Use of Ultrasound During Two Stage Laparoscopic Liver Resection

Posted by BK Ultrasound on Jun 30, 2017 5:31:57 AM

Learn more about how intraoperative ultrasound can influence operative strategy in two-stage liver resections through:
 - mapping hepatic vasculature with regards to tumors
 - defining margins of resection 
 - enabling parenchymal-preserving resection

 

Mathieu D'Hondt, MD
Dept. of Digestive and Hepatobiliary and Pancreatic Surgery, AZ Groeninge Hospital, Kortrijk, Belgium

Liver resection remains the only potentially curative treatment providing long-term survival for patients with extensive bilobar colorectal liver metastases.

A two-stage hepatectomy is a potentially curative strategy that consists of:
• A first-stage procedure, where colorectal liver metastases in one hemiliver are resected. The primary colorectal tumor is often resected by combining a partial colectomy with the first-stage liver resection.
• A second-stage procedure, where all colorectal liver metastases in the contralateral hemiliver are resected.

Read More

Topics: Surgery

Use of Ultrasound During Complex Redo Open Liver Resection

Posted by BK Ultrasound on Jun 16, 2017 6:00:01 AM

 

Read about the advantages of intraoperative ultrasound in the detection of liver tumours and the planning of surgery.

Mathieu D'Hondt, MD
Dept. of Digestive and Hepatobiliary and Pancreatic Surgery, AZ Groeninge Hospital, Kortrijk, Belgium

Liver resection is the standard treatment for colorectal liver metastases and has a five-year overall survival rate estimated to be as high as 58%1. However, up to 75% of patients undergoing liver resection for colorectal liver metastases will develop intrahepatic recurrence2. The modern treatment of colorectal liver metastases is based on a multidisclipinary approach. From a surgical point of view, the management of colorectal liver metastases has significantly changed over recent years.

Read More

Topics: Surgery

Vector Flow Imaging Case Study: Technology Developed for Clinical Impact

Posted by BK Ultrasound on Apr 25, 2017 5:27:54 AM

Christopher C. Raio, MD MBA FACEP
Chairman, Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West Islip, NY, USA Progressive Emergency Physicians

  

A 72 year-old female with a past medical history significant for diabetes and congestive heart failure presented to the emergency department with three days of worsening fatigue. “Mom just has not been acting like herself, and today seems slightly confused at times”, her daughter stated. The day prior, the patient developed a mild, dry cough and fever, with a maximum temperature of 101.2°F (38.4°C). Vital signs on arrival were:

Temperature: 100.5°F (38.1°C)
Pulse: 88 beats/min
BP: 112/76 mmHg
Respirations: 24 breaths/min
Pulse Ox: 95%

Read More

Topics: Emergency Medicine

Dr. Jeffrey Yablon - Ultrasound in Neurosurgery

Posted by BK Ultrasound on Dec 30, 2016 11:05:00 AM

UCSF (University of California San Francisco) is ranked by U.S. News as a top-five hospital for Neurology and Neurosurgery in the United States1. Recently-retired Dr. Jeffrey Yablon was a neurosurgery faculty member at UCSF, and Medical Director of Queen of the Valley, a medical center serving the Napa Valley region in Northern California. The following is from a 2014 BK Ultrasound video profile with Dr. Yablon.

Read More

Topics: Surgery, Neurosurgery, BK Ultrasound

Ultrasound Guidance Opens New Doors in Robotic Surgery

Posted by BK Ultrasound on Nov 15, 2016 12:19:43 PM

The following story is an exerpt from a 2012 article,"Ultrasound Opens New Doors in Robotic Surgery," by Lisa Fratt of Health Imaging.

Since its introduction more than a decade ago, robotic-assisted surgery has stood out as a game-changer. The robotic console provides a robust platform to enable minimally invasive procedures in urologic, cardiothoracic, gynecologic and general surgical procedures. Today, robotic surgery is witnessing an evolution. The most recent surgical ultrasound systems, specifically BK Ultrasound systems for robotic surgery, are ushering in a new level of precision and diagnostic confidence. Intraoperative robotic-assisted ultrasound helps surgeons to perform more complex procedures robotically with potentially improved outcomes, particularly in radical prostatectomy and partial nephrectomy.

Read More

Topics: Robotic Surgery

Ultrasound-Guidance for Nerve Blocks in Pediatrics

Posted by BK Ultrasound on Oct 19, 2016 9:00:00 AM

Dr. Karen Boretsky is director of the Perioperative Regional Anesthesia Program at Boston Children’s Hospital and a lecturer in Anesthesia at Harvard Medical School. She is also a valued BK Ultrasound key opinion leader, and has recently shared her expertise in the development of a forthcoming, small-footprint pediatric transducer.

Read More

Topics: Anesthesiology

EMED Case Study: Identifying Endometrioma with Ultrasound

Posted by BK Ultrasound on Sep 22, 2016 10:00:00 AM

Jerry Chiricolo, MD FACEP
Chief, Division of Clinical Ultrasound, New York Methodist Hospital, USA

 

 

 


A 26-year-old female, with no significant past medical history, presented to the emergency department complaining of severe lower abdominal pain. It began as moderate intensity, right lower quadrant (RLQ) pain and was associated with her menses beginning six days prior; however, it acutely worsened two hours prior to arrival. The pain was now sharp and localized to the RLQ, and radiated to the lower back. On presentation, the patient appeared in moderate distress with normal vital signs. The patient was evaluated by the emergency medicine physician who elicited right adnexal tenderness on physical examination. The clinical concerns included ovarian torsion and an immediate point-of-care ultrasound was performed. 

Read More

Topics: Emergency Medicine

EMED Case Study: Identifying Intraperitoneal Free Air with Ultrasound

Posted by BK Ultrasound on Sep 19, 2016 9:00:00 AM

Christopher C. Raio, MD MBA FACEP
Chairman, Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West Islip, NY, USA Progressive Emergency Physicians

 

 


A 55-year-old male with a past medical history significant for gastroesophageal reflux disease and hypertension presented to the emergency department, complaining of severe abdominal pain and distention. The patient stated that the pain began to develop while attending a party the previous evening. The pain was sharp, greater in the upper-abdominal area, and worsened throughout the course of the night. On presentation at the emergency department, the patient was tachycardic, diaphoretic, and appeared to be in moderate distress, exhibiting diffuse abdominal tenderness. The patient was immediately evaluated by the emergency department team, placed on telemetry monitoring, intravenous access was gained and hydration initiated, and appropriate blood specimens were collected. The emergency medicine resident decided to perform a focused abdominal ultrasound to help elucidate the cause of the patient’s undifferentiated acute abdominal pain.

Read More

Topics: Emergency Medicine

How to: Ultrasound-Guided Axillary Block

Posted by BK Ultrasound on Jul 19, 2016 10:26:27 AM

This article, an excerpt from our eBook “Ultrasound-Guided Regional Anesthesia” by Dr. Brandon Winchester, co-founder of blockjocks.com, discusses the approaches and anatomy of an ultrasound-guided axillary block.

Read More

Topics: Anesthesiology, Pain Management

Dr. Brian J. Moran - Prostate Brachytherapy and Quality of Life

Posted by BK Ultrasound on Jul 15, 2016 9:23:20 AM

Dr. Brian J. Moran is Medical Director at Chicago Prostate Cancer Center in Illinois and an experienced practitioner of prostate brachytherapy, having performed thousands of prostate seed implants. He is a frequent speaker at professional meetings and has authored numerous publications in medical journals and textbooks.

Read More

Topics: Urology, Brachytherapy