Professor Hongguang Wang is a hepatobiliary surgeon at the Chinese PLA General Hospital, in Beijing, China, one of the largest hospitals in the country. The facility has five sections in the hepatobiliary surgery department: hepatic surgery, biliary surgery, pancreatic surgery, minimally invasive surgery, and liver transplantation surgery. Dr. Wang is in charge of the minimally invasive surgery section. There, he performs laparoscopic hepatectomies, laparoscopic cholecystectomies, and laparoscopic common bile duct exploration.
“When I trained 20-something years ago, ultrasound was not being utilized for therapeutic injections,” recalls Dr. Kevin Ladin of Comprehensive Pain Specialists, Phoenix, Arizona. “We used our knowledge of anatomy to guide our needle to the right location. That was kind of a primitive technique, one that most physicians were using because that’s how we were trained. With the use of ultrasound, there’s no question that the outcomes are much better.”
Anesthesiologists have only been incorporating ultrasound guidance for regional anesthesia into their practice for about 10 years. Using ultrasound allows clinicians to visualize their needle and target structures with confidence, while also avoiding structures in the needle’s path, potentially decreasing complications.
Pelvic floor disorders lead to hundreds of thousands of surgical interventions on female patients in the USA each year. An estimated 30% of these cases require re-operations.
Dr. Gavin Quigley is a prominent consultant neurosurgeon based at the Royal Victoria Hospital in Belfast, Northern Ireland, where his team provide care for 1.8 million people. Dr. Quigley has previously worked as an advisor for HIQA (Health Information and Quality Assessment) in the Republic of Ireland and for NICE (National Institute for Clinical Excellence) in the UK, and was appointed as a Consultant Neurosurgeon to the National Neurosurgical Unit in Dublin, Ireland in 2006. He returned to Northern Ireland in 2009, taking up his current position at The Royal Victoria Hospital.
Dr. Robert Martin is a professor of surgery at the University of Louisville School of Medicine in Louisville, Kentucky, and the division director of surgical oncology. His background is in surgical oncology, with additional training in hepatopancreatobiliary surgery. Most of his practice today is spent treating patients with upper gastrointestinal cancer. His management of this disease always includes the use of ultrasound.
Dr. David Carnovale is the medical director for fertility specialty care at Community Health Network in Indianapolis, Indiana, USA. He is board certified in obstetrics, gynecology, reproductive endocrinology, and infertility, with a specialization in reproductive endocrinology and infertility. One of the procedures he performs regularly is myomectomy, the preferred fibroid treatment for women who are trying to become pregnant.
Dr. Kare Fugleholm is a Consultant Neurosurgeon at Rigshopitalet in Copenhagen, whose department of neurosurgery is among the largest neurosurgical departments in Europe covering all aspects of brain surgery and peripheral nerve surgery.
From the “Suggested Guidelines for Musculoskeletal Sonography” chapter in our musculoskeletal ultrasound imaging guide: “Introduction to Musculoskeletal Ultrasound Imaging” by Dr. Randy Moore.
We recently spoke with Dr. Omer Karim about his urology surgery practice. Dr. Karim is a consultant urologic surgeon in the UK at Wexham Park Hospital in Slough. He also works privately at the Wellington Hospital in London and has specialized in robotic surgery for the last 10 years.