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Keywords Chirurgie AND Surgery AND Tech...

Chirurgie AND Surgery AND Technique

https://read.qxmd.com/read/38190968/-can-we-avoid-axillary-lymph-node-dissection-in-patients-with-node-positive-invasive-breast-carcinoma
#21
JOURNAL ARTICLE
Susie Brousse, Clémentine Lafond, Martin Schmitt, Sophie Guillermet, Sébastien Molière, Carole Mathelin
OBJECTIVES: The indications and modalities of breast and axillary surgery are undergoing profound change, with the aim of personalizing surgical management while avoiding over-treatment. To update best practices for axillary surgery, four questions were selected by the Senology Commission of the Collège National des Gynécologues et Obstétriciens Français (CNGOF), focusing on 1) the definition and evaluation of targeted axillary dissection (TAD) techniques, 2) the possibility of surgical de-escalation in case of initial lymph node involvement while performing initial surgery, 3) in case of surgery following neo-adjuvant systemic therapy (NAST), 4) contraindications to de-escalation of axillary surgery to allow access to particular adjuvant systemic therapies...
January 6, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38190967/-update-of-indications-and-techniques-for-the-management-of-lymphedema-after-breast-cancer-surgery
#22
JOURNAL ARTICLE
Anne-Sophie Azuar, Catherine Uzan, Carole Mathelin, Stéphane Vignes
OBJECTIVES: Upper limb lymphedema secondary to breast cancer treatment is the leading cause of lymphedema in France. Despite improved surgical practices and de-escalation of radiotherapy, the risk of lymphedema after breast cancer still affects 5-20% of patients, with this variation depending on the measurement method used and the population studied. Lymphedema has a negative impact on quality of life and body image, and their possible occurrence remains a major concern for all women treated for breast cancer...
January 6, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38143156/genitocrural-island-perforator-flap-gip-flap-an-ideal-surgical-technique-for-covering-uni-or-bilateral-vulvar-loss-tissue
#23
JOURNAL ARTICLE
M Hallonet, A Martinez, T Meresse
Vulvar loss of soft tissue leads to urinary, sexual and morphological dysfunctions. Most patients affected are comorbid making it difficult to perform a flap, which is the most appropriate way to reconstruct. Our multidisciplinary plastic and gynecologic surgery team has developed a new technique using a pedicled internal pudendal island flap. Reconstruction is reliable, quick and applicable to all patients, with a highly satisfactory final appearance.
December 23, 2023: Annales de Chirurgie Plastique et Esthétique
https://read.qxmd.com/read/38122803/-anesthesia-and-surgery-of-the-trachea
#24
JOURNAL ARTICLE
Marc Schieren, Erich Stoelben
This article aims to review the current anaesthetic management of tracheal resections.Apart from the "traditional" approach of induction of general anaesthesia with conventional tracheal intubation and cross-field intubation or jet ventilation during the resection phase, there has lately been a trend towards less invasive techniques.Regional anaesthesia, laryngeal mask airways and preservation of spontaneous ventilation are among the new anaesthetic approaches. Current data suggest potential advantages compared with conventional tracheal intubation...
December 20, 2023: Zentralblatt Für Chirurgie
https://read.qxmd.com/read/38056501/-status-quo-of-surgical-navigation
#25
JOURNAL ARTICLE
Philipp Anthony Wise, Alexander Studier-Fischer, Felix Nickel, Thilo Hackert
Surgical navigation, also referred to as computer-assisted or image-guided surgery, is a technique that employs a variety of methods - such as 3D imaging, tracking systems, specialised software, and robotics to support surgeons during surgical interventions. These emerging technologies aim not only to enhance the accuracy and precision of surgical procedures, but also to enable less invasive approaches, with the objective of reducing complications and improving operative outcomes for patients. By harnessing the integration of emerging digital technologies, surgical navigation holds the promise of assisting complex procedures across various medical disciplines...
December 6, 2023: Zentralblatt Für Chirurgie
https://read.qxmd.com/read/38019540/-robotic-assisted-laparoscopic-surgeries-in-functional-and-reconstructive-urology
#26
JOURNAL ARTICLE
Aliki Germanou, Andry Perrin, Nuno Grilo, Massimo Valerio, Olivier Windisch
The adoption of robotic-assisted laparoscopic surgery in urology is becoming increasingly frequent. Initially, its use was essentially limited to oncological surgery, such as radical prostatectomy. Its success lies in the enhanced dexterity, the three-dimensional vision, and the ability to easily suture intracorporeally. All these advantages have enabled many pioneer surgeons to develop techniques in the field of functional surgery, such as artificial urinary sphincter implantation and sacrocolpopexy, and as for reconstructive surgery, ureteral reconstructions and enterocystoplasties...
November 29, 2023: Revue Médicale Suisse
https://read.qxmd.com/read/38012912/-testicular-and-epididymal-sperm-extraction-surgery
#27
JOURNAL ARTICLE
Eric Huyghe, Antoine Faix, Amin Bouker, Charlotte Methorst
BACKGROUND: Testicular and epididymal sperm extraction surgery is a frequent procedure. However, to date, there has been no French consensus on the technique to be preferred in the various situations of male infertility and on the best way to perform them. We therefore decided to proceed with a formalized expert consensus, using the method recommended by the French National Authority for Health. The aim was to provide the French urology community with practical advice on how best to perform these procedures...
November 2023: Progrès en Urologie
https://read.qxmd.com/read/38012911/-surgery-to-improve-male-fertility
#28
JOURNAL ARTICLE
Eric Huyghe, Antoine Faix, Charlotte Methorst
BACKGROUND: At a time when increasing attention is being paid to the limitations and risks of in vitro fertilisation techniques, surgeries to improve male fertility are attracting growing interest. METHODS: Systematic review based on a Pubmed search of surgeries to improve male fertility. RESULTS: Vasovasostomy (VV) gives patency rates of 70-97% and pregnancy rates of 30-76%. Vasoepididymostomy (VE) gives patency rates of 80-84%, with pregnancy rates of 40-44%...
November 2023: Progrès en Urologie
https://read.qxmd.com/read/37952989/-war-wounds-in-the-operating-theatre-damage-control-surgery
#29
JOURNAL ARTICLE
Bruno de La Villéon, Mikaël Vinot, Michaël Souhiol, Sophie Bonnet, Ghislain Pauleau
In the course of conflicts, the management of severe trauma patients in the operating room has led to the development of surgical and resuscitation techniques that ensure the survival of as many patients as possible. These techniques are based on the principles of Damage Control (DC) by a single, trained team. In this article, we look at the fundamentals of DC, followed by its application in each surgical field. The question of team training is at the heart of this approach.
November 2023: Revue de L'infirmière
https://read.qxmd.com/read/37947801/-splenic-surgery-in-hematological-diseases-indications-and-surgical-technique
#30
REVIEW
Anas Amin Preukschas, Tarik Ghadban, Thilo Hackert, Andreas Block, Felix Nickel
BACKGROUND: Splenic surgery in hematological disorders requires a well-weighted decision on the indications because the medical treatment has rapidly changed in recent years due to new pharmaceutical approaches. OBJECTIVE: Summary of the indications, surgical procedures and perioperative management regarding operative interventions on the spleen in hematological disorders. MATERIAL AND METHODS: Selective literature search and summary of reviews and guideline recommendations...
November 10, 2023: Chirurgie (Heidelb)
https://read.qxmd.com/read/37945427/-review-by-the-french-glaucoma-society-on-the-roles-of-new-surgical-techniques-in-glaucoma
#31
JOURNAL ARTICLE
A Labbé, A Rousseau, P Denis, H Bresson-Dumont, C Baudouin, F Aptel
The surgical management of glaucoma has been enriched in recent years by the arrival of new surgical techniques as a group known as MIGS (minimally invasive glaucoma surgery). The objective of these new techniques is to reduce intraocular pressure (IOP) while limiting the risk of complications of conventional filtering surgery and allowing faster visual recovery. MIGS can be classified into three main categories depending on the route used to promote the outflow of aqueous humor: the trabecular route, the suprachoroidal route and the subconjunctival route...
November 7, 2023: Journal Français D'ophtalmologie
https://read.qxmd.com/read/37932649/functional-recovery-of-wrist-surgery-with-regional-versus-general-anesthesia-a-prospective-observational-study
#32
JOURNAL ARTICLE
Jennifer Héroux, Pierre-Olivier Bessette, Sonia Bédard, Daphnée Lamarche, Anthony Gagnon, Pablo Échavé, Marie-Josée Loignon, Nicolas Patenaude, Jean-Patrice Baillargeon, Frédérick D'Aragon
PURPOSE: Regional anesthesia may favour postoperative rehabilitation by inhibiting peripheral sensitization and secondary hyperalgesia. The literature on this subject is limited. In the present FUNCTION study, we sought to compare the functional recovery post orthopedic wrist surgery with regional versus general anesthesia. METHODS: We conducted a single-centre prospective observational cohort study in adult patients with a distal radial fracture. Functional recovery was assessed with validated psychometrics questionnaires (Quick Disabilities of Arm, Shoulder and Hand [QuickDASH] and Patient-Rated Wrist Evaluation [PRWE]), range of motion, and grip strength...
November 6, 2023: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/37932173/reconstruction-of-a-septic-femoral-triangle-fistula-with-a-pedicled-diep-flap-a-case-report-and-mini-review
#33
JOURNAL ARTICLE
Y Berkane, P Tawa, C Guinier, N Bertheuil, S El Batti, A G Lellouch
Flap-based reconstruction techniques have shown promise in preventing scar contractures and enhancing healing in fold areas by providing vascularized and thick tissue. We report a septic rupture of the superficial femoral artery treated with an arterial allograft and covered with a contralateral pedicled Deep Inferior Epigastric Artery Perforator (DIEP) flap. The patient presented favorable outcomes, including optimal healing at 8 months, with no functional limitation. A literature review also discusses alternative pedicled perforator flaps...
November 4, 2023: Annales de Chirurgie Plastique et Esthétique
https://read.qxmd.com/read/37918985/2022-recommendations-of-the-afu-lithiasis-committee-open-surgery-and-laparoscopy
#34
REVIEW
P Meria, C Almeras
Only few hundred interventions are performed in France each year to remove upper urinary tract stones using a laparoscopic/robotic transperitoneal or retroperitoneal approach. These interventions are proposed to patients with large (>20mm) and complex stones, sometimes after failure of endoscopic techniques or in the presence of malformations that can be treated at the same time. The major interest of these interventions is the possibility to remove the whole stone without prior fragmentation. Some anatomical situations can increase the technical difficulty, particularly the presence of an intrarenal pelvis and the presence of pelvic and periureteral adhesions...
November 2023: Progrès en Urologie
https://read.qxmd.com/read/37865560/-restoration-of-the-labial-barcode-by-simultaneous-one-shot-injection-of-botulinum-toxin-hyaluronic-acid-in-the-same-syringe
#35
JOURNAL ARTICLE
B Mole
The purpose of this technique is to offer patients wishing a labial restoration without morphological changes a simple, fast, discreet, comfortable, adaptable and reversible method by combining the two compounds most used in aesthetic medicine, botulinum toxin and hyaluronic acid. The originality of this combination is based on their mixing in the same syringe and their injection with cannula through a paracommissural approach which makes it possible to treat the entire upper lip in a very homogeneous manner...
October 19, 2023: Annales de Chirurgie Plastique et Esthétique
https://read.qxmd.com/read/37852821/masculinizing-chest-wall-surgeries-in-transgender-patients-a-retrospective-single-center-study
#36
JOURNAL ARTICLE
M Makkonen, H M Myllykangas, O Kaarela, H Nuutinen
INTRODUCTION: Masculinizing chest-wall contouring surgery is an important surgical intervention for most transmasculine patients; a vast improvement in quality of life for this group of patients has been documented as a result of receiving surgery. The aim of this study was to evaluate the results of such surgeries performed at our university hospital between 2008 and 2020, as well as the current quality of life of the patients. METHODS: All 16 patients operated between 2008 and 2020 were sent a questionnaire consisting of both BREAST-Q and BODY-Q modules, considered fitting for our study purposes, as well as the BECK Depression Index and a short two-question form with space for feedback...
October 16, 2023: Annales de Chirurgie Plastique et Esthétique
https://read.qxmd.com/read/37846165/experience-with-the-ankura-thoracic-stent-graft-and-in-situ-fenestration-for-the-left-subclavian-artery-with-the-fu-through-needle-a-technical-overview-and-comparison-to-similar-endovascular-techniques
#37
JOURNAL ARTICLE
Marco Virgilio Usai, Martin Austermann
Thoracic endovascular aortic repair (TEVAR) is a widespread minimally invasive procedure prevalently used to treat thoracic aortic pathologies. However, when the left subclavian artery (LSA) is involved in the pathology, a more complex surgical approach is required to guarantee the perfusion of the vertebral and brachial arteries. In fact, coverage of the LSA has been proven to be associated with a higher risk of stroke, spinal cord ischemia, and arm ischemia.Historically, carotid-subclavian bypass or subclavian transposition has been the only treatment options to restore the perfusion of the LSA...
October 2023: Zentralblatt Für Chirurgie
https://read.qxmd.com/read/37830318/-endoscopic-vessel-radial-artery-and-or-vein-harvesting-for-coronary-bypass-grafting
#38
JOURNAL ARTICLE
Samuel Bruls, Quentin Desiron, Delphine Szecel, Danae Halleux, Jean Olivier Defraigne
We report the technique of endoscopic vessel (radial artery and/or vein) harvesting for coronary bypass grafting. Clearly less invasive, this endoscopic approach therefore offers the following advantages for the patient: limited postoperative pain and therefore faster rehabilitation in terms of mobility, less postoperative care, the absence of a long scar and therefore a lower risk of surgical complications with a better aesthetic result, while allowing a quality and a permeability of the graft similar to those obtained after a classic surgical harvest...
October 2023: Revue Médicale de Liège
https://read.qxmd.com/read/37783212/-choice-of-flaps-for-phalloplasty-what-is-the-contemporary-standard-consensus-statement-of-the-german-speaking-society-for-microsurgery-of-peripheral-nerves-and-vessels
#39
JOURNAL ARTICLE
Lara Küenzlen, Jens Christian Wallmichrath, Markus V Küntscher, Jens Rothenberger, Christian Laback, Dirk Johannes Schaefer, Jürgen Schaff, Ahmet Bozkurt, Gabriel Djedovic, Stefan Langer, Tobias Hirsch, Ulrich Rieger
The ever-expanding number of transmen as well as their surgeons share an increasing interest in the construction of a neophallus. While the indication for surgery and the positive effect of a phalloplasty on the quality of life, mental health and sexual function has already been thoroughly analysed, there is a lack of data comparing and evaluating the surgical steps. During the consensus conference on the "choice of flaps for phalloplasty" at the annual meeting of the German-Speaking Society for Microsurgery of Peripheral Nerves and Vessels, the current literature was discussed and a consensus on the surgical technique of a phalloplasty was reached...
October 2, 2023: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/37778784/-facial-feminization-history-evolution-of-objectives
#40
JOURNAL ARTICLE
P Bui
The author's experience dates from 1990, during the period when he was in charge of the feminization of the facial skeleton in order to improve the social integration of male transsexual patients. Very quickly, these techniques were extended to genetic women who wanted a more feminine face. This facial skeletal surgery was then supplemented with soft tissue surgery. This skeletal and volumetric surgery has become an important contribution in the search of facial rejuvenation and beauty.
November 2023: Annales de Chirurgie Plastique et Esthétique
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