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https://www.readbyqxmd.com/read/28890674/treating-symptomatic-uterine-fibroids-with-myomectomy-current-practice-and-views-of-uk-consultants
#1
R Fusun Sirkeci, Anna Maria Belli, Isaac T Manyonda
BACKGROUND: The demand for uterus-sparing treatments is increasing as more women postpone childbirth to their 30-40s, when fibroids are more symptomatic. With an increasing choice of treatment options and changing care-provider profiles, now is an opportune time to survey current practices and opinions. Using a 25-stem questionnaire, a web-based survey was used to capture the practices and opinions of UK consultant gynecologists on the treatment of symptomatic fibroids, including the types of procedure most frequently used, methods used to reduce blood loss, and awareness and acceptability of treatment options, and to assess the impact of gender and experience of the treating gynecologist...
2017: Gynecological Surgery
https://www.readbyqxmd.com/read/28753822/five-year-outcomes-for-a-prospective-randomised-controlled-trial-comparing-laparoscopic-and-robot-assisted-radical-prostatectomy
#2
Francesco Porpiglia, Cristian Fiori, Riccardo Bertolo, Matteo Manfredi, Fabrizio Mele, Enrico Checcucci, Stefano De Luca, Roberto Passera, Roberto Mario Scarpa
BACKGROUND: The literature is lacking randomised controlled trials comparing robot-assisted (RARP) and laparoscopic (LRP) radical prostatectomy, especially for follow-up >1 yr. OBJECTIVE: To report 5-yr outcomes for our previously published prospective randomised study comparing RARP and LRP. DESIGN, SETTING, AND PARTICIPANTS: From January 2010 to January 2011, 120 patients with organ-confined prostate cancer were enrolled and randomly assigned to RARP or LRP...
November 23, 2016: European Urology Focus
https://www.readbyqxmd.com/read/28721295/different-treatment-approaches-after-failure-of-laparascopic-treatment-of-calyceal-diverticulum-confused-with-communicating-type-renal-cyst-case-report
#3
Ayhan Dirim, Eray Hasirci, Yuksel Cem Aygun Baskent
No abstract text is available yet for this article.
June 30, 2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/28690940/simultaneous-robot-assisted-laparoscopic-excision-of-pre-pyloric-gastrointestinal-stromal-tumor-and-cholecystectomy
#4
Ahsan Zil-E-Ali, Salman Assad, Furrukh Jabbar
Operating on more than a single procedure in a same surgical intervention saves time, anesthesia duration and can increase the overall quality of life by lowering the duration of hospital stay and minimizing patient anxiety. But such interventions require expertise, high surgical performance, and precision in anatomical manipulation. We present a case of an outstanding performance of a unique minimally invasive simultaneous approach of removing a pre-pyloric gastrointestinal stromal tumor (GIST) along with a cholecystectomy by a robot-assisted laparascopic surgical system...
June 3, 2017: Curēus
https://www.readbyqxmd.com/read/28638273/the-effect-of-nefopam-infusion-during-laparascopic-cholecystectomy-on-postoperative-pain
#5
Eun Mi Kim, Joo Hyun Jeon, Mi Hwa Chung, Eun Mi Choi, Seung Hwa Baek, Pil Hyun Jeon, Mi Hyeon Lee
Background: While recovery from remifentanil is fast due to its rapid metabolism, it can induce hyperalgesia by activation of N-methyl-D-aspartic acid (NMDA) receptors. Therefore, administration of NMDA receptor antagonists such as ketamine is effective in relieving hyperalgesia caused by remifentanil. A previous study showed that nefopam administration before anesthesia combined with low-dose remifentanil reduced pain and analgesic consumption during the immediate postoperative period. We hypothesized that intraoperative infusion of nefopam during laparoscopic cholecystectomy would be as effective as ketamine in controlling pain during the acute postoperative period after sevoflurane and remifentanil based anesthesia...
2017: International Journal of Medical Sciences
https://www.readbyqxmd.com/read/28298770/intraperitoneal-levobupivacaine-with-or-without-clonidine-for-pain-relief-after-laparoscopic-cholecystectomy-a-randomized-double-blind-placebo-controlled-trial
#6
Nishith Govil, Parag Kumar
BACKGROUND: Irrigation of local anesthetic intraperitoneally in combination with opioids and non-opioids agents has been used to provide pain relief with varying success in laparoscopic surgeries. This randomized double blind placebo controlled study is designed to study the effect of intraperitoneal instillation of levo-bupivacaine along with clonidine for pain relief after laparascopic cholecystectomy. METHODS: 75 patients were randomized to receive 20 ml of 0...
January 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28277338/endometrioid-adenocarcinoma-arising-in-a-paratubal-cyst-a-case-report-and-review-of-the-literature
#7
REVIEW
Catherine Chang, Koji Matsuo, Paulette Mhawech-Fauceglia
A 56-year-old G3P3 postmenopausal woman presented with a 5 month history of abnormal uterine bleeding and pelvic pain. A computed tomographic scan revealed a 5 cm right adnexal cystic mass in addition to a thickened, heterogenous endometrium and leiomyomatous uterus. A total laparascopic hysterectomy and bilateral salpingo-oophorectomy with omental and peritoneal biopsy were performed. Gross examination revealed a 12 week size uterus with small fibroids, normal bilateral atrophic ovaries, and a right paratubal cyst...
March 2017: Applied Immunohistochemistry & Molecular Morphology: AIMM
https://www.readbyqxmd.com/read/28271052/a-pancreatic-fistula-as-a-rare-complication-of-laparascopic-radical-nephrectomy-a-case-report
#8
Muammer Bozkurt, Osman Can, Fatih Altunrende
We report an unusual case of pancreatic fistula after transperitoneal laparoscopic left radical nephrectomy. A 43 years old male patient presented with severe abdominal pain and abdominal distension 71 day after the surgery. Computerized tomography (CT) demonstrated a large fluid collection in the operated renal fossa. The treatment, which comprised percutaneous drainage led to a closure of the fistula 20 days after therapy.
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/27885290/effectiveness-of-spinal-anaesthesia-versus-general-anaesthesia-for-open-cholecystectomy
#9
RANDOMIZED CONTROLLED TRIAL
R B Kuju, Y Dongol, R Verma
BACKGROUND: Cholecystectomy is performed either as an open or a laparascopic route. Despite of a number of peri-operative and post-operative benefits of laparascopic cholecystectomy, the traditional and invasive open cholecystectomy is still in frequent practice for various reasons. Though general anaesthesia is regarded as the gold standard anaesthetic technique, alternatives to it such as spinal anaesthesia, with its advantages, outweighs general anaesthesia. Spinal anaesthesia, therefore, could be a safe and effective anaesthetic procedure over general anaesthesia for open cholecystectomy...
May 2016: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/27807944/laparascopic-assisted-colonscopic-polypectomy-a-truly-multidisciplinary-treatment-and-research-platform
#10
EDITORIAL
Alexander Engel
No abstract text is available yet for this article.
November 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27689031/diagnosis-and-management-of-pediatric-and-adolescent-varicocele-a-survey-of-pediatric-urologists-in-korea
#11
Tae Ho Lee, Jay Ho Jung, Young Kwon Hong
The aim of this study was to evaluate current practice patterns on diagnosis and management of pediatric varicoceles. Questionnaires of approaches to diagnosis and management of pediatric varicoceles were sent electronically to pediatric urologists. Of the 70 questionnaires e-mailed, 37 (53%) responded to the survey. 10 respondents (27%) chose to operate on varicoceles, whereas 9 (24%) chose to observe, and 18 (49%) chose to decide upon treatment depending on the clinical situation. The most important indication for varicocelectomy was a decrease in ipsilateral testicular size (n=29, 78%) followed by testicular or scrotal pain (n=4, 11%) and varicocele grade (n=4, 11%)...
September 2016: Chonnam Medical Journal
https://www.readbyqxmd.com/read/27551182/laparascopic-splenectomy-due-to-splenic-injury-after-colonoscopy
#12
Bunyami Ozogul, Abdullah Kisaoglu, Atıf Bayramoglu, Salih Kara, Nurhak Aksungur
Colonoscopy, which is routinely performed in diagnosis and treatment of colorectal disorders, is a reliable procedure. Its most frequent complications are bleeding and perforation. Splenic rupture is a very rarely met complication of colonoscopy, and delay in its diagnosis leads to increased morbidity and mortality. We presented a 69 years old female patient, who was diagnosed by computerized abdominal tomography, performed for her abdominal pain, which started following the colonoscopy. After 15 days of medical treatment and follow-up, laparoscopic splenectomy was performed one month after her colonoscopy...
June 2016: Eurasian Journal of Medicine
https://www.readbyqxmd.com/read/27382938/anemia-outcome-after-laparascopic-mini-bypass%C3%A2-analysis-of-107-consecutive-patients
#13
S Mokhber, P Nikoyan, A Kabir, F Jesmi, M Pishgahroudsari, M Abdolhosseini, P Alibeigi, M Rezvani, A Pazouki
BACKGROUND: The prevalence of obesity has dramatically increased globally. Weight loss procedures are known to be an effective and reliable method with relatively low complication rate and satisfactory results. Laparoscopic mini-gastric bypass (LMGB) is known as a modified Mason loop procedure with compatible results to laparoscopic Roux-en-Y gastric bypass (LRYGB), and is believed to have even less complication rate. Despite adequate and meticulous supplement therapy, anemia is one of the challenges in patients undergoing LMGB...
April 2016: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/26680392/laparascopic-neurolysis-of-deep-endometriosis-infiltrating-left-femoral-nerve-case-report
#14
Cláudia Andrade, Sónia Barata, Francisco António, Conceição Alho, Carlos Calhaz-Jorge, Filipa Osório
Pelvic endometriosis may infiltrate somatic nerves causing severe neuropathic symptoms with a high impact on quality of life. It is a medical condition poorly known, and few published data about involvement of femoral nerve are available. We report an isolated unilateral endometriosis lesion of the left lumbar region infiltrating the femoral nerve in a 38-year-old woman. She described severe dysmenorrhea, dyspareunia, dischezia, and chronic pelvic pain with irradiation to the anterior part of the left thigh...
November 2015: Surgical Technology International
https://www.readbyqxmd.com/read/26568889/mini-laparascopic-dismembered-pyeloplasty-using-only-3-mm-instruments-3-mmml
#15
Piotr Jarzemski, Slawomir Listopadzki, Roman Kalinowski, Marek Kowalski, Marcin Jarzemski, Roman Sosnowski
No abstract text is available yet for this article.
2015: Central European Journal of Urology
https://www.readbyqxmd.com/read/26460864/laparascopic-neurolysis-of-deep-endometriosis-infiltrating-left-femoral-nerve-case-report
#16
Cláudia Andrade, Sónia Barata, Francisco António, Conceição Alho, Carlos Calhaz-Jorge, Filipa Osório
Pelvic endometriosis may infiltrate somatic nerves causing severe neuropathic symptoms with a high impact on quality of life. It is a medical condition poorly known, and few published data about involvement of femoral nerve are available. We report an isolated unilateral endometriosis lesion of the left lumbar region infiltrating the femoral nerve in a 38-year-old woman. She described severe dysmenorrhea, dyspareunia, dischezia, and chronic pelvic pain with irradiation to the anterior part of the left thigh...
October 7, 2015: Surgical Technology International
https://www.readbyqxmd.com/read/26093702/laparascop%C3%A4-c-donor-nephrectomy-is-safe-for-extremely-old-donors-and-prov%C3%A4-des-a-good-outcome-for-the%C3%A4-r-rec%C3%A4-p%C3%A4-ents
#17
COMPARATIVE STUDY
O Cavdaroglu, E Gurluler, U Cakır, A Gurkan, I Berber
PURPOSE: This study sought to evaluate the outcomes of laparoscopic donor nephrectomy in donors age 70 years and older, who may be considered extremely old. PATIENTS AND METHODS: We compared the outcomes of grafts from donors age 70 years and older (group ≥ 70; n = 28) with donors younger than 55 years (group < 55; n = 28) after matching these 2 groups in terms of sex, date of surgery, body mass index, and immunological features, retrospectively. RESULTS: There was no statistical difference between the 2 groups in terms of operation duration, estimated blood loss, and cold ischemia time...
June 2015: Transplantation Proceedings
https://www.readbyqxmd.com/read/25910302/complete-biliary-obstruction-without-jaundice-due-to-an-anatomic-variation
#18
Bülent Ödemiş, Aydın Şeref Köksal, Serkan Torun, Mehmet Yurdakul, Ertuğrul Kayaçetin
An aberrant right posterior hepatic duct is present in 4.8-8.4% of the population. It is one of the causes of bile duct injury during laparascopic cholecystectomy. Herein we present a patient with complete transection of the common hepatic duct during laparascopic cholecystectomy (Stewart-Way class 3). Interestingly, the patient had an intact aberrant right posterior duct draining into the common hepatic duct distal to the obstruction site that prevented early diagnosis of the biliary injury because of drainage of the liver sufficient to prevent the development of jaundice...
December 2014: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/25792574/outcome-of-cesarean-scar-pregnancies-diagnosed-sonographically-in-the-first-trimester
#19
Aya Y Michaels, Erin E Washburn, Katherine D Pocius, Carol B Benson, Peter M Doubilet, Daniela A Carusi
OBJECTIVES: The purpose of this study was to determine the outcome of cesarean scar pregnancies diagnosed during the first trimester. METHODS: We retrospectively identified all cesarean scar implantation pregnancies diagnosed by sonography before 14 weeks' gestation between 2000 and 2012 at our institution. We reviewed the patients' sonograms and medical records and recorded sonographic findings and pregnancy outcomes. RESULTS: Thirty-four cases met study entry criteria...
April 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/25754284/unilateral-laparoscopic-adrenalectomy-following-partial-transsphenoidal-adenomectomy-of-pituitary-macroadenoma-life-saving-procedure-in-a-patient-with-acth-dependent-cushing-s-syndrome
#20
Urszula Ambroziak, Grzegorz Zieliński, Sadegh Toutounchi, Ryszard Pogorzelski, Maciej Skórski, Andrzej Cieszanowski, Piotr Miśkiewicz, Michał Popow, Tomasz Bednarczuk
INTRODUCTION: Cushing's disease is the most common cause of endogenous hypercortisolemia, in 90% of cases due to microadenoma. Macroadenoma can lead to atypical hormonal test results and complete removal of the tumour is unlikely. CASE REPORT: A 77-year-old woman with diabetes and hypertension was admitted because of fatigue, proximal muscles weakness, lower extremities oedema, and worsening of glycaemic and hypertension control. Physical examination revealed central obesity, 'moon'-like face, supraclavicular pads, proximal muscle atrophy, and skin hyperpigmentation...
2015: Endokrynologia Polska
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