Category Archives: General Surgery

PREPRINT RELEASE: Wedge Resection of the Lung and Thymectomy by Thoracoscopy

Wedge Resection of the Lung and Thymectomy by Thoracoscopy
Massachusetts General Hospital
Henning A. Gaissert, MD
Lucia Madariaga, MD

Visiting Surgeon, MGH & Associate Professor of Surgery, Harvard Medical School
Fellow in Thoracic Surgery, MGH

A patient with myasthenia gravis undergoes a procedure meant to originally be a lobectomy and thymectomy. Henning Gaissert, MD decides to do a lobe wedge resection instead given the tumor’s positioning and carcinoid nature before proceeding with the thymectomy. Please note that the patient had to return to the OR the following day due to bleeding near the internal mammary vein. 

PREPRINT RELEASE: Laparoscopic Adrenalectomy

Laparoscopic Adrenalectomy
Massachusetts General Hospital
Richard Hodin, M.D.
Professor of Surgery, Harvard Medical School

After visiting an endocrinologist who diagnosed her with aldosteronism, the patient takes a CT scan that reveals a 8mm nodule in the left adrenal gland. Dr. Hodin performs a laparoscopic adrenalectomy to remove it.

PREPRINT RELEASE: Laparoscopic Resection of Gastrointestinal Stromal Tumor (GIST)

Laparoscopic Resection of Gastrointestinal Stromal Tumor
Massachusetts General Hospital
David Rattner, M.D.
Chief of Gastrointestinal and General Surgery

After a patient is found to have a gastrointestinal stromal tumor (GIST), David Rattner, MD performs a laparoscopic resection, carefully avoiding the nerves of Latarjet. He then confirms the success of the procedure with an upper GI endoscopy.

PREPRINT RELEASE: Minimally Invasive Ivor Lewis Esophagectomy

Minimally Invasive Ivor Lewis Esophagectomy
Massachusetts General Hospital
Christopher R. Morse, M.D.
Assistant Professor of Surgery, Harvard Medical School
Co-Director, Gastroesophageal Surgery Program

A patient presents with dysphagia and is found to have a locally advanced distal esophageal adenocarcinoma. She is treated with neoadjuvant chemoradiotherapy and Christopher R. Morse MD performs a minimally invasive Ivor Lewis esophagectomy.

PREPRINT RELEASE: Laproscopic Sleeve Gastrectomy

Laparoscopic Sleeve Gastrectomy
Massachusetts General Hospital
Ozanan R Meireles MD
General and Gastrointestinal Surgeon

Dr. Meireles expertly conducts the world’s most commonly performed bariatric surgery for weight loss in this JoMI production on textbook sleeve gastrectomies.

PREPRINT RELEASE: Per-Oral Endoscopic Myotomy (POEM)

Per-Oral Endoscopic Myotomy (POEM)
Massachusetts General Hospital
David Rattner, MD
Chief of General and Gastrointestinal Surgery
Ozanan R Meireles, MD
General and Gastrointestinal Surgery

Dr. Rattner and Dr. Meireles endoscopically generate a submucosal tunnel to reach and release the circular muscles of the lower esophageal sphincter to help alleviate a patient’s achalasia.

 

PREPRINT RELEASE: Laparoscopic Paraesophageal Hernia Repair

0126-blog-shotLaparoscopic Paraesophageal Hernia Repair
David Rattner MD
Chief of Gastrointestinal and General Surgery
Massachusetts General Hospital

Dr. Rattner tackles a problematic paraesophageal hernia, systematically retracting the stomach into the abdominal cavity. He finishes the procedure by performing both a toupet fundoplication and gastropexy.

PREPRINT RELEASE: Thoracoabdominal Aortic Aneurysm Repair – Part 2

0109b-screenshotThoracoabdominal Aortic Aneurysm Repair – Part 2
Virendra I. Patel, MD, MPH
Associate Program Director, General Surgery Residency; Department of Vascular and Endovascular Surgery
Massachusetts General Hospital

Dr. Patel continues repairs on this thoracoabdominal aortic aneurysm in Part 2 of this two part series. Watch as he works against the clock during visceral ischemia time until blood flow from the graft is restored to all the dependent organs! (Pre-print, Part 2 of 2).

This article follows a previously released Part 1.