scholarly journals Laparoscopic Unroofing and Aspiration-Sclerotherapy in the Management of Symptomatic Simple Renal Cysts

2006 ◽  
Vol 6 ◽  
pp. 2296-2301 ◽  
Author(s):  
Serdar Arisan ◽  
Ayhan Dalkilinc ◽  
Turhan Caskurlu ◽  
Nurettin Cem Sonmez ◽  
Soner Guney ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Cyst Wall ◽  
Open Surgery ◽  
Renal Cysts ◽  
Recurrent Pain ◽  
Single Session ◽  
Therapy Failure ◽  
Laparoscopic Unroofing ◽  
Better Than

Simple renal cysts are quite common in adults with an incidence that increases with age. Sclerosant treatment is very common, but the recurrence rate is high. Results are still under investigation for laparoscopic approaches and their long follow-up periods. Between 1998 and 2004, 21 patients were diagnosed with symptomatic renal cysts in our clinics. Initially, all patients underwent aspiration-sclerotherapy with 95% ethanol, the most common sclerosant, under ultrasound, fluoroscopy, or CT guidance. For those with sclerosant therapy failure, the laparoscopic unroofing method was used. Like open surgery, laparoscopic unroofing of the cyst appears to be effective by not only removing part of the cyst wall, but more importantly, by providing adequate drainage of the cyst. After sclerotherapy, 71% of the patients had recurrent pain and cyst on follow-up (at mean 14 months). This group of patients was cured with the laparoscopic unroofing method and there is still no recurrence.We emphasize the unroofing method as better than single session sclerotherapy. And also, laparoscopic unroofing of the cyst is more predictable and has better results than sclerotherapy aspiration.

scholarly journals Diagnosis and root canal treatment in a mandibular premolar with three canals

2009 ◽  
Vol 20 (5) ◽  
pp. 424-427 ◽  
Author(s):  
Lanuce Rosa Soares ◽  
Marcos Arruda ◽  
Marcos Pôrto de Arruda ◽  
Andréa Leão Rangel ◽  
Edson Takano ◽  
...  
Keyword(s):  
Correct Diagnosis ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Single Session ◽  
Pulp Chamber ◽  
Therapy Failure ◽  
Occlusal Caries ◽  
Gutta Percha ◽  
Probable Diagnosis

This paper presents a case report of a left mandibular second premolar with three canals and three different apical foramina. A 39-year-old male patient presented to our clinic with pain in the mandibular left second premolar. Initially, pain was caused by cold stimulus and later was spontaneously. The intraoral clinical examination revealed a fractured amalgam restoration with occlusal caries. Percussion and cold (Endo-Frost) tests were positive. The radiographic examination showed the presence of two roots. The probable diagnosis was an acute pulpitis. After access cavity, it was observed remaining roof of the pulp chamber and mild bleeding in the tooth lingual area, indicating the possible presence of a third canal. The endodontic treatment was completed in a single session using Root ZX apex locator and K3 NiTi rotary system with surgical diameter corresponding to a .02/45 file in the three canals and irrigation with 1% sodium hypochlorite. The canals were obtured with gutta-percha cones and Sealer 26 using the lateral condensation technique. After 1 year of follow-up, the tooth was asymptomatic and periapical repair was observed radiographically. Internal alterations should be considered during the endodontic treatment of mandibular second premolars. The correct diagnosis of these alterations by the analysis of preoperative radiographs can help the location of two or more canals, thereby avoiding root therapy failure.

scholarly journals Midline Prostatic Cyst Marsupialization Using Holmium Laser

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Mehmet Kilinc ◽  
Yunus Emre Goger ◽  
Mesut Piskin ◽  
Mehmet Balasar ◽  
Abdulkadir Kandemir
Keyword(s):  
Pelvic Pain ◽  
Transurethral Resection ◽  
Cyst Wall ◽  
Open Surgery ◽  
Voiding Dysfunction ◽  
Endoscopic Urethrotomy ◽  
First Time ◽  
Transurethral Incision ◽  
Prostatic Cyst

Many of the prostatic cysts are asymptomatic and only 5% are symptomatic (Hamper et al., 1990; Higashi et al., 1990). These symptoms include pelvic pain, hematospermia, infertility, voiding dysfunction, prostatitis-like syndrome, and painful ejaculation. Treatment of prostatic cysts includes TRUSG guided drainage, endoscopic transurethral resection, and in some cases even open surgery. In the literature, endoscopic interventions use marsupialization of the midline prostatic cyst with transurethral resection (TUR) or transurethral incision with endoscopic urethrotomy (Dik et al., 1996; Terris, 1995). Holmium: YAG laser was employed for the marsupialization of the cyst wall in midline prostatic cyst treatment for the first time in the present study. Symptoms, treatment, and follow-up are presented in this paper.

Clinical Experience of Single-Session Percutaneous Aspiration and OK-432 Sclerotherapy for Treatment of Simple Renal Cysts: 1-Year Follow-Up

2009 ◽  
Vol 23 (6) ◽  
pp. 1001-1006 ◽  
Author(s):  
Young Deuk Choi ◽  
Won Sik Ham ◽  
Won Tae Kim ◽  
Kang Su Cho ◽  
Joo Hyoung Lee ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Renal Cysts ◽  
Single Session ◽  
Percutaneous Aspiration

Surgical outcomes in 118 patients with Rathke cleft cysts

2005 ◽  
Vol 102 (2) ◽  
pp. 189-193 ◽  
Author(s):  
Christopher J. Aho ◽  
Charles Liu ◽  
Vladimir Zelman ◽  
William T. Couldwell ◽  
Martin H. Weiss
Keyword(s):  
Visual Impairment ◽  
Recurrence Rate ◽  
Cyst Wall ◽  
Hormone Deficiency ◽  
High Recurrence Rate ◽  
Endocrine Dysfunction ◽  
Mr Images ◽  
Content Type ◽  
Fine Print

Object. Microscopic Rathke cleft cysts are a common incidental autopsy finding, but some Rathke cleft cysts can become sufficiently large to cause visual impairment, hypothalamic—pituitary dysfunction, and headaches. In this study patients were evaluated pre- and postoperatively to ascertain the clinical significance of surgical intervention on endocrine and visual improvement. Factors correlated with cyst recurrence were also evaluated. Methods. A retrospective analysis was conducted in 160 patients with Rathke cleft cysts who were treated between 1984 and 1995 and completed at least a 5-year follow-up period. Of these 160 patients, 118 initially exhibited symptoms of visual impairment or endocrine dysfunction, became symptomatic during the follow-up period, or were found to have cyst enlargement. These 118 patients underwent transsphenoidal surgery. Forty-two patients with incidental lesions that demonstrated no growth on magnetic resonance (MR) images were followed up without an operation. Complete resection, as observed on MR images 3 months postoperatively, was obtained in 114 (97%) of 118 patients. Vision improved postoperatively in 57 (98%) of 58 patients. Hypogonadism improved in 11 (18%) of 62 patients, growth hormone deficiency resolved in 14 (18%) of 78 patients, and hypocortisolemia resolved in one (14%) of seven patients. Twenty-two patients (19%) began to exhibit symptoms of diabetes insipidus, which had not been present preoperatively. The total 5-year recurrence rate was 18% (21 of 118 patients), with 12 patients requiring a repeated operation. Surgical and pathological factors that were found to be statistically associated with recurrence were the use of a fat and/or fascial graft for closure (p < 0.01) and the presence of squamous metaplasia in the cyst wall (p < 0.01). The extent of resection of the cyst wall was not associated with an increased rate of recurrence. In 42 (69%) of 61 patients the incidental cysts did not progress on imaging studies or clinically. Conclusions. This is the largest series of patients with symptomatic Rathke cleft cysts who received operative intervention and participated in the longest postoperative follow up reported in the literature. The high recurrence rate (18%) supports the theory that a relationship exists between a symptomatic Rathke cleft cyst and craniopharyngioma. Improvements in visual and endocrine dysfunction can be expected after surgical decompression of the optic apparatus and the hypothalamic—pituitary axis.

scholarly journals A Six-Year Retrospective Follow-up of 502 Patients with Laparoscopic Cholelithotomy for Gallstone Recurrence: Success or Prospect

2019 ◽  
Author(s):  
Garba Seydou Aliou ◽  
Gang Zhao ◽  
An Hua Huang ◽  
An An Xu ◽  
Jing Li Cai ◽  
...  
Keyword(s):  
Risk Factors ◽  
Recurrence Rate ◽  
The Body ◽  
Gallbladder Contraction ◽  
Risk Of Recurrence ◽  
Contraction Function ◽  
Gallstone Recurrence ◽  
Tongji University ◽  
Better Than

Abstract Background This research was designed to explore the risk factors for gallstone recurrence after laparoscopic cholelithotomy. Methods A total of 502 patients who were diagnosed with gallstones using ultrasonography underwent laparoscopic cholelithotomy between January 2011 and December 2017 at the Shanghai-East Affiliated Hospital of Tongji University. Results Our retrospective study revealed that the gallstone recurrence rate of patients taking tauro-ursodeoxycholic acid (TUDCA) was significantly lower (P<0.05) than that of patients not taking TUDCA. The recurrence rate of gallstones in patients with an incision at the fundus of the gallbladder was significantly lower than that of the patients with an incision on the body of the gallbladder. The risk of recurrence in patients with gallstones combined with polyps was significantly higher than that in patients without polyps; the risk of recurrence of gallstones in patients with gallbladder contraction function < 50% was significantly higher than that in patients with gallbladder contraction function ≥ 50%. Additionally, the prognosis of patients without gallbladder adhesions to the peritoneum was better than that of patients with adhesions. Conclusion During the 6-year follow-up period of this study, the recurrence rate of gallstones after laparoscopic gallbladder-preserving cholelithotomy (LGPC) was 22.91%. Factors related to gallstone recurrence were use of TUDCA, location of the incision, presence of gallstones combined with polyps, gallbladder contraction function and presence of gallbladder adhesions to the peritoneum. The main cause of gallstone recurrence needs further investigation, and laparoscopic cholelithotomy remains promising for treatment of gallstone recurrence but requires thorough follow-up.

CyberKnife radiosurgical rhizotomy for the treatment of atypical trigeminal nerve pain

2007 ◽  
Vol 23 (6) ◽  
pp. E8 ◽  
Author(s):  
Chirag G. Patil ◽  
Anand Veeravagu ◽  
Regina S. Bower ◽  
Gordon Li ◽  
Steven D. Chang ◽  
...  
Keyword(s):  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Maximum Dose ◽  
Single Session ◽  
Complete Pain Relief ◽  
Rate Of Success ◽  
Median Maximum ◽  
Better Than

Object Patients with atypical trigeminal neuralgia (TN) have unilateral pain in the trigeminal distribution that is dull, aching, or burning in nature and is constant or nearly constant. Studies of most radiosurgical and surgical series have shown lower response rates in patients with atypical TN. This study represents the first report of the treatment of atypical TN with frameless CyberKnife stereotactic radiosurgery (SRS). Methods Between 2002 and 2007, 7 patients that satisfied the criteria for atypical TN and underwent SRS were included in our study. A 6–8-mm segment of the trigeminal nerve was targeted, excluding the proximal 3 mm at the brainstem. All patients were treated in a single session with a median maximum dose of 78 Gy and a median marginal dose of 64 Gy. Results Outcomes in 7 patients with a mean age of 61.6 years and a median follow-up of 20 months are reported. Following SRS, 4 patients had complete pain relief, 2 had minimal pain relief with some decrease in the intensity of their pain, and 1 patient experienced no pain relief. Pain relief was reported within 1 week of SRS in 4 patients and at 4 months in 2 patients. After a median follow-up of 28 months, pain did not recur in any of the 4 patients who had reported complete pain relief. Complications after SRS included bothersome numbness in 3 patients and significant dysesthesias in 1 patient. Conclusions The authors have previously reported a 90% rate of excellent pain relief in patients with classic TN treated with CyberKnife SRS. Compared with patients with classic TN, patients with atypical TN have a lower rate of pain relief. Nevertheless, the nearly 60% rate of success after SRS achieved in this study is still comparable to or better than results achieved with any other treatment modality for atypical TN.

Single-session percutaneous ethanol sclerotherapy in simple renal cysts in children: long-term follow-up

2004 ◽  
Vol 35 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Devrim Akinci ◽  
Burcak Gumus ◽  
Orhan S. Ozkan ◽  
Mustafa N. Ozmen ◽  
Okan Akhan
Keyword(s):  
Renal Cysts ◽  
Single Session ◽  
Ethanol Sclerotherapy ◽  
Long Term Follow Up

The “How” of Animacy Effects in Episodic Memory

2015 ◽  
Vol 62 (6) ◽  
pp. 371-384 ◽  
Author(s):  
Patrick Bonin ◽  
Margaux Gelin ◽  
Betty Laroche ◽  
Alain Méot ◽  
Aurélia Bugaiska
Keyword(s):  
Memory Load ◽  
Recall Performance ◽  
Memory Task ◽  
Human Memory ◽  
Recall Rate ◽  
Interactive Imagery ◽  
Ultimate Explanation ◽  
Better Than ◽  
Observation Results

Abstract. Animates are better remembered than inanimates. According to the adaptive view of human memory ( Nairne, 2010 ; Nairne & Pandeirada, 2010a , 2010b ), this observation results from the fact that animates are more important for survival than inanimates. This ultimate explanation of animacy effects has to be complemented by proximate explanations. Moreover, animacy currently represents an uncontrolled word characteristic in most cognitive research ( VanArsdall, Nairne, Pandeirada, & Cogdill, 2015 ). In four studies, we therefore investigated the “how” of animacy effects. Study 1 revealed that words denoting animates were recalled better than those referring to inanimates in an intentional memory task. Study 2 revealed that adding a concurrent memory load when processing words for the animacy dimension did not impede the animacy effect on recall rates. Study 3A was an exact replication of Study 2 and Study 3B used a higher concurrent memory load. In these two follow-up studies, animacy effects on recall performance were again not altered by a concurrent memory load. Finally, Study 4 showed that using interactive imagery to encode animate and inanimate words did not alter the recall rate of animate words but did increase the recall of inanimate words. Taken together, the findings suggest that imagery processes contribute to these effects.

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