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https://www.readbyqxmd.com/read/29914841/novel-system-for-robotic-single-port-surgery-feasibility-and-state-of-the-art-in-urology
#1
REVIEW
Riccardo Bertolo, Juan Garisto, Matthew Gettman, Jihad Kaouk
Robotic urology has evolved in parallel with the development of new robotic systems. A recently conceived robotic platform, specifically designed for single-port (SP) surgery, has reignited the interest for the approach. In this review, the evolution of robotic SP surgery was analyzed. Since the first published experience with a robot-assisted SP urological procedure in 2010, despite technical adjustments, robotic SP has remained with limited diffusion. However, the limitations of the available instrumentation are going to be softened with an upcoming next-generation robotic platform...
June 15, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29911017/free-floating-right-heart-thrombus-with-acute-massive-pulmonary-embolism-a-case-report-and-review-of-the-literature
#2
Fida Charif, Mohamad Jihad Mansour, Righab Hamdan, Claudette Najjar, Pierre Nassar, Mohamad Issa, Elie Chammas, Mohamad Saab
Free-floating right heart thrombus (RHT) is an extreme medical emergency in the context of acute massive pulmonary embolism (PE). Despite the advances in early diagnosis, the management is still very debatable due to lack of consensus. We reported the case of a 66-year-old male, with a history of moderate renal dysfunction and dilated cardiomyopathy, who presented to the emergency department for acute dyspnea. His angiographic magnetic resonance imaging revealed bilateral extensive PE. Transthoracic echocardiography showed RHT with moderate right ventricular dysfunction and pulmonary hypertension...
April 2018: Journal of Cardiovascular Echography
https://www.readbyqxmd.com/read/29908218/technique-for-docking-and-port-placement-using-a-purpose-built-robotic-system-sp1098-in-human-cadaver
#3
Juan D Garisto, Riccardo Bertolo, Jihad Kaouk
OBJECTIVES: To describe step-by-step the port placement and the robot docking of the new purpose-built robotic platform for R-LESS. The feasibility of different approaches to the pelvic fossa and the retroperitoneum was reported in cadaver models. METHODS: This was a preclinical study on human cadavers to assess the feasibility of the da Vinci SP1098 surgical system for R-LESS pelvic fossa and retroperitoneal urological surgeries. We used the SP1098 to perform R-LESS prostatectomies and cysto-prostatectomies with transperineal and transvesical approaches, and nephrectomies (radical or partial) with retroperitoneal approach...
June 13, 2018: Urology
https://www.readbyqxmd.com/read/29801926/editorial-comment
#4
Jihad Kaouk, Riccardo Bertolo
No abstract text is available yet for this article.
June 2018: Urology
https://www.readbyqxmd.com/read/29790375/trifecta-outcomes-in-multifocal-tumors-a-comparison-between-robotic-and-open-partial-nephrectomy
#5
Nitin Yerram, Julien Dagenais, Darren Bryk, Naveen Nandanan, Matthew Joseph Maurice, Pascal Mouracade, Önder Kara, Jihad Kaouk
OBJECTIVES: To report a comparative analysis of outcomes in patients who underwent multiple excisions for unilateral, synchronous, multifocal renal tumors using both open and robotic approaches. METHODS: We retrospectively reviewed 110 patients who underwent robotic and open partial nephrectomy and had multiple tumor excisions in an ipsilateral kidney. "Trifecta" was defined as negative surgical margins, no urologic complications, and a GFR preservation of >90% at last follow-up...
May 23, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29789214/emergent-carotid-endarterectomy-versus-stenting-in-acute-stroke-patients-with-tandem-occlusion
#6
Diana E Slawski, Mouhammad A Jumaa, Hisham Salahuddin, Julie Shawver, M Junaid Humayun, Todd Russell, Andrew Seiwert, David Paolini, Jihad Abbas, Munier Nazzal, Gretchen E Tietjen, Aixa Espinosa-Morales, Andrea Korsnack, Syed F Zaidi
OBJECTIVE: Acute stroke due to tandem cervical internal carotid artery (ICA) and intracranial large-vessel occlusion (ILVO) has a high rate of morbidity and mortality. The most appropriate treatment strategy for the extracranial culprit lesion remains unclear. In this study, we report our institutional outcomes with two approaches: emergent carotid endarterectomy (CEA) and carotid artery stenting (CAS). METHODS: Patients with tandem ICA-ILVO were identified in a prospective mechanical thrombectomy (MT) database between July 2012 and April 2016...
May 19, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29784191/outcomes-of-robot-assisted-partial-nephrectomy-for-clinical-t2-renal-tumors-a-multicenter-analysis-rosula-collaborative-group
#7
Riccardo Bertolo, Riccardo Autorino, Giuseppe Simone, Ithaar Derweesh, Juan D Garisto, Andrea Minervini, Daniel Eun, Sisto Perdona, James Porter, Koon Ho Rha, Alexander Mottrie, Wesley M White, Luigi Schips, Bo Yang, Kenneth Jacobsohn, Robert G Uzzo, Ben Challacombe, Matteo Ferro, Jay Sulek, Umberto Capitanio, Uzoma A Anele, Gabriele Tuderti, Manuela Costantini, Stephen Ryan, Ahmet Bindayi, Andrea Mari, Marco Carini, Aryeh Keehn, Giuseppe Quarto, Michael Liao, Kidon Chang, Alessandro Larcher, Geert De Naeyer, Ottavio De Cobelli, Francesco Berardinelli, Chao Zhang, Peter Langenstroer, Alexander Kutikov, David Chen, Nicolo De Luyk, Chandru P Sundaram, Francesco Montorsi, Robert J Stein, Georges Pascal Haber, Lance J Hampton, Prokar Dasgupta, Michele Gallucci, Jihad Kaouk, Francesco Porpiglia
BACKGROUND: While partial nephrectomy (PN) represents the standard surgical management for cT1 renal masses, its role for cT2 tumors is controversial. Robot-assisted PN (RAPN) is being increasingly implemented worldwide. OBJECTIVE: To analyze perioperative, functional, and oncological outcomes of RAPN for cT2 tumors. DESIGN, SETTING, AND PARTICIPANTS: Retrospective analysis of a large multicenter, multinational dataset of patients with nonmetastatic cT2 masses treated with robotic surgery (ROSULA: RObotic SUrgery for LArge renal mass)...
May 18, 2018: European Urology
https://www.readbyqxmd.com/read/29783887/a-vision-for-global-heath-diplomacy-in-the-foreign-policy-process-using-smart-power-to-prevent-and-resolve-international-conflict
#8
Sebastian Kevany
In the twenty-first Century, the developed world attempts to provide global health assistance, to poorer countries - at least in part in the pursuit and maintenance of world order and stability. Rarely, however - and in most cases, then on an ad hoc basis - are related foreign policy tools deployed in combination with each other. Nonetheless, there is currently greater openness than ever before to such interdigitation. Not least this reflects the unprecedented challenges of modern political and security conditions - struggling to operate amidst a broader culture of global adverserialism, and conflict which conventional systems of intervention have struggled to successfully resolve...
May 21, 2018: Global Public Health
https://www.readbyqxmd.com/read/29781761/prevention-and-treatment-of-clostridium-difficile-associated-diarrhea-by-reconstitution-of-the-microbiota
#9
Noa Eliakim-Raz, Jihad Bishara
This review summarizes the latest advances in treating and preventing Clostridium difficile infection (CDI), the most common infectious disease cause of nosocomial diarrhea in adults in developed countries. As customary antibiotic therapies against C. difficile, metronidazole and vancomycin, are broad spectrum, they affect greatly the gut microbiota, which result in very high recurrence rates. Therefore, new strategies are researched intensively. New therapies focus on limiting further destruction of the gut microbiota or restoring the microbiota to its pre-destructed state...
May 21, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29774808/single-port-robot-assisted-perineal-prostatectomy-and-pelvic-lymphadenectomy-step-by-step-technique-in-a-cadaveric-model
#10
Matthew J Maurice, Jihad H Kaouk
The envelope is constantly being pushed to minimize the invasiveness of prostate cancer surgery without compromising oncologic or functional outcomes. Transperitoneal robot-assisted radical prostatectomy has certainly accomplished these goals. However, it is our intent to push the envelope even further, that is, to minimize the invasiveness of already minimally invasive surgery. To accomplish this lofty goal, we borrowed the transperineal approach from open surgery and fused it with the latest robotic technology to innovate an extraperitoneal robotic prostatectomy technique that is less invasive than the traditional robotic technique...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29766151/the-effect-of-supernatant-product-of-adipose-tissue-derived-mesenchymal-stem-cells-and-density-gradient-centrifugation-preparation-methods-on-pregnancy-in-intrauterine-insemination-cycles-an-rct
#11
Hoda Fazaeli, Faezeh Davoodi, Naser Kalhor, Reza Tabatabaii Qomi
Background: One of the most important involved factors in pregnancy occurrence following intrauterine insemination (IUI) is semen sample preparation. Recently, supernatant product of adipose tissue derived mesenchymal stem cells (SPAS) method has been shown to improve semen parameters. Objective: To compare the effect of preparation methods in order to IUI, SPAS and density gradient centrifugation (DGC). Materials and Methods: This trial was done on 80 couples with male factor infertility who attend jihad daneshgahi infertility treatment center of Qom province, undergoing ovarian stimulation and IUI cycle...
March 2018: International Journal of Reproductive Biomedicine (Yazd, Iran)
https://www.readbyqxmd.com/read/29764456/a-scoping-review-of-reporting-ethical-research-practices-in-research-conducted-among-refugees-and-war-affected-populations-in-the-arab-world
#12
Jihad Makhoul, Rana F Chehab, Zahraa Shaito, Abla M Sibai
BACKGROUND: Ethical research conduct is a cornerstone of research practice particularly when research participants include vulnerable populations. This study mapped the extent of reporting ethical research practices in studies conducted among refugees and war-affected populations in the Arab World, and assessed variations by time, country of study, and study characteristics. METHODS: An electronic search of eight databases resulted in 5668 unique records published between 2000 and 2013...
May 15, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29708828/single-session-of-robotic-human-cadaver-training-the-immediate-impact-on-urology-residents-in-a-teaching-hospital
#13
Riccardo Bertolo, Juan Garisto, Julien Dagenais, Daniel Sagalovich, Jihad H Kaouk
INTRODUCTION AND OBJECTIVE: To evaluate the immediate impact of robotic human cadaver training on the confidence with robotic surgery among urology residents. METHODS: After a preliminary survey assessing baseline skills, our institution's urology residents attended a single session of robotic training on fresh-frozen human cadavers, supervised by staff urologists. Post-training, both the residents and the supervisors were administered a survey querying the improvement of robotic skills and the sentiments toward the cadaver laboratory compared with alternative trainings (answers were given by Likert scale: 1 = negative/5 = positive)...
April 30, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29704584/concurrent-robotic-pyelolithotomy-and-partial-nephrectomy-tips-and-tricks
#14
Juan D Garisto, Julien Dagenais, Hans Arora, Riccardo Bertolo, Jihad H Kaouk
OBJECTIVE: With the evolution of robot-assisted surgery in the urology field, this technology is being applied to treat many genitourinary conditions.1 Although incidence of urolithiasis and renal neoplasm has increased, encountering both entities in a single kidney is noteworthy. Our video exhibits the concurrent management of a renal calculus and an ipsilateral renal neoplasm using a robotic platform. MATERIALS AND METHODS: A 53-year-old man was diagnosed with a 1...
April 25, 2018: Urology
https://www.readbyqxmd.com/read/29704583/precise-clamping-of-renal-artery-with-endovascular-stents-during-robotic-partial-nephrectomy-technical-hints-to-optimize-outcomes
#15
Juan D Garisto, Julien Dagenais, Yaw Nyame, Daniel Sagalovich, Riccardo Bertolo, Jihad Kaouk
No abstract text is available yet for this article.
April 25, 2018: Urology
https://www.readbyqxmd.com/read/29704582/robotic-single-port-partial-prostatectomy-for-anterior-tumors-transvesical-approach
#16
Jihad H Kaouk, Juan Garisto, Daniel Sagalovich, Julien Dagenais, Riccardo Bertolo, Eric Klein
OBJECTIVE: To evaluate the feasibility of a single-port transvesical robotic approach for anterior partial prostatectomy in a cadaver model. MATERIALS AND METHODS: The cadavers were placed in a lithotomy position and secured to the operating table. A 3-cm midline incision was made in the suprapubic skin fold. After opening the Retzius space, a single-port mini device (GelPOINT, Rancho Margarita, CA) was introduced percutaneously directly into the bladder. The da Vinci Si robotic platform (Intuitive Surgical, Sunnyvale, CA) was docked to the GelPOINT by inserting 2 8-mm (robotic arms) and 1 12-mm (camera) trocar through the GelSeal Cap...
April 25, 2018: Urology
https://www.readbyqxmd.com/read/29700766/fabrication-of-nanosuspension-directly-loaded-fast-dissolving-films-for-enhanced-oral-bioavailability-of-olmesartan-medoxomil-in-vitro-characterization-and-pharmacokinetic-evaluation-in-healthy-human-volunteers
#17
Jihad Mahmoud Alsofany, Manal Yassin Hamza, Aly Ahmed Abdelbary
Olmesartan medoxomil (OM) is an antihypertensive drug with poor water solubility and low oral bioavailability (28.6%). Accordingly, this study aimed to formulate and evaluate OM nanosuspension incorporated into oral fast-dissolving films (FDFs) for bioavailability enhancement. OM nanosuspension was prepared by antisolvent-precipitation-ultrasonication method and characterized regarding particle size (122.67 ± 5.03 nm), span value (1.40 ± 0.51), and zeta potential (- 46.56 ± 1.20 mV). Transmission electron microscopy (TEM) of the nanosuspension showed spherical non-aggregating nanoparticles...
April 26, 2018: AAPS PharmSciTech
https://www.readbyqxmd.com/read/29695171/retroperitoneal-robotic-partial-nephrectomy-systematic-review-and-cumulative-analysis-of-comparative-outcomes
#18
Nicola Pavan, Ithaar Derweesh, Lance J Hampton, Wesley M White, James Porter, Benjamin J Challacombe, Prokar Dasgupta, Riccardo Bertolo, Jihad Kaouk, Vincenzo Mirone, Francesco Porpiglia, Riccardo Autorino
OBJECTIVES: To compare the outcomes of retroperitoneal vs transperitoneal approach for robot-assisted partial nephrectomy (RAPN). MATERIALS AND METHODS: A systematic review of the literature was performed through January 2018 using PubMed, Scopus, and Ovid databases. Article selection proceeded according to the search strategy based on PRISMA criteria. Only studies comparing retroperitoneal to transperitoneal approach for RAPN were deemed eligible for inclusion...
May 29, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29657859/a-survey-of-practices-for-the-use-of-electronic-health-records-to-support-research-recruitment
#19
Jihad S Obeid, Laura M Beskow, Marie Rape, Ramkiran Gouripeddi, R Anthony Black, James J Cimino, Peter J Embi, Chunhua Weng, Rebecca Marnocha, John B Buse
Electronic health records (EHRs) provide great promise for identifying cohorts and enhancing research recruitment. Such approaches are sorely needed, but there are few descriptions in the literature of prevailing practices to guide their use. A multidisciplinary workgroup was formed to examine current practices in the use of EHRs in recruitment and to propose future directions. The group surveyed consortium members regarding current practices. Over 98% of the Clinical and Translational Science Award Consortium responded to the survey...
August 2017: Journal of Clinical and Translational Science
https://www.readbyqxmd.com/read/29657845/long-term-bone-remodelling-around-legendary-cementless-femoral-stems
#20
Charles Rivière, Guido Grappiolo, Charles A Engh, Jean-Pierre Vidalain, Antonia-F Chen, Nicolas Boehler, Jihad Matta, Pascal-André Vendittoli
Bone remodelling around a stem is an unavoidable long-term physiological process highly related to implant design. For some predisposed patients, it can lead to periprosthetic bone loss secondary to severe stress-shielding, which is thought to be detrimental by contributing to late loosening, late periprosthetic fracture, and thus rendering revision surgery more complicated.However, these concerns remain theoretical, since late loosening has yet to be documented among bone ingrowth cementless stems demonstrating periprosthetic bone loss associated with stress-shielding...
February 2018: EFORT Open Reviews
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