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Total Shoulder Arthroplasty

Dr. Richard Hawkins with the Steadman Hawkins Clinic of the Carolinas walks us through a Total Shoulder Arthroplasty and talks about the steps to get it right.
©Hawkins Foundation 2012

Laparoscopic Cholecystectomy by Knotting Cystic...

This video demonstrates laparoscopic cholecystectomyy with extracorporeal knot to cystic duct. Ligation of cystic duct is very safe and effective method by the help of Meltzer's or Mishra's knot. Video by Dr. R.K. Mishra at World Laparoscopy Hospital.

Single Incision Robotic-Assisted Donor Nephrectomy

Introduction: Robotic-assisted donor nephrectomy is evolving as an improved method of standard laparoscopic donor nephrectomy. To further reduce the donor morbidity, we are present a case of a single incision robotic-assisted donor nephrectomy. Materials and Methods: A 21 year old female was cleared for left kidney donation to her father. Computed tomography (CT) angio of abdomen revealed normal renal anatomy. The procedure was explained to the patient, it's innovative nature, expected advantages, and potential risks. The patient was placed in a right lateral decubitus position. A single port was inserted through a 5-cm midline incision starting at the umbilicus and extending downwards. Two 12-mm and two 8-mm trocars were placed in a diamond configuration through the port. The robotic system was used for the case. Results: Operative time was 150 minutes with warm ischemia time of 3 min and EBL was 75 ml. The patient was discharged 72 hours after surgery and there were no perioperative complications. Conclusion: Single incision robotic donor nephrectomy can be safely performed using the same incision that is used for extraction of the kidney. This approach can potentially increase the donor pool by further decreasing the invasiveness of living donation Angela Echeverria, MD; Carlos Galvani, MD; Ulises Garza, MD;1 Amit Kaul, MD; Chirag Desai, MD; Tun Jie, MD; Rainer Gruessner, MD University of Arizona, Tucson, AZ

Laparoscopic Cholecystectomy - Removal of the...

This video shows the fourth step, cleaning and removing the liver , from the Cholecystectomy Removal training exercise from the LapSim laparoscopic simulator by Surgical Science. The objective of this simulation is to clean the burned tissue and remove the liver.

Temporary Bridge using Denture Tooth and Ribbond

Here are 2 cases that I used Ribbond to aid in retaining a denture tooth and Radica tooth. I didn't want the patients to wear a flipper to replace the tooth following a bone graft and implant placement - however- the patient's both wanted some teeth.....Ribbond to the rescue.

Arthroscopic Rotator Cuff Repair

Arthroscopic surgery has advanced to the point where arthroscopic treatment of cuff tears has been shown to be superior to open repair in most cases. With modern techniques, even massive tears and cases of "re-tear" after open procedures can be treated with arthroscopy. This video demonstrates two separate arthroscopic repairs.

Robotic Revision of Failed VGB to Roux-en-Y...

This video shows conversion of failed vertical banded gastroplasty to gastric bypass. The patients was complaining of severe reflux and weight regain. Robotic surgery allowed very precise dissection of the inflamed and adhesive stomach from the anterior surface of the pancreas. It allowed a precise creation of hand-sawn gastro-enteroenastomosis. No postoperative complications were noted.

EndoLift for Liver Retraction During Sleeve...

Following the initial setup, the EndoLift is repositioned to improve exposure by moving the first clip from under the left lobe of the liver and above the stomach fundus, to an anchoring site more left-lateral and behind the edge of the liver.

Laparoscopic Single Incision Cholecystectomy

This video shows a simplified method of a single incision cholecystectomy using only 2 trocars and a system of stiches to retract the gallbladder. I have been using this effectly for past 3 years with over 150 patients done with no complications. I use it as a standard method for less obese patients, who wish to have no visible scars from their gallblader surgery.

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