All posts by JOMI Editors

PREPRINT RELEASE: Local Tissue Rearrangement for Hypertrophic Chemical Burn: Z-Plasty and VY-Plasty


Local Tissue Rearrangement for Hypertrophic Chemical Burn: Z-Plasty and VY-Plasty
Shriners Hospitals for Children – Boston

Daniel N. Driscoll, MD, FACS
Division of Plastic, Reconstructive, and Laser Surgery
Shriners Hospitals for Children – Boston

Lisa Gfrerer, MD, PhD
Harvard Plastic Surgery Combined Residency Program

Robert J. Dabek, MD
Research Fellow
Massachusetts General Hospital

In what is our first plastic surgery case, we follow part of the treatment of an 18-year-old male who developed hypertrophic chemical burn scars resulting from an attack with sulfuric acid. Here, Dr. Daniel Driscoll performs two Z-plasties and a VY-plasty in order to relieve some of the tension resulting from these scars.

PREPRINT RELEASE: Prostatic Artery Embolization (PAE)


Prostatic Artery Embolization (PAE)
Yale New Haven Hospital

Raj Ayyagari, MD
Assistant Professor of Radiology and Biomedical Imaging
Yale School of Medicine

Fabian Laage-Gaupp, MD
Yale School of Medicine

Paul Irons and Dennis A. Barbon
Frank H. Netter, MD School of Medicine at Quinnipiac University

In our second interventional radiology video article, Dr. Raj Ayyagari at Yale New Haven Hospital performs a prostatic artery embolization on a patient with an enlarged prostate who also presented with hematuria. This procedure is appealing because it is less invasive and carries fewer risks than other treatment options.

PREPRINT RELEASE: Partial Laryngectomy Techniques (Cadaver)


Partial Laryngectomy Techniques (Cadaver)

Ramon M. Esclamado, MD, MS
Professor Emeritus of Surgery
Duke University Medical Center

C. Scott Brown, MD
Resident Physician
Duke University Medical Center

Dr. Ramon Esclamado discusses and demonstrates the techniques for partial laryngectomy during a cadaver dissection course at Duke University. The indications and contraindications are also reviewed.

PREPRINT RELEASE: Pulmonary AVM Embolization


Pulmonary AVM Embolization
Yale New Haven Hospital

Jeffrey Pollak, MD
Robert I. White, Jr. Professor of Radiology and Biomedical Imaging
Yale School of Medicine

Fabian Laage-Gaupp, MD
Yale School of Medicine

Dennis Barbon; Andrew Ding; Jelena Ivanis;
Frank H. Netter, MD School of Medicine at Quinnipiac University

A 14-year-old female with occasional nosebleeds and a PMH significant for HHT (diagnosed clinically and confirmed via genetic testing) underwent chest CT, which found multiple PAVMs. Here, Dr. Jeffrey Pollak performs endovascular embolization  of these PAVMs in our first interventional radiology case.

PREPRINT RELEASE: Pancreatic Debridement via Sinus Tract Endoscopy


Pancreatic Debridement via Sinus Tract Endoscopy
Massachusetts General Hospital

Peter Fagenholz, MD
Assistant Professor of Surgery
Harvard Medical School

A patient who was involved in a motor vehicle accident developed large peripancreatic fluid collections and eventually had percutaneous drainage of those collections. In this video, Dr. Peter Fagenholz at MGH performs a pancreatic debridement utilizing sinus tract endoscopy after this patient’s necrotic collection had persisted for weeks.

PREPRINT RELEASE: Tympanoplasty (Revision)

Tympanoplasty (Revision)

Calhoun D. Cunningham III, MD
Head and Neck Surgery & Communication Sciences
Duke University

C. Scott Brown, MD
Resident Physician
Head and Neck Surgery & Communication Sciences
Duke University

A patient with multiple prior surgeries continued to have persistent drainage and a perforated ear drum. In this video, Dr. Cunningham demonstrates a methodical approach to revision tympanoplasties for these challenging patients.

PREPRINT RELEASE: Lumpectomy with Sentinel Node Biopsy

Lumpectomy with Sentinel Node Biopsy
Massachusetts General Hospital

Barbara Smith, MD, PhD
Professor of Surgery
Harvard Medical School

Dr. Barbara Smith at MGH performs a lumpectomy and sentinel lymph node biopsy on a female patient who had palpable breast cancer. This case was part of a study featuring Lumicell technology, which looks for residual tumor following the lumpectomy with the goal of reducing rates of recurrence.

PREPRINT RELEASE: Bilateral Modified Radical Neck Dissection

Bilateral Modified Radical Neck Dissection
Smilow Cancer Hospital at Yale New Haven

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

In 2014, a now 61-year-old male had a total thyroidectomy and central neck dissection for bilateral papillary thyroid cancer with extrathyroidal extension. Now, after presenting with recurrent metastatic papillary thyroid cancer, Dr. Tobias Carling performs a bilateral modified radical neck dissection.

PUBLISHED: Whipple Procedure for Multiple Endocrine Neoplasia of the Pancreas

Whipple Procedure for Multiple Endocrine Neoplasia of the Pancreas
Keith Lillemoe, MD
Surgeon in Chief
Massachusetts General Hospital
Harvard Medical School

Participate in a masterclass with MGH Chief of Surgery, Dr. Keith Lillemoe, as he performs and narrates a complete Whipple procedure in the latest video-article published by JOMI.

The Whipple procedure, or pancreaticoduodenectomy, is most notably known for its use in the treatment of cancer that is confined to the head of the pancreas. Because of the intricate blood supply between the pancreas, duodenum, gallbladder, and common bile duct, these structures must be resected along with the head of the pancreas. The remaining structures must then be carefully and precisely anastomosed in order to preserve digestive functioning.

This procedure is a complex and difficult operation that can have serious risks; however, it is responsible for saving countless lives.