Partial mastectomy of the breast, also known as lumpectomy, is a breast-conserving procedure performed to remove many different types of masses and irregularities in the breast tissue. This involves a small incision concealed at the nipple borders or along the natural breast contours, followed by dissection of the area of concern. The excised tissue is then sent to pathology for final tissue diagnosis and, if applicable, to determine if appropriate margins have been achieved. Furthermore, Savi Scout utilization may help to localize the mass when it otherwise would be difficult to identify or locate. Many different breast pathologies can be removed in this fashion, both benign and malignant, depending on both biological and patient-specific details. In the case presented, a nonpalpable papilloma—typically found to be a benign breast lesion with an increased risk of harboring occult premalignant ductal carcinoma in situ (DCIS)—is surgically excised due to the presence of associated concerning symptoms in the patient.
This surgical video provides a comprehensive demonstration of advanced robotic-assisted thoracic surgical techniques, focusing specifically on right middle lobectomy for adenocarcinoma. It documents the strategic decision-making processes involved in complex thoracic interventions. It highlights how technological advancements can enhance patient outcomes. As an educational resource, the video bridges theoretical knowledge with practical application, providing surgeons and medical professionals with a nuanced understanding of advanced surgical techniques. It exemplifies how robotic assistance can enhance surgical precision, reduce invasiveness, and enable more comprehensive tissue management, ultimately representing a significant advancement in the field of oncological surgery.
This video is a comprehensive step-by-step demonstration of laparoscopic inguinal hernia repair using the TEP method. It features a middle-aged male with bilateral inguinal hernias who has experienced left groin pain for several years. This case is significant as it showcases the efficiency of laparoscopic techniques in addressing bilateral hernias, which are relatively common, through a single surgical procedure. The detailed description of the procedure provides valuable insights for surgeons at various stages of their careers. For novice surgeons, it offers a step-by-step guide to the TEP technique, highlighting critical anatomical landmarks and potential pitfalls. Experienced surgeons may benefit from the nuanced discussions on tissue handling, dissection techniques, and mesh placement.
This instructional video on internal ptosis repair through Müller’s muscle resection demonstrates a refined surgical technique for correcting mild to moderate ptosis in patients with good Müller’s muscle function. It is particularly valuable for ophthalmology residents, oculoplastic surgery fellows, and practicing surgeons. By clearly illustrating the key steps—eyelid eversion with a precisely placed traction suture, careful isolation of the Müller’s muscle, precise shortening of the muscle by a measured amount, and closure of the conjunctival defect—the video provides a comprehensive educational resource.
Papillary thyroid cancer is the most common type of thyroid malignancy. While prognosis is overall favorable, many patients present with clinically positive lymph nodes, most commonly in the central neck compartment. Total thyroidectomy with central lymph node dissection is the treatment of choice in these patients.
Robotic paraesophageal hernia repair with concurrent LINX device placement represents an evolutionary step in the surgical management of complex hiatal pathology. When performed with appropriate patient selection and attention to technical detail, the procedure offers excellent outcomes with acceptable morbidity. This instructional video will be particularly beneficial for surgeons, surgical trainees, and advanced practice providers seeking to enhance their understanding of the technical aspects of robotic paraesophageal hernia repair with LINX placement, as well as for medical educators teaching complex, minimally-invasive upper gastrointestinal procedures.
Surgical management of periocular basal cell carcinomas (BCCs) presents unique challenges due to the anatomical complexity and functional significance of the eyelid. This video illustrates the nuanced approach required in periocular reconstructive surgery following skin cancer excision. When choosing the best repair method, surgeons should assess each patient’s unique factors, including skin elasticity, defect size, and eye protection needs. This careful approach to lower eyelid reconstruction can deliver good functional results while maintaining appearance and improving patient outcomes and satisfaction.
Urinary catheterization is a standard procedure performed in the perioperative setting. In this video, the procedure is initiated after the patient has been placed under anesthesia, and the lower extremities are positioned in a frog-leg configuration to provide optimal access to the perineum. A standard Foley catheter tray is utilized, which contains all necessary components for the procedure under sterile conditions. The placement of a Foley catheter in female patients preoperatively represents a fundamental yet critical procedure in perioperative care. Though technically straightforward, its proper execution demands meticulous attention to anatomical detail, strict sterile technique, and awareness of potential challenges. Furthermore, technical proficiency in catheter placement contributes to improved patient outcomes by reducing the risk of urethral trauma and catheter-associated infections.
The lateral tarsal strip procedure offers several advantages, including addressing the fundamental underlying cause of involutional entropion, providing long-lasting correction, causing minimal postoperative discomfort, and having a low recurrence rate compared to other procedures. Additionally, it can be combined with other procedures when indicated. The accompanying video provides a detailed, comprehensive description of this surgical technique with visual demonstration of each step. This video will be particularly beneficial for ophthalmologists, oculoplastic surgeons, and trainees seeking to refine their understanding and surgical skills in the management of entropion.
Accurate diagnosis and monitoring of GERD are crucial for appropriate patient management and treatment selection. This demonstration highlights the advantages of the Bravo wireless system over traditional catheter-based methods for pH monitoring. The procedure proves particularly valuable in post-bariatric surgery patients, as illustrated in this case of a patient with previous sleeve gastrectomy, where GERD symptoms frequently require thorough evaluation. The extended 96-hour monitoring period provides comprehensive data regarding reflux patterns and symptom correlation, facilitating evidence-based decisions about medical or surgical management.
