A wealth of resources await you in the new BJS Clinical Media Library!
Listen to experts in the field discuss the contents of BJS articles in the podcasts, view technical videos of methods described in articles and browse the extensive range of images in the archive of Snapshots in Surgery. Please click on the image for more information.
Access to content is restricted to registered users of the BJS website so sign up for free now through the simple registration process, or login to access this educational resource.
Displaying all articles - ( Showing 1 to 10 of 215 )
Randomized clinical trial of fibrin sealant versus titanium tacks for mesh fixation in laparoscopic umbilical hernia repair. Click here to watch the video (Supporting Information) and read the article.
This woman had polyacrylamide injection breast augmentation 5 years previously. Ultrasound examination revealed large areas of liquid under the breast. At operation, around 200 ml yellowish gel-like substance was squeezed and sucked out from each breast through an areolar incision. Polyacrylamide had been used legally as a human soft tissue filler in China from December 1997 to April 2006, affecting more than 300 000 people. The Chinese government banned the use of polyacrylamide for this application in 2006.
Transanal specimen extraction in robotic rectal cancer surgery. Click here to watch the video (Supporting Information) and read the article.
Transgastric appendicectomy. Click here to watch the video (Supporting Information) and read the article.
This 75-year-old man complained of severe anal pain. He had undergone resection of his rectum for cancer 9 years previously. The picture shows three thumb tacks in the rectum. These were deployed to control presacral venous bleeding during resection of the rectal cancer. Thumb tacks are useful when all else fails to control venous bleeding from sacral veins at proctectomy. Although these tacks are expected to remain at the site of deployment, they have migrated through the rectal wall to enter the lumen in this patient, resulting in intense anal pain. The patient was completely pain-free after removal of the thumb tacks.
This 67-year-old man presented with periumbilical pain that radiated to the left upper quadrant. The pain was associated with mild abdominal distension, nausea, vomiting and decreased appetite. The initial diagnosis was infected teratoma based on seeing calcification on computed tomography. On laparotomy, a 20-cm Meckel’s diverticulum was found with enteroliths packed in the tip causing a microperforation (a,b). A segmental bowel resection with primary anastomosis was performed. Meckel’s enterolith is a rare possibility that should be considered in a patient with a picture of small bowel obstruction and calcification on imaging studies.
Click here to listen to this highly entertaining and informative talk about the origins of surgery, practices of the early surgery and how that practice evolved. Delivered by Dr Robert D. Madoff, Professor of Surgery at the University of Minnesota and Editor in Chief of Diseases of the Colon & Rectum, the talk demonstrates the courage, perseverance and vision of early surgeons.
This 65-year-old man was treated for gastric outlet syndrome and jaundice due to pancreatic cancer with two metallic stents.The patient had a borderline resectable pancreatic cancer. Jaundice and gastric outlet syndrome were treated with metallic stents (WallFlex Duodenal 22 × 120 mm and WallFlex Biliary Fully Covered 10 × 60 mm; Boston Scientific, Natick, Massachusetts, USA) because neoadjuvant therapy was considered. Plain abdominal X-ray confirmed good positioning of both stents. One week later, he was admitted with bowel obstruction. Abdominal CT and plain X-ray revealed the impaction of both stents in the distal ileum (a). The patient underwent bowel resection (b) with anastomosis, cholecystectomy, with bile duct decompression through the cystic duct remnant, and gastrojejunostomy.
Full-thickness laparoendoscopic excision (FLEX) in a porcine colon. Click here to watch the video (Supporting Information) and read the article.
An 8-year-old boy presented with a 3-day history of left buttock and perianal pain; there was no pruritus ani. On clinical examination, a tender inflammatory swelling, corresponding to an abscess, was found in the left perianal region and extending laterally. Enterobius vermicularis infestation was diagnosed.
Europe's premier surgical journal