Name:
Live Surgery Tuesday with Dr. Badia 1 November 2022
Description:
Live Surgery Tuesday with Dr. Badia 1 November 2022
Thumbnail URL:
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Duration:
T00H32M24S
Embed URL:
https://stream.cadmore.media/player/d54cda23-0c9d-4aab-8845-43ea09342800
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/d54cda23-0c9d-4aab-8845-43ea09342800/Live surgery Tuesday with Dr. Badia 11_1_1.mp4?sv=2019-02-02&sr=c&sig=%2BMsPC%2BDKwQL3Y%2BTGsuK7rmaO8X3bA27cK1QuLpjuObQ%3D&st=2024-11-21T15%3A13%3A41Z&se=2024-11-21T17%3A18%3A41Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
DR. ALEJANDRO BADIA: Check out the video here for #LiveSurgery Tuesday. We have a young lady here from Bolivia, she's actually a medical student in Mexico and she's had multiple dislocations. So we are going to finally take a look as to what's going on and causes involved. So we're about to go in with the scope.
DR. ALEJANDRO BADIA: This is the back of the shoulder. Now we're looking. That's for sure. Have we got a white balance please. Fortunately, no, no arthritis.
DR. ALEJANDRO BADIA: I wish my shoulder looked that good right? And the MRI, so again, for all these people think they always know, the MRI is the end goal, she has no evidence of a slab tear. It's actually beautiful, she's very loose jointed. I mean, I mean, you can see this huge this is you know, we did two other shoulders earlier today.
DR. ALEJANDRO BADIA: Nothing like this. So this is perfect, but down here she's, we're going to do is tighten this up. So let's get this. Prepare for a anterior labral repair try to tighten it up open up radio frequency. We'll do a little bit.
DR. ALEJANDRO BADIA: So anyway, what we're going to do to take to give me more room to work. Let's see if she's got a Hill Sachs.
DR. ALEJANDRO BADIA: But look at the head of humerus. It's perfect. The problem is, if this keeps coming out, she has a little defect there. Dr B, Currently, all of our viewers are Spanish speakers and they are the patients family members that have tuned in to watch you live as well.
DR. ALEJANDRO BADIA: So if you could repeat what you've said or in summary, what you've said in Spanish [Spanish] Hello everyone that has tuned in.
DR. ALEJANDRO BADIA: Please wave Hello and comment where you are watching us from. [Spanish] Yes wave.
DR. ALEJANDRO BADIA: Hello, doctor. Hello to Stuttgart. You guys go.
DR. ALEJANDRO BADIA: OK, so.
DR. ALEJANDRO BADIA: We should be. Get a nice white picture. Yeah you know what it is? It's the light bulb, you know, like, cause. Yeah OK. All right. All right. So let's get. Let's compare here.
DR. ALEJANDRO BADIA: Let's get actually, this. Just get an elevator for the labrum, and we're going to make it past the last 10. So no slap, so I'm just going to do everything to just the insurance. Yeah Yeah.
DR. ALEJANDRO BADIA: You can open.
DR. ALEJANDRO BADIA:
DR. ALEJANDRO BADIA: Let's get an inferior. So let me get an inferior one first.
DR. ALEJANDRO BADIA: I'm going to put one in about 3, 4 oclock, 4 o clock, 4.30. To put it kind of anterior you can also is now sliding into glenoid so that way doesn't move on it. So you get a little pass and I won't let it move.
DR. ALEJANDRO BADIA: OK go remote. Yeah look, I think you already got somebody out.
DR. ALEJANDRO BADIA: Interesting, OK. Dr. B, do you prefer two or three anchors for sutures? It all depends. I mean, you know, the answer is what you need. I think with her we're going to need two. One very anterior here. She doesn't have a superior.
DR. ALEJANDRO BADIA: She doesn't. She's a little deficient on the top, but she comes out [Spanish] Gimme, gimme, gimme some compression.
DR. ALEJANDRO BADIA: OK there we go.
DR. ALEJANDRO BADIA:
DR. ALEJANDRO BADIA: So Kingfisher and a Rover at the same time. Oh, what's that? [Spanish] We're back together.
DR. ALEJANDRO BADIA: Dr. Badia, how long does this procedure take usually for you? Can I make some funny comments about one of my colleagues? No, I do not. How long does it take me or, we'll say you. Today we did a shoulder that took over 2 hours. I don't think I've ever done. No, I've never done it that way.
DR. ALEJANDRO BADIA: That was really tough. Yeah, but I'm happy with the way it came out, and that's what matters. OK now we get a nice picture up. So now you see that Black fiber wire is pulled out. [Spanish] Yeah, not usually, two hours.
DR. ALEJANDRO BADIA: Today was a special case. They want to know your usual, 40, I would say, 30 to 40 minutes. You know, it depends on the pathology, right? Patients are wondering if you're leaving these knots inside or what is going on during this procedure. These are not people, these are not doctors. These are our viewers.
DR. ALEJANDRO BADIA: So they're coming through. So this is a suture anchor system, meaning the, meaning the thing that is going to hold the labrum in to the bone used to be harder material, and now it's a suture material. So this is like a shuttle system to get the suture into position around the labrum. And now we're going to shuttle this.
DR. ALEJANDRO BADIA: Watch, this, this is pulling in the suture, the way my cannula lines align with what we're doing. There you go. Now, if you want to grab it again, the tissue that [inaudible] OK nice.
DR. ALEJANDRO BADIA: I'm pretty happy with that. I mean, listen, up to you. Nice nice.
DR. ALEJANDRO BADIA: [Spanish] So now, thank you for holding that. So now the humeral head is brought back a little bit and we're going to tighten it up a little bit up there.
DR. ALEJANDRO BADIA: The sutures are going into the bone.
DR. ALEJANDRO BADIA: Debating whether to take a little capsule there, but she's got a pretty robust room, I think because she's so loose jointed. No, that is not going to be a concern with her. [Spanish] And the subscapularis right behind it.
DR. ALEJANDRO BADIA: OK, All right. [Spanish] It was your idea. Right right. I probably put it in your hands up in that.
DR. ALEJANDRO BADIA: Where was that in the first previous game? I hope my daughter is watching you.
DR. ALEJANDRO BADIA: She wants to be a fashion designer. She's, we'll show her your skills. She's going to have to learn that tying up little knots are going to help her. And when she makes the big time, she doesn't have to fight with [inaudible] Here we go.
DR. ALEJANDRO BADIA: Let's get let's get a picture. Watch that capsule, see it right behind? Oh I love it. It's just, it's kind of like creating a new middle, middle glenohumeral ligament. Look at it right there.
DR. ALEJANDRO BADIA: [Spanish] All right. So, radio frequency. [Spanish] This is the experimental one.
DR. ALEJANDRO BADIA: This is your next shot at insurance. [Spanish] Let me have the spinal needle just to put it.
DR. ALEJANDRO BADIA: [Spanish] My rotator cuff look like this?
DR. ALEJANDRO BADIA: Nope. You guys would be nice to me on my birthday. For everyone watching Dr Badia's birthday is tomorrow. But if you want to wish him a happy birthday, now you're more than welcome to. And look at that rotator cuff. And Kate tells me mine doesn't look like that. That's perfect. Look at that, I mean, I'm just not used to seeing it.
DR. ALEJANDRO BADIA: I mean, mine doesn't look like that either so. This is this is for my dislocation. Absolutely. She doesn't need acriomoplasty or anything. This is just trauma from If we could see.
DR. ALEJANDRO BADIA: So just going to get these little bleeders. I'm going to show you, so the typical patient we would, we would oftentimes move part of this ligament here and shave the bone here. But there's a lot of space here, so she doesn't need any of that.
DR. ALEJANDRO BADIA: Radiofrequency is going to stop the bleeding. So, see, I don't need to remove his. I mean, she has a lot of space. [Spanish] Very clean, Dr. Badia, according to your followers.
DR. ALEJANDRO BADIA: Great job. It's a feminine touch. We do a little horizontal mattress sutures. [Spanish] Thanks, everyone.
DR. ALEJANDRO BADIA: It went very well, very smoothly. That's what we like. But when it doesn't, we still persevere. Right? The important thing is to not leave the OR until you are happy. Right? right. For those of you guys who just tuned in while we were finishing up, we are going to share the recording in the next 10 minutes.
DR. ALEJANDRO BADIA: Thank you so much for watching.
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