Jia-Lin Wu’s Post

The Benefits of Transforaminal Endoscopic Discectomy 🌟 In the ever-evolving field of spine surgery, transforaminal endoscopic discectomy (TFED) is emerging as a game-changer compared to traditional open surgery. Here’s why: ✅ Minimally Invasive: TFED requires only a small incision, significantly reducing tissue damage and minimizing scarring. ✅ Faster Recovery: Patients experience shorter hospital stays, faster rehabilitation, and a quicker return to daily activities. ✅ Reduced Post-Operative Pain: The precise approach helps limit trauma to surrounding muscles and nerves, leading to less post-surgical discomfort. ✅ Preservation of Spinal Stability: Unlike open surgery, which may involve removing significant bone or tissue, TFED focuses on preserving spinal structures. ✅ risks such as infection and blood loss are significantly reduced.

You are invited to the 2025 HSS Limb Reconstruction Course: Osteotomies Around the Knee. 📅 January 31 | 📍Hospital for Special Surgery or Livestream Join us for a full day of lectures and sawbone labs. Participants will learn how to accurately assess indications for osteotomies around the knee in patients with varus and valgus deformities and patellofemoral pathologies. Experts will discuss preoperative planning, surgical technique, potential complications, and postoperative management to ensure optimal patient outcomes. Highlights of the robust agenda include: · Proximal Tibial Osteotomies (PTO) · PTO Indications and Techniques · Distal Femoral Osteotomies (DFO) · DFO Indications and Techniques · Double Level Osteotomies (DLO) · DLO Indications and Techniques · Slope Changing Osteotomies Indications and Techniques · Patient Selection and Postoperative Care Register today: https://lnkd.in/eYY_BnW2

Strategy for Failed Back Surgery In light of yesterday's case presentation involving pseudarthrosis at L5/S1 and facet joint destruction at L4/5 due to the intraarticular placement of the L5 screw, an effective surgical strategy is essential. First, the extraction of the posterior set screw at L5 should be done. Following this, an ALIF L5/S1 helps to restore disc hight and segmental lordosis. In such cases, the XALIF technique performed in lateral decubitus position proves advantageous, allowing for simultaneous access to both posterior and anterior structures. In this particular case, the optimal fusion technique is most probably an OLIF at L4/5, particularly due to the anatomical challenge presented by a high iliac crest or higher perioperative risks for ALIF L4/5. A dorsal prone screw revision is also necessary, which should include repositioning and re-establishing lordosis to optimize spinal alignment. This comprehensive strategy aims to address the complexities associated with failed back surgery, enhancing patient outcomes through a multi-faceted surgical approach.

In a sea of LinkedIn content, here's genuine surgical discourse. Complex revision cases, like the one Dr. med. Samir Smajic details here, present the very challenges that keep us awake at night - and drive us forward. How do we restore disc height whilst minimising trauma? What's the optimal approach for achieving lordosis in revision scenarios? These aren't simple questions, yet they're precisely the ones we must grapple with. Particularly fascinating was the exchange between Dr. med. Samir Smajic and Alin Sirbu about OLIF versus XALIF approaches. It's this kind of candid discussion about technique preferences and learning curves that truly advances our field. And @Vinay Kulkarni's probing question about posterior rods demonstrates exactly the kind of detailed technical discourse we need more of on LinkedIn. "Go in small, then correct" isn't just our philosophy - it's born from listening to exactly these sorts of conversations amongst surgeons tackling real-world challenges. Whilst it's easy to default to self-promotion on LinkedIn, posts like this - rich in technical detail and sparking genuine professional dialogue - remind us why we're all here: to advance spinal surgery and improve patient outcomes. Bravo, Dr. Smajic, for fostering such meaningful discourse. More of this, please! #SpinalSurgery #SurgicalInnovation #ProfessionalDevelopment #ContinuousLearning

2025 HSS Limb Reconstruction Course: Osteotomies Around the Knee  🗓️ January 31 | 📍Hospital for Special Surgery or Livestream Join us for a full day of lectures and sawbone labs. Participants will learn how to accurately assess indications for osteotomies around the knee in patients with varus and valgus deformities and patellofemoral pathologies. Experts will discuss preoperative planning, surgical technique, potential complications, and postoperative management to ensure optimal patient outcomes. Highlights of the robust agenda include: · Proximal Tibial Osteotomies (PTO) · PTO Indications and Techniques · Distal Femoral Osteotomies (DFO) · DFO Indications and Techniques · Double Level Osteotomies (DLO) · DLO Indications and Techniques · Slope Changing Osteotomies Indications and Techniques · Patient Selection and Postoperative Care Secure your spot: https://lnkd.in/eYY_BnW2

Complex revision cases, like the one Dr. med. Samir Smajic details here, present the very challenges that keep us awake at night - and drive us forward. How do we restore disc height whilst minimising trauma? What's the optimal approach for achieving lordosis in revision scenarios? These aren't simple questions, yet they're precisely the ones we must grapple with. Particularly fascinating was the exchange between Dr. med. Samir Smajic and Alin Sirbu about OLIF versus XALIF approaches. It's this kind of candid discussion about technique preferences and learning curves that truly advances our field. And @Vinay Kulkarni's probing question about posterior rods demonstrates exactly the kind of detailed technical discourse we need more of on LinkedIn. "Go in small, then correct" isn't just our philosophy - it's born from listening to exactly these sorts of conversations amongst surgeons tackling real-world challenges. Whilst it's easy to default to self-promotion on LinkedIn, posts like this - rich in technical detail and sparking genuine professional dialogue - remind us why we're all here: to advance spinal surgery and improve patient outcomes. Bravo, Dr. Smajic, for fostering such meaningful discourse. More of this, please! #SpinalSurgery #SurgicalInnovation #ProfessionalDevelopment #ContinuousLearning

Varicose Vein Treatments: From Surgery to Simple Solutions Did you know that varicose vein treatments used to involve painful surgeries with long recoveries? Today, with advancements like Endovenous Thermal Ablation (EVTA) and Sclerotherapy, those days are behind us! 🌡️ EVTA uses heat (radiofrequency or laser) to close off faulty veins, offering a quick, minimally invasive alternative to surgery with little downtime. 💉 Sclerotherapy, around since the 1930s, has evolved into a simple, effective injection-based treatment to eliminate smaller veins. Thanks to modern techniques, led by Vascular Interventional Radiologists, we now treat varicose veins with precision, providing patients faster relief and healthier legs. It’s amazing how far we’ve come!

Transcatheter arterial embolization outperforms surgery in reducing blood transfusions for postpartum vulvovaginal hematoma - Images of hematoma and extravasation in contrast-enhanced CT A and B, The paravaginal hematoma in the transverse and sagittal planes of the contrast-enhanced CT, respectively. The hematoma size was measured using the blue line (x, y, and z cm). C–E, Extravasation into the hematoma (arrow). C and D, The transverse plane and 3-dimensional views of the contrast-enhanced CT, respectively. E, Extravasation during angiography. CT, computed tomography. https://ow.ly/pr4j50UhGFJ

Transcatheter arterial embolization outperforms surgery in reducing blood transfusions for postpartum vulvovaginal hematoma - Images of hematoma and extravasation in contrast-enhanced CT A and B, The paravaginal hematoma in the transverse and sagittal planes of the contrast-enhanced CT, respectively. The hematoma size was measured using the blue line (x, y, and z cm). C–E, Extravasation into the hematoma (arrow). C and D, The transverse plane and 3-dimensional views of the contrast-enhanced CT, respectively. E, Extravasation during angiography. CT, computed tomography. https://ow.ly/pr4j50UhGFJ

https://lnkd.in/dWpxWTf7 Develop of endocavitary suction device for MiECC on minimally invasive mitral valve surgery The state of the art in endo-cavitary suction for mitral valve surgery is currently addressed by the gold standard, which involves the use of an aspirator known as SUMP. This device, utilized in both conventional (sternotomy) and minimally invasive (mini-thoracotomy or thoracoscopy) approaches, tends to suction blood mixed with air in a swirling and disorganized manner from the pulmonary veins. This process can lead to increased hemolysis and the generation and transport of gaseous micro-embolic activity. Additionally, the aspiration of CO2 from the surgical field compromises the VCO2 parameter in metabolic monitoring of extracorporeal circulation, potentially contributing to acute kidney injury. Consequently, the challenge persists in developing an endo-cavitary aspiration device that can eliminate air-blood contact and address the pathophysiological alterations associated with conventional closed systems of extracorporeal circulation. In this context we propose a new device for endo-cavitary aspiration to contain and mitigate these items.