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Miniinvasive surgery

Giancarlo D'Ambrosio, Gianfrancesco Intini, Andrea Balla, Silvia Quaresima, Andrea Picchetto, Ardit Seitaj, Salvatore Campo, Francesca De Laurentis, Alessandro M Paganin
AIM: Recto-Urinary Fistula (RUF) is a rare complication of pelvic surgery. Different approaches are reported in literature but a gold standard treatment has not yet been achieved. Transanal Endoscopic Microsurgery (TEM) is a miniinvasive approach with well known advantages as magnification, 3D view and lighting of the operative field. Aim of the present review is to report the current evidence in literature about technique and results of RUF treatment by TEM and to suggest some key points for its correct management...
2016: Annali Italiani di Chirurgia
P Chaveeva, N Persico, R Maslarska, Tsv Georgiev, I Dimova, A Shterev
We present a case of miniinvasive fetal surgery for CDH treated at 28 and 34 weeks of gestation. The first step was successfully performed at 28 weeks with Fetal Endoscopic Tracheal Occlusion with ballon. The second step was performed at 34 weeks for balloon removal. The necessity of fetal cytogenetic assessment and array CGH was carried out to exclude gene disorders that could lead to poor long-term outcome. A planned SC and optimal neonatology management were followed by a surgical operation of the newborn...
2015: Akusherstvo i Ginekologii︠a︡
M Májovský, D Netuka, V Masopust, V Beneš
INTRODUCTION: Clivus is a central structure of the skull base located in the vicinity of the brainstem and vital brain vessels. Clival fractures are usually caused by a high-energy trauma. Cerebrospinal fluid leak is one of the most common complications. CASE REPORT: A middle-aged male sustained a mild head trauma, followed by a nasal cerebrospinal fluid leak. CT scan revealed the massive pneumocephalus and the fracture of the clivus in the posterior wall of the sphenoidal sinus...
July 2015: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Tanyang Zhou, Junhui Sun, Yuelin Zhang, Chunhui Nie, Guanhui Zhou, Tongyin Zhu, Weilin Wang, Shusen Zheng
OBJECTIVE: To evaluate the clinical diagnosis and treatment of hemorrhage after pancreatoduodenectomy via digital subtraction angiography (DSA) and transcatheter arterial embolization (TAE). METHODS: The clinical and imaging data of 23 patients receiving DSA examination and TAE treatment due to hemorrhage after pancreatoduodenectomy at our interventional center from October 2012 to October 2014 were retrospectively reviewed. And the manifestations of DSA and therapeutic efficacies of TAE were summarized and analyzed...
February 3, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Artur Gądek, Henryk Liszka
BACKGROUND: The surgical treatment of hallux valgus deformity is connected with significant postoperative pain. Spinal and general anesthesia as well as peripheral blocks are successfully used in foot surgery. The purpose of this study was to evaluate the influence of local anesthetic infiltration before hallux valgus one-day surgery on postoperative pain and the need for analgesics. MATERIAL AND METHODS: 134 patients underwent chevron or miniinvasive Mitchell-Kramer osteotomy of the first distal metatarsal...
2015: Przegla̧d Lekarski
Heinrich Ebner, Markus Falk, Francesco Ferrara, Enzo Cacciatore, Giovanni Dompè, Augusto Farina, Juliane Anna Ebner
AIM: To find out how and when Italian phlebologically-active physicians apply perioperative sclerotherapy. MATERIAL AND METHODS: A questionnaire was e-mailed to the members of three different Italian Societies of Phlebology. The answers were collected in a database (SPSS19 for Windows) and statistically evaluated. RESULTS: Ninety surgeons (87.4%) and 13 (12.6%) phlebologists responded, 57 (56,3%) worked in hospital and 46 (44.7%) in an outpatient clinic...
March 2015: Annali Italiani di Chirurgia
Aymeric Amelot, Stephanie Trunet, Vincent Degos, Olivier André, Aurore Dionnet, Philippe Cornu, Stéphane Hans, Dorian Chauvet
The role of transoral robotic surgery (TORS) in the skull base emerges and represents the natural progression toward miniinvasive resections in confined spaces. The accessibility of the sella via TORS has been recently described on fresh human cadavers. An anatomic study is mandatory to know if this approach would be feasible in the majority of patients regardless of their oral morphological features. From 30 skull base CT scans from patients who were asked to open their mouth as wide as they can, we measured specific dimensions of the oral cavity and the skull base, such as length of the palate, mouth opening and distance from the sella to the palate...
October 2015: Neurosurgical Review
Alexander Hinev, Deyan Anakievski
The aim of this study was to report our experience with the llaparoscopic transperitoneal treatment of simple renal cysts, to analyze the immediate and long-term clinical outcomes, and to evaluate the efficacy and safety of this miniinvasive surgical technique. Between 2009 and 2014 we diagnosed and treated a total of 48 patients with symptomatic simple renal cysts. The diagnosis was set up by ultrasound (US) and/or computed tomography (CT) examination. All cases were managed by transperitoneal laparoscopic cyst decortication...
2014: Acta Chirurgica Iugoslavica
P V Ohorodnyk, O M Lytvynenko, I V Homoliako, A H Deĭnychenko, A S Kaliuzhka
The results of conduction of endoscopic transpapillary interventions in 976 patients, suffering stenosing papillitis in 2000 - 2014 yrs, were summarized. In 48 (4.9%) patients complications have had occurr, all the patients are alive.
May 2014: Klinichna Khirurhiia
Paolo Del Rio, Belinda De Simone, Lorenzo Viani, Maria Francesca Arcuri, Mario Sianesi
BACKGROUND: Hypocalcemia and unintentional parathyroidectomy would be associated as cause of post-thyroidectomy hypocalcemia. MATERIALS AND METHODS: We analysed the cases treated with total thyroidectomy by two experienced endocrine surgeons from January 2010 to December 2011 at the Unit of General Surgery and Organ Transplantation of the University Hospital of Parma. These cases were divided in two groups: "Group A" included patients for whom a histological report was made that was negative for a parathyroid avulsion, and "Group B" included patients for whom an inadvertent avulsion of the intracapsular parathyroid glands had occurred...
September 2014: Annali Italiani di Chirurgia
Francesco Marson, Enrico Ammirati, Alberto Gurioli, Paolo Destefanis, Paolo Gontero, Bruno Frea
Female urinary incontinence represents a medical and social problem with huge impact regarding both patient's quality of life and social costs. The diagnosis is important for therapeutic choice and should consider some factors: the degree of urethral mobility, urodynamics parameters, patient's will and expectations, information about surgical complications and risks. Nowadays suburethral sling evolution and bulking therapy for selected cases consent to perform miniinvasive surgery; the most relevant problem concerns the management of postoperative complications: in this sense autologous slings are used after urethrolisis...
January 2015: Urologia
Mariusz P Łochowski, Józef Kozak
Video-assisted thoracic surgery (VATS) is a miniinvasive technique commonly applied worldwide. Indications for VATS are very broad and include the diagnosis of mediastinal, lung and pleural diseases, as well as large resection procedures such as pneumonectomy. The most frequent complication is prolonged postoperative air leak. The other significant complications are bleeding, infections, postoperative pain and recurrence at the port site. Different complications of VATS procedures can occur with variable frequency in various diseases...
December 2014: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
M Iu Nychytaĭlo, O M Lytvynenko, H Iu Moshkivs'kyĭ, M S Zahriĭchuk, I I Bulyk, A V Homan, A V Stokolos, V V Prysiazhniuk
Accumulated in 2004-2014 yrs in Department of laparoscopic surgery and choledocholithiasis experience of treatment in patients, suffering parasitic and nonparasitic hepatic cysts, was analyzed. Own improved classification of hepatic cystic lesions was proposed. Peculiarities of performance of open operations, of the puncture miniinvasive operations and interventions for hepatic cysts, using laparoscopic approach, were enlighten. Main indications for surgical treatment of hepatic cysts were adduced, depending on their kind, size, localization and clinical signs...
September 2014: Klinichna Khirurhiia
Andrzej Wojtowicz, Monika Jodko, Jan Perek, Wojciech Popowski
Cone beam computed tomography has created a specific revolution in maxillofacial imaging, facilitating the transition of diagnosis from 2D to 3D, and expanded the role of imaging from diagnosis to the possibility of actual planning. There are many varieties of cone beam computed tomography-related software available, from basic DICOM viewers to very advanced planning modules, such as InVivo Anatomage, and SimPlant (Materialise Dental). Through the use of these programs scans can be processed into a three-dimensional high-quality simulation which enables planning of the overall treatment...
September 2014: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Artur Gądek, Henryk Liszka, Jerzy Wordliczek
BACKGROUND: Several techniques of anesthesia are used in foot surgery. Preemptive analgesia helps to prevent the development of hypersensitivity in the perioperative period. The aim of our study was to assess the role of preemptive local anesthetic infiltration and postoperative pain after hallux valgus surgery. METHODS: We evaluated 118 patients who underwent modified chevron and mini-invasive Mitchell-Kramer bunionectomy of the first distal metatarsal. After spinal anesthesia each patient randomly received an infiltration of local anesthetic or the same amount of normal saline 10 minutes before the skin incision...
March 2015: Foot & Ankle International
P P Shipulin, A A Kiriliuk, V E Severgin, V V Baĭdan, V I Baĭdan, V A Martyniuk, A Agrakhari, O N Koziar, E Iu Tronina, S D Poliak
Experience of application of nonsuture electrowelding technologies (NEWT) was analyzed while performing open and miniinvasive thoracoscopic operations in 116 patients. No essential differences were revealed while comparing domestic and foreign electrowelding surgical instruments. Possibility of wide application of NEWT in miniinvasive videothoracoscopic surgery was demonstrated.
July 2014: Klinichna Khirurhiia
Lapo Bencini, Marco Bernini, Marco Farsi
After the rapid acceptance of laparoscopy to manage multiple benign diseases arising from gastrointestinal districts, some surgeons started to treat malignancies by the same way. However, if the limits of laparoscopy for benign diseases are mainly represented by technical issues, oncologic outcomes remain the foundation of any procedures to cure malignancies. Cancerous patients represent an important group with peculiar aspects including reduced survival expectancy, worsened quality of life due to surgery itself and adjuvant therapies, and challenging psychological impact...
February 21, 2014: World Journal of Gastroenterology: WJG
Eugenio Volpi, Luca Bernardini, Moira Angeloni, Paolo Gogna, Donatella Intersimone, Franco Fedeli
INTRODUCTION: Ovarian lymphoma is a rare entity, and hydronephrosis from lymphoma is even rarer. Most reports describe a laparoscopic approach to the disease, but we report a case of hydroureteronephrosis associated with ovarian lymphoma managed completely by miniinvasive techniques. CASE REPORT: A 51-year-old woman was referred to us for back pain and renal colic and computed tomography scan findings of right hydroureteronephrosis and a mass in the right mesorectum and uterosacral ligament...
October 2013: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Ireneusz Haponiuk, Maciej Chojnicki, Mariusz Steffens, Radosław Jaworski, Aneta Szofer-Sendrowska, Jacek Juscinski, Ewelina Kwasniak, Konrad Paczkowski, Jacek Zielinski, Katarzyna Gierat-Haponiuk
We present a case of a severely ill newborn with complex coarctation, multiorgan failure and massive oedema, who was treated with emergency stenting of the isthmus on the second day of life, which was followed by surgical stent removal and repair of the arch on the 29(th) day, after stabilization of his general status. Interventional percutaneous direct stent implantation was performed, using a coronary stent (Abbott Multi-Link Vision Coronary Stent 3.5 mm/15 mm, USA) to cover the area of the aortic isthmus in the newborn...
September 2013: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Ireneusz Haponiuk, Maciej Chojnicki, Radoslaw Jaworski, Mariusz Steffens, Aneta Szofer-Sendrowska, Jacek Juscinski
The Gdansk Hybrid Heartlink Programme follows the concept of the hybrid procedures that combine the advantages of classic surgical operations with intraoperative cardiology interventions. With time and our growing experience, we found that hybrid methods were especially beneficial in cardiac emergencies in borderline babies, who would not meet separate criteria either for surgery or for cardiac interventions. Hybrid strategies appeared safe and effective for patients with anatomical variants unsuitable either for classic surgical or interventional procedures introduced alone...
September 2013: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
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