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Peroperative bleeding

Philippe Gorphe, Jean Von Tan, Sophie El Bedoui, Dana M Hartl, Anne Auperin, Quentin Qassemyar, Antoine Moya-Plana, François Janot, Morbize Julieron, Stephane Temam
The latest generation Da Vinci(®) Xi™ Surgical System Robot released has not been evaluated to date in transoral surgery for head and neck cancers. We report here the 1-year results of a non-randomized phase II multicentric prospective trial aimed at assessing its feasibility and technical specificities. Our primary objective was to evaluate the feasibility of transoral robotic surgery using the da Vinci(®) Xi™ Surgical System Robot. The secondary objective was to assess peroperative outcomes. Twenty-seven patients, mean age 62...
January 7, 2017: Journal of Robotic Surgery
Pauline Devauchelle, Zoé Schmitt, Aurélie Bonnet, Serge Duperret, Jean-Paul Viale, Jean-Yves Mabrut, Frédéric Aubrun, Mathieu Gazon
INTRODUCTION: The peroperative management of liver transplantation is still associated with many cardio-circulatory complications in which diastolic dysfunction may play a contributive role. Transoesophageal echocardiography is a monitoring device commonly used in liver transplantation allowing diastolic function assessment. METHODS: We prospectively analysed the peroperative transoesophageal echocardiography recordings of 40 patients undergoing liver transplantation in order to describe changes in diastolic function at different steps of the surgery...
December 23, 2016: Anaesthesia, Critical Care & Pain Medicine
Deepika Pannu, Rekha Bharti, H P Anand, Manjula Sharma
Term, live abdominal pregnancy secondary to rupture of a uterine rudimentary horn is a rare condition. Pregnancies conceived in the rudimentary horn of the uterus usually rupture during early gestation and present as a catastrophic event. However, rarely, after rupture of the uterine horn the foetus may continue to grow in the abdominal cavity and reach term gestation. A primigravida with a term pregnancy was referred to our centre for caesarean section with ultrasonography findings of transverse lie and placenta previa...
September 2016: Malaysian Journal of Medical Sciences: MJMS
Songül Meltem Can, Osman Nuri Türkmenoğlu, Canan Tanik, Ender Uysal, Barış Özöner, Saime Ayça Kaldirimoğlu, Ahmet Murat Müslüman, Adem Yilmaz, Halit Çavuşoğlu, Çiçek Bayindir, Yunus Aydin
AIM: CT-guided stereotactic brain biopsy has been performed in our clinic since March 1998. In this prospective study, we examined the patient data undergoing stereotactic biopsy and the results of biopsies in consecutive 500 patients. MATERIAL AND METHODS: Between the dates of March 1998 and January 2015, CT guided stereotactic biopsies were performed by using the Leksell stereotactic frame system (Elekta Instruments EU, Sweden) in 500 patients. A total of 512 procedures were performed in patients consisting of 184 females (36...
January 25, 2016: Turkish Neurosurgery
Lingbo Yang, Shuaiqi Lu, Xingtao Han, Pengtao Wei, Jinhui Yang, Tongtong Hao
OBJECTIVE: To compare the efficiency and security of the balloon dilators versus fascial dilators in percutaneous nephrolithotripsy (PCNL), We compared the difference of intraoperative and postoperative parameters of patients using these two different methods of expansion and having no significant statistic differences in peroperative parameters. METHODS: This is a retrospective analysis of 134 patients undergoing PCNL with upper urinary calculi from January 2012 to January 2014 in Luoyang Central Hospital affiliated to Zhengzhou University...
May 2016: Pakistan Journal of Medical Sciences Quarterly
Tufan Süelözgen, Cemal Selcuk Isoglu, Hakan Turk, Mehmet Yoldas, Mustafa Karabicak, Batuhan Ergani, Hayal Boyacioglu, Yusuf Ozlem Ilbey, Ferruh Zorlu
INTRODUCTION: This study aimed to evaluate whether one-shot dilatation technique is as safe in patients with a history of open-stone surgery as it is in patients without previous open-stone surgery. METHODS: Between January 2007 and February 2015, 82 patients who underwent percutaneous nephrolithotomy (PNL) surgery with one-shot dilation technique who previously had open-stone surgery were retrospectively reviewed and evaluated (Group 1). Another 82 patients were selected randomly among patients who had PNL with one-shot dilation technique, but with no history of open renal surgery (Group 2)...
March 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
George Dafnis
OBJECTIVE: Ileal pouch-anal anastomosis (IPAA), has become the procedure of choice in patients requiring reconstructive surgery for ulcerative colitis or familial adenomatous polyposis. The aim of this population-based study was to present data prospectively registered and retrospectively evaluated on the short-term and the long-term results of 124 consecutive IPAA performed chronologically by three surgeons in a single referral centre. MATERIALS AND METHODS: All patients who underwent IPAA from 1993 to 2012 were included...
July 2016: European Journal of Gastroenterology & Hepatology
Katja S Bohlin, Maud Ankardal, Jan-Henrik Stjerndahl, Håkan Lindkvist, Ian Milsom
INTRODUCTION: The aim of this study was to study the impact of body mass index (BMI) and smoking on the outcome of hysterectomy and whether effects of these factors vary between abdominal, laparoscopic and vaginal hysterectomy. MATERIAL AND METHODS: Pre-, per- and postoperative (8 weeks) data were retrieved from the Swedish National Register for Gynecological Surgery on 28 537 hysterectomies performed because of a benign indication between 2004 and 2013. Multivariable logistic regression analyses were used to identify independent factors affecting the rate of complications, presented as adjusted odds ratios (adjOR) with 95% confidence intervals (CI)...
January 2016: Acta Obstetricia et Gynecologica Scandinavica
P Habal, N Omran, K Kovacicova, J Mandak
INTRODUCTION: The authors present the results of a promising method to reduce peroperative bleeding in thoracic surgery within large thoracic surgical interventions. Usage of a resorbable haemostat on the basis of oxidized cellulose in the form of cotton wool may minimize the cause of bleeding, mainly in patients with post-inflammatory thoracic complications. The strong point of this material is its easy application and malleability. Another advantage is the long-term antibacterial effect caused by lowering pH during its biodegradation...
2015: Bratislavské Lekárske Listy
Armin Vandeperre, Erik Van Limbergen, Karin Leunen, Philippe Moerman, Frédéric Amant, Ignace Vergote
OBJECTIVE: Compare surgical staging with imaging (PET-CT, PET or CT) of the para-aortic lymph nodes (PAOLN) in locally advanced cervical cancer (LACC). METHODS: Monocentric retrospective study of 336 patients with cervical cancer FIGO stage IB2-IVA. All patients underwent staging of the PAOLN using imaging by PET-CT, PET or CT. Two hundred and four patients with normal or not overtly malignant PAOLN on imaging underwent surgical PAOLN staging up to the inferior mesenteric artery (189 endoscopy and 15 laparotomy)...
August 2015: Gynecologic Oncology
S Ben Ahmed, G Daniel, M Benezit, J P Ribal, E Rosset
AIM: The aim of this study was to evaluate the perioperative results of eversion CEA (e--CEA) without shunt at 30 days. METHODS: From January 2004 to December 2013, 1,385 e--CEAs were performed in 981 men and 404 women, for 268 hemispheric, 55 ocular and 12 oculopyramidal symptoms of carotid stenosis. The average age was 71.1 years. The contralateral internal carotid artery (ICA) was occluded in 77 cases. All e--CEAs were performed using Vanmaele technique, with blood pressure monitoring and under general anesthesia except in two cases (locoregional anesthesia alone)...
February 12, 2015: Journal of Cardiovascular Surgery
Wen-Teng Si, Hua-Guo Zhang, Yi-Bao Sun, Yu Bai
OBJECTIVE: To analyze the relation of plasma D-dimer levels and incidence of deep venous thrombosis after spinal surgery. METHODS: The clinical data of 63 patients underwent spinal surgery from October 2009 to October 2010 were retrospective analyzed. There were 40 males and 23 females with an average age of 48 years old(21 to 76) in operation. Operation levels of 15 cases were in cervical vertebrae, 4 cases were in thoracic vertebrae,and 44 cases were in lumbar vertebrae...
May 2014: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Andreas F Mavrogenis, Andrea Angelini, Giuseppe Rossi, Eugenio Rimondi, Giovanni Guerra, Pietro Ruggieri
Surgically accessible aneurysmal bone cysts (ABC) have traditionally been treated with curettage. Selective arterial embolization was initially proposed as a preoperative adjuvant to reduce peroperative bleeding. Currently, the role of embolization has been extended to the definitive treatment of aneurysmal bone cyst of the spine in children, as well as to other locations in the skeleton. The authors describe the technique in a 15-year-old girl with a T2 aneurysmal bone cyst. Digital subtraction angiography was performed for tumor vascular mapping, followed by selective arterial embolization with N-butyl 2 cyanoacrylate (NBCA)...
March 2014: Acta Orthopaedica Belgica
L Chenin, C Capel, H N'Da, M Lefranc, J Peltier
BACKGROUND AND IMPORTANCE: Surgery is the recommended treatment for unique significant cerebellar metastasis, particularly in cases of hydrocephalus. Complications of posterior fossa surgery are associated with high risk of morbidity and mortality. We present a unique case of unexpected peroperative rupture of a cerebellar superior artery aneurysm during posterior fossa surgery. CLINICAL PRESENTATION: During posterior cranial fossa surgery, severe arterial bleeding occurred in front of the medulla oblongata...
October 2014: Neuro-Chirurgie
H Azaïs, A Bassil, G Giraudet, C Rubod, J-P Lucot, M Cosson
Surgery of genital prolapse causes haemorrhagic complications in about 1% of cases. The pelvis is highly vascular and accessing the usual landmarks of vaginal surgery, in particular the sciatic spine, is delicate work. Meticulous dissection of closed spaces is often difficult, and exposure and haemostatic procedures will be challenging in the event of any bleeding complication. When fixing prosthesis to the sacrospinous ligament, the inferior gluteal artery and its coccygeal branch are at risk. Fixation to the sacrospinous ligament must be performed more than 25mm away from the sciatic spine and, if possible, must not transfixiate it...
July 2014: European Journal of Obstetrics, Gynecology, and Reproductive Biology
P Filová, M Halaška, B Sehnal, M Otčenášek
OBJECTIVE: Comparison of duration of surgery, blood loss, complications, lenght of post-operative hospitalisation and post-operative morbidity in a group of patient operated for the diagnosis FtM transsexualism. DESIGN: Retrospective clinical study. MATERIAL: In our set of patients were 163 FtM transsexuals with caryotype 46 XX and normal gynecological finding (81 virgins). They were operated on from 1998-2012 at Department of Obstetrics and Gynecology The First Faculty of Medicine Charles University in Prague and Hospital Na Bulovce after at least of 12 months of hormonal preparation...
January 2014: Ceská Gynekologie
A Wiersema, V Jongkind, C Bruijninckx, M Reijnen, J Vos, O Van Delden, C Zeebregts, F Moll
Unfractionated heparin (UFH) is used intraoperatively as antithrombotic by most vascular surgeons worldwide during infrainguinal bypass surgery (IABS) to reduce the risk of peroperative and early graft thrombosis. To reduce the harmful side effects of UFH (bleeding complications, HIT) and to reduce peroperative and early graft failure, other pharmaceuticals have been suggested for IABS. A systematic review was performed using MEDLINE, EMBASE and Cochrane databases. Only 9 studies on IABS and intraoperative antithrombotic use were eligible for review...
February 2015: Journal of Cardiovascular Surgery
Neeta Singh, Subbaiah Murali, Rinchen Zangmo
Endosalpingiosis is a rare condition characterised by the presence of tubal epithelium outside the fallopian tube. Most of the previous case reports have described this condition in women in their fifth decade or older. We report a case of a woman presenting at 31 years with a history of heavy bleeding during menses and pain in the lower abdomen for the past 2 years. An ultrasound examination showed a left ovarian cyst of 4.3×3.2 cm with multiple septations. CA 125 was within normal range. Laparoscopy was performed with the plan of ovarian cystectomy, peroperatively; there were papillary projections all over the uterus and the peritoneal surface...
2014: BMJ Case Reports
Y Coisel, A Jourdan, M Conseil, Y Pouzeratte, D Verzilli, B Jung, G Chanques, S Jaber
OBJECTIVE: To describe the evolution of perioperative anesthesia practices in for esophageal cancer surgery. PATIENTS AND METHODS: We conducted an observational retrospective study in a single center evaluating main perioperative practices during 16 years (1994-2009). Statistical analysis was done on 4 chronologic quartiles of same sample size. RESULTS: Two hundred and seven consecutive patients were included during the 4 periods 1994-1997 (n=52), 1997-1999 (n=52), 1999-2003 (n=52) and 2004-2009 (n=51)...
January 2014: Annales Françaises D'anesthèsie et de Rèanimation
Basri Cakiroglu, Ramazan Gözüküçük, Orhun Sinanoglu
OBJECTIVE: To evaluate the efficacy and safety of photoselective prostate vapourisation with 120 w potassium titanyl phosphate laser in benign prostate hyperplasia patients receiving oral anti-coagulant therapy. METHODS: The retrospective study was conducted at Istanbul Hisar International Hosptial and comprised 63 male patients who were on anti-coagulant therapy for comorbidities and who underwent prostate vapourisation for benign prostate hyperplasia with 120 Watts potassium titanyl phosphate from November 2007 to December 2010...
December 2013: JPMA. the Journal of the Pakistan Medical Association
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