Endoscopic Intramural Surgery Part 1: Resectional Therapies

2018 ◽  
Vol 02 (04) ◽  
pp. 359-367 ◽  
Author(s):  
Vaibhav Wadhwa ◽  
Kapil Gupta ◽  
Tolga Erim
Keyword(s):  
Gastrointestinal Tract ◽  
Minimally Invasive ◽  
Endoscopic Resection ◽  
Safety Valve ◽  
Third Space ◽  
Full Understanding ◽  
Mucosal Flap ◽  
The Past ◽  
Innovative Technique

AbstractEndoscopic resectional therapies for lesions of gastrointestinal tract have progressed rapidly over the past two decades. Advances in minimally invasive endoscopic approaches continue to emerge and evolve, while boundaries of resection techniques continue to be pushed. The concept of third space endoscopy with mucosal flap as a safety valve has emerged arguably as the most innovative technique among these approaches. We review several techniques for intramural endoscopic resection of lesions of the gastrointestinal tract, but to gain a full understanding of why these exist, we must first examine the background from which they emerged.

Vitamin A: dietologist’s position

2020 ◽  
pp. 49-57
Author(s):  
S. V. Orlova ◽  
E. A. Nikitina ◽  
L. I. Karushina ◽  
Yu. A. Pigaryova ◽  
O. E. Pronina
Keyword(s):  
Immune Response ◽  
Urinary Tract ◽  
Gastrointestinal Tract ◽  
Vitamin A ◽  
Developed Countries ◽  
Therapeutic Practice ◽  
The Past ◽  
Increased Risk ◽  
Mucous Membranes

Vitamin A (retinol) is one of the key elements for regulating the immune response and controls the division and differentiation of epithelial cells of the mucous membranes of the bronchopulmonary system, gastrointestinal tract, urinary tract, eyes, etc. Its significance in the context of the COVID‑19 pandemic is difficult to overestimate. However, a number of studies conducted in the past have associated the additional intake of vitamin A with an increased risk of developing cancer, as a result of which vitamin A was practically excluded from therapeutic practice in developed countries. Our review highlights the role of vitamin A in maintaining human health and the latest data on its effect on the development mechanisms of somatic pathology.

Competency-Based Education in Minimally Invasive and Robotic Colorectal Surgery

2021 ◽  
Vol 34 (03) ◽  
pp. 155-162
Author(s):  
Marisa Louridas ◽  
Sandra de Montbrun
Keyword(s):  
Minimally Invasive ◽  
Technical Skill ◽  
Assessment Tools ◽  
Independent Practice ◽  
Competency Based Education ◽  
The Past ◽  
Robotic Colorectal Surgery ◽  
Competency Based ◽  
Colorectal Surgeons ◽  
Educational Paradigm

AbstractMinimally invasive and robotic techniques have become increasingly implemented into surgical practice and are now an essential part of the foundational skills of training colorectal surgeons. Over the past 5 years there has been a shift in the surgical educational paradigm toward competency-based education (CBE). CBE recognizes that trainees learn at different rates but regardless, are required to meet a competent threshold of performance prior to independent practice. Thus, CBE attempts to replace the traditional “time” endpoint of training with “performance.” Although conceptually sensible, implementing CBE has proven challenging. This article will define competence, outline appropriate assessment tools to assess technical skill, and review the literature on the number of cases required to achieve competence in colorectal procedures while outlining the barriers to implementing CBE.

Proctorship in Minimally Invasive Colorectal Surgery

2021 ◽  
Vol 34 (03) ◽  
pp. 186-193
Author(s):  
Assad Zahid ◽  
Danilo Miskovic
Keyword(s):  
Quality Control ◽  
Colorectal Surgery ◽  
Minimally Invasive ◽  
Emerging Technology ◽  
Specific Technique ◽  
Novel Technique ◽  
The Past ◽  
Or Groups ◽  
Minimally Invasive Colorectal Surgery ◽  
Teaching Programs

AbstractTeaching an established surgeon in a novel technique by a colleague who has acquired a level of expertise is often referred to as “proctoring” or “precepting.” Surgical preceptorships can be defined as supervised teaching programs, whereby individual or groups of surgeons (proctors) experienced in a certain technique support a colleague who wants to adopt this technique (sometimes referred to as “delegates” or “preceptees”). Preceptorship programs really focus on a specific technique, technology, or skill which is required to broaden, complement, or transform an established surgeon's practice.Within colorectal surgery, in the past 30 years, there is been an evolution of interventional options including open, laparoscopic, robotic, and endoscopic procedures. With each new emerging technology and technique, safe and effective uptake by established surgeons is best been attained by a period of proctorship by an experienced colleague. Formalizing this has been facilitated largely through industry support. There, however, remains a considerable chasm when it comes to standardization, quality control, and jurisprudence.This article aims to describe the requirements for a contemporary proctorship program, to examine instruments of quality control, and how to improve effectiveness.

scholarly journals Neurospinal Surgery Innovations

2017 ◽  
Vol 3 (3) ◽  
pp. 121-122
Author(s):  
James Wang
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Treatment Plan ◽  
Invasive Technique ◽  
Surgical Trauma ◽  
The Past ◽  
The World ◽  
Spine Diseases ◽  
Invasive Techniques ◽  
Important Branch

Over the past few decades, majority of neurosurgeons only specialize in spinal cord diseases. However, with the advances in spine surgery, more and more neurosurgeons focus on spine diseases. Precision minimally invasive technique in surgery of spine and spinal cord is an important branch of neurosurgery. As traditional surgery has been gradually replaced by precision surgery, open surgery has been gradually replaced by minimally invasive surgery (MIS), the diagnosis and treatment of spine diseases has been benefiting from minimally invasive techniques. With minimal surgical trauma, precise localization, MIS has become the inevitable trend of new neurosurgery. The model of multidisciplinary team is gradually becoming universal in the world in order to make the best treatment plan for the patient with spine diseases on the basis of the comprehensive disciplinary opinion.

scholarly journals Minimally invasive comprehensive treatment for granulomatous lobular mastitis

2020 ◽  
Author(s):  
Yaohuai Wang ◽  
Junlong Song ◽  
Yi Tu ◽  
Chuang Chen ◽  
Shengrong Sun
Keyword(s):  
Retrospective Study ◽  
Minimally Invasive ◽  
Operative Technique ◽  
Treatment Process ◽  
Comprehensive Treatment ◽  
The Past ◽  
Image Characteristics ◽  
Surgical History ◽  
Hospital Stays

Abstract Objective: To describe a minimally invasive comprehensive treatment for granulomatous lobular mastitis (GLM) and compare its effect with the existing methods, particularly in terms of its recurrence rate and esthetic outcomes. Methods: This retrospective study reviewed 69 GLM patients receiving the minimally invasive comprehensive treatment. Patients’ information, including age, clinical features, image characteristics, histopathological findings, mastitis history, treatment process, operative technique, recurrence, and esthetic effect, was evaluated. Results: All patients were female with a median age of 32 (range 17 - 55) years. Hospital stays ranged from 2 to 34 days, with a median of 6 days. The shortest time for complete rehabilitation was 2 days and the longest time was 365 days, with a median of 30 days. After a median follow-up of 391 days (range 162 - 690), 7 patients (10.14%) relapsed. The average cosmetic score was 2.62 ± 0.57 points and was mainly related to the past treatment, especially the surgical history. Conclusion: Minimally invasive comprehensive treatment is a new method for the treatment of GLM, ensuring a therapeutic effect while maintaining breast beauty.

scholarly journals http://habibiaislamicus.com/index.php/hirj/article/view/228

2021 ◽  
Vol 5 (3) ◽  
pp. 69-82
Author(s):  
Karim Khan ◽  
Keyword(s):  
Social Life ◽  
Human Being ◽  
Full Understanding ◽  
Islamic Culture ◽  
Life After Death ◽  
Environmental Situation ◽  
The Past ◽  
Major Factors ◽  
Past Experiences ◽  
Islamic Civilization

Change and development started with the creation of universe and human being. The society got developed and advanced, depended on the experiences of man in the past, environmental situation, relations with all other species around him etc. The culture and civilization also developed with the passage of time. The man could not decide with justice even with his full understanding of the of problems and situation. On the eve of unsuccessful approach of human being towards such problems and their solutions / decisions, Almighty Allah guided the human being through His messengers. The purpose of their (Prophets-pbut) being was to make favourable and justful approach to the problems faced by the man as an individual as well as in society. The culture and civilization is infact the progressive shape of man made cultures having all the past experiences of social life confronted by him in the past. Islamic civilization considers all the elements essential to effectuate the living of humanbeing. The concept of life, the purpose of life, the beliefs & thoughts, the involvement of man, the collective structure of the society etc are the basic elements of Islamic culture & civilization. Cultures & Civilizations are formulated on three major factors, i.e. Geographical, Biological and Ideological factors. Culture and Civilization also require moral groundings on which the rites and rituals are formulated and performed by all the members of the society. The purpose of Islamic civilization is ‘Peace’ and ‘Tranquility’ for the humans in this world and in the Hereafter. Therefore, the characteristics of Islamic culture & civilization are; the oneness of God, brotherhood, justice & goodwell, respect, cleanliness, moral character and freedom. Islamic culture and civilization guarranttee success for the human being in this material world and in the life after death.

25 years of SMIT: The past, the present, and the future of minimally invasive therapy

2013 ◽  
Vol 22 (4) ◽  
pp. 194-199 ◽  
Author(s):  
Eiji Kanehira ◽  
Marco Maria Lirici ◽  
Andreas Melzer ◽  
Marc O Schurr ◽  
Elisabeth Hermann-Decker
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Therapy ◽  
Invasive Therapy ◽  
The Past ◽  
The Future

Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate?

2018 ◽  
Vol 28 (04) ◽  
pp. 347-354 ◽  
Author(s):  
Sherif Emil
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Correction ◽  
Diagnosis And Treatment ◽  
Pectus Carinatum ◽  
The Past ◽  
Minimally Invasive Surgical

AbstractPectus carinatum has traditionally been described as a rare chest wall anomaly in comparison to pectus excavatum. However, recent data from chest wall anomaly clinics demonstrate that this deformity is probably much more frequent than once believed. In the past, invasive surgical correction by the Ravitch technique was essentially the only option for treatment of pectus carinatum. Major advances over the past two decades have provided additional options, including noninvasive chest wall bracing and minimally invasive surgical correction. This article will discuss current options for the treatment of pectus carinatum, and some of the factors that should be taken into account when choosing the options available. Diagnosis and treatment of the pectus arcuatum variant will also be described.

scholarly journals P.099 The history of neurosurgery in Victoria, BC

2017 ◽  
Vol 44 (S2) ◽  
pp. S39-S39
Author(s):  
RA Reid
Keyword(s):  
Minimally Invasive ◽  
Neurosurgical Procedures ◽  
Wide Scope ◽  
The Past ◽  
History Of Neurosurgery ◽  
History Of ◽  
Minimally Invasive Spine

Background: Neurosurgery was first practiced in Victoria, BC in the 1950’s. It has grown from 1 neurosurgeon to 6 neurosurgeons today. Methods: Research into the beginning of Neurosurgery in Victoria demonstrates that it started with one surgeon and has grown significantly over the past 60 plus years. Results: Although Neurosugery started in Victoria with humble beginnings it has now developed into a sophisticated unit with 6 neurosurgeons with various subspeciality interests including complex and minimally invasive spine, cerebrovascular and neuro-oncology. Conclusions: The Neurosurgery division in Victoria has grown over the years from a single surgeon to 6 surgeons practicing a wide scope of neurosurgical procedures.

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