Minimally Invasive Outpatient Procedure Can Restore Urinary Continence

Abstract Introduction Minimally invasive surgical treatments (MISTs) of benign prostatic hyperplasia (BPH) have evolved to offer men daycase care with preservation of urinary continence and sexual function. This systematic review evaluates trends in minimally invasive BPH surgery over the last decade Method Systematic review (PRISMA) of Embase/MEDLINE databases (2010-2020). MISTs included Rezum, Urolift, Prostatic Artery Embolisation (PAE), Temporary Implantable Nitinol Device (TIND), Intraprostatic Injection, Transurethral Microwave Therapy (TUMT) and Transurethral Needle Ablation (TUNA). Primary outcome: urinary functional change (International Prostate Symptom Score (IPSS)/maximum flow (Qmax)). Secondary outcomes: sexual functional change (International Index of Erectile Function-5 (IIEF-5)), technical failures and complications. Results 74 studies were included (total: 8,917 patients). Primary: all interventions offered improvement in IPSS and Qmax (intervention (no. studies): range IPSS change, range Qmax change, range months follow-up; Rezum (4): -46.7% to -62.7%, +17.6% to + 55.6%, 6-48; Urolift (11): -35.2% to -64.2%, +16.7% to + 89.6%, 1-60; PAE (36): -36.8% to -85.2%, +17.4% to + 155.2%, 3-38; TIND (2): -36.8% to -59.6%, +32.9% to + 95.9%, 12-36; Intraprostatic Injection (14): -24.3% to -62%, +8.7% to + 98.4%, 3-24; TUMT (4): -56.1% to -58.7%, +12.9% to + 60.2%, 6-60; TUNA (3): -17.6% to -63.2%, +3.9% to + 39%, 1-120). Secondary: 33 studies of all interventions bar TIND and TUMT reported IIEF-5 change; sexual function was largely preserved. Technical failures and Clavien-Dindo ≥3 complications were rare. Conclusions MISTs for BPH are efficacious and safe. Randomised comparisons with long-term urinary and sexual follow-up are needed to guide choice; until then, patients should be carefully counselled based on individual priorities and circumstances.

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Percutaneous thermal disc decompression versus percutaneous disc decompression like minimally-invasive outpatient procedure of low back pain treatment; one year experience in a single center

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2015.12.480 ◽

2016 ◽

Vol 27 (3) ◽

pp. S186

Author(s):

F. Fasoli ◽

F. Vecchietti ◽

R. Cancellieri ◽

M. Guazzaroni

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Minimally Invasive ◽

Pain Treatment ◽

Low Back ◽

Single Center ◽

Outpatient Procedure ◽

One Year

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The Role of Laparoscopy in Anorectal Malformations

European Journal of Pediatric Surgery ◽

10.1055/s-0040-1701700 ◽

2020 ◽

Vol 30 (02) ◽

pp. 156-163 ◽

Cited By ~ 2

Author(s):

Rebecca M. Rentea ◽

Devin R. Halleran ◽

Richard J. Wood ◽

Marc A. Levitt

Keyword(s):

Minimally Invasive ◽

Surgical Approach ◽

Perioperative Complications ◽

Anorectal Malformations ◽

Urinary Continence ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Long Term Follow Up

AbstractThe use of laparoscopy in the minimally invasive management of anorectal malformations (ARMs) continues to evolve, although the principles guiding the anatomic surgical repair and clinical follow-up remain unchanged. In this review, we detail the advantages, indications, contraindications, complications, and issues unique to the minimally invasive approach to ARM. A comprehensive search of the PubMed and Embase databases was performed (2014–2018). Full-text screening, data abstraction, and quality appraisal were performed of articles describing the use of laparoscopy in ARM and cloaca. While new developments and approaches to ARM utilizing minimally invasive techniques and timing for surgical approach have been detailed, a unique complication profile involving greater risk of rectal prolapse and retention of a remnant of the original fistula are still consistently reported. Analysis of perioperative complications and long-term functional outcomes, including rates of fecal and urinary continence, are lacking. It is clear that patient selection for the choice of surgical approach based on precise preoperative delineation of the anatomy is the key. Adherence to the principles of ARM repair as well as application of operative/imaging adjuncts will yield the best technically safe minimally invasive approach to ARM. Continued efforts for standardized reporting and long-term follow-up are required.

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Can Minimally Invasive Transforminal Lumbar Interbody Fusions Be Safely Performed as an Outpatient Procedure?

The Spine Journal ◽

10.1016/j.spinee.2014.08.165 ◽

2014 ◽

Vol 14 (11) ◽

pp. S63

Author(s):

Arash Emami ◽

Sina Pourtaheri ◽

Eiman Shafa ◽

Sujal Patel ◽

Kumar G. Sinha ◽

...

Keyword(s):

Minimally Invasive ◽

Outpatient Procedure

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Considerations in Dysphagia Management Following Esophagectomy

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp1.sig13.169 ◽

2016 ◽

Vol 1 (13) ◽

pp. 169-176

Author(s):

Lisa M. Evangelista ◽

James L. Coyle

Keyword(s):

Esophageal Cancer ◽

Minimally Invasive ◽

Minimally Invasive Surgical Procedures ◽

Esophageal Resection ◽

Minimally Invasive Surgical ◽

Operative Complications ◽

Swallowing Difficulties ◽

Epidemiological Impact ◽

Invasive Techniques ◽

Management Of Dysphagia

Esophageal cancer is the sixth leading cause of death from cancer worldwide. Esophageal resection is the mainstay treatment for cancers of the esophagus. While curative, surgical resection may result in swallowing difficulties that require intervention from speech-language pathologists (SLPs). Minimally invasive surgical procedures for esophageal resection have aimed to reduce morbidity and mortality associated with more invasive techniques. Both intra-operative and post-operative complications, regardless of the surgical approach, can result in dysphagia. This article will review the epidemiological impact of esophageal cancers, operative complications resulting in dysphagia, and clinical assessment and management of dysphagia pertinent to esophageal resection.

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