Week 7
For my last week in the OR, I observed a
procedure that was the first of its kind in the country. In this case, the
patient had previously received a sternum resection due to cancer. Although an
implant was placed in place of the missing sternum, it needed to be replaced.
To this end, the physicians on the case called for a custom designed 3D printed
titanium implant to replace the sternum. This implant was created using CT scans
of the patient’s own anatomy, ensuring that this artificial sternum would be
tailored to the patient and fit perfectly. The surgery itself involved cutting
through the chest wall and removing the previous implant. After removing some
of the soft tissue on the rib cage, the implant was fit into place and securely
screwed in. Dr. Spector’s part of the surgery was to reconstruct the chest wall
by bringing muscle flaps over the implant.
In the research front, we have made multiple
technical adjustments to the SMF platform to bring us closer to being able to
reliably perform diffusion studies. For example, 3D printed templates are used to
generate SMF constructs with consistent dimensions. Small issues still exist
with the platform, but I will be staying in touch with Dr. Spector’s research
group to sort these out and assist in data analysis.
Spending a significant amount of time in the
OR allowed me to observe the concepts of tissue engineering put into practice,
such as in the use of tissue grafts. Seeing patients has also added tangibility
to the goal of our research; to help improve and save lives. I am incredibly
grateful to Dr. Spector for allowing me to spend the majority of my time here
meeting patients and observing surgeries. At the end of our time of being
immersed, I can confidently say that my clinical experiences have broadened my
perception and understanding of how biomedical engineering research fits into
the real world.
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