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Surgical Removal

Q P Wang, M F Gan, J W Zhang, S X Weng, L N Zhang
Objective: To study the clinicopathologic characteristics, immunophenotype and ALK gene alterations of gastrointestinal inflammatory myofibroblastic tumor. Methods: Clinical data, histological features and immunohistochemical results were analyzed in 7 cases of gastrointestinal inflammatory myofibroblastic tumor at Zhejiang Province Taizhou Hospital from January 2005 to December 2016. ALK gene status was investigated by ALK fluorescence in situ hybridization. Results: There were 4 female and 3 male patients...
October 8, 2018: Zhonghua Bing Li Xue za Zhi Chinese Journal of Pathology
Chunxia Qin, Zhenggang Cao, Shengchi Fan, Yiqun Wu, Yi Sun, Constantinus Politis, Chunliang Wang, Xiaojun Chen
PURPOSE: Surgical navigation system (SNS) has been an important tool in surgery. However, the complicated and tedious manual selection of fiducial points on preoperative images for registration affects operational efficiency to large extent. In this study, an oral and maxillofacial navigation system named BeiDou-SNS with automatic identification of fiducial points was developed and demonstrated. METHODS: To solve the fiducial selection problem, a novel method of automatic localization for titanium screw markers in preoperative images is proposed on the basis of a sequence of two local mean-shift segmentation including removal of metal artifacts...
October 13, 2018: International Journal of Computer Assisted Radiology and Surgery
Emad Matanes, Roy Lauterbach, Sari Boulus, Amnon Amit, Lior Lowenstein
Robotic laparoendoscopic single-site (R-LESS) seems to be the next route in advancing minimal invasive surgery, with the potential for better cosmetic results and reduced patient morbidity compared with multi-port surgery. This review describes the history and development of (R-LESS) gynecologic surgery and outlines the latest advancements in the realm of gynecology. The review was conducted according to the PRISMA guidelines. Pubmed and ( were the main search engines utilized for retrieval of study data (1990 - present)...
October 3, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Farzaneh Amini Nezhad, Moloud Payab, Sara Nayebandi, Shirin Hasani-Ranjbar
BACKGROUND: Brown tumor may present as uni/multilocular osteolytic lesions with bone expansion, bone pain or pathologic fracture in primary, secondary and tertiary hyperparathyroidism. However, recently, such presentation is rare due to early detection using blood screening techniques before symptomatic bone lesions appear. CASE REPORT: A 65-year-old woman was admitted to our hospital with generalized bone pain and a progressive painless mass in her jaw appeared since 6 months ago...
October 4, 2018: International Journal of Surgery Case Reports
Giancarlo Albo, Elisa De Lorenzis, Andrea Gallioli, Luca Boeri, Stefano P Zanetti, Fabrizio Longo, Bernardo Rocco, Emanuele Montanari
BACKGROUND: A remote interaction between a console surgeon (CS) and a bedside surgeon (BS) makes the role of the latter critical. No conclusive data are reported about the length of the learning curve of a BS. OBJECTIVE: To highlight the role of a BS during robot-assisted radical prostatectomy (RARP) and to analyze the effect of the learning curve of a BS on intra- and postoperative outcomes. DESIGN, SETTING, AND PARTICIPANTS: From June 2013 to September 2016, 129 RARPs were performed by one expert CS (>1000 RARPs) and two BSs (residents)...
October 10, 2018: European Urology Focus
E Samara, M Williams, D C Howlett
Ultrasound-guided wire localization (USGWL) was originally developed for the removal of impalpable breast lesions. More recently, USGWL has been described in head and neck surgical practice and it has a number of applications in this field, with the potential to guide surgical exploration and the benefits of reducing operative time and morbidity. This technical note describes the use of preoperative USGWL to facilitate the removal of an impalpable neck node. A review of the current literature relating to the present applications of this technique in head and neck surgery is reported, highlighting its advantages and disadvantages...
October 10, 2018: International Journal of Oral and Maxillofacial Surgery
Henri Azaïs, Charles-Henri Canova, Elie Vesale, Jean-Marc Simon, Geoffroy Canlorbe, Catherine Uzan
OBJECTIVE: To describe a surgical technique for laparoscopic uterine fixation (LUF) to decrease uterine radiation therapy side effects in case of rectal or anal cancer. DESIGN: This video article uses a surgical case to demonstrate the detailed technique. Institutional Review Board approval was not required for this video presentation. SETTING: University hospital. PATIENT(S): A 26-year-old nulliparous female patient diagnosed with rectal adenocarcinoma and liver metastases...
October 2018: Fertility and Sterility
Simone Garzon, Ricciarda Raffaelli, Umberto Montin, Fabio Ghezzi
OBJECTIVE: To report a case of primary hepatic pregnancy complicated by acute hemoperitoneum that was treated with a laparoscopic approach. DESIGN: Case report and review of the literature. SETTING: Obstetrics and gynecology unit of a university hospital. PATIENT(S): A 37-year-old pregnant woman who presented with vaginal bleeding. INTERVENTION(S): Diagnosis by abdominal ultrasound and computed tomography...
October 2018: Fertility and Sterility
Atul Goel, Pralhad Dharurkar, Abhidha Shah, Sandeep Gore, Nilesh Bakale, Tejas Vaja
AIM: The efficacy of 'only fixation' as treatment for cervical radiculopathy is assessed. MATERIAL AND METHODS: During the period 2012 to December 2017, 21 patients who presented with primary symptoms related to cervical radiculopathy that included radiating pain, tingling paresthesia and numbness and weakness and wastingwere treated by facetal stabilization surgery that aimed at achieving segmental arthrodesis. No decompression by removal of bone, disc material or osteophyte was done...
October 10, 2018: World Neurosurgery
Gaby N Moawad, Paul Tyan, Charbel Awad
STUDY OBJECTIVE: In this surgical tutorial, we present technical pointers and suggestions that would enable gynecologic surgeons to achieve difficult tissue containment and extraction for numerous and large myomas in the complex minimally invasive myomectomy setting. DESIGN: A step by-step explanation of the surgery using video (instructive video), exempt by the local Institutional Review Board. (Canadian Task Force classification level III). IRB approval was not required for this study...
October 10, 2018: Journal of Minimally Invasive Gynecology
Anita J Campbell, Christopher C Blyth, Christopher J Hewison, Yu-Ping Chen, Leanne Gough, Zoy Goff, Asha C Bowen
AIM: Bacteraemia episodes were assessed to calculate a hospital-wide central line-associated blood stream infection (CLABSI) rate per 1000 catheter-days. Secondary objectives were to describe risk factors, microbiology and outcomes of children with CLABSI. METHODS: A retrospective study was conducted at an Australian tertiary paediatric hospital in children <18 years who had blood culture sampling during the 2-year period, 2014-2015. All blood culture results were extracted from the hospital's laboratory information system...
October 13, 2018: Journal of Paediatrics and Child Health
Debrup Chakraborty, Jamie J Bernard
The obesity epidemic is a critical public health problem closely associated with the development of metabolic disease. In obesity there is excess white adipose tissue, a dynamic tissue that has many biological functions. Specifically visceral adipose tissue (VAT) is an active endocrine organ producing hormones that control systemic metabolism. VAT accumulates immune cells that produce cytokines that drive chronic inflammation and promote insulin resistance. VAT can be surgically removed in experimental animals (lipectomy) to explore mechanisms by which VAT participates in metabolic, endocrine, and immunological functions...
2019: Methods in Molecular Biology
Daniela Annibali, Eleonora Leucci, Els Hermans, Frédéric Amant
In spite of the latest advancements in understanding cancer development and progression, drugs successful in preclinical testing often fail upon reaching phase III clinical trials. A reason for this is the use of inappropriate preclinical models that do not preserve tumor heterogeneity. Although used for decades, cell cultures derived from patients substantially deviate from their original biopsy upon culturing; moreover, they cannot predict the response of an organism as a whole.Patient-derived xenograft (PDX) models are emerging as powerful tools since they have a predictive therapeutic value and preserve the heterogeneity of the original tumors...
2019: Methods in Molecular Biology
M Hackl, V Rausch, C Ries, L P Müller, K Wegmann
Olecranon fractures represent a common elbow injury and they are usually treated operatively. Depending on fracture morphology conservative therapy can be considered in geriatric patients. When surgical treatment is performed the anatomical features of the proximal ulna have to be taken into consideration. Tension band wiring is considered a standard procedure for simple fractures and provides good clinical results. Plate osteosynthesis is indicated for more complex fracture patterns. Nowadays, many surgeons prefer plate fixation over tension band wiring even for simple fractures as it leads to a more stable fixation...
October 12, 2018: Der Unfallchirurg
Roberto Buda, Matteo Baldassarri, Luca Perazzo, Diego Ghinelli, Cesare Faldini
INTRODUCTION: Most of the techniques described in the literature for the repair of chronic partial ACL tears do not spare the intact portion of the ligament. Aim of this study was to perform a retrospective analysis of the results obtained from the same ACL reconstructive surgical technique applicated by sparing or not AM bundle in a population of 42 sports patients. MATERIALS AND METHODS: From 2010 to 2012, 42 patients who suffered ACL partial tear injury with rupture of posterolateral bundle were randomly divided in two groups homogenous for sex, age and sport-level activities...
October 12, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Keiko Kigure, Kazuto Nakamura, Yoshikazu Kitahara, Kohshiro Nakao, Takashi Hirakawa, Shunichi Rokukawa, Masahiro Ito, Toshio Nishimura, Ikuro Ito, Issei Kagami, Shunichi Itoga
The incidence of cervical intraepithelial neoplasia(CIN) among reproductive-aged women has increased in Japan. Cervical conization is commonly applied for local cervical treatment to preserve fertility. The Shimodaira-Taniguchi (S-T) conization procedure is widely used in Japan. S-T conization uses a high-frequency current and a triangular probe with a linear excision electrode to remove cervical tissue as a single informative specimen. However, alternative of an electrosurgical scalpel (ES) has the advantage of adjusting the surgical margin to the transformation zone in order to preserve the maximum amount of healthy cervical tissue with good hemostasis...
October 2018: Medicine (Baltimore)
Louise F Wilson, Nirmala Pandeya, Julie Byles, Gita D Mishra
BACKGROUND: Hysterectomy is a common surgical procedure, predominantly performed when women are between 30 and 50 years old. One in three women in Australia has had a hysterectomy by the time they are 60 years old, and 30% have both ovaries removed at the time of surgery. Given this high prevalence, it is important to understand the long-term effects of hysterectomy. In particular, women who have a hysterectomy/oophorectomy at younger ages are likely to be pre- or perimenopausal and may experience greater changes in hormone levels and a shortened reproductive lifespan than women who have a hysterectomy when they are older and postmenopausal...
October 9, 2018: American Journal of Obstetrics and Gynecology
Saverio Capodiferro, Angela Tempesta, Luisa Limongelli, Eugenio Maiorano, Stefano Benedicenti, Gianfranco Favia
OBJECTIVE AND BACKGROUND: To report on a case of cyclosporine A-related gingival overgrowth (GO) treated by conventional scaling and Erbium:YAG laser that unexpectedly showed complete healing with normalization of the gingiva, making unnecessary further surgical treatment for gingival volume reduction. Since Erbium:YAG laser was approved in 1997 by the U.S. Food and Drug Administration for hard and soft tissue treatments in dentistry, several studies have been published to demonstrate its efficacy for bone cutting, plaque and subgingival calculus removal, and antiseptic effects both on soft and hard periodontal tissues...
October 11, 2018: Photomedicine and Laser Surgery
Fabio D'Arienzo, Fernando Russo Costa do Bomfim, Valéria Regina Gonzalez Sella, Manuel de Jesus Simões, Hélio Plapler
OBJECTIVE: To determine the optimal parameters of power, energy, and time for the application of a carbon dioxide laser for Tribal Black ink tattoo removal. BACKGROUND DATA: The use of antiquated techniques to remove tattoos demonstrates the difficulty of making advances in this field. Studies by the American Society for Dermatologic Surgery have shown that 5% of the global population has at least one tattoo on the body, with 10% of them wanting a tattoo to be removed...
October 11, 2018: Photomedicine and Laser Surgery
Yu Jeong Kim, Hyejin Seo, Dae Yeong Lee, Dong Heun Nam
PURPOSE: To demonstrate the advantages and efficacy of an air-perfused membrane dissection to control intraoperative bleeding in 23-gauge sutureless vitrectomy for proliferative diabetic retinopathy with severe fibrovascular membranes. Meterials and Methods: A prospective, consecutive, interventional case series of 15 eyes that underwent air-perfused diabetic vitrectomy (air vitrectomy group) for removal of the membranes was compared with a retrospective, membrane-matched case series of 10 eyes that underwent conventional diabetic vitrectomy (conventional vitrectomy group)...
October 12, 2018: Current Eye Research
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