laparoscopic management of peritoneal endometriosis
Tài liệu The ESEP study: Salpingostomy versus salpingectomy for tubal ectopic pregnancy; The impact on future fertility: A randomised controlled trial ppt
... trial will provide evidence on the trade 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 ... ISRCTN37002267 Background In the treatment of tubal ectopic pregnancy (EP), laparoscopic surgery remains the cornerstone of treatment [1] In the absence of randomised data, the question as to whether ... history of bilateral tubal pathology, salpingostomy offered better IUP rates than salpingectomy, albeit at the cost of an increased risk for repeat EP [6-8,10] In women without a history of tubal...
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Cardiac and Hemodynamic Changes during Carbon Dioxide Pneumoperitoneum for Laparoscopic Gynecologic Surgery in Rajavithi Hospital ppt
... early stage of the operation due to increasing of intraperitoneal pressure from CO2 insufflation The effect of intraperitoneal pressure increment and reversed Trendelenberg position of the patient ... Discussion Most problem needed laparoscopic surgery for endometriosis and myoma uteri, showing that most of the age groups were in the reproductive age The body mass index of this group was mostly ... 10 minutes of pneumoperitoneum (measurements obtained every minutes) for the remaining laparoscopic part of the procedure (measurements obtained every minutes), and after evacuation of the carbon...
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Báo cáo khoa học: "Clinical and pathological assessment of different suture techniques for microvascular anastomosis in rat femoral artery" ppsx
... seuqinhcet ffuc dna eveels ,suounitnoc ehT seuqinhcet erutus tnereffid eht rof emit sisomotsanA giF eno gnisu demrofrep saw sisylana lacitsitatS :scitsitatS ytisrevinU tuissA fo tinU ypocsorciM ... ,reffub etahpsohp fo M 1.0 ni dehsaw erew snemiceps ehT h 42 rof )3.7 Hp( reffub etahpsohp a ni )%5.2( edyhdlaretulg dna )%5.2( edyhdlamrofarap gniniatnoc noitulos a ni dexif dna ,yregrus retfa keew ... rehtruf roF :ypocsorcim nortcele gninnacS noitcaer yrotammalfni fo eerged eht dna slairetam erutus eht fo noitacol dna ecneserp eht ,sisorcen laidem ,noitarefilorp dna yrujni lailehtodne yna rof denimaxe...
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báo cáo khoa học: "A role of 18F-fluorodeoxyglucose positron emission/computed tomography in a strategy for abdominal wall metastasis of colorectal mucinous adenocarcinoma developed after laparoscopic surgery" pptx
... mucinous adenocarcinoma of the gallbladder and gastric cancer, respectively For detection of gallbladder recurrence 18F-FDG PET scan showed a sensitivity of 80%, a specificity of 82%, and positive ... 77.7%, Funahashi et al World Journal of Surgical Oncology 2011, 9:28 http://www.wjso.com/content/9/1/28 Page of recurrence of mucinous adenocarcinoma after laparoscopic surgery for CRC Mucinous ... evaluation of patients with suspected recurrence of CRC Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying image A copy of the...
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báo cáo khoa học: "Reconstruction of the esophagojejunostomy by double stapling method using EEA™ OrVil™ in laparoscopic total gastrectomy and proximal gastrectomy" pdf
... 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 ... created at the tip of the open end of the esophagus obliquely cut off to the long axis Figure A tube was made to pass through from a small hole at the tip of the open end of the esophagus thereby ... 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...
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Báo cáo khoa học: "Single site laparoscopic right hemicolectomy: an oncological feasible option" pot
... 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 ... Lim et al World Journal of Surgical Oncology 2010, 8:79 http://www.wjso.com/content/8/1/79 Page of Figure Seal Cap Figure External view of instruments table was rotated to obtain...
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Báo cáo khoa học: "Robot-assisted complete excision of choledochal cyst type I, hepaticojejunostomy and extracorporeal Roux-en-y anastomosis: a case report and review literature" ppsx
... 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 ... 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 the most difficult part of ... standard laparoscopic approach of hepatobiliary surgery is still limited due to the technical complexities of these procedures The rigid nature of the instruments with limited degrees of freedom,...
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Báo cáo khoa học: "GIST suture-line recurrence at a gastrojejunal anastomosis 8 years after gastrectomy: can GIST ever be described as truly benign? A case report" pdf
... University of Athens, Medical School, Greece Department of Hepatobilary Surgery, Churchill Hospital, Oxford, UK 3First Department of Surgery, University of Athens Medical School, Greece Professor of ... suggestive of familial GIST which can be seen in patients with neurofibramatosis type (NF1) or in the Carney-Stratakis dyad Conclusions The significant majority of mesenchymal tumors of the stomach ... review, of local recurrence of a very small (
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Báo cáo khoa học: "Synchronous colorectal neoplasias: our experience about laparoscopic-TEM combined treatment" docx
... resection of the rectum In case of neoplastic lesions in distant colic segments, the employment of TEM reduces the probability of an anterior resection of the rectum The recent employment of TEM ... evaluation of colon-rectum, allowing to detect the presence of synchronous lesions Colonoscopy is the most appropriate mean of investigation for colorectal cancer, but it cannot be performed in case of ... Department of General and Emergency Surgery of the University of Perugia; 128 were right colon cancers, 195 were left colon cancers while 234 patients were affected by rectal cancers We performed 224 laparoscopic...
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Báo cáo khoa học: "Unresectable gastric cancer with gastric outlet obstruction and distant metastasis responding to intraperitoneal and folfox chemotherapy after palliative laparoscopic gastrojejunostomy: report of a case" pdf
... surgery, for intraperitoneal chemotherapy, 40 mg of docetaxel and 150 mg of carboplatin were introduced over hours in 1000ml of saline Hyperthermia was not used in the intraperitoneal chemotherapy ... status was grade [6] The patient underwent a laparoscopic gastrojejunostomy for palliation of the GOO The peritoneal drainage catheter was placed during the laparoscopic procedure Figure Gastroscopy ... arrow) and nodular peritoneal thickening, suggesting peritoneal carcinomatosis, and multiple hepatic metastases (black arrows) are shown (B) Complete disappearance of thickening of the gastric wall,...
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Báo cáo khoa học: "Central pancreatectomy without anastomosis" ppsx
... 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 ... 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 ... facilitates exposure of the lower 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...
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Báo cáo khoa học: "Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer" pdf
... materials run the risk of infection or adherence to loops of bowel or the creation of a fistula Partitioning of the pelvis from the abdomen may also create an empty pelvic space Loops of bowel may get ... means of a polydiaxanone (PDA) purse string suture This monofilament has a tensile-strength half life of weeks, with significant degradation of the suture at 1012 weeks Therefore removal of the ... planning where the profile of the radiation beam is shaped to fit the target The delivery of intensity-modulated radiotherapy can also be adjusted and improves the ability of treatment volumes...
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Opthalmic microsurgical suturing techniques - part 1 ppsx
... RJ, Brazil 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, ... lip of the wound so the depth of the wound can be accurately ascertained This allows a flatter trajectory of the needle through the tissue nd enables the surgeon to see the depth of both sides of ... 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...
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Opthalmic microsurgical suturing techniques - part 2 pot
... position of the approximation loop is the direct result of the placement of each bite of the suture Square knots and slipknots can both be tied from the same initial loop arrangement The direction of ... to a variety of situations, and should be a part of the armamentarium of any ophthalmic surgeon 3.2 Principles of Knot Tying Basic microsurgical knot tying requires manipulation of sutures with ... 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...
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Opthalmic microsurgical suturing techniques - part 3 ppsx
... include the floor of a tunnel incision A = adequate closure of today’s small incision cataract wounds, the major disadvantage of this suture is the risk of inducing large amounts of astigmatism ... wound The timing of suture removal is at the discretion of the individual surgeon However, removal too early can induce the risk of wound dehiscence In the case of new inflammation of the surrounding ... on the outer sleeve of the phacoemulsification hand piece Other causes can include blockage of the infusion ports with a viscoelastic agent, the delivery of excessive amounts of ultrasound energy...
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Opthalmic microsurgical suturing techniques - part 4 pptx
... trephination blade size of choice Additional components of keratoplasty procedures include acquisition of donor tissue from eye banking establishments The combination of improved methods of corneal tissue ... iris fixation of an AcrySof intraocular lens in the absence of capsule support JCRS 2003; 29:1663–1667) f g f Chapter Suturing an Intraocular Lens OL haptics are secured, the optic of the IOL is ... Fixation of a posterior chamber lens through scleral fixation offers several advantages over iris-sutured lenses Proper implantation of the PCIOL reduces lens–iris contact and thus reduces the risk of...
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Opthalmic microsurgical suturing techniques - part 5 docx
... 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 the suture of equal lengths ... 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 ... the 24-bite SCS in 7.2% of patients, with the majority of cases occurring within weeks of suture removal [1] While wound dehiscence typically occurs soon after removal of sutures, late postoperative...
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Opthalmic microsurgical suturing techniques - part 6 pps
... 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 ... in mind that the anatomy of these eyes may be altered as a consequence of the process (often traumatic) that led to the iridodialysis The following are a summary of some of the surgical approaches ... Preoperative photo of an aniridic eye prior to placement of the IOL Postoperative photo of the same aniridic after placement of the IOL Fig 8.18 Iris occlusive segments for correction of sector iris...
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Opthalmic microsurgical suturing techniques - part 7 pptx
... subsequent loosening of the suture (Fig 9.2d) The ends of the suture are then trimmed, leaving a generous length of suture to allow subsequent closure at the end of the case At the end of the case, following ... memory nature of monofilament sutures tends to hold the tension of the initial triple throw nicely If a soft braided suture such as Dacron or Chapter Merseline is used, the assistant will often need ... Astigmatism is the result of corneal distortion secondary to deformation of the adjacent sclera by the sutures Although astigmatism is often minimal and temporary because of the use of dissolvable sutures...
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