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Minimally invasive surgery

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https://www.readbyqxmd.com/read/29667157/devices-and-endoscopic-bariatric-therapies-for-obesity
#1
REVIEW
Katherine H Saunders, Leon I Igel, Monica Saumoy, Reem Z Sharaiha, Louis J Aronne
PURPOSE OF REVIEW: In this review, we describe the FDA-approved and investigational devices and endoscopic bariatric therapies for the treatment of obesity. We focus on literature published in the past few years and present mechanisms of action as well as efficacy and safety data. RECENT FINDINGS: Devices and endoscopic procedures are emerging options to fill the significant treatment gap in the management of obesity. Not only are these devices and procedures minimally invasive and reversible, but they are potentially more effective than antiobesity medications, often safer for poor surgical candidates and possibly less expensive than bariatric surgery...
April 17, 2018: Current Obesity Reports
https://www.readbyqxmd.com/read/29667139/spinal-navigation-for-minimally-invasive-thoracic-and-lumbosacral-spine-fixation-implications-for-radiation-exposure-operative-time-and-accuracy-of-pedicle-screw-placement
#2
T Tajsic, K Patel, R Farmer, R J Mannion, R A Trivedi
PURPOSE: Navigation is emerging as a useful adjunct in percutaneous, minimally invasive spinal surgery (MIS). The aim of this study was to compare C-Arm navigated, O-Arm navigated and conventional 2D-fluoroscopy assisted MIS thoracic and lumbosacral spine fixation techniques in terms of operating time, radiation exposure and accuracy of pedicle screw (PS) placement. METHODS: Retrospective observational study of 152 consecutive adults who underwent MIS fixations for spinal instability: 96 2D-fluoroscopy assisted, 39 3D-C-Arm navigated and 27 using O-Arm navigated...
April 17, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29667041/perception-versus-reality-elucidating-motivation-and-expectations-of-current-fellowship-council-minimally-invasive-surgery-fellows
#3
Jeffrey R Watkins, Aurora D Pryor, Michael S Truitt, D Rohan Jeyarajah
BACKGROUND: The aim of our study is to determine minimally invasive trainee motivation and expectations for their respective fellowship. Minimally Invasive Surgery (MIS) is one of the largest non-ACGME post-residency training pathways though little is known concerning the process of residents choosing MIS as a fellowship focus. As general surgery evolves, it is important to understand resident motivation in order to better prepare them for a surgical career. METHODS: A survey invitation was sent to current trainees in the Minimally Invasive and related pathways through the Fellowship Council...
April 17, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29666963/minimally-invasive-surgery-and-percutaneous-surgery-of-the-hindfoot-and-midfoot
#4
Yves Stiglitz, Cyrille Cazeau
Minimally invasive surgery (MIS) and percutaneous (PC) surgery recently spread as a new technique in operative forefoot correction, and by extension in hindfoot and midfoot. Numerous procedures were described, and a race for MIS and PC has started. However, performing surgery with small incisions should not be an end in itself. Biomechanical and anatomical concerns must be taken into account and shall not be sacrificed for cosmetic reasons. For the most common hindfoot and midfoot pathologies, we discuss what we consider the surgical necessities and then describe the MIS and/or PC procedure we choose, according to these fundamentals...
April 17, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29664839/a-population-based-assessment-of-urologic-procedures-and-operations-after-surgery-or-pelvic-radiation-for-cervical-cancer
#5
Blayne Welk, Christopher Wallis, David DʼSouza, Jacob McGee, Robert K Nam
OBJECTIVE: The treatment of cervical cancer can result in genitourinary morbidity. We measured selected urologic procedures after the treatment of cervical cancer with either surgery or radiation. METHODS: We used administrative data from the province of Ontario Canada to identify adult women who had nonmetastatic cervical cancer and were treated with surgery or radiation between 1994 and 2014. Study outcomes were surgical or procedure codes representing ureteric repair or fistula repair...
April 16, 2018: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/29664358/tailored-management-of-stage-iiia-non-small-cell-lung-cancer-in-the-era-of-the-8th-edition-of-the-tnm-classification-for-lung-cancer
#6
Michael R Mueller
Stage IIIA is a very heterogeneous group encompassing locally advanced disease with T3 and T4 tumors without any nodal involvement and very small T1a primary tumors with unilateral mediastinal lymphatic disease. Tailored management defines interdisciplinary management requiring board decisions, which can sometimes be difficult particularly in stage IIIa non-small-cell lung cancer (NSCLC). Lobectomy still is standard of care even for stage I NSCLC, which increasingly is implemented using minimally invasive surgical technique...
March 2018: Future Oncology
https://www.readbyqxmd.com/read/29663399/multidimensional-analyses-of-the-learning-curve-for-single-incision-plus-one-port-laparoscopic-surgery-for-sigmoid-colon-and-upper-rectal-cancer
#7
Junmeng Li, Yanan Wang, Dong Liu, Haipeng Zhou, Tingyu Mou, Guoxin Li, Haijun Deng
BACKGROUND AND OBJECTIVES: Single-incision plus one port surgery (SILS + 1) provides the advantages of being minimally invasive and easier to perform than pure single-incision laparoscopic surgery. The aim of this study was to investigate the learning curve (LC) for SILS + 1 for sigmoid colon and upper rectal cancer. METHOD: From November 2012 to May 2014, a series of 85 consecutive patients underwent selective SLIS + 1 for sigmoid colon and upper rectal cancer performed by a single surgeon at Nanfang Hospital...
April 17, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29663095/is-antral-membrane-balloon-elevation-truly-minimally-invasive-technique-in-sinus-floor-elevation-surgery-a-systematic-review
#8
REVIEW
Huda Moutaz Asmael
BACKGROUND: Minimally invasive antral membrane balloon elevation was introduced as a less traumatic technique in sinus floor elevation surgery. This is the first systematic review to assess the results of previous studies utilizing this technique. AIMS OF THE STUDY: The objectives of this study were to assess the bone gain, sinus augmentation success rate, implant survival rate, and complications with minimally invasive antral membrane balloon elevation technique in comparison with the sinus floor elevation by traditional transalveolar technique (Summers' technique)...
April 17, 2018: International Journal of Implant Dentistry
https://www.readbyqxmd.com/read/29663038/-relevance-of-spinal-navigation-in-reconstructive-surgery-of-the-cervical-spine
#9
REVIEW
R Kothe, M Richter
BACKGROUND: Spinal navigation has made significant advances in the last two decades. After initial experiences with pedicle screws in the thoracic and lumbar spine, technological improvements have resulted in their increased application in the cervical spine. Instrumentation techniques like cervical pedicle screws, lateral mass screws in C1 and transarticular screws C1/C2 have become standard due to the application of image guidance. TECHNIQUE: Different navigation techniques can be distinguished based on the type of imaging...
April 16, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29662790/update-on-biomaterials-for-prevention-of-epidural-adhesion-after-lumbar-laminectomy
#10
REVIEW
Huailan Wang, Wenjia Sun, Dongliang Fu, Yueliang Shen, Ying-Ying Chen, Lin-Lin Wang
Lumbar laminectomy often results in failed back surgery syndrome. Most scholars support the three-dimensional theory of adhesion: Fibrosis surrounding the epidural tissues is based on the injured sacrospinalis behind, fibrous rings and posterior longitudinal ligaments. Approaches including using the minimally invasive technique, drugs, biomaterial and nonbiomaterial barriers to prevent the postoperative epidural adhesion were intensively investigated. Nevertheless, the results are far from satisfactory. Our review is based on various implant biomaterials that are used in clinical applications or are under study...
April 2018: Journal of Orthopaedic Translation
https://www.readbyqxmd.com/read/29661575/outcomes-of-laparoscopic-resection-of-meckel-s-diverticulum-are-equivalent-to-open-laparotomy
#11
Brian Ezekian, Harold J Leraas, Brian R Englum, Brian F Gilmore, Christopher Reed, Tamara N Fitzgerald, Henry E Rice, Elisabeth T Tracy
PURPOSE: Meckel's diverticulum (MD) is a common congenital anomaly caused by failure of involution of the omphalomesenteric duct. Enthusiasm for minimally invasive surgery (MIS) in children has burgeoned as technologies have advanced, but the outcomes of laparoscopic resection in comparison to open laparotomy for MD remain poorly defined. We queried a large national database to compare current practice patterns and clinical outcomes between surgical approaches for MD in the pediatric population...
March 15, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29661205/comparison-between-minimally-invasive-spine-stabilization-with-and-without-posterior-decompression-for-the-management-of-spinal-metastases-a-retrospective-cohort-study
#12
Hiroshi Uei, Yasuaki Tokuhashi, Masafumi Maseda, Masahiro Nakahashi, Hirokatsu Sawada, Enshi Nakayama, Hirotoki Soma
BACKGROUND: Posterior decompression and stabilization plays significant roles in palliative surgery for metastatic spinal tumor. However, the indication for addition of posterior decompression have not been examined. The purpose of this study was to investigate a retrospective cohort of outcomes of metastatic spinal tumor treated with minimally invasive spine stabilization (MISt) with or without posterior decompression. METHODS: The subjects were 40 patients who underwent MISt using percutaneous pedicle screws for metastatic spinal tumor, including 20 patients treated with stabilization alone (group A) and 20 patients with added posterior decompression (group B)...
April 16, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29659843/a-computed-tomography-based-planning-tool-for-predicting-difficulty-of-minimally-invasive-aortic-valve-replacement
#13
Mustafa A Elattar, Abdullah Kaya, Nils R Planken, Jan Baan, Ed T Vanbavel, Bas A J M de Mol, Henk A Marquering
OBJECTIVES: Minimally invasive aortic valve replacement has proven its value over the last decade by its significant advancement and reduction in mortality, morbidity and admission time. However, minimally invasive aortic valve replacement is associated with some on-site difficulties such as limited aortic annulus exposure. Currently, computed tomography scans are used to evaluate the anatomical relationship among the intercostal spaces, ascending aorta and aortic valve prior to surgery...
April 12, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29659404/prospective-cohort-study-investigating-changes-in-body-image-quality-of-life-and-self-esteem-following-minimally-invasive-cosmetic-procedures
#14
Joseph F Sobanko, Julia Dai, Joel M Gelfand, David B Sarwer, Ivona Percec
BACKGROUND: Minimally invasive cosmetic injectable procedures are increasingly common. However, a few studies have investigated changes in psychosocial functioning following these treatments. OBJECTIVE: To assess changes in body image, quality of life, and self-esteem following cosmetic injectable treatment with soft tissue fillers and neuromodulators. METHODS: Open, prospective study of 75 patients undergoing cosmetic injectable procedures for facial aging to evaluate changes in psychosocial functioning within 6 weeks of treatment...
April 13, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29658679/iatrogenic-spleen-injury-during-minimally-invasive-left-colonic-flexure-mobilization-the-quest-for-evidence-based-results
#15
Alberto Mangano, Federico Gheza, Pier C Giulianotti
INTRODUCTION: To assess the frequency, risk factors and outcomes of iatrogenic spleen injury during minimally invasive colo-rectal surgery with a particular focus on the routine splenic flexure mobilization tehcnique. EVIDENCE ACQUISITION: Exclusion criteria: 1. topic not pertinent to the main topic of the review; 2. All case reports, editorials, conference highlights were excluded. After a title and abstract first selection and a final full-text analysis has been performed...
April 13, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29658675/local-excision-for-rectal-cancer-a-minimally-invasive-option
#16
Marco E Allaix, Alberto Arezzo, Milica Nestorović, Bianca Galosi, Mario Morino
Transanal excision (TAE) with conventional retractors and transanal endoscopic microsurgery (TEM) are two well established minimally invasive surgical options for the treatment of selected rectal cancers. TEM is nowadays considered the standard of care for the transanal excision of rectal tumors, since it is associated with significantly better quality of excision and lower rates of recurrence than TAE. When compared with rectal resection and total mesorectal excision, TEM has lower postoperative morbidity and better functional outcomes, with similar long-term survival rates in selected early rectal cancers...
April 13, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29658639/endoscopic-full-thickness-resection-for-gastrointestinal-submucosal-tumors
#17
REVIEW
Ming-Yan Cai, Francisco Martin Carreras-Presas, Ping-Hong Zhou
Endoscopic full-thickness resection (EFTR) is a "changing-concept" endoscopic resection technique, which safely allows resecting deep submucosal tumors (SMTs) in the gastrointestinal (GI) wall. It's a highly promising endoscopic procedure that allows full-thickness excision of a small piece of the complete GI wall by using only a flexible endoscope. EFTR is a meeting point between surgery and endoscopy and probably the onset of many prospective combined minimally invasive therapeutic techniques that science will explore...
April 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29658366/a-novel-case-using-femtosecond-laser-acquired-lenticule-for-recurrent-pterygium-case-report-and-literature-review
#18
Om Prakash Pant, Ji-Long Hao, Dan-Dan Zhou, Fan Wang, Cheng-Wei Lu
Small incision lenticule extraction (SMILE) is a minimally invasive, safe and flapless femtosecond laser technique used mainly to correct myopia through extraction of a corneal lenticule. Lenticules obtained in this way are transparent and of high quality, and thus, can be used to treat other corneal diseases. A 65-year-old male patient presented with recurrent pterygium complicated by thin cornea. The patient was treated surgically using a SMILE-extracted lenticule to avoid further complications and to maintain eyeball integrity...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29657479/minimally-invasive-mis-t%C3%A3-nnis-osteotomy-a-technical-annotation-and-review-of-short-term-results
#19
Balasubramanian Balakumar, Malek Racy, Sanjeev Madan
Aims: We detail a modified single incision approach to perform the Tonnis triple pelvic osteotomy by a minimally invasive approach. Patients and Methods: 12 children underwent minimally invasive Tonnis Osteotomy. There were five boys and seven girls in this study group. Average age was 11 years (9-15 years) at the time of surgery. Mean follow-up was 20.5 months (13-39 months). Results: The average preoperative Antero-Posterior (AP) Centre Edge (CE) angle was -8...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657055/totally-endoscopic-coronary-artery-bypass-surgery-a-meta-analysis-of-the-current-evidence
#20
Jeremy R Leonard, Mohamed Rahouma, Ahmed A Abouarab, Alexandra N Schwann, Gaetano Scuderi, Christopher Lau, T Sloane Guy, Michelle Demetres, John D Puskas, David P Taggart, Leonard N Girardi, Mario Gaudino
BACKGROUND: Totally endoscopic coronary artery bypass (TECAB) has emerged as an alternative to other minimally invasive techniques. However, limited TECAB results are available to date. The purpose of this systematic review is to examine the existing literature to give an objective estimate of the outcomes of TECAB using a meta-analytical approach. METHODS: A comprehensive online review was performed in Ovid MEDLINE®, Ovid EMBASE and The Cochrane Library from 2000 to July 2017...
June 15, 2018: International Journal of Cardiology
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