... Background In thetreatmentof tubal ectopic pregnancy (EP), laparoscopic surgery remains the cornerstone oftreatment [1] In the absence of randomised data, the question as to whether surgical treatment ... aware ofthe allocation oftreatmentThe statistical analysis will be performed according to O'Brien Fleming's rule The decision to unblind treatment allocation is at the discretion ofthe DSMC The ... after the operation ofthe 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...
... described Briefly, the patient was placed in a reversed Trendelenburg position Intraperitoneal access was achieved through open placement ofthe first trocar at the lower border ofthe umbilicus Insufflation ... 15 mmHg At the end ofthe procedure, after ensuring hemostasis, the gas was completely evacuated from the peritoneal cavity from the abdominal cavity before trocar removal None ofthe study patients ... ofthe 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...
... 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...
... nodes The small nodule was diagnosed as a solitary metastasis ofthe 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 ofthe primary ... was an assistant ofthe operation HK is a chairman ofthe department of gastroenterological surgery, Toho University Medical Center, Omori Hospital All authors read and approved the final manuscript...
... 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 ofthe 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 ofthe open end ofthe esophagus obliquely cut off ... from the open end ofthe lifted jejunum to let a trocar pass through Then, the main unit ofthe automated stapler and the lifted jejunum were fastened with silk thread to prevent dropout of the...
... adenoma measuring by cm in size at the hepatic flexure The rest had adenocarcinoma ofthe 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 ofthe 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...
... technique from the early experiences in robotic surgery Disadvantages include the size ofthe robotic hardware in relation to patient body; the loss of haptic feedback; and the overall cost ofthe hardware, ... approach of hepatobiliary surgery is still limited due to the technical complexities of these procedures The rigid nature ofthe instruments with limited degrees of freedom, coupled with the fulcrum ... was started on the inferior half ofthe 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...
... through the lymphatic system However the unusual presentation ofthe case created uncertainty over the malignant potential ofthe 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 ofthe stomach are believed to derive from the interstitial cells of Cajal,...
... segments, the employment of TEM reduces the probability of an anterior resection ofthe rectum The recent employment of TEM has reduced the need to perform an anterior resection ofthe rectum ... anterior resection of rectum The final histological diagnoses were low grade dysplasia adenomas ofthe rectum while only one ofthe 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...
... size ofthe 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 ofthe 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 ofthe multiple hepatic metastases was small; 2) peritoneal dissemination was limited to the omentum...
... facilitates exposure ofthe lower border ofthe pancreas and dissection ofthe superior mesenteric vein (SMV) behind the pancreas Stay sutures are placed on either side ofthe lesion in the superior ... site after removal of central portion ofthe panOperative site after removal of central portion ofthe pancreas Figure Gross section ofthe tumor, diameter 2.8 cm Gross section ofthe tumor, diameter ... benefits of a resection ofthe central portion ofthe pancreas; a simplification ofthe procedure, and a literature review ofthe topic Materials and methods A review of patients who underwent...
... walls ofthe pelvis below the level ofthe 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 ofthe expander to the peritoneum with a suture the commonest ... incisions were closed in the usual manner Subsequent CT confirmed adequate placement ofthe expander device in the pelvis with loops of bowel now well out ofthe pelvis and the planned radiation...
... falls off laterally The action ofthe suture can be described in terms of force triangles extending laterally from the suture The width of these compression zones depends on the length ofthe suture ... wound so the depth ofthe wound can be accurately ascertained This allows a flatter trajectory ofthe needle through the tissue nd enables the surgeon to see the depth of both sides ofthe wound ... forceps on the same side ofthe tissue through which the needle is being driven The needle should be two thirds ofthe way from the point ofthe surgical needle and held at a 90° angle from the needle...
... platform proximal to the toothed ends for handling of suture There are multiple variations on the shape ofthe handles, length ofthe forceps, and configuration ofthe tips All small-toothed forceps ... loop is the direct result ofthe placement of each bite ofthe 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 ofthe 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 ofthe needle wire along the...
... using the friction ofthe suture to hold the suture in place With constant tension at the appropriate amount to hold the wound edges in position, the free end ofthe suture is pulled lightly to the ... wound The timing of suture removal is at the discretion ofthe individual surgeon However, removal too early can induce the risk of wound dehiscence In the case of new inflammation ofthe surrounding ... across the wound to grasp the free end ofthe 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...
... passed through the ciliary sulcus on the opposite side, also with the ab externo technique The tip ofthe 10-0 needle is then “docked” inside the tip ofthe hollow needle, and then the hollow needle ... paracenteses The placement ofthe paracentesis is determined by drawing an imaginary line a b c Fig 5.2 Suture-fixation ofthe haptics to the iris a, b The two ends ofthe 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 ofthe haptics in the ciliary sulcus Note the use of the...
... suture over the tips ofthe tying forceps and careful advancement ofthe suture along the line of suture placement can reduce the risk ofthe SCS breaking during adjustment After completion of suture ... Correct closure of perpendicular incision The distance from the point of entry ofthe 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 ofthe suture to the point of exit through the wound (C) should be measured from the posterior aspect ofthe cornea, and should be equal to the distance...
... incision, catching the edge ofthe incision as one enters the eye The iris edge is then caught with the point ofthe suture, and the needle is then passed out ofthe eye through the cornea or a ... cheese-wiring ofthe suture and the production of a secondary iris defect A circumferential incision at the root ofthe iris, to either side ofthe coloboma, will help to mobilize the iris (Fig 8.5b) The ... tip ofthe hyaluronic acid cannula (Fig 8.6b) The tip ofthe needle may be lodged in the open bore ofthe cannula— using it as a guide to both penetrate the iris and remove the needle via the...
... opening The last pass ofthe 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 ofthe suture containing the needle ... generous length of suture to allow subsequent closure at the end ofthe case At the end ofthe case, following closure ofthe superior sclerotomy sites, the final throw is simply released The suture ... As the curve ofthe globe and the curve ofthe needle are in opposite directions, it is important to engage the sclera deep enough at the start ofthe pass in order to avoid too shallow a placement...