Tag Archives: mgh

General Surgery, Print Release

PUBLISHED: Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy

Naomi Sell, MD, MHS
Massachusetts General Hospital

Denise W. Gee, MD
Operating Surgeon, MGH

The patient in this case is a 32-year-old female with recurrent episodes of biliary colic. An ultrasound revealed numerous gallstones within the gallbladder. Because the patient has had recurrent symptoms for the past six months, surgical removal of her gallbladder was the best option to relieve her recurrent pain and prevent future development of acute cholecystitis. Here, Dr. Denise Gee at Massachusetts General Hospital performs a laparoscopic cholecystectomy to remove the patient’s gallbladder.

General Surgery, Print Release

PUBLISHED: Ileostomy Reversal for a Two-Stage Laparoscopic Proctocolectomy with Ileoanal J-Pouch for Ulcerative Colitis

Ileostomy Reversal for a Two-Stage Laparoscopic Proctocolectomy with Ileoanal J-Pouch for Ulcerative Colitis

Derek J. Erstad, MD
Massachusetts General Hospital

Richard Hodin, MD
Chief, Division of Gastrointestinal and Oncologic Surgery, Massachusetts General Hospital

The patient in this case is a 29-year-old female who had a long history of medically refractory ulcerative colitis. Three months previously, she had undergone a laparoscopic proctocolectomy with ileoanal J-pouch reconstruction and loop ileostomy. Here, Dr. Richard Hodin at MGH reverses the ileostomy.

General Surgery, Preprint Release, Transplant Surgery

Preprint Release: Recipient Kidney Transplant from a Living Donor

Recipient Kidney Transplant from a Living Donor
Massachusetts General Hospital

Maggie L. Westfal, MD, MPH
General Surgery Resident
Massachusetts General Hospital

Nahel Elias, MD, FACS
Transplant Surgery Department
Massachusetts General Hospital

The patient in this case is a 56-year-old female with a past medical history of type I diabetes mellitus, hypertension, hypothyroidism, hyperlipidemia, and end stage renal disease secondary to diabetic and hypertensive nephropathies. In this video, Dr. Nahel Elias performs the recipient side of a living related kidney transplant from the patient’s sister.

General Surgery, Preprint Release

PREPRINT RELEASE: Rives-Stoppa Retromuscular Repair for Incisional Hernia


Rives-Stoppa Retromuscular Repair for Incisional Hernia
Massachusetts General Hospital

Peter Fagenholz, MD
Assistant Professor of Surgery
Harvard Medical School

Katherine Albutt, MD
Resident Physician
Harvard Medical School

In this case, Dr. Peter Fagenholz at MGH performs a ventral incisional hernia repair on a 76-year-old female who developed a hernia following a right colectomy for colon cancer.

Announcement, General Surgery, Ob/Gyn, Preprint Release

PREPRINT RELEASE: Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy


Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy
Massachusetts General Hospital

Liliana G. Bordeianou, MD
Associate Professor of Surgery
Harvard Medical School

Emily C. Von Bargen, DO
Female Pelvic Medicine and Reconstructive Surgery Associate Fellowship Director
Harvard Medical School

The patient in this case is an 87-year-old female with rectal prolapse. She had minimal constipation and minimal incontinence, and anorectal manometry revealed low rectal pressures. Gynecological POP-Q exam showed mostly posterior prolapse and some apical prolapse, and urodynamic testing was negative. Defecography revealed an enterocele. Here, Dr. Bordeianou and Dr. Von Bargen discuss the decision-making process when treating rectal prolapse and perform a laparoscopic suture rectopexy with culdoplasty, vaginal wall repair, and perineorrhaphy with levator plication.

Announcement, General Surgery, Preprint Release

PREPRINT RELEASE: Left Lumpectomy with Wireless Seed Localization


Left Lumpectomy with Wireless Seed Localization
Massachusetts General Hospital

Michelle C. Specht, MD
Assistant Professor of Surgery
Harvard Medical School

On screening mammogram, the patient in this case was found to have ductal carcinoma in situ with calcifications and an area of concern measuring around 2.5 cm. In this video, Dr. Specht performs and narrates a left lumpectomy and explains how to use wireless seed localization in order to more accurately excise the affected area and reduce the risk of recurrence.

Announcement, General Surgery, Preprint Release

PREPRINT RELEASE: Laparoscopic Appendectomy and Open Umbilical Hernia Repair


Laparoscopic Appendectomy and Open Umbilical Hernia Repair
Massachusetts General Hospital
Harvard Medical School

Noelle N. Saillant, MD
Instructor in Surgery

Thomas O’Donnell, MD
Resident Physician

Naomi Sell, MD
Research Fellow

In this case, Dr. Saillant performs a laparoscopic appendectomy on a 24-year-old female who initially presented with perforated appendicitis that was managed conservatively with antibiotics. The patient elected for an interval appendectomy scheduled 6-8 weeks following her presentation. She also had an umbilical hernia, which was repaired upon removal of the laparoscopic ports.

Announcement, Content, General Surgery, Preprint Release

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.

Announcement, Content, General Surgery, Print Release

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.

 

Announcement, General Surgery, Preprint Release

PREPRINT RELEASE: Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy
Massachusetts General Hospital

Denise W. Gee, MD
Assistant Professor of Surgery
Harvard Medical School

A female patient presented with a few months of abdominal pain following the eating of fatty foods. Imaging showed gallbladder sludge, small stones, or potentially a polyp. Here, Dr. Denise W. Gee performs a laparoscopic cholecystectomy to alleviate these symptoms. #MGH #generalsurgery #gallbladder #cholecystectomy