Contributors:Katherine Faust and Jacob Brubacher
Internal distraction, or bridge plating, of distal radius fractures is a valuable tool for highly comminuted and unstable fracture patterns. Additionally, this technique is valuable for those fractures that extend into the metadiaphysis or for multiply injured patients requiring stable fixation for mobilization. Bridge plating allows for stable fixation in poor bone quality and early use of the injured extremity.
Contributors: Shaina Eckhouse, Daniel Guerron, Keri Seymour, Ranjan Sudan , Jin Yoo, Chan Park , and Dana Portenier.
The present video illustrates the technique utilized to place a vagal nerve stimulator for weight loss in a morbidly obese patient. As most surgical trainees do not routinely perform truncal vagotomy, laparoscopic or otherwise, the technical goal of this video is to depict the surgical technique needed to laparoscopically identify and work with the anterior and posterior vagus nerves. Vagal nerve blocking therapy is one of many procedures used for surgical weight loss. In the present case, the weight loss achieved was less than that seen with a gastric bypass or sleeve gastrectomy over a comparable time period.
Contributors: Jin Yoo
Percutaneous instrumentation is a new area of development within minimally invasive surgery. This video demonstrates the use of 2.3mm low profile percutaneous graspers during an elective laparoscopic cholecystectomy.