PUBLISHED: Setup for a Laparoscopic Appendectomy (Kingsborough Community College, Brooklyn, NY)

Setup for a Laparoscopic Appendectomy (Kingsborough Community College, Brooklyn, NY)
Roxanne West, BS, CST
Kingsborough Community College, Brooklyn, NY

Correct preoperative setup of the sterile field, including surgical instrumentation, is critical to ensure patient safety and optimize surgical outcomes. Educational videos such as this provide important resources for surgical technology students and other healthcare professionals who are learning how to master these foundational skills. This video demonstrates a complete setup of the back table and Mayo stand for a laparoscopic appendectomy, during which all instruments are identified and counted in accordance with established safety protocols. The setup process includes verification of sterile indicators to confirm sterility, followed by a systematic count of soft goods and sharps and identification of specialized laparoscopic instrumentation.

PUBLISHED: Setup for an Open Pancreatectomy (Kingsborough Community College, Brooklyn, NY)

Setup for an Open Pancreatectomy (Kingsborough Community College, Brooklyn, NY)
Gina Forsythe, CST
Kingsborough Community College, Brooklyn, NY

Open pancreatectomy is a complex abdominal procedure requiring detailed preoperative preparation by the surgical technologist. An efficient sterile back table and Mayo stand setup is important for patient safety and operative workflow. In this educational video, the setup sequence demonstrates sterility verification, instrument organization, the initial surgical count, and medication labeling. All steps were conducted in accordance with perioperative safety standards.

PUBLISHED: Endobronchial Ultrasound Bronchoscopy-Guided Biopsy for Lymphoma

Endobronchial Ultrasound Bronchoscopy-Guided Biopsy for Lymphoma
Don Kim, MD1Vigen Janoyan, MD2Yu Maw Htwe, MD1
1RWJBarnabas-Rutgers Medical Group
2Institute of Surgery after A. Mikaelyan, RA

Endobronchial ultrasound bronchoscopy (EBUS) is a minimally invasive and widely utilized endoscopic technique that enables real-time ultrasound visualization of mediastinal and hilar lymph nodes adjacent to the tracheobronchial tree, allowing tissue sampling under direct sonographic guidance. Accessible nodal stations include 1, 2R/L, 3P, 4R/L, 7, 10R/L, and 11R/L; however, stations 5 and 6 are technically more challenging and associated with a higher risk of complications due to their proximity to the aorta and pulmonary vessels.

EBUS can be used for diagnostic, staging, and restaging purposes, particularly in conditions such as lymphoma and sarcoidosis, as demonstrated in the accompanying video. Its diagnostic yield varies according to the underlying pathology and nodal characteristics, and the diagnostic sensitivity for specific diseases is outlined below.

PUBLISHED: Setup for an Open Cholecystectomy (Kingsborough Community College, Brooklyn, NY)

Setup for an Open Cholecystectomy (Kingsborough Community College, Brooklyn, NY)
Dana Donovan, BA, CST
Kingsborough Community College, Brooklyn, NY

This instructional video shows how to prepare a back table, Mayo stand, and ring stand for an open cholecystectomy. Surgical instrumentation, radiopaque sponges, sutures, and blades are organized carefully prior to an initial count with a circulating nurse or other licensed professional.

PUBLISHED: Left Lateral Neck Dissection for Metastatic Papillary Thyroid Carcinoma

Left Lateral Neck Dissection for Metastatic Papillary Thyroid Carcinoma
Sarah A. Brownlee, MDAllison S. Letica-Kriegel, MD, MScAntonia E. Stephen, MD
Massachusetts General Hospital

Papillary thyroid carcinoma frequently metastasizes to lateral neck lymph nodes, necessitating compartment-based lymph node dissection following initial thyroidectomy. Surgical education videos provide valuable resources for training surgeons in complex neck dissection techniques. A detailed surgical procedure was documented in a patient with biopsy-proven metastatic papillary thyroid carcinoma in level IV lymph nodes following prior total thyroidectomy and central neck dissection. A compartment-based dissection of levels IIb, III, and IV was performed with preservation of vital neurovascular structures. The procedure was successfully completed with removal of metastatic lymph nodes while preserving the critically important physiological structures throughout the dissection.

PUBLISHED: Setup for a Breast Biopsy (Kingsborough Community College, Brooklyn, NY)

Setup for a Breast Biopsy (Kingsborough Community College, Brooklyn, NY)
Dana Donovan, BA, CST
Kingsborough Community College, Brooklyn, NY

Proper preparation of the operative field is essential for safe and efficient breast biopsy procedures. This instructional video was recorded at Kingsborough Community College and illustrates a setup performed by a certified surgical technologist. This demonstration includes preparation of the Mayo stand, back table, and ring stand; verification of medications on the sterile field; instrument organization; and performance of the initial count with the circulating nurse. This setup aligns with established best practices for a breast biopsy, which is a diagnostic technique used to examine suspicious breast lesions discovered through histologic examination. This demonstration aims to reinforce standardized preparation practices that support patient safety and efficient surgical workflow.

PUBLISHED: Spinal Anesthesia for Ambulatory Hip and Knee Arthroplasty Procedures

Spinal Anesthesia for Ambulatory Hip and Knee Arthroplasty Procedures
Bruna Castro de Oliveira, MD
Massachusetts General Hospital

This educational video article details the technique of spinal anesthesia administration for total hip and knee arthroplasty. The presentation details key procedural elements, including anatomical landmarks, midline and paramedian techniques for spinal placement, equipment for spinal anesthesia, patient positioning and preparation, and local anesthetic selection. Spinal anesthesia offers distinct advantages for outpatient arthroplasty, including rapid onset, favorable operative conditions, and facilitation of same-day discharge. The video serves as a practical educational tool that reinforces evidence-based anesthetic practice and supports the continued advancement of safe, efficient care in ambulatory joint replacement surgery.

PUBLISHED: Setup for a Laparoscopic Appendectomy (Eastwick College, Ramsey, NJ)

Setup for a Laparoscopic Appendectomy (Eastwick College, Ramsey, NJ)
Hansel Samson Perez, AAS, CSTKaren L. Chambers, MHA/Ed, CST, FAST
Eastwick College, Ramsey, NJ

Laparoscopic appendectomy has become the standard surgical approach for acute appendicitis. Organization and maintenance of the sterile field are necessary in order to protect the patient’s safety and ensure an efficient surgical workflow. This educational video demonstrates how to prepare a back table, Mayo stand, and ring basin for a laparoscopic appendectomy using an efficient method that promotes patient safety.

PUBLISHED: Robotic Hepatectomy for a Segment V/VI Suspected HCC Lesion with Cholecystectomy and Evaluation by Ultrasound and Excisional Biopsy of a Segment IVb Lesion

Robotic Hepatectomy for a Segment V/VI Suspected HCC Lesion with Cholecystectomy and Evaluation by Ultrasound and Excisional Biopsy of a Segment IVb Lesion
Ji Ho Park, MDCorbin S. Morris, MDKelsey L. Fletcher, MDCharles C. Vining, MD, FACS, FSSOLawrence M. Knab, MD, FACS, FSSORushin D. Brahmbhatt, MD, FACS
Penn State Health Milton S. Hershey Medical Center

Hepatocellular carcinoma (HCC) is the most common primary liver cancer and is associated with high morbidity and mortality. In this case, the patient was incidentally found to have a segment V/VI lesion consistent with HCC and a IVb lesion indeterminate probability of malignancy. He underwent a robotic-assisted hepatectomy for a segment V/VI lesion with cholecystectomy and evaluation by ultrasound and excisional biopsy of a segment IVb lesion. His postoperative course was unremarkable, and he was discharged on postoperative day four. The pathology demonstrated well-differentiated HCC with resection margins negative for carcinoma. This video demonstrates an experienced surgeon’s technique for performing a robotic hepatectomy for a segment V/VI lesion with cholecystectomy and evaluation by ultrasound and excisional biopsy of a segment IVb lesion. It also highlights effective management of bleeding during hepatic parenchymal transection.

PUBLISHED: Setup for a Laparoscopic Hemicolectomy (Eastwick College, Ramsey, NJ)

Setup for a Laparoscopic Hemicolectomy (Eastwick College, Ramsey, NJ)
Ana M. Anilmis, AAS, CSTKaren L. Chambers, MHA/Ed, CST, FAST
Eastwick College, Ramsey, NJ

Laparoscopic hemicolectomy is a minimally invasive surgical intervention requiring careful organization and clear setup procedures. A systematic approach to this setup ensures all necessary equipment is available, and it supports optimal surgical outcomes and patient safety. This educational video provides a demonstration of a setup for a laparoscopic hemicolectomy including back table organization, Mayo stand preparation, instrument arrangement, and the initial count with a circulator.

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