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.
Vagal Nerve Blocking Therapy for Weight Loss: Laparoscopic Technique for Placing Neuroregulator and Leadsvideo
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.
Title: Lateral Graft Tympanoplasty Description: A lateral graft tympanoplasty is performed to demonstrate the utility of this technically challenging approach. The technical pearls that contribute to the high success rate of this graft are highlighted. Learning Points: The lateral graft tympanoplasty was popularized by Sheehy in the 1960s. Although technically more demanding than underlay graft techniques, the lateral graft is an essential method for Otologists to have in their armamentarium. The lateral graft is especially useful in cases of total perforation or anterior marginal perforation as well as revision tympanoplasty. Potential disadvantages of this technique include graft lateralization and anterior blunting as well as keratin pearl formation. When performed by an experienced surgeon, the results of lateral grafting are excellent. The technical considerations that promote successful lateral grafting are highlighted in this video.
- Director, Cochlear Implant and Auditory Brainstem Implant Program
- Program Director, Neurotology Fellowship
- Associate Professor, Department of Otolaryngology
Dr. Ravi Samy was born in Madras (now Chennai), India. He emigrated to the United States in 1973, at the age of 4. The first city in the US in which he lived was Canton, OH. After spending a few years in Connecticut during his father’s psychiatry residency, he moved to Wichita Falls, TX. He spent most of his formative years in Texas and considers himself a Texan. After graduating high school as co-valedictorian, Dr. Samy matriculated at Duke University. He graduated magna cum laude with a BS in Zoology in 1991. He then stayed on at Duke University School of Medicine and graduated in 1995. From 1995-2000, Dr. Samy was an intern and then a resident at Stanford University School of Medicine, where he developed a love for otology, neurotology, and skull base surgery. From 2000-2002, he was a fellow in Neurotology at the University of Iowa. After graduating, he was an Assistant Professor from 2002-2005 at UT-Southwestern Medical Center in Dallas, TX. Although he never wanted to leave Texas again, he was enamored with a phenomenal academic opportunity in the Department of Otolaryngology at the University of Cincinnati/Cincinnati Children’s Medical Center. He has been there for almost 8 years. He became an Associate Professor last year. During his time here, he has created an ACGME accredited, two-year Neurotology fellowship, one of only approximately 15 in the country. Dr. Samy serves not only as Program Director for the Neurotology Fellowship but also as the Director of the Cochlear Implant and Auditory Brainstem Implant program. His research interests include cochlear and auditory brainstem implantation as well as acoustic neuromas, neurofibromatosis type 2, facial nerve tumors, and other diseases and disorders of the lateral skull base. Finally, he is interested in using novel techniques and technologies to eradicate tumors, such as the use of surgical robotic systems or synthetic biology in the form of bacterial robotics systems. He is collaborating with researchers in India, including one of his former fellows, to incorporate these technologies and to enhance global health and increase collaboration between UC and international institutions, thus benefiting both US citizens and those of other nations.
Dr. Samy’s website, CiSurgeon.org provides information about Cochlear Implants, including FAQ, Cochlear Implant Surgery, preparation and more.
- Chief of Pediatric Cardiac Surgery
- Co-Director, University of Iowa Stead Family Congenital Cardiac Center
- Director of Extracorporeal Membrane Oxygenation Services
- Program Director of the Thoracic Surgery Fellowship and Thoracic Integrated Six-Year Residency Programs
Joseph William Turek, MD, PhD graduated from Northwestern University with a BA in Biochemistry in 1994 and received his MD/PhD (Pharmacology) from the University of Illinois – Chicago in 2002. He completed his general surgery education at Duke University in 2007, where he also completed a cardiothoracic residency in 2010. During this time he served as a visiting congenital fellow at Texas Children’s Hospital. He completed a congenital cardiac fellowship at the Children’s Hospital of Philadelphia in 2011. Dr. Turek was the third John H. Gibbon Jr. Research Scholarship Recipient awarded by the American Association for Thoracic Surgery (2014-2016). Dr. Turek is Chief of Pediatric Cardiac Surgery and Co-Director, University of Iowa Stead Family Congenital Cardiac Center. He is also the Director of Extracorporeal Membrane Oxygenation Services and serves as the Program Director of the Thoracic Surgery Fellowship and Thoracic Integrated Six-Year Residency Programs at the University of Iowa Hospitals and Clinics. His specialties include congenital heart surgery, pediatric heart transplantation and assist devices. Dr. Turek is quite active nationally, holding board positions and serving on varies committees. Dr. Turek can be reached at his office number (319) 384-8365 or by e-mail at firstname.lastname@example.org with any questions.
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