archives: Fundamentals

PUBLISHED: Cubital Tunnel Release (Cadaver)

Cubital Tunnel Release
Rothman Institute

Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Rothman Institute, Thomas Jefferson University

Cubital tunnel syndrome is a condition that affects the ulnar nerve as it crosses the medial elbow through the retrocondylar groove. It is the second most common compressive neuropathy, causing tingling and numbness in the ring and small fingers. In advanced cases of symptomatic cubital tunnel syndrome, weakness, altered dexterity, and atrophy of the intrinsic muscles of the hand may develop. Cubital tunnel syndrome can be treated with either a cubital tunnel release or an ulnar transposition. In this case, the former is demonstrated on a cadaveric arm using the mini-open technique.

PUBLISHED: Carpal Tunnel Release (Cadaver)

Carpal Tunnel Release (Cadaver)
Rothman Institute

Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Rothman Institute, Thomas Jefferson University

Carpal tunnel syndrome (CTS) is the most common peripheral compression neuropathy and results in symptoms of numbness and paresthesia in the thumb, index finger, middle finger, and half of the ring finger. When CTS symptoms progress and can no longer be managed with nonoperative measures, carpal tunnel release (CTR) surgery is indicated.

In this case, Dr. Asif Ilyas at the Rothman Institute performs CTR surgery on a cadaveric arm via the mini-open CTR technique. A 2-cm longitudinal incision was placed directly over the carpal tunnel, the transverse carpal ligament was exposed and then released, and the wound was closed. Patients are typically sent home with instructions to use their hand immediately postoperatively, while avoiding strenuous use until the incision has healed. Splinting and therapy are not required postoperatively.


PREPRINT RELEASE: Female Foley Catheter Insertion


Female Foley Catheter Insertion
Romblon Provincial Hospital

Col. Arthur C. Wittich, DO
Fort Belvoir Community Hospital (Retired)
World Surgical Foundation

While on a surgical mission in the Philippines with the World Surgical Foundation, Dr. Wittich preps a patient for a hysterectomy and performs a female Foley catheter insertion.

PREPRINT RELEASE: Sebaceous Cyst Excision


Sebaceous Cyst Excision
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay performs an excision of a 2-year-old sebaceous cyst from the face of an adult male.

PREPRINT RELEASE: Lipoma Excision


Lipoma Excision
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay excises an 8-year-old lipoma from the upper back of an adult male.

PREPRINT RELEASE: Aspiration of Ganglion Cyst on Right Wrist


Aspiration of Ganglion Cyst on Right Wrist
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

This case centers around a 51-year-old female with a ganglion cyst on her right wrist. Here, Dr. Lester Suntay performs an aspiration of the cyst while on a surgical mission with the World Surgical Foundation.

PREPRINT RELEASE: Excision of Epidermal Inclusion Cyst


Excision of Epidermal Inclusion Cyst
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

Here, Dr. Lester Suntay with the World Surgical Foundation performs an excision of an epidermal inclusion cyst on the upper back of a 64-year-old male.

PREPRINT RELEASE: Pediatric Excision of Ganglion Cyst from Right Wrist


Pediatric Excision of Ganglion Cyst from Right Wrist
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay excises a ganglion cyst from the right wrist of a pediatric patient while on a surgical mission with the World Surgical Foundation.

PREPRINT RELEASE: Drainage of Cystic Mass on First Left Toe


Drainage of Cystic Mass on First Left Toe
Romblon Provincial Hospital

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
World Surgical Foundation, Philippines
Training Officer of the Division of Pediatric Surgery
Philippine Children’s Medical Center

In this case, Dr. Lester Suntay drains a cystic mass on the first left toe of a 12-year-old male.