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https://www.readbyqxmd.com/read/28727386/retroperitoneal-access-for-robotic-renal-surgery
#1
Barrett G Anderson, Alec J Wright, Aaron M Potretzke, R Sherburne Figenshau
INTRODUCTION AND OBJECTIVE: Retroperitoneal access for robotic renal surgery is an effective alternative to the commonly used transperitoneal approach. We describe our contemporary experience and technique for attaining retroperitoneal access. MATERIALS AND METHODS: We outline our institutional approach to retroperitoneal access for the instruction of urologists at the beginning of the learning curve. The patient is placed in the lateral decubitus position. The first incision is made just inferior to the tip of the twelfth rib as described by Hsu, et al...
July 20, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28718323/modern-approaches-to-the-management-of-metastatic-epidural-spinal-cord-compression
#2
Zain A Husain, Arjun Sahgal, Eric L Chang, Pejman Jabehdar Maralani, Charlotte D Kubicky, Kristin J Redmond, Charles Fisher, Ilya Laufer, Simon S Lo
Metastatic epidural spinal cord compression (MESCC) is an oncologic emergency requiring prompt treatment to maximize neurologic function, ambulatory function and local control. Traditionally, options for MESCC included external beam radiation therapy with or without surgery. Surgery has usually been reserved for the patient with optimal performance status, single level MESCC or mechanical instability. Advances in external beam radiation therapy such as the development of stereotactic body radiation therapy have allowed for the delivery of high-dose radiation, allowing for both long-term pain and local control...
July 18, 2017: CNS Oncology
https://www.readbyqxmd.com/read/28716213/imaging-of-endoscopic-approaches-to-the-anterior-and-central-skull-base
#3
REVIEW
I M Schmalfuss
Sinonasal endoscopy for treatment of benign sinonasal diseases is a well-established procedure. Recent advances in endoscope technology have substantially expanded its application with many institutions now offering resection of skull base lesions and sinonasal malignancies via the endoscopic approach. Its minimally invasive nature leads to faster recovery time, better cosmetic results, and fewer complications. Unfortunately, not all lesions involving the sinonasal region and skull base are accessible to sinonasal endoscopy...
July 14, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28712795/transcatheter-arterial-embolization-for-severe-secondary-hemorrhage-after-hysterectomy
#4
Yong Jae Lee, Man Deuk Kim, Jung-Yun Lee, Sang Wun Kim, Sung Hoon Kim, Young Tae Kim, Eun Ji Nam
Four of 1,237 patients who underwent abdominal, laparoscopic, and vaginal hysterectomy between October 2013 and May 2015 had severe secondary hemorrhage after hysterectomy (2 conventional multiport total laparoscopic hysterectomies, 1 single-port access hysterectomy, and 1 total abdominal hysterectomy). The median time interval between hysterectomy and secondary hemorrhage was 28.4 days (range, 16-52 days). All 4 cases were treated with transcatheter arterial embolization (TAE), all of whom required blood transfusions to maintain vital functions before TAE...
July 13, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28712580/single-dose-del-nido-cardioplegia-in-minimally-invasive-aortic-valve-surgery
#5
Daniel Ziazadeh, Regina Mater, Ben Himelhoch, Andrew Borgman, Jessica L Parker, Charles L Willekes, Tomasz A Timek
BACKGROUND: The del Nido cardioplegia (DC) procedure offers prolonged cardiac protection with single-dose administration and has proven safe in adult coronary artery bypass grafting (CABG) surgery. We set out to evaluate the efficacy of cardiac protection and clinical outcomes of DC versus standard blood cardioplegia (BC) in minimally invasive aortic valve surgery. METHODS: Between August 2011 and May 2016, 178 patients underwent minimally invasive aortic valve replacement (AVR) with BC (n = 101) or DC (n = 77)...
June 12, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28706873/minimal-access-tricuspid-valve-surgery
#6
REVIEW
Joseph Lamelas
No abstract text is available yet for this article.
May 2017: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28706798/arthroscopic-excision-of-osteoid-osteoma-of-the-elbow
#7
Deepak N Bhatia
Osteoid osteoma has been reported infrequently around the elbow joint, and is usually treated with radiofrequency ablation or open excision. Elbow arthroscopy is useful for excision of accessible lesions, and the accompanying elbow stiffness can be treated concurrently. This report describes an arthroscopic excision of an osteoid osteoma located in the juxta-articular distal humeral bone. An initial adhesiolysis and capsulectomy is performed to gain access to the region above the capitellar articular margin...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28705751/single-port-laparoscopy-versus-conventional-laparoscopy-in-benign-adnexal-diseases-a-systematic-review-and-meta-analysis
#8
REVIEW
Andy Schmitt, Patrice Crochet, Sophie Knight, Claire Tourette, Anderson Loundou, Aubert Agostini
Single port laparoscopy (SPL) was developed approximately thirty years ago in minimally invasive surgery. Literature comparing SPL to conventional laparoscopy (CL) for adnexal surgery (cystectomy, adnexectomy) is inconsistent. The objective of this systematic review and meta-analysis was to evaluate the advantage of SPL over CL for adnexal surgery. Pubmed, Embase and Medline were searched for publications in English and in French published between 1975 and November 2015 using the following key words: (((single port) or (single site) or (one port) or (single-port access laparoscopy) or (single-site laparoscopy) or (laparoscopic single site surgery)) and ((adnexal disease) or (ovarian cystectomy) or (ovariectomy) or (adnexectomy))) not (pregnancy)...
July 10, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28701857/laparoscopic-single-site-inguinal-hernia-repair-using-a-self-fixating-mesh
#9
Alfredo D Guerron, Hui-Jie Lee, Jin Yoo, Keri Seymour, Ranjan Sudan, Dana Portenier, Chan Park
BACKGROUND AND OBJECTIVES: Every year ∼20 million inguinal hernia repairs are completed worldwide. Increased patient access to medical information and education has elicited interest in minimally invasive surgical techniques that obtain improved surgical outcomes and cosmesis. Because of these factors, there is a growing interest in single-incision surgery. Laparoscopic totally extraperitoneal (TEP) single-incision hernia repair technique has been reported with different meshes used in a tack fixation system...
January 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/28691470/replica-guided-trauma-surgery
#10
F Laganà, E Segna, A Baj, G Beltramini, A Russillo, V Candotto, F J Silvestre, A B Giannì
The aim of this study is to present a new approach to the surgical treatment of fractures of the middle third of the face, based on the use of resorbable materials and stereolithographic models. From 2009 to 2014, we treated 10 cases of orbitozygomatic trauma mostly as secondary surgery. For each case, an anatomical replica had been produced simulating the expected result and was then used to contour the resorbable plates on its surface, even before the beginning of the surgical procedure itself. The plates and meshes already bended act as a guide to bony reduction procedure...
April 2017: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/28688711/outcomes-of-octogenarians-discharged-from-the-hospital-after-prolonged-intensive-care-unit-length-of-stay-after-cardiac-surgery
#11
Rakesh C Arora, Rizwan A Manji, Rohit K Singal, Brett Hiebert, Alan H Menkis
OBJECTIVE: Octogenarians offered complex cardiac surgery frequently experience a prolonged intensive care unit length of stay; however, minimal data exist on the outcomes of these patients. We sought to determine the rates and predictors of 1-year noninstitutionalized survival ("functional survival") and rehospitalization for octogenarian patients with prolonged intensive care unit length of stay after cardiac surgery and who were discharged from hospital. METHODS: The outcomes of discharged patients aged 80 years or more who underwent cardiac surgery with prolonged intensive care unit length of stay (≥5 consecutive days) from January 1, 2000, to December 31, 2011, were examined retrospectively from linked clinical and administrative provincial databases...
July 6, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28685074/use-of-the-bioactive-resorbable-plate-system-for-zygoma-and-zygomatic-arch-replacement-and-fixation-with-modified-crockett-s-method-for-maxillectomy-a-technical-note
#12
Shintaro Sukegawa, Takahiro Kanno, Akane Shibata, Kenichi Matsumoto, Yuka Sukegawa-Takahashi, Kyousuke Sakaida, Yoshihiko Furuki
As a surgical approach targeting the pterygopalatine fossa following maxillary cancer due to tumor invasion, Crockett's method is conventional and useful. However, if the tumor is confined to the area between the maxilla and pterygopalatine fossa, it is not necessary to include the zygomatico-orbital in the access osteotomy, and the orbital floor may be preserved. Depending on the range of tumor invasion, the current study reports a more minimally invasive, modified Crockett's surgery that may be considered, which includes resection with modified osteotomy lines and repositioning with fixation of the zygoma and zygomatic arch following maxillary cancer ablation...
July 2017: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/28678628/indications-for-hip-arthroscopy
#13
James R Ross, Christopher M Larson, Asheesh Bedi
CONTEXT: Hip arthroscopy is gaining popularity within the field of orthopaedic surgery. The development and innovation of hip-specific arthroscopic instrumentation and improved techniques has resulted in improved access to the hip joint and ability to treat various hip pathologies. EVIDENCE ACQUISITION: Electronic databases, including PubMed and MEDLINE, were queried for articles relating to hip arthroscopy indications (1930-2017). STUDY DESIGN: Clinical review...
July 1, 2017: Sports Health
https://www.readbyqxmd.com/read/28666792/post-kidney-transplant-robot-assisted-laparoscopic-ureteral-donor-receiver-anastomosis-for-kidney-graft-reflux-or-stricture-disease
#14
Daniel A Benamran, Jacques Klein, Karine Hadaya, Gregory Wirth, Pierre-Yves Martin, Christophe E Iselin
OBJECTIVES: To report our experience with robot-assisted ureteral anastomosis for kidney graft. Kidney graft complex ureteral strictures and/or symptomatic vesico-ureteral reflux may require complex reconstruction. This is classically done through an open surgical access, which adds to the morbidity of kidney transplantation. The da Vinci robot enables to perform complex laparoscopic procedures, and may hence be used for such reconstructions. METHODS: we retrospectively reviewed all patients undergoing robotic surgical revision for stricture or reflux disease over a three years period...
June 27, 2017: Urology
https://www.readbyqxmd.com/read/28664237/surgical-and-minimally-invasive-therapies-for-the-management-of-the-small-renal-mass
#15
REVIEW
John Withington, Joana B Neves, Ravi Barod
PURPOSE OF REVIEW: This article aims to summarise recent developments in surgical and minimally invasive therapies in the management of small renal masses (SRMs). RECENT FINDINGS: The incidence of the small renal mass is increasing. Standard management of the SRM is partial nephrectomy. More recently, use of ablative techniques to manage the SRM has been increasing and an exciting array of technical advances is currently being made in the field. Nephron-sparing surgery looks set to become more financially viable with the advent of newer robotic platforms and, potentially, even less invasive with the evaluation of single-port access...
August 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28659171/comparison-of-endoscopic-evacuation-stereotactic-aspiration-and-craniotomy-for-the-treatment-of-supratentorial-hypertensive-intracerebral-haemorrhage-study-protocol-for-a-randomised-controlled-trial
#16
Xinghua Xu, Yi Zheng, Xiaolei Chen, Fangye Li, Huaping Zhang, Xin Ge
BACKGROUND: Hypertensive intracerebral haemorrhage (HICH) is the most common form of haemorrhagic stroke with the highest morbidity and mortality of all stroke types. The choice of surgical or conservative treatment for patients with HICH remains controversial. In recent years, minimally invasive surgeries, such as endoscopic evacuation and stereotactic aspiration, have been attempted for haematoma removal and offer promise. However, research evidence on the benefits of endoscopic evacuation or stereotactic aspiration is still insufficient...
June 28, 2017: Trials
https://www.readbyqxmd.com/read/28658330/transaxillary-single-port-subtotal-parathyroidectomy-feasibility-study-in-cadavers
#17
Alexandre Elmães de Marsillac, Rossano Kepler Alvim Fiorelli, Henrique Neubarth Phillips, Pietro Novellino, André Lacerda Oliveira, Ricardo Paiva A Scheiba Zorron
Objective : to test the minimally invasive technique of single-port transaxillary subtotal parathyroidectomy in non-formalized cadavers to evaluate its viability and reproduction. Method : we performed ten subtotal parathyroidectomies through a transaxillary TriPort access in cadavers. The technique consisted of access through the axillary fossa, creating a subcutaneous tunnel to the anterior cervical region, for handling of the thyroid gland and dissection and resection of the parathyroid glands...
March 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28658180/morphometric-analysis-of-the-orbital-process-of-the-palatine-bone-and-its-relationship-to-endoscopic-orbital-apex-surgery
#18
Sarina K Mueller, Suzanne K Freitag, Benjamin S Bleier
BACKGROUND: Endoscopic approaches to the orbit improve the ability to directly access apical lesions while minimizing manipulation of normal structures. Inferomedial orbital access is limited by the orbital process of the palatine bone (OPPB) which prevents dissection and retraction in the inferolateral vector. OBJECTIVE: The objective of this study was to examine the morphometric characteristics of the OPPB and quantify the benefit of complete resection to surgical access...
June 19, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28649378/knot-free-technique-for-laparoscopic-ventral-mesh-rectopexy
#19
Hammad Zaidi, Ajay Gupta, Niraj Khetan, Khalid Habib
AIM: The aim of our study was to describe and assess a new method of mesh fixation using clips in Laparoscopic Ventral Mesh Rectopexy (VMR). This technique avoids knots while suturing in pelvis and saves time. METHOD: A systematic search of the literature (PUBMED, EMBASE) was done to find out alternate ways to fix the mesh over the anterior surface of rectum. This technique has not been used before. We performed five operations using this technique. Indication for surgery was full thickness rectal prolapse in all of them...
July 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28645672/percutaneous-pedicle-screw-placement-under-single-dimensional-fluoroscopy-with-a-designed-pedicle-finder-a-technical-note-and-case-series
#20
Fon-Yih Tsuang, Chia-Hsien Chen, Yi-Jie Kuo, Wei-Lung Tseng, Yuan-Shen Chen, Chin-Jung Lin, Chun-Jen Liao, Feng-Huei Lin, Chang-Jung Chiang
BACKGROUND CONTEXT: Minimally invasive spine surgery has become increasingly popular in clinical practice, and it offers patients the potential benefits of reduced blood loss, wound pain, and infection risk and also diminishes the loss of working time and length of hospital stay. However, surgeons require more intraoperative fluoroscopy and ionizing radiation exposure during minimally invasive spine surgery for localization, especially for guidance in instrumentation placement. In addition, computer navigation is not accessible in some facility-limited institutions...
June 20, 2017: Spine Journal: Official Journal of the North American Spine Society
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