scholarly journals The Pull-Through Technique: A Viable Option for Preserving the Inferior Alveolar Nerve during Surgical Resection

2017 ◽  
Vol 10 (4) ◽  
pp. 329-331
Author(s):  
Gustavo Boehmer Leite ◽  
Suelen Cristina Sartoretto ◽  
Fernando César Amazonas Lima ◽  
Mônica Calasans-Maia ◽  
Rafael Seabra Louro
Keyword(s):  
Surgical Technique ◽  
Surgical Resection ◽  
Nerve Repair ◽  
Inferior Alveolar Nerve ◽  
Sensory Function ◽  
Mandibular Tumors ◽  
Minimal Damage ◽  
Pull Through ◽  
New Surgical Technique

The aim of this study was to present a new surgical technique used to remove benign mandibular tumors with minimal damage to the inferior alveolar nerve. The pull-through technique was shown using an ameloblastoma surgical resection as an example. This technique consisted in the reconstruction of the lower jaw associating the resection of the lesion with nerve repair at the same surgical time. The resection was performed using the pull-through technique and the inferior alveolar nerve was preserved. After 6 months, the patient presented a recovery of approximately 80% of sensory function. The surgical technique presented should be considered an important method by which to produce a higher functional outcome to remove benign mandibular tumors with minimal damage to the inferior alveolar nerve and allows the maintenance of quality of life for the patient, as the consequences of this type of surgery are minimized.

Laparoscopically Assisted Vaginal Pull-through for High Urogenital Sinus: A New Surgical Technique

Urology ◽  
2012 ◽  
Vol 79 (5) ◽  
pp. 1180-1183 ◽  
Author(s):  
Jörg Fuchs ◽  
Steven W. Warmann ◽  
Guido Seitz ◽  
Jürgen Schäfer ◽  
Monika Schröder ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Urogenital Sinus ◽  
Pull Through ◽  
New Surgical Technique

scholarly journals Biomaterial and Therapeutic Approaches for the Manipulation of Macrophage Phenotype in Peripheral and Central Nerve Repair

Pharmaceutics ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 2161
Author(s):  
Adrian Dervan ◽  
Antonio Franchi ◽  
Francisco R. Almeida-Gonzalez ◽  
Jennifer K. Dowling ◽  
Ohemaa B. Kwakyi ◽  
...  
Keyword(s):  
Tissue Repair ◽  
Tissue Injury ◽  
Nerve Repair ◽  
Sensory Function ◽  
Macrophage Phenotype ◽  
Therapeutic Approaches ◽  
Novel Approach ◽  
Integral Role ◽  
Central Nervous Systems

Injury to the peripheral or central nervous systems often results in extensive loss of motor and sensory function that can greatly diminish quality of life. In both cases, macrophage infiltration into the injury site plays an integral role in the host tissue inflammatory response. In particular, the temporally related transition of macrophage phenotype between the M1/M2 inflammatory/repair states is critical for successful tissue repair. In recent years, biomaterial implants have emerged as a novel approach to bridge lesion sites and provide a growth-inductive environment for regenerating axons. This has more recently seen these two areas of research increasingly intersecting in the creation of ‘immune-modulatory’ biomaterials. These synthetic or naturally derived materials are fabricated to drive macrophages towards a pro-repair phenotype. This review considers the macrophage-mediated inflammatory events that occur following nervous tissue injury and outlines the latest developments in biomaterial-based strategies to influence macrophage phenotype and enhance repair.

New Tunneled Buccal Fat Pad Flap for Palatal Reconstruction

2021 ◽  
pp. 194338752098843
Author(s):  
Giuseppe Consorti ◽  
Lisa Catarzi ◽  
Marco Messi ◽  
Davide Valassina ◽  
Paolo Balercia
Keyword(s):  
Wound Healing ◽  
Surgical Technique ◽  
Surgical Resection ◽  
Tumor Resection ◽  
New Technique ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Complete Wound Healing ◽  
New Surgical Technique

In the palatal defects due to surgical resection, flap selection is very important for a correct reconstruction. Different methods have been suggested over the time, however the pedicled buccal fat pad is a simple, effective, reliable flap for reconstruction after palate tumor resection. The aim of the present study is to introduce a new surgical technique for palate reconstruction with pedicled buccal fat pad flap exposing the advantages. The Authors performed this procedure in 17 patients in order to treat medium-sized oncologic surgical defect of palate region in the period between 2016 and 2019. Complete wound healing after only 4 weeks without complication after 12 months follow-up was observed. This is the first cases series described with this new technique.

scholarly journals Penile prosthesis implant for erectile dysfunction: A new minimally invasive infrapubic surgical technique

2016 ◽  
Vol 87 (4) ◽  
pp. 322 ◽  
Author(s):  
Gabriele Antonini ◽  
Gian Maria Busetto ◽  
Ettore De Berardinis ◽  
Riccardo Giovannone ◽  
Patrizio Vicini ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Penile Prosthesis ◽  
Aesthetic Result ◽  
High Satisfaction ◽  
Conventional Medical Therapy ◽  
Surgical Treatments ◽  
New Surgical Technique

Erectile dysfunction, the most common male sexual disorder after premature ejaculation, with its important impact on man and partner’s sexuality and quality of life is a persistent inability to obtain and maintain an erection sufficient to permit satisfactory sexual performance. Non-surgical treatments with controversial results are usually applyed before surgical treatment that has reached high levels of satisfaction. We describe a new surgical technique to implant three-pieces penile prosthesis in patients suffering from erectile dysfunction (ED) not responding to conventional medical therapy or reporting side effects with such a therapy. Implantation of an inflatable prosthesis, for treatment of ED, is a safe and efficacious approach with high satisfaction reported by patients and partners. Surgical technique should be minimally invasive and latest technology equipment should be implanted in order to decrease common complications and to obtain a better aesthetic result.

scholarly journals POSTOPERATIVE DYSPHAGIA AFTER LAPAROSCOPIC FUNDOPLICATION AS A TREATMENT FOR GASTROESOPHAGEAL REFLUX DISEASE

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
B Carrasco Aguilera ◽  
S Amoza Pais ◽  
T Diaz Vico ◽  
E O Turienzo Santos ◽  
M Moreno Gijon ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Surgical Technique ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
Laparoscopic Fundoplication ◽  
Descriptive Study ◽  
Postoperative Dysphagia

Abstract INTRODUCTION Laparoscopic Fundoplication (LF) as a treatment for gastroesophageal reflux disease (GERD) has positive clinical outcomes. However, postoperative dysphagia (PD) may appear as a side effect. Our objective is to analyze PD in patients operated on for LF in our center. MATERIAL AND METHODS Retrospective and descriptive study of patients operated on for GERD from September 1997 to February 2019. RESULTS 248 patients (60.5% men), with a mean age of 49.7 (21-82), were operated. 66.1% of the patients presented associated comorbidities, highlighting obesity (19.8%). 75% manifested typical symptoms, 19% presenting with Barrett’s esophagus. Sliding hiatal, paraesophageal, mixed and complex hernia were diagnosed in 151 (60.9%), 23 (9.3%), 12 (4.8%), and 4 (1.6%) patients, respectively. The LF Nissen was the most frequent technique (91.5%), using a caliper in 46% of the cases. PD was the most frequent symptom, present in 57 (23%) patients. It was resolved with dilation in 9 patients, requiring 6 patients surgical reintervention. In those PD cases, a caliper was used in 28 (49.1%) patients, without finding significant differences between them (P = .586). Nor were there significant differences between PD and obesity (P = .510), type of hiatal hernia (P = .326), or surgical technique (P = .428). After a median follow-up of 50.5 months, quality of life was classified as Visick I-II, III, and IV in 76.6%, 6.9% and 1.2% of the cases, respectively. CONCLUSION No association between PD and the use of calipers, surgical technique or type of hiatal hernia was found in our series.

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