difficulties in pediatric laparoscopic urologic surgery

... Laparoscopic Urologic Surgery in Malignancies Jean J M C H de la Rosette ´ Inderbir S Gill Editors Laparoscopic Urologic Surgery in Malignancies With 178 Figures ... Springer Science+Business Media springeronline.com ° Springer Berlin Heidelberg 2005 Printed in Germany The use of designations, trademarks etc in this publication does not imply, even in the absence ... Rubinstein, Inderbir S Gill 13 Anaesthesia for Laparoscopic Urologic Surgery in Malignancies 287 Christian P Henny, Jan Hofland 14 The Future of Laparoscopic Surgery...

Ngày tải lên: 11/08/2014, 15:20

... surgeon performing laparoscopic nephrectomy should be sufficiently skilled and trained in reconstructive laparoscopic a surgery In this case, suturing the injury is not a major challenge n Injury of ... morcellating cancer-containing organs and opt instead for the intact removal of the specimen a Oncologic Issues The main objection raised by opponents to laparoscopic surgery for oncologic indications ... is a major factor preventing its widespread dissemination Tschada et al in 1995 [2] and Winfield et al in 1996 [3] described the insertion of the gloved finger into the laparoscopic operative field...

Ngày tải lên: 11/08/2014, 15:20

... effective adjunct in maintaining hemostasis It is easily prepared within minutes and immediately effective The gelatin matrix thrombin composite in FloSeal mechanically slows down bleeding and provides ... that may result in intraoperative hemorrhage due to inadequate occlusion, especially in the setting of renal artery arteriosclerosis In contrast, the laparoscopic Satinsky clamp is inherently more ... Carcinoma II 3.1 Laparoscopic Partial Nephrectomy Antonio Finelli, Inderbir S Gill Contents Introduction 49 Indications and Contraindications 49 Surgical Technique 50 Comparison of Open and Laparoscopic...

Ngày tải lên: 11/08/2014, 15:20

... the 1990s showing significant technical difficulties and therefore preventing the clinical introduction [31±33] In the meantime, an increasing number of urologists, including various international ... line of the right lateral trocar The umbilical arteries are identified close to the abdominal inguinal ring and the peritoneum is incised just laterally to them From the internal inguinal ring ... explained Not explained Not explained Not explained Not explained Not explained Not explained 0 0 0 Retroperitoneal hand-assisted Fig The most common incisions used in NU laparoscopy: 1, midline...

Ngày tải lên: 11/08/2014, 15:20

... (2004) Laparoscopic radical cystectomy and urinary diversion In: Higashihara E, Naito S, Matsuda T (eds) New challenges in laparoscopic urologic surgery Recent advances in endourology, vol Springer, ... preplanning of the port placement when laparoscopic surgery is intended Relative contraindications for the extraperitoneal approach are previous lower abdominal or extraperitoneal surgery or inguinal ... helpful to increase the abdominal pressure above the level of 15 mmHg in order to create a better working space McDougall et al showed in a pig model that increasing the abdominal pressure increases...

Ngày tải lên: 11/08/2014, 15:20

... high intra-abdominal pressure [36] This finding could explain the implant at trocar sites Other authors have studied intra-abdominal cell kinetics after injection of free cells in the abdominal ... vitamin K1 (1±2 mg) In presence of minor bleeding, warfarin derivatives should be discontinued and 1± mg of vitamin K1 administered Major bleeding treatment requires administration of vitamin K1 ... management guidelines for use of warfarin in patients undergoing laparoscopic surgery Synopsis of Anticoagulation Physiology Oral anticoagulants (e.g., warfarin or Coumadin) inhibit vitamin K-dependent...

Ngày tải lên: 11/08/2014, 15:20

... procedures of increasing complexity Defining competence Defining standards Career counselling Training Maintenance of skills Assessment of competence Certification To gain the hand-eye coordination ... increasingly being considered for training, testing, and possibly credentialing in medicine and surgery Even though 97% of the US medical schools use mannequins as standardized patients for instruction ... international training program in laparoscopic surgery Surg Laparosc Endosc 6:10±15 12 Laparoscopic Instrumentation Monish Aron, Mihir M Desai, Mauricio Rubinstein, Inderbir S Gill Contents Introduction...

Ngày tải lên: 11/08/2014, 15:20

... hemostasis in the event of injury to an abdominal wall vessel during trocar insertion Insufflant System The insufflant system (i.e., insufflator, tubing, and insufflant gas) is essential for establishing ... the way Laparoscopic surgery certainly has a bright future in urology and will play a dominating role in the coming years Nevertheless, it remains a segment only in a dynamic and ever-changing field, ... carcinoma with invasion of large vessels Hb, creatinine Hb, creatinine Hb, thrombocyte and leucocyte count, Na, K, creatinine, albumin, ECG, spirometry, chest X-ray Hb, creatinine Pelvic lymph...

Ngày tải lên: 11/08/2014, 15:20

... provided with lactated Ringer solution The subjects were supine for induction and emergence from anesthesia, remaining in a flexed lateral decubitus position during laparoscopic intervention None of ... during and after CO2 insufflation in an extraperitoneal laparoscopy cohort Mean (SD) / p-value Parameter Before insufflation (base line) First 10 mins insufflation (every measurement) Remaining ... patients Induction was achieved using NO 2, isoflurane, and thiopenthal during which, peripheral intravenous access was obtained Rocuronium was administered intravenously to facilitate tracheal intubation...

Ngày tải lên: 05/03/2014, 15:20

... acquisition and interpretation GI was involved in data acquisition and interpretation, and manuscript drafting SB and AB were involved in data acquisition AF was involved in data interpretation ... obtained and maintained using antegrade intermittent blood cardioplegia After completion of the CPB and removal of the cannulas, heparin was reversed using protamine sulfate at a 1:1 ratio During ... used in the priming solution Moreover, there is evidence that blood lactate levels during the ICU stay are initially higher in pediatric patients receiving a bloodless priming solution than in...

Ngày tải lên: 13/08/2014, 20:21

... followed were in accordance with institutional guidelines involving 240 human subjects Vaccine description All adults were vaccinated with Influenza Virus Vaccine Fluzone® (inactivated Influenza ... BioRad, Hercules, CA) Cytokine determination Serum cytokines [Interleukin-2 (IL-2), Interferon gamma (IFN-γ), Interleukin-4 (IL-4), Interluekin-10 (IL-10)] were determined by sandwich ELISA (Biosource, ... anti-Influenza virus antibodies in serum of IgE positive and negative vaccinated pediatric and adult subjects, approaching two years post vaccination The exact role of IgE in Influenza virus infection...

Ngày tải lên: 25/10/2012, 11:10

... The prevalence of OAB in men has been reported to be 10.2-16.0% It is expected to be much higher in the urologic setting since urinary complaint is a common reason for urologic visit Our study ... applying the International Continence Society Definition Eur Urol 2005; 48:622 Irwin D, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, et al Population-based survey of urinary incontinence, ... mass index (BMI, kg/m ) 30 Not stated History of smoking Smoker Ex-smoker (stopped >6 mths) Never Not stated Previous surgery Bladder surgery Urinary leakage surgery Prostate surgery...

Ngày tải lên: 25/10/2012, 11:35

... containing mg/ml porcine skin gelatin in the presence of SDS under non-reducing conditions Following electrophoresis, gels were washed in 2.5% Triton X-100 for hour at 4°C, then incubated in 50 ... role in inflammation and in extracellular matrix remodeling This study aimed to assess the pulmonary expression of MMPs and their inhibitors in the clinical course of pediatric ALI, including comparison ... levels (neutrophil gelatinase-B associated lipocalin complex) in lung fluid obtained on postnatal days and from premature infants recovering from RDS, when compared to infants with RDS who went...

Ngày tải lên: 03/11/2012, 11:48

... helpful in teaching final voiced consonants If the students are having difficulties in voicing final stops, they will probably have difficulties with final voiced fricatives also 17 Problem : Initial ... the interviewees were asked nine same questions in the structured interview: Do you find that your students have difficulties in learning English pronunciation? In your opinion, what are the main ... main problems, as stated in the Findings, were word-ending sounds, stress and intonation 5.2 Suggestions for pronunciation teaching in upper secondary schools In accordance with the above findings,...

Ngày tải lên: 07/11/2012, 15:04

... - Deducing the meaning and use of unfamiliar lexical items - Understanding the meaning of explicitly stated information - Recognizing indicators in discourse - Interpreting texts by going outside ... going outside it - Identifying the main point or important information in a piece pf discourse - Distinguishing the main ideas from supporting details - Extracting salient points to summarize the ... Previewing Previewing can be previewing title of the reading text, previewing the picture provided in the course book, previewing the question and information provided in the prereading phase in...

Ngày tải lên: 10/04/2013, 10:36

... culture relates to getting information in listening comprehension Shortage of vocabulary barriers students from getting information When listening they have to stop to think as they meet new words ... would like to discuss on some II Discussion difficulties and solution in teaching and learning English through listening As we know, like reading, listening is a receptive skill where the purpose ... students be in a good mood, in a listening environment Students must be familiar with the topic that they are going to listen Finally, the material facilities, teaching document ( even teaching method)...

Ngày tải lên: 30/06/2013, 01:27

... continued success? a it invests heavily in research and has ongoing commitment to innovation b it invests heavily in advertising and has ongoing commitment to innovation c it invests heavily in ... main ideas? 16.3 happening in reality Should The supplementary listening A Yes Table 3: Students’ opinions on the exercises in the LC and requirements for learning/teaching listening Regarding ... Major Findings: 25 From the two discussions above, it is interesting to find that both groups of participants share the same view on many points concerning sources of difficulties in Teaching Listening...

Ngày tải lên: 07/09/2013, 13:37

... are two kinds of derivational affixes in English: class changing and class maintaining Class maintaining derivational affixes not change the word class of the word but change the meaning of the ... to find out teachers' difficulties in teaching English vocabulary to minor ethnic students, and ethnic students' difficulties in learning English vocabulary In order to have a deep understanding ... activities involving students' interaction For example, a set of pictures illustrating sporting activities 10 could be used as a mean of presenting items such as skiing, sailing, climbing, etc...

Ngày tải lên: 07/09/2013, 13:45

... overcoming the difficulties in teaching grammar communicatively a Training and retraining teachers in CLT b Redefining students role and teachers role c Changing students attitude towards learning ... Chapter III: Findings and suggestions III.1 Findings III.1.1 Difficulties faced by the students in learning grammar and their expectations III.1.2 Difficulties faced by the teachers in teaching grammar ... teaching experience: Have you ever trained in Communicative Language Teaching (CLT)? Never Yes, in University method course Yes, in English teaching conferences Yes, in English teaching journals...

Ngày tải lên: 07/09/2013, 13:45

... of a slight velopharyngeal insufficiency in humans [107] Ophof et al implanted skin substrates after cell seeding with oral keratinocytes in vitro into palatinal wounds in dogs as a model for closure ... technique and bearing in mind the contraindications, more than 90% of the children can nowadays be extubated without problems In spite of the progress, in children undergoing single-step surgical ... intubation over several days as an intratracheal splinting An external splinting by metallic microplates in the surgical tracheal reconstruction was described first time by Zalzal and Deutch in...

Ngày tải lên: 25/10/2013, 08:20