With 40% projected shortfall in vascular surgery staffing in a decade, will this operation even be on the menu? Endovascular skills can be expanded via lecture, observation, and repetition after establishing base skills. Open vascular surgery requires a surgical ἀγωγή. #vascsurg
Neuroanatomy teaser: This patient presents w/atypical face pain unresponsive to microvascular decompression & C1 spinal cord stimulator. Weird!? Turns out a cuneate medullary cavernoma was triggering spinal trigeminal nucleus on its descent to C3 & its resection cured her…
🚨 Sospecha Mirizzi si hay: colelitiasis crónica, colecistitis recurrente, ictericia, vesícula contraída, cálculo impactado en cuello vesicular o dilatación intrahepática sin obstrucción distal.
⚠️ Si no logras visión crítica de seguridad, no insistas.
Eso no es “dificultad técnica”: es una señal para cambiar estrategia.
✅ parar disección
✅ pedir ayuda
✅ subtotal
✅ fundus-first selectivo
✅ convertir si es necesario
En Mirizzi, el éxito es no lesionar la vía biliar.
Always check for posterior wall leaks of the proximal anastomosis during open AAA repair when you free the proximal clamp 🔪💥⤵️! Because when you complete the iliacs anastomosis will not be possible to repair a posterior leak! @pferrada1@TomVargheseJr@swexner
Not my hands, but my teaching. Watching someone you trained place a bifurcated aortic graft this clean is a different kind of satisfaction. The next generation is ready. 🫀
Michael Alaia, MD (New York, NY), demonstrates a posterolateral corner (PLC) reconstruction using Collateral Ligament (CL) FiberTag® TightRope® implants with the InternalBrace™ technique. CL FiberTag TightRope implants are optimized for extra-articular knee ligament procedures, using a smaller FiberTag implant and atraumatic tapered needles for graft preparation.
Watch the full video: https://t.co/xA65iROQ8p
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.
#Arthrex #MedicalEducation
A 30 years old man involved in motor vehicle accident presented with headache and persistent vomiting. GCS on arrival in emergency department was 14/15.
What’s the likely diagnosis?