Salman Matan/ Dr. Gomoll Week 7

 In this week, Monday I went OR with Dr. Gomall and all his surgeries were similar of what I’ve seen before. The only different surgery was a shoulder surgery, it was very cool to learn the anatomy and understand how knee and shoulder are similar in terms on the joint movement but totally different when it comes to anatomical tissues and how they connected to each other. On Tuesday, I presented my Immersion term presentation and did attend clinic with Dr. Gomoll. On Wednesday, I shadowed Dr. Spector and he performed one of the most amazing surgeries that I’ve ever seen. It was Hemglossectomy. grafting of tongue, since the tongue has higher acidity and less blood vessels, using skin grafting will cause the graft to die before it got blood vessels and immune. The patient has tongue cancer, and some part of his tongue was cut, dr Spector take free flap on the hand with blood vessels on it. Then they’ll hook on his neck to get blood vessels. The new flap will have blood vessels and can easily have immune cells. The patient has been taken scans of PET, CT scan and MRI, this helps the doctors to make decisions of where to cut on the tongue. The patient has recurring cancer on tongue, so removing half of tongue was inevitable. Specimen of tongue was cut in different area the tongue and send to pathologist to further diagnose if there’s any micro cancer. This cancer is usually caused by drinking and smoking, these exposes all the area of tongue. So, Dr. David Kutler need make sure that the intact half of the tongue is cancer free. The trachea was cut on the nick to connect on ventilator inside. The hand has two main arteries so taking one of them with the flap won’t cause any problems to either the blood flow or feeling of the hand at all. The flap needs to be connected with arteries on the neck as soon as possible to prevent blood clots. Skin graft was taken from his left leg and grafted on his hand where the flap was taken. This helps the hand to be covered and healed properly while the tongue will be fully functioning in matter of days. The surgery took 6 hours and was eye opening for me. On Thursday, I was working on the Biomechanics lab and Friday I attended Dr. Spector’s lab meeting, Dr. Prince’s entrepreneurial talk and then the rest of the day I was at the biomechanics lab.

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