The Scalpel Report
Sharing the Latest in Surgical Education and Innovation |
| | |  | Missed the Mervin L. Trail TORS Symposium? The full event recording is now available! Dive into expert insights on managing HPV+ Oropharyngeal Squamous Cell Carcinoma with Transoral Robotic Surgery (TORS). Watch now and stay informed on the latest advancements in robotic and radiation techniques.
Hosted by CSurgeries and organized by LSU Health Sciences Center's Department of Otolaryngology-Head and Neck Surgery, the Mervin L. Trail TORS Symposium brought together experts Dr. Rohan R. Walvekar, Dr. Sagar Kansara, Dr. Rula Mualla, Dr. William Ryan, and Dr. Sue Yom. Enhance your expertise in TORS and innovative treatment options for HPV+ Oropharyngeal Squamous Cell Carcinoma by watching the full recording here: Webinar: Mervin L Trail Transoral Robotic Surgery (TORS) Symposium | CSurgeries
|
|  | Keep sharing your expertise! Send your surgical videos to CSurgeries to connect with over 41,000 monthly site visitors! Make a lasting impact by submitting your surgical videos through our Content Creator Hub! |
| | | Endoscopic Resection of Forehead Arteriovenous Malformation |
| This CSurgeries video presents a novel endoscopic approach to resecting a forehead arteriovenous malformation (AVM) through a trichial incision, prioritizing an optimal cosmetic outcome. The technique involves making an incision within the hairline, followed |
|
| |
|
|
|
|
|
|
|
|
| by endoscopic visualization and ligation of the feeder vessels. Observe how this minimally invasive method allows for complete AVM removal while minimizing scarring and potential facial nerve damage. |
| | | | Anteriorly-based Tongue Flap for Large Palatal Fistula: |
| Details the use of an anteriorly-based tongue flap to repair a large palatal fistula, a complication that can arise from cleft palate repair. The two-stage procedure involves harvesting a precisely measured flap from the tongue, ensuring adequate |
|
|
|
|
|
|
|
|
|
|
| blood supply, and carefully attaching it to the fistula. This technique is particularly useful for larger defects where local flaps may not be sufficient. Discover how it offers advantages like robust tissue and a relatively silent donor site. |
| | | Jump Graft Repair of Coarctation of the Aorta: |
| This video demonstrates a jump-graft repair for coarctation of the aorta, a congenital heart defect. The procedure involves a lateral thoracotomy, cryoablation of intercostal bundles, and careful dissection of the parietal pleura. A woven synthetic graft is then sewn |
|
| |
|
|
|
|
|
|
|
|
| onto the aorta using an end-to-side technique, creating a bypass around the coarctation. Watch and learn this underutilized approach that offers a solution to the risks of recoarctation, aneurysms, and other complications. |
| | | A Discussion About Removal of Intraocular Foreign Bodies |
|  |
|
|
|
|
|
|
|
|
|
| This webinar features a discussion about the proper procedure to follow when removing foreign bodies from the eye by discussing the process with three expert Vitreoretinal Surgeons. Watch as the presenters provide valuable insights into the challenges and techniques involved in removing intraocular foreign bodies, ensuring successful outcomes for patients.
Watch in full: https://csurgeries.com/webinars/a-discussion-about-removal-of-intraocular-foreign-bodies/
Presenters: Mitul Mehta, MD, MS, Fellowship Director of Vitreoretinal Surgery at the UCI Medical Center and Gavin Herbert Eye Institute C. Kiersten Pollard, MD, Vitreoretinal Surgeon at The Retina Center of Western Colorado Hemang K. Pandya, MD, FACS, Vitreoretinal Specialist and President of the Dallas Retina Center |
| | |  | | | Dr. Deepak Mehta Champions Pediatric Aerodigestive Care at CSurgeries |
|  | Dr. Deepak Mehta, Chief Medical Officer at CSurgeries, is a recognized leader in pediatric aerodigestive care, currently serving as the Director of the Pediatric Aerodigestive Center at Texas Children's Hospital. With an impressive academic background, including a professorship at Baylor College of Medicine, Dr. Mehta has dedicated his career to improving the treatment of pediatric airway and swallowing disorders.
With a medical degree from Mysore University and an Otolaryngology degree from Bangalore University, Dr. Mehta completed his residency at the South Trent Otolaryngology Programme and a fellowship at Cincinnati Children's Hospital. His extensive experience is reflected in his role as President of the Society of Ear Nose and Throat Advances in Children and his authorship of nearly 100 peer-reviewed publications and several academic book chapters, highlighting his contributions to the field.
His expertise in complex airway surgeries and pediatric swallowing disorders not only enriches the platform but also supports the mission of advancing knowledge in the surgical community, reinforcing his status as an invaluable asset to CSurgeries and the broader medical field. |
| | Customize your content experience! Fill out the short form here to get tailored content catering to your specialty. |
|
|
|
|
|
|
|
|
|
|
| | Surgeons Perform Remote Endoscopy 9,000KM Away Using PlayStation Controllers |
|  | Swiss and Hong Kong researchers have performed a successful remote endoscopic procedure on a pig in Hong Kong while being controlled from Zurich, Switzerland—9,300 km away—using a PlayStation controller. The collaboration, involving ETH Zurich and the Chinese University of Hong Kong (CUHK), represents a significant step toward enabling remote surgeries in areas lacking specialized medical professionals.
What is it about: The procedure, executed with a magnetic endoscope and robotic system, allowed the Swiss team to control the endoscope with real-time, high-speed data transfer through a WebSocket protocol. Using a modified PlayStation controller, the Zurich team maneuvered the magnetic endoscope to complete critical tasks, such as performing a U-turn and taking a tissue biopsy from the pig’s stomach wall. The research team reported a latency of under 300 milliseconds, allowing precise and responsive control, comparable to in-person procedures.
Why it matters: This achievement is a milestone in teleoperated medicine, illustrating the potential of remote surgeries in remote or underserved regions and even space. Dr. Shannon Chan from CUHK highlighted the potential for immediate care in areas lacking local expertise, while Dr. Bradley Nelson from ETH Zurich expressed hopes of extending this technology to humans and additional medical fields. |
| Music Therapy May Speed Up Post-Surgery Recovery, New Study Suggests |
|  | Listening to music after surgery may aid in reducing pain, anxiety, and even opioid usage, according to findings presented at the American College of Surgeons Clinical Congress 2024 in San Francisco. Researchers at California Northstate University College of Medicine analyzed 35 studies on post-surgery outcomes, finding that patients who listened to music experienced significant relief in pain, a reduced heart rate, and lowered anxiety levels.
What is it about: The analysis revealed that music listeners reported less pain the day after surgery, with a 19% reduction on the Numeric Rating Scale and a 7% decrease on the Visual Analogue Scale. Anxiety levels also fell by about 3%, and heart rates were lowered by around 4.5 beats per minute. Notably, opioid use decreased, with patients using less than half the morphine compared to non-music listeners, potentially indicating music’s role in managing pain without medication.
Why it matters: Researchers emphasized music’s unique benefits as a low-cost, passive form of therapy. Dr. Eldo Frezza, senior study author, noted that music may help patients transition from anesthesia to wakefulness more calmly. While further research is required to determine optimal music types and duration, Dr. Frezza encourages post-surgery patients to listen to familiar and comforting music as a potential recovery aid. |
| Automated Voice Assistant Helps Shift Focus From Monitors to Patients in the OR |
|  | A groundbreaking initiative in operating rooms (ORs) aims to enhance clinician focus on patient care by leveraging an innovative voice assistant named Jenkins. Developed by a multicenter research team, this anesthesia-specific voice assistant is designed to answer crucial questions about patient health in real-time, reducing the reliance on screens and keyboards during surgeries. The project was showcased by Dr. Nathan Goergen, a resident at the University of Nebraska Medical Center, during the 2023 annual meeting of the American Society of Anesthesiologists.
What is it about: The Jenkins voice assistant utilizes advanced technologies including Bluetooth headsets and cloud computing, enabling anesthesiologists to efficiently manage their responsibilities without compromising patient care. The system is capable of charting medications and assessing potential contraindications through natural voice commands, thus allowing medical professionals to maintain their situational awareness.
Why it matters: With its capability to fetch real-time data and alert clinicians about potential medical errors, Jenkins aims to improve intraoperative care significantly. Currently in the developmental stage, the assistant can perform tasks such as charting intraoperative volumes and managing critical information while integrating with the hospital's emergency notification systems. The team anticipates incorporating artificial intelligence to provide tailored treatment suggestions based on electronic health record (EHR) data in the future, ultimately streamlining workflows and enhancing patient safety in the operating room. |
|
|
|
|
|
|
|
|
|
|
| |  | May your day be filled with treats (not tricks) and lots of surgical knowledge. |
| |
|
|
|
|
