Tag Archives: general surgery

PREPRINT RELEASE: Coronal Approach (Cadaver)


Coronal Approach (Cadaver)
Harvard Medical School

R. John Tannyhill, III, MD, DDS, FACS
Instructor in Oral and Maxillofacial Surgery
Massachusetts General Hospital

Mark Rowan, MD, DDS
Resident Physician
Massachusetts General Hospital

This case presents a cadaveric demonstration of the coronal approach to exposing the upper or middle facial skeleton. This approach is commonly used when treating facial trauma such as frontal sinus fractures, orbital fractures, and zygoma fractures, as well as when taking a superficial temporal artery biopsy.

PREPRINT RELEASE: Contracture Release and Full-Thickness Skin Graft to Volar Index Finger with K-Wire Insertion


Contracture Release and Full-Thickness Skin Graft to Volar Index Finger with K-Wire Insertion
Shriners Hospitals for Children – Boston

Jonathan Friedstat, MD
Plastic and Reconstructive Surgery
Shriners Hospitals for Children – Boston
Massachusetts General Hospital

Jonah Poster
Medical Student
Icahn School of Medicine at Mount Sinai

This case centers around a young male patient with a 1-year-old burn scar on his volar index finger that keeps the finger flexed and prevents it from being straightened. Here, Dr. Friedstat releases the contracture and places a full-thickness skin graft from the right groin crease. A K-wire was also used to prevent flexion of the finger during the healing process.

PREPRINT RELEASE: Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh


Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh
Shriners Hospitals for Children – Boston

Jonathan Friedstat, MD
Plastic and Reconstructive Surgery
Shriners Hospitals for Children – Boston
Massachusetts General Hospital

Jonah Poster
Medical Student
Icahn School of Medicine at Mount Sinai

In this case, a 5-year-old male with burn scars undergoes a bilateral dorsal foot scar contracture release with split-thickness skin grafts from the anterior thigh.

PREPRINT RELEASE: Submandibular Approach to the Mandible (Cadaver)


Submandibular Approach to the Mandible (Cadaver)
Harvard Medical School

R. John Tannyhill, III, MD, DDS, FACS
Instructor in Oral and Maxillofacial Surgery
Massachusetts General Hospital
Harvard Medical School

Mark Rowan, MD, DDS
Resident Physician
Massachusetts General Hospital
Harvard Medical School

This case presents a cadaveric demonstration of the submandibular approach to the mandible, which can be used in cases involving osteomyelitis, the management of fractures, or pathology of the mandible or submandibular gland.

PREPRINT RELEASE: Open Cholecystectomy


Open Cholecystectomy
Romblon Provincial Hospital

Liborio “June” Soledad, MD
World Surgical Foundation

Enrico Jayma, MD
World Surgical Foundation

Ted Carpio, MD
World Surgical Foundation

The patient in this case is a 53-year-old male with a 1-year history of recurrent right upper quadrant pain that radiates to the back. On workup, ultrasound revealed intraluminal gallstones. Here, Dr. Soledad, Dr. Jayma, and Dr. Carpio perform an open cholecystectomy on this patient while on a surgical mission to the Philippines with the World Surgical Foundation.

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.