PREPRINT RELEASE: Wedge Resection of the Lung and Thymectomy by Thoracoscopy

Wedge Resection of the Lung and Thymectomy by Thoracoscopy
Massachusetts General Hospital
Henning A. Gaissert, MD
Lucia Madariaga, MD

Visiting Surgeon, MGH & Associate Professor of Surgery, Harvard Medical School
Fellow in Thoracic Surgery, MGH

A patient with myasthenia gravis undergoes a procedure meant to originally be a lobectomy and thymectomy. Henning Gaissert, MD decides to do a lobe wedge resection instead given the tumor’s positioning and carcinoid nature before proceeding with the thymectomy. Please note that the patient had to return to the OR the following day due to bleeding near the internal mammary vein. 

PREPRINT RELEASE: Middle Fossa Approach to Repair Cerebrospinal Fluid Leak

Middle Fossa Approach to Repair Cerebrospinal Fluid Leak
Duke University Medical Center
Calhoun D. Cunningham III, MD
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

Dr. Calhoun Cunningham III performs a repair of a cerebrospinal fluid leak into the mastoid cavity by way of a middle fossa craniotomy. His novel use of bone and fascia grafts allows for autologous closure. 

PREPRINT RELEASE: Laparoscopic Adrenalectomy

Laparoscopic Adrenalectomy
Massachusetts General Hospital
Richard Hodin, M.D.
Professor of Surgery, Harvard Medical School

After visiting an endocrinologist who diagnosed her with aldosteronism, the patient takes a CT scan that reveals a 8mm nodule in the left adrenal gland. Dr. Hodin performs a laparoscopic adrenalectomy to remove it.

PREPRINT RELEASE: Laparoscopic Resection of Gastrointestinal Stromal Tumor (GIST)

Laparoscopic Resection of Gastrointestinal Stromal Tumor
Massachusetts General Hospital
David Rattner, M.D.
Chief of Gastrointestinal and General Surgery

After a patient is found to have a gastrointestinal stromal tumor (GIST), David Rattner, MD performs a laparoscopic resection, carefully avoiding the nerves of Latarjet. He then confirms the success of the procedure with an upper GI endoscopy.

PREPRINT RELEASE: Minimally Invasive Ivor Lewis Esophagectomy

Minimally Invasive Ivor Lewis Esophagectomy
Massachusetts General Hospital
Christopher R. Morse, M.D.
Assistant Professor of Surgery, Harvard Medical School
Co-Director, Gastroesophageal Surgery Program

A patient presents with dysphagia and is found to have a locally advanced distal esophageal adenocarcinoma. She is treated with neoadjuvant chemoradiotherapy and Christopher R. Morse MD performs a minimally invasive Ivor Lewis esophagectomy.

PREPRINT RELEASE: Laser Excision of Glomus Tympanicum (Transcanal Approach)

Laser Excision of Glomus Tympanicum (Transcanal Approach)
Duke University Medical Center
Calhoun D. Cunningham III MD
C. Scott Brown MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

A patient with pulsatile tinnitus is found to have a glomus tympanicum tumor of the right ear. Calhoun Cunningham III, MD performs a transcanal resection of the mass using the KTP laser.

PREPRINT RELEASE: Botox Injection

Botox Injection
Duke University Medical Center
Charles R. Woodard MD
C. Scott Brown MD
Helen A. Moses MD

Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

Facial plastics surgeon Charles Woodard, MD instructs his residents on the principles of facial analysis. He then demonstrates the proper technique for administration of Botox during an injection workshop. While typically associated with facial wrinkles, Botox may also be used to help treat blepharospasm as well as migraine headaches.

 

PREPRINT RELEASE: Intraventricular Tumor Resection

Intraventricular Tumor Resection
Charite Hospital Berlin
PD Dr. med. Marcus Czabanka

Neurosurgeon Marcus Czabanka treats an intraventricular tumor found in a patient with persistent headaches by resecting the tumor via an interhemispheric transcallosal approach.

PREPRINT RELEASE: Cochlear Implant

Cochlear Implant
Duke University Medical Center
Calhoun D. Cunningham III, MD
C. Scott Brown MD

Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

Dr. Cunningham demonstrates the round window approach for placement of an Advanced Bionics Cochlear Implant into the right ear of a patient with severe to profound sensorineural hearing loss. Emphasis on surgical anatomy and technique is emphasized as he performs this delicate neurotological procedure.

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