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Cervical Laminectomy

Cervical Laminectomy

This is a 5 level (C3-C7) cervical laminectomy I performed for severe spinal cord compression. The technique involves performing a trough with a high speed burr at the junction of the lamina and facet at each of the levels to be decompressed. The lamina is then removed en-block. Bleeding is controlled with bipolar cautery and hemostatic agents. Kris Siemionow, MD Chief of Spine Surgery Assistant Professor of Orthopaedics and Neurosurgery University of Illinois Chicago, Illinois Website:

Failed Surgery, Inflammatory Glaucoma - Latest Step

Failed Surgery, Inflammatory Glaucoma - Latest...

Twice failed inflammatory glaucoma, this time 4 limbal tracks with Fugo blade, followed by placing kenacort 0.5 mg per ml in the anterior segment,

Microtrack Failed After Cataract Surgery, Tenon Cyst Formed. Cyst Cut and MTF Restarted

Microtrack Failed After Cataract Surgery, Tenon...

A successful microtrack filtration failed after a manual cataract surgery. Not only it failed, it also led to formation of tenon cyst. This surgery shows how the tenon cyst was partially removed and the filtration track was restarted.

RIRS with Laser Lithotripsy of Obstructing Stone of Lower Moeity in (Bifid Pelvis)

RIRS with Laser Lithotripsy of Obstructing...

 In this case you will see RIRS with laser lithotripsy of obstructing stone of lower moeity in (bifid pelvis.

Singh's Muller Plication for Slight Ptosis

Singh's Muller Plication for Slight Ptosis

The lid is double everted and the tarsal plate is controlled. Three incisions are made in the fornix. The Muller muscle is caught at three points at the site of origin. The muscle is then folded/plicated at 5-6 mm distance. The closure is sutureless. The pre and postoperative pictures are shown. The film is in 3 D, if you have a prism, else enjoy one side of the pair.

Laparoscopic Floppy Nissen Fundoplication: How I Do It

Laparoscopic Floppy Nissen Fundoplication:...

Laparoscopic floppy Nissen fundoplication, is a common surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. We present here the main operative steps of this procedure.

Drainage from Suprachoroidal Space in a Special Situation/Case

Drainage from Suprachoroidal Space in a Special...

This patient with perilimbal scarring 360 degrees, had underwent reverse cyclodialysis surgery, which failed. But the suprachodoid remained connected to the anterior chamber. This allowed us to safely drain fluid from suprachoroidal space with a simple surgery

Opening a Blocked Canaliculus with Fugo Blade

Opening a Blocked Canaliculus with Fugo Blade

The block is broken with Fugo blade. The moment it is activated it crosses the blocked segment. Probing is done after this step.

Juvenile Glaucoma, Singh-Shah Microtrack Filtration

Juvenile Glaucoma, Singh-Shah Microtrack Filtration

35 years old patient, IOP is 40 mm in one eye, uncontrolled with medication. Microtrack filtration x 2 with a 200 mm Fugo blade tip, followed by peripheral iridectomy. The operation is simple, atraumatic efficient as well as effective. It could help attack worldwide glaucoma menace.


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Head, Microsurgery Training, Dept. of Plastic Surgery Cleveland Clinic

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Department of Surgery, University of Washington

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International Federation of Oto-Rhino-Laryngological Societies