Multiple Portals as Watching Portals - Smart Strategy in Chronic & Massive Rotator Cuff Tears

Description

In this instructional video, Dr. Sergio Rowinski from Shoulder Planet, located in São Paulo, Brazil, guides viewers through a complex surgical procedure for addressing massive rotator cuff tears. The video begins with an introduction to the surgical context, explaining the challenges presented by a chronic, massive rotator cuff tear from a patient who suffered a traumatic injury. Dr. Rowinski emphasizes the importance of using multiple camera portals during the surgery, including the antero-supero-lateral portal, to enhance visibility and facilitate the procedure.



Throughout the video, viewers are taken step-by-step through the arthroscopic surgery, including patient positioning, accessing the shoulder joint, and performing essential debridement to clean the surgical area. The video showcases various techniques for releasing and mobilizing the tendon while looking to establish a secure anchor for the surgical repair.



Dr. Rowinski details the placement of multiple anchors to repair the torn tendons, explaining the significance of each step to effectively re-establish the original anatomy of the shoulder. He highlights the use of specific surgical instruments and techniques, including the importance of creating a bleeding bone bed for anchoring the tendon effectively.



In the final segments, the video summarizes the successful outcome of the procedure and reiterates the effectiveness of using different camera portals, particularly the antero-supero-lateral position, to overcome challenges during surgery. Dr. Rowinski encourages engagement from viewers, urging them to subscribe, leave comments, and expresses his enthusiasm for continuous learning in the medical field.

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