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https://www.readbyqxmd.com/read/29457928/an-atraumatic-retractor-for-interdisciplinary-use-in-conventional-laparoscopy-and-robotic-surgery
#1
Ibrahim Alkatout
BACKGROUND: The removal of obstacles from the surgical field is a crucial aspect of any procedure in gynecological, urological or visceral laparoscopic surgery. Reliable instruments and skilled assistance are essential for the smooth execution of procedures. Blunt forceps are commonly used to keep tissue away from the operating field. The range of existing instruments has been enhanced by the introduction of laparoscopic retractors. However, no laparoscopic retractor can be used without causing tissue damage...
February 19, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/29457703/exploration-of-assistive-technology-for-uniform-laparoscopic-surgery
#2
Masakazu Sato, Minako Koizumi, Takahiro Hino, Yu Takahashi, Natsuki Nagashima, Nao Itaoka, Chiharu Ueshima, Maki Nakata, Yoko Hasumi
INTRODUCTION: Laparoscopic surgery is less invasive than open surgery and is now common in various medical fields. However, laparoscopic surgery is more difficult than open surgery and often requires additional time for the operator to achieve mastery. Therefore, we investigated the use of assistive technology for uniform laparoscopic surgery. METHODS: We used the OpenCV2 library for augmented reality with an ArUco marker to detect and estimate forceps positioning...
February 19, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29457007/the-dermoscopic-pluck-out-sign-for-beard-trichotillomania
#3
Mario Cutrone, Ramon Grimalt
Beard trichotillomania (TTM) is a rather uncommon entity. Hair is not easily plucked from the beard area, as patients need forceps or tweezers to perform their task. The diagnosis of beard TTM can be quite tricky as the location is not the most frequent one. Dermoscopy might in these cases be helpful to achieve the correct diagnosis. In this article, we describe for the first time the "pluck out sign" for beard TTM.
January 2018: Skin Appendage Disorders
https://www.readbyqxmd.com/read/29456900/a-barium-swallow-study-leading-to-an-incidental-finding-on-a-screening-colonoscopy
#4
Patricia Guzman Rojas, Chirin Orabi, Glenn Speth
Barolith is a mixture of firm feces with barium sulfate, and a frequent cause of obstruction of the appendiceal lumen that can result in appendicitis. Nonetheless, some other complications like aspiration, allergic reaction, and bowel obstruction have also been reported. We present the case of a 71-year-old man with a history of amyotrophic lateral sclerosis (ALS), who came to the gastroenterology clinic complaining of intermittent loose stools and dysphagia to solids for the past months. The patient underwent a barium swallow study six days prior and was completely normal...
December 7, 2017: Curēus
https://www.readbyqxmd.com/read/29452718/health-policies-for-the-reduction-of-obstetric-interventions-in-singleton-full-term-births-in-catalonia
#5
Maria-Jesus Pueyo, Ramon Escuriet, M Pérez-Botella, I de Molina, D Ruíz-Berdun, S Albert, S Díaz, P Torres-Capcha, V Ortún
AIM: To explore the effect of hospital's characteristics in the proportion of obstetric interventions (OI) performed in singleton fullterm births (SFTB) in Catalonia (2010-2014), while incentives were employed to reduce C-sections. METHODS: Data about SFTB assisted at 42 public hospitals were extracted from the dataset of hospital discharges. Hospitals were classified according to the level of complexity, the volume of births attended, and the adoption of a non-medicalized delivery (NMD) strategy...
February 10, 2018: Health Policy
https://www.readbyqxmd.com/read/29451180/outcome-of-peroral-endoscopic-myotomy-in-achalasia-cardia-experience-with-a-new-triangular-knife
#6
Zaheer Nabi, Mohan Ramchandani, Radhika Chavan, Rakesh Kalapala, Santosh Darisetty, D Nageshwar Reddy
Background and Aim: Peroral endoscopic myotomy (POEM) is a technically demanding procedure. Recently, a new triangular knife with integrated water jet function (TTJ) has been introduced. The present study was aimed to analyze and compare the operating time, efficacy, and adverse events (AEs) between the conventional (TT knife) and new knife (TTJ). Patients and Methods: All patients with achalasia cardia (AC) who underwent POEM between August 2015 and November 2016 were analyzed retrospectively...
January 2018: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
https://www.readbyqxmd.com/read/29448264/clinical-appraisal-of-the-wam-x-super-quick-post-and-core-removal-device
#7
Lisa Friedlander, Cauris Couvrechel, Cyril Perez, Bruno Tavernier
This report describes an innovative technique to remove post-and-core restorations. The WAM'X Super Quick post removal device permits a secure mechanical traction technique that can adapt to variable root angulations. Pivoting prongs mounted on forceps allow post removal while preserving the ferrule effect to improve resistance to fractures.
February 15, 2018: International Journal of Prosthodontics
https://www.readbyqxmd.com/read/29447728/no-148-guidelines-for-operative-vaginal-birth
#8
Yvonne M Cargill, Catherine Jane MacKinnon
OBJECTIVE: To provide guidelines for operative vaginal birth in the management of the second stage of labour. OPTIONS: Non-operative techniques, episiotomy, and Caesarean section are compared to operative vaginal birth. OUTCOME: Reduced fetal and maternal morbidity and mortality. EVIDENCE: MEDLINE and Cochrane databases were searched using the key words ''vacuum" and "birth" as well as "forceps" and "birth" for literature published in English from january 1970 to June 2004...
February 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29443805/nitinol-flex-loop-assisted-retrieval-and-sutureless-intrascleral-refixation-of-a-dislocated-intraocular-lens-implant
#9
Jason Hsu
BACKGROUND/PURPOSE: To describe a novel use of the flexible nitinol loop membrane scraper (FINESSE Flex loop; Alcon, Fort Worth, TX) for rescue and refixation of a dislocated intraocular lens (IOL). METHODS: A 27-gauge nitinol flex loop was used to lasso each haptic of a dislocated 3-piece IOL. By retracting the loop, the haptic could be effectively locked to the instrument and externalized through a scleral tunnel, thereby fixating it to the sclera in a sutureless fashion...
February 13, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/29438271/efficacy-of-misoprostol-before-diagnostic-hysteroscopy-in-postmenopausal-women-a-randomized-clinical-trial
#10
Fabiana Y Nakano, Daniela A Yela, Joao P L Pinto, Talita Riegas, Cristina L Benetti-Pinto, Adriana Orcesi Pedro, Lucia Helena Costa Paiva
OBJECTIVE: To evaluate pain and determine the efficacy of misoprostol, compared with placebo, for postmenopausal women before diagnostic hysteroscopy. METHODS: This randomized, double-blind, placebo-controlled clinical trial included 158 postmenopausal women who received either 200 μg of misoprostol or placebo through the vaginal route before diagnostic hysteroscopy (79 women/group). The primary outcome was pain assessment (presence and intensity) during the four steps of hysteroscopy: cervical grasping with a Pozzi tenaculum forceps immediately before hysteroscopy, during hysteroscopy, during performance of the endometrial biopsy, and postprocedure...
February 12, 2018: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/29436115/efficacy-and-safety-of-trans-bronchial-cryo-in-comparison-with-forceps-biopsy-in-lung-allograft-recipients-analysis-of-402-procedures
#11
Evgeni Gershman, Elena Ridman, Ludmila Fridel, Osnat Shtraichman, Barak Perzov, Dror Rosengarten, Nader Abdel Rahim, Dorit Shitenberg, Mordechai R Kramer
BACKGROUND: Trans-bronchial forceps biopsy (TBFB) is the gold standard to establish the presence of allograft rejection or infection after lung transplantation. We aimed to analyze the diagnostic yield and safety of Trans-bronchial cryo biopsy (TBCB) in lung allografts. METHODS: Retrospective analysis of 402 TBB procedures in 362 lung allograft recipients performed between 2011 to 2016 .Half cases (201) were done by TBCB and other half by TBFB. 100 random slides of TBB specimens from lung allografts were reviewed for artifacts, bleeding and histological evidence...
February 12, 2018: Clinical Transplantation
https://www.readbyqxmd.com/read/29434711/endoscopic-management-of-foreign-bodies-in-the-upper-gastrointestinal-tract-an-analysis-of-846-cases-in-china
#12
Fangfang Yuan, Xiaowei Tang, Wei Gong, Lei Su, Yali Zhang
Foreign body ingestion is a relatively common occurrence, which may lead to morbidity and mortality. The aim of the present study was to report the experience of management of upper gastrointestinal foreign bodies by endoscopy in a large center. All patients who presented at the Department of Gastroenterology at Nanfang Hospital (Guangzhou, China) with complaints regarding upper gastrointestinal (GI) foreign body ingestion from December 1987 to December 2013. Hospital medical charts and endoscopic records were examined to evaluate etiology, treatment, and outcomes for these patients...
February 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29430223/successful-emergency-endoscopic-treatment-of-gastric-outlet-obstruction-due-to-gastric-bezoar-with-gastric-pneumatosis
#13
Hirokazu Honda, Takashi Ikeya, Erika Kashiwagi, Shuichi Okada, Katsuyuki Fukuda
Gastric bezoars are rare and are usually found incidentally. They can sometimes cause severe complications, including gastric outlet obstruction (GOO) or gastric pneumatosis (GP). In cases of bezoars with GP, the optimal treatment strategy has not yet been defined. We report the case of an 89-year-old man with a history of type 2 diabetes mellitus and hypertension who presented to our emergency room with a 2-day history of upper abdominal pain, nausea, and vomiting. Physical examination revealed no rebound tenderness or guarding, and laboratory values revealed no elevation of the serum lactate level...
September 2017: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29427332/genetic-relatedness-of-axial-and-radial-diffusivity-indices-of-cerebral-white-matter-microstructure-in-late-middle-age
#14
Sean N Hatton, Matthew S Panizzon, Eero Vuoksimaa, Donald J Hagler, Christine Fennema-Notestine, Daniel Rinker, Lisa T Eyler, Carol E Franz, Michael J Lyons, Michael C Neale, Ming T Tsuang, Anders M Dale, William S Kremen
Two basic neuroimaging-based characterizations of white matter tracts are the magnitude of water diffusion along the principal tract orientation (axial diffusivity, AD) and water diffusion perpendicular to the principal orientation (radial diffusivity, RD). It is generally accepted that decreases in AD reflect disorganization, damage, or loss of axons, whereas increases in RD are indicative of disruptions to the myelin sheath. Previous reports have detailed the heritability of individual AD and RD measures, but have not examined the extent to which the same or different genetic or environmental factors influence these two phenotypes (except for corpus callosum)...
February 9, 2018: Human Brain Mapping
https://www.readbyqxmd.com/read/29423955/new-and-emerging-techniques-for-endoscopic-treatment-of-zenker-s-diverticulum-a-state-of-the-art-review
#15
REVIEW
Sauid Ishaq, Haleema Sultan, Keith Siau, Toshio Kuwai, C J J Mulder, Helmut Neumann
Zenker's diverticulum (ZD), or pharyngeal pouch, is an anatomical defect characterised by herniation of the posterior pharyngeal wall through Killian's dehiscence, and may result in dysphagia and regurgitation. Multiple therapeutic modalities including surgery, rigid and flexible endoscopy have been developed to manage ZD. Although surgical management with open and endoscopically-assisted techniques have historically been the mainstay of ZD treatment, minimally invasive flexible endoscopic techniques, performed under conscious sedation, are increasingly favoured...
February 9, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29420596/flexible-endoscopy-for-pediatric-tracheobronchial-metallic-stent-placement-maintenance-and-long-term-outcomes
#16
Wen-Jue Soong, Pei-Chen Tsao, Yu-Sheng Lee, Chia-Feng Yang
OBJECTIVES: To assess the placement, surveillance management and long-term outcomes of the tracheobronchial (TB) balloon expandable metallic stent (BEMS) managed by therapeutic flexible endoscopy (TFE). METHODS: This is a retrospective review and analysis of all computerized medical records and related flexible endoscopy videos of pediatric patients who received TB BEMS during 20 years period, from January 1997 to December 2016. TFE techniques with forceps debridement, balloon dilatation and laser ablation were used to implant stents, perform regular surveillance, maintain their functions, and expand the diameters of BEMS...
2018: PloS One
https://www.readbyqxmd.com/read/29416256/use-of-the-magill-forceps-as-an-aid-for-i-gel%C3%A2-removal-after-endotracheal-intubation-a-safe-and-simple-technique
#17
Julian Arevalo Ludeña, Luis Enrique Muñoz Alameda
No abstract text is available yet for this article.
October 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29415762/altered-white-matter-microstructure-in-lupus-patients-a-diffusion-tensor-imaging-study
#18
Jessika Nystedt, Markus Nilsson, Andreas Jönsen, Petra Nilsson, Anders Bengtsson, Åsa Lilja, Jimmy Lätt, Peter Mannfolk, Pia C Sundgren
BACKGROUND: The purpose of this study was to investigate whether white matter microstructure is altered in patients suffering from systemic lupus erythematosus (SLE), and if so, whether such alterations differed between patients with and without neuropsychiatric symptoms. METHODS: Structural MRI and diffusion tensor imaging (DTI) were performed in 64 female SLE patients (mean age 36.9 years, range 18.2-52.2 years) and 21 healthy controls (mean age 36.7 years, range 23...
February 7, 2018: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/29410231/using-smooth-forceps-for-assisting-incision-and-drainage-of-an-infected-epidermoid-cyst
#19
Yin-Shuo Chang, Tsai-Hsien Lee, Hsiou-Hsin Tsai, Hsiao-Han Wang
No abstract text is available yet for this article.
February 3, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29409923/hot-snare-polypectomy-with-or-without-saline-solution-epinephrine-lift-for-the-complete-resection-of-small-colorectal-polyps
#20
Hyun-Soo Kim, Ho Yeon Jung, Hong Jun Park, Hee Man Kim, Jae Ho Seong, Yong Seok Kang, Mee Yon Cho, Min Heui Yu, Dae Ryong Kang
BACKGROUND: /Aim: The criterion standard polypectomy technique for the complete removal of small colorectal polyps has not yet been established. This study aimed to compare the complete resection rate of hot snare polypectomy (HSP) with that of endoscopic mucosal resection (EMR) for small, sessile, or flat polyps. METHODS: Patients with 5-9-mm non-pedunculated colorectal polyps were prospectively randomized to the HSP or EMR group. The presence of residual polyps was assessed by performing histological assessment of 4-quadrant forceps biopsies taken from the edges of the polypectomy site...
February 1, 2018: Gastrointestinal Endoscopy
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