PREPRINT RELEASE: Right Posterior Retroperitoneoscopic Adrenalectomy

Right Posterior Retroperitoneoscopic Adrenalectomy
Smilow Cancer Hospital at Yale New Haven

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

One of the early adaptors of the approach, Tobias Carling, MD, PhD, FACS, performs a right posterior retroperitoneoscopic adrenalectomy on a patient that presented with subclinical Cushing's syndrome. Specifically, she had elevated urinary cortisol, failed a dexamethasone suppression test, and had a growing adrenal tumor as revealed by serial imaging. Due to the patient’s anatomy, Dr. Carling used a lateral approach to ligating the right adrenal vein; this video includes his usual medial approach as an additional module.

PREPRINT RELEASE: Hypoglossal Nerve Stimulator

Hypoglossal Nerve Stimulator
Duke University Medical Center

Russel Kahmke, MD
Assistant Professor of Surgery1
Adam Honeybrook, MBBS
Resident Physician1
C. Scott Brown, MD
Resident Physician1

1Division of Head and Neck Surgery & Communication Sciences

Dr. Russel Kahmke implants a hypoglossal nerve stimulator in a patient with obstructive sleep apnea. He is one of only several surgeons currently performing this procedure in North Carolina. 

PREPRINT RELEASE: Mako Robotic Arm Assisted Total Knee Arthroplasty

Mako Robotic Arm Assisted Total Knee Arthroplasty
Tufts Medical Center
Jeffrey S. Zarin, MD
Chief, Division of Arthroplasty

In this case a 66-year-old patient presents with arthritis predominantly in the medial compartment. Dr. Jeffrey Zarin explains how to use the Mako robot to precisely plan and perform a total knee arthroplasty surgery on this patient. Preoperatively, he uses a CT scan to create a model of the patient in order to determine the appropriate implant size, and intraoperatively, he utilizes the Mako robot to assist in ligament and gap balancing, perform the osteotomies, and make precise corrections. 

PREPRINT RELEASE: Minimally Invasive Parathyroidectomy under Local Cervical Block

Minimally Invasive Parathyroidectomy under Local Cervical Block
Yale School of Medicine
Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery

A 60-year-old female’s biochemical workup concluded she had primary hyperparathyroidism, and preoperative images suggested a left lower parathyroid lesion. Consequently, Dr. Tobias Carling performed a minimally invasive parathyroidectomy under local cervical anesthesia while preserving the esophagus and recurrent laryngeal nerve. Intraoperative PTH proved complete resection.

Pilot Study Finds Watching JOMI Videos Improves Understanding of Surgical Concepts

“Utility of Annotated Surgical Case Videos for Resident Education: A Pilot Study” – presented by C. Scott Brown, MD at the Combined Otolaryngology Spring Meetings on April 19th & 20th.

Dr. C. Scott Brown at Duke used JOMI “to assess the educational value of annotated surgical videos on the comprehension of surgical anatomy and operative procedures.” The results: residents went from scoring 59.4% on a test before watching JOMI content to 93.6% afterwards (p = 0.001). The video used was Dr. Cunningham III and Dr. Brown’s “Laser Excision of Glomus Tympanicum (Transcanal Approach).”

While this was a small study, we are very excited to see the impact of video education (and especially JOMI articles) being rigorously quantified!

PREPRINT RELEASE: Revision Bascom Cleft Lift Pilonidal Cystectomy

Revision Bascom Cleft Lift Pilonidal Cystectomy
Tufts University School of Medicine
Michael Reinhorn, MD, MBA, FACS
Associate Clinical Professor of Surgery

Dr. Michael Reinhorn performs a pilonidal cleft lift procedure, thoroughly describing the pre-op, post-op, and intraoperative steps, on a young man who previously had surgery but experienced recurrence.

Experience JOMI Like Never Before!

From top, left then right: Dr. Weaver’s Intramedullary Nail for Open Tibial Fracture, Dr. Gaissert’s Wedge Resection of the Lung and Thymectomy by Thoracoscopy, Dr. Fisichella’s Laparoscopic Appendectomy, & Dr. Rattner & Dr. Meireles’ Peroral Endoscopic Myotomy (POEM) for Achalasia

All JOMI articles now have closed captions and transcripts!

Follow along as the CCs reveal the quiet comments, cut through the accents, and visualize the vocab. If there’s a certain tool you want to see in action, you can search the transcript, skip to the appropriate chapter of the video, and then sit back, relax, and enjoy the surgery – without worrying about headphones. These new features mean we’re also ADA compliant (Americans with Disabilities Act) – so recommend us to your friends, librarians, and librarian-friends!

The New Gold Standard for Surgical Videos