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Thoracoscopic vagotomy

Edward Chau, Heekoung Youn, Christine J Ren-Fielding, George A Fielding, Bradley F Schwack, Marina S Kurian
BACKGROUND: Marginal ulcers (MUs) are potentially complex complications after Roux-en-Y gastric bypass. Although most resolve with medical management, some require surgical intervention. Many surgical options exist, but there is no standardized approach, and few reports of outcomes have been documented in the literature. The objective of this study was to determine the outcomes of surgical management of marginal ulcers. METHODS: Data from all patients who underwent surgical intervention between 2004 and 2012 for treatment of MU after previous Roux-en-Y gastric bypass were reviewed...
September 2015: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Rui Liu, Jiangping Song, Hui Li, Ziheng Wu, Huiguo Chen, Weibin Wu, Lijia Gu
OBJECTIVES: This study evaluated the effect of high selective bilateral vagotomy of hilus pulmonis with video-assisted thoracoscopy on asthma. METHODS: Eight dogs with skin sensitive to Ascaris suum antigens were randomly divided into groups A and B. Asthma was induced by aerosol inhalation of A suum antigens. Respiratory rate and peak airway pressure were significantly increased (P < .05) in both groups. Dynamic compliance was dramatically increased (P < ...
August 2014: Journal of Thoracic and Cardiovascular Surgery
John Hunter, Richard D Stahl, Manasi Kakade, Igal Breitman, Jayleen Grams, Ronald H Clements
Marginal ulcer is a significant complication of laparoscopic Roux-en-Y gastric bypass (LRYGB). Most marginal ulcers resolve with medical management, but nonhealing ulcers may require revision of the gastrojejunostomy, a procedure with significant morbidity and mortality. Traditionally, surgical therapy for refractory peptic ulcers includes a vagotomy. The current study evaluates the effectiveness of thoracoscopic truncal vagotomy (TTV) in the management of refractory marginal ulcers. All patients at two institutions with an intractable marginal ulcer after LRYGB treated with TTV between 2003 and 2010 were reviewed...
June 2012: American Surgeon
Louise Bagge, Per Blomström, Leif Nilsson, Gunnar Myrdal Einarsson, Lena Jidéus, Carina Blomström-Lundqvist
OBJECTIVES: The limited information available on thoracoscopic pulmonary vein isolation combined with ganglionated plexi ablation and the lack of studies regarding its effect on quality of life and physical capacity urged us to study its acute and long-term results in patients with atrial fibrillation. METHODS: Forty-three patients (mean age 57.1 years) with symptomatic atrial fibrillation referred for thoracoscopic off-pump epicardial pulmonary vein isolation and ganglionated plexi ablation using radiofrequency energy were included...
May 2009: Journal of Thoracic and Cardiovascular Surgery
Bianca Roy, Nathalie Samson, François Moreau-Bussière, Alain Ouimet, Dominique Dorion, Sandeep Mayer, Jean-Paul Praud
The present study stems from our recent demonstration (Moreau-Bussiere F, Samson N, St-Hilaire M, Reix P, Lafond JR, Nsegbe E, Praud JP. J Appl Physiol 102: 2149-2157, 2007) that a progressive increase in nasal intermittent positive pressure ventilation (nIPPV) leads to active glottal closure in nonsedated, newborn lambs. The aim of the study was to determine whether the mechanisms involved in this glottal narrowing during nIPPV originate from upper airway receptors and/or from bronchopulmonary receptors. Two groups of newborn lambs were chronically instrumented for polysomnographic recording: the first group of five lambs underwent a two-step bilateral thoracic vagotomy using video-assisted thoracoscopic surgery (bilateral vagotomy group), while the second group, composed of six lambs, underwent chronic laryngotracheal separation (isolated upper airway group)...
November 2008: Journal of Applied Physiology
Adrian Ooi, Rasheed A Saad, Narain Moorjani, Khalid M Amer
Various modalities for the treatment of hypertrophic pulmonary osteoarthropathy (HPOA) associated with lung cancer have been suggested since 1958. Although the etiology remains speculative, unilateral vagotomy on the side of the lung cancer achieves symptomatic relief. We report a case of a 50-year-old woman with disabling HPOA and inoperable lung cancer who experienced effective pain relief and regained full mobility after video-assisted thoracoscopic surgery was used to perform truncal vagotomy. This relatively safe and simple procedure should be considered for terminal lung cancer patients with intractable HPOA...
February 2007: Annals of Thoracic Surgery
V P Akimov
Aiming to minimize the surgical trauma and interventional risks of treatment, as well as to reach the most precise visualization and safe separation of the n. vagus, in order to increase the efficacy of truncal vagotomy during correction of severe post-gastric-resection dumping syndrome we have developed the new method of thoracoscopic supradiafragmal vagotomy. The suggested method of bilateral thoracoscopic supradiafragmal truncal vagotomy allows to decrease the surgical intervention trauma, and the risk of post operative complications, as well as to better the immediate and remote results of treatment of the dumping syndrome...
February 2005: Georgian Medical News
No abstract text is available yet for this article.
January 25, 1952: Wiener Klinische Wochenschrift
No abstract text is available yet for this article.
January 1963: Der Nervenarzt
No abstract text is available yet for this article.
May 2, 1964: Le Scalpel
No abstract text is available yet for this article.
April 24, 1959: Wiener Klinische Wochenschrift
No abstract text is available yet for this article.
1957: Langenbecks Archiv Für Klinische Chirurgie ... Vereinigt mit Deutsche Zeitschrift Für Chirurgie
No abstract text is available yet for this article.
1957: Langenbecks Archiv Für Klinische Chirurgie ... Vereinigt mit Deutsche Zeitschrift Für Chirurgie
No abstract text is available yet for this article.
April 16, 1954: Medizinische Klinik
No abstract text is available yet for this article.
April 10, 1953: Deutsche Medizinische Wochenschrift
C Bendinelli, T Leal, F Moncade, M Dieng, C T Toure, P Miccoli
BACKGROUND: Evaluating the introduction of endoscopic surgery in Senegal may be useful for assessing the role of this technology in developing countries. METHODS: The endoscopic surgery performed at the Hospital Principal and the Hospital Le Dantec, Dakar, from January 1995 to December 2000 was evaluated retrospectively. Operative time, postoperative stay, patients, and hospital costs were compared in samples of 100 patients treated endoscopically and 80 patients treated with open techniques...
October 2002: Surgical Endoscopy
P Gullà, A Tassi, R Cirocchi, M Longaroni
BACKGROUND: Nowadays the only indications to truncal vagotomy is recurrent ulceration after previous gastric surgery. Truncal vagotomy allows us to obtain a reduction in acid production and to promote ulcer healing, but this technique causes pylorospasm in about 20% of cases and this requires further synchronous or metachronous pyloric drainage procedure. For this reason, videothoracoscopic truncal vagotomy is reserved to patients with gastroresection. METHODS: The authors describe 15 patients treated with videothoracoscopic truncal vagotomy...
December 2000: Journal of Cardiovascular Surgery
E Croce, S Olmi, R Russo, M Azzola, E Mastropasqua
BACKGROUND: This study illustrates our experience in treating duodenal ulcer by means of thoracoscopy and laparoscopy over a period of six years. MATERIALS AND METHODS: From October 1991 to October 1998, we submitted 38 patients (31 males and 7 females), average age 51 years (range 22-78 years), with duodenal ulcer to vagotomy with minimally invasive access: 23 Hill-Barkers, 2 Taylors, 9 thoracoscopic truncal vagotomies and 4 laparoscopic truncal vagotomies. The patients submitted to thoracoscopic truncal vagotomy had previous gastric surgery (5 ulcers of the neostoma in patients who had undergone gastric resection, 3 hemorrhagic gastritis of the gastric neostoma and 1 incomplete abdominal vagotomy)...
July 1999: JSLS: Journal of the Society of Laparoendoscopic Surgeons
C Avci, V Ozmen, L Avtan, Y Buyukuncu, M Muslumanoglu
BACKGROUND/AIMS: This article describes the surgical techniques and preliminary results of a prospective trial of videoendoscopic bilateral truncal vagotomy without a drainage procedure in a series of selected patients with chronic non-obstructive intractible duodenal ulcer. METHODOLOGY: Video laparoscopic and videothoracoscopic truncal vagotomy of chronic duodenal ulcer in 32 patients has been successfully performed in the Department of Surgery, Istanbul Medical Faculty Hospital...
May 1999: Hepato-gastroenterology
E Croce, S Olmi, R Russo, M Azzola, E Mastropasqua, M Golia
BACKGROUND/AIMS: This study illustrates our experience in treating duodenal ulcers by means of laparoscopy over a period of 6 years and the results after a lengthy careful follow-up. METHODOLOGY: From October 1991 to October 1997 we submitted 35 patients, 28 men and 7 women of an average age of 51 years (range: 22-78), to vagotomy with minimally invasive access: 23 Hill-Barkers, 2 Taylors, 6 thoracoscopic truncal vagotomies, and 4 laparoscopic truncal vagotomies...
March 1999: Hepato-gastroenterology
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