JOMI is partnering with InciSioN (https://incisionetwork.org/).
InciSioN is a nonprofit organization representing over 5000 students, trainees, and early career physicians around the world, who are passionate about Global Surgery. We work towards the common goal of access to safe, timely and affordable surgical healthcare for all. Our work rests on three pillars of Advocacy, Education, and Research.
Prophylactic Laparoscopic Bilateral Gonadectomy for Complete Androgen Insensitivity Syndrome
University of Arkansas for Medical Sciences
J. Corbin Norton, MD
Department of Urology
University of Arkansas for Medical Sciences
Stephen J. Canon, MD
Department of Pediatric Urology
Arkansas Children’s Hospital
Amrit Singh, MD
Department of Pathology
University of Arkansas for Medical Sciences / Arkansas Children’s Hospital
Laura L. Hollenbach, MD
Department of Obstetrics and Gynecology
University of Arkansas for Medical Sciences
Georgia Gamble, MD
Department of Obstetrics and Gynecology
University of Arkansas for Medical Sciences
Laura A. Gonzalez-Krellwitz, MD
Department of Pathology
University of Arkansas for Medical Sciences / Arkansas Children’s Hospital
The patient, in this case, is a 15-year-old female who presented with primary amenorrhea and who on work-up was found to have complete androgen insensitivity syndrome. Here, Dr. Canon at the University of Arkansas for Medical Sciences performs a prophylactic laparoscopic bilateral gonadectomy to reduce her future risk for intra-abdominal testicular malignancies. Final pathology results showed a rare case of bilateral germ cell neoplasia in situ and bilateral paratesticular leiomyomas and reinforced the decision to intervene early allowing for the removal of the gonads prior to their conversion to formal germ cell tumors.
Less Invasive Stabilization System (LISS) for Distal Femur Fracture Repair
Brigham and Women’s Hospital
Michael J. Weaver, MD
Associate Orthopaedic Surgeon, Brigham and Women’s Hospital
Assistant Professor of Orthopedic Surgery, Harvard Medical School
Brigham and Women’s Hospital
The patient in this case is an 81-year-old male with dementia who sustained an unwitnessed fall that resulted in a displaced intra-articular distal femur fracture. Here, Dr. Weaver at Brigham and Women’s Hospital repairs the fracture by performing an open reduction and internal fixation with a LISS plate. An anterolateral approach was used to visualize the joint surface and obtain an anatomic reduction of the articular surface, and a percutaneously-placed lateral lock plate was used to bridge the area of comminution while restoring length, alignment, and rotation to hopefully allow for biologic fixation that permits the bone to heal well.
Creation of a Radial-Cephalic Arteriovenous Fistula
Nahel Elias, MD FACS
Surgical Director
Kidney Transplantation
Massachusetts General Hospital
AV fistulas provide the crucial vascular access required for patients receiving hemodialysis, a life-saving procedure for end-stage renal disease. Such patients have irreversible kidney damage and must receive a new kidney. While waiting, patients rely on hemodialysis to filter their blood to stay alive, and AV fistulas provide the sustainable vascular access required for hemodialysis.
Trauma Resuscitation Demonstration in a Stable Patient with a Minor Perforating Wound
UChicago Medicine
Priya Prakash, MD
Assistant Professor of Surgery
Trauma, Critical Care, and Emergency Surgery
UChicago Medicine
The patient in this case is a 17-year-old male who presented in stable condition with a minor, superficial, perforating saber wound. In this video article, Dr. Priya Prakash at UChicago Medicine demonstrates a trauma resuscitation and removes the saber.
Colonic Interposition for Esophageal Atresia
Mario Catarino Rivas Hospital, Honduras
Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport
Caroll Alvarado Lemus, MD
Pediatric Surgery, Mario Catarino Rivas Hospital, Honduras
San Pedro Sula, Honduras
Domingo Alvear, MD
Founder
World Surgical Foundation
The patient in this case is a 6-year-old boy who was born with Down syndrome and esophageal atresia. In this video article, Dr. Alvear performs a colonic interposition to replace the absent esophagus with part of the patient’s colon. This was performed during a global surgical mission in Honduras with the World Surgical Foundation.
JOMI was included in the article published in Annals of Surgery called
Continue reading (Annals of Surgery) Virtual Surgical Training During COVID-19Virtual Surgical Training During COVID-19 Operating Room Simulation Platforms Accessible from Home
Left Mastectomy Wound Closure with Left Latissimus Dorsi Musculocutaneous Local Flap
Hospital Leonardo Martinez, Honduras
Geoffrey G. Hallock, MD
Plastic Surgery Consultant
Sacred Heart Campus, St. Luke’s Hospital
Allentown, Pennsylvania
Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport
In this case, Dr. Hallock closes the wound that was left behind following a mastectomy using a latissimus dorsi musculocutaneous local flap. This was performed during a surgical mission in Honduras with the World Surgical Foundation.
Surgical videos are a valuable resource in medical education – they help residents and students prepare for the operating room.
Dr. Scott Brown, the medical editor responsible for the creation of the Otolaryngology Section at JOMI, has published in OTO-Open an article “Development of a Surgical Video Atlas for Resident Education: 3-Year Experience“. In this article, Dr. Brown discusses his journey, selection of cases, filming processes and challenges, and adoption of the content by residents and students. Dr. Brown also discusses how surgical video atlases impact surgical training and the role they will play for ENT and other surgical residencies in the coming years.
Abdominal Hysterectomy for Uterine Fibroids
Hospital Leonardo Martinez, Honduras
Col. Arthur C. Wittich, DO
Fort Belvoir Community Hospital (Retired)
World Surgical Foundation
In this case, Dr. Wittich performs an abdominal hysterectomy on a 45-year-old female with symptomatic uterine fibroids. This was performed during a surgical mission in Honduras with the World Surgical Foundation.