Recent News

Advances in Endovascular Treatment of Intracranial Aneurysms

February 26, 2017

Dr. Joshua Osbun, Washington University neurosurgeon and neuroradiologist at Barnes-Jewish Hospital, reviews indications and general considerations for endovascular treatment of intracranial aneurysms.

Endovascular Stroke Therapy: New Treatments For An Old Disease

February 26, 2017

Washington University interventional neuroradiologist at Barnes-Jewish Hospital, Akash Kansagra, MD, explains ischemic stroke and shows what happens to patients who go untreated compared to those who undergo one of the various treatments.

Stroke Consortium - Case Presentation

February 26, 2017

Dr. Wooliscroft presents a case study involving a stroke victim who was transferred to Barnes-Jewish Hospital for additional care.

Infectious Disease Year in Review 2016

February 24, 2017

Dr. Neel Shah discusses some of the pertinent issues, topics, and guideline changes in infectious disease that have occurred in within the last year. He focuses on some of the key concepts related to Endocarditis, Zika, HAP/VAP, Candida/Fungal guideline changes, new antifungals, vaccination, infection control, and stewardship/outbreaks.

Neurosurgery News Winter 2017

February 23, 2017

In this issue of Neurosurgery News, Specialists join together to discuss minimally invasive, robotic-assisted surgery for diagnosis and treatment of epilepsy, the Brain Computer Interface (BCI), developed by researchers at the University of Pittsburgh and UPMC, that help a paralyzed patient regain sense of touch, and prophylactic antiepileptics and seizure incidence following subarachnoid hemorrhage.

Vascular Rounds Winter 2017

February 23, 2017

In this issue of Vascular Rounds, specialists discuss mycotic femoral artery aneurysms, an innovative technique for treating varicose veins, intermittent claudication in the young patient, novel catheter interventions for acute iliofemoral deep venous thrombosis, and a hybrid approach to acute mesenteric thrombosis.

Constipation: Update on Evaluation and Management

February 22, 2017

Dr. David Levinthal provides an overview of the approaches to constipation and reviews the consensus guidelines from a gastroenterology standpoint. He also discusses some of the new approaches that have come online over the last several years and the evidence behind them.

DVT info

AngioVac Procedure: Treatment for Deep Venous Thrombosis

February 21, 2017

Dr. Mohamed A. Zayed discusses how the AngioVac device offers an alternative to existing therapies that treat venous thromboembolism.

Improving Medication Use: Innovations from an IDFS

February 20, 2017

UPMC Chief Medical Officer, Dr. William Shrank, discusses how the features of IDFS lines up to deliver better care at lower cost and better management of the members and the patients that are served.

JOH Theodore

Case Presentation: Complex Craniovertebral Junction Stabilization and Reconstruction

February 15, 2017

Neurosurgeon, Nicholas Theodore discusses the case of a 9-year-old girl with a severely unstable craniovertebral junction secondary to pseudoarthrosis and broken hardware with brainstem compression.

Parkinson’s Disease: Initial Diagnosis, Initial Treatment & Non-motor Features

February 15, 2017

Dr. J. Timothy Greenamyre provides an overview of Parkinson’s disease from the standpoint of how it is diagnosed on a day to day basis, how treatment begins, and reviews some of the non-motor features of the disease.

DOM Medical Grand Rounds: Contemporary Treatment of Pulmonary Thromboembolism: A Team Based Approach

February 14, 2017

Drs. Belinda Rivera-Lebron and Catalin Toma each present from the 2016 UPMC Department of Medicine Grand Rounds. Dr. Rivera-Lebron discusses Pulmonary Thromboembolism and the approach to treatment that involves multiple disciplines. Dr. Toma discusses acute PE and the emerging percutaneous options for chronic thromboembolic pulmonary hypertension.

Endocrinology Update Winter 2017

February 13, 2017

As the rates of diabetes mellitus (DM) continue to rise, health systems and providers are being challenged to meet the demands of high-quality, high-value care, particularly for those patients at highest risk. This is occurring while new tools for managing diabetes are being introduced to providers and patients at an exponential rate.

Prostate Cancer: Update on Screening and Management

February 10, 2017

Bruce L. Jacobs, MD, assistant professor of urology at the University of Pittsburgh School of Medicine, discusses prostate screening and management. He reviews some case studies and discusses some of the controversies surrounding prostate cancer screening.

Ortho Grand Rounds Spring 2017

February 9, 2017

Anterior cruciate ligament (ACL) injury is one of the most frequent sports injuries, with an incidence of 35 per 100,000 people per year, and with an approximately two to eight-times higher risk in female than in male athletes. It is estimated that between 75,000 and 100,000 ACL reconstruction procedures are performed annually in the United States alone.

Introduction to Radiation Oncology Featuring Proton Bean Therapy

February 8, 2017

David Mansur, MD, discusses the basics of radiation oncology emphasizing proton therapy.

Cardiothoracic Surgery Update Winter 2017

February 7, 2017

In this issue, we celebrate the accomplishments of our growing department, welcome new team members, and provide updates on upcoming events, clinical trials, and research initiatives. We are proud of the accomplishments of our department and are excited to share a few of our recent achievements, including the growth of the Aortic Diseases Center of Excellence, alternative treatment options for high risk patients with lung cancer, and the newest developments in extracorporeal mechanical oxygenation (ECMO). We also congratulate The UPMC Artificial Heart Program on 30 years of success with a continued focus on helping patients who feel that they are out of options for treating their heart failure. We provide an overview of the Pediatric Mechanical Circulatory Support Program and the challenges that accompany treating the pediatric heart failure patients. Finally, we highlight our success as the leading provider of robotic procedures and robotic training and our ability to provide hope and better options for our patients through minimally invasive procedures.

Evaluation of Noisy Breathing in Infants

February 7, 2017

In this presentation, moderated by Dr. David Eibling, UPMC’s Dr. Jeffrey Simons discusses some of the rational approaches to evaluating and managing infants with noisy breathing.

Bench to Bedside: The Future of Pharmacogenomics and Precision Therapeutics

February 2, 2017

In this presentation, Drs. Dennis McNamara and Philip Empey each present from the department of medicine medical grand rounds. Dr. Mcnamara discusses heart failure in African Americans and provides an overview of the unique epidemiology compared to white counterparts and how medical therapy and pharmacogenetics can be used to improve the distinction. Dr. Philip Empey explains some of the new initiatives going on at the University of Pittsburgh and lays a framework for how more research can be conducted in the future.

2016 Pitt-Munich International Lung Conference: Part 1

January 31, 2017

Drs. Anuradha Ray and Jay Kolls each present from the 2016 Pitt-Munich International Lung Conference. Dr. Ray discusses Immune Tolerance in Maintenance of Lung Heath and Loss in Disease and Dr. Kolls discusses Type17 Cells and Defense against Lung Pathogens.

Options after Stent Placement for Walled Off Necrosis (WON) presented by Todd Baron, MD

January 31, 2017

Watch this webcast presented by Todd Baron M.D. on his options and techniques for after AXIOS™ Stent placement.

Hot Topics in Breast Health

January 31, 2017

At Updates for the PCP, a Penn Medicine-sponsored event, Matt Birnholz, MD, of ReachMD, interviews two members of the faculty at Pennsylvania Hospital, radiologist Brian S. Englander, MD, and oncologic surgeon Ari D. Brooks, MD, about their respective roles in breast cancer management. Dr. Brooks discusses recent innovations in breast cancer treatment at Penn Medicine, and the Penn Pathway, an algorithm for the standardization of care for patients as they enter and progress through the breast cancer treatment program at Penn. Discussing 3D mammography, or tomosynthesis, Dr. Englander examines the modality’s advantages (a relative increase in cancer detection and reduced radiation exposure via fewer callbacks) and disadvantages (fewer benefits in dense breast tissue) as well as recent breast density reporting legislation and the potential advantages of cryoablation.

Hot Topics in Lung Cancer

January 31, 2017

In this engaging interview, thoracic surgeon Taine T.V. Pechet of Penn Medicine discusses lung cancer diagnosis and treatment with Matt Birnholz, MD, of ReachMD at Updates for the PCP, a Penn Medicine-sponsored event. Topics include the nuances of screening at Penn (who, when and how); the Lung Cancer Program’s alert system for primary care providers; when to refer to the thoracic oncology intake program and presurgical assessment parameters. Dr. Pechet is Chief of Surgery at Penn Presbyterian Medical Center.

Penn Medicine's Cartilage Repair Symposium

January 30, 2017

James L. Carey, MD, Director of the Penn Cartilage Center, describes the annual Cartilage Repair Symposium, an event hosted at Penn Medicine every Spring by the Department of Orthopaedics and the Penn Center for Advanced Cartilage Repair and Osteochondritis Dissecans Treatment. This year’s event will occur on April 28th and 29th, and features speakers Daniel Saris, MD, PhD of Utrecht University and Farchid Guilak, PhD, of Washington University in St. Louis. Dr. Carey, who serves as course director for the event, reviews the Symposium’s broad agenda, which includes hands-on training, and its educational objectives.

Benign Dizzy versus Devastatingly Dizzy: Distinguishing a peripheral from central (stroke) etiology of the acute vestibular syndrome

January 27, 2017

Dr. Arielle Davis, assistant professor of neurology, presents the case of a 49-year-old male with a history of HLD and occipital headaches who has nausea and the sensation of the room spinning.

Secondary Stroke Prevention Guidelines & Evolving Practices

January 27, 2017

Dr. David Tirschwell, professor of neurology, discusses TIA and TOAST ischemic subtyping including small vessel disease, large artery atherosclerotic stroke, cardioembolic stroke, other determined etiology and undetermined etiology.

Translational Stroke Research

January 27, 2017

Dr. Kyra Becker, a professor in the Departments of Neurology and Neurological Surgery at Harborview Medical Center, shares stories from her personal journey with translational stroke research. Dr. Becker discusses the immunologic consequences of stroke.

Lipids and Cerebrovascular Disease

January 27, 2017

Dr. Rizwan Kalani, senior fellow/acting instructor at the University of Washington School of Medicine, reviews lipoprotein biochemistry and discusses lipids and cerebrovascular disease, lipid management in stroke and emerging lipid biomarkers. Dr. Kalani also looks forward to future directions.

Diagnosing Local Spread of Hilar Cancer using the SpyGlass™ DS System Presented by Isaac Raijman, MD

January 27, 2017

A 79-year-old man presented to his family practitioner with yellowing of the skin, dark urine, pruritus and progressive weight loss. MRCP revealed a mid-bile duct stricture. The SpyGlass DS System was used in this case to establish a diagnosis and determine the exact location of the stricture as well as to rule out local extension of the disease beyond the observed cholangiographic changes.

Treatment of Benign Strictures in the Esophagus by Dr. Christer Staël von Holstein, Lund University Hospital, Lund, Sweden

January 27, 2017

In this presentation, Dr. Christer Staël von Holstein discusses various types of treatment for benign esophageal strictures, including dilation and stenting options.

Understanding Multiple Sclerosis and How Cytokines Shape Neuroinflammatory Patterns

January 27, 2017

Dr. Joan M. Goverman, professor and chair of the Department of Immunology, presents the current concepts behind what is known about multiple sclerosis and how it develops and what the challenges are in trying to understand it.

Approaches for Gene Therapy of DMD

January 27, 2017

Dr. Jeffrey S. Chamberlain, McCaw Endowed Chair in Muscular Dystrophy, discusses his research on trying to develop therapies for muscular dystrophy.

Hot Topics in Spine Health, Back and Neck Pain

January 25, 2017

At Updates for the PCP, a Penn Medicine-sponsored event, Matt Birnholz, MD, of ReachMD, and neurosurgeon Patrick J. Connolly, MD, examine common back and neck pain to illuminate common symptoms and causes, the appropriate time to consult a neurosurgeon, the warning signs for more severe comorbidities throughout the lifespan and the risk/benefit profile for surgery.

Serendipity, Discovery and Neurology

January 24, 2017

Dr. Bruce Ransom, professor of neurology and chair of the UW Medicine Neurology Department, discusses Parkinson's Disease.

Dystonia in Children

January 24, 2017

Dr. Dararat Mingbunjerdsuk, pediatric neurologist, provides a background on dystonia, the causes and discusses the difficulties in making a diagnosis. Dr. Mingbunjerdsuk also explains the treatment options.

Modeling Human Antiepileptic Drug Adherence and Treatment Outcomes in Preclinical Epilepsy Models

January 24, 2017

Dr. H. Steve White, professor and chair of the Department of Pharmacy, discusses modeling human antiepileptic drug adherence. Dr. Melissa Barker-Haliski, research assistant professor, examines treatment outcomes in preclinical epilepsy models.

Update: Psychiatric Comorbidity of Epilepsy

January 24, 2017

Dr. Eric Prince, clinical neurophysiology fellow, discusses the prevalence of depression among epilepsy patients. Dr. Prince also examines anxiety, psychosis and management of personality issues.

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors

January 24, 2017

The Penn Center for Personalized Diagnostics performs large-scale, parallel DNA sequencing and chromosomal analysis to screen hematologic and solid tumors for a wide spectrum of mutations. This video offers a detailed rendering of the workflow for the genomic sequencing process from its initiation at DNA extraction, through the generation and sequencing of an amplicon library via one of two next-generation sequencing (NGS) panels (one for each tumor category) and finally, data analysis through the in-house bioinformatics pipeline wherein the variants are reviewed and interpreted for pathogenicity.

Update: Management of Idiopathic Generalized Epilepsies

January 24, 2017

Dr. Jeffrey Tsai, assistant professor of neurology at University of Washington, explains treatment for idiopathic generalized epilepsies and discusses cognitive and behavioral comorbidities of IGE.

Endoscopic Drainage of Walled Off Necrosis, Presented by Stuart Amateau MD, PhD

January 24, 2017

Listen to Dr. Amateau’s opinions at DDW 2016 on all things AXIOSTM as they pertain to the Endoscopic drainage of Walled off Necrosis (WON).

Preparation for AXIOS™ Procedure, Presented by Jose Nieto D.O.

January 24, 2017

Hear Dr. Nieto’s process for preparing a patient and procedure room before using the AXIOS System.

Dysarthria & Other Motor Speech Disorders

January 20, 2017

Dr. Leo Wang, assistant professor of neurology, explains how to "hear" and characterize different motor speech problems.

Closed Loop DBS for Essential Tremor

January 20, 2017

Dr. Andrew L. Ko, assistant professor in the Department of Neurological Surgery at the University of Washington, provides background on DBS for essential tremor and discusses the future including closed loop DBS and activa PC+S.

Neonatal Intensive Care at the UW Medical Center Montlake Tower

January 20, 2017

UW Medical Center's Neonatal Intensive Care Unit is one of our greatest prides.

Saving Babies at UW Medical Center: The Pitkin Family's Story

January 20, 2017

In May 2011, Gretchen Pitkin delivered triplets at UW Medical Center's Neonatal Intensive Care Unit. The three babies were in the NICU for various lengths of time, one for 100 days. They are now 15 months old and are thriving. Watch their amazing story.

From Bedside to Bench: The postoperative Crohn’s Disease Story & Understanding IBD

January 19, 2017

Drs. Miguel Regueiro and Richard Duerr review how to treat Crohn’s disease after surgery, how small case studies can become larger ones, and understanding immune mediated diseases.

The Uncommon Lesion

The Uncommon Lesion

January 19, 2017

Mayo Clinic neurosurgeon, Giuseppe Lanzino, M.D., discusses the importance of detecting the rare and often misdiagnosed arteriovenous dural fistula and proper treatment options

Unlocking the Power of Gene Expression: Molecular Classification of Brain Tumors

Unlocking the Power of Gene Expression: Molecular Classification of Brain Tumors

January 19, 2017

Mayo Clinic physicians and researchers discuss how the molecular makeup of brain tumors can be used to identify five categories of gliomas, each with different clinical features and outcomes.

Modern Treatment for Polycystic Kidney Disease

Modern Treatment for Polycystic Kidney Disease

January 18, 2017

Mayo Clinic’s Mikel Prieto, M.D., a transplant surgeon at Mayo Clinic’s campus in Minnesota, discusses a landmark case that set a new standard of care for operating on patients with polycystic kidney disease.

Myopathy: A Pattern Recognition Approach

January 18, 2017

Dr. Maxwell Ma, acting assistant professor at University of Washington School of Medicine, discusses pattern recognition including proximal, distal, ocular and bulbar weakness.

Emerging Frontiers in Concussion - Session 7: Targeted Evaluation and Active Treatment and Rehabilitation Approaches for Concussion – Part 2

January 17, 2017

Doctors Cara Troutman-Enseki, Brian Hagen and Nathaniel Steinhafel discuss various topics related to targeted evaluation and active treatment and rehabilitation approaches for concussion.

Vesicoureteral Reflux is a Phenotype, Not a Disease: Population Health and the Pediatric Urologist

January 12, 2017

In this presentation, Dr. Steven Docimo reviews the different ways of diagnosing and managing reflux and urinary tract infection.

Hot Topics in Women's Health

January 11, 2017

Maternal-fetal specialist Robert Debbs, DO, is interviewed at Updates for the PCP, a Penn Medicine-sponsored event, by Matt Birnholz, MD, of ReachMD. Dr Debbs discusses a wide range of the concerns affecting the obstetric population in PCP practice--including obesity, congenital heart disease, recurrent pregnancy loss, hypothyroidism and depression--and urges PCPs to engage in preconceptual intervention and counseling for patients at potential risk who are considering pregnancy. Dr. Debbs is the Director of the Pennsylvania Hospital Maternal Fetal Medicine Network.

MedPage Today: Cancer Centers Back HPV Vaccine

January 11, 2017

Underused vax is 'rare opportunity' to prevent associated cancers.

MedPage Today: Placebo Effect Works for Heart Procedures, Too

January 10, 2017

Keeping 'eyes on the prize' appears to improve outcomes.

MedPage Today: Migraine Tied to Perioperative Stroke Risk

January 10, 2017

30-day ischemic stroke risk higher for those with migraine with aura.

MedPage Today: Morning Break: Abuse-Deterrent Opioid; St. Jude's Anti-Hack Fix; NFL Under Fire

January 10, 2017

Health news and commentary from around the Web, gathered by the MedPage Today staff.

MedPage Today: Targeted Drug Fails to Impress in Anal Cancer

January 10, 2017

Patients with high-risk squamous cell anal cancer had a moderate reduction in locoregional failure but a substantial increase in toxicity with the addition of cetuximab (Erbitux) to standard chemoradiation, a multicenter clinical trial showed.

MedPage Today: Hypertension, Related Mortality Rising Globally

January 10, 2017

Elevated blood pressure is on the rise around the world, with an increasing impact on mortality, according to a large international study.

BJC grail

Optimal Medical Treatment: The Holy Grail

January 9, 2017

University of Alabama cardiologist Vera Bittner, MD, MSPH, discusses the barriers and opportunities in the implementation of optimal medical treatment.

BJC image for PSK9

Challenges in the Development of Novel Cardiovascular Therapies: New Target for Lowering LDL: PCSK-9

January 9, 2017

Chief Medical Officer of Amgen, Paul Eisenberg, MD, discusses the insights he has learned working on drug development, specifically the cardiovacscular drug that lowers LDL, PCSK-9.

MedPage Today: Progesterone Tx May Boost Pregnancy After Miscarriages

January 9, 2017

Most beneficial in women with recurrent loss and abnormal hormone levels

MedPage Today: Durable Weight Loss Seen After Bariatric Surgery in Teens

January 5, 2017

Similar improvements as adults, but questions about safety remain.

MedPage Today: Creatine: Should Adolescents Be Taking It?

January 4, 2017

F. Perry Wilson, MD, looks at the science.

Instructions for Set-up and Use of the CRE™ Balloon Dilatation Catheter and Alliance™ II Integrated Inflation/Lithotripsy Device

January 1, 2017

Step-by-step instructions for set-up and use of the CRE Balloon Dilatation Catheter and the Alliance II Integrated Inflation/Lithotripsy Device.

Plasma Ceramides – A Novel Biomarker of Unstable Atherosclerotic Cardiovascular Disease

December 31, 2016

Jeffrey (Jeff) W. Meeusen, Ph.D., with Laboratory Medicine and Pathology at Mayo Clinic's campus in Rochester, Minnesota, discusses studies of plasma ceramides (predictors of adverse cardiovascular events resulting from unstable atherosclerotic plaque) in three different patient populations. Research indicates that people with elevated plasma ceramides levels are at higher risk of major adverse cardiovascular events even after adjustments are made for age, sex, smoking status and serum biomarkers.

Cancer Insights Winter 2017

December 30, 2016

In this issue of Cancer insights, specialists discuss a multidisciplinary approach to stereotactic radiosurgery for spine metastases, stereotactic body radiation therapy in head and neck cancers, and current clinical trials.

SpyGlass™ DS Access and Delivery

December 30, 2016

This video tutorial provides step-by-step instructions for the setup and use of the SpyScope DS Catheter, including attaching the SpyScope to the controller, the duodenoscopy and the irrigation and aspiration.

Thromboelastography & Coagulation Management in Trauma

December 30, 2016

Dr. John R. Hess, professor of laboratory medicine and hematology at the University of Washington School of Medicine, discusses how the coagulation system works and why it fails in trauma; the role of emergency hemorrhage panel and how to use it; how TEG works and how to read it and why TEG gives little new information in trauma patients.

Optimal Medical Treatment: The Holy Grail

December 30, 2016

University of Alabama cardiologist Vera Bittner, MD, MSPH, discusses the barriers and opportunities in the implementation of optimal medical treatment.

MedPage Today: Predicting Recurrences After Surgery for Crohn’s: The Gastro Endo News Report

December 29, 2016

A recent study found that, in Crohn's disease, a patient's microbiome during surgery may predict recurrences down the line.

Diagnosis and Management of Pituitary Adenomas

December 29, 2016

Pituitary tumors are the third most common brain tumor, and are almost always benign. The tumor may affect hormone levels and through pressure on nearby tissues may lead to debilitating symptoms such as visual loss. The location of the pituitary gland just below the brain is a challenging target for microscopic and endoscopic neurosurgery. In these videos, Dr. Laws reviews the minimally invasive transnasal endoscopic approach for tumor removal and restoration of normal pituitary gland functions.

Challenges in the Development of Novel Cardiovascular Therapies: New Target for Lowering LDL: PCSK-9

December 29, 2016

Chief Medical Officer of Amgen, Paul Eisenberg, MD, discusses the insights he has learned working on drug development, specifically the cardiovacscular drug that lowers LDL, PCSK-9.

Optimizing Outcomes for Couples with Male Factor Infertility - CME

December 27, 2016

Traditionally, infertility has been thought of as a female problem. This presentation emphasizes the importance of approaching infertility as a couple problem to optimize the outcome. Approximately 15% of couples are unable to conceive after one year. The male factor is solely responsible in 20%, and the male factor contributes in another 30-40%. Parviz Kavoussi, MD and Shahryar Kavoussi, MD present the primary causes, diagnosis and treatment of female and male infertility, including vasectomy reversals. Videos of procedures and microsurgery are a part of this presentation.

Arrhythmia: Catheter Ablation for Supraventricular Tachycardia

December 24, 2016

Supraventricular tachycardia (SVT) is a type of cardiac arrhythmia that is more common in women and can cause significant symptoms and impairment of quality of life. During an episode, the heart can beat rapidly, sometimes as fast as 200 beats per minute, and the arrhythmia can result in sustained palpitations, lightheadedness and fainting.

Tinnitus Retraining Therapy: How to Live with the Sounds

December 23, 2016

Dr. Lori Zitellidiscusses tinnitus retraining therapy and how to treat patients with this condition.

Indications for Pancreatic Resection and Robotic Surgical Technique

December 23, 2016

In this video, Thomas Clancy, MD, a pancreatic and hepatobiliary surgeon in the Division of Surgical Oncology, demonstrates a distal pancreatectomy using the DaVinci robotic surgical system. The indications for pancreatectomy and the workup of pancreatic cystic lesions are briefly discussed. The minimally invasive robotic technique potentially allows the many benefits of standard laparoscopic surgery to be applied to an increasingly complex group of pancreatic tumors.

Endoscopic Treatment of Zenker's Diverticula

December 23, 2016

Zenker's diverticulum is a swelling or pulsion that forms at the back of the throat at the junction of the pharynx and esophagus in older patients. It can cause cervical esophageal dysphagia with the result of trapping food and regurgitation. This video reviews both an open and endoscopic diverticula resection techniques to treat the condition.

Endoscopic Pancreatic Necrosectomy

December 23, 2016

This video features endoscopic treatment of acute pancreatitis and pancreatic necrosis. Christopher Thompson, MD, MHES, Director of Therapeutic Endoscopy at Brigham and Women’s Hospital discusses the management of acute pancreatitis and its sequelae including endoscopic necrosectomy and related conditions.

VATS Right Upper Lobectomy

December 23, 2016

Scott J. Swanson, MD, Director of Minimally Invasive Thoracic Surgery at BWH and Chief Surgical Officer at Dana-Farber/Brigham and Women’s Cancer Center, demonstrates a minimally invasive right upper lobe resection – a major advance in lung cancer surgery. VATS lobectomy enables patients with complex co-existing conditions to undergo surgery without complication. Also, patients are more able to receive subsequent chemotherapy as they are less fatigued from this minimally invasive procedure.

Transoral Robotic Surgery (TORS)

December 23, 2016

The incidence of HPV-related oropharyngeal cancer is growing, especially among men in their forties and fifties. Donald J. Annino, Jr, MD, DMD, of the Division of Otolaryngology, demonstrates the use of transoral robotic surgery (TORS), a minimally invasive procedure which improves outcomes and avoids complications in patients with head and neck cancer.

Transanal Endoscopic Microsurgery

December 23, 2016

In this video, Ronald Bleday, MD, Section Chief, Division of Colorectal Surgery, demonstrates the use of the Transanal Endoscopic Microsurgery (TEM) system. The system uses an operating rigid scope via the anus to remove small tumors of the lower and mid rectum. The operation allows for the avoidance of a radical resection in selected patients leading to a faster recovery with similar oncologic outcomes.

Total Mesorectal Excision

December 23, 2016

This procedural video features Total Mesorectal Excision (TME), a specialized rectal cancer surgery. During the procedure, Ronald Bleday, MD, Chief, Colorectal Section, dissects and remove the cancerous area of the rectum, including the fatty regions where the lymph nodes are located. Unlike other similar surgeries for rectal cancer, Dr. Bleday will be using nerve and sphincter sparing techniques.

Robotic Lobectomy

December 23, 2016

In robotic lobectomy, thoracic surgeons perform a minimally invasive anatomic resection for patients with lung cancer and other chest malignancies. In this surgical video, Jon O. Wee, MD, Co-director of Minimally Invasive Thoracic Surgery, presents a patient with advanced lung cancer who underwent a minimally invasive surgery after chemotherapy and radiation treatment.

Robotic Female Radical Cystectomy Procedure

December 23, 2016

In this video, Steven Chang, MD, MS, Associate Surgeon in the Division of Urology at Brigham and Women's Hospital, demonstrates a robotic female radical cystectomy using the Da Vinci robotic surgical system. The technical aspects of the procedure are discussed and the unique features of the robotic approach are highlighted. This minimally invasive robotic approach allows for significantly decreased blood loss and trauma, without compromising in cancer control or functional outcomes, compared to the open approach.

Robotic Assisted Laparoscopic Radical Prostatectomy

December 23, 2016

In this video, Adam Kibel, MD, the Chief of Urology at Brigham and Women's Hospital, demonstrates a partial nephrectomy using the DaVinci robotic surgical system. The indications for partial nephrectomy and the rationale for removing only part of the kidney instead of the entire kidney are briefly discussed. This minimally invasive robotic technique allows precise and careful resection of the tumor without removing the surrounding normal kidney tissue. Even complex tumors, that previously had to be removed with an large incision, can be removed with marked decrease in pain and blood loss.

Liver Cancer: Hepatectomy with Radiofrequency Resection

December 23, 2016

Hepatectomy is a surgical procedure for removing segments of the liver. It is an effective treatment for primary liver tumors including those derived from colorectal and other spreading cancers. In this presentation surgeons demonstrate resection using radiofrequency to minimize bleeding.

Deep Inferior Epigastric Perforators (DIEP) Flap Breast Reconstruction

December 23, 2016

This microsurgical technique uses the patient’s own tissue with no need for an implant, and preserves as much of the natural breast skin as possible to provide a more natural result. Unlike the TRAM flap, this procedure does not move the rectus abdominus muscle and has a decreased risk of abdominal bulge or hernia following surgery.

Bilateral Nerve Sparing Radical Prostatectomy for Prostate Cancer

December 23, 2016

The bilateral nerve sparing radical prostatectomy is a less invasive surgical technique to treat early nonmetastatic prostate cancer, the most common cancer in America. The procedure reduces side effects of surgery including incontinence and sexual dysfunction. The bilateral nerve sparing radical prostatectomy procedure uses smaller incisions with fewer complications than a traditional radical prostatectomy. Surgeons remove the prostate gland and any surrounding tissue that is at risk for cancer.

Sleeve Gastrectomy

December 23, 2016

This video, featuring bariatric surgeonScott Shikora, MD, Director, Center for Metabolic Health and Bariatric Surgery, features the sleeve gastrectomy technique involving the removal of the outer crescent of the stomach, resulting in a much smaller stomach, shaped like a tube or sleeve.

Laser Myomectomy

December 23, 2016

This video, presented at the 2011 annual meetings of the American Society for Reproductive Medicine and the American Association of Gynecologic Laparoscopists, illustrates the use of the da Vinci robotic system to perform a multiple myomectomy with the use of a novel flexible CO2 laser delivery system. Photonic (laser) energy and ultrasonic energy are our absolute first choices in patients of reproductive age.

Case Study: Transcatheter Aortic Valve Replacement (TAVR)

December 23, 2016

The Brigham and Women’s Hospital Structural Heart Disease Program team has performed more than 60 transcatheter aortic valve replacement (TAVR) procedures for aortic valve stenosis. This case study demonstrates the TAVR procedure and discusses the benefits of this technique and current indications.

Arrhythmia: Catheter Ablation for the Treatment of Atrial Fibrillation

December 23, 2016

Cardiologists are often confronted with the choice of whether to restore and maintain sinus heart rhythm through catheter ablation or to manage heart rate by administering anticoagulants to decrease the risk of stroke. In this surgical presentation William G. Stevenson, MD, Director, Clinical Cardiac Electrophysiology Program, and Laurence M. Epstein, MD, Chief Cardiac Arrhythmia Service, discuss indications for catheter ablation, the procedure, and its benefits.

Orthopaedic Surgery Grand Rounds Winter 2017

December 22, 2016

Cervical Spondylotic Myelopathy (CSM) is a progressive, degenerative disease that results in the compression of the cervical spinal cord and can result in irreversible neurologic deficits. It remains the leading common cause of acquired spinal cord compromise and is thought to be due to age-related arthropathic changes of the cervical vertebral column. These changes typically include degeneration of the vertebrae, intervertebral discs, facet joints, and uncovertebral joints. The subsequent wear of the three-joint complex, and loss of disc height, secondarily stimulate stiffening and buckling of the ligamentum flavum and posterior longitudinal ligament (PLL), each of which further contribute to narrowing of the cervical spinal canal.

SpyScope™ DS Catheter Removal and Disposal

December 22, 2016

Step-by-step instructions for the removal and disposal of the SpyScope DS Catheter after a cholangioscopy procedure.

Rheumatology Grand Rounds Winter 2017

December 22, 2016

In this issue of Rheumatology Grand Rounds, Drs. Siamak Moghadam-Kia, Rohit Aggarwal, and Chester Oddis review the clinical features, epidemiology, pathogenesis, genetic risk factors, approaches and management of Statin Myopathies.

Emerging Frontiers in Concussion - Session 5: Moving Toward A Targeted Approach to Concussion Assessment and Active Rehabilitation: Clinical Profiles Treatment Model

December 22, 2016

Dr. Michael Collins discusses his findings that help establish targeted clinical pathways for concussion.

Psychiatry Synergies Winter 2017 - Borderline Personality Disorder in Adolescence

December 22, 2016

Borderline personality disorder (BPD) is characterized by high personal distress, poor physical health, and functional disability. Those with the disorder are likely to experience impairment in school and work, as well as in relationships with romantic partners, family members, and friends.

Vaginal Hysterectomy with High Uterosacral Colposuspension

December 22, 2016

Vatche A. Minassian, MD, MPH, Chief of the Division of Urogynecology, demonstrates a vaginal hysterectomy with high uterosacral colposuspension for the treatment of symptomatic uterine prolapse. This innovative minimally invasive approach offers patients excellent post-hysterectomy vaginal vault suspension, high success rates with low risk of complications, and a much faster recovery compared with open or other techniques.

Endovascular Treatment of Carotid Artery Disease

December 22, 2016

Atherosclerotic carotid stenosis is a blockage of the main artery to the neck. It is a common cause of stroke in America. This video presents endovascular stenting to treat carotid stenosis. It is a minimally invasive procedure that is an alternative to the standard surgical procedure, carotid endarterectomy. Physicians insert a catheter with a tiny balloon in the tip into the narrowed artery. Inflating the balloon compresses fatty tissue and widens the inner artery improving blood flow. Then they insert and deploy a stent to keep the artery from narrowing again.