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non-invasive cosmetic procedures

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https://www.readbyqxmd.com/read/29080008/objective-evaluation-of-the-efficacy-of-a-non-ablative-fractional-1565%C3%A2-nm-laser-for-the-treatment-of-deliberate-self-harm-scars
#1
Anne Guertler, Markus Reinholz, Julian Poetschke, Stephanie Steckmeier, Hannah Schwaiger, Gerd G Gauglitz
Scars resulting from deliberate self-harm (DSH) represent therapeutically challenging forms of scarring due to their highly variable patterns, with no official therapeutic guidelines available. In this pilot study, we aimed to evaluate the effectiveness and safety of a non-ablative fractional Er:glass 1565 nm laser, as a potential new, minimal-invasive approach for the improvement of DSH scars. Sixteen Caucasians suffering from mature DSH scars were included in this clinical study. Patients received a total of three treatments using a non-ablative fractional 1565 nm Er:glass laser every 4 weeks, employing two passes (300 μbeams/cm(2), 40 mJ, onto the scar; 150 μbeams/cm(2), 50 mJ, overall area)...
October 27, 2017: Lasers in Medical Science
https://www.readbyqxmd.com/read/28962509/trans-right-axillary-aortic-valve-replacement-propensity-matched-comparison-with-standard-sternotomy-approach
#2
Masayoshi Tokoro, Toshiaki Ito, Atsuo Maekawa, Sadanari Sawaki, Junji Yanagisawa, Takahiro Ozeki, Mamoru Orii
OBJECTIVES: We developed trans-right axillary aortic valve replacement (TAX-AVR) as a more cosmetically superior approach to minimally invasive AVR. We herein retrospectively compared the safety and invasiveness between TAX-AVR and conventional AVR (C-AVR). METHODS: TAX-AVR was performed under femorofemoral cardiopulmonary bypass. Creation of a small right axillary vertical skin incision was followed by anterolateral intercostal thoracotomy. AVR was performed using long-shafted minimally invasive instruments, a knot pusher and endoscopic assistance...
October 1, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28830403/minilaparoscopic-versus-single-incision-cholecystectomy-for-the-treatment-of-cholecystolithiasis-a-meta-analysis-and-systematic-review
#3
Xuan Tan, Guobin Wang, Yong Tang, Jie Bai, Kaixiong Tao, Lin Ye
BACKGROUND: Over the past decade, mini-laparoscopic cholecystectomy (MLC) and single-port laparoscopic cholecystectomy (SILC) have been the two main successful mini-invasive surgical interventions for the treatment of cholecystolithiasis since the advent of laparoscopic cholecystectomy (LC). In this study, we conducted a meta-analysis to compare the two treatment alternatives. METHODS: We searched PubMed, CNKI and the Cochrane library for trials that compared MLC and SILC...
August 22, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28573543/transoral-thyroidectomy-limitations-patients-safety-and-own-experiences
#4
REVIEW
Kai Witzel, Franz Messenbaeck, Michael Weitzendorfer, Tahar Benhidjeb
For patients undergoing thyroidectomy, the minimally invasive aspect and the cosmetic advantage of the procedure seem to be important factors in surgery. Studies in cadaver and animals have shown that different endoscopic techniques can be performed in a safe and successful way. In the evolution of thyroid surgery, for many endocrine surgeons, the transoral approach seems to be the next step. Even if such procedures are more and more frequently applied in patients, these procedures are far from being generally implemented in routine surgery...
June 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28263049/is-there-a-role-of-single-port-laparoscopy-in-the-treatment-of-endometriosis
#5
Angelos Daniilidis, Kimon Chatzistamatiou, Efstratios Assimakopoulos
BACKGROUND: Endometriosis is among the most common benign gynecological conditions, and it affects 6-15% of women of reproductive. During recent decades, minimally invasive surgical techniques, and especially laparoscopy, have gained significant ground concerning the treatment of gynecological disorders. To date, laparoscopy is considered the gold standard for the diagnosis and treatment of endometriosis. METHODS: Available papers in Pub Med and Scopus data base, written in English language have been used for the current narrative review...
March 6, 2017: Minerva Ginecologica
https://www.readbyqxmd.com/read/28149591/non-intubated-subxiphoid-uniportal-video-assisted-thoracoscopic-thymectomy-using-glasses-free-3d-vision
#6
Long Jiang, Jun Liu, Wenlong Shao, Jingpei Li, Jianxing He
Trans-sternal thymectomy has long been accepted as the standard surgical procedure for thymic masses. Recently, minimally invasive methods, such as video-assisted thoracoscopic surgery (VATS) and, even more recently, non-intubated anesthesia, have emerged. These methods provide advantages including reductions in surgical trauma, postoperative associated pain, and in regards to VATS, provide certain cosmetic benefits. Considering these advantages, we herein present a case of subxiphoid uniportal VATS for thymic mass using a glasses-free 3D thoracoscopic display system...
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28101589/-intramedullary-nailing-in-diaphyseal-clavicle-fractures-using-minimally-invasive-percutaneous-reduction
#7
REVIEW
M Müller, T Freude, U Stöckle, T M Kraus
OBJECTIVE: Closed reduction and intramedullary nailing is common in diaphyseal clavicle fractures. The aim of this report is to demonstrate a surgical method with minimally invasive percutaneous reduction in cases where closed reduction fails. The procedure is associated with good cosmetic results. INDICATIONS: Percutaneous reduction using two reduction forceps enables intramedullary nailing without an open procedure. CONTRAINDICATIONS: Open, multifragmented or non-dislocated fractures, oblique fractures due to postoperative dislocation or shortening risk, fracture having potential to become compound fractures, neurovascular complications, pseudoarthroses...
February 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28095533/neck-contouring-and-treatment-of-submental-adiposity
#8
REVIEW
W Walsh Thomas, Jason D Bloom
There have been many recent and significant innovations to the cosmetic physician's repertoire for addressing excess submental fat and improving patients' neck contour. These new techniques include submental cryolipolysis, injectable chemical lipolysis, percutaneous radiofrequency, laser techniques, and liposuction with or without laser or power assistance. These modalities range from completely non-invasive to surgical procedures. Each technique has its own unique advantages, and limitations and as such, aesthetic practitioners should be familiar with the various indications to use each technique...
January 1, 2017: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/28004257/literature-review-of-cosmetic-procedures-in-men-approaches-and-techniques-are-gender-specific
#9
REVIEW
Brandon E Cohen, Sameer Bashey, Ashley Wysong
The proportion of men receiving non-surgical cosmetic procedures has risen substantially in recent years. Various physiologic, anatomic, and motivational considerations differentiate the treatments for male and female patients. Nevertheless, research regarding approaches to the male cosmetic patient is scarce. We sought to provide an overview and sex-specific discussion of the most popular cosmetic dermatologic procedures pursued by men by conducting a comprehensive literature review pertaining to non-surgical cosmetic procedures in male patients...
February 2017: American Journal of Clinical Dermatology
https://www.readbyqxmd.com/read/27898991/nipple-and-areola-sparing-mastectomy-for-the-treatment-of-breast-cancer
#10
REVIEW
Bruna S Mota, Rachel Riera, Marcos Desidério Ricci, Jessica Barrett, Tiago B de Castria, Álvaro N Atallah, Jose Luiz B Bevilacqua
BACKGROUND: The efficacy and safety of nipple-sparing mastectomy and areola-sparing mastectomy for the treatment of breast cancer are still questionable. It is estimated that the local recurrence rates following nipple-sparing mastectomy are very similar to breast-conserving surgery followed by radiotherapy. OBJECTIVES: To assess the efficacy and safety of nipple-sparing mastectomy and areola-sparing mastectomy for the treatment of ductal carcinoma in situ and invasive breast cancer in women...
November 29, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27716217/ultrasound-guided-gastrocnemius-recession-a-new-ultra-minimally-invasive-surgical-technique
#11
Manuel Villanueva, Álvaro Iborra, Guillermo Rodríguez, Pablo Sanz-Ruiz
BACKGROUND: Isolated gastrocnemius contracture is thought to lead to numerous conditions. Although many techniques have been described for gastrocnemius recession, potential anesthetic, cosmetic, and wound-related complications can lead to patient dissatisfaction. Open and endoscopic recession techniques require epidural anesthesia, lower limb ischemia, and stitches and may lead to damage of the sural nerve, which is not under the complete control of the surgeon at all stages of the procedure...
October 3, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27595744/mri-in-detecting-facial-cosmetic-injectable-fillers
#12
Sigal Tal, Hillel S Maresky, Theodore Bryan, Ella Ziv, Dov Klein, Assaf Persitz, Lior Heller
BACKGROUND: Despite being considered a non-invasive procedure, injections can cause adverse outcomes including infections, overfilling, asymmetry, foreign body granulomas, and reactions that lead to scarring. Complications may be associated with the procedure itself, the physician's technique, and/or the type of agent injected. In these instances, it is important to be able locate and identify the substance used. This study investigated the viability of using MRI to correctly identify injected substances, their symmetry of distribution, and related complications...
September 6, 2016: Head & Face Medicine
https://www.readbyqxmd.com/read/27544564/management-of-extramammary-paget-s-disease-with-a-staged-modified-mohs-technique
#13
Anant Shukla, Matthew Stringer, Pansy Uberoi, Steven Hudak, George Kallingal
Extramammary Paget's disease (EMPD) is a rare intraepithelial adenocarcinoma arising from apocrine glands. We describe an innovative surgical technique to manage extensive cutaneous malignancies in a notoriously challenging location. The patient is a 78-year-old male who presented with 'jock itch' on his left groin refractory to topical treatment. A shave biopsy of the lesion demonstrated non-invasive EMPD which yielded a urology consult. Rather than the standard wide local excision (WLE), which can lead to positive margins, progression, and recurrence, we used a modified the Mohs technique and staged the procedure, providing excellent oncologic and cosmetic outcomes...
August 2016: Canadian Journal of Urology
https://www.readbyqxmd.com/read/27376420/laparoscopic-surgery-for-pancreatic-insulinomas-an-update
#14
REVIEW
Chrysanthi Aggeli, Alexander M Nixon, Ioannis Karoumpalis, Gregory Kaltsas, George N Zografos
Insulinomas are the most common functioning neuroendocrine tumors of the pancreas, occurring in almost 1-4 per 1 million persons each year. In contrast to other pancreatic neuroendocrine tumors, they are usually benign and solitary at the time of diagnosis. Due to their benign nature, surgical excision is the treatment of choice, with excellent long-term results. The introduction of minimally invasive techniques in the surgical treatment of insulinoma has been gaining popularity due to shorter length of hospital stay and better cosmetic results, with serious complications being comparable to those of open surgery...
April 2016: Hormones: International Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27294044/endoscopic-and-robotic-parathyroidectomy-in-patients-with-primary-hyperparathyroidism
#15
REVIEW
Laurent Brunaud, Zhen Li, Klaas Van Den Heede, Thomas Cuny, Sam Van Slycke
Primary hyperparathyroidism (PHPT) is one of the most common endocrine disorders for which parathyroidectomy is the most effective therapy. Until late 1970s, the standard approach to parathyroidectomy was a four-gland exploration using a large skin incision. However, 80 to 85 percent of cases of PHPT are caused by a single adenoma. As such, the concept of performing a bilateral exploration in order to visualize all four glands has been argued to be excessive since in the majority of cases, there is only one abnormal gland...
June 2016: Gland Surgery
https://www.readbyqxmd.com/read/27294042/endoscopic-thyroidectomy-the-transoral-approach
#16
REVIEW
Kai Witzel, Achim Hellinger, Cornelia Kaminski, Tahar Benhidjeb
Transoral endoscopic thyroid surgery seems to be the logical consequence in the evolution of thyroid surgery. Animal and cadaver studies have shown that different endoscopic techniques can be performed in a safe and successful way. Presently, the minimally invasive aspect and cosmetic advantage seem to be the most important factor for the patients. However, even if these procedures are feasible in patients, the transoral access must still be considered as experimental. In this study then we aim at comparing the available literature on transoral thyroid surgery with our own experience in this field...
June 2016: Gland Surgery
https://www.readbyqxmd.com/read/27128251/neck-rejuvenation-using-a-combination-approach-our-experience-and-a-review-of-the-literature
#17
REVIEW
Monique Vanaman, Sabrina Guillen Fabi, Sue Ellen Cox
BACKGROUND: Aging of the neck is characterized by changes that include skin dyspigmentation, laxity, rhytides, loss of the mandibular contour, widening of the cervicomental angle, accumulation of submental fat, volume loss and prominence of the platysmal bands. Many cosmetic options exist to address these changes individually, but little literature exists about the safety and efficacy of combining such procedures and devices. OBJECTIVE: To review the existing literature and the authors' experience in safely and effectively combining aesthetic rejuvenation modalities for the neck...
May 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/26862490/current-status-of-ultrasound-guided-surgery-in-the-treatment-of-breast-cancer
#18
REVIEW
José H Volders, Max H Haloua, Nicole Ma Krekel, Sybren Meijer, Petrousjka M van den Tol
The primary goal of breast-conserving surgery (BCS) is to obtain tumour-free resection margins. Margins positive or focally positive for tumour cells are associated with a high risk of local recurrence, and in the case of tumour-positive margins, re-excision or even mastectomy are sometimes needed to achieve definite clear margins. Unfortunately, tumour-involved margins and re-excisions after lumpectomy are still reported in up to 40% of patients and additionally, unnecessary large excision volumes are described...
February 10, 2016: World Journal of Clinical Oncology
https://www.readbyqxmd.com/read/26799634/de-novo-design-of-skin-penetrating-peptides-for-enhanced-transdermal-delivery-of-peptide-drugs
#19
Stefano Menegatti, Michael Zakrewsky, Sunny Kumar, Joshua Sanchez De Oliveira, John A Muraski, Samir Mitragotri
Skin-penetrating peptides (SPPs) are attracting increasing attention as a non-invasive strategy for transdermal delivery of therapeutics. The identification of SPP sequences, however, currently performed by experimental screening of peptide libraries, is very laborious. Recent studies have shown that, to be effective enhancers, SPPs must possess affinity for both skin keratin and the drug of interest. We therefore developed a computational process for generating and screening virtual libraries of disulfide-cyclic peptides against keratin and cyclosporine A (CsA) to identify SPPs capable of enhancing transdermal CsA delivery...
March 9, 2016: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/26461823/current-understanding-of-seborrheic-keratosis-prevalence-etiology-clinical-presentation-diagnosis-and-management
#20
J Mark Jackson, Andrew Alexis, Brian Berman, Diane S Berson, Susan Taylor, Jonathan S Weiss
Seborrheic keratosis (SK) is among the most common cutaneous lesions, affecting some 83 million Americans. Biologically benign, SK lesions do not require removal for medical reasons unless histologic confirmation of the clinical diagnosis is required or the lesions are traumatized and/or become symptomatic. These macular or popular pigmented lesions are often of cosmetic concern to patients. In addition, their natural history of gradually increasing in size, thickness, and/or pigmentation often serves as the impetus compelling patients to present to a dermatologist for evaluation and skin cancer screening; SK is diagnosed and managed primarily by dermatologists...
October 2015: Journal of Drugs in Dermatology: JDD
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