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medical treatment the place of methotrexate

Tài liệu The ESEP study: Salpingostomy versus salpingectomy for tubal ectopic pregnancy; The impact on future fertility: A randomised controlled trial ppt

Tài liệu The ESEP study: Salpingostomy versus salpingectomy for tubal ectopic pregnancy; The impact on future fertility: A randomised controlled trial ppt

Sức khỏe phụ nữ

... 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 surgical treatment ... aware of the allocation of treatment The statistical analysis will be performed according to O'Brien Fleming's rule The decision to unblind treatment allocation is at the discretion of the DSMC The ... after the operation of the index tubal EP, the patients are contacted by means of a questionnaire, every six months for a period of 36 months The questionnaire focuses on the presence of a desire...
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Cardiac and Hemodynamic Changes during Carbon Dioxide Pneumoperitoneum for Laparoscopic Gynecologic Surgery in Rajavithi Hospital ppt

Cardiac and Hemodynamic Changes during Carbon Dioxide Pneumoperitoneum for Laparoscopic Gynecologic Surgery in Rajavithi Hospital ppt

Sức khỏe phụ nữ

... described Briefly, the patient was placed in a reversed Trendelenburg position Intraperitoneal access was achieved through open placement of the first trocar at the lower border of the umbilicus Insufflation ... 15 mmHg At the end of the procedure, after ensuring hemostasis, the gas was completely evacuated from the peritoneal cavity from the abdominal cavity before trocar removal None of the study patients ... of the age groups were in the reproductive age The body mass index of this group was mostly within normal limits Because high body mass index could increase the risk of surgery, it was one of the...
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LAPAROSCOPIC KIDNEY CYST DECORTICATION CẮT NỘI SOI NANG THẬN pdf

LAPAROSCOPIC KIDNEY CYST DECORTICATION CẮT NỘI SOI NANG THẬN pdf

Cao đẳng - Đại học

... Mỗi néphrone có nhiệm vụ lọc, tái hấp thu tiết nước tiểu vào bể thận Từ bể thận nước tiểu chảy theo niệu quản xuống bàng quang Nếu đơn vị thận bị viêm, bị sỏi, bị xơ làm bít lại nước tiểu bị...
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Báo cáo khoa học:

Báo cáo khoa học: "Clinical and pathological assessment of different suture techniques for microvascular anastomosis in rat femoral artery" ppsx

Báo cáo khoa học

... 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:

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

Báo cáo khoa học

... nodes The small nodule was diagnosed as a solitary metastasis of the cecal cancer at the previous port site (Figure 2) The nodule was resected in February 2009 The tumor was located in the abdominal ... this case The operating record indicated that a wound drape had been used to prevent the implantation of tumor cells during surgery; clinico-pathologically, the depth of invasion of the primary ... was an assistant of the operation HK is a chairman of the department of gastroenterological surgery, Toho University Medical Center, Omori Hospital All authors read and approved the final manuscript...
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báo cáo khoa học:

báo cáo khoa học: "Reconstruction of the esophagojejunostomy by double stapling method using EEA™ OrVil™ in laparoscopic total gastrectomy and proximal gastrectomy" pdf

Báo cáo khoa học

... resistance, the throat cavity was widened during transit through the larynx, and the cuffs were deflated When the tube was pulled further, the anvil was led from the open end of the esophagus into the ... into the right abdomen, and after grasping the esophagus with the forceps, tightened the Surgitie™, Figure A small hole was created at the tip of the open end of the esophagus obliquely cut off ... from the open end of the lifted jejunum to let a trocar pass through Then, the main unit of the automated stapler and the lifted jejunum were fastened with silk thread to prevent dropout of the...
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Báo cáo khoa học:

Báo cáo khoa học: "Single site laparoscopic right hemicolectomy: an oncological feasible option" pot

Báo cáo khoa học

... adenoma measuring by cm in size at the hepatic flexure The rest had 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 ... of 10) on the day of the operation, and a score of on the 1st postoperative day All had no significant pain after the 2nd post-operative day All patients had a median hospital stay of days (range ... refinement, which is the SSL access system There are several advantages using the new SSL access system The low profile seal cap enables us to use a wide range of instruments The integrated system...
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Báo cáo khoa học:

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

Báo cáo khoa học

... technique from the early experiences in robotic surgery Disadvantages include the size of the robotic hardware in relation to patient body; the loss of haptic feedback; and the overall cost of the hardware, ... 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, coupled with the fulcrum ... was started on the inferior half of the cyst Once the portal vein and hepatic arteries were separated from the cyst, the dissection was carried inferiorly toward the pancreas The cyst was eventually...
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Báo cáo khoa học:

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

Báo cáo khoa học

... through the lymphatic system However the unusual presentation of the case created uncertainty over the malignant potential of the tumour and the experienced surgeons deemed lymphadenectomy the most ... Department of Pathology, University of Athens, Medical School, Greece Department of Hepatobilary Surgery, Churchill Hospital, Oxford, UK 3First Department of Surgery, University of Athens Medical ... neurofibramatosis type (NF1) or in the Carney-Stratakis dyad Conclusions The significant majority of mesenchymal tumors of the stomach are believed to derive from the interstitial cells of Cajal,...
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Báo cáo khoa học:

Báo cáo khoa học: "Synchronous colorectal neoplasias: our experience about laparoscopic-TEM combined treatment" docx

Báo cáo khoa học

... segments, the employment of TEM reduces the 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 ... anterior resection of rectum The final histological diagnoses were low grade dysplasia adenomas of the rectum while only one of the rectal lesions was classified as a T1 cancer The right colon lesions ... checked the numbers and percentages MC drafted the article, updated the references and checked the numbers and percentages RC drafted the article, updated the references and checked the numbers...
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Báo cáo khoa học:

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

Báo cáo khoa học

... size of the hepatic metastases, and the tumor markers returned to normal levels After the completion of nine courses of chemotherapy, the gastric wall thickening, metastatic foci in the liver, ... extended lymph node dissection The aim of the surgical resection was to confirm the CR by pathologic examination and to provide the therapeutic effect of resection if the residual cancer cells were ... tumor The reason for the good response of our case may be related to the following: 1) the size of the multiple hepatic metastases was small; 2) peritoneal dissemination was limited to the omentum...
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Báo cáo khoa học:

Báo cáo khoa học: "Central pancreatectomy without anastomosis" ppsx

Báo cáo khoa học

... 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 ... 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...
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Báo cáo khoa học:

Báo cáo khoa học: "Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer" pdf

Báo cáo khoa học

... walls of the pelvis below the level of the common iliacs, and tied snug to keep the expander in the pelvis With a Huber® needle inserted into the inflation port, the tissue expander was then filled ... increased risk of small bowel adhesions and Page of fistula formation Therefore, there has been a trend away from the use of mesh, with fixation of the expander to the peritoneum with a suture the commonest ... incisions were closed in the usual manner Subsequent CT confirmed adequate placement of the expander device in the pelvis with loops of bowel now well out of the pelvis and the planned radiation...
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Opthalmic microsurgical suturing techniques - part 1 ppsx

Opthalmic microsurgical suturing techniques - part 1 ppsx

Sức khỏe giới tính

... falls off laterally The action of the suture can be described in terms of force triangles extending laterally from the suture The width of these compression zones depends on the length of the suture ... 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 the wound ... forceps on the same side of the tissue through which the needle is being driven The needle should be two thirds of the way from the point of the surgical needle and held at a 90° angle from the needle...
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Opthalmic microsurgical suturing techniques - part 2 pot

Opthalmic microsurgical suturing techniques - part 2 pot

Sức khỏe giới tính

... 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 tips All small-toothed forceps ... 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 traction on the suture ... in the trailing end of the needle into which the suture is secured Channel fixation involves the use of a tool that forms a planed cut that is half the thickness of the needle wire along the...
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Opthalmic microsurgical suturing techniques - part 3 ppsx

Opthalmic microsurgical suturing techniques - part 3 ppsx

Sức khỏe giới tính

... using the friction of the suture to hold the suture in place With constant tension at the appropriate amount to hold the wound edges in position, the free end of the suture is pulled lightly to the ... 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 ... across the wound to grasp the free end of the suture (Fig 3.13) Once the free end is grasped, the suture is pulled in the same direction as the first throw The hands not alternate positions; so, the...
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Opthalmic microsurgical suturing techniques - part 4 pptx

Opthalmic microsurgical suturing techniques - part 4 pptx

Sức khỏe giới tính

... passed through the ciliary sulcus on the opposite side, also with the ab externo technique The tip of the 10-0 needle is then “docked” inside the tip of the hollow needle, and then the hollow needle ... paracenteses The placement of the paracentesis is determined by drawing an imaginary line a b c Fig 5.2 Suture-fixation of the haptics to the iris a, b The two ends of the suture are then retrieved ... c the optic fully captured and in position for suturing d, e Clinical photographs demonstrating the “moustache fold” and the placement of the haptics in the ciliary sulcus Note the use of the...
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Opthalmic microsurgical suturing techniques - part 5 docx

Opthalmic microsurgical suturing techniques - part 5 docx

Sức khỏe giới tính

... suture over the tips of the tying forceps and careful advancement of the suture along the line of suture placement can reduce the risk of the SCS breaking during adjustment After completion of suture ... Correct closure of perpendicular incision The distance from the point of entry of the suture to the wound (A) is equal to the distance from the wound to the point of exit (B), and the sutures are ... technique, the distance from the point 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...
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Opthalmic microsurgical suturing techniques - part 6 pps

Opthalmic microsurgical suturing techniques - part 6 pps

Sức khỏe giới tính

... incision, catching the edge of the incision as one enters the eye The iris edge is then caught with the point of the suture, and the needle is then passed out of the eye through the cornea or a ... cheese-wiring of the suture and the production of a secondary iris defect A circumferential incision at the root of the iris, to either side of the coloboma, will help to mobilize the iris (Fig 8.5b) The ... tip of the hyaluronic acid cannula (Fig 8.6b) The tip of the needle may be lodged in the open bore of the cannula— using it as a guide to both penetrate the iris and remove the needle via the...
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Opthalmic microsurgical suturing techniques - part 7 pptx

Opthalmic microsurgical suturing techniques - part 7 pptx

Sức khỏe giới tính

... opening The last pass of the suture is placed as a mattress pass back into the wound on the same side as the final pass In this way, both the loop and the end of the suture containing the needle ... 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 released The suture ... As the curve of the globe and the curve of the needle are in opposite directions, it is important to engage the sclera deep enough at the start of the pass in order to avoid too shallow a placement...
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