Hip-preserving Surgery
Hip-preserving Surgery - Related Videos
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Innovative Strategies for Organ Preservation in Heart Transplantation: Uniform Cooling Preservation and Ex-situ Normothermic Perfusion
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2025
Donor heart preservation is a major determinant of success in heart transplantation. Technological advances have led to optimizing the conditions of preservation, along with a more accurate assessment of the donor heart before transplantation. We herein describe two innovative technologies currently applied for cardiac preservation: uniform cooling preservation and normothermic ex-situ heart perfusion.
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Considerations for Rodent Surgery
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2016
Source: Kay Stewart, RVT, RLATG, CMAR; Valerie A. Schroeder, RVT, RLATG. University of Notre Dame, IN The Guide for the Care and Use of Laboratory Animals1 dictates that rodent survival surgery be performed aseptically. Aseptic technique utilizes specific practices that minimize the contamination of the surgical site, including patient preparation, surgeon preparation, sterilization of instruments and other supplies, and the use of a clean and controlled environment. Presurgical planning,...
08:28
Rodent Stereotaxic Surgery
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2023
Stereotaxic (or stereotactic) surgery is a method used to manipulate the brain of living animals. This technique allows researchers to accurately target deep structures within the brain through the use of a stereotaxic atlas, which provides the 3D coordinates of each area with respect to anatomical landmarks on the skull. After the skull is exposed, anesthetized animals are mounted on a specialized instrument known as a stereotaxic frame, which enables the precise placement of experimental...
06:00
Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
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2025
We present a laparoscopic technique for anatomic S7+S8d resection with right hepatic vein transection, preserving the inferior right hepatic vein and segment S6. Relying on meticulous anatomical landmarks without intraoperative ultrasound, this approach offers a precise and parenchyma-sparing option for dorsally located right-liver tumors, particularly in settings with limited advanced navigation resources.
10:10
Robotic Duodenum-preserving Total Pancreatic Head Resection for Intraductal Papillary Mucinous Neoplasms
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2026
This protocol presents robotic duodenum-preserving total pancreatic head resection (R-DPPHRt) for intraductal papillary mucinous neoplasms (IPMNs). A video demonstrates the technique in a patient with main duct-IPMN, highlighting its feasibility as a minimally invasive, organ-preserving alternative to pancreaticoduodenectomy.
FAQs
The underlying diagnosis determines which structure is treated and what objective the operation pursues. Bone reshaping addresses abnormal geometry, whereas cartilage or labral repair targets damaged joint tissues. Realignment is intended to correct how the joint is positioned, and pressure reduction within the femoral head is relevant when protecting its blood supply is a priority.
Reshaping abnormal bone can change the way the hip moves, while repairing the labrum or cartilage addresses tissue damage that may compromise joint function. These approaches are not interchangeable: one modifies skeletal shape, and the others restore or support injured joint surfaces or stabilizing tissue. The choice therefore follows the source of pain or structural impairment.
In early-stage osteonecrosis, reducing pressure within the femoral head is important because the procedure is also intended to protect its blood supply. This mechanism differs from treating other hip problems through bone reshaping or realignment. Matching the intervention to the disease process is central to preserving the native joint before more advanced damage develops.
Unlike total hip replacement, which substitutes the native joint, preservation strategies aim to address the underlying structural or tissue problem while retaining it. Their potential benefit depends on treating suitable disease before advanced arthritis develops. This distinction explains why hip-preserving surgery is considered for selected patients rather than presented as a universal replacement for arthroplasty.
Planning begins with identifying the underlying condition and the principal abnormality to address. The operation may involve bone reshaping, cartilage or labral repair, realignment, or pressure reduction within the femoral head. This condition-directed approach keeps the procedure focused on the structure or mechanism most responsible for joint damage and helps align treatment with the preservation goal.
The procedures are used for conditions such as femoroacetabular impingement, hip dysplasia, labral injury, and early-stage osteonecrosis. Because these disorders affect different structures or mechanisms, the relevant intervention can vary from reshaping or realignment to tissue repair or pressure reduction. Diagnosis therefore provides the clinical context for selecting an appropriate preservation strategy.
Expected outcomes center on pain relief, improved function, and continued use of the patient’s natural hip, but these benefits apply to selected patients. The strategy is most relevant when structural damage can be addressed before advanced arthritis develops. Its clinical purpose is joint preservation and delaying or avoiding total hip replacement while supporting movement and native-joint function.