Surgery

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Pectus excavatum � it looks like the chest is sinking inward

April 10, 2012

Have you ever noticed someone whose chest sinks inward in the front, kind of like a funnel? The first time I ever noticed this bony malformation was when I was in high school, and a friend of mine on the soccer team had one. It was called “pectus excavatum,” he told me.

In my thoracic surgery training, I was often called upon to evaluate patients with this chest wall abnormality. As a result, I began to delve deeper into some of the issues that may affect people with this type of defect.

Pectus excavatum is the most common chest wall deformity and results from abnormal development of the sternum and its attachments. Most patients are self conscious about the defect and usually focus on its appearance but because this is usually present for much of a person’s life, symptoms associated with it may not be totally obvious. Individuals affected generally get used to how they feel and try to overcome any limitations to the best of their abilities without even knowing that&...

Palmar hyperhidrosis

January 30, 2012

Everyone sweats – but what if you had a condition that caused uncontrollable sweating in your hands?

Palmar hyperhidrosis is a benign condition where individuals experience uncontrollable sweating of their hands, way beyond their physiological needs. Hand sweating in such a scenario is often described as being present 24/7, may be worsened in situations of stress but also occurs out of nowhere in times of total rest and serenity. From the constant dampness the hands are exposed to, ulcerations and other skin related changes may develop. Many patients with this condition adopt a line of work and a life style that minimizes public encounters and avoid hand contact such as having to shake hands.

It has been known since the 1920s that by dividing the sympathetic chain (nerve) high up inside the chest, a procedure called thoracic sympathectomy, we can make the hands stop sweating. To achieve this surgically was quite an undertaking back then. The surgical trauma was such that histori...

Let it snow

January 16, 2012

Have you been outside enjoying this weekend's snow fall?. Whether or not you were able to play outside, we thought we'd share some new videos in our robotic surgery series that don't require going out in the cold..and might give you inspiration of a craft project to do with your kids.

In Seattle, we can make a snowman:

And not only can our robots (driven by our robotic surgeons)
fold paper airplanes, but they can also make a snowflake:

It may be your first robotic knee surgery...

January 14, 2012

....but at Swedish, it's definitely not ours.

If you have advanced arthritis in part of your knee, robotic-assisted surgery is a great way to go. The incision is smaller. Recovery time is faster. And the surgery is more accurate for better knee function down the road.

So where should you go? Well, Swedish was the first in the Puget Sound area to perform MAKOplasty for partial knee replacements, and we’ve done more of them than any hospital in the region.

Come learn more from a Swedish orthopedic surgeon at one of our seminars, and take the first step toward a pain-free life. Or, watch the below video to see highlights from a partial knee replacement procedure:

 

Using robotic technology to improve outcomes in myasthenia gravis and thymoma

December 28, 2011

New technologies have the potential to improve patient outcomes but need to be carefully studied so that patients will maximally benefit.  Robotic thymectomy for myasthenia gravis and thymomas was introduced at Swedish in May of 2009 after careful evaluation of our outcomes with traditional sternotomy and VATS thymectomy.

One of the more challenging aspects of being a surgeon is to understand how new technologies can benefit your patients and how those technologies might become part of your practice. If you’ve watched Grey’s Anatomy, read Time magazine or the Wall Street Journal or surfed the web recently, you’ll be aware of the da Vinci surgical robot. The robot has allowed many different surgical specialties to operate in confined areas of the body with tiny instruments placed through equally small incisions thereby avoiding a larger incision. In thoracic surgery, one of the confined spaces is an area in front of the heart where a gland called the thymus reside...

Best seats in the house�or in this case, the OR

December 12, 2011

If you’ve ever wanted to sit in the gallery of Grey’s Anatomy and watch a surgery, we have something for you that’s a little more powerful. On Friday, we invite you to tune in to a livestream of a procedure that changes patients’ lives.

 

On Friday, Dec. 16, 2011 from 9 a.m. to 12 p.m. (PST), Drs. Ron Young and Ryder Gwinn, surgeons from the Swedish Neuroscience Institute, will host a livestream on this page to discuss the affects of Essential Tremor (ET), the 0 comment(s)|Read More

Early warning device for heart attacks

October 26, 2011

The symptoms of a heart attack can vary from person to person, but what if you had an early warning system that would alert you to go to the hospital before the first sign of trouble? Doctors here at Swedish are testing out a new device they hope could do just that.

In early January 2010 Swedish became the first medical center in western Washington to begin participation in the ALERTS Pivotal U.S. Trial for the AngelMed Guardian implantable cardiac monitor and alert system. The system is designed to reduce the time it takes patients to get to an emergency room during an impending heart attack.

The AngelMed Guardian System ® is designed to track significant changes in the heart’s electrical signal and then alert patients to seek medical attention. The objective of the ALERTS Pivotal Study is to provide an assessment of the safety and effectiveness of the AngelMed Guardian System.

“If the Guardian system proves to be effective in the early detection and warning...

Surgical precision and painted pumpkins

October 24, 2011

Forget 'will it blend' - you should be asking, can my robot paint a pumpkin? (It can!)

Dr. Kristen Austin, OB/GYN (obstetrics and gynecology) physician at Swedish/Issaquah paints a Jack-O-Lantern on a miniature pumpkin using the da Vinci robot to demonstrate how this device gives surgeons greater surgical precision and dexterity over existing approaches.


If you've been wondering what the setup looks like in the OR, here are a few behind the scenes photo from our video shoot:

 

Should a robot perform your surgery?

September 28, 2011

Robotic surgery - the term implies some futuristic concept, a la the “Jetsons” or Isaac Asimov. As someone who was a science fiction fan growing up, I never thought I’d actually spend every day of my professional life answering this question.

As a gynecologic oncology surgeon, this is a question I now ask myself every time I pick up a patient’s chart. And the answer more times than not is YES! Why?

 

Your Multidisciplinary Surgical Care Team

September 12, 2011

It can be overwhelming and confusing to have numerous professionals involved in your care when you undergo surgery. Your surgeon, also known as the “attending” surgeon, oversees your total care when you have surgery. In addition to your attending surgeon you will encounter many different people during your hospitalization who are invested in your care. The following is meant to familiarize you with professionals you may encounter during your hospital experience.

Your Surgical Team

Thoracic Surgeons, Fellows, and Residents

We take pride and are highly invested in teaching at Swedish. As part of this dedication to teaching we (the Thoracic Surgery team at Swedish) participate in an accredited training program for thoracic and esophageal “fellows”. Our fellows are surgeons seeking additional advanced surgical instruction in this specialized field of thoracic and esophageal surgery.