... In the treatmentof tubal ectopicpregnancy (EP), laparoscopic surgery remains the cornerstone oftreatment [1] In the absence of randomised data, the question as to whether surgical treatment ... versus radical surgery for tubal pregnancy Acta Obstet Gynecol Scand 1996, 75:8-12 Yao M, Tulandi T: Current status of surgical and nonsurgical management ofectopicpregnancy Fertil Steril 1997, ... off between salpingostomy and salpingectomy for tubal EP in view of the pros and cons of both interventions and will offer guidance to clinicians in making the right treatment choice Trial registration:...
... management of patients in the future Material and Method The authors prospectively evaluated a consecutive series of patients enrolled between November 2006 and March 2007 Anesthesia was administered following ... heart rate and Sat O2 before during and after CO2 insufflation are shown in Table and Fig The mean of blood pressure changed mostly in the first 10 minutes After this stage until evacuation of CO2 ... minutes of CO2 insufflation compared to base line and at evacuation of CO2 from peritoneum The Sat O2 was increased in the early stage of the operation There was no significant change during and...
... gallbladder recurrence 18F-FDG PET scan showed a sensitivity of 80%, a specificity of 82%, and positive and negative predictive values of 67% and 90%, respectively The single false-negative result ... detection of gastric cancer recurrence, the accuracy of 18F-FDG PET/CT scan was 82.6%, and positive and negative predictive values were 85.7% and 77.7%, Funahashi et al World Journal of Surgical ... detection of CRC recurrence, the sensitivity, specificity and overall accuracy of PET were 80%, 69% and 75% respectively, compared with 89%, 92% and 90%, respectively, for PET/CT [18] Goshen...
... Removal of tissue samples Following dissection of the gastric lymph nodes, an automated stapler was inserted via a trocar of the right abdomen, and tissues of the esophagus were cut off (Figure ... spots of the stapler in this report the anvil head and the main unit of the automated stapler, and conducting firing(Figure 1) We used Surgitie™ for purse-string suture of esophagus Methods Site of ... author and surgeon for all of the patients HM gathered information and contributed to writing of the paper YS and TM contributed patients and information on the patients RH and SY were the co-surgeon...
... length of proximal margin was 70 mm (range 30 to 145 mm) and that of distal margin was 50 mm (35 to 120 mm) Postoperatively, the patients had a median pain score of 2(out of 10) on the day of the ... median wound size of cm (range to 2.5 cm) (figure 4) Histology revealed adenocarcinoma in of the specimens and was that of tubular adenoma with low grade dysplasia The median number of lymph nodes ... adenocarcinoma of the right colon, with a median tumour length of 3.5 cm and width of 2.5 cm The median operative time was 90 mins (range 60 - 150 mins), slight blood loss(less than 20 mls) and a median...
... Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand 2Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine ... rigid nature of the instruments with limited degrees of freedom, coupled with the fulcrum effect of laparoscopy and 2-dimensional imaging, certainly contributes to the limitations of the laparoscopic ... we report the feasibility and safety of robot -assisted laparoscopic resection of a type I choledochal cyst in a child Compared to total laparoscopic surgery, the robot -assisted technique facilitates...
... expression of c-kit (figure 2), focally positive expression of SMA, and negative expression of CD34 The postoperative course was uneventful, and the patient shows no evidence of recurrence year and ... man with signs of syncope and haemorrhagic shock secondary to massive haemetemesis was referred for emergency treatmentand investigation to the st Department of Surgery, University of Athens Medical ... proteins and has revolutionized the treatmentof advanced and unresectable GISTs [5] There is growing evidence that responsiveness to TKI inhibitors is dependent on the type and site of mutation...
... probability of an anterior resection of the rectum The recent employment of TEM has reduced the need to perform an anterior resection of the rectum when tumors are located in two different and distant ... was smaller than 25% of the entire bowel circumference and without lymphonodal infiltration [32-34] In literature, a sequential employment of TEM and laparoscopic resection of synchronous colorectal ... laparoscopy and TEM may ease the treatmentof synchronous diseases with a lower morbidity rate Our aim is to increase the observed number of cases in order to minimize the complications and obtain...
... omentum One of the nodules was biopsied and confirmed to be metastatic adenocarcinoma On the 3rd and 12th days after surgery, for intraperitoneal chemotherapy, 40 mg of docetaxel and 150 mg of carboplatin ... 15 Authors’ contributions JP and KC equally contributed to this study and were responsible for treatmentof the case and writing the manuscript All authors read and approved the final manuscript ... disappeared Page of Figure Computed tomography (CT) scan (A) before and (B) after chemotherapy (A) A CT scan showed thickening of the gastric wall, adjacent fat infiltration, and a large amount of food...
... benefits of a resection of the central portion of the pancreas; a simplification of the procedure, and a literature review of the topic Materials and methods A review of patients who underwent ... border of the pancreas and dissection of the superior mesenteric vein (SMV) behind the pancreas Stay sutures are placed on either side of the lesion in the superior and inferior aspect of the ... site after removal of central portion of the panOperative site after removal of central portion of the pancreas Figure Gross section of the tumor, diameter 2.8 cm Gross section of the tumor, diameter...
... may also be appropriate The choice of a conventional sized expander and the avoidance of overfilling were because of literature reports of the risks of ureteric and iliac vessel compression The ... in the literature of a totally laparoscopic insertion and removal of a tissue expander prior to andfollowing primary prostatic radiotherapy In this case, a much higher dose of 80 Gy radiotherapy ... then sutured to the peritoneum of the sacral promontory, and anterior and side walls of the pelvis below the level of the common iliacs, and tied snug to keep the expander in the pelvis With a Huber®...
... Dedication For my husband, Jack, and his never ending support and love For Ezra, Max and Emma, my continued sources of inspiration and joy For my parents who taught me to learn, to teach and to enjoy ... 22640-101 E-mail: brunofontes@openlink.com.br; brunofontes@oftalmo.epm.br Mark J Greenwald Department of Ophthalmology and Visual Science University of Chicago 5841 S Maryland Avenue, M/C 2114 ... zone of compression The compressive effect is maximal in the plane between the point of suture entry and suture exit and falls off laterally The action of the suture can be described in terms of...
... hold, and have a tying platform proximal to the toothed ends for handling of suture There are multiple variations on the shape of the handles, length of the forceps, and configuration of the ... angled, or straight, and the handle may be of varying length and shape Tying forceps are used for suture tying, suture rotation, and various other handling of suture Overcompression of the forceps ... radii of curvature are also available and provide greater accuracy to a controlled depth and length of bite than does a curved needle with a single radius of curvature [15] A modification of the...
... multiple and varied suturing techniques to ensure adequate wound closure, and allowed ophthalmic surgeons to become very proficient and adept at their suturing skills With the advent of phacoemulsification ... was described as a “zone of compression,” which was equal to the length between the entry and exit sitesof the suture [11, 13] Long sutures would create a larger area of compression as compared ... incision to appose the anterior and posterior edges of the wound Unfortunately, because the contraction of tissue, closure of the wound usually requires a great deal of tension to be Wound gape Fig...
... tilting of the lens postoperatively 47 48 Julie H Tsai and Edward J Holland 5.7 Future Challenges The placement of a secondary IOL has now become an accepted standard of care for the treatmentof ... outcomes of endothelial cell loss for patients randomized between modern ACIOLs and sutured PCIOLs However, the progression of innovative materials and techniques, and the current body of research ... advised because of the danger of suturing through the long ciliary arteries and nerves found in these locations The aim of transscleral fixation of the PCIOL is to place the haptics of the lens in...
... entry and exit of suture bites must be of equal tissue depth Also, the bites on either side of the perpendicular laceration must be of equal depth from the anterior perspective, and the passage of ... separate from the area of tissue loss and out of the visual axis Lamellar dissection of the autologous graft is performed, and the tissue is moved to the area of tissue loss and secured into position ... of entry of the suture to the point of exit through the wound (C) should be measured from the posterior aspect of the cornea, and should be equal to the distance from the wound to the point of...
... its structure, and response to disease and injury make an appreciation of iris anatomy and wound healing of particular importance when contemplating iris repair The structure of the normal human ... reestablishment of normal iris architecture or to the formation of a collagenous scar, and can result in further pathology 50–60 µm Fig 8.1 Histologic cross section of pupillary and peripheral portions of ... opaque portion of the lens to extend to the limbus often necessitates the use of soft and rigid gas-permeable contact lenses with large diameters The greater gas permeability of today’s lens...
... instruments and never with the gloved hand Holding needles with the finger tips is quick and often tempting, but runs the risk of accidental perforation of the glove tip This perforation is often unrecognized ... trimmed, leaving a generous length of suture to allow subsequent closure at the end of the case At the end of the case, following closure of the superior sclerotomy sites, the final throw is simply ... creation of a small nick with scissors in the edge of the silicone band on either side of the suture will prevent the band from loosening, since the suture will catch the nick as the band slides...