Laparoscopic Distal Pancreatectomy with Preservation of the Spleen and of the Splenic Vessels, with Autologous Islet Transplantation. a New Minimally Invasive Technique to Treat Benign Neoplasm of the Pancreatic Body. Case Series of 3 Patients

2012 ◽  
Vol 94 (10S) ◽  
pp. 692
Author(s):  
M. Carvello ◽  
G. Balzano ◽  
P. Maffi ◽  
P. Magistretti ◽  
R. Nano ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Distal Pancreatectomy ◽  
Case Series ◽  
Benign Neoplasm ◽  
Laparoscopic Distal Pancreatectomy ◽  
Invasive Technique ◽  
Autologous Islet Transplantation ◽  
Preservation Of The Spleen ◽  
Splenic Vessels ◽  
Body Case

Laparoscopic distal pancreatectomy with or without splenectomy: Spleen and splenic vessels preservation does not increase morbidity

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S23
Author(s):  
Kazuhiro Suzumura ◽  
Toshihiro Okada ◽  
Yasukane Asano ◽  
Hisashi Kosaka ◽  
Tadamichi Hirano ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Splenic Vessels ◽  
Splenic Vessels Preservation

scholarly journals Laparoscopic distal pancreatectomy with preservation of the splenic vessels

2019 ◽  
Vol 4 ◽  
pp. 98-98
Author(s):  
Viktor Justin ◽  
Sebastian Wisiak ◽  
James Elvis Waha ◽  
Selman Uranues
Keyword(s):  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Splenic Vessels

scholarly journals Achilles tendon repair by a minimally invasive technique using Tenolig®

2020 ◽  
Vol 14 (3) ◽  
pp. 269-273
Author(s):  
Vinicius Oliveira ◽  
Sérgio Prata
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Postoperative Infection ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Case Series ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Aofas Score ◽  
Functional Scores

Objective: To assess the degree of postoperative satisfaction of patients with acute Achilles tendon rupture who underwent surgical reconstruction by a minimally invasive technique using Tenolig®. Methods: A retrospective observational study was conducted with 18 patients with acute Achilles tendon rupture diagnosed by a positive Thompson test who underwent surgery. Outcomes were assessed using the American  arthopaedic Foot and Ankle Society (AOFAS) score and the Foot Function Index (FFI). Furthermore, quantitative variables were descriptively treated, and patients’ age was correlated with FII and AOFAS score using Spearman’s correlation coefficient at a significance level of 5%. Results: Patients underwent surgery from one to six days after injury and were discharged one day later. Only one patient had a superficial postoperative infection. Patients’ AOFAS scores ranged from 75 to 100 points, and FFI ranged from 0 to 20%. The patient withsuperficial postoperative infection had an AOFAS score and a FFI of 75 points and 20%, respectively. Conclusion: Percutaneous repair of complete Achilles tendon rupture with Tenolig® resulted in high functional scores and a low rate of complications. Level of Evidence IV; Therapeutic Studies; Case Series.

scholarly journals P.138 Minimally invasive treatment of syringomyelia using tubular retractors

2018 ◽  
Vol 45 (s2) ◽  
pp. S53-S53
Author(s):  
K Yang ◽  
M Sourour ◽  
N Zagzoog ◽  
K Reddy
Keyword(s):  
Minimally Invasive ◽  
Chart Review ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Senior Author ◽  
Invasive Technique ◽  
Single Center ◽  
Invasive Treatment ◽  
Multiple Modalities ◽  
Subarachnoid Spaces

Background: Multiple modalities have been used in the treatment of syringomyelia, including direct drainage, shunting into peritoneal, pleural and subarachnoid spaces. The authors report their experience of surgical treatment of syringomyelia in a minimally invasive fashion. Methods: We conducted a single-center retrospective chart review on our syringomyelia cases treated with minimally invasively using Metrx Quadrant retractor system since January 2011. Lateral fluoroscopy was used to guide the placement of the retractor onto the lamina of the corresponding level. This was followed by laminectomy and a small durotomy. Once the syrinx cavity was identified and the proximal end of the tubing was inserted into the syrinx cavity, the tubing was tunneled into the pleural incision subcutaneously. Insertion of the pleural end of the shunt was performed under the microscope, with removal of a small amount of the rib at its upper edge. Results: 10 procedures were performed in 7 patients by the senior author. Etiologies of syringomyelia included Chiari malformation, trauma, diastematomyelia and kyphoscoliosis. All patients improved neurologically. No patients had immediate postoperative complications. One patient underwent two revisions of syringopleural shunts due to multilobulated nature of syringomyelia. Conclusions: Our case series presents a novel, minimally invasive technique for shunting of syringomyelia with results comparable to open procedures.

The straightened splenic vessels method dramatically improves surgical outcomes after laparoscopic distal pancreatectomy

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S81
Author(s):  
Chie Takishita ◽  
Yuichi Nagakawa ◽  
Yatsuka Sahara ◽  
Yuichi Hosokawa ◽  
Tetsushi Nakajima ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Surgical Outcomes ◽  
Laparoscopic Distal Pancreatectomy ◽  
Splenic Vessels

scholarly journals Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

2020 ◽  
Vol 65 (No. 2) ◽  
pp. 49-55
Author(s):  
S Manfredi ◽  
G Covi ◽  
M Bonazzi ◽  
G Gnudi ◽  
M Fumeo ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Minimally Invasive ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Companion Animals ◽  
Case Series ◽  
Invasive Technique ◽  
Surgical Removal ◽  
Small Animals ◽  
Ultrasound Guided

Foreign bodies (FBs) retained in the subcutaneous tissues are a common reason for medical consultation. In small animals, FBs usually consist of vegetal materials, especially grass awns. Failure to remove the FBs is likely to give rise to acute or late complications. The surgical removal of the FBs can be invasive, costly and technically challenging. Ultrasound has become a mainstay in the detection of FBs and it can be used to guide the extraction of the FBs with a minimally invasive technique. This study describes the detection and extraction of soft-tissue FBs in small animals. One hundred-sixty-two patients, presenting at two veterinary clinics with suspected FBs retained in the soft tissues of various body districts, were considered. Once an ultrasound diagnosis was established, the ultrasound-guided removal of the FB was performed. A high-frequency linear transducer, a skin disinfection, sedation or anaesthesia was used when needed and a scalpel and some Hartmann forceps were also used. One hundred-eighty-two FBs were successfully removed in all the patients. In six cases, the FB was identified during a second ultrasonographic examination, after recurrence of the fistula. No complications were reported after the procedure. The extraction of the FB was performed in an echographic suite in 138 cases and in a surgery room with surgical intervention in 24 cases. In the latter situation, the surgical minimally invasive dissection of tissues under ultrasound guidance was performed before the removal of the FB. In conclusion, the ultrasound-guided removal of the FBs retained in the superficial soft tissue can be considered a good alternative to surgery. However, failure to remove a FB does not preclude the removal by traditional surgery.

scholarly journals Management of single submucosal fibroid in unmarried females with uterine artery embolization

2020 ◽  
Vol 9 (2) ◽  
pp. 774
Author(s):  
Sunil Kumar Juneja ◽  
Gagandeep Kaur ◽  
Muskan Chaudhary
Keyword(s):  
Minimally Invasive ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Symptomatic Relief ◽  
Invasive Procedure ◽  
Benign Neoplasm ◽  
Menstrual Bleeding ◽  
Invasive Technique ◽  
Artery Embolization ◽  
Gnrh Analogues

Background: Uterine fibroids (leiomyomas) are the most common benign neoplasm of the female pelvis. The location of fibroids, whether submucosal, subserosal, pedunculated subserosal, intramural, or endocavitary, is important because signs and symptoms may be determined by location. Uterine artery embolization (UAE) for many patients is an effective alternative treatment to surgical therapy for fibroid tumors. It is a minimally invasive procedure, which allows for rapid recovery and return to normal activities. Objective of this study was to know the efficacy of minimally invasive technique UAE for reducing symptoms in sub-mucous uterine leiomyoma in unmarried females.Methods: This retrospective analysis was performed on 9 unmarried females with symptomatic single submucosal fibroid diagnosed on MRI with size range of 3.5 cms to 6.5 cms. They presented at Dayanand Medical College and Hospital, Ludhiana, Punjab in a period of 3 years from January 2016-December 2019. Inclusion criteria were unmarried females, single submucosal fibroid diagnosed on USG/MRI. Exclusion criteria was active infection, more than one fibroid in uterus, prior GnRH analogues treatment during the previous 3 months.Results: All patients presented with heavy menstrual bleeding (HMB) and dysmenorrhea, lower abdomen pain was encountered in 3 patients and 2 patients had inter-menstrual bleeding. Recurrent, UTI was there in 1 patient and 1 patient had vaginal discharge. All fibroids belonged to stage 1 FIGO classification. UAE was done and patients were followed for 6 months. Symptomatic success was seen in 100% patients and 77.77% patients expelled the fibroid per vaginally.Conclusions: UAE is alternative method of treatment for submucosal fibroids in unmarried females who do not want to undergo surgery. Proper case selection can give us good results and symptomatic relief.

Improving accuracy and reducing radiation exposure in minimally invasive lumbar interbody fusion

2010 ◽  
Vol 12 (5) ◽  
pp. 533-539 ◽  
Author(s):  
Martin James Wood ◽  
Richard John Mannion
Keyword(s):  
Minimally Invasive ◽  
Radiation Exposure ◽  
Interbody Fusion ◽  
Case Series ◽  
Guidance System ◽  
Screw Placement ◽  
Invasive Technique ◽  
Computer Assisted ◽  
Lumbar Interbody Fusion ◽  
Screw Misplacement

Object The authors assessed the accuracy of placement of lumbar transpedicular screws by using a computer-assisted, imaged-guided, minimally invasive technique with continuous electromyography (EMG) monitoring. Methods This was a consecutive case series with prospective assessment of procedural accuracy. Forty-seven consecutive patients underwent minimally invasive lumbar interbody fusion and placement of pedicle screws (PSs). A computer-assisted image guidance system involving CT-based images was used to guide screw placement, while EMG continuously monitored the lumbar nerve roots at the operated levels with a 5-mA stimulus applied through the pedicle access needle. All patients underwent CT scanning to determine accuracy of PS placement. All episodes of adjusted screw trajectory based on positive EMG responses were recorded. Pedicle screw misplacement was defined as breach of the pedicle cortex by the screw of more than 2 mm. Results Two hundred twelve PSs were inserted in 47 patients. The screw misplacement rate was 4.7%. One patient experienced new postoperative radiculopathy resulting from a sacral screw that was too long, with lumbosacral trunk impingement. The trajectory of the pedicle access needle was altered intraoperatively on 20 occasions (9.4% of the PSs) based on positive EMG responses, suggesting that nerve root impingement may have resulted from these screws had the EMG monitoring not been used. Conclusions The combination of computer-assisted navigation combined with continuous EMG monitoring during pedicle cannulation results in a low rate of PS misplacement, with avoidance of screw positions that might cause neural injury. Furthermore, this technique allows reduction of the radiation exposure for the surgical team without compromising the accuracy of screw placement.

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