scholarly journals Transanal Surgery: A History of taTME Ancestry

2019 ◽  
Vol 33 (03) ◽  
pp. 128-133
Author(s):  
Kevin M. Izquierdo ◽  
Jean F. Salem ◽  
Esther Cha ◽  
Ece Unal ◽  
John H. Marks

AbstractTransanal total mesorectal excision (taTME) is the culmination of major developments in rectal cancer management and minimally invasive surgery. This surgical breakthrough holds great promise and excitement for the care of the rectal cancer patient. We would be remiss in discussing taTME to not acknowledge the role of transanal abdominal transanal proctosigmoidectomy, transanal endoluminal microsurgery, laparoscopy, and natural orifice transluminal endoscopic surgery that got us to this modern day explosion of the taTME approach. In this article, we detail and explain the convergence of these disparate experiences, how they culminated in the development of the taTME, and explore future directions in this field.

Author(s):  
Wendy Ayres-Bennett ◽  
Helena Sanson

This Introduction outlines the need for a ‘true history’ (Lerner 1976) of the role of women in the history of linguistics, which considers them on their own terms, and challenges categories and concepts devised for traditional male-dominated accounts. We start by considering what research has already been conducted in the field, before exploring some of the reasons for the relative dearth of studies. We outline some of the challenges and opportunities encountered by women who wished to study the nature of language and languages in the past. The geographical and chronological scope of this volume is then discussed. In a central section we examine some of the major recurring themes in the volume. These include attitudes towards women’s language, both positive and negative; women and language acquisition and teaching; and women as creators of new languages and scripts. We further explore women as authors, dedicatees, or intended readers of metalinguistic texts, as interpreters and translators, and as contributors to the linguistic documentation and maintenance. We consider how women supported male relatives and colleagues in their endeavours, sometimes in invisible ways, before reviewing the early stages of their entry into institutionalized contexts. The chapter concludes with a brief section on future directions for research.


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Devakinandan Sharma ◽  
Gyanesh Kumar Tiwari ◽  
Gyanesh Kumar Tiwar

The study aimed to examine the impacts of spiritual beliefs of diagnosed cancer patients and normal healthy participants on their perceived health. The present research employed a correlational research design to collect and analyze data. The purposive sampling method was used to select the participants in the study. Sixty diagnosed male (M = 52.32, SD = 10.52) and female (M = 51.68, SD = 6.90) cancer patients and 60 normal healthy male (M = 44.00, SD = 10.45) and female (M = 47.15, SD = 11.32) participants constituted the samples for the study. The findings of the study evinced that spiritual beliefs had important role in shaping the nature and extent of the perceived health of the cancer patients and normal healthy participants. The gender has also been observed to play pivotal role in impacting the perceived health of the participants. It was also observed that spiritual beliefs had shown positive correlations with the scores of perceived health of the male, female and all the cancer patients and normal healthy participants. An important finding of the study denoted that spiritual beliefs contributed significantly and even higher in degree to the scores of the perceived health of the participants inflicted with cancer as compared to the participants with no known history of chronic diseases. In essence, the findings of the study corroborated the important role of spiritual beliefs in determining the perceived health of the participants suffering from fatal disease like cancer. The findings of the study have significant implications in understanding the spiritual beliefs and perceived health of the patients inflicted with fatal diseases and it will benefit equally health professional, care-givers and public at large. The limitations and future directions for future researchers have been discussed at the end.


2021 ◽  
Vol 8 (11) ◽  
pp. 148
Author(s):  
Jee Eun Oh ◽  
Cholomi Jung ◽  
Young-sup Yoon

Human induced pluripotent stem cells (hiPSCs) hold great promise for cardiovascular regeneration following ischemic injury. Considerable effort has been made toward the development and optimization of methods to differentiate hiPSCs into vascular cells, such as endothelial and smooth muscle cells (ECs and SMCs). In particular, hiPSC-derived ECs have shown robust potential for promoting neovascularization in animal models of cardiovascular diseases, potentially achieving significant and sustained therapeutic benefits. However, the use of hiPSC-derived SMCs that possess high therapeutic relevance is a relatively new area of investigation, still in the earlier investigational stages. In this review, we first discuss different methodologies to derive vascular cells from hiPSCs with a particular emphasis on the role of key developmental signals. Furthermore, we propose a standardized framework for assessing and defining the EC and SMC identity that might be suitable for inducing tissue repair and regeneration. We then highlight the regenerative effects of hiPSC-derived vascular cells on animal models of myocardial infarction and hindlimb ischemia. Finally, we address several obstacles that need to be overcome to fully implement the use of hiPSC-derived vascular cells for clinical application.


2012 ◽  
Vol 8 (3) ◽  
Author(s):  
Wilson Halder

Development Communication: Reframing the Role of Media is a book that offers an overview of the history of development communication while exploring the main actors of the field and world culture.The author, Thomas McPhail, has written a book with a strong theoretical focus on development communication studies ranging from modernization theories to the movements of liberation theology to participatory communication, cultural imperialism and education-entertainment. Readers will find this book useful for understanding past, present and possible future directions of the development communication field. 


2020 ◽  
Vol 33 (03) ◽  
pp. 180-186
Author(s):  
António S. Soares ◽  
Manish Chand

AbstractTransanal total mesorectal excision (taTME) is a novel technique that has evolved over the years to address the challenges of low rectal cancer surgery by applying the principles and benefits of laparoscopic surgery to more historic transanal techniques. It has been popularized through its use in rectal cancer, but the transanal approach is slowly being expanded to tackle different clinical scenarios including benign conditions such as inflammatory bowel disease and endometriosis. For all of these new indications, it is the desire to access and begin the dissection in native tissue beyond the pathology which makes this approach applicable to other diseases where anatomy can be challenging. Training pathways to safely introduce taTME in a standardized manner are being developed and implemented in a bid to ensure adequate training to all the surgeons using this technique and thus minimize complications and patient morbidity. The future directions of this promising technique include the use of image and optical technological enhancement to aid navigation, the use of pneumorectum stabilization, and perhaps the use of fluorescence as a safety improvement. Developments have come also from the field of robotics. After a demonstration of feasibility in cadaver models, a growing experience has been gathered in the robotic approach to taTME, covered in the last part of this chapter.


2020 ◽  
Vol 33 (03) ◽  
pp. 168-172
Author(s):  
Elisabeth C. McLemore ◽  
Peyman Lavi ◽  
Vikram Attaluri

AbstractA dynamic evolution is occurring in transanal surgery. Transanal techniques began with intraluminal surgical removal of rectal masses and have progressed to transanal total mesorectal excision (taTME) for rectal cancer. TaTME was first performed in 2009 by Sylla, Rattner, Delgado, and Lacy. This article documents the training pathway followed by pioneers in the taTME technique as well as consensus reports outlining the process of learning the taTME technique. A literature search was performed for taTME training, learning, and technique. Key elements in learning the taTME technique include appropriate indications, cadaver training, and outcomes reporting such as participating in a taTME registry. Consensus reports also agree on the following facets associated with improved outcomes: (1) appropriate case selection of mid and low rectal cancers, (2) prerequisite completion of an accredited training program in laparoscopic colorectal surgery and prior experience in transanal endoscopic surgery, (3) a two-team taTME approach from above and below is ideal, and (4) higher rectal cancer volume surgical practice. The unifying international recommendation for surgeons interested in learning the taTME technique conveys the following message: taTME is an advanced and complex technique that requires dedicated training and experience in TME surgery.


2012 ◽  
Vol 59 (2) ◽  
pp. 87-90 ◽  
Author(s):  
Léon Maggiori ◽  
Yves Panis

Transanal endoscopic microsurgery (TEM) was introduced in 1983 as an alternative to radical proctectomy for the management of rectal adenomas unsuitable for endoscopic or standard transanal resection. Since, its indications have progressively broadened to early rectal cancer. This review article will assess the role of TEM for T1 rectal cancer management, along with its operative and long-term results.


2015 ◽  
Vol 26 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Oliver S. Chow ◽  
Jesse Joshua Smith ◽  
Marc J. Gollub ◽  
Julio Garcia-Aguilar

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