More Creative Alternate-Site Surgery: Doctors from the University of California, San Diego, and the University of Washington announced in September that they could just as well handle certain brain surgeries by access not in the traditional way through the top of the skull but by drilling holes in the nose and, more recently, the eye socket. (Since classic brain surgery requires that the top of the skull be temporarily removed, the breakthroughs mean fewer complications.) These innovations follow on the inroads in recent years in performing kidney-removal and gall-bladder surgery not by traditional abdominal incisions but through, respectively, the vagina and the anus.


