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WALANT Zone II. Video 1 from “Wide Awake Local Anesthesia with No Tourniquet: An Updated Review”

Video Author: Steven Koehler
Published on: 04.19.2021
Associated with: Plastic and Reconstructive Surgery – Global Open. 9(3):e3507, March 2021

This video displays a zone II flexor tendon repair demonstrating the advantages of WALANT to vent pulleys. “Wide Awake Local Anesthesia with No Tourniquet: An Updated Review”

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Creator: Jeffrey Janis, MD
Duration: 3:04
In this #FacetheCase video, PRS Global Open Resident Ambassador Dr. Macarena Vizcay presents a 31-year-old woman with a history of prior resection of endometrial tissue around her Pfannenstiel incision presented 5 years later with recurrence of pain and a mass associated with menses despite maximal medical treatment for endometriosis. Computed tomography showed an infiltrative soft tissue mass. En bloc resection of the mass and total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed.

Watch as expert Dr. Jeffrey Janis discusses the article and its results.

Read the January 2020 PRS Global Open #FacetheCase article, “Bridging Acellular Dermal Matrix in Abdominal Wall Repair following Radical Resection of Recurrent Endometrioma” by Paige N. Hackenberger, Stephen J. Poteet and Jeffrey E. Janis.

Keywords: plastic surgery; breast; #FacetheCase; #PRSGlobalOpen;
Creator: Maryam Sharafi
Duration: 4:58
This video demonstrates reconstruction of the integrated natural-looking nasal dorsum in primary rhinoplasty, based on “The Crown Concept. From “The Crown of Our Queen- The Axial Keystone”
Creator: Palakorn Surakunprapha
Duration: 2:11
This video displays the study process and examples of results. “An Inconvenient Truth of Clinical Assessment of Indeterminate Burns and Indocyanine Green Angiography Precise Marking for Burn Excision: A Prospective, Multicentered, Triple-blinded Study”
Creator: Roger Cason
Duration: 7:33
This video details reconstruction of a large, multisubunit defect of the distal nose with a paramedian forehead flap.

From “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”
Creator: Roger Cason
Duration: 3:49
This video details surgical sequence demonstrating conchal cartilage harvest for structural grafting.. From “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”
Creator: Roger Cason
Duration: 7:35
This video displays the alar reconstruction using an interpolated nasolabial flap and articulated alar rim graft. From “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”
Creator: Roger Cason
Duration: 4:47
This video displays the dorsal nasal flap for reconstruction of a 1.5 cm midline supratip defect.. From “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”
Creator: Roger Cason
Duration: 5:01
This video displays the bilobed flap for reconstruction of a 1 cm cutaneous defect of the lateral nasal tip. From “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”
Creator: Bernard Depypere
Duration: 2:23
This video displays LVA with 2 lymph vessels. Clips on the lymphatic vessels are replaced by ligature with 9/0 monofilament. With the lymphatic vessel in position and still ligated, several 10/0 or 11/0 monofilament sutures are placed to fixate the lymphatic vessel to the edges of the venotomy. Afterwards the ligated lymphatic vessel is cut short and the vein is clipped distal. “A novel technique for preventive Lympho-Venous Anastomosis (LVA) during axilla or groin dissection: anastomosing a ligated lymphatic vessel”
Creator: Steven Koehler
Duration: 2:43
This video displays showing median nerve reconstruction with sural nerve autograft using WALANT. “Wide Awake Local Anesthesia with No Tourniquet: An Updated Review”
Creator: Steven Koehler
Duration: 4:18
This video displays showing median nerve reconstruction with sural nerve autograft using WALANT. “Wide Awake Local Anesthesia with No Tourniquet: An Updated Review”
Creator: Steven Koehler
Duration: 1:29
This video displays showing a pediatric WALANT ORIF of the forearm. “Wide Awake Local Anesthesia with No Tourniquet: An Updated Review”
Creator: Steven Koehler
Duration: 00:54
This video displays a zone III flexor tendon repair using WALANT). “Wide Awake Local Anesthesia with No Tourniquet: An Updated Review”
Creator: Steven Koehler
Duration: 1:31
This video displays a zone II flexor tendon repair demonstrating the advantages of WALANT to vent pulleys. “Wide Awake Local Anesthesia with No Tourniquet: An Updated Review”
Creator: Takashi Yamaki
Duration: 2:37
This video displays the clinical course of a patient with traumatic ulcers with lymphorrhea from the first examination to treatment completion. “A case of traumatic intractable leg ulcer with lymphorrhea diagnosed using ICG lymphography”
Creator: Ruben Yap Kannan
Duration: 4:34
This video displays the recurrens ulnar artery super microsurgery model. “A Case-Control Analysis Of The Knight's Move Technique In A Chicken Wing Microsurgery Model”
Creator: Shazeen Suleman
Duration: 6:45
A summary of our paper exploring the experiences of stakeholders with a pilot service navigation program for children with mental health and/or developmental diagnoses in a resource-limited environment.
Creator: José Carlos Parreira, MD
Duration: 3:04
In this #FacetheCase video, PRS Global Open Resident Ambassador Dr. Iris Brito presents a 35-year old woman admitted to the emergency department with swelling on the forehead in association with pain and light flashes on her right eye, after a hyaluronic acid filler injection 3 months ago. The problem list includes a healthy and young patient with no medical or medication history presents with a late-onset of forehead swelling, headache and visual symptoms following a filler injection.

Watch as expert Dr. José Carlos Parreira discusses the author’s solution and how he would have addressed the issues presented.

Read the November 2020 PRS Global Open #FacetheCase article, “Hyaluronic Acid-based Filler Injection: Late-onset Thrombosis of the Frontal Vein” by Jennis Gabrielpillai, Arash Salamat, Christian Schaefer, Alexander Kania, Christian Lunatschek, Klaus Wolfgang Eichhorn, Friedrich Bootz, Thorsten Send.

Keywords: plastic surgery; breast; #FacetheCase; #PRSGlobalOpen;
Creator: Hugo Nakamoto, MD
Duration: 1:56

In this #FacetheCase video, PRS Global Open Resident Ambassador Dr. Murilo Secanho presents a 28-year-old, healthy man who was involved in an all-terrain vehicle accident. The accident resulted in a glabrous defect measuring 7.5 cm × 7.2 cm. He underwent urgent carpal tunnel and hand compartment releases, washout, and debridement. Avulsion of the thenar muscles from their proximal origins and abrasion through the transverse carpal ligament were noted. The median nerve was in continuity, but 50% of the nerve diameter was disrupted at the carpal tunnel; the surrounding 7 cm of nerve had a purple, bruised appearance

The problem list included

  • Defect of glabrous skin measuring 7.5 X 7.2 cm
  • Avulsion of the thenar muscles from their proximal origins
  • Four large fascicular groups of median nerve disrupted, including the third webspace sensory branch.

Watch as expert Dr. Hugo Nakamoto discusses the author’s solution and how he would have addressed the issues presented.

Read the July 2020 PRS Global Open #FacetheCase article, “Reconstruction of Severe Palm Injury with Sensate Medial Plantar Artery Flap and Nerve Grafting” by William Padovano, Elspeth J. R. Hill, John M. Felder.

Keywords: plastic surgery; breast; #FacetheCase; #PRSGlobalOpen
Creator: Haitham Khalil
Duration: 2:13
This video demonstrates the management the patient who had undergone a left chest wall resection and reconstruction after developing a second local recurrence of triple negative breast cancer. Non-obstructive failure of the free MSTRAM attributed to the previous history of administration of LMWH in her lower abdomen for management of DVT. From “Preoperative long term therapeutic subcutaneous heparin administration into abdomen; a possible cause for non-obstructive microvascular abdominal tissue transfer failure”