Category Archives: General Surgery

PREPRINT RELEASE: Left Indirect Inguinal Hernioplasty


Left Indirect Inguinal Hernioplasty
Romblon Provincial Hospital

Liborio “June” Soledad, MD
World Surgical Foundation

Enrico Jayma, MD
World Surgical Foundation

The patient in this case is a 58-year-old male with bulging in the left inguinal area that extends into the scrotum. Here, Dr. June Soledad and Dr. Enrico Jayma perform a left indirect inguinal hernioplasty while on a surgical mission in the Philippines with the World Surgical Foundation.

PREPRINT RELEASE: Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer


Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer
Cancer Institute Hospital

Hiromichi Ito, MD
Gastrointestinal Cancer Center
Division of Hepatobiliary and Pancreatic Surgery
Japanese Foundation for Cancer Research

In this case, a 60-year-old male was found to have a gallbladder mass on routine imaging 1.5 years after undergoing a radical cystectomy with ileal conduit and neoadjuvant chemotherapy for bladder cancer. Here, Dr. Hiromichi Ito at the Cancer Institute Hospital in Japan performs a radical cholecystectomy with removal of the gallbladder and liver bed, and lymphadenectomy around the porta hepatis.

PREPRINT RELEASE: Vaginal Hysterectomy, Uterosacral Ligament Suspension, and Excision of Redundant Vaginal Tissue


Vaginal Hysterectomy, Uterosacral Ligament Suspension, and Excision of Redundant Vaginal Tissue
Romblon Provincial Hospital

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

In this case, Dr. Wittich performs a vaginal hysterectomy, a high uterosacral ligament suspension, a round ligament suspension to the distal vaginal cuff, and a reduction of anterior and posterior redundant vaginal tissue. This was performed during a mission to the Philippines with the World Surgical Foundation.

PREPRINT RELEASE: Pediatric Bilateral Indirect Inguinal Herniotomy


Pediatric Bilateral Indirect Inguinal Herniotomy
Romblon Provincial Hospital

Beda Espineda, MD
Philippine Children’s Medical Center
World Surgical Foundation

In this case, Dr. Espineda performs a bilateral indirect inguinal herniotomy on a 12-year-old male in the Philippines while on a surgical mission with the World Surgical Foundation.

PREPRINT RELEASE: Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy


Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy
Massachusetts General Hospital

Liliana G. Bordeianou, MD
Associate Professor of Surgery
Harvard Medical School

Emily C. Von Bargen, DO
Female Pelvic Medicine and Reconstructive Surgery Associate Fellowship Director
Harvard Medical School

The patient in this case is an 87-year-old female with rectal prolapse. She had minimal constipation and minimal incontinence, and anorectal manometry revealed low rectal pressures. Gynecological POP-Q exam showed mostly posterior prolapse and some apical prolapse, and urodynamic testing was negative. Defecography revealed an enterocele. Here, Dr. Bordeianou and Dr. Von Bargen discuss the decision-making process when treating rectal prolapse and perform a laparoscopic suture rectopexy with culdoplasty, vaginal wall repair, and perineorrhaphy with levator plication.

PREPRINT RELEASE: Bilateral Retroperitoneoscopic Posterior Adrenalectomy with Cortical Sparing on Right Side


Bilateral Retroperitoneoscopic Posterior Adrenalectomy with Cortical Sparing on Right Side
Smilow Cancer Hospital at Yale New Haven

Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine

Taylor C. Brown, MD, MHS
Fellow, Endocrine Surgery
Yale School of Medicine

In this case, Dr. Carling at the Smilow Cancer Hospital at Yale New Haven performs a bilateral retroperitoneoscopic posterior adrenalectomy with cortical sparing on the right side on a 31-year-old female with bilateral pheochromocytoma in the setting of MEN2.

PREPRINT RELEASE: Right Open Indirect Inguinal Hernia Repair and Radical Inguinal Orchiectomy


Right Open Indirect Inguinal Hernia Repair and Radical Inguinal Orchiectomy
Romblon Provincial Hospital

Eric de Leon, MD
Perpetual Help Hospital

Dinesh Ranjan, MD
Roseburg, VA Health Care System

Jaymie Ang Henry, MD, MPH
Florida Atlantic University, G4 Alliance

This case involves a 78-year-old male with a history of an undescended testicle and bulging in the right inguinal area. The patient underwent an open repair of his indirect inguinal hernia that also included a radical inguinal orchiectomy. Drs. Eric de Leon and Dinesh Ranjan performed this operation with the World Surgical Foundation during a surgical mission to the Philippines.

PREPRINT RELASE: Fine-Needle Aspiration Biopsy and Excision Biopsy of a Cystic Mass in the Right Breast (Male)


Fine-Needle Aspiration Biopsy and Excision Biopsy of a Cystic Mass in the Right Breast (Male)
Romblon Provincial Hospital

Chito Cruz, MD
Perpetual Help Medical Center

Jim Villamin, MD
Makati Medical Center

Dinesh Ranjan, MD
Roseburg, VA Health Care System

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
Philippine Children’s Medical Center

Jaymie Ang Henry, MD, MPH
Florida Atlantic University, G4 Alliance

In this case, Drs. Cruz, Villamin, Ranjan, and Suntay perform a fine-needle aspiration biopsy and an excision biopsy followed by histological examination, which revealed a benign lesion. This case was filmed in the Philippines, during a surgical mission through the World Surgical Foundation.

PREPRINT RELEASE: Left Lumpectomy with Wireless Seed Localization


Left Lumpectomy with Wireless Seed Localization
Massachusetts General Hospital

Michelle C. Specht, MD
Assistant Professor of Surgery
Harvard Medical School

On screening mammogram, the patient in this case was found to have ductal carcinoma in situ with calcifications and an area of concern measuring around 2.5 cm. In this video, Dr. Specht performs and narrates a left lumpectomy and explains how to use wireless seed localization in order to more accurately excise the affected area and reduce the risk of recurrence.

PREPRINT RELEASE: Laparoscopic Appendectomy and Open Umbilical Hernia Repair


Laparoscopic Appendectomy and Open Umbilical Hernia Repair
Massachusetts General Hospital
Harvard Medical School

Noelle N. Saillant, MD
Instructor in Surgery

Thomas O’Donnell, MD
Resident Physician

Naomi Sell, MD
Research Fellow

In this case, Dr. Saillant performs a laparoscopic appendectomy on a 24-year-old female who initially presented with perforated appendicitis that was managed conservatively with antibiotics. The patient elected for an interval appendectomy scheduled 6-8 weeks following her presentation. She also had an umbilical hernia, which was repaired upon removal of the laparoscopic ports.