A young female with a single metastasis at the level of the upper portion of the sternum underwent surgical excision of the sternum followed by sternal allograft implantation. The use of a sternal allograft provides excellent functional and cosmetic results.
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Thoracic
February 14, 2012
Professor Stuart Jamieson has performed over 2600 pulmonary thromboendarterectomies–more than the rest of the world combined. He has trained most of the surgeons who perform this technique. In this interview he describes the way he performs this technique, who is suitable, and also talks about emergency pulmonary embolectomy.
February 2, 2012
A robotic technique is described for first rib resection for Paget Schroetter Disease or “effort thrombosis” of the subclavian vein that allows for en bloc resection of the offending portion of the first rib while minimizing the risk of neurovascular injury.
December 15, 2011
Prof. Hans Pilegaard has developed a novel method for Nuss bar insertion using a short bar technique. Using this technique he has performed almost 1000 Nuss procedures. In this interview he describes his technique. Intraoperative video is included of Dr. Pilegaard performing the operation at the Edinburgh Royal Infirmary.
December 12, 2011
The ability to completely drain the thoracic cavity, break up loculations of pleural fluid, completely visualize all aspects of the pleural space, and avoid the morbidity of a thoracotomy has made thoracoscopy attractive in the management of empyema and hemothorax.
September 21, 2011
September 12, 2011
A minimally invasive approach to resection of early stage lung cancers has been described and many favorable results validated. There is increased interest in pursuing a robotic approach as early experience indicates some potential advantages, including less pain in the early postoperative period and possibly more complete hilar and mediastinal lymph node dissection.
July 28, 2011
Dr. David discusses his routine techniques for sternotomy, cannulation, and routine aortic-valve replacement, including choice of valves and when to do a Ross procedure. Then he discusses his signature operation---the aortic valve sparing root replacement, with many valuable hints and tips.