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https://www.readbyqxmd.com/read/28317041/importance-of-critical-view-of-safety-in-laparoscopic-cholecystectomy-a-survey-of-120-serial-patients-with-no-incidence-of-complications
#1
Bulent Kaya, Mehmet Mahir Fersahoglu, Fatih Kilic, Ender Onur, Kemal Memisoglu
BACKGROUNDS/AIMS: To determine the importance of critical view of safety techniques in laparoscopic cholecystectomy. METHODS: A total of 120 patients were included in the study, between January 2015 to March 2016. Hydrodissection was performed for cases presenting with severe adhesions or cholecystitis. A critical view of safety was performed for all patients undergoing the procedure for isolation of cystic duct and cystic artery with cystic plate dissection. Demographic characteristics of the patients, as well as intraoperative and postoperative minor or major complications were recorded...
February 2017: Ann Hepatobiliary Pancreat Surg
https://www.readbyqxmd.com/read/28280667/intradermal-infiltration-of-local-anesthetic-rapid-and-bloodless-deepithelialization-of-the-breast-pedicle
#2
Katelyn G Bennett, Robert H Gilman
Breast reduction is one of the most commonly performed plastic surgery procedures, and pedicle deepithelialization remains a time-consuming step of the operation. This is especially true when using an inferior pedicle. We present a novel technique of intradermal infiltration of the breast pedicle with local anesthetic to facilitate efficient, bloodless deepithelialization. The senior author uses a 20-ml syringe to inject 0.25% lidocaine and 1:400,000 epinephrine just beneath the epidermis of the breast pedicle to create a series of wheals...
February 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28271330/protective-and-heat-retention-effects-of-thermo-sensitive-basement-membrane-extract-matrigel-in-hepatic-radiofrequency-ablation-in-an-experimental-animal-study
#3
Jing-Jing Fu, Song Wang, Wei Yang, Wei Gong, An-Na Jiang, Kun Yan, Min-Hua Chen
PURPOSE: To evaluate the protective effect of using thermo-sensitive basement membrane extract (Matrigel) for hydrodissection to minimize thermal injury to nearby structures and to evaluate its heat sink effect on the ablation zone in radiofrequency ablation (RFA) of the liver. MATERIALS AND METHODS: First, the viscosity profile and heat sink effect of Matrigel were assessed during RFA in vitro and ex vivo. Fresh pig liver tissue was used, and the temperature changes in Matrigel and in 5% dextrose in water (D5W) during RFA were recorded...
March 7, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28243054/irrigation-dynamic-pressure-assisted-hydrodissection-during-cataract-surgery
#4
Yoichiro Masuda, Hisaharu Iwaki, Noriko Kato, Genichiro Takahashi, Kotaro Oki, Hiroshi Tsuneoka
The irrigation dynamic pressure-assisted hydrodissection technique (irrigation-hydro [iH]) does not require performing manual hydrodissection using a syringe and cannula to achieve cortical-capsular cleavage during cataract surgery. Since the iH technique uses the phaco tip to intentionally vacuum the intraocular fluid in order to induce the irrigation dynamic pressure for cortical-capsular cleavage, there is a reduction in the intraocular pressure (IOP) from the bottle-height-dependent hydrostatic pressure...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28207605/ultrasound-guided-fenestration-of-the-carpal-ligament-using-a-double-needle-approach
#5
Gloria E Hwang, Sanjay Kumbar, Todd Stitik, John S Georgy, Hoss Hanna
Injection techniques for carpal tunnel syndrome have evolved from landmark palpation injection techniques to more accurate ultrasound-guided approaches. Presented is a case report describing a technique serendipitously discovered during a carpal ligament fenestration. The case involved a 66-year-old man with a diagnosis of carpal tunnel syndrome. After a failed attempt at treatment using a wrist splint and activity modification, he was treated by median nerve hydrodissection with 100% temporary pain relief...
February 15, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28079733/-a-tale-of-two-planes-deep-versus-superficial-serratus-plane-block-for-postmastectomy-pain-syndrome
#6
Mohammad M Piracha, Stephen L Thorp, Vinay Puttanniah, Amitabh Gulati
INTRODUCTION: Postmastectomy pain syndrome (PMPS) is a significant burden for breast cancer survivors. Although multiple therapies have been described, an evolving field of serratus anterior plane blocks has been described in this population. We describe the addition of the deep serratus anterior plane block (DSPB) for PMPS. METHODS: Four patients with history of PMPS underwent DSPB for anterior chest wall pain. A retrospective review of these patients' outcomes was obtained through postprocedure interviews...
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28003679/acute-bowel-injury-due-to-cryoablation-for-renal-cell-carcinoma-correlated-radiologic-and-pathologic-findings
#7
Hideo Gobara, Takao Hiraki, Toshihiro Iguchi, Hiroyasu Fujiwara, Takeshi Nagasaka, Hiroyuki Kishimoto, Takehiro Tanaka, Susumu Kanazawa
An 87-year-old Japanese man underwent percutaneous cryoablation (PCA) therapy for his renal cell tumor. We displaced the colon from the tumor using hydrodissection. Computed tomography (CT) immediately after PCA was indicative of iceball extension to the colon wall, and a discontinuous enhancement of the colon wall was observed. We therefore performed an emergency surgery. On laparotomy, we observed a dark-purple area on the affected area of the colon, and the resected specimen showed focal, deep ulceration on the mucosal surface...
December 2016: Acta Medica Okayama
https://www.readbyqxmd.com/read/27988263/ct-guided-microwave-ablation-of-45-renal-tumors-analysis-of-procedure-complexity-utilizing-a-percutaneous-renal-ablation-complexity-scoring-system
#8
Alberto V Mansilla, Eugene E Bivins, Francisco Contreras, Manuel A Hernandez, Nathan Kohler, Julie W Pepe
PURPOSE: To develop a scoring system that stratifies complexity of percutaneous ablation of renal tumors. MATERIALS AND METHODS: Analysis was performed of 36 consecutive patients (mean age, 64 y; range, 30-89 y) who underwent CT-guided microwave (MW) ablation of 45 renal tumors (mean tumor diameter, 2.4 cm; range, 1.2-4.0 cm). Technical success and effectiveness were determined based on intraprocedural and follow-up imaging studies. The RENAL score and the proposed percutaneous renal ablation complexity (P-RAC) score were calculated for each tumor...
February 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/27873063/-a%C3%A2-new-technique-to-facilitate-donor-preparation-for-dmek-surgery
#9
P W Rieck, T Engels
BACKGROUND: Descemet membrane endothelial keratoplasty (DMEK) is becoming more and more the method of choice to treat corneal endothelial diseases in specialized centers. The reasons that prevent this technique from becoming widespread are the delicate donor tissue preparation. By inverting the curvature of the cornea from convex to concave after mounting onto an artificial anterior chamber, we developed a combined manual delamination and hydrodissection technique, which allows a rapid and endothelium-preserving method of separating donor Descemet membranes from the underlying stroma...
November 21, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27858161/two-photon-optical-microscopy-imaging-of-endothelial-keratoplasty-grafts
#10
Marco Lombardo, Mohit Parekh, Sebastiano Serrao, Alessandro Ruzza, Stefano Ferrari, Giuseppe Lombardo
PURPOSE: To investigate the microstructure of endothelial keratoplasty grafts using two-photon optical microscopy. METHODS: Six endothelial keratoplasty grafts obtained from human donor corneoscleral tissues and prepared by submerged hydrodissection technique were imaged by two-photon optical microscopy. In each graft, two liquid bubbles were created in order to investigate the presence of a conserved cleavage plane regardless of the volume of posterior stroma that remained attached to Descemet's membrane (DM); the first bubble (bubble A) was generated under DM and the second bubble (bubble B) injection was done in order to obtain a layer of deep stroma that kept the two bubbles separated...
March 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/27815740/single-site-laparoscopic-percutaneous-extraperitoneal-closure-of-the-internal-ring-using-an-epidural-and-spinal-needle-excellent-results-in-1464-children-with-inguinal-hernia-hydrocele
#11
Furan Wang, Hongji Zhong, Yi Chen, Junfeng Zhao, Yan Li, Junxian Chen, Sheng Dong
BACKGROUND: Laparoscopic percutaneous extraperitoneal closure (LPEC) of the internal ring is a well-developed procedure for pediatric inguinal hernia and hydrocele. To reduce the skin incisions and improve the cosmesis, single-site LPEC (SLPEC) has been developed with numerous techniques and instruments. In this study, we described our modifications of SLPEC using an epidural and spinal needle in a large pediatric population. METHODS: From February 2013 to February 2016, 1464 pediatric patients who underwent SLPEC in our hospital were retrospectively reviewed...
November 4, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27784980/use-of-the-phaco-tip-technique-for-lens-cleavage-and-removal-during-cataract-surgery
#12
Yoichiro Masuda, Kotaro Oki, Hisaharu Iwaki, Toshinori Okamoto, Hiroshi Tsuneoka
Use of the phaco tip technique for lens cleavage and removal does not require manual hydrodissection using a syringe and cannula, or cortical removal using an irrigation/aspiration tip. The phaco tip is the only surgical instrument required for this technique. Its advantages include maintaining a stable intraocular pressure during cortical cleaving hydrodissection and lens removal, which includes the cortex.
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27729812/dorsal-clitoral-nerve-injury-following-transobturator-midurethral-sling
#13
Chailee F Moss, Lynn A Damitz, Richard H Gracely, Alice C Mintz, Denniz A Zolnoun, A Lee Dellon
INTRODUCTION: Transobturator slings can be successfully used to treat stress urinary incontinence and improve quality of life through a minimally invasive vaginal approach. Persistent postoperative pain can occur and pose diagnostic and therapeutic dilemmas. Following a sling procedure, a patient complained of pinching clitoral and perineal pain. Her symptoms of localized clitoral pinching and pain became generalized over the ensuing years, eventually encompassing the entire left vulvovaginal region...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27682748/voiding-function-after-midurethral-slings-with-and-without-local-anesthetic-randomized-controlled-trial
#14
Omar Felipe Dueñas-Garcia, Danielle Patterson, Maria De la Luz Nieto, Katherine Leung, Michael Kevin Flynn
OBJECTIVES: This study aimed to compare the effect of periurethral infiltration of bupivacaine versus normal saline on postoperative voiding function and pain in patients undergoing retropubic midurethral sling METHODS: A randomized double-blind placebo-controlled study was performed at the University of Massachusetts from March 2012 to June 2015. Ninety patients were randomized to receive 0.5% bupivacaine with epinephrine or normal saline with epinephrine solution for periurethral hydrodissection...
January 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27679550/interdisciplinary-consensus-statement-on-indication-and-application-of-a-hydrogel-spacer-for-prostate-radiotherapy-based-on-experience-in-more-than-250-patients
#15
Arndt-Christian Müller, Johannes Mischinger, Theodor Klotz, Bernd Gagel, Gregor Habl, Gencay Hatiboglu, Michael Pinkawa
BACKGROUND: The aim of the study was to reach a consensus on indication and application of a hydrogel spacer based on multicentre experience and give new users important information to shorten the learning curve for this innovative technique. METHODS: The interdisciplinary meeting was attended by radiation oncologists and urologists, each with experience of 23 - 138 hydrogel injections (SpaceOAR®) in prostate cancer patients before dose-escalated radiotherapy. User experience was discussed and questions were defined to comprise practical information relevant for successful hydrogel injection and treatment...
September 1, 2016: Radiology and Oncology
https://www.readbyqxmd.com/read/27679163/operative-morbidity-in-patients-undergoing-hydrodissection-with-epinephrine-during-surgery-for-pelvic-organ-prolapse-iiap-iiic-and-ivce-iiap-iiic-and-ivc
#16
S A Calderon-Lara, F Morgan-Ortiz, I M Trapero-Corona, M Trapero-Morales
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678797/hydrodissection-technique-in-bilateral-ovarian-cystectomy-for-dermoid-cysts
#17
R A Alammari, E B Greenberg
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27672906/poster-142-radial-tunnel-syndrome-treated-by-ultrasound-guided-perineural-hydrodissection-a-case-report
#18
Daniel Chiung Jui Su, Mei-Chen Yeh, Willy Chou
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27626143/phacoemulsification-in-posterior-polar-cataract
#19
Servet Cetinkaya, Yasemin Fatma Cetinkaya, Zeynep Dadaci, Nursen Oncel Acir
PURPOSE: To evaluate the results and complications of phacoemulsification surgery in eyes with posterior polar cataracts and compare the techniques of viscodissection and hydrodissection. METHODS: The medical records of 29 consecutive patients (16 males, 13 females) with posterior polar cataracts (44 eyes) who had undergone cataract surgery were retrospectively reviewed. Patients were divided into two groups according to the technique used; viscodissection was applied to the experimental group (group 1) and hydrodissection to the control group (group 2)...
July 2016: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/27590572/clinical-application-of-hepatic-wedge-ablation-for-treating-liver-malignancies-of-the-inferior-margin-a-new-ablation-technique
#20
Kun Yan, Wei Yang, Min-Hua Chen, Zhong-Yi Zhang, Jung-Chieh Lee, Hai-Xing Liao, Wei Wu, S Nahum Goldberg
PURPOSE: To determine the efficacy and safety of percutaneous hepatic wedge ablation in treating hepatic malignancies of the inferior margin. MATERIALS AND METHODS: 77 patients with hepatic malignancies at the inferior margin underwent percutaneous radiofrequency ablation (RFA). 32 patients underwent hepatic wedge ablation and 45 patients underwent conventional tumor ablation. Comparative analysis of the two groups was performed including gender, age, tumor size, number of ablation cycles, ablation duration, and injected hydrodissection volume...
September 2, 2016: International Journal of Hyperthermia
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