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Surgery, Operative
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Understanding Errors in Medicine: A Prospective Study of Hospitalized Surgical Patients

A study of the identification and handling of untoward events or clinical disagreements in the care of hospitalized surgical patients is presented and discussed.
Health Sciences (Rare Shelves)

New Federal Guidelines for Prevention of HIV Transmission to Patients During Invasive Procedures: A Valid Response to the Case of Dentist David J. Acer

The panel discusses guidelines developed by the Center for Disease Control on strict adherence to standard infection control measures. These guidelines recommend that health care workers who perform exposure-prone procedures (e.g. surgery) know their HIV antibody status, and that those found to be HIV positive stop performing these procedures unless approved by an expert panel and the patient is informed. The panel specifically focuses on the implementation of these guidelines and questions it raises at the University of Virginia Health Sciences Center.
Health Sciences (Rare Shelves)

Hernia Repair [electronic resource]

Hernias do not happen only to heavy lifters; a simple sneeze can put as much pressure on the abdominal walls as bench pressing 350 pounds. This program uses operating room footage, commentary by medical experts, and case histories of hernia patients to illustrate the benefits and basic techniques of laparoscopic hernia surgery. In addition, five types of hernias are identified, the benefits of high-tech mesh for reinforcing ruptures in the abdomen are discussed, and the life-threatening risk of unrepaired hernias becoming strangulated is stressed.

Organ Transplants [electronic resource]: Making a Match

Sixty years ago, organ transplants for humans began to show signs of success. Since then, organ donation has saved millions of lives worldwide. This program gives viewers a detailed look at how transplant recipients and donors are matched, as well as what happens before, during, and after a transplant operation. Case studies profile an elderly man waiting for a heart transplant and a golf pro whose donated kidney gave her a new lease on life. The program also features commentary from transplant experts-including doctors at Stanford University's world-renowned transplant center-who describe state-of-the-art methods for predicting and treating organ rejection.
2006; 2005

Surgery 101 [electronic resource]: What Patients Need to Know

Almost every American will have surgery at least once during his or her lifetime. How can a patient ensure the best possible outcome when facing a surgical procedure? This program provides reassuring guidance and personal strategies that individuals should take into account before undergoing an operation. Helpful case studies feature a former secret service agent who intensely questioned his surgeon about his impending heart surgery, and a 19-year-old with cerebral palsy whose parents and doctor communicated extensively prior to his stomach operation. Experts include Dr. Douglas Boyd of the Cleveland Clinic Florida and Dr. Thomas Russell, executive director of the American College of Surgeons.
2009; 2008

The Heart [electronic resource]: Hope for the Human Engine

What does the future have in store for the heart, the motor that powers the human body? What kinds of treatment can cardiology patients expect within the next decade? This program reveals a wide range of innovations for the treatment and cure of heart disease and cardiovascular disease. Viewers will discover a newly developed bypass system; a biventricular pacemaker that also incorporates a defibrillator; and a highly advanced artificial heart developed by a space robotics laboratory, which will hopefully reduce the current reliance on donor hearts, which are in acutely short supply. Yet another glimmer of hope comes in the form of artificial tissue which may one day replace diseased heart muscle in children.
2009; 2007

Diabetes [electronic resource]: Sweet Poison in the Blood

The global statistics are alarming: diabetes kills one person every 10 seconds, and a limb amputation is carried out as a result of the disease every 30 seconds. What can 21st-century medicine achieve in the face of such ominous data? This film examines the escalation of diabetes cases around the world and looks at examples of concrete progress against the illness. Viewers learn about the basic science behind diabetes; the factors of obesity and poor physical fitness; the roles played by infection and the immune system; the differences between type 1 and type 2 diabetes; and the use of stem cell research and islet cell transplants in treating and-perhaps one day-curing the disease.
2009; 2007

Dementia [electronic resource]: Treatments and Potential Cures

It can affect anyone, from night clerk to Nobel laureate. Physicians have identified more than 70 potential causes of irreversible mental deficiency, or dementia-which most often takes the form of Alzheimer's disease-and worldwide data indicate that its occurrence is on an upward trend. This program spotlights promising medical trials aimed at halting the mental and physiological tragedy of dementia. Linking the disease to organic neuronal damage, the film focuses on the development of medicines and vaccinations that could potentially cure it. Viewers are also introduced to therapeutic methods that make dementia less frightening and may help to relieve sufferers on the journey into a world devoid of memory.
2009; 2007

The Bridge at Midnight Trembles [electronic resource]: Parkinson's Disease and Deep Brain Stimulation

Diagnosed with Parkinson's in 1990, actor Richard Moir endured thirteen years of shakes, freezes, and depression as his career faded, his disease worsened, and various treatments achieved nothing. This program follows Moir as he prepares to undergo the procedure known as deep brain stimulation; it also documents his uncertain recovery period. Presenting photos and movie clips depicting the patient's personal experiences-including his first symptoms of Parkinson's-the film accompanies Moir as the day of his operation approaches, as he enters the hospital and readies for surgery, and afterwards as scars heal, hair grows back, and a degree of bodily control returns.
2009; 2005

Feel Good Again [electronic resource]: 25 Ways to Stop the Pain

Pain is everywhere. Ten million Americans suffer from back pain, 8 million have fibromyalgia, and 40 million are living with chronic headaches-not to mention the millions who must cope every day with arthritis, restless leg syndrome, and aching muscles. This collection of 25 video clips features new drugs, procedures, and alternative therapies helping to fight the pain "pandemic." With an average length of 90 seconds, each mini-case study functions as a visual aid for instructors as well as physicians or medical support staff who want to increase communication with patients.

Not Enough Blood [electronic resource]: Boosting the World's Blood Supply

In Germany, more than 4 million pints of blood are donated annually. Nearly 900,000 more pints per year are required to satisfy the transfusion needs of German hospitals. How will this gap be closed? Blood-economizing measures used by surgeons and some of the research efforts to create synthetic blood are the focus of this program. A scientist is filmed in Mexico working with the hemoglobin from pig's blood to treat diabetes-related sores. Next, an anesthesiologist explains the technique of presurgical blood withdrawal and thinning for patients undergoing major operations. Research regarding the effects of the hormone EPO on mice concludes the program.
2009; 2008

Hypnosurgery [electronic resource]

The use of hypnosis in medicine has a long history. In the early days of anesthesia, surgeons often used the trance-inducing technique as a fail-safe measure-and today the concept is being revisited. This program presents a scientific investigation into the idea that hypnosis can reduce or even replace the use of anesthesia. Exploring the merits of making the procedure available to more patients-especially those too weak for, or unsuited to, conventional pain mitigation-the program includes both contemporary and archival examples of the effectiveness of surgical hypnosis. Footage shot during a hernia operation performed under hypnosis only-with no anesthetic at all-highlights the medical realities involved.
2007; 2006

Robotic Surgery [electronic resource]

Less bleeding, less infection, shorter hospital stays-robot-assisted surgery offers these and other benefits, and will probably become the standard in time. This program educates viewers about robotic surgery, focusing on two difficult procedures-prostatectomy and heart bypass surgery-that robotic support has vastly improved. Featuring the da Vinci robot, which gives doctors remote surgical capability and ultra-fine dexterity, the program offers the expert testimony of Dr. Jonathan Hwang of Washington Hospital Center, Dr. Farzad Najam of George Washington University Medical Center, and Dr. Robert Poston of the University of Maryland School of Medicine. A helpful prostatectomy case study is included.
2009; 2007

Knee Replacement [electronic resource]

Patients living with knee pain now have several ways to find relief. This program analyzes the problem of knee joint pain and the latest treatments for it. Illustrating the importance of regular movement even when pain is present-rather than inactivity, which allows joint muscles to weaken-the program looks at minimally invasive procedures that have proven helpful. Case studies include the story of a cyclist who opted for SYNVISC, or knee-fluid replacement injections, and a woman who underwent gender-specific knee replacement of both knees. Expert interviewees include Dr. Anthony Unger from the George Washington University Hospital and Dr. Craig Bennett, chief of sports medicine at the University of Maryland Medical Center.
2009; 2007

Shedding the Past [electronic resource]: Gastric Bypass Surgery and Its Complications

After a troubled childhood, years of yo-yo dieting, and adult obesity that topped 240 pounds, Marie-France Magnin opted for risky gastric bypass surgery. This program reveals the extent of the risk, describing frightening complications associated with the procedure. Interviews with Magnin and her family members highlight the operation's physical and psychological benefits and how easily they overshadow its dangers. 3-D animation outlines the anatomical goals of the procedure as well as its nutritional consequences: a vitamin B deficiency that must be constantly managed with supplements and injections. Having studied the Magnin case, a prominent neurologist explains how the vitamin deficiency led to paralysis.
2009; 2007

Joint Reaction [electronic resource]: Hip Replacement Technology Gone Awry

Ron was an active 76-year-old when he underwent articular surface replacement, or ASR, for one of his hips. Soon after his surgery a lump the size of a grapefruit developed on the side of his leg. Five operations later, he can barely walk. Another case study features Catherine, who had ASR in her early 40s and now suffers from toxic levels of cobalt in her system. Ron and Catherine are among the multitude of patients worldwide facing a painful, uncertain future due to the chromium and cobalt components of ASR. Produced in Australia, this program overviews how the metal-to-metal technology was intended to work and asks much-needed questions about its trial phase-which appears to have been wholly inadequate.

Exploring New Ways to Repair a Hernia [electronic resource]

More than one million hernia-repair operations are performed in the United States every year. While the majority of these operations are very successful, there are still many patients who experience long-term, post-surgical discomfort. But that doesn't have to happen. This program explores innovative surgical techniques that can offer patients shorter recovery times and smaller incisions. Plus, it looks at the advancements over the years in the material surgeons use to actually repair the hernia. Viewers will see how modern mesh products have improved since the first ones were introduced in the 1950s and hear about the difference these new products can make in patients' lives.

TEDTalks [electronic resource]: Kevin Stone, the Bio-Future of Joint Replacement

Arthritis and injury grind down millions of joints, but few get the best remedy - real biological tissue. Dr. Kevin Stone's clinic treats joint injury using the latest in bio-medicine, reconstructing damaged tissue, even replacing whole joint parts, with lab-grown cartilage and ligament. In this TEDTalk, Stone highlights a treatment that could sidestep the high costs and donor shortfall of human-to-human transplants with a novel use of animal tissue.

The Male Reproductive Organs [electronic resource]

With her trademark no-nonsense style, Dr. Alice Roberts explains in this episode how the male anatomy works and offers practical advice on how to keep it healthy. She is joined by 30-year-old Mark Smallman, who realizes he knows very little about his own body. Mark's education begins in the lab, with Dr. Roberts dissecting a male pig's reproductive organs and getting Mark to cut through a testicle. Although testicular cancer is uncommon, Mark, at under 40, is in the age group most at risk. He also is told how to self-examine for lumps by urologist Alan Doherty, who carries out a pioneering operation (filmed in the program) on a prostate cancer patient.

Fixing Fat [electronic resource]

This episode examines the way in which the traditional weight-loss advice of dieting and exercising works for only five percent of the millions of us who are fighting flab. An operation that reduces the size of the stomach is a solution, but most overweight people would much prefer to take drugs to help them become thin. However, such medicines can cause dangerous - even fatal - side effects. Thus, a food of the future containing natural ingredients that can help us feel satiated and prevent us from overeating is being cooked up.