Long-term sequelae of abdominal cervical cerclage and a minimally invasive approach to resolution

Abstract BACKGROUND: Traditional anterior and posterior approaches to the thoracolumbar spine are associated with significant morbidity. In an effort to eliminate these drawbacks, minimally invasive retropleural approaches have been developed. OBJECTIVE: To demonstrate the feasibility and clinical experience of a minimally invasive lateral retropleural approach to the thoracolumbar spine. METHODS: Seven cadaveric dissections were performed in 7 fresh specimens to determine the feasibility of the technique. In each specimen, the lateral aspect of the vertebral body was accessed retropleurally, and a corpectomy was performed. Intraprocedural fluoroscopy and postoperative computed tomography were used to assess the extent of decompression. As an adjunct, 3 clinical cases of thoracic fractures and 1 neurofibroma were treated with this minimally invasive approach. Operative results, complications, and early outcomes were assessed. RESULTS: In the cadaveric study, adequate exposure was obtained to perform a lateral corpectomy and to allow interbody grafting between the adjacent vertebral bodies. The procedures were successfully performed in the 4 clinical cases without conversion to conventional approaches. A pleural tear was noted in the first clinical case, and a chest tube was placed without any long-term sequelae. CONCLUSION: Our early experience suggests that the minimally invasive lateral retropleural approach allows adequate vertebrectomy and canal decompression without the tissue disruption associated with posterolateral approaches. This approach may improve the complication rates that accompany open or endoscopic approaches for thoracolumbar corpectomies.

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A minimally invasive approach to long-term head fixation in behaving nonhuman primates

Journal of Neuroscience Methods ◽

10.1016/j.jneumeth.2009.04.012 ◽

2009 ◽

Vol 181 (1) ◽

pp. 106-110 ◽

Cited By ~ 12

Author(s):

T.S. Davis ◽

K. Torab ◽

P. House ◽

B. Greger

Keyword(s):

Minimally Invasive ◽

Nonhuman Primates ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Head Fixation

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Endovascular repair of profunda femoral artery false aneurysms using covered stents

Vascular ◽

10.1258/vasc.2010.cr0224 ◽

2011 ◽

Vol 19 (1) ◽

pp. 51-54 ◽

Cited By ~ 10

Author(s):

George N Kouvelos ◽

Nektarios K Papas ◽

Eleni M Arnaoutoglou ◽

George S Papadopoulos ◽

Miltiadis I Matsagκas

Keyword(s):

Minimally Invasive ◽

Femoral Artery ◽

Endovascular Repair ◽

False Aneurysm ◽

Long Term Results ◽

Covered Stents ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Different Types

Pseudoaneurysms of the profunda femoral artery (PFA) have been reported following different types of trauma, mostly iatrogenic. We present three cases of PFA false aneurysm formation, two after vascular procedures and one as a result of a gunshot injury, which were successfully treated with the endovascular deployment of covered stents. Treating these patients by endoluminal means is an efficient and feasible minimally invasive approach. If the patient is relatively stable and there are no major compression issues, stenting could be considered as adequate therapy for these situations. Certainly, a larger series are needed in order to testify to the long-term results and ascertain the durability of such a repair.

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Para-Aortic Lymphadenectomy by Minimally Invasive Surgery

Current Opinion in Gynecology and Obstetrics ◽

10.18314/cogo.v2i1.1736 ◽

2019 ◽

pp. 238-248

Author(s):

Puerta Sanabria JM ◽

Rios Lorenzo M ◽

Gilabert-Estelles J

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Single Port ◽

Scientific Evidence ◽

Minimally Invasive Approach ◽

Term Survival ◽

Invasive Approach ◽

Laparoscopic Techniques ◽

Subject Making

Laparoscopic para-aortic lymphadenectomy (PAL) was described first in the literature in 1992. The advantages of the minimally invasive approach compared to the laparotomy are well known, with comparable surgery and long term survival results. The aim of this review is to expose the scientific evidence available on this subject, making a comparative study of the different laparoscopic techniques available to carry out the PAL, as well as other minimally invasive approaches, such as single port or robotic surgery.

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Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01723-4 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Giuseppe Nasso ◽

Nicola Di Bari ◽

Giuseppe Santarpino ◽

Marco Moscarelli ◽

Mario Siro Brigiani ◽

...

Keyword(s):

Minimally Invasive ◽

Tricuspid Regurgitation ◽

Left Ventricular ◽

Left Ventricular Ejection ◽

Minimally Invasive Approach ◽

Ventricular Ejection Fraction ◽

Invasive Approach ◽

Functional Tricuspid Regurgitation ◽

Prosthetic Ring

Abstract Background This study was conducted to compare the outcomes of prosthetic ring versus autologous pericardial strip for the treatment of functional tricuspid regurgitation during left-sided valve surgery by minimally invasive approach. Methods From January 2008 and July 2016, autologous pericardial strip (group P-TAP) was used in 109 patients, and prosthetic ring (group R-TAP) in 115 patients. The primary outcomes were long-term overall survival, development of patch degeneration, and significant tricuspid regurgitation recurrence. The second outcome was the assessment of right ventricular functional parameters. Results Operative mortality was 1 case (0.9%) in the R-TAP group. At the time of hospital discharge only one patient (0.9%) in the R-TAP group had grade III+ tricuspid regurgitation, and none had grade IV+. Mean follow-up was 94.1 ± 24.5 months. Mild and moderate tricuspid regurgitation recurrence was 3.7% and 4.5% (P-TAP vs. R-TAP groups, p = 0.99). Severe regurgitation was observed in 1.8% of cases only in the R-TAP group (p = 0.49). There were no reoperations. Late mortality was 3.7% and 5.4% (P-TAP vs. R-TAP groups, p = 0.75). Freedom from death, all causes, were comparable among groups (log-rank p = 0.45). There were no statistically significant differences between two groups in TAPSE, left ventricular end-diastolic diameter, left ventricular ejection fraction, and left atrial diameter. Conclusions Tricuspid annuloplasty using an autologous pericardial strip in patients undergoing minimally invasive surgery is associated to similar long results (survival, late tricuspid regurgitation, and functional echocardiographic parameters) than annuloplasty with a prosthetic ring. In particular, the pericardial strip over time does not develop any degeneration or retraction.

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