Total knee replacement : AOL Video feed

Zimmer® Gender Solutions™ High-Flex Knee Replacement

Tue, 29 May 2007 10:21:00 -0400

Philadelphia, PA – On Thursday, September 14, at 6:30 p.m. EDT, Pennsylvania Hospital in Philadelphia, PA will broadcast a live total knee replacement procedure featuring the Zimmer Gender Solutions High-Flex Knee, the first knee replacement shaped to fit a woman's anatomy. Knee replacements have long been available in many sizes, but merely using a different size for women doesn't resolve anatomical differences. Various studies show that women's knees significantly differ in shape from men's knees. Pioneering research conducted for Zimmer precisely maps out those differences and is the foundation for the design and development of the Gender Solutions Knee. When placing traditional implants, some surgeons accommodate women's differences by removing more bone or repositioning the implant during surgery, but their ability to make the implant precisely conform to the patient is limited. The Gender Solutions High-Flex Implant was designed so the surgeon can more closely match the female patient's knee anatomy. Robert E. Booth, Jr., M.D., Chief of Orthopaedic Surgery at Pennsylvania Hospital, Philadelphia, PA, will perform the surgery. The webcast will be moderated by Giles R. Scuderi, M.D., Director, Insall Scott Kelly Institute, and Assistant Clinical Professor of Orthopaedic Surgery, Albert Einstein College of Medicine, New York, NY. Questions from both surgeons and the general public can be sent in via email during the broadcast. "Mounting research indicates that a woman's knee is not simply a smaller version of a man's knee. The differences involve the bones, ligaments and tendons in the joints," said Dr. Booth. "Women can wear men's clothing and shoes, but most prefer clothing and shoes made for them. That's because women are shaped differently than men. It's the same with knees, and it makes perfect sense to design knee implants with women in mind, particularly considering that women are by far the majority of the knee replacement patient population." Nearly two-thirds of the more than 400,000 annual knee replacement patients are women, according to the National Center for Health Statistics, and the numbers continue to increase each year. Research shows that while both women and men vastly underuse knee replacement, women are three times less likely than men to undergo the procedure, although they suffer from more knee pain and resulting disability. "Less invasive procedures are helping patients get back to enjoying their lives faster than ever before. Now that we have a knee shaped to fit women's anatomy, we expect far more women will want to consider knee replacement," said Dr. Booth. The Gender Solutions High-Flex Knee, the first of several gender innovations to come from Zimmer, is based on the company's more than 20 years of clinical success with total knee implants. Further, it can be placed using Zimmer Minimally Invasive Solutions ™ (MIS ™) Procedures, which typically offer smaller scars, shorter hospitalization and quicker rehabilitation and recovery; and safely accommodates high flexion (up to 155 degrees), which is necessary for many activities, such as climbing stairs, sitting in a chair, gardening and golfing. "Even though most women are happy with their results after joint replacement, some still have residual pain in the front of the knee around the kneecap, or say their artificial knee just doesn't feel or move the way their own knee did when it was healthy," Dr. Booth said. "Knee implants have been functioning very well for men and women, but we want to meet women's unique needs by making knee replacements that feel, fit and function even better. The Gender Solutions Knee is the best of both worlds. It's based on the NexGen® Knee, a highly successful implant with great mechanics and 10 years of clinical success. Only the shape is different, to make it feel more natural." The knee joint is composed of three bones: the end of the femur (thighbone), the top of the tibia (shinbone) and the patella (kneecap), which are all held together by tendons and ligaments and cushioned by cartilage. Knees can become painful, due to arthritis, injury and infection, which cause deterioration of the cartilage. When the cartilage is gone, the bones of the knee grind against each other, wearing away and typically causing severe pain. Total knee replacement involves removing the portion of bone that is damaged and resurfacing the knee with metal and plastic implants. This program is part of an ongoing effort to provide convenient, innovative educational opportunities to orthopaedic surgeons worldwide and is intended to help orthopaedic surgeons enhance their skills to build confidence in providing the best orthopaedic care possible for their patients. For more information or to request a free brochure about the Gender Solutions High-Flex Knee, or to find a surgeon who performs joint replacement with Zimmer implants, consumers should visit www.genderknee.com or call toll-free, 1-877-GEN-KNEE. This activity is sponsored by The Zimmer Institute. This activity does not offer CME credit. Zimmer Holdings, Inc. (NYSE and SWX: ZMH) is the worldwide #1 pure-play orthopaedic leader in designing, developing, manufacturing and marketing reconstructive and spinal implants, trauma and related orthopaedic surgical products.

State-of-the-Art Knee Replacement Surgery

Tue, 15 Jan 2008 11:10:06 -0500

http://www.or-live.com/stmarysmadison/2087 On Tuesday, January 22, 2008, St. Mary's Hospital and two members of the Dean Orthopedic physician team will offer viewers the opportunity to see a total knee replacement surgery up close. The procedure will be broadcast live over the internet from 4:00-5:00 p.m. Central Standard Time from one of St. Mary's 18 brand-new, high-tech operating rooms which opened the first of the year. This total knee replacement procedure will be performed by Dr. David Wolff. Dr. Wolff is one of the area's leading orthopedic surgeons having completed over 250 hip and knee replacement surgeries in 2007. Commentary will be provided during the surgery by Dr. Richard Glad, Chairman of the Dean Department of Orthopedics. Also a very busy and successful orthopedic surgeon, Dr. Glad's patient list includes athletes such as John Powless, one of the top-ranked players in the International Tennis Federation's men's 75+ age category. St. Mary's is the leading hospital in Orthopedic services in south-central Wisconsin, serving nearly 40% of orthopedic patients in Dane County alone.* * Q1, 2007 market share data

Minimally Invasive Colon Surgery

Tue, 31 Jul 2007 13:55:28 -0400

http://www.or-live.com/duluthclinic/1754 St. Mary's Medical Center in Duluth, MN, plans to broadcast a minimally invasive colon surgery, live on the Internet. The webcast is slated for Wednesday, Jan. 24, 2007, at 6:30 p.m. CST. The public will be able to view a laparoscopic hemicolectomy, the removal of part of the colon through a small incision. Duluth Clinic colorectal surgeon Melissa Najarian, MD, will perform the procedure. Duluth Clinic surgeon Thomas Wiig, MD will help explain the surgery and answer questions e-mailed by viewers. Computer users must have high-speed Internet service and the Real Player program downloaded on their system. During a typical surgery, Dr. Najarian removes a section of colon about eight inches long. In many cases, Dr. Najarian operates on patients who have colon cancer or colon polyps. A patient suffering from Crohn's disease or diverticulitis could also be a candidate for the procedure. Because this surgery is done laparoscopically, Dr. Najarian makes an incision about two inches in length, along with three or four incisions that are less than half an inch. She inserts a camera and her tools through these small cuts to perform the surgery. An open procedure of this type would likely require an eight-inch incision. When the minimally invasive procedure is appropriate for a patient's individual situation, this technique can lead to quicker healing. "They have less pain and that speeds up the recovery as well," Dr. Najarian notes. As a specialist in colorectal surgery, Dr. Najarian has honed her skills in laparoscopic procedures. "It takes more training," she says. The operating room staff must also have extra training and be comfortable using the high-tech equipment that makes this type of procedure possible. Laparoscopic techniques are used in many surgeries at St. Mary's, including the removal of the appendix, gall bladder and spleen, along with weight loss surgery and hernia repairs. Dr. Najarian says she's excited to take part in a live surgical webcast. "It will really benefit patients," she says. "I don't think people always understand what's going on with their insides." She's also hoping to use the webcast as an opportunity to remind patients about the importance of colon screenings. "If everyone had regular screenings, we might not have to do this surgery," she explains. This will be the second live webcast from an operating room at St. Mary's Medical Center, which is part of SMDC Health System. The first live broadcast here set records for the number of people viewing a live surgery on the Internet. That webcast, which featured a knee replacement surgery, can still be viewed by going to www.duluthclinic.org

MRI-Guided Brain Tumor Removal With Cortical Mapping

Tue, 31 Jul 2007 01:47:09 -0400

http://www.or-live.com/childrenshospitalboston/1360 Neurosurgery Webcast: Neurosurgeons at Children's Hospital Boston to perform MRI- guided brain tumor removal with cortical mapping on a 13-year-old during live Webcast On Wednesday, Oct. 25, at 1:00 p.m. EDT, neurosurgeons at Children's Hospital Boston will remove a brain tumor employing functional mapping of the cortex on a 13-year-old pediatric patient during a live Webcast. Children's hosts three to four Webcasts annually to showcase its pioneering care and technology to specialists and referring physicians around the world, and to educate consumers on the latest and most innovative medical treatments available. The Webcast will feature Children's intraoperative MRI system, known as the MR-OR, the first and only system of its kind at a pediatric hospital in the country. Developed by IMRIS, the iSPACE surgical imaging suite captures digital images through a unique, ceiling-mounted, movable MRI scanner that can be used to take high-resolution, real-time patient scans before, during and after a surgical procedure. This advanced technology allows surgeons to determine the extent of a tumor while the patient is undergoing surgery to ensure its accurate removal. "Unlike other intraoperative MR machines, the mobile MRI lets surgeons use their usual metal surgical tools because the unit is moved into the shielded garage when surgeons are operating," says Joseph R. Madsen, MD, a neurosurgeon in the Department of Neurosurgery at Children's Hospital Boston and associate professor of Surgery at Harvard Medical School. Dr. Madsen will operate on a patient with oligodendroglioma, a low-grade tumor arising from glial cells in the central nervous system. The tumor lies near motor and sensory areas of the brain, which will require electrocorticography and physiological tests to map the normal brain around the tumor before the surgery. Once the mapping has been completed, Dr. Madsen will then perform a microsurgical resection of the tumor. Brain tumors are the most common solid tumors in children—approximately 1,800 are diagnosed in the United States each year. Today, more than half of all children diagnosed with a brain tumor will be cured of the disease. The most effective form of treatment is the surgical removal of all or part of the tumor without jeopardizing any of the brain's critical functions. In order to decide which areas of the tumor can safely be removed, neurosurgeons use the technique of brain mapping. "The cutting edge of neurosurgery is to identify and remove as much of the undesirable pathologically damaging brain tissue without disturbing the functioning areas of the brain," says Dr. Madsen. "Through the use of physiological mapping and the MR-OR, we are able to achieve this and assure our patients the best possible surgical outcomes." Dr. Madsen will be assisted by neurologist Frank H. Duffy, MD, radiologist Caroline Robson, MB, ChB, and associate anesthesiologist-in-chief Mark A. Rockoff, MD. They will also serve as Webcast commentators, providing additional information about the procedure throughout the surgery. Moderating the live broadcast will be neurosurgeon Mark R. Proctor, MD. Neurosurgeon-in-chief R. Michael Scott, MD, will introduce the Webcast and offer insight into pediatric brain tumors. Liliana C. Goumnerova, MD, and Mark Kieran, MD, PhD, the surgical and medical directors of the Brain Tumor Clinic, a collaborative program with Dana-Farber Cancer Institute, will also be on-hand to discuss the neuro-oncological aspects of the procedure, while Craig D. McClain, MD, and Keith Ligon, MD, will comment on the anesthesia and neuropathology, respectively. An 11-year-old brain tumor patient, who recently underwent a similar procedure in the MR-OR, and his family will also answer questions during the Webcast. View CBS4 Boston news story with Dr. Goumnerova regarding a successful brain surgery on a 13 year old girl. Click Here Founded in 1869 as a 20-bed hospital for children, Children's Hospital Boston today is the nation's leading pediatric medical center, the largest provider of health care to Massachusetts children, and the primary pediatric teaching hospital of Harvard Medical School. In addition to 347 pediatric and adolescent inpatient beds and comprehensive outpatient programs, Children's houses the world's largest research enterprise based at a pediatric medical center, where its discoveries benefit both children and adults. More than 500 scientists, including eight members of the National Academy of Sciences, nine members of the Institute of Medicine and 11 members of the Howard Hughes Medical Institute comprise Children's research community. For more information about the hospital visit: http://www.childrenshospital.org/newsroom IMRIS Inc. designs and manufactures advanced surgical imaging systems for use in cranial, spinal and general surgery applications. IMRIS is focused exclusively on providing fully integrated surgical imaging solutions that support the effectiveness of the surgical team. For more information about the IMRIS iSPACE™ solution visit: www.imris.com

Minimally Invasive Treatment For Thoracic Aortic Aneurysm

Wed, 25 Jul 2007 01:01:27 -0400

http://www.or-live.com/genesishealth/1676 Davenport, IA --- Surgeons at Genesis Medical Center, Davenport, will use a minimally invasive approach and a revolutionary device to treat a thoracic aortic aneurysm during a surgical procedure that will be webcast Tuesday, Feb. 13, at 7 p.m. CST. It will be the medical center's third webcast. Richard Sadler, M.D., FACS, Chest and Vascular Surgery, P.C., Davenport, will perform the procedure, one of fewer than 10 that have been done in the state of Iowa. He'll be assisted by Erik Abdullah, M.D., Vascular and Thoracic Associates, Ltd., Bettendorf, Iowa. A thoracic aortic aneurysm is the swelling or ballooning of the aorta, the largest artery in the body, which carries oxygenated blood from the heart. The thoracic aorta's diameter normally ranges from 1 to 1.5 inches. An aneurysm can cause it to grow several times its normal size. If not treated, the aneurysm can rupture, leading to internal bleeding which often is fatal. "The estimated mortality of a ruptured thoracic aneurysm is 90 percent for the first 48 hours," said Dr. Sadler. "Often, there are no symptoms, so most people won't know if they have an aortic aneurysm until it ruptures. Typically, they are detected when chest x-rays, CT scans or MRI tests are being obtained for other health problems. Approximately 40 percent of aneurysms in the aorta occur in the chest." Thoracic aortic aneurysms have traditionally been repaired through a high-risk operation requiring a large chest incision to remove the diseased portion of the artery and replace it with a synthetic graft. This method can result in long hospital stays and painful recoveries. However, an implantable graft now gives doctors a less invasive alternative to the major open surgical approach. The GORE TAG® endoprosthesis, developed by W. L. Gore and Associates, Inc., is the only Food and Drug Administration-approved thoracic endograft. The tube-shaped endovascular graft is comprised of a biocompatible ePTFE (expanded polytetrafluoroethylene) graft with an outer self-expanding nitinol (a combination of nickel and titanium) metallic support stent. During the procedure, Dr. Sadler will make small incisions in the patient's groins. Then the graft, which is compressed into the end of a long, thin, tube-like device called a delivery catheter, is guided up the leg artery, through the abdomen, into the chest, positioned inside the diseased section of the aorta and released, or deployed. The device self-expands to the inside diameter of the aorta, creating a tight fit and seal against the aorta wall. The graft re-lines the aorta, making a new path for blood flow. Once the graft is in place, a balloon catheter is used to profile the device – a step that ensures the graft has achieved good compression and optimal diameter inside the aorta. The procedure usually takes 1 to 3 hours. Patients stay in the hospital for only a few days following the procedure and can return to normal activity within two to six weeks. "In clinical trials comparing the GORE TAG® Device to open surgical repair, GORE TAG® Device patients experienced fewer complications and significantly less procedural blood loss," said Gary Buehler, Endovascular Products Representative, Gore Medical Products Division. "Patients also have a shortened hospital stay and a two-times faster return to normal activity." The patient for this procedure, a 75-year-old female, already has had two aortic aneurysms repaired by Dr. Sadler. The first was 10 years ago. The second one, in February of last year, ruptured, and nearly took her life. "She presented in shock, had to be resuscitated and only had an hour at the most," recalls Dr. Sadler. "Thanks to excellent air ambulance, Emergency and Operating Room staff we managed to achieve a good outcome. But at her age, she could not tolerate another major surgery like that. That's why we've opted for this minimally invasive approach. It's really her only option." Assisting Drs. Sadler and Abdullah during the procedure are: Paula Streed, RN First Assist, CNOR; Kelly Heppe, RN; Sheila Hoskins, RN, CNOR; Rose Cuevas, CST; and Barb Tobias, RTR, Cardiovascular Imaging Specialist. The thoracic endograft is the third surgical procedure Genesis has webcast with OR-Live. Previous webcasts have spotlighted minimally invasive Transforaminal Lumbar Interbody Fusion to eliminate back pain, and laparoscopic Roux-en-Y gastric bypass, a surgical procedure for weight loss.

Robot - Assisted Heart Bypass with Cardiac Catheterization

Sun, 15 Jul 2007 00:41:14 -0400

http://www.or-live.com/umm/1713 On February 28, 2007, at 4 PM EST watch the premiere showing of a very unique surgical webcast from the University of Maryland Heart Center in Baltimore. See for yourself an operation called the HYBRID. This is an innovative approach to double or triple vessel coronary artery disease that combines minimally-invasive, robotic coronary artery bypass surgery with stented angioplasty, performed in just one operation. The University of Maryland Medical Center is among the first hospitals in the U.S. to offer this combined surgery, and is now the only Medical Center to offer this surgery with the use of robotic technology. Cardiac surgeon, Dr. Robert Poston, an assistant professor of surgery at the University of Maryland School of Medicine, with the assistance of Dr. Charles Drummond, a clinical instructor at the University of Maryland School of Medicine, will use the daVinci-S surgical robot to harvest the left internal mammary artery, which will then be used to bypass the blockages in the heart. Unlike traditional open surgery, there is no large incision made during this operation. Several tiny incisions, which measure smaller than the diameter of a dime, are made between the ribs so that the robotic instruments can be used inside the chest cavity. While sitting at a computer console outside the actual operating room, Dr. Poston looks through lenses that provide a three-dimensional and highly magnified view of the inside of the body. He then uses wristed instruments to make very precise movements in the chest wall. Dr. Poston will harvest the left mammary artery and then through a two and half-inch incision in the chest, Dr. Poston will redirect one end of the artery to the heart surface and hand-sew the artery beyond the blockage, therefore increasing blood flow to the heart. Once this bypass portion of the surgery is complete, Dr. David Zimrin, an assistant professor of medicine and director of cardiac catheterization, will perform angioplasty to restore normal blood flow in the remaining blocked arteries. The hybrid takes place in an operating room that is both a fully equipped surgical suite and a state-of-the-art cardiac catheterization laboratory. This combined OR presents a tremendous advantage, because if for some reason doctors are unable to get a satisfactory result from the angioplasty side, they can convert to an open bypass operation. The patient won't have to be moved to another room because they will already be in a fully-equipped operating room. There are many clear advantages to the patients who undergo the hybrid. It is convenient and less stressful to have bypass surgery and stenting performed at the same time and not two separate days. During this approach, the heart remains beating throughout. Because the heart-lung machine is never used to maintain circulation, it is safer and there are fewer side effects. Also, since all incisions are very small, the rate of recovery is much faster and patients can usually go home in two days. Ideal candidates for the hybrid procedure have a blockage in a major vessel called the left anterior descending (LAD) artery, which supplies 60 percent of the blood to the heart, as well as blockages in non-LAD arteries that can be treated with a stent.

Dramatic Advance in Parathyroidectomy

Wed, 01 Apr 2009 12:53:21 -0400

http://www.or-live.com/christianacare/2349 NEWARK, DE - Hyperparathyroidism is a common disease that can cause depression or chronic fatigue, kidney stones and even osteoporosis. It is also a disease for which a focused surgical treatment—called a parathyroidectomy—has dramatic, almost instant results. On April 30 at 5 p.m. EDT, Christiana Care Health System will webcast an ORLive minimally invasive parathyroidectomy performed by Dr. Raafat Abdel-Misih. This procedure not only removes the enlarged parathyroid gland that is the cause of the disease; it incorporates a laboratory procedure that allows the surgeon to verify that the operation was successful while the patient is still in the operating room, which makes the entire process easier on the patient. "By measuring the patient’s hormone level immediately after the surgery, we know almost instantly that we have successfully removed all of the growth that was causing the symptoms," said Dr. Abdel-Misih. "This prevents a situation where we would have to bring the patient back into the operating room and redo the procedure." Most patients are able to go home within hours after the surgery, and the results are often dramatic. "Groans, stones, moans and bones. That's what we traditionally teach medical students when diagnosing hyperparathyroidism," said Dr. Michael Rhodes, Chair of Christiana Care's Department of Surgery and narrator for the live webcast. "Abdominal groans may occur from nausea and pain resulting from ulcers or pancreatitis, stones refer to the prevalence of kidney stones, occasional psychiatric moans may result from fatigue and depression, and the bones may be affected by osteoporosis. Often, patients who undergo the surgery discover within hours, days or weeks that their mood and energy level are greatly improved." Hyperparathyroidism is the result of a tumor on one or more of the parathyroid glands, which are four tiny glands in the front of the neck. They produce a hormone known as PTH (parathyroid hormone), which regulates calcium levels in the blood. When one of the glands becomes enlarged, it causes the body to move calcium out of the bones and into the bloodstream. Patients seldom realize that they have the disease, but it is typically detected in a routine blood test. Viewers will be able to e-mail live questions to the doctors during the procedure and receive answers in real time. This will be the first of several ORLive presentations from Christiana Care Health System.

Sentinel Lymph Node (SLN) Biopsy

Fri, 14 Sep 2007 17:45:57 -0400

http://www.or-live.com/genesishealth/1678 Breast Cancer: A surgical procedure that plays an important role in breast cancer treatment will be shown during a webcast from Genesis Medical Center, Davenport October 10, 2007 at 7 p.m. CDT. Called a Sentinel Lymph Node (SLN) Biopsy, the procedure helps the doctor determine the extent to which the disease is spreading within the body, and develop an appropriate treatment plan. It also has fewer patient side effects than standard lymph node removal. Genesis, through its Center for Breast Health, was one of the first hospitals in the country to participate in a study of the effectiveness of the procedure, which now is an accepted standard of care for women diagnosed with breast cancer. Breast cancer is a significant public health problem increasing at 2 percent per year. Breast cancer is the most common cancer among women and is second only to lung cancer as a cause of cancer deaths. Breast cancer strikes women of all ages, regardless of risk factors. The Sentinel Lymph Node Biopsy will be performed by David Aanestad, M.D., Davenport Surgical Group, and Surgical/Medical Director of the Genesis Center for Breast Health. Joseph Lohmuller, M.D., Davenport Surgical Group, will moderate the webcast. It will be the medical center's fourth webcast. Pea-sized lymph nodes are part of the body's lymph vessel system – small channels that drain excess fluid from all the tissues of the body back into the bloodstream. As the fluid drains it goes through the nodes, which act as filters that trap bacteria, cancer cells and other harmful substances for the immune system to attack before they enter the bloodstream and travel to other parts of the body. "The sentinel lymph nodes are the first nodes to receive lymph drainage from the breast and the first lymph nodes to receive cancer cells from a breast tumor as the cancer tries to metastasize, or spread, from the primary tumor," said Dr. Aanestad. "There commonly is a limited set of one to three sentinel lymph nodes in each underarm. If the sentinel nodes do not show any cancer, there is a greater than 95 percent chance that the remaining axillary lymph nodes in the underarm area also are cancer free." The procedure can lead to a faster and more accurate assessment of whether the cancer has spread to the lymph nodes. Instead of removing most of the lymph nodes under the arm to randomly search for any evidence of cancer spread, Sentinel Lymph Node Biopsy allows the surgeon to identify the one or two SLNs to which the cancer would spread first. In this way, the pathologists can perform an intensive analysis of the sentinel nodes instead of sorting through 10-25 lymph nodes. Another advantage of the procedure is that if the SLNs are found to be free of cancer, there is no need to perform a traditional complete Axillary Lymph Node Dissection. This procedure, in which all or almost all of the lymph nodes under the arm are removed, can cause patient side effects such as lymphedema (swelling caused by excess fluid build-up), numbness, a persistent burning sensation, infection, and stiffness. "Sentinel Lymph Node Biopsy is a more conservative approach, with fewer side effects and faster recovery times, but still is highly effective in helping us determine whether or not the cancer is invasive," said Dr. Aanestad. "That's why it has become the procedure of choice for women with breast cancer." The procedure begins when the patient is injected with a small amount of radioactive tracer and a blue dye around the breast cancer. These substances are absorbed by the lymph system and help the doctor identify the sentinel lymph node(s) – which will be blue and emit a small amount of radiation. A special device called a gamma probe is used to pick up the radioactive signal. The surgeon then makes a small incision and removes the sentinel node (or nodes). A pathologist then examines the sentinel lymph node (or nodes) under a microscope. If cancer cells are not seen, it is unlikely that the cancer has spread to the other lymph nodes and there is no need to remove them. All the lymph nodes in the area are removed, however, if cancer is present in the SLN. The lymph nodes may also be taken out if the sentinel lymph node cannot be located. The Sentinel Lymph Node Biopsy can be done in combination with a lumpectomy, a mastectomy or as a separate procedure. When done as a separate procedure the entire biopsy, including the time it takes for the radioactive tracer to be absorbed prior to surgery, takes about three hours. Sentinel Lymph Node Biopsy may be performed on an outpatient basis. But, when done with cancer-removal surgery, a hospital stay may be required. The Center for Breast Health, located in Medical Office Building 1 on Genesis Medical Center's East campus, 1228 E. Rusholme St., Davenport, serves nearly 7,000 women annually. It's the first facility in the region to offer comprehensive breast care in one location through the latest diagnostic technology and treatments, including digital mamography, which allows earlier detection of breast cancer for younger women and women whose traditional mammograms have been difficult to interpret. The Center for Breast Health team approach uses the combined resources of primary care physicians, radiologists, pathologists, surgeons, oncologists, psychologists, nurses, technologists and others to provide specialized care for women with abnormal mammogram findings. OR-Live.com, slp3d's Web portal, will host the webcast. OR-Live is the Web's largest source of live and on-demand surgical video from leading hospitals and academic institutions. Its Web site attracts an average of nearly 500,000 unique visitors each month. Audiences come from all 50 states as well as from nearly 200 countries in North America, Central and South American, Europe, Asia, Africa and Oceania. Previous Genesis webcasts have spotlighted minimally invasive Transforaminal Lumbar Interbody Fusion to eliminate back pain, laparoscopic Roux-en-Y gastric bypass, a surgical procedure for weight loss and minimally invasive thoracic aortic aneurysm repair.