This video depicts the procedure for the implantation of a LINX implant for augmentation of the LES for refractory GERD.
DOI:http://dx.doi.org/10.17797/69av5w723r
Editor Recruited by: Dr. H. Leon Pachter
Vendor: Stryker
Laparoscopic Portal Vein Resection
Key aspects of vascular isolation and control for en bloc PV resection during laparoscopic whipple. Xenograft vein patch is used for reconstruction
DOI: http://dx.doi.org/10.17797/ee9p182opy
Editor Recruited by: H. Leon Pachter
Cholesterol Granuloma Petrous Apex Revision
Contributors: Ravi N. Samy, M.D., F.A.C.S (University of Cincinnati / CCHMC) and Shawn Stevens, M.D.
Cholesterol granuloma recurrence at the petrous apex. The patient had a prior surgery performed without stenting. Revision surgery at UC performed with double-barrel stent placement.
External Related Links: www.cisurgeon.org www.youtube.com/user/cisurgeon
DOI: http://dx.doi.org/10.17797/vvmrb6t77g
Editor Recruited By: Ravi N. Samy, MD, FACS
Laparoscopic Hepatic Left Lateral Sectionectomy
Contributors: David A Geller
Laparoscopic left lateral sectionectomy performed for a 14 cm hypervascular left lobe liver mass which is hypervascular during arterial phase and isodense to liver during venous phasem consistent with giant Focal Nodular Hyperplasia.
DOI: http://dx.doi.org/10.17797/yjare8xwt2
Editor Recruited By: Jeffrey B. Matthews, MD
LAPAROSCOPIC TRANSCYSTIC COMMON BILE DUCT EXPLORATION IN AN INFANT
Contributors: Stephanie Chao, David Worhunsky, James Wall, and Sanjeev Dutta
This video depicts a laparoscopic transcystic common bile duct exploration in a 2 month old infant who was found to have a 1 cm common bile duct stone.
DOI: http://dx.doi.org/10.17797/wrw1syb8d5
Transcanal Endoscopic Infracochlear Approach for a Petrous Apex Cholesterol Granuloma
This video demonstrates a transcanal endoscopic infracochlear approach to the petrous apex in a patient with a large cholesterol granuloma. The patient presented with a history of profound left sensorineural hearing loss, hemifacial spasm, and House Brackmann Grade 2 facial function. Preoperative imaging demonstrated a T1 and T2 hyperintense heterogenous lesion in both petrous apices with the left being larger than the right on magentic resonance imaging. A computed tomography scan (CT) of the temporal bones demonstrates extension of the left petrous apex lesion into the internal auditory canal and cochlea.
Dr. Isaacson has had 2 patients who have had significant recovery of their bone line after using an infracochlear approach. In the unlikely event that the patient experiences hearing loss in the other ear, their cochlea is preserved for a possible CI. However, the patients hearing loss is likely secondary to the 8th nerve involvement of cholesterol granuloma erosion into IAC.
The patient in this surgical video has been monitored for a year. One year postop CT shows aeration of the apex. This patient’s facial spasm has resolved. Dr. Isaacson has used stents in the past, but in this case felt the opening was large enough that he could forego it. Patient did not recover their hearing.
DOI: http://dx.doi.org/10.17797/1wq11j68wa
Thoracoscopic Division of a Vascular Ring in a Child
Contributors:Curt S. Koontz
This video details the thoracoscopic division of a vascular ring in a child presenting with dysphagia. This is a safe and effective technique that minimizes the potential complications and cosmetic issues associated with a thoracotomy.
DOI#: https://doi.org/10.17797/ohknzpzkwi
Translabyrinthine Approach for Vestibular Schwannoma (Acoustic Neuroma) Resection
Contributors: Bruce E. Mickey and J. Walter Kutz
This video highlights key steps to the translabyrinthine approach for vestibular schwannoma resection. It emphases identification of the facial nerve and the benefit of facial nerve monitoring in lateral skull base surgery.
DOI#: https://doi.org/10.17797/4w83z6uxam
Mandibular Distraction for Micrognathia in a Neonate
Introduction
Patients with Pierre-Robin Sequence (PRS) suffer from micrognathia, glossoptosis, and upper airway obstruction, which is sometimes associated with cleft palate and feeding issues. To overcome these symptoms in our full-term male neonate patient with PRS, mandibular distraction osteogenesis was performed.
Methods
The patient was intubated after airway endoscopy. A submandibular incision was carried down to the mandible. A distractor was modified to fit the osteotomy site that we marked, and its pin was pulled through an infrauricular incision. Screws secured the plates and the osteotomy was performed. The mandible was distracted 1.8 mm daily for twelve days.
Results
During distraction, the patient worked with speech therapy. Eventually, he adequately fed orally. He showed no further glossoptosis or obstruction after distraction was completed.
Conclusion
In our experience, mandibular distraction is a successful way to avoid a surgical airway and promote oral feeding in children with PRS and obstructive symptoms.
By: Ravi W Sun, BE
Surgeons:
Megan M Gaffey, MD
Adam B Johnson, MD, PhD
Larry D Hartzell, MD
Department of Otolaryngology – Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Arkansas Children’s Hospital, Little Rock, AR, USA
Recruited by: Gresham T Richter, MD
Cranioplasty for Metopic Craniosynostosis
This video demonstrates an open anterior cranial vault reconstruction for metopic craniosynostosis on a 5-month-old female.