POPULARITY
13 episodes with minimally invasive surgery
9 episodes with minimally invasive surgery
6 episodes with minimally invasive surgery
4 episodes with minimally invasive surgery
4 episodes with minimally invasive surgery
2 episodes with minimally invasive surgery
4 episodes with minimally invasive surgery
2 episodes with minimally invasive surgery
2 episodes with minimally invasive surgery
What if surgery isn't the only answer to pelvic pain? In this episode of the BackTable podcast, host Dr. Mark Hoffman and co-host Dr. Amy Park welcome Dr. Frank Tu, Vice Chair for Quality at Endeavor Health and Director of the Division of Gynecological Pain and Minimally Invasive Surgery. The episode explores the complexity of chronic pelvic pain, emphasizing its multifactorial origins and individualized treatment approaches.---SYNPOSISDr. Tu shares insights into the persistence and treatment of chronic pelvic pain, the role of trauma, and the evolving understanding of endometriosis and other gynecological conditions. The discussion covers patient treatment modalities, the potential of artificial intelligence in medical diagnostics, and the significant role of non-surgical interventions like physical therapy. Dr. Tu's reflections on interdisciplinary collaborations, preventative approaches, and the future directions of gynecologic pain management provide a comprehensive overview of this complex field.---TIMESTAMPS00:00 - Introduction05:21 - Mentorship and Influences07:01 - Research and Innovations in Pelvic Pain09:21 - Preventative Approaches to Chronic Pain14:15 - Exploring Pain Mechanisms and Treatments26:32 - The Role of Sensory Reintroduction30:20 - The Importance of Mental Health30:49 - Challenges in Treating Chronic Pelvic Pain31:24 - The Role of Surgery and Mental Health in Pain Management34:00 - Barriers to Effective Pelvic Floor Physical Therapy35:40 - The Complexity of Treating Dysmenorrhea44:11 - Exploring Personalized Medicine and AI in Pain Management51:22 - The Future of Pain Management and AI54:25 - The Role of Big Data and AI in Medical Research59:25 - Final Thoughts
In their last Behind the Knife episode, the Hernia Content Team from Carolinas Medical Center discusses quality improvement in abdominal wall reconstruction (AWR). The complexity of AWR patients makes this discipline a perfect match for quality improvement efforts. The group review two papers published by their group: one that tracks patient outcomes over time and then another that reviews a specific quality improvement initiative (penicillin allergy protocol). Hosts: · Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery, Endeavor Health (Evanston, IL), @SAyusoMD (Twitter) · Dr. Monica Polcz, Assistant Professor, University of South Florida (Tampa, FL) · Dr. Vedra Augenstein, Professor of Surgery, Carolinas Medical Center (Charlotte, NC), @VedraAugenstein (Twitter) · Dr. Todd Heniford, Chief of GI & MIS, Carolinas Medical Center (Charlotte, NC), @THeniford (Twitter) Learning Objectives: - Define Quality Improvement and its Importance in Surgical Practice - Identify Key Strategies and Examples of Quality Improvement Initiatives in Abdominal Wall Reconstruction - Explain the Process of Implementing and Evaluating a Quality Improvement Project - Recognize the Value of Multidisciplinary Collaboration in Quality Improvement Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
In this episode, the Surgical Endoscopy team, accompanied by Chief Medical Officer Dr. Brian Dunkin of Boston Scientific, review primary and revisional endoscopic treatment options for bariatric patients. They focus on the emerging data available for procedures such as endoscopic sleeve gastroplasty (ESG) and endoscopic gastrojejunal revision (EGJR) and offer technical tips on how to perform the procedures. In addition, they discuss accessibility challenges for patients and provide insight into the future direction of bariatric endoscopy as a field. Hosts: · Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery, Endeavor Health (Evanston, IL), @SAyusoMD (Twitter) · Dr. Trevor Crafts, Minimally Invasive Surgeon, Rocky Mountain VA Medical Center (Denver, CO), @CraftsTrevor (Twitter) · Dr. H. Masson Hedberg, Minimally Invasive Surgeon, Endeavor Health (Evanston, IL) · Dr. Michael Ujiki, Professor and Louis Biegler Chair of Surgery, Endeavor Health (Evanston, IL), @UjikiMike · Dr. Brian Dunkin, Chief Medical Officer at Boston Scientific, @briandunkinmd Learning Objectives: - Identify and Describe Common Endobariatric Procedures: Learners will be able to name and briefly describe at least three common endobariatric procedures discussed in the episode, including Endoscopic Sleeve Gastroplasty (ESG), Endoscopic GJ Revisions (Transoral Outlet Reduction - TORR/EGJR), and Intragastric Balloons, along with their historical context and evolution. - Explain the Mechanism and Benefits of Endoscopic Sleeve Gastroplasty (ESG): Learners will be able to articulate the procedural technique of ESG, including the U-shaped suture pattern, its impact on gastric volume reduction, and the proposed mechanisms of weight loss, such as slowed gastric emptying and hormonal changes, as compared to laparoscopic sleeve gastrectomy. - Discuss the Role of Technology and Training in Endobariatrics: Learners will be able to explain the significance of endoscopic suturing devices like the Overstitch in the advancement of endobariatric procedures and recognize the importance of specialized training, including the recommendations against fundal suturing for safety during the initial learning curve. - Compare and Contrast Endobariatric Procedures with Surgical and Pharmacological Obesity Treatments: Learners will be able to discuss the position of endobariatric procedures as a "gap therapy" in the spectrum of obesity treatments, highlighting their benefits such as reduced invasiveness, lower complication rates, faster recovery, and increased patient access compared to surgery, as well as their potential role in conjunction with pharmacologic therapies like GLP-1 agonists. - Recognize Key Considerations and Potential Complications of Endobariatric Procedures: Learners will be able to identify important technical considerations during ESG, such as achieving full-thickness bites while avoiding injury to adjacent organs, and describe common post-procedure issues associated with intragastric balloons, including nausea, vomiting, and the need for general anesthesia during removal. Discontinuation and Reinitiation of Dual-Labeled GLP-1 Receptor Agonists Among US Adults With Overweight or Obesity: https://pubmed.ncbi.nlm.nih.gov/39888616/ Surgical Endoscopy Series Ep. 1: An Introduction to Surgical Endoscopy: https://app.behindtheknife.org/podcast/surgical-endoscopy-series-ep-1-an-introduction-to-surgical-endoscopy Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
Entrepreneurship is often a winding road filled with unexpected twists, failures, and ultimately, moments of triumph. Few embody this journey as well as Michael Friedrich, who invested in and led Distalmotion from its infancy. Distalmotion has attracted funding from top-tier investors, such as Revival Healthcare Capital, Venturelab, Kinled Holding, and Swiss Entrepreneurs Fund.
Claim your complimentary gift of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)Is Metabolic and Bariatric Surgery Really Safe and Effective?For this episode, we dive into one of the most common questions surrounding weight management. Bariatric surgery can be a game-changer for many, but there are a lot of misconceptions and questions. Let's address them all.In this episode, I'm joined by Dr. Kyle Thompson, a bariatric and foregut surgeon at St. Joe's Hospital in Denver. With a general surgery residency at St. Joe's and a fellowship in minimally invasive and bariatric surgery from the Minnesota Institute for Minimally Invasive Surgery, Dr. Thompson brings years of expertise in the field. He's also the chair of Surgical Subspecialties at St. Joe's and serves on the boards of the Denver Academy of Surgery and the Colorado Obesity Society.Dr. Thompson explains the safety and benefits of bariatric surgery, highlighting how it's not only a proven weight loss option but also an effective solution for managing conditions like diabetes, sleep apnea, and heart disease. He covers the most common surgeries like the Sleeve, Gastric Bypass, and SADI, and why bariatric surgery can provide long-term results. Along with addressing common concerns, Dr. Thompson combats the stigma around obesity treatment and underscores the importance of treating obesity as healthcare, not a shortcut. He also emphasizes the value of finding the right support before and after surgery to ensure lasting success.For more expert insights from Dr. Thompson, be sure to listen to the full episode and get a deeper understanding of bariatric surgery and its benefits.Connect with Dr. Thompson:Website: Saint Joseph Hospital Connect with me:Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com
In their BTK debut, the Surgical Endoscopy team from Endeavor Health (formerly Northshore University Health System) discusses why it is important for surgeons to acquire basic and advanced endoscopic skills. There are an increasing number of ways to endoscopically intervene and solve problems that were traditionally relegated to open and minimally invasive surgery. The Surg Endo team presents a number of case-based scenarios that are going to set the stage for future discussions about the role of therapeutic endoscopy in surgical practice. Hosts: - Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery, Endeavor Health (Evanston, IL), @SAyusoMD (Twitter) - Dr. Trevor Crafts, Minimally Invasive Surgeon, Rocky Mountain VA Medical Center (Denver, CO), @CraftsTrevor (Twitter) - Dr. H. Masson Hedberg, Minimally Invasive Surgeon, Endeavor Health (Evanston, IL) - Dr. Michael Ujiki, Professor and Louis Biegler Chair of Surgery, Endeavor Health (Evanston, IL), @UjikiMike ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
In this episode, Scott Tackett, Intuitive's Vice President of Global Access, Value & Economics (GAVE), shares his career journey, from humble beginnings in a farming community in Missouri to building the market access, health economics and patient access organization at Intuitive. As a health economist and strategist, Scott shares his perspectives on the evolution of healthcare over the past two decades and the significance of health equity in the delivery of care. He highlights the importance for medical technologies to be relevant in addressing the significant challenges of healthcare systems by improving health care effectiveness, efficiency, and the overall experience - all central tenets of Intuitive's evidence-based approach to expanding patient access to minimally invasive care through robotic-assisted surgery. Looking ahead, he explores how Intuitive continues to purposely evolve its ecosystem and innovate to deliver meaningful value transfer to patients, physicians, providers, payers, and healthcare systems globally.This episode is sponsored by Intuitive.
Guest Renee Zhao works at the cutting-edge of robotic surgery – literally. Emboldened by advances in 3D-printing and miniaturization, she builds “millibots,” magnet-controlled, millimeter-scale soft robots that navigate the bloodstream to remove blood clots and treat brain aneurysms. While the millibot's promise is clear, much work remains before the devices are commonplace. Revolutionizing health care with surgical robots will require a delicate balance of design, buildability, and functionality, Zhao tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your quest. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Renee ZhaoConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces guest Renee Zhao, a professor of mechanical engineering at Stanford University.(00:03:34) Robotic Surgery and HealthcareRenee's inspiration for soft robotics and its potential in healthcare applications.(00:05:49) Current Status of Robotic SurgeryCurrent robotic surgery technologies and the push for more advanced solutions.(00:09:32) Nature-Inspired Soft RoboticsHow soft robotic systems are ideal for working within delicate human tissues.(00:11:41) Millirobotic SystemsRecently developed millimeter-sized robots that swim and navigate blood vessels.(00:14:46) Millirobot ControlThe role of magnetic fields and imaging technology for robot navigation.(00:17:18) Treating Blood Clots and AneurysmsThe multifunctional abilities of robots to deliver drugs and treat blood clots.(00:19:46) Doctor's Reaction to New TechnologyExcitement for the new robotic advancements amongst the need for better tools.(00:21:04) Trends in Robot Size and FunctionalityThe design challenges for creating small yet functional robots.(00:25:52) AI and Machine Learning in Robotic DesignAI's role in optimizing robot design for specific patients.(00:28:59) Why Millimeter-Scale RobotsWhy millirobots strike the right balance for performance and functionality.(00:32:34) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook
Behind the Knife ABSITE 2025 – Up-to-date and high yield learning to help you DOMINATE the exam. Don't forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet Be sure to check out our brand new free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library. Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.app Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2025 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/en-us/index.html If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts. Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
In this BTK episode, the Hernia Content Team from Carolinas Medical Center discusses the evolution of training in hernia surgery. The team reviews residency and fellowship training requirements for hernia surgery and compares the training paradigm in the United States with other examples from around the world. As the field of hernia surgery continues to mature, so will training the next generation of hernia specialists. Hosts: - Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery, Endeavor Health (Evanston, IL), @SAyusoMD (Twitter) - Dr. Monica Polcz, Attending Surgeon, Baptist Health (Miami, FL) - Dr. Vedra Augenstein, Professor of Surgery, Carolinas Medical Center (Charlotte, NC), @VedraAugenstein (Twitter) - Dr. Todd Heniford, Chief of GI & MIS, Carolinas Medical Center (Charlotte, NC), @THeniford (Twitter) Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
In this episode, Dr. John Peloza, orthopedic spine surgeon at Midwest Orthopedic and Spine, shares his journey in minimally invasive spine surgery and discusses how technological advancements like robotic surgery and disc replacements are improving outcomes for patients. Dr. Peloza also explores the future of regenerative medicine and strategies for making high-quality spine care more accessible and affordable.
In this episode, Dr. John Peloza, orthopedic spine surgeon at Midwest Orthopedic and Spine, shares his journey in minimally invasive spine surgery and discusses how technological advancements like robotic surgery and disc replacements are improving outcomes for patients. Dr. Peloza also explores the future of regenerative medicine and strategies for making high-quality spine care more accessible and affordable.
Have you ever wondered if the pouch reset diet is a good idea or too extreme? In today's episode, Dr. Edmund Chen joins us to break down the myths and misconceptions surrounding pouch reset diets in bariatric surgery. Dr. Chen dives into why quick-fix approaches can be dangerous and emphasizes the importance of building healthy eating habits and staying in touch with your healthcare team. Together, we discuss the goals you should focus on—like non-scale victories and realistic milestones—and why BMI alone doesn't define your health. This conversation is all about redefining success and staying positive on your journey! IN THIS EPISODE: [:29] Check out the BariNation online membership community. [2:30] Is the pouch reset diet a good idea or too extreme? [5:23] Going back to the basics of tracking and measuring your food. [7:17] Faithfully using the Bari Good Day Checklist found in the BariNation community to stay on track. [9:21] Talk to your healthcare provider when you have a concern. [12:50] Dr. Chen gives the listener advice on this chronic disease. KEY TAKEAWAYS: Pouch reset diets are not a healthy approach to eating. They mimic the highly restrictive calorie intake of the initial one to two weeks after surgery, which is not sustainable or balanced long-term. Consistent healthy eating habits and regular exercise will help you achieve your weight loss goals. Being mindful of what you eat and making nutritious food choices will significantly affect your overall well-being. Many people let their emotions trigger unnecessary panic about their progress. Instead, focus on setting realistic goals and lean into support from the BariNation community. If you're feeling discouraged, contact your medical provider—they can guide you through the steps needed for your unique situation. RESOURCES: BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-community Want to see bonus content? Head over to Patreon to get more and to support the podcast for as low as $5 per month! https://www.patreon.com/BariNationPodcast GUEST RESOURCES: Texas Center For Surgery - Website TCBAS BariNation Membership - Website Dr. Edmund Chen - LinkedIn BIOGRAPHY: Dr. Edmund Chen, MD Dr. Chen is a published researcher, national presenter, and Master da Vinci bariatric surgeon. He first became interested in bariatric surgery while doing metabolic research at the National Institutes of Health in Washington, D.C., in 2008. Dr. Chen graduated with honors from Johns Hopkins University with a biology degree and earned his medical degree from Cornell University. He then devoted two years to research at Northwestern University and began his general surgical training at Northwestern Memorial Hospital, Feinberg School of Medicine in Chicago. He graduated from the Duke University Fellowship program for Minimally Invasive Surgery. Dr. Chen is dedicated to performing safe, effective surgery that is individualized for each patient. He is known for delivering the highest level of care with compassion, dignity, and respect for the patient and their family. He exclusively uses the state-of-the-art da Vinci surgical system to optimize patient outcomes. He performs ultra minimally invasive procedures, including gastric sleeve, gastric bypass, LAP-BAND, duodenal switch, omega loop, mini gastric bypass, SADI-S, bariatric revisions, cholecystectomy, appendectomy, and hernia repairs. ABOUT: If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty. --- Support this podcast: https://podcasters.spotify.com/pod/show/barination/support
Stay up to date on the latest advancements in gynecologic surgery. In this episode of the BackTable OBGYN Podcast, hosts Dr. Amy Park and Dr. Mark Hoffman invite Dr. Johnny Yi, a pioneer in the field of minimally invasive surgery and urogynecology, to discuss the latest advancements in, benefits of, and challenges with single port robotic gynecologic surgery. --- SYNPOSIS The discussion covers evolutionary strides in robotic-assisted surgeries such as sacral colpopexy and myomectomies, the transition from traditional laparoscopy, and the intricacies of handling large uteri procedures. The episode also navigates the global adoption of these technologies, particularly in South Korea and Japan, and the varying applications in different specialties. Key topics include surgical skill requirements, training needs, innovative techniques, FDA approvals, and the future potential of single port surgeries. Overall, this discussion provides a well-rounded perspective on the current state and forward-looking innovations in the field of gynecologic surgery. --- TIMESTAMPS 00:00 - Introduction 03:57 - Single Port Robotic Surgery 08:27 - Benefits of Robotics with Sacral Colpopexy 11:37 - Technical Aspects of Single Port Surgery 14:40 - Training for Single Port Surgery 19:43 - Global Adoption and Future Potential of Single Port Surgery 25:35 - Access into the Abdomen 29:39 - Challenges and Innovations in Single Port Surgery 31:34 - Evaluating Risks and Success Rates 33:16 - Cost Analysis 35:16 - Training and Simulation for Single Port Surgery 39:35 - Future of Single Port and vNOTES Surgery 45:05 - Patient Reactions and Satisfaction 46:34 - Closing Techniques 52:14 - Future Prospects and Final Thoughts --- RESOURCES Oh S, Yi J, Song AY, Jee J, Bae N, Shin JH. Intraoperative Complications and Perioperative and Surgical Outcomes of Single-Port Robotics-Assisted Sacrocolpopexy. Int Urogynecol J. 2024 Jul; 35 (7):1521-1526 Epub 2024 June 20.
In this episode, we discuss the evidence behind one layer and two layer Cesarean closures with an emphasis on inclusion of the endometrium and the risk of cesarean scar ectopics and placenta accreta spectrum disorders. Plus, we define minimally invasive surgery and trace the origin of the term and it's introduce a new concept: less invasive vs minimally invasive surgery. 00:00:02 Hysterotomy Closure Techniques in Cesarean Deliveries00:14:46 Debunking Claims About Cesarean Techniques00:27:20 Uterine Closure Techniques in Cesarean Deliveries00:36:44 Defining Minimally Invasive Surgery00:48:18 Advanced Techniques in Minimally Invasive SurgeryFollow us on Instagram @thinkingaboutobgyn.
Dr. Schwartz received his undergraduate and medical degrees from Harvard University, where he graduated Magna Cum Laude. After completing his residency and chief residency in Neurosurgery at The Neurological Institute of NewYork at Columbia-Presbyterian Medical Center, Dr. Schwartz spent a year at Yale-New Haven Medical Center receiving advanced fellowship training. Dr. Schwartz specializes in the surgical treatment of brain tumors, pituitary tumors, and epilepsy using the latest techniques in computer-guided surgical navigation, minimally invasive endoscopy, and microsurgery. Dr. Schwartz was recently named David and Ursel Barnes Professor in Minimally Invasive Surgery, the first endowed professorship in the department.Dr. Schwartz has provided commentary for numerous television shows on ABC, NBC, CBS, and Larry King, in addition to national radio shows. His expertise has been sought through interviews, quoted and published, in the Wall Street Journal, The New York Post, The New York Daily News, and Crain's New York Business; he is asked to lecture throughout the country and world. Dr. Schwartz has published many scholarly articles for the Journal of Neurosurgery, Neurosurgery, Epilepsia, Clinical Neurosurgery the Journal of Neuro-Oncology, Nature Medicine, NeuroImage and the Journal of Neuroscience.Dr. Schwartz has been named one of New York's Super Doctors, Best Doctors in New York Magazine, America's Top Surgeons, America's Best Doctors and America's Best Doctors for Cancer. He is the co-author of two books on endoscopic skull base surgery and endoscopic pituitary surgery.
Brigitte Brisson, DMV, DVSc, DACVS from the Ontario Veterinary College at the University of Guelph joined us on OsteoBites to introduce Magnetic Resonance guided High Intensity Focused Ultrasound as a treatment modality for osteosarcoma and describe preliminary results in canine patients.High Intensity focused ultrasound (HIFU) is a non-invasive percutaneous thermal ablation technique that allows deep tissue treatment with precise control over the shape and location of energy deposition. It causes minimal collateral damage and can be used to treat primary and metastatic tumours. In addition to its role in tumour ablation, HIFU has attracted attention for its potential to stimulate the immune system and possibly mount a response against metastasis. In humans, HIFU has been used for ablation of a variety of soft tissue tumours and most recently, it has been used in bone applications, specifically for the treatment of osteoid osteoma (OO) lesions in pediatric patients. Other reported bone applications include bone metastasis and osteosarcoma.Dr. Brigitte Brisson is a professor of soft tissue surgery in the Department of Clinical Studies at the Ontario Veterinary College (OVC). She graduated from the Faculté de Médecine Vétérinaire at the University of Montreal in 1996. She performed a small animal rotating internship at the OVC followed by a Surgery residency with concurrent Doctor of Veterinary Science (DVSc) in small animal surgery. She became board certified in small animal surgery (ACVS) in 2001 and has since been on faculty at the Ontario Veterinary College. She is an ACVS Founding Fellow in Minimally Invasive Surgery and a Founding Member of Veterinary Neurosurgical Society.
Description: Hosts Roz and Josh are joined by Maria Alejandra Mendoza, MD to discuss the key articles of the August issue of American Journal of Transplantation. [01:57] Impact of deceased organ donor marijuana use on donor culture positivity and solid organ transplant recipient outcomes https://doi.org/10.1016/j.ajt.2024.02.022 [13:11] China Issued Rules on Human Organ Donation and Transplantation https://doi.org/10.1016/j.ajt.2024.04.002 [21:10] Advancing Mouse Models for Transplantation Research https://doi.org/10.1016/j.ajt.2024.01.006 [30:05] Differential induction of donor-reactive Foxp3+ Treg via blockade of CD154 vs. CD40 https://doi.org/10.1016/j.ajt.2024.03.033 [40:27] Total Robotic Liver Transplant: The Final Frontier of Minimally Invasive Surgery https://doi.org/10.1016/j.ajt.2024.03.030
The 2023 update to the AORN Minimally Invasive Surgery Guideline introduced significant changes to enhance patient safety and improve perioperative care. Here are some of the key highlights: Preoperative AssessmentEnhanced patient assessment: The guideline emphasizes a more comprehensive preoperative assessment to identify potential risks and complications associated with minimally invasive surgery (MIS). Fluid deficit thresholds: New recommendations focus on determining patient-specific maximum hysteroscopic fluid deficit thresholds to prevent complications. Collaboration and CommunicationTeam-based approach: The updated guideline promotes a collaborative approach among perioperative team members to improve communication and efficiency. Robotic-assisted procedures: Specific recommendations address communication and workflow processes for robotic-assisted procedures. Emergency preparedness: The guideline includes guidance on preparing for potential conversions to open procedures and other emergencies. Safety and TechnologyMRI safety: New recommendations focus on MRI safety for patients undergoing MIS procedures. Flexible endoscopes: Updated recommendations address the sterilization and handling of flexible endoscopes to reduce the risk of infection. Robotics and technology: The guideline incorporates advancements in robotics and other technologies to optimize patient care and outcomes. Purchase the guideline book at https://info.aorn.org/2024-guidelines-for-perioperative-practice-book-sale.html.#perioperative #periop #periopnurse #ornurse #nurselife #nurses #minimallyinvasivesurgery #nurse #nursingSupport the Show.Welcome to the Periop Talk—your go-to vlog and podcast series where we examine the world of perioperative nursing.Episode after episode, we're bringing you professional tips, clinical wisdom, and personal stories that'll make you feel like you're chatting with your work BFFs. Curious about the latest surgical techniques? We got you. Wondering how to navigate the challenges of the periop journey? We're here for that too.Our vlog and podcast series isn't just about sharing information; it's about building a community. Meet the people behind the masks, hear their journeys, and join the rotation of periop professionals making a difference. From students and new nurses to seasoned pros, we've got content for every stage of your perioperative practice.Periop Talk is your peek behind the red line to the world of perioperative nursing. It's not just about the OR – it's about the heart and soul of healthcare. Let's scrub in and share the periop love!Watch us at: (1) Periop Talk vlog - YouTube
Can personal experiences with heart disease shape the future of heart surgery? Join me as I sit down with Dr. Danny Ramzy, a groundbreaking minimally invasive heart surgeon, to unravel his inspiring journey in medicine. Driven by his family's history with heart disease, Dr. Ramzy transitioned from classical training to becoming a pioneer in robotic heart surgery. He recounts his first encounter with robotic techniques during his fellowship and how these innovations have revolutionized procedures like unroofing myocardial bridges, offering patients faster recoveries with minimal life disruption. What makes robotic surgery a game-changer in treating myocardial bridges? The conversation shines a spotlight on the meticulous techniques Dr. Ramsey employs to free arteries from muscle encasement and the complexities involved with smaller arteries. We delve into the choice between traditional sternotomy and robotic approaches, underscoring the pivotal role of surgical experience. Dr. Ramsey also introduces us to the latest advancements in robotic surgery, including haptic feedback, which enhances precision and safety, making these procedures more effective than ever. How do we differentiate between benign intramyocardial vessels and pathological myocardial bridges? Our discussion delves into the essential diagnostic protocols and personalized treatments necessary for optimal patient outcomes. Dr. Ramsey clarifies the significant benefits of surgical unroofing for symptomatic patients and highlights the ongoing advancements at McGovern Medical School at the University of Texas Health in Houston. We'll wrap the episode by acknowledging the vibrant myocardial bridge community and Dr. Ramsey's unwavering dedication to improving patient care and outcomes. To reach Dr. Ramzy's office you can call 713-486-6690 and schedule an appointment for a consultation. Episode Highlight Timestamps (03:21 - 05:18) Robot-Assisted Unroofing for Myocardial Bridges (13:10 - 14:06) Endovascular Unroofing of Arteries (18:11 - 21:55) Myocardial Bridge Unroofing Importance (25:44 - 26:48) Global Advancements in Robotic Surgery (28:39 - 29:53) Consultation Process for Robotic Surgery Episode Chapter Summaries (00:00) Minimally Invasive Heart Surgery Innovations. Dr. Ramzy's journey to becoming a minimally invasive heart surgeon, influenced by family experiences and technology, and his use of robotics for unroofing myocardial bridges. (12:11) Robotic vs. Minimally Invasive Surgery. Unroofing myocardial bridges in LAD artery, considering surgical approach and advancements in robotic surgery for precision and safety. (18:35) Advancements in Robotic Heart Surgery. Myocardial bridges are complex and often misunderstood, but surgical unroofing can benefit symptomatic patients. (29:49) Sharing Stories of Myocardial Bridge. Facebook group supports patients with myocardial bridge, emphasizing accurate diagnosis and ongoing efforts to understand and treat the condition.
Join us for an insightful conversation with Vendela Martin, a trailblazing medical sales rep and LinkedIn content creator who transitioned from B2B sales at ADP to an impactful role in medical device sales, specializing in minimally invasive surgery for GYN surgeons. Vendela shares her journey and the pivotal moments that validated her career change, offering a glimpse into the importance of her product and the collaborative dynamics of her team. This episode is a must-listen for anyone looking to understand the complexities and rewards of a career in medical sales. Gain an exclusive peek into the world of LinkedIn content creation as Vendela talks about her inspirations and the challenges she overcame to build a strong professional network. From early morning surgeries to strategic planning sessions, Vendela walks us through her daily routine, highlighting the dedication required to succeed in this demanding field. She even shares her latest literary and cinematic inspirations, including "The Confident Mind" by Nate Zinsser and the movie "Cabrini," adding a personal touch to her professional narrative. Finally, we explore the power of personal branding on social media and how Vendela's experiences in Florida have fueled her drive and ambition. Discover the innovative strategies she uses to stand out in the medical sales industry and learn how you too can climb the ranks to executive-level leadership. Whether you're an aspiring medical sales professional or a seasoned veteran, Vendela's insights and advice will leave you feeling motivated and ready to take your career to the next level. Meet the guest Vendela Martin is a dedicated medical device territory manager and innovative content creator who has made significant strides in the industry. Specializing in minimally invasive surgery, she collaborates closely with a team of account managers and clinical specialists. Vendela transitioned from B2B sales at ADP to medical sales, driven by a pivotal moment in her second job that highlighted the impactful nature of her work. Emphasizing the importance of standing out in the competitive medical sales landscape, she began creating content on LinkedIn about a year ago, inspired by Omar Khatib's program. This venture has not only allowed her to connect with surgeons in novel ways but also opened up valuable networking and career opportunities. Vendela is passionate about encouraging others to overcome their fears and pursue content creation to enhance their professional journeys. Connect with her: https://www.linkedin.com/in/vendelamartin This Podcast offers a pathway to continuing education via this CMEfy link: https://earnc.me/mgh1kr
For years if you had a neurological disease or episode, a neurosurgeon would drill into the skull to work directly in the brain to treat and or locate the occurrence. Neuro-interventional surgery is minimally invasive surgery for neurological diseases and occurrences that reduces recovery times as well as surgery length with incredible results. Learn more as we sit with Dr. Mary Lee Jensen, neuro-interventional radiologist at Centra. For more content from Centra Health check us out on the following channels.YouTubeFacebookInstagramTwitter
Today, more and more surgeons are talking about Minimally Invasive Cardiac Surgery (MICS). The patient is the center of everything, and this is the reason why surgeons are challenged every day in the OR to offer the best of themselves. MICS is a new era of surgery which allow to the patient optimum conditions before, during and after the procedure. But what means MICS? What are the challenges to perform MICS ? In this episode, Dr. Gianluca TORREGROSSA explains how Minimally Invasive Cardiac Surgery plays a special role in the current era of cardiac surgery. Dr TORREGROSSA was graduated from the University of Padua Itlay in 2006. In 2011, he was a part of the team who implanted the first total artificial Heart in Italy. Few years later he was appointed Associate director of Robotic Heart Surgery at Mount Sinai St Luke (NYC), then joined the Cardiac Robotic and Minimally Invasive Division of Surgery at University of Chicago and since 2021 he is the Director of the Robotic Coronary Program in Main Health Hospital Philadelphia. Dr Torregrossa is the author of more than 80 publications in peer-reviewed journals, including 1 book. He serves as reviewer for several journals, and his current h index is 12. Finally, he speaks 4 languages and crossed the Sahara twice on his motorbike. Visit his LinkedIn profile: Gianluca Torregrossa | LinkedIn About Behind the OR Behind the OR is the official podcast channel by Peters Surgical. Here, we invite you to step into the world of surgery, where we uncover what happens behind the closed doors of the operating room and beyond. Each episode features in-depth conversations with expert surgeons, providing insights into the latest surgical techniques, innovations, and the daily lives of those who dedicate themselves to saving lives. Founded in 1926, Peters Surgical is a French company with a global presence in over 90 countries. As a reference group for surgical practices worldwide, we are dedicated to improving surgical outcomes through innovative medical devices, including surgical sutures, hemostatic clips, and surgical glue. Our expertise lies in designing, manufacturing, and distributing these devices. Visit our website here : https://peters-surgical.com/
While both fibroids and endometriosis can affect your well-being, they're distinct conditions. Understanding the differences between these two common female health challenges can empower you to explain your symptoms effectively and work with your doctor to find the right path to relief. Understanding the difference between fibroids and endometriosis is worthwhile to understand your health better, explain your symptoms to your physician, and pursue a treatment plan to alleviate any symptoms. We recently chop't it up with Renowned Surgeon Michael L. Lewis, MD. Dr. Lewis is a board-certified OB/GYN practicing in beautiful Park Slope, Brooklyn, New York. He completed his residency in Obstetrics and Gynecology at New York Methodist Hospital and a fellowship in Minimally Invasive Surgery at Stanford University in California. He is currently the Director of Minimally Invasive Gynecologic Surgery and Associate Residency Program Director. His expertise includes but not limited to: Gynecologic Hormonal Disorders Intrauterine Device (IUD) Intrauterine Device (IUD) and Contraceptive Implant Placements and Removals Pre-Conception Counseling Colposcopy Contraceptive Care Pregnancy Termination --- Send in a voice message: https://podcasters.spotify.com/pod/show/karmisha-superville/message Support this podcast: https://podcasters.spotify.com/pod/show/karmisha-superville/support
Laparoscopic cholecystectomy was introduced approximately 30 years ago and quickly became the gold standard due to multiple benefits over open cholecystectomy. It ushered in the laparoscopic revolution but also increased the number of bile duct injuries. Through the dedicated efforts of many the rate of bile duct injury has been reduced, now mirroring open cholecystectomy. The robotic surgery revolution is well underway and unsurprisingly this technology has been applied to cholecystectomy. Given the devastating nature of bile duct injury and the history of increased injury with the last major shift in operative approach, we examine the current literature on the comparative safety of robotic-assisted cholecystectomy vs. laparoscopic cholecystectomy. 1. Andrew Wright, UW Medical Center – Montlake and Northwest, @andrewswright 2. Nick Cetrulo, UW Medical Center - Northwest, @Trules25 3. Nicole White, UW Medical Center - Northwest 4. Paul Herman, UW General Surgery Resident PGY-3, @paul_herm 5. Ben Vierra, UW General Surgery Resident PGY-2 @benvierra95 Learning objectives: 1. Examine the history of the laparoscopic cholecystectomy and review the efforts to reduce bile duct injury (SAGES Safe Cholecystectomy Task Force and Multi-Society Practice Guideline) 2. Review literature on causes and prevention of bile duct injury 3. Review a recent article on robotic cholecystectomy vs laparoscopic cholecystectomy outcomes 4. Describe precautions that might mitigate expected increase in bile duct injury as a new approach is applied References 1. https://www.sages.org/publications/guidelines/safe-cholecystectomy-multi-society-practice-guideline/ 2. https://www.sages.org/safe-cholecystectomy-program/ 3. MacFadyen BV Jr, Vecchio R, Ricardo AE, Mathis CR. Bile duct injury after laparoscopic cholecystectomy. The United States experience. Surg Endosc. 1998 Apr;12(4):315-21. doi: 10.1007/s004649900661. PMID: 9543520. https://pubmed.ncbi.nlm.nih.gov/9543520/ 4. Keus F, de Jong JA, Gooszen HG, van Laarhoven CJ. Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev. 2006 Oct 18;(4):CD006231. doi: 10.1002/14651858.CD006231. PMID: 17054285. https://pubmed.ncbi.nlm.nih.gov/17054285/ 5. Way LW, Stewart L, Gantert W, Liu K, Lee CM, Whang K, Hunter JG. Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg. 2003 Apr;237(4):460-9. doi: 10.1097/01.SLA.0000060680.92690.E9. PMID: 12677139; PMCID: PMC1514483. https://pubmed.ncbi.nlm.nih.gov/12677139/ 6. Kalata S, Thumma JR, Norton EC, Dimick JB, Sheetz KH. Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. JAMA Surg. 2023;158(12):1303–1310. doi:10.1001/jamasurg.2023.4389 https://pubmed.ncbi.nlm.nih.gov/37728932/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
Comprehensive, relevant and insightful conversations about health and medicine from the largest healthcare system in the Maryland D.C. region: this is MedStar Health DocTalk.In our latest podcast episode, host Debra Schindler talks with thoracic surgeon Dr. Duane Monteith and gastroenterologist Dr. Dana Sloan for a comprehensive look into esophageal cancer. They discuss everything from early symptoms and risk factors to advanced treatment options like minimally invasive surgery. This episode is packed with valuable insights that could make a significant difference in early detection and treatment. For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.
Join all six Gut Check hosts as they talk with Dr. Peter Marcello, Associate Professor of Surgery, Tufts University School of Medicine and Chair of the Division of Colon & Rectal Surgery at the Lahey Clinic, Burlington, Massachusetts. Listen as hosts and their guest get deep into the world of surgical procedures that have changed the landscape of modern medicine. From laparoscopic surgeries to robotic-assisted procedures, we explore a diverse array of techniques that fall under the umbrella of minimally invasive surgery.
Interview with thoracic surgeon Jason Wallen, MD
Retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero joins us to share his remarkable journey from the front lines to the forefront of surgical innovation. Imagine the battlefield's high stakes where every second counts, and the tools at your disposal can mean the difference between life and death. His tales of life-saving speed and adaptability in the most austere conditions reveal the genesis of his revolutionary contribution to surgical technology—a battlefield-optimized surgical retractor. Our conversation with Dr. Cestero isn't just a walk through his experiences; it's a masterclass in the resilience and resourcefulness required in military and civilian trauma surgery. Throughout the episode, we witness the evolution of surgical retractors over the past few centuries, from their rudimentary origins to the state-of-the-art devices we see today. From the necessity that birthed his new retractor system to the behind-the-scenes look at transforming a concept into a globally utilized device, the narrative is as engaging as it is instructive. Dr. Cestero's insights into balancing the demands of a full-time surgical career with medical entrepreneurship are a candid reflection on the challenges and triumphs of innovation. As we round out the discussion, Dr. Cestero doesn't just rest on his laurels; he casts a strategic eye toward the future of trauma surgery. With a nod to the lessons of past conflicts, we discuss the dynamic nature of military medicine and the implications for surgeons in rapidly evolving combat environments. We get into the Navy's shifting strategies, the importance of adaptable surgical teams, and the next wave of advancements set to revolutionize trauma care. It's a riveting exploration of how technologies like Dr. Cestero's retractor, along with advancements in operating room efficiency and training, stand to elevate patient care in both military operations and civilian trauma centers. Prepare to be inspired by the potential that lies ahead, as we uncover the innovations set to revolutionize the experience of patients and surgeons alike. Chapters: (00:04) Military Trauma Surgeon's Innovative Approach (08:07) Innovating Surgical Retractors (13:51) From Idea to Global Commercialization (19:06) Innovative Surgical Retractor System Design (31:10) Future Innovations in Trauma Surgery Chapter Summaries: (00:04) Military Trauma Surgeon's Innovative Approach This chapter features retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero, who shares insights from his multiple global deployments, emphasizing the importance of proper equipment, speed, and adaptability in trauma surgery under austere conditions. I discuss with him how these experiences led to his development of a battlefield-optimized surgical retractor and the challenges of bringing such innovations to widespread use. Dr. Cestero also reflects on the unique aspects of serving as a trauma surgeon in the Navy Reserves, highlighting the balance between maintaining military connection and civilian practice, and offers suggestions for enhancing reserve surgeons' team experience and training. We explore the current gaps in trauma surgery research and what future innovations Dr. Cestero envisions. (08:07) Innovating Surgical Retractors This chapter uncovers the pressing need for innovation in surgical equipment, specifically retractors, through a surgeon's experiences working in both austere military settings and a Level 1 trauma center. I discuss the challenges faced during surgeries without adequate resources, such as the absence of platelets and the struggle for exposure in critical procedures, which can lead to life-threatening delays. The narrative is anchored by a poignant case of a young soldier with severe injuries, whose outcome might have been different with better surgical tools. We explore the history of surgical retractors, from their evolution in the Renaissance to modern table-mounted systems, and the inspirations behind famous designs like the Balfour and Bookwalter retractors. (13:51) From Idea to Global Commercialization This chapter unfolds the journey of developing a new surgical retractor system, from the spark of innovation to international commercialization. Dr. Cestero shares his story of collaborating with a tech transfer office and co-inventing with a biomedical engineer to create a prototype, which we tested successfully on a cadaver. He highlights the challenges of balancing a full-time surgery career with entrepreneurship, leading to a gradual transition to dedicating myself fully to the company. Ramon also touches on the process of patenting, fundraising, and gathering feedback from various medical professionals to refine the prototype. (19:06) Innovative Surgical Retractor System Design This chapter, we explore the design and functionality of a revolutionary surgical retractor system that addresses common frustrations surgeons face with traditional retractors. We examine how its one-way assembly prevents incorrect setup, the satisfying ratchet sound that signals secure placement, and its adaptability to different incision sizes. The system's lightweight nature at only two pounds and compatibility with Bookwalter components are highlighted, along with its efficiency in providing exposure of the abdominal wall and retroperitoneum. A personal story reveals the retractor's surprising lightness and convenience in a combat environment, emphasizing its practicality for both the operating room and field surgery. Additionally, we discuss how the retractor can be adapted for upward lift, enhancing visibility in deep pelvic or upper abdominal procedures. (31:10) Future Innovations in Trauma Surgery This chapter focuses on the anticipated changes in military medical operations, drawing parallels with historical conflicts such as World War II and emphasizing the necessity for adaptability in modern warfare environments. We discuss the likelihood of increased casualties, the need for prolonged field care, and the possibility of surgeons re-operating on patients due to limited evacuation options. Additionally, we cover the Navy's evolving role and the potential shift toward more mobile surgical teams at sea. In terms of trauma surgery advancements, we touch on the ongoing efforts to improve blood product availability and the challenges faced by trainees with the transition from open to minimally invasive surgery. The conversation also highlights the importance of enhancing operating room efficiency, particularly through innovations in surgical retractors, lighting, and integration of suction to improve patient outcomes and the overall surgical experience. **This Episode was supported in part by a generous educational grant from Advanced Surgical Retractor Systems, INC.** Take Home Messages: Military trauma surgery experiences have significantly contributed to the development and innovation of surgical technology, particularly in the design of surgical retractors optimized for battlefield conditions. The evolution of surgical retractors has been influenced by the necessity to operate efficiently under resource-limited conditions, with historical designs like the Balfour and Bookwalter retractors laying the foundation for modern advancements. A surgeon's ability to adapt and operate quickly in austere environments can have life-saving implications, underscoring the importance of equipment that is both effective and transportable. Bringing a new medical device from concept to global commercialization involves collaboration with engineers, navigating the patenting process, fundraising, and obtaining feedback from medical professionals to refine the design. The design of the discussed innovative surgical retractor system aims to address common frustrations, such as incorrect assembly, while providing rapid and secure placement, adaptability to different incision sizes, and compatibility with existing surgical components. Future innovations in trauma surgery are anticipated to include improved blood product availability, more efficient operating room technologies, and training adjustments to accommodate the transition from open to minimally invasive surgery. Military medical operations are likely to face changes with increased casualty numbers, necessitating adaptable and mobile surgical teams capable of prolonged field care and re-operation on patients. Enhancements in surgical tools can lead to better patient outcomes by improving exposure and efficiency in the operating room, even under combat or emergency conditions. Surgeons must balance maintaining traditional techniques with embracing new, potentially life-saving technologies, and training is essential for the successful adoption of innovative surgical devices. Operating room efficiency is critical not only in civilian trauma centers but also in military operations, with technological advancements being crucial to adapting to future combat environments and potentially high-casualty scenarios. Episode Keywords: Military Trauma Surgery, Surgical Retractors, Innovation, Battlefield, Austere Conditions, Surgical Technology, Resilience, Resourcefulness, Operating Room Efficiency, Medical Entrepreneurship, Trauma Care, Navy, Surgical Teams, Blood Product Availability, Minimally Invasive Surgery, Operating Room Integration, Suction, Patient Outcomes Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #TraumaSurgery, #SurgicalInnovation, #MilitaryMedicine, #CombatSurgeon, #MedicalBreakthroughs, #OperatingRoomTech, #SurgicalRetractor, #MedicalEntrepreneurship, #TraumaCare, #MilitaryHealthcare Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. 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Minimally invasive spine surgery isn't right for every patient but when it is used, these procedures are muscle sparing, and often have faster recovery time. Sasha Vaziri, MD, is a neurosurgeon in Sarasota trained in minimally invasive spine surgery, and discusses the advancements made to help patients have great outcomes.You can also watch the video recording on our Vimeo channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.
This episode features David Goldberg, Executive Vice President, Vandalia Health and President & CEO Mon Health System, Dr. Wissam Gharib, Interventional Cardiologist, Medical Director of Structural Heart and Catheterization Laboratories at Mon Health Heart & Vascular Center, and Dr. Jaschar Shakuri-Rad, Urologist and Robotic Surgeon, Medical Director of Robotic and Minimally Invasive Surgery, Mon Health Medical Center. Here, they discuss key insights into their backgrounds & organizations, what will propel Vandalia Health's growth in 2024, Dr. Gharib's role in paving the way for renal denervation in the United States, how robotics and surgery is curving care delivery and changing the lives of patients, and more.
In today's episode, I sit down with Dr. Peter Bonutti to talk about the ways in which technologies are revolutionizing our understanding of the brain, and how they may be used to treat crippling brain disorders such as stroke and seizures. Dr. Peter Bonutti, M.D. is a surgeon, inventor, author, professor, consultant, and entrepreneur. He is the founder of Bonutti Research, a medical device incubator that has developed products and technology used around the world. He maintains his clinical and surgical practice, focusing on the integration of robotics into surgical procedures. He is the founder and president of Releave, a company whose technology has already been clinically proven in more than 700 patients for the treatment of a brain related disorder. Realeve's ultimate goal is to solve one of the critical remaining barriers in brain health: the ability to bypass the brain's natural barrier preventing the delivery of effective drugs for stroke, cancer treatment, and other degenerative orders. Dr. Bonutti is a pioneer in Minimally Invasive Surgery, has over 500 patents and applications, more than 700 licenses and multiple FDA-approved products to date. Major corporations leveraging his technology include Hitachi, Kyphon, Covidien, US Surgical, Biomet, Arthrocare, Synthes, Zimmer/Biomet and Stryker. He is a prolific speaker, lecturing internationally, and has trained over 100 surgeons on his surgical techniques. In his career, Dr. Bonutti has received more than a dozen industry honors and awards for his achievements. Dr. Bonutti earned his medical degree at University of Cincinnati College of Medicine and completed his Orthopaedic Surgery Residency at Cleveland Clinic Foundation with international fellowships in Canada, Australia, and Austria.
MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: November 30, 2017 Last week was all about how destroying bad brain can help patients with epilepsy. This week, in a stimulating discussion with Dr. Becker, we're reviewing the ways we can activate the nervous system in order to prevent future seizures: the vagus nerve stimulator, deep brain stimulation, and the responsive neurostimulation system. Produced by James E Siegler. Music by Chris Zabriskie, Josh Woodward, and Kevin McLeod. Voiceover by Erika Mejia. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCES A randomized controlled trial of chronic vagus nerve stimulation for treatment of medically intractable seizures. The Vagus Nerve Stimulation Study Group. Neurology 1995;45(2):224-30. PMID 7854516Ben-Menachem E. Vagus-nerve stimulation for the treatment of epilepsy. Lancet Neurol 2002;1(8):477-82. PMID 12849332DeGiorgio CM, Krahl SE. Neurostimulation for drug-resistant epilepsy. Continuum (Minneap Minn) 2013;19(3 Epilepsy):743-55. PMID 23739108Fisher R, Salanova V, Witt T, et al. Electrical stimulation of the anterior nucleus of thalamus for treatment of refractory epilepsy. Epilepsia 2010;51(5):899-908. PMID 20331461Handforth A, DeGiorgio CM, Schachter SC, et al. Vagus nerve stimulation therapy for partial-onset seizures: a randomized active-control trial. Neurology 1998;51(1):48-55. PMID 9674777Lanska DJ. JL Corning and vagal nerve stimulation for seizures in the 1880s. Neurology 2002;58(3):452-9. PMID 11839848Morrell MJ; RNS System in Epilepsy Study Group. Responsive cortical stimulation for the treatment of medically intractable partial epilepsy. Neurology 2011;77(13):1295-304. PMID 21917777Morris GL 3rd, Gloss D, Buchhalter J, Mack KJ, Nickels K, Harden C. Evidence-based guideline update: vagus nerve stimulation for the treatment of epilepsy: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology 2013;81(16):1453-9. PMID 23986299Penry JK, Dean JC. Prevention of intractable partial seizures by intermittent vagal stimulation in humans: preliminary results. Epilepsia 1990;31 Suppl 2:S40-3. PMID 2121469Yuan H, Silberstein SD. Vagus nerve and vagus nerve stimulation, a comprehensive review: Part II. Headache 2016;56(2):259-66. PMID 26381725 We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.
MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: November 23, 2017 This week on BrainWaves, we build on concepts introduced in episode 65 regarding the non-pharmacologic management of drug-resistant epilepsy. In the next two episodes, you'll hear from Dr. Danielle Becker (Penn) and Dr. Myriam Abdennadher (NIH) on the minimally invasive procedures that can drastically impact the lives of patients with refractory seizures. Produced by James E Siegler. Music by Steve Combs, Jason Shaw, and Josh Woodward. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCES Kwan P, Arzimanoglou A, Berg AT, et al. Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategies. Epilepsia 2010;51(6):1069-77. Erratum in: Epilepsia 2010;51(9):1922. PMID 19889013Nilsson L, Farahmand BY, Persson PG, Thiblin I, Tomson T. Risk factors for sudden unexpected death in epilepsy: a case-control study. Lancet 1999;353(9156):888-93. PMID 10093982Tomson T, Nashef L, Ryvlin P. Sudden unexpected death in epilepsy: current knowledge and future directions. Lancet Neurol 2008;7(11):1021-31. PMID 18805738Willie JT, Laxpati NG, Drane DL, et al. Real-time magnetic resonance-guided stereotactic laser amygdalohippocampotomy for mesial temporal lobe epilepsy. Neurosurgery 2014;74(6):569-84; discussion 584-5. PMID 24618797 We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.
Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam. Don't forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet Download our iOS and Android apps from your App Store. You can easily search through our library of content, bookmark episodes for later and enjoy our premium content. You can also take notes, pin chapters and download for off-line listening. Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/ If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts. Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
How can we minimize the invasiveness of implantable brain-computer interfaces? What are the secrets behind using interventional neuroradiology approaches to create technology for brain interfacing? And what does it truly mean to innovate in the realm of healthcare? Welcome, dear listeners, to another exciting episode of the "Neurocareers: Doing the Impossible!" entrepreneurial podcast series! Today, we embark on a journey into the cutting-edge world of neurotechnology and innovation. Our focus? The incredible advancements in minimally invasive brain interfaces led by a pioneer in the field, Dr. Jose Morales. Dr. Morales, a co-founder of Vonova and an accomplished Neurointerventional Surgeon, combines his deep passion for neuroscience with a remarkable flair for innovation. With a background steeped in translational neuroscience and experience in molecular-scale research, Dr. Morales is pushing the boundaries of neurointervention. His mission? To revolutionize diagnostic and therapeutic approaches for various neurological conditions while minimizing the invasiveness of traditional neurosurgery. But Dr. Morales isn't just a visionary; he's a recognized leader in his field. His accolades include winning the UCLA Health Innovation Challenge and Radiological Sciences Exploratory Research seed grants, as well as being selected as a finalist for the inaugural MedTech Color competition and CLS FAST program in 2021. A co-founder of the neurotechnology company, Vonova, Inc., he and his team have been selected as an NIH Blueprint MedTach Seedling and EvoNexus Incubator portfolio company, as well as a UCLA Anderson Venture Accelerator company in 2023. At the forefront of Vonova lies the development of minimally invasive brain interfaces. The goal? To transform the treatment of drug-resistant epilepsy and other neurological disorders. Through the ingenious use of catheter-based technology, Vonova aims to provide solutions that are both less invasive and more effective for patients. In this episode, we'll delve into Dr. Morales's extraordinary journey, exploring his career as a Neurointerventional Surgeon, his deep-rooted passion for neuroscience, and the groundbreaking work unfolding at Vonova. Together, we'll uncover the challenges and opportunities in this dynamic field, shining a spotlight on the thrilling intersection of medicine and technology. Prepare to be inspired and enlightened as we engage in this captivating conversation with Dr. Jose Morales, a visionary shaping the future of neuroendovascular theranostics. Tune in to 'Neurocareers' and join us for this enlightening exploration of the boundless potential within the world of neuroscience and innovation. About the Podcast Guest: José Morales is an entrepreneur and a neurointerventional surgeon at Pacific Neuroscience Institute (Santa Monica, CA). He completed his Neurology Residency at the Ken and Ruth Davee Department of Neurology at Northwestern University and Vascular Neurology and Interventional Neuroradiology Fellowships at the University of California Los Angeles. He is a medical school graduate from the University of Chicago Pritzker School of Medicine, where he served as the President of the American Academy of Neurology (AAN) Student Interest Group in Neurology and participated in an extended curriculum program under the Scholarship and Discovery track to conduct research in Computational Neuroscience and Brain Machine Interface, which was funded by the AAN Medical Student Research Scholarship. Prior to enrolling in medical school, Dr. Morales investigated the neuroanatomical correlates of critical period plasticity in the dorsal lateral geniculate nucleus at Harvard Medical School. He is also a graduate of Imperial College London, where he completed a Master of Science in Integrative Neuroscience and investigated the functional connectivity of memory and language networks associated with normative and pathological aging in humans for his graduate thesis in the Computational, Cognitive, and Clinical Neuroimaging Laboratory. Dr. Morales is a clinician-scientist, who has published in journals, such as Neuron, Nature, and Stroke, and a medical device innovator with several issued medical device patents. For his innovative concepts, Dr. Morales was selected as a fellow for the 2021-2022 UCLA Biodesign Accelerator program. Learn about Vonova here: https://www.vonova.io/ Get in touch with Jose Morales, MD, via LinkedIn: http://linkedin.com/in/jose-m-9672344b About the Podcast Host: The Neurocareers podcast is brought to you by The Institute of Neuroapproaches (https://www.neuroapproaches.org/) and its founder, Milena Korostenskaja, Ph.D. (Dr. K), a neuroscience educator, research consultant, and career coach for people in neuroscience and neurotechnologies. As a professional coach with a background in the field, Dr. K understands the unique challenges and opportunities job applicants face in this field and can provide personalized coaching and support to help you succeed. Here's what you'll get with one-on-one coaching sessions from Dr. K: Identification and pursuit of career goals Guidance on job search strategies, resume and cover letter development, and interview preparation Access to a network of professionals in the field of neuroscience and neurotechnologies Ongoing support and guidance to help you stay on track and achieve your goals You can always schedule a free neurocareer consultation/coaching session with Dr. K at https://neuroapproaches.as.me/free-neurocareer-consultation Subscribe to our Nerocareers Newsletter to stay on top of all our cool neurocareers news at updates https://www.neuroapproaches.org/neurocareers-news
If you operate for long enough, chances are you will come across the unique, and potentially daunting scenario of operating on a pregnant patient. If, and when, you do, would you know what to do? Join University of Washington and MIS faculty Drs. Andrew Wright, Nicole White, and Nick Cetrulo, and residents Drs. Ben Vierra and Paul Herman as they discuss non-obstetric surgery in the pregnant patient so that you will be better informed when the challenge arises. Hosts: 1. Andrew Wright, UW Medical Center—Montlake and Northwest, @andrewswright 2. Nick Cetrulo, UW Medical Center—Northwest, @Trules25 3. Nicole White, UW Medical Center—Northwest, @NicoleWhiteTho1 4. Paul Herman, UW General Surgery Resident PGY-3, @paul_herm 5. Ben Vierra, UW General Surgery Resident PGY-2 Learning Objectives 1. Describe important physiologic changes in pregnancy that are relevant for the surgeon to know. 2. Review the epidemiology of non-obstetric general surgery in the pregnant patient. 3. Discuss specific imaging considerations in the pregnant patient. 4. Become more familiar with the technical aspects of approaching a typical surgical case in a pregnant patient. References 1. Pearl, J.P., Price, R.R., Tonkin, A.E. et al. SAGES guidelines for the use of laparoscopy during pregnancy. Surg Endosc 31, 3767–3782 (2017). https://doi.org/10.1007/s00464-017-5637-3 2. Vasileiou G, Eid AI, Qian S, Pust GD, Rattan R, Namias N, Larentzakis A, Kaafarani HMA, Yeh DD; EAST Appendicitis Study Group. Appendicitis in Pregnancy: A Post-Hoc Analysis of an EAST Multicenter Study. Surg Infect (Larchmt). 2020 Apr;21(3):205-211. https://pubmed.ncbi.nlm.nih.gov/31687887/ 3. Dongarwar D, Taylor J, Ajewole V, Anene N, Omoyele O, Ogba C, Oluwatoba A, Giger D, Thuy A, Argueta E, Naik E, Salemi JL, Spooner K, Olaleye O, Salihu HM. Trends in Appendicitis Among Pregnant Women, the Risk for Cardiac Arrest, and Maternal-Fetal Mortality. World J Surg. 2020 Dec;44(12):3999-4005. https://pubmed.ncbi.nlm.nih.gov/32737556/ 4. Fong ZV, Pitt HA, Strasberg SM, Molina RL, Perez NP, Kelleher CM, Loehrer AP, Sicklick JK, Talamini MA, Lillemoe KD, Chang DC; California Cholecystectomy Group. Cholecystectomy During the Third Trimester of Pregnancy: Proceed or Delay? J Am Coll Surg. 2019 Apr;228(4):494-502.e1. https://pubmed.ncbi.nlm.nih.gov/30769111/ 5. Hong J, Yang J, Zhang X, Su J, Tumati A, Garry D, Docimo S, Bates AT, Spaniolas K, Talamini MA, Pryor AD. Considering delay of cholecystectomy in the third trimester of pregnancy. Surg Endosc. 2021 Aug;35(8):4673-4680. https://pubmed.ncbi.nlm.nih.gov/32875420/ 6. ACOG Committee Opinion No. 775: Nonobstetric Surgery During Pregnancy. Obstet Gynecol. 2019 Apr;133(4):e285-e286. https://pubmed.ncbi.nlm.nih.gov/30913200/ 7. Ashbrook M, Cheng V, Sandhu K, Matsuo K, Schellenberg M, Inaba K, Matsushima K. Management of Complicated Appendicitis During Pregnancy in the US. JAMA Netw Open. 2022 Apr 1;5(4):e227555. https://pubmed.ncbi.nlm.nih.gov/35426921/ 8. Capella CE, Godovchik J, Chandrasekar T, Al-Kouatly HB. Nonobstetrical Robotic-Assisted Laparoscopic Surgery in Pregnancy: A Systematic Literature Review. Urology. 2021 May;151:58-66. https://pubmed.ncbi.nlm.nih.gov/32445766/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out other Behind the Knife minimally invasive surgery episodes: https://behindtheknife.org/podcast-category/minimally-invasive/
Chronic headaches are extremely debilitating conditions which significantly impact the quality of life. Dr Giorgio Pietramaggiori and Dr Saja Scherer of Global Medical Institute, Switzerland employ minimally invasive treatments such as targeted Botox injections, surgical release of nerves, and fat transfer, which aim to offer relief for people suffering from chronic headaches when pharmacological alternatives fail. Read more in Research Features: doi.org/10.26904/RF-149-5161384107Read the original research: doi.org/10.1097/prs.0000000000009777
Guidelines In Practice Minimally Invasive Surgery by AORNJournal
As a young person, Louis Chang would make lists. Lists of long term, mid-term, and short-term goals as well as the daily tasks that he needed to do to achieve them. When he didn't finish his daily list, he would push it to another day. One major goal was medical school right after college. But after a less than stellar grade in his intro chem class, he felt his chances at med school were over. A momentary detour afforded him the opportunity to take a range of other classes from government to German, but he actually stuck with chemistry as a major, facing the challenge head on. The breadth of experiences he had during college and his true interest for organic chemistry, however, made him question his original idea of medical school so he didn't even take the MCATs before graduating. Instead, he worked in a chem lab at the NIH, almost pursued a PhD, and ultimately realized bench science was a little too isolating.Unsure what was next, he tried his hand at a law firm in DC but pretty soon he knew that wasn't the right fit either and finally applied to med school. The mix of tenacity and a willingness to try something new came in handy again when he actually did follow the to-do list toward his anticipated speciality, only to find out life had other plans. In this episode, find out from Louis how checking out the detours can help you leave no regrets …on today's Roads Taken with Leslie Jennings Rowley. About This Episode's GuestLouis Chang a neurosurgical spine specialist with expertise in minimally invasive surgery for spinal disorders. He also is an Assistant Professor of Neurosurgery at Johns Hopkins Medicine. For another story about navigating the path to the medical life that feels right (this time in urology!), listen to our episode with George Huang. Find more episodes at https://roadstakenshow.com Executive Producer/Host: Leslie Jennings RowleyMusic: Brian BurrowsEmail the show at RoadsTakenShow@gmail.com
Let's face it. In some cases surgery is needed. How can we tell that surgery is needed? Are surgeons all about getting you under the knife? What is recovery like? We interview Dr. Abbasi Neurosurgeon and teacher of the minimally invasive OLIF technique. This episode covers why surgery is indicated, the process, and the recovery. His first answer to pain is to not go through surgery which is something that I really appreciate. Dr. Abbasi has centers all throughout the country. You can find more information at https://www.inspiredspine.com/Here's some research on this technique:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987540/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453614/https://josr-online.biomedcentral.com/articles/10.1186/s13018-018-0740-2Check out the sciatica protocol here: sciaticaprotocol.comHere's the self cheat sheet for symptom management: https://ifixyoursciatica.gymleadmachine.co/self-treatment-cheat-sheet-8707Booking Link: https://msgsndr.com/widget/appointment/ifixyoursciatica/strategy-callSupport this podcast at — https://redcircle.com/fix-your-sciatica-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Have you transitioned a portion of your practice to the robot, but would be hesitant to book an urgent/call case on the robot? Have you wondered if the robot might be useful in your emergency or acute care surgery practice? Join University of Washington MIS Surgeons, Drs. Andrew Wright, Nicole White, and Nick Cetrulo, and Resident Drs. Ben Vierra and Paul Herman as they discuss the growing use of the robot for acute cases and provide tips on appropriate case selection. Hosts: 1. Andrew Wright, UW Medical Center – Montlake and Northwest, @andrewswright 2. Nick Cetrulo, UW Medical Center - Northwest, @Trules25 3. Nicole White, UW Medical Center - Northwest 4. Paul Herman, UW General Surgery Resident PGY-3, @paul_herm 5. Ben Vierra, UW General Surgery Resident PGY-2 Learning objectives: - Describe the importance of the MIS approach in EGS - Review 3 articles on robotic EGS outcomes 1) Robotic surgery in emergency setting: 2021 WSES position paper 2) Emergent robotic versus laparoscopic surgery for perforated gastrojejunal ulcers: a retrospective cohort study of 44 patients 3) Urgent robotic subtotal colectomy for severe acute ulcerative colitis has comparable periop outcomes to laparoscopic surgery - Discuss factors influencing appropriate case selection for urgent/emergent robotic cases - Discuss value as it pertains to robotic EGS References 1. Havens JM, Peetz AB, Do WS, Cooper Z, Kelly E, Askari R, Reznor G, Salim A. The excess morbidity and mortality of emergency general surgery. J Trauma Acute Care Surg. 2015 Feb;78(2):306-11. doi: 10.1097/TA.0000000000000517. PMID: 25757115. 2. Scott JW, Olufajo OA, Brat GA, Rose JA, Zogg CK, Haider AH, Salim A, Havens JM. Use of National Burden to Define Operative Emergency General Surgery. JAMA Surg. 2016 Jun 15;151(6):e160480. doi: 10.1001/jamasurg.2016.0480. Epub 2016 Jun 15. PMID: 27120712. 3. Arnold M, Elhage S, Schiffern L, Lauren Paton B, Ross SW, Matthews BD, Reinke CE. Use of minimally invasive surgery in emergency general surgery procedures. Surg Endosc. 2020 May;34(5):2258-2265. doi: 10.1007/s00464-019-07016-1. Epub 2019 Aug 6. PMID: 31388806. 4. Sheetz KH, Claflin J, Dimick JB. Trends in the Adoption of Robotic Surgery for Common Surgical Procedures. JAMA Netw Open. 2020 Jan 3;3(1):e1918911. doi: 10.1001/jamanetworkopen.2019.18911. PMID: 31922557; PMCID: PMC6991252. 5. de'Angelis N, Khan J, Marchegiani F, Bianchi G, Aisoni F, Alberti D, Ansaloni L, Biffl W, Chiara O, Ceccarelli G, Coccolini F, Cicuttin E, D'Hondt M, Di Saverio S, Diana M, De Simone B, Espin-Basany E, Fichtner-Feigl S, Kashuk J, Kouwenhoven E, Leppaniemi A, Beghdadi N, Memeo R, Milone M, Moore E, Peitzmann A, Pessaux P, Pikoulis M, Pisano M, Ris F, Sartelli M, Spinoglio G, Sugrue M, Tan E, Gavriilidis P, Weber D, Kluger Y, Catena F. Robotic surgery in emergency setting: 2021 WSES position paper. World J Emerg Surg. 2022 Jan 20;17(1):4. doi: 10.1186/s13017-022-00410-6. PMID: 35057836; PMCID: PMC8781145. 6. Robinson TD, Sheehan JC, Patel PB, Marthy AG, Zaman JA, Singh TP. Emergent robotic versus laparoscopic surgery for perforated gastrojejunal ulcers: a retrospective cohort study of 44 patients. Surg Endosc. 2022 Feb;36(2):1573-1577. doi: 10.1007/s00464-021-08447-5. Epub 2021 Mar 24. PMID: 33760973. 7. Anderson M, Lynn P, Aydinli HH, Schwartzberg D, Bernstein M, Grucela A. Early experience with urgent robotic subtotal colectomy for severe acute ulcerative colitis has comparable perioperative outcomes to laparoscopic surgery. J Robot Surg. 2020 Apr;14(2):249-253. doi: 10.1007/s11701-019-00968-5. Epub 2019 May 10. PMID: 31076952. 8. Gangemi A, Danilkowicz R, Bianco F, Masrur M, Giulianotti PC. Risk Factors for Open Conversion in Minimally Invasive Cholecystectomy. JSLS. 2017 Oct-Dec;21(4):e2017.00062. doi: 10.4293/JSLS.2017.00062. PMID: 29238153; PMCID: PMC5714218. 9. Bhama AR, Wafa AM, Ferraro J, Collins SD, Mullard AJ, Vandewarker JF, Krapohl G, Byrn JC, Cleary RK. Comparison of Risk Factors for Unplanned Conversion from Laparoscopic and Robotic to Open Colorectal Surgery Using the Michigan Surgical Quality Collaborative (MSQC) Database. J Gastrointest Surg. 2016 Jun;20(6):1223-30. doi: 10.1007/s11605-016-3090-6. Epub 2016 Feb 3. PMID: 26847352. 10. https://www.east.org/about-east/news-and-events/news/details/320/east-robotic-surgery-for-the-acute-care-surgeon-webinar-series Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out other MIS episodes here: https://behindtheknife.org/podcast-category/minimally-invasive/
“It's been a labor of love to get this project off the ground,” says Kristin Bixel, MD, of a new James clinical trial for a minimally invasive surgical technique for cervical cancer that she is leading. Minimally invasive surgery (also called robotic surgery) is being performed on a growing number of different types of cancer. These less invasive surgeries reduce complications and speed up the recovery process for patients. However, the first minimally invasive procedure and clinical trial for cervical cancer resulted in an increased rate of recurrence for patients – and was immediately abandoned. This spurred Bixel to think outside the box and develop a new, different technique in which the cancerous tumor in the cervix wasn't exposed to the peritoneal cavity. “My mind immediately went to the procedure itself,” Bixel said, adding she could picture the new surgical technique in her mind, as if looking through a scope, and began the long process of creating a clinical trial. The clinical trial began in February 2022 at the James, and several other leading cancer hospitals around the country have joined the trial. “If we can make this procedure safe for our patients that will be huge,” Bixel said. “One hundred percent of our patients want this type of small-incision surgery.”
Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Rob Cywes specializes in Weight Management and Bariatric Surgery for adults and adolescents in West Palm Beach, Florida. He has performed over 8,000 surgeries over the course of 18 years. His medical training began in Cape Town, South Africa where he received his medical degree from The University of Cape Town. In 1989, Dr. Cywes moved to North America and completed a year-long residency in Pediatric Surgery at Ohio State University's Columbus Children's Hospital. Then he moved to Canada where he completed his general surgery residency and specialized in Minimally Invasive Surgery at the University of Toronto. Also, Dr. Cywes earned a Ph.D. in Liver Carbohydrate Metabolism and the effect of glucose metabolism on liver transplant immunology. In this conversation, Drs. Brian and Rob talk about the importance of exercising critical thinking when sifting through the massive amount of info and opinions about nutrition and diet out there, Dr. Cywes' foundational core concepts for metabolic health, how bariatric surgery fits into holistic health and how to view it in the context of long-term health, how to escape the vicious cycle of addiction to sugar and refined carbs through empowerment rather than deprivation, changing behavior and not just diet, the value fo knowing your ‘why' for losing weight or improving health, learning to connect with and examine yourself when you feel the need to find gratification and relief in something unhealthy, dopamine fasting, and the benefits of using a CGM. For more information, please see the links below. Thank you for listening! Links: Dr. Rob Cywes: Obesity Understood Twitter Ketogenic Textbook YouTube, TikTok, Instagram, and Facebook: @carbaddictiondoc Phone: 561-517-0642 Dr. Brian Lenzkes: Website Twitter Dr. Tro Kalayjian: Website Twitter Instagram Doctor Tro App Join a growing community of individuals who are improving their metabolic health; together. Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more. Apple Google Learn more
Thank you for tuning in for another episode of Life's Best Medicine. Dr. Robert Cywes specializes in Weight Management and Bariatric Surgery for adults and adolescents in West Palm Beach, Florida. He has performed over 8,000 surgeries over the course of 18 years. His medical training began in Cape Town, South Africa where he received his medical degree from The University of Cape Town. In 1989, Dr. Cywes moved to North America and completed a year-long residency in Pediatric Surgery at Ohio State University's Columbus Children's Hospital. Then he moved to Canada where he completed his general surgery residency and specialized in Minimally Invasive Surgery at the University of Toronto. Also, Dr. Cywes earned a Ph.D. in Liver Carbohydrate Metabolism and the effect of glucose metabolism on liver transplant immunology. In this conversation, Brian and Robert talk about the importance of exercising critical thinking when sifting through the massive amount of info and opinions about nutrition and diet out there, Dr. Cywes' foundational core concepts for metabolic health, how bariatric surgery fits into holistic health and how to view it in the context of long-term health, how to escape the vicious cycle of addiction to sugar and refined carbs through empowerment rather than deprivation, changing behavior and not just diet, the value fo knowing your ‘why' for losing weight or improving health, learning to connect with and examine yourself when you feel the need to find gratification and relief in something unhealthy, dopamine fasting, and the benefits of using a CGM. Thank you for listening. Have a blessed day and stay healthy! Links: Dr. Robert Cywes: Obesity Understood Twitter Ketogenic Textbook YouTube, TikTok, Instagram, and Facebook: @carbaddictiondoc Phone: 561-517-0642 Dr. Brian Lenzkes: Website Low Carb MD Podcast HLTH Code: HLTH Code Promo Code: METHEALTH HLTH Code Website Keto Mojo
Dr. Roger Härtl is no stranger to forging new ground in neurosurgery. In this episode, Dr. Härtl and Host Catherine Price discuss how far navigation technology has come over the past 20 years and look ahead to how implementing augmented reality can make surgery even more precise for surgeons and less invasive for patients. Dr. Härtl also shares the impact of his work teaching and training neurosurgeons in Tanzania and discusses where he hopes technology will take the field of neurosurgery next. For more information visit nyp.org/Advances
Surgery is a contact sport and can cause injuries that prevent us from taking care of our patients and even threaten our careers. Join Drs. Mike Weykamp, Nicole White, Nick Cetrulo, and Andrew Wright for a discussion on the ergonomic challenges of open, laparoscopic, and robotic surgery as well as some tips, tricks, and resources on how to protect yourself and your practice. *We apologize for some distracting background noise throughout the episode.* Referenced Articles & Websites: 1. Wells, A. C., Kjellman, M., Harper, S. J., Forsman, M., & Hallbeck, M. S. (2019). Operating hurts: a study of EAES surgeons. Surgical endoscopy, 33, 933-940. 2. Davis, W. T., Fletcher, S. A., & Guillamondegui, O. D. (2014). Musculoskeletal occupational injury among surgeons: effects for patients, providers, and institutions. Journal of surgical research, 189(2), 207-212. 3. Wright, A.S. Ergonomic Injury and Surgery: The Hidden Epidemic. Harkins Symposium at The University of Washington. October 21, 2022. https://www.youtube.com/watch?v=o1G1qGj4WaA 4. The Society of Surgical Ergonomics. https://www.societyofsurgicalergonomics.org/ 5. OR Stretch. https://www.mayo.edu/research/labs/human-factors-engineering/or-stretch/or-stretch-videos Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out other MIS episodes here: https://behindtheknife.org/podcast-category/minimally-invasive/
On the University of Washington Minimally Invasive Surgery team's search for value no piggy bank is safe and no couch cushion will be left unturned. Tune in to hear Drs. Mike Weykamp, Nicole White, Nick Cetrulo, and Andrew Wright discuss the state of the literature regarding the cost-effectiveness of robot assisted surgery. Referenced Articles: 1. Ye L, Childers CP, de Vigilio M, Shenoy R, Mederos MA, Mak SS, Begashaw MM, Booth MS, Shekelle PG, Wilson M, Gunnar W, Girgis MD, Maggard-Gibbons M. Clinical Outcomes and Cost of Robotic Ventral Hernia Repair: Systematic Review. BJS Open. 2021. https://pubmed.ncbi.nlm.nih.gov/34791049/ 2. Finlayson SRG and Birkmeyer JD. Cost-effectiveness Analysis in Surgery. Surgery. 1998 https://pubmed.ncbi.nlm.nih.gov/9481400/ 3. Husereau D, Drummond M, Augustovski F, de Bekker-Grob E, Briggs AH, Carswell C, Caulley L, Chaiyakunapruk N, Greenberg D, Loder E, Mauskopf J, Mullins CD, Petrou S, Pwu R, Staniszewska S. Consolidated Health Economic Evaluation Reporting Standards (CHEERS) 2022 Explanation and Elaboration: A Report of the ISPOR CHEERS II Good Practices Task Force. Value Heatlh. 2022. https://pubmed.ncbi.nlm.nih.gov/35031088/ Ad referenced in episode: A team at the Brooke Army Medical Center is working to better define proficiency-based metrics for competency in commonly performed general surgery procedures. If you are a PGY4/5 general surgery resident or practicing surgeon who performs robotic assisted cholecystectomies or inguinal hernia repairs, reach out to the PI, Robert Laverty, MD, at rblaverty@gmail.com, for more information on how you could be compensated up to $400 for recording and submitting those videos. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out other minimally invasive episodes here: https://behindtheknife.org/podcast-category/minimally-invasive/
It's 1AM and the emergency department is calling about *insert terrifying foregut problem you haven't seen since you were an intern here* and you wake up in a cold sweat to realize it was just a dream…this time. Tune in to this clinical challenge episode for some tips and tricks for managing foregut nightmares with Drs. Mike Weykamp, Nicole White, Andrew Wright, and Nick Cetrulo from the University of Washington's Minimally Invasive Surgery team. Referenced articles and videos: 1. Rodriguez-Garcia HA, Wright AS, Yates RB. Managing obstructive gastric volvulus: challenges and solutions. Open Access Surgery. 2017 https://www.dovepress.com/getfile.php?fileID=35414 2. Yates RB. Giant PEH: Management Principles for Unique Clinical Circumstances. 2017 SAGES Annual Meeting. Houston, TX. 2017 https://www.youtube.com/watch?v=vq6cZL2-pho 3. Millet I, Orliac C, Alili C, Guillon F, Taourel P. Computed tomography findings of acute gastric volvulus. Eur Radiol. 2014. https://pubmed.ncbi.nlm.nih.gov/25278244/ 4. Mazaheri P, Ballard DH, Neal KA, Raptis DA, Shetty AS, Raptis CA, Mellnick VM. CT of Gastric Volvulus: Interobserver Reliability, Radiologists' Accuracy, and Imaging Findings. AJR Am J Roentgenol. 2019. https://pubmed.ncbi.nlm.nih.gov/30403524/ 5. Barmparas G, Alhaj Saleh A, Huang R, Eaton BC, Bruns BR, Raines A, Bryant C, Crane CE, Scherer EP, Schroeppel TJ, Moskowitz E, Regner JL, Frazee R, Campion EM, Bartley M, Mortus JR, Ward J, Margulies DR, Dissanaike S. Empiric antifungals do not decrease the risk for organ space infection in patients with perforated peptic ulcer. Trauma Surg Acute Care Open. 2021. https://pubmed.ncbi.nlm.nih.gov/34079912/ 6. Horn CB, Coleoglou Centeno AA, Rasane RK, Aldana JA, Fiore NB, Zhang Q, Torres M, Mazuski JE, Ilahi ON, Punch LJ, Bochicchio GV. Pre-Operative Anti-Fungal Therapy Does Not Improve Outcomes in Perforated Peptic Ulcers. Surg Infect (Larchmt). 2018. https://pubmed.ncbi.nlm.nih.gov/30036134/ 7. Wee JO. Gastric Volvulus in Adults. In: UpToDate, Louie BE (Ed), UpToDate, Waltham, MA. (Accessed on May 15, 2022.) https://www.uptodate.com/contents/gastric-volvulus-in-adults Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
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