THE OPERATIVE APPROACH TO THE KIDNEY OF BERNARD FEY

1939 ◽  
Vol 11 (2) ◽  
pp. 126-132 ◽  
Author(s):  
T. B. Mouat
Keyword(s):  
Operative Approach

Incarcerated and Strangulated Hernias - Operative Approach and Repair

Swiss Surgery ◽  
2000 ◽  
Vol 6 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Mauch ◽  
Helbling ◽  
Schlumpf
Keyword(s):  
Operative Approach ◽  
Oder Eine

Die akut symptomatischen Hernien mit potentieller oder manifester Ischämie bilden eine spezielle Gruppe innerhalb der Gesamtheit der Leistenhernien. Die Operationsmethode der Wahl muss folgende spezielle Anforderungen erfüllen: 1. Der Bruchsackinhalt muss schonend und ohne zusätzlichen Schaden zu verursachen reponiert werden können. 2. Der Zugang muss genügend Übersicht und Platz zur Inspektion und allenfalls Resektion von Bruchsackinhalt gewähren. 3. Die Bruchlücke muss durch den selben Zugang sicher versorgt werden können. Infolge unserer Erfahrungen mit 44 eingeklemmten und strangulierten Leistenhernien, operiert zwischen 1993 und 1997, und nach Durchsicht der Literatur entschieden wir uns für einen routinemässigen hinteren Zugang und die Bruchpfortenversorgung mit Netz als Methode der Wahl. Auf die Einlage eines Netzes verzichten wir nur dann, wenn eine Kolonresektion notwendig ist oder eine Peritonitis vorliegt.

Conus-level combined dorsal and ventral lumbar rhizotomy for treatment of mixed hypertonia: technical note and complications

2021 ◽  
Vol 27 (1) ◽  
pp. 102-107
Author(s):  
Ranbir Ahluwalia ◽  
Patrick Bass ◽  
Laura Flynn ◽  
Elizabeth Martin ◽  
Heather Riordan ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Lower Extremities ◽  
Technical Note ◽  
Operative Approach ◽  
Less Invasive ◽  
Ventral Roots ◽  
Technical Challenges ◽  
Invasive Techniques ◽  
Csf Leaks

Combined dorsal and ventral rhizotomy is an effective treatment for patients with concurrent spasticity and dystonia, with the preponderance of complaints relating to their lower extremities. This operative approach provides definitive relief of hypertonia and should be considered after less-invasive techniques have been exhausted. Previously, the surgery has been described through an L1–S1 laminoplasty. In this series, 7 patients underwent a conus-level laminectomy for performing a lumbar dorsal and ventral rhizotomy. Technical challenges included identifying the appropriate-level ventral roots and performing the procedure in children with significant scoliosis. Techniques are described to overcome these obstacles. The technique was found to be safe, with no infections, CSF leaks, or neurogenic bladders.

scholarly journals A PERI-OPERATIVE APPROACH TO LENGTH OF STAY AFTER CARDIAC SURGERY

2018 ◽  
Vol 34 (10) ◽  
pp. S213-S214
Author(s):  
P. Taipale ◽  
P. Choy
Keyword(s):  
Cardiac Surgery ◽  
Length Of Stay ◽  
Operative Approach

scholarly journals Selection of patients and Operative Approach in Primay Aldosteronism

1975 ◽  
Vol 182 (4) ◽  
pp. 353-361 ◽  
Author(s):  
THOMAS K. HUNT ◽  
MORRIS SCHAMBELAN ◽  
EDWARD G. BIGLIERI
Keyword(s):  
Operative Approach ◽  
Selection Of Patients ◽  
Selection Of

An Operative Approach to the Treatment of Refractory Cutaneous Nasal Sarcoid

2009 ◽  
Vol 63 (6) ◽  
pp. 685-887 ◽  
Author(s):  
Beth Aviva Preminger ◽  
David H. Hiltzik ◽  
Jeremy Segal ◽  
Norman G. Morrison
Keyword(s):  
Operative Approach

Diagnostic steps and staged operative approach in Currarino’s triad: a case report and review of the literature

2000 ◽  
Vol 16 (8) ◽  
pp. 522-524 ◽  
Author(s):  
H. Ilhan ◽  
Baran Tokar ◽  
Metin Ant Atasoy ◽  
Alparslan Kulali
Keyword(s):  
Case Report ◽  
Operative Approach ◽  
Review Of The Literature

Operative Approach Does Not Impact Radial Margin Positivity in Distal Rectal Cancer

2021 ◽  
Author(s):  
George Q. Zhang ◽  
Rebecca Sahyoun ◽  
Miloslawa Stem ◽  
Brian D. Lo ◽  
Ashwani Rajput ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Operative Approach ◽  
Distal Rectal Cancer ◽  
Radial Margin

Obstructive left side colon cancer: time for a tailored operative approach?

2020 ◽  
Vol 75 (4) ◽  
Author(s):  
Carlo Bergamini ◽  
Alessio Giordano ◽  
Gherardo Maltinti ◽  
Giovanni Alemanno ◽  
Fabio Cianchi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Operative Approach

NELA.03Laparoscopy in Emergency Surgery is Associated with Lower Risk-Adjusted Mortality

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Alexander Darbyshire ◽  
Ina Kostakis ◽  
Phil Pucher ◽  
David Prytherch ◽  
Simon Toh ◽  
...  
Keyword(s):  
Lower Risk ◽  
Operative Approach ◽  
National Database ◽  
Model Discrimination ◽  
Intestinal Surgery ◽  
Risk Models ◽  
Good Discrimination ◽  
Total Cohort ◽  
C Statistic ◽  
Expected Mortality

Abstract Aims To compare risk-adjusted outcomes after emergency intestinal surgery by operative approach. Methods Data from December 2013-November 2018 was retrieved from the NELA national database. Complete data on 102,154 patients with P-POSSUM was available, and 47,667 had NELA score. AUROC curves were calculated to assess model discrimination (c-statistic), and calibration plots to visualise agreement between predicted and observed mortality.  Standardised Mortality Ratio's (SMR) were calculated for the total cohort and by operative approach. Operative approach was divided into: laparotomy, completed laparoscopically, converted to open and lap assisted. Results Both P-POSSUM and NELA score displayed good discrimination for total cohort and by operative approach (P-POSSUM c-statistic=0.801-0.815; NELA score c-statistic=0.851-0.880).  Calibration plots demonstrated that P-POSSUM was highly accurate up to 20% mortality, after which it substantially over-predicted mortality.  NELA score was highly accurate up to 25% mortality after which it slightly under-predicted. Overall SMR of observed vs expected deaths was 0.77 using P-POSSUM, 0.8 for laparotomy and 0.46 for laparoscopy.  Restricting cases to < 10% predicted mortality (n = 65,000), overall SMR improved (0.9) and was considerably lower for cases completed laparoscopically (0.41) compared to open (0.97).  Using NELA scores of < 10% predicted mortality (n = 27,000) had similar overall SMR (0.96), with cases completed laparoscopically displaying much lower SMR (0.61) compared to laparotomy (1.0). Conclusions SMR's calculated using P-POSSUM and NELA score have demonstrated that laparoscopy has significantly lower observed vs expected mortality rate compared to laparotomy. This raises the question of why laparoscopy is associated with reduced mortality and should operative approach be included in risk models?

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