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Immediate repair of the recurrent laryngeal nerve during thyroid surgery via a tension-free end-to-side anastomosis with the Vagus.
Updates Surg
January 2025
1St Propaedeutic Surgical Department, University Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki (AUTH), 5462, Thessaloniki, Greece.
The unprecedented technical and technological evolution in thyroid surgery has labelled it as an extremely safe and efficient procedure, and indeed "typifies perhaps better than any other operation the supreme triumph of the surgeon's art."-William Halsted, 1852-1922. Surgeon's experience reflected by annual case load is the most important denominator in thyroid surgery.
View Article and Find Full Text PDFPlant, insect, and fungi fossils under the center of Greenland's ice sheet are evidence of ice-free times.
Proc Natl Acad Sci U S A
August 2024
Natural Resources and the Environment, University of New Hampshire, Durham, NH 03824.
Article Synopsis
- The Greenland Ice Sheet's (GrIS) persistence during the Pleistocene impacts our understanding of past sea level rise and future climate projections.
- Researchers studied glacial till from beneath 3 km of ice at Summit, Greenland, revealing a stable land surface with plant and animal remnants.
- Evidence shows that central Greenland was tundra-covered during the Pleistocene, helping to clarify how the Arctic ecosystem responded to periods of ice melting.
The Public Health Leader Who Brought Antisepsis to William Halsted.
J Am Coll Surg
December 2024
Independent Scholar, Tucson, AZ.
William Halsted wrote to aging surgeon, Stephen Smith, in 1919, that he remembered the lessons Smith had taught him, "when I walked with you through the wards of Bellevue Hospital." Smith was an early advocate of Joseph Lister's antiseptic method, and because of his public health work, he was also an early advocate of environmental hygiene and microbial control based on the unproved germ theory. Although Lister's work at the time emphasized germ killing around the operative site with carbolic acid (antisepsis), Smith adopted and encouraged surgical practices at Bellevue that would be hallmarks of the germ-preventing (asepsis) surgical approach that fully developed after German bacteriologic discoveries in the mid-1880s, and with which Halsted is historically identified.
View Article and Find Full Text PDFNormal and Diseased Imaging: Ultrasound/MRI.
Clin Podiatr Med Surg
July 2022
Stamford Health Medical Group, 800 Boston Post Road, Suite 302, Darien, CT 06820, USA.
The lesser metatarsophalangeal joint plantar plate and calcaneonavicular (spring) ligament are highly specialized soft tissue structures within the foot, consisting partly of fibrocartilage and capable of withstanding high compressive and tensile loads. Preoperative advanced imaging, in the form of point-of-care ultrasound and MRI, has become indispensable for surgeons hoping to confirm, quantify, and better localize injuries to these structures before surgery. This article describes the technical considerations of ultrasound and MRI and provides examples of the normal and abnormal appearances of these structures.
View Article and Find Full Text PDFEverything Old is New Again: Applying the Lessons from Halsted's Life and Work to Today's Surgical Landscape.
Am Surg
July 2022
Department of Surgery, West Virginia University/Charleston Division and the CAMC Institute for Academic Medicine, Charleston, WV, USA.
Article Synopsis
- Dr. William Halsted is recognized as a pioneering figure in surgery, known for his significant contributions and innovative practices.
- His teachings and experiences offer valuable lessons for contemporary surgeons tackling current challenges in the field.
- The manuscript discusses how a return to Halsted's principles could provide solutions to the evolving difficulties faced in modern surgery.
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