Specialists at the HealthEast Neurovascular Institute (now the National Brain Aneurysm Center) hosted a live webcast from St. Joseph's Hospital on August 1, 2006. The panel discussion included: Dr. Eric Nussbaum, neurosurgeon; Dr. Mike Madison, interventional neuroradiologist; and a recent patient.
Click here to watch the webcast on the OR Live web site.
Eric Nussbaum, MD, Director of Vascular Neurosurgery
Dr. Nussbaum is a graduate of Johns Hopkins University. He received his medical degree from the University of Maryland School of Medicine and completed his surgical internship and neurosurgical residency at the University of Minnesota. He gained additional experience in neurovascular and epilepsy surgery while a clinical fellow at the University Hospital in London, Ontario.
Dr. Nussbaum has written a guide for patients and families on brain aneurysms and vascular malformations. He's also published many journal articles and book chapters on the subject and is invited regularly to speak at national conferences.
Michael Madison, MD, Director of Interventional Neuroradiology
Dr. Madison is a graduate of St. Olaf College and the University of South Dakota. He earned his medical degree from the University of Minnesota. Dr. Madison completed a diagnostic radiology residency at the University of Minnesota, where he also served a fellowship in interventional neuroradiology.
Surgeons at St. John's Hospital performed a minimally invasive discectomy live on the Internet on June 16, 2006.
Click here to watch the webcast on the OR Live web site .
Discectomy is a treatment for nerve compression caused by a herniated or prolapsed disc. It relieves pressure and pain by removing herniated disc tissue and bone fragments pressing on the spine.
Minimally invasive discectomy is performed through a small tube. Rather than stripping the muscles off the spine, a small window is made in the muscles. The entire surgery is then performed through a tube about the diameter of a quarter.
Patients who undergo minimally invasive surgery often have:
Christian DuBois, MD, specializes in treating conditions of the back and neck. Dr. DuBois is currently the only physician at HealthEast who is focused on minimally invasive spinal procedures. Following an orthopaedic surgery residency at Yale University, he trained in minimally invasive techniques during a spinal surgery fellowship at Rush University Medical Center in Chicago. Dr. DuBois has lectured and presented his research to both national and international medical societies and has been published in nationally recognized medical journals.
Daniel Hanson , MD, also specializes in treatment of the back and neck and been published in national medical journals. Dr. Hanson has dedicated his practice to operative and non-operative treatment of injuries and conditions of the spine. A large percentage of his time in practice is spent in treating patients with herniated discs. He completed a spine fellowship in Louisville, Kentucky and Indianapolis, Indiana after graduating from the University of Minnesota Medical school.
Surgeons with the Orthopaedic Specialty Center at Woodwinds Health Campus performed computer assisted knee replacement surgery live on the Internet on
May 16, 2006.
Click here to view the webcast on the OR-Live web site.
During a total knee replacement, plastic and metal parts are used to replace injured or damaged parts of the knee. Until now, a doctor had to rely on his or her experience to remove bone, replace it with implanted material and align the plastic or metal material with the bone. Since each patient's knee is different, this can be a challenge.
Computer assisted knee replacement uses infrared to display a 3D model of the patient's knee on a computer screen. The image of the knee allows the surgeon to clearly see inside the joint and more exactly align the bone and implanted material in the knee.
Patients often benefit from better outcomes after surgery and smaller incisions. "The technology allows the surgeon to customize the total knee replacement for each patient," says Dr. Hoeffel.
"The objective of computer-assisted surgery is to combine the precision and accuracy of computer technology with the surgeon's skill and expertise," says Dr. Drogt. "The goal is establishing anatomic alignment, which greatly increases the durability and longevity of the joint replacement. As a result, surgeons are able to align a patient's bones and joint implants with a degree of accuracy not possible with the naked eye."
Daniel Hoeffel, MD, specializes in total joint replacement and is certified to train other orthopaedic surgeons in the proper use of the Ci computer navigation system. Dr. Hoeffel's practice includes the treatment of orthopedic injuries including fractures. His area of subspecialty is total joint replacements and revision of failed total joints.
Jack Drogt, MD, sees patients with hip and knee disorders and injuries with an emphasis on hip and knee replacement and fracture care. Dr. Drogt specializes in knee reconstruction, knee arthroscopy and hip and knee joint replacement.
For more information about knee replacement and the Orthopaedic Specialty Center at Woodwinds, visit: www.woodwinds.org
Click here for more information on OR-Live and the knee replacement webcast.
Surgeons with the HealthEast Kidney Stone Institute at St. Joseph's Hospital performed innovative kidney stone surgery live on the Internet on October 25, 2005.
Click here to go to the OR-Live web site to access the webcast.
Percutaneous nephrolithotomy (PCNL) is performed for clearance of the largest and most complex kidney stones. During the procedure, the doctor makes an incision in the patient's side about the size of a fingertip. A narrow tunnel ("access tract") is then created directly into the kidney. A special telescope (called a nephroscope) is used to examine the inside of the kidney. Stones are then broken using ultrasonic or laser lithotripsy.
The surgeon who conducted the procedure is Andrew Portis, MD. Carl Bretzke, MD, provided radiological expertise and actively participated in the entire procedure. Dr. Portis and Dr. Bretzke share a desire to continuously enhance their patients' results and experiences as they deal with complex kidney stone issues.
For more information about the HealthEast Kidney Stone Institute and treatments visit: www.healtheast.org/kidneystones.
