Diaphragm
In this panel discussion, surgeons Leanne Ashrafian and Andrea Bille, both consultant thoracic surgeons in the Department of Thoracic Surgery at Guy’s St Thomas’ NHS Foundation Trust, join Ammara Watkins, Associate Professor of Surgery in...
This video demonstrates the implantation of bilateral phrenic nerve pacing leads using a robotic subxiphoid approach without lung isolation. This approach was utilized because the patient presented with central hypoventilation...
In this panel discussion, surgeons Leanne Ashrafian and Andrea Bille, both consultant thoracic surgeons in the Department of Thoracic Surgery at Guy’s St Thomas’ NHS Foundation Trust, join Ammara Watkins,...
Diaphragmatic defects involving the central tendon are uncommon and may present diagnostic uncertainty, particularly when identified incidentally on imaging. Surgical management can be technically challenging due to attenuated tissue quality...
The patient in this case is a sixty-year-old woman with increasing shortness of breath, especially in a horizontal position. She was diagnosed with right-sided diaphragmatic paralysis. Surgeons suspected trauma or...
This video illustrates optimal robot docking, port placement, and surgical technique for a robot-assisted right-sided diaphragmatic plication. Utilizing a transthoracic anterior-medial to posterior-lateral approach with interrupted horizontal mattress sutures, the...
Diaphragmatic lacerations are not uncommon after blunt thoraco-abdominal trauma following traffic accidents. Diagnosis can be difficult as clinical presentation is sometimes unclear. VATS is a safe approach to confirm the...
The authors present the case of a 42-year-old male patient with a chest x-ray that suggested a cyst abutting his left diaphragm. The CT scan suggested a cyst with homogenous...
This video demonstrates video-assisted thoracoscopic surgery (VATS) procedure performed on a 16-year-old male who had been stabbed in the right lower chest. The knife caused a 2 cm wound, penetrating...
In the performance of a three-port VATS plication, the authors demonstrate the use of novel tools to perform horizontal mattress sutures running in an oblique fashion. At the end of...
A 60-year-old patient was referred to the author’s clinic for operative treatment of diaphragm eventration with an unknown cause. Two months prior, the patient had been treated at another hospital...
The authors present a video of a 65-year-old female with non-ischemic cardiomyopathy, who had a left ventricular assist device (LVAD) implanted as a bridge for transplantation. After the heart transplant,...
Surgical training in developing countries has traditionally required months and years of clinical and operative teaching by local and visiting first world faculty. This video describes an online simulation surgery...










