All posts by JOMI Editors

PREPRINT RELEASE: Intraperitoneal Mesh Repair for Incisional Hernia

Intraperitoneal Mesh Repair for Incisional Hernia
Hospital Leonardo Martinez, Honduras

Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport

Shabir Abadin, MD, MPH (Operating Surgeon)
Endocrine and General Surgeon
World Surgical Foundation

The patient in this case had an emergency exploratory laparotomy and diverting colostomy several years ago for a perforated colon. Following reversal of the colostomy, she developed an incisional hernia that also involved the stomal site. Here, Dr. Abadin performs an intraperitoneal mesh repair while on a surgical mission in Honduras with the World Surgical Foundation.

PREPRINT RELEASE: Extended Focused Assessment with Sonography for Trauma (EFAST) Exam


Extended Focused Assessment with Sonography for Trauma (EFAST) Exam
UChicago Medicine

Daven Patel, MD, MPH
Resident Physician
Emergency Medicine

Kristin Lewis, MD, MA
Resident Physician
Emergency Medicine

Allyson Peterson, MD
Resident Physician
Emergency Medicine

Nadim Michael Hafez, MD
Assistant Professor of Medicine
Emergency Medicine

In this video, Dr. Hafez discusses and demonstrates how to perform an EFAST exam.

PREPRINT RELEASE: Pediatric Open Right Inguinal Herniorrhaphy: The Alvear Technique with High Ligation and Internal Ring Repair

Pediatric Open Right Inguinal Herniorrhaphy: The Alvear Technique with High Ligation and Internal Ring Repair
St. Catarina Hospital, Honduras

Domingo Alvear, MD
Founder, World Surgical Foundation

Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport

In this case, Dr. Alvear performs an open right inguinal herniorrhaphy on a 1-year-old male using his own technique involving high ligation of the hernia sac and internal ring repair. This was filmed during a surgical mission in Honduras with the World Surgical Foundation.

PREPRINT RELEASE: Blind Technique for Subclavian Central Line Placement

Blind Technique for Subclavian Central Line Placement
St. Catarina Hospital, Honduras

Domingo Alvear, MD
Founder, World Surgical Foundation

Caroll Alvarado Lemus
Pediatric Surgery, Hospital Mario Catarino Rivas
San Pedro Sula, Honduras

Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport

This case demonstrates a blind technique used for subclavian central line placement when imaging is not available. It was performed in Honduras on a surgical mission with the World Surgical Foundation in a resource-poor environment.

PREPRINT RELEASE: Exploratory Laparotomy and Splenectomy for Ruptured Spleen Following Blunt Force Trauma


Exploratory Laparotomy and Splenectomy for Ruptured Spleen Following Blunt Force Trauma
UChicago Medicine

Brian Williams, MD
Associate Professor of Trauma and Acute Care Surgery
Co-Director, Surgical Intensive Care Unit

Ashley Suah, MD
Resident Physician
General Surgery

Daven Patel, MD, MPH
Resident Physician
Emergency Medicine

Nadim Michael Hafez, MD
Assistant Professor of Medicine
Emergency Medicine

The patient in this case was assaulted and sustained blunt force trauma to the abdomen. She was intermittently hypotensive, FAST exam revealed free fluid, and CT scan showed a grade IV splenic laceration. Here, Dr. Williams and Dr. Suah at UChicago Medicine perform an exploratory laparotomy and splenectomy.

PREPRINT RELEASE: Exploratory Laparotomy in a Hemodynamically Stable Patient for an Abdominal Gunshot Wound

Exploratory Laparotomy in a Hemodynamically Stable Patient for an Abdominal Gunshot Wound
UChicago Medicine

Brian Williams, MD
Associate Professor of Trauma and Acute Care Surgery
Co-Director, Surgical Intensive Care Unit

Ashley Suah, MD
Resident Physician
General Surgery

The patient in this case presented with an abdominal gunshot wound and peritonitis. Here, Dr. Williams and Dr. Suah perform an exploratory laparotomy and repair a through-and-through gunshot wound to the distal jejunum and a partial-thickness injury to the proximal cecum.

PREPRINT RELEASE: Direct Microlaryngoscopy and Excision of Vocal Cord Lesion

Direct Microlaryngoscopy and Excision of Vocal Cord Lesion
Duke University Medical Center

Seth M. Cohen, MD, MPH
Associate Professor of Surgery
Division of Head and Neck Surgery & Communication Sciences

C. Scott Brown, MD
Resident Physician
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

In this case, Dr. Brown and Dr. Cohen perform a direct microlaryngoscopy and excise a vocal cord lesion.

PREPRINT RELEASE: Ankle-Brachial Index, CT Angiography, and Proximal Tibial Traction for GSW Femoral Fracture

Ankle-Brachial Index, CT Angiography, and Proximal Tibial Traction for GSW Femoral Fracture
UChicago Medicine

Jack Kent, MD
Resident Physician
General Surgery

James Jeffries, MD
Resident Physician
Radiology

Andrew Straszewski, MD
Resident Physician
Orthopaedics

Kenneth Wilson, MD, FACS
Associate Professor of Surgery

In another trauma case with UChicago Medicine, Drs. Kent, Jeffries, Straszewski, and Wilson evaluate and treat a patient with a gunshot wound and femoral fracture. An ABI was obtained, CT angiography was evaluated, and proximal tibial traction was performed for pain management.

PREPRINT RELEASE: Chest Tube Placement for Possible Hemothorax

Chest Tube Placement for Possible Hemothorax
UChicago Medicine

Ashley Suah, MD
Resident Physician

Abigail Clarkson-During, MD
Resident Physician

Jennifer Cone, MD
Assistant Professor of Surgery

In our second trauma case with UChicago Medicine, Drs. Suah, Clarkson-During, and Cone place a chest tube in a female patient with a possible hemothorax.