Laparoscopic Approach to Dermoid Cysts: Combined Surgical Technique and Ultrasonographic Evaluation of Residual Functioning Ovarian Tissue

2003 ◽  
Vol 10 (2) ◽  
pp. 154-158 ◽  
Author(s):  
Errico Zupi ◽  
Caterina Exacoustos ◽  
Beata Szabolcs ◽  
Daniela Marconi ◽  
Claudia Carusotti ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Ovarian Tissue ◽  
Laparoscopic Approach

scholarly journals Laparoscopic Approach to Left Hepatectomy Using a Standardized Technique

2021 ◽  
pp. 1-3
Author(s):  
Chang Stephen Kin Yong ◽  
◽  
R Ang ◽  
Keyword(s):  
Surgical Technique ◽  
Traditional Approach ◽  
Hepatic Duct ◽  
Laparoscopic Hepatectomy ◽  
Vena Cava ◽  
Laparoscopic Approach ◽  
Liver Parenchyma ◽  
Left Hepatic Duct ◽  
Patient Selection Criteria ◽  
Key Steps

Introduction: The laparoscopic approach in liver surgery has been preferred over the traditional approach in the resection of segments 2 and 3, as laparoscopic surgical technique can be standardized for easy adoption and is minimally invasive. This paper describes the laparoscopic surgical technique and recommends the patient selection criteria in the resection of segments 2, 3 and 4. Methods: This technique involves 2 key steps – early division of the left pedicle before the division of the liver parenchyma and the placement of an instrument beneath the transection plane to simulate a ‘hanging manoeuvre’ with reduced blood loss and allows the expeditious division of the liver parenchyma. Apart from the usual contraindications to liver resections, specific contraindications to this technique include patients with aberrant biliary drainage of right liver segments into the left hepatic duct, patients with tumours abutting the hilar plate and patients with tumours located near the junction of the left hepatic vein and the vena cava. Conclusion: The authors recommend these steps to serve as a standardized technique for laparoscopic hepatectomy of segments 2,3 and 4 in selected patients, allowing the learning curve for this technique to be markedly shortened

scholarly journals Concept Paper on the Technique of Cryopreservation, Removal and Transplantation of Ovarian Tissue for Fertility Preservation

2018 ◽  
Vol 79 (01) ◽  
pp. 53-62 ◽  
Author(s):  
Matthias Beckmann ◽  
Laura Lotz ◽  
Bettina Toth ◽  
Dunja Baston-Büst ◽  
Tanja Fehm ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Fertility Preservation ◽  
Reproductive Medicine ◽  
Birth Rate ◽  
Ovarian Tissue ◽  
Established Method ◽  
Female Patients ◽  
Oncological Therapy ◽  
German Speaking ◽  
Fertility Protection

AbstractThe cryopreservation of ovarian tissue with subsequent transplantation of the tissue represents an established method of fertility protection for female patients who have to undergo gonadotoxic therapy. The procedure can be performed at any point in the cycle and thus generally does not lead to any delay in oncological therapy. With the aid of this procedure, more than 130 births to date worldwide have been able to be recorded. The birth rate is currently approximately 30% and it can be assumed that this will increase through the further optimisation of the cryopreservation and surgical technique. The concept paper presented here is intended to provide guidance for managing cryopreservation and transplantation of ovarian tissue to German-speaking reproductive medicine centres.

scholarly journals Intrapelvic entrapment of sacral nerve roots by abnormal bundles of the piriformis muscle: description of an extra-spinal cause of sciatica and pudendal neuralgia

2021 ◽  
Author(s):  
Corey Sermer ◽  
Adrienne L K Li ◽  
Gustavo L Fernandes ◽  
Augusta M Ribeiro ◽  
Giancarlo Polesello ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Rating Scale ◽  
Clinical Success ◽  
Case Series ◽  
Laparoscopic Approach ◽  
Numeric Rating Scale ◽  
Piriformis Muscle ◽  
Nerve Roots ◽  
Sacral Nerve ◽  
Sacral Foramina

Abstract Piriformis syndrome is a well-known extra-spinal cause of sciatica characterized by the entrapment of the sciatic nerve by variant bundles of the piriformis muscles in the deep gluteal space. In this case series, we describe the entrapment of intrapelvic portions of the sacral nerve roots by a variant bundle of the piriformis muscle originating medially to the sacral foramina, the surgical technique for the laparoscopic treatment of this condition, and the outcomes of the first eight cases treated with this technique. Five female and three male patients presenting with sciatica, pudendal pain and lower urinary tract symptoms underwent a laparoscopic exploration of the intrapelvic portion of the sacral nerve roots and transection of the abnormal piriformis bundle. Surgical technique is demonstrated in the Supplementary Video. Clinical success was achieved in seven of the eight patients, with a reduction of pain numeric rating scale from 8.5 (±1.2; 7–10) pre-operatively to 2.1 (±2.6; 0–7), 1-year following surgery. In conclusion, entrapment of intrapelvic portions of the sacral nerve roots by variant bundles of the piriformis originating medially to the sacral foramina are an extraspinal cause of sciatica, which can be treated though a laparoscopic approach.

scholarly journals Hybrid Minimally Invasive Esophagectomy–Surgical Technique and Results

2019 ◽  
Vol 8 (7) ◽  
pp. 978 ◽  
Author(s):  
Jasmina Kuvendjiska ◽  
Goran Marjanovic ◽  
Torben Glatz ◽  
Birte Kulemann ◽  
Jens Hoeppner
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Laparoscopic Approach ◽  
Wound Infection Rate ◽  
Mortality Data ◽  
Reliable Technique ◽  
Invasive Esophagectomy ◽  
Open Esophagectomy ◽  
Practice Methods

Background: Hybrid minimally invasive esophagectomy (HMIE) has been proven to be superior when compared with open esophagectomy, with a significant reduction of postoperative morbidity. In HMIE, the laparotomy is replaced by a minimally invasive laparoscopic approach. The radical mediastinal resection plus reconstruction is performed by a thoracic approach through a muscle-sparing thoracotomy. In this instructional article, we describe the surgical technique of HMIE in detail in order to facilitate possible adoption of the procedure by other surgeons. In addition, we give the monocentric results of our own practice. Methods: Between 2013 and 2018, HMIE was performed in 157 patients. The morbidity and mortality data of the procedure is shown in a retrospective monocentric analysis. Results: Overall, 54% of patients had at least one perioperative complication. Anastomotic leak was evident in 1.9%, and a single patient had focal conduit necrosis of the gastric pull-up. Postoperative pulmonary morbidity was 31%. Pneumonia was found in 17%. The 90 day mortality was 2.5%. Wound infection rate was 3%, and delayed gastric emptying occurred in 17% of patients. In follow up, 12.7% presented with diaphragmatic herniation of the bowel, requiring laparoscopic hernia reduction and hiatal reconstruction and colopexy several months after surgery. Conclusion: HMIE is a highly reliable technique, not only for the resection part but especially in terms of safety in reconstruction and anastomosis. For esophageal surgeons with experience in minimally invasive anti-reflux procedures and obesity surgery, HMIE is easy and fast to learn and adopt.

scholarly journals Minimally invasive chest wall stabilization: a novel surgical approach to video-assisted rib plating (VARP)

2019 ◽  
Vol 4 (1) ◽  
pp. e000366 ◽  
Author(s):  
Jose J Diaz ◽  
Faris K Azar
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Laparoscopic Approach ◽  
Shoulder Girdle ◽  
Level Of Evidence ◽  
Camera Port ◽  
Working Space ◽  
Posterior Shoulder ◽  
Rib Plating ◽  
Left And Right

The current morbidity of rib plating is due to the size of the incision required to perform an open procedure. We describe a minimally invasive laparoscopic approach to rib plating. A cadaver model was used to develop the surgical technique by performing both left and right posterior-lateral rib plating. A small incision was made over the auscultatory triangle. The potential working space is developed under the posterior shoulder girdle and the scapula. A table-based retractor was used to elevate the scapula and the muscles. Two separate ports were placed: one camera port and one working port. In three cadaver models, 12 rib fractures were plated and the surgical technique is described. This novel technique will likely allow for faster recovery and was especially useful in the subscapular space.Level of evidence II.

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