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Contributions

Share your knowledge and know-how with the largest online community of surgeons!

You can contribute to WebSurg by submitting your minimally invasive surgery videos that will help us increase the scope of our educational content. This is a unique opportunity for you to share your surgical skills with the largest community of surgeons worldwide, and become part of our international Faculty.

You’re not an expert in video editing? No problem! Submit the video of your surgical procedure and our editorial and audiovisual team will take care of the rest for free.

Upload your video

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Requirements

In order to be published on WebSurg, you need to make sure that your video brings something relevant to WebSurg. Send us a video demonstrating a comprehensive surgical case which has not been covered on the website yet. The objective of contributions is to offer varied types of educational videos to our members, in a more interactive, didactic, and original way.

The quality of the video must be high-definition to be considered for a potential publication on WebSurg. An abstract of less than 250 words to present the case and educational objectives of the video, the titles of the key steps (e.g. timed chapters of the video such as "case history", "patient set-up and port position", etc. mentioning minutes and seconds), and author name(s) have to be submitted along with your video. These indications will allow our editorial team to perform a synchronized voice over and to provide relevant content to our members.

Advantages

It is fast, free, and user-friendly. Publishing your work on the world’s number 1 minimally invasive surgery website is a great opportunity for you to share your expertise and your surgical skills with the rest of the world. We highlight our contributors by sharing their publications with our 370,000 members, and we provide them statistics allowing them to measure the impact their video had on our community.

Who can contribute?

Anyone is welcome to submit their contributions, whether it is to share a new technique, a novel technological innovation or to present a standard surgical procedure in compliance with international guidelines and consensus recommendations in an original and didactic way.

Validation process

Videos submitted to us are sent to a peer-review committee who will decide if the video can be published on WebSurg. This decision depends on the technical quality of the video and on its scientific relevance and compliance with international guidelines, but also on its originality. We remain at your disposal throughout this process to inform you on the status of your video publication.

Should your video not be validated by our editorial team, we will give you the reasons for this. However you are still more than welcome to send us more videos.

Get more info

Video structure

01.

Title

10s
02.

List of authors

10s

Author names and their titles (MD, PhD, etc.).

03.

Clinical case

15-20s

Patient age and gender, clinical and medical history, surgical indications, etc. Views of CT-scans, MRI or other diagnostic tools. Find a template on this page.

04.

Patient

15-20s

Patient, trocar, and operating staff position.

05.

Film

~15 minutes

English video written narrative with a full description of the surgical procedure and of the postoperative outcomes.

06.

Credits

5-10s

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The latest contributions

Surgical intervention
08:13
Robotic Heller myotomy with Dor fundoplication for esophageal achalasia
Achalasia is an esophageal motility disorder characterized by an incomplete or absent esophagogastric junction (EGJ) relaxation associated with loss of peristalsis or uncoordinated contractions of the esophageal body in response to swallowing. All available treatments for achalasia are palliative, directed towards the elimination of the outflow resistance caused by abnormal lower esophageal sphincter (LES) function and aiming to improve the symptoms related to esophageal stasis, such as dysphagia and regurgitation. Laparoscopic Heller myotomy with partial fundoplication is the current standard of care for the treatment of achalasia. It is associated with symptom improvement or relief in about 90% of patients. However, it is a challenging procedure with the potential risk of esophageal perforation reported in up to 10% of cases. Interestingly, laparoscopic myotomy has some limitations which depend on the laparoscopic technique (bidimensional vision, poor range of movement) and on the surgeon’s experience. Recently, the use of the robotic technology has been proposed claiming that it might reduce intraoperative esophageal perforation rates and improve postoperative quality of life after Heller myotomy, mainly due to the 3D view and enhanced dexterity of the surgeon. Despite significant improvements in surgical treatment, the length of myotomy is still a matter of debate to date. Substantially, although some authors proposed a limited myotomy on the lower esophagus preserving a small portion of the LES to prevent postoperative reflux, most authors recommended a myotomy extending 4 to 6cm on the esophagus and 1 to 2cm on the gastric side. In this video, we performed a 6cm long esophagogastric myotomy, with a 2.5cm proximal extension above the Z-line (endoscopically recognized) and a 3.5cm distal extension below the same landmark. In a previous experimental study with intraoperative computerized manometry, we observed that myotomy of the esophageal portion of the LES (without dissection of the gastric fibers) did not lead to any significant variation in sphincteric pressure. Instead, the dissection of the gastric fibers for at least 2 to 2.5cm on the anterior gastric wall created a significant modification of the LES pressure profile. This may be due to the interruption of the anterior portion of gastric semicircular clasp and sling fibers, with consequent loss of their hook properties on the LES pressure profile.
Robotic Heller myotomy with Dor fundoplication for esophageal achalasia
L Marano, A Spaziani, G Castagnoli
178 views
1 month ago
Surgical intervention
11:27
Robotic abdominoperineal resection (APR) with intraperitoneal puborectalis incision
The da Vinci™ surgical robotic system with its increased instrument stability, tridimensional view, and dexterity with 7 degrees of wristed motion offers a distinct surgical advantage over traditional laparoscopic instruments. This advantage is mainly in the deep pelvis where the limited working space and visibility makes distal rectal dissection extremely challenging. Additionally, the complete control of the surgeon over the stable surgical platform allows fine and accurate dissection in this area.

An abdominoperineal resection (APR) involves the excision of the rectum with a total mesorectal excision (TME), and excision of the anus with an adequate circumferential resection margin (CRM). In a conventional open or laparoscopic approach, the rectal dissection is performed down to the level of the pelvic floor, after which the perineal approach is used to excise the anus and to cut the pelvic floor muscles circumferentially to allow for ‘en bloc’ tumor removal. However, as the pelvic floor is frequently very deep from the skin surface, dissection is technically challenging due to poor visualization, often leading to blind dissection. As a result, many APR specimens suffer from the problem of “waisting” and a positive CRM at the level of the levator ani muscle. In order to solve this problem, some units practice extralevator APR – however, in those cases, the patient ends up with a large perineal defect which frequently needs to be closed with either mesh or flap reconstruction.
With the da Vinci™ robotic system, this problem can potentially be minimized. The robotic system can be used to access deep into the pelvic cavity and make an incision in the puborectalis sling down to the ischiorectal fat. This incision, once completed, allows for easy access from the perineal approach to enter the pelvic cavity and complete the dissection, preventing any blind dissection and facilitating a CRM-clear specimen to be excised.
This video features a totally robotic approach to an abdominoperineal resection for a poorly differentiated anorectal adenocarcinoma, with intraperitoneal incision of the puborectalis sling to facilitate subsequent perineal dissection and specimen extraction.

Clinical case
A 79-year-old female patient presented with a perianal lump and discomfort. Colonoscopy revealed a 2cm mobile adenomatous polypoid lesion at the anorectal junction. Excision biopsy showed a poorly differentiated adenocarcinoma.

CT-scan of the thorax, abdomen and pelvis did not show any distant metastases, and MRI of the rectum did not show any significant locoregional disease. A robotic abdominoperineal resection was performed.

Patient set-up
The da Vinci™ Si™ robotic system was used, and a dual docking approach was chosen.
The patient was placed in a Lloyd-Davies position. Robotic ports (8mm) were placed in the epigastrium, left flank, suprapubic region, and in the right iliac fossa respectively. A 12mm trocar is inserted into the right flank for assistance and stapling.
Robotic abdominoperineal resection (APR) with intraperitoneal puborectalis incision
SAE Yeo
56 views
1 month ago
Surgical intervention
11:10
Three-trocar laparoscopic right ileocolectomy for advanced small bowel neuroendocrine tumor
Background: Minimally invasive surgery (MIS) was shown to offer advantages in general and oncologic surgery (1). Over the last decade, reduced port laparoscopy (RPL) has been introduced to reduce the risks related to ports and abdominal wall trauma, with enhanced cosmetic outcomes (2). In this video, the authors report the case of a 59-year-old man with a small bowel neuroendocrine tumor, and who underwent a three-trocar right ileocolectomy.
Video: Preoperative work-up, including endoscopic ultrasound, octreoscan, PET-scan, and FDG PET-CT, showed a 15mm small bowel tumor with mesenteric and transverse mesocolic extension, until the muscularis propria of the third portion of the duodenum. The biopsy revealed a low-grade well-differentiated neuroendocrine tumor. The procedure was performed using three abdominal trocars: a 12mm one in the umbilicus, a 5mm one in the right flank, and a 5mm port in the left flank (Figure 1). Abdominal cavity exploration demonstrated the presence of a tumor located in the mesentery of the last small bowel loop, with consequent bowel retraction, dislocation of the caecum and appendix, located under the right lobe of the liver, and tumoral extension into the proximal transverse mesocolon. After mobilization of the right colon from laterally to medially, the second and third duodenal segments were exposed, showing tumor extension towards the anterior duodenal wall of these segments. After encircling the anterior aspect of the duodenal wall with a piece of cotton tape (Figure 2), an endoscopic linear stapler was inserted through the umbilical trocar under the visual guidance of a 5mm scope in the left flank (Figure 3a), and it was fired (Figure 3b). The specimen was removed through a suprapubic access. Perioperative frozen section biopsy showed a free duodenal margin, and the procedure was subsequently completed with an ileocolic anastomosis, performed in a side-to-side handsewn intracorporeal fashion. At the end, the mesocolic defect was closed.

Results: Operative time was 4 hours. No added trocars were necessary. The postoperative course was uneventful and the patient was discharged on postoperative day 4. Pathological findings showed a grade I well-differentiated small bowel neuroendocrine tumor, with lymphovascular emboli and perinervous infiltration (1/20 metastatic nodes, free margins, stage: pT3N1 (8 UICC edition). A follow-up under somatostatin therapy was put forward.

Conclusions: RPL is a feasible option when performing advanced oncological surgery. Patients benefit from all MIS advantages, including reduced trocar complications and enhanced cosmetic outcomes.
Three-trocar laparoscopic right ileocolectomy for advanced small bowel neuroendocrine tumor
G Dapri
1209 views
2 months ago

Frequently asked questions (FAQ)

  • I. Video content
    Which type of video can I send as a contribution to WebSurg?
    Videos of minimally invasive surgery should be scientifically relevant, and deal with one of the specialties which can be found on the website. They should put forward a surgical technique or a surgical instrument, and bring something new or interesting to the medical community. If you have a video of an operation or a technique you are proud of, share it with the rest of the world !
    Can I send a video presenting an unusual / controversial technique?
    After you have sent us your video, the peer-review committee will review it and you will receive a detailed response concerning the approval or the refusal of your video. We do have a section dedicated to “unusual / controversial cases”, which could correspond to your video. We are happy to receive contributions featuring uncommon and pioneering techniques.
    Can I send a video in which the face of the patient is visible?
    The face of the patient should be blurred in the video. The patient should not be identifiable in any other way, anything that could cause the identification of the patient on any part of the body should be blurred. If you cannot do it we can take care of this for you.
    Can I add animations and personalize my video (sound, colors, illustrations)?
    The video should not have any background music, it can include some explanations from the surgeon, and should be presented using a neutral background. Some colors and illustrations can be added as long as they don’t take the focus away from the content of the video. If you have animations which can illustrate your operation, you can insert them into the video.
  • II. Validation process
    Who validates my contribution?
    The peer-review committee is made up of qualified surgeons who are experts in their field. The committee is completely independent and is completely neutral when making decisions concerning contributions.
    Can I be sure that my video will be published?
    No, WebSurg aims to respect a certain number of criteria for the publication of videos, in order to maintain the quality of minimally invasive surgery content published on the website.
    How long does the validation process take?
    The validation process usually takes anywhere from 1 week to 1 month, depending on the availability of the committee’s members. In certain cases, it can take more than a month.
    What are the criteria upon which the validation process is based?
    Image quality
    Compliance with instructions
    Scientific and surgical relevance
    Compliance with medical principles (respect of patients, etc.)
    What happens after my video has been published?
    Once your video has been published, WebSurg mentions it in the monthly newsletter in order to communicate on our new contributions. You can also follow the evolution of your videos: comments, number of views, likes, shares, views depending on geographical location, etc.
    What can I do if my video is not accepted?
    A refusal does not mean that you cannot send more videos, making sure that WebSurg instructions are followed.
    Do WebSurg industrial partners play a role in the validation process?
    No our partners do not participate in the validation process in any way, and they are not part of the committee. The peer-review committee is made up of surgery experts in different fields, which accounts for a neutral decision-making process.
    Which video format is accepted by WebSurg?
    We accept a wide range of video formats: .mp4, .mov, .avi, 4K, etc.
    The perfect video: HD (1920x1080) .mp4 H264 VBR 10-20 Mb/s. Progressive 25-60 fps.
    Video we can accept: HD ready (1280x720). mp4 H264 VBR 5-10 Mb/s. Progressive 25-60 fps.
    Maximum quality we can manage: 4K (3840x2160). mp4 VBR 30-60 Mb/s. Progressive 25-60 fps.
    What is the maximum size for the video?
    A file of up to 20Gb can be sent using our form. However, if your video is larger in size, please contact us so that we can find a solution together.
  • III. Contributions and commercial brands
    Can I submit a video to advertize surgical instruments?
    WebSurg cannot be used as a commercial platform to advertize instruments. It can however be used to display new techniques, and new instruments – as long as the main focus of the video is the scientific relevance of the operation and/or of the use of the instrument.
    Can I send a video contribution if the logo of my surgical tools is visible?
    Yes, if the goal of the video is to display operative techniques. The video cannot simply be a commercial presentation of a product, of a company, etc.
    Can I send a video if the logo of my hospital or my company appears on the video?
    Yes, you can. However, it should not appear in the top right corner as this is where the IRCAD watermark appears in videos.
  • IV. Cost-related questions
    How much does a contribution to WebSurg cost?
    Publishing on WebSurg is completely FREE. It doesn’t cost anything and you will not receive a financial compensation for it. Find out more about the benefits of contributing to WebSurg.
    I don’t know how to edit the video, how much would the editing done by WebSurg cost?
    WebSurg can help you throughout the editing process entirely for free. Send us your operative videos, and we will help you perform the editing once our peer-review committee has validated the video.
    Can I sell the video that I have sent to WebSurg as a contribution?
    The raw footage that you send us belongs to you, which means that you can sell it or use it for other purposes. However the edited video which is published on WebSurg belongs to WebSurg. This means that it cannot be sold. You can still use this video for your communications, congresses, etc.