Open Total Thyroidectomy and Central Neck Dissection for Papillary Thyroid Cancer in the Setting of Hashimoto’s Thyroiditis
Allison S. Letica-Kriegel, MD, MSc; Antonia E. Stephen, MD
Massachusetts General Hospital
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 Magnetic Sphincter Augmentation Using the LINX Device
Jonathan A. Levy, MD
University of Michigan Health-Sparrow
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.
Lower Eyelid Full-Thickness Lid Margin Repair for 8-mm Defect Following Mohs Surgery for Basal Cell Carcinoma
John Lee, MD
Boston Vision
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.
Female Foley Catheter Placement Preoperatively
Linda J. Guan, MD; Joseph Y. Clark, MD
Penn State Health Milton S. Hershey Medical Center
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.
Lateral Tarsal Strip Procedure for Right Lower Eyelid Entropion
John Lee, MD
Boston Vision
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.
Esophagogastroduodenoscopy (EGD) with Placement of a Bravo Probe for pH and GERD Symptom Monitoring
Charu Paranjape, MD, FACS
Newton-Wellesley Hospital
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.
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