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Live Webcast of a

Radiofrequency Ablation of a Kidney

Live from Wake Forest University Baptist Medical Center Wednesday, September 3, 2008

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Archived Webcasts

Biventricular Pacemaker Implantation

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The Heart Center at Wake Forest Baptist was the first in North Carolina to offer patients with severe heart failure this device, the first approved for treating severe heart failure.

The biventricular pacemaker synchronizes the heart’s two lower chambers, the ventricles, to improve pumping efficiency and relieve many symptoms of congestive heart failure. In this procedure the device also included a defibrillator.

Cardiac MRI

Allows for detection and diagnoses of heart disease quicker, more accurately, and with clearer image

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Wake Forest Baptist is one of the first 15 sites nationwide approved to use MRI as a diagnostic tool for heart disease. The new approach — developed here — provides a non-invasive alternative for people who cannot have ultrasound.

By speeding up the MRI scanner and creating new software, Medical Center researchers have made it possible for physicians to see heart movement within seconds after it happens. (more info)

Deep Brain Stimulator (DBS)

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The deep brain stimulator (DBS) was approved by the Food and Drug Administration (FDA) in 1997 for implantation in the thalamus for the treatment of tremor, including essential tremor.

In January 2002, the device was approved for implantation in the subthalamic nucleus and globus pallidus to relieve other motor symptoms of Parkinson's disease, including rigidity, slowness of movement and a "freezing" of basic motor skills. The 2002 approval also allows bilateral implantation.

Focused Gamma Radiation in Treating Brain Cancer

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Gamma Knife stereotactic radiosurgery (SRS) is a method of delivering an ultra-precise, highly focused dose of radiation to an intracranial target.

Based on nearly 40 years of clinical experience, Gamma Knife SRS has become the treatment of choice for selected benign and malignant brain tumors and vascular malformations involving the brain, as an alternative to conventional open surgery.

 

Gastric Bypass -  Laparoscopic Roux-en-Y

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This procedure is the most extensively studied and accepted weight loss surgery in the United States. Considered minimally invasive, it requires 5-7 small incisions in the abdomen to create an egg-sized stomach pouch.

Creating this small stomach pouch restricts the amount and type of food the patient can consume and induces resistance to food intake.

Heart Valve Replacement

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Wake Forest University Baptist Medical Center surgeons perform a total aortic root replacement using the Freestyle® stentless porcine aortic root bioprosthesis.

Surgeons at the Wake Forest Heart Center have found the Freestyle® natural valve to be safe and effective for replacing the aortic root or aortic valve (The Annals of Thoracic Surgery, June 2002).

 

Hip Resurfacing

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Wake Forest Baptist is the first hospital in the Triad to offer a new type of hip surgery that is an alternative to standard total hip replacement. The Birmingham Hip Resurfacing System is designed to remove less of the patient’s bone than traditional hip replacement surgery.

William Ward, M.D., professor and director of adult reconstruction, and Riyaz Jinnah, M.D., professor of orthopaedic surgery, were trained in Birmingham, England, to perform the surgery. (more info)

Image Guided Sinus Surgery

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Endoscopic sinus surgery using sophisticated image-guidance technology has significantly improved the safety and effectiveness of the procedure. The technology uses computer imaging to guide the surgical instruments around vital structures, such as orbital tissues, the optic nerve, the internal carotid artery, and the skull base – any of which can be a scant millimeter away.

Intraperitoneal Hyperthermic (heated) Chemotherapy (IPHC)

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A major difficulty in treating patients with cancer in the stomach cavity (abdomen, peritoneal cavity) is that it is often not possible to remove all the cancer cells.  As a result, the cancer often persists despite surgical and other treatments.

Since 1993, Wake Forest University Baptist Medical Center has been researching/performing a procedure called Intra-Peritoneal Hyperthermic (heated) Chemotherapy (IPHC) as an adjunct therapy to surgery.

In Vitro Fertilization with Preimplantation Genetic Diagnosis

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The Center for Reproductive Medicine at Wake Forest University Baptist Medical Center, one of the nation’s leading infertility treatment centers, will demonstrate the latest IVF techniques and focus on PGD. PGD can identify embryos with genetic defects that cause conditions such as sickle-cell anemia, Tay-Sachs disease, and cystic fibrosis.

Another PGD technique known as fluorescent in situ hybridization (FISH) is the testing method used for women who have a history of recurrent miscarriages and for advanced maternal-age patients, in which entire chromosomes are “counted.”

 

Knee Replacement Surgery

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Known generically as “unicompartmental knee replacement,” the surgery restores the contact points between the femur (thigh bone) and tibia (shin bone) on only one side of the knee where the surface of protective cartilage has been damaged by arthritis.

The procedure requires an incision of only about three inches, compared with six to eight inches for total knee replacement. Precise measurements are taken that minimize bone loss in fitting both the femoral and tibial surfaces with synthetic replacements that are anatomically designed to create a natural movement.

 

Liver Cancer Surgery and Implantation of Infusion Pump

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Liver resection is the gold standard treatment for most patients with primary and metastatic hepatic (liver) tumors.  In the past this was a formidable surgical procedure with high post-operative morbidity and mortality. 

However, increased knowledge of liver segmental anatomy, combined with technological advances and improved anesthesia/critical care, have markedly decreased the risk and made this a potentially curative option for many patients.

Mitral Valve Repair Surgery

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Cardiothoracic surgeons perform a mitral heart valve repair using a Medtronic Simplici-T Band® and Gortex® chords.

Neal D. Kon, M.D. Professor of Cardiothoracic Surgery at Wake Forest Baptist, and Edward H. Kincaid, M.D., Assistant Professor of Cardiothoracic Surgery perform the procedure. A. Robert Cordell, M.D., Professor Emeritus of Cardiothoracic Surgery narrates.

 

Oral Cancer Removal and Palate Reconstruction

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Patients undergoing surgery for removal of cancer from the mouth often have large openings in the palate (roof of the mouth) where the cancer had been, leaving them unable to eat, drink or speak normally unless the defect is somehow repaired.

One solution is the surgical reassignment of a muscle normally used for chewing to fill the space left in the palate, a procedure that has been advanced at Wake Forest University Baptist Medical Center and has produced excellent results for head and neck cancer patients.

 

Patent Foramen Ovale (PFO) Closure

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Patent foramen ovale (PFO) is a common congenital heart defect found in 20 percent of all adults. It occurs when a fetal opening in the wall (septum) between the left and right atrium—the upper chambers of the heart—doesn't close after birth. This residual tunnel can potentially allow blood to leak between these chambers.

Most people don't suffer any ill effects. However, doctors believe some young adults with this heart defect may be at risk of suffering a thromboembolic stroke caused by blood clots that form and travel to the heart and then to the brain.

 

Pediatric Heart Surgeon to Repair Heart Defect

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The surgery will close a channel, called the ductus arteriosus, between the two major vessels that leave the heart. During fetal development, the channel allows blood to bypass the lungs – which aren’t being used – and go to the rest of the body. After birth, when the baby must use the lungs to take in oxygen, the channel normally closes. In many premature infants, the channel remains open and causes excess fluid in the lungs.

Prostatectomy (Robot-Assisted Laparoscopic Radical)

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Prostate cancer is the second leading cause of cancer- related death in American men. When diagnosed and treated early, it is highly curable.

The Comprehensive Cancer Center at Wake Forest University Baptist Medical Center in Winston-Salem, NC, is a National Cancer Institute-designated Prostate Cancer Center of Excellence. This offers patients access to specialty-trained urologists, radiation oncologists, medical oncologists and clinical trials to provide patients with the best treatment for their particular form of prostate cancer.

 

Spinal Fusion

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The surgery, a posterior lumbar interbody fusion (PLIF), employs a new tubular retraction method that requires only a small skin incision and “splits” the muscle covering the spine to create a small portal through which surgeons can repair the spinal damage.

The objective of the surgery is to relieve pressure on the nerve that passes through the space between the vertebrae from the spinal cord.

 

Temporal Lobectomy

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Temporal lobectomy, a surgical procedure that involves removing parts of the temporal lobe that cause seizures, is offering hope to epilepsy patients who have not been responsive to medical therapy.

Neurologists and neurosurgeons at Wake Forest University Baptist Medical Center use electroencephalograms (EEG), positron emission tomography (PET) and magnetic resonance imaging (MRI) in the state-of-the-art Epilepsy Monitoring Unit (EMU) to pinpoint the exact origin of the disease. Surgeons then remove the scarred tissue to reduce or eliminate the seizures.

 

 

Computer-Assisted Total Knee Replacement

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Jason E. Lang, M.D., an assistant professor of orthopaedic surgery, will perform a computer-assisted total knee replacement during a live webcast that begins at noon, Friday, May 2, from Wake Forest University Baptist Medical Center.

William G. Ward, M.D., an orthopaedic surgeon who also performs joint replacements, will narrate the procedure and take questions from Internet viewers.

Knee replacement surgery is for patients who have extreme knee pain and disabilities caused by congenital defects, trauma, osteoarthritis or rheumatoid arthritis. Cartilage may have worn away and the patient's thigh and shin bones rub directly against each other. Knee replacement patients typically have already tried   MORE...

 

Voice Box Surgery

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The surgery is called medialization laryngoplasty with arytenoid adduction. The procedure is used to restore the voice in patients who have lost all or most of their voice due to vocal cord paralysis or paresis (partial paralysis), cancer, intubation or trauma.

During medialization laryngoplasty, a surgical-grade plastic implant is shaped and precisely placed to reposition and strengthen the affected vocal cord. The arytenoid adduction is used if needed to close the back part of the larynx.

 

Wide Excision and Sentinel Lymph Node Mapping for Melanoma

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Edward Levine, M.D., professor of surgical oncology at Wake Forest University Baptist Medical Center, performs a wide excision and sentinel lymph node mapping procedure for a melanoma during a live webcast. Surgical oncologists John Stewart, M.D. and Perry Shen, M.D. moderate the webcast.

Sentinel lymph node mapping improves the staging of the disease and accuracy of the prognosis. It also serves as a guide for determining what additional therapies would be most effective after surgery.

 

 

 

 

Copyright: Wake Forest University School of Medicine and North Carolina Baptist Hospitals. All rights reserved.

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Winston-Salem, NC 27157

The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.

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Last Modified: 6/14/2008