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We found 9 results for duke in video, leadership & news
video (6)
Laparoscopic Roux-En-Y Gastric Bypass with Circular Stapled Gastrojejunostomy
videoContributors: Ranjan Sudan This video depicts a laparoscopic Roux-en-Y gastric bypass performed with a linear stapled jejunojejunostomy and a circular stapled gastrojejunostomy. DOI: http://dx.doi.org/10.17797/4mc50uaz8e Editor Recruited By: Jeffrey B. Matthews, MD
Laparoscopic-assisted Small Bowel Resection for Retained Endoscopic Capsule
videoContributors: Anna Sabih and Edward Auyang This video depicts a laparoscopic-assisted approach for the retrieval of an endoscopic capsule retained within the small bowel. DOI: http://dx.doi.org/10.17797/prub9rczs1 Editor Recruited By: Jeffrey B. Matthews, MD
Dorsal bridge plating for distal radius factures
videoContributors:Katherine Faust and Jacob Brubacher Internal distraction, or bridge plating, of distal radius fractures is a valuable tool for highly comminuted and unstable fracture patterns. Additionally, this technique is valuable for those fractures that extend into the metadiaphysis or for multiply injured patients requiring stable fixation for mobilization. Bridge plating allows for stable fixation in poor bone quality and early use of the injured extremity.
Vagal Nerve Blocking Therapy for Weight Loss: Laparoscopic Technique for Placing Neuroregulator and Leads
videoContributors: Shaina Eckhouse, Daniel Guerron, Keri Seymour, Ranjan Sudan , Jin Yoo, Chan Park , and Dana Portenier. The present video illustrates the technique utilized to place a vagal nerve stimulator for weight loss in a morbidly obese patient. As most surgical trainees do not routinely perform truncal vagotomy, laparoscopic or otherwise, the technical goal of this video is to depict the surgical technique needed to laparoscopically identify and work with the anterior and posterior vagus nerves. Vagal nerve blocking therapy is one of many procedures used for surgical weight loss. In the present case, the weight loss achieved was less than that seen with a gastric bypass or sleeve gastrectomy over a comparable time period.
Use of Mini-Laparoscopic Percutaneous Graspers During Laparoscopic Cholecystectomy
videoContributors: Jin Yoo Percutaneous instrumentation is a new area of development within minimally invasive surgery. This video demonstrates the use of 2.3mm low profile percutaneous graspers during an elective laparoscopic cholecystectomy.
Lateral Graft Tympanoplasty
videoTitle: Lateral Graft Tympanoplasty Description: A lateral graft tympanoplasty is performed to demonstrate the utility of this technically challenging approach. The technical pearls that contribute to the high success rate of this graft are highlighted. Learning Points: The lateral graft tympanoplasty was popularized by Sheehy in the 1960s. Although technically more demanding than underlay graft techniques, the lateral graft is an essential method for Otologists to have in their armamentarium. The lateral graft is especially useful in cases of total perforation or anterior marginal perforation as well as revision tympanoplasty. Potential disadvantages of this technique include graft lateralization and anterior blunting as well as keratin pearl formation. When performed by an experienced surgeon, the results of lateral grafting are excellent. The technical considerations that promote successful lateral grafting are highlighted in this video.
leadership (2)
Ravi N. Samy, MD, FACS
leadership
University of Cincinnati
- Director, Cochlear Implant and Auditory Brainstem Implant Program
- Program Director, Neurotology Fellowship
- Associate Professor, Department of Otolaryngology
Dr. Ravi Samy was born in Madras (now Chennai), India. He emigrated to the United States in 1973, at the age of 4. The first city in the US in which he lived was Canton, OH. After spending a few years in Connecticut during his father’s psychiatry residency, he moved to Wichita Falls, TX. He spent most of his formative years in Texas and considers himself a Texan. After graduating high school as co-valedictorian, Dr. Samy matriculated at Duke University. He graduated magna cum laude with a BS in Zoology in 1991. He then stayed on at Duke University School of Medicine and graduated in 1995. From 1995-2000, Dr. Samy was an intern and then a resident at Stanford University School of Medicine, where he developed a love for otology, neurotology, and skull base surgery. From 2000-2002, he was a fellow in Neurotology at the University of Iowa. After graduating, he was an Assistant Professor from 2002-2005 at UT-Southwestern Medical Center in Dallas, TX. Although he never wanted to leave Texas again, he was enamored with a phenomenal academic opportunity in the Department of Otolaryngology at the University of Cincinnati/Cincinnati Children’s Medical Center. He has been there for almost 8 years. He became an Associate Professor last year. During his time here, he has created an ACGME accredited, two-year Neurotology fellowship, one of only approximately 15 in the country. Dr. Samy serves not only as Program Director for the Neurotology Fellowship but also as the Director of the Cochlear Implant and Auditory Brainstem Implant program. His research interests include cochlear and auditory brainstem implantation as well as acoustic neuromas, neurofibromatosis type 2, facial nerve tumors, and other diseases and disorders of the lateral skull base. Finally, he is interested in using novel techniques and technologies to eradicate tumors, such as the use of surgical robotic systems or synthetic biology in the form of bacterial robotics systems. He is collaborating with researchers in India, including one of his former fellows, to incorporate these technologies and to enhance global health and increase collaboration between UC and international institutions, thus benefiting both US citizens and those of other nations.
Dr. Samy’s website, CiSurgeon.org provides information about Cochlear Implants, including FAQ, Cochlear Implant Surgery, preparation and more.
Joseph W. Turek, MD, PhD
leadership
University of Iowa
- Chief of Pediatric Cardiac Surgery
- Co-Director, University of Iowa Stead Family Congenital Cardiac Center
- Director of Extracorporeal Membrane Oxygenation Services
- Program Director of the Thoracic Surgery Fellowship and Thoracic Integrated Six-Year Residency Programs
Joseph William Turek, MD, PhD graduated from Northwestern University with a BA in Biochemistry in 1994 and received his MD/PhD (Pharmacology) from the University of Illinois – Chicago in 2002. He completed his general surgery education at Duke University in 2007, where he also completed a cardiothoracic residency in 2010. During this time he served as a visiting congenital fellow at Texas Children’s Hospital. He completed a congenital cardiac fellowship at the Children’s Hospital of Philadelphia in 2011. Dr. Turek was the third John H. Gibbon Jr. Research Scholarship Recipient awarded by the American Association for Thoracic Surgery (2014-2016). Dr. Turek is Chief of Pediatric Cardiac Surgery and Co-Director, University of Iowa Stead Family Congenital Cardiac Center. He is also the Director of Extracorporeal Membrane Oxygenation Services and serves as the Program Director of the Thoracic Surgery Fellowship and Thoracic Integrated Six-Year Residency Programs at the University of Iowa Hospitals and Clinics. His specialties include congenital heart surgery, pediatric heart transplantation and assist devices. Dr. Turek is quite active nationally, holding board positions and serving on varies committees. Dr. Turek can be reached at his office number (319) 384-8365 or by e-mail at joseph-turek@uiowa.edu with any questions.
news (1)
Utilization of Artificial Intelligence in Surgery
news
Artificial intelligence (AI) in the field of surgery offers numerous benefits, such as efficient data analysis and personalized treatment plans, aiding in improved patient outcomes and experiences. However, concerns persist about the misuse of AI technology and potential breaches of patient privacy, emphasizing the need for ethical considerations and careful integration strategies.
Pros of Integrating AI in Surgery
The advantages of artificial intelligence in surgery include its ability to quickly and efficiently analyze extensive data, which can aid in addressing the challenges within the healthcare system. AI integration in surgery could lead to improved early disease detection, resulting in faster interventions and better prognosis. [1]
Additionally, AI has the potential to assist doctors in developing personalized treatment plans by studying patients' medical records and scans at a detailed level. Intermountain Healthcare, based in Salt Lake City, is currently working on an AI-driven platform designed to support doctors in making on-the-spot diagnoses. [2] In the operating theater, AI technology can enhance decision-making by providing real-time data analysis and feedback to surgeons, thereby preventing adverse outcomes.
Meanwhile, UPMC in Pittsburgh is spearheading personalized patient care through innovative AI tools, [3] including Abridge's technology, which facilitates seamless transcription of patient-physician interactions. AI's role in post-operative care includes the evaluation of patient monitoring data to detect potential complications and establish routine communication channels for patients, leading to reduced complications, enhanced recovery times, and an improved overall patient experience.
Duke Health, based in Durham, N.C., is actively engaged in pioneering AI-powered cloud technologies for healthcare organizations, [4] collaborating with renowned analytics company SAS to foster the development of cutting-edge artificial intelligence-powered cloud products specifically tailored for the healthcare sector. This strategic partnership marks a significant stride in the advancement of patient care, exemplifying Duke Health's commitment to staying at the forefront of healthcare innovation.
Cons of Using AI in Surgery
The challenges of using artificial intelligence in surgery include the potential for misuse and the risk of replacing human expertise, leading to the provision of unfounded medical recommendations. There are concerns about patient privacy and data sharing, particularly with the reliance on AI-based platforms for large volumes of medical information. Unauthorized access to protected healthcare databases could result in severe consequences for both individuals and healthcare systems.
The existing uncertainty surrounding data usage, highlighted by the UK's Turing Institute, a national center for data science and AI, and their report stating that the predictive tools made little to no difference, [5] emphasizes the need for careful consideration of medico-legal aspects in the integration of AI in surgery. A science study from 2019 brought to light that a healthcare prediction algorithm, which was widely adopted by hospitals and insurance companies across the United States to pinpoint patients requiring "high-risk care management" [6] initiatives, exhibited a notably lower tendency to identify Black patients.
Furthermore, the current inadequacy of protocols and norms regulating the clinical operation of AI raises the possibility of medical errors and malpractice liability, especially when used by practitioners unfamiliar with the technology. It could also be challenging to determine accountability for any errors made, whether it's the doctor, hospital, or developer of the AI tool.
Mitigating Concerns About The Use of AI In Surgery
To address concerns regarding AI's use in surgery, it is crucial to subject all AI-based assistance to a secondary evaluation by a qualified medical professional. [7] A clear disclaimer outlining the disparities between surgeon-generated medical advice and AI-generated suggestions should accompany the assistance. Implementing anonymization protocols, reinforcing security measures for databases, and educating patients about their data's potential use can help allay worries about patient privacy and data security. Obtaining informed consent from patients regarding AI's involvement in their treatment is also essential.
With the continuous enhancement of AI precision and quality, the anticipation is for a significant reduction in complications arising from AI-based systems. Despite its promising impact in the surgical field, ethical considerations must be carefully deliberated.
The Road Ahead
Looking ahead, the road for AI in healthcare appears promising, paving the way for early disease detection, precision medicine, and improved patient care.
As AI continues to evolve, addressing ethical concerns remains a pivotal factor in its successful implementation within the surgical domain. It is essential to emphasize the significance of implementing measures such as secondary evaluations by medical professionals, protocols for data anonymization, and patient education to address concerns regarding the integration of AI in surgery effectively.
The continued collaboration between human expertise and AI’s analytical capabilities is poised to bring about revolutionary discoveries, shaping the future of personalized and efficient healthcare services.
References:
1. Vanderbilt Engineering Graduate Admissions Team. The Future of Surgery: Augmentation and Automation in Healthcare. Vanderbilt School of Engineering (August 24, 2023). https://bit.ly/3tJF9se
2. Naomi Diaz. How 6 hospitals, health systems are using AI to improve patient care. Becker’s Health IT (April 27, 2023). https://bit.ly/3QyKEDb
3. Sarah Katz. How UPMC Is Bringing AI into Patient Care. Inside Life Changing Medicine (April 11, 2023). https://bit.ly/3s203CH
4. Noah Schwartz. Duke Health looking to create AI-based digital health platform. Becker’s Health IT (April 11, 2023). https://bit.ly/49ev72A
5. Thor Olavsrud. 9 famous analytics and AI disasters. CIO (Sep 22, 2023). https://bit.ly/3MiNBoO
6. Starre Vartan. Racial Bias Found in a Major Health Care Risk Algorithm. Scientific American (October 24, 2019). https://bit.ly/49bEv71
7. Dr. Priyom Bose, Ph.D. AI in surgery: A double-edged scalpel?. News Medical Life Sciences (May 8, 2023). https://bit.ly/3SdUPOD