scholarly journals 1162 Step by step total omentectomy and anatomical boundaries on live patient (open technique)

2021 ◽  
Author(s):  
I Selcuk ◽  
HR Yalcin
Keyword(s):  
Open Technique ◽  
Live Patient

scholarly journals Removal of sacral neuromodulation quadripolar tined-lead using a straight stylet: description of a surgical technique

2021 ◽  
Author(s):  
M. Agnello ◽  
M. Vottero ◽  
P. Bertapelle
Keyword(s):  
Adverse Effects ◽  
Sacral Neuromodulation ◽  
Pulse Generator ◽  
Lead Removal ◽  
Open Technique ◽  
Implantable Pulse Generator ◽  
Beneficial Effects ◽  
Tined Lead ◽  
Removal Technique ◽  
Sacral Bone

Abstract Background Up to 7.5% of tined-lead removals in patients having sacral neuromodulation (SNM) therapy are associated with a lead breakage. It is still unclear what adverse effects can be caused by unretrieved fragments. The aim of our study was to describe the lead removal technique we have been using for the last 2 years in our centre. Methods We retrospectively enrolled patients who had lead removal between January 2018 and January 2020 using our standardized technique. The novelty of the technique is in the use of the straight stylet, which is available in the quadripolar tined-lead kit. The stylet gives the electrode greater stiffness, reducing interactions with surrounding tissues and probability of damage or breakage during removal. Results In 59 patients (42 women, mean age 57.2 years [range 40–79 years]) the lead was removed using our standardized technique. In 44 of 59 patients, the tined-lead was removed within 2 months from the SNM-test, due to lack of beneficial effects. In 15 patients the electrode was removed because of failure of definitive implantation. Meantime from definitive implantable pulse generator (IPG) implantation to lead removal was 67.9 months. We recorded only 1 case of lead-breakage during removal: a female patient with a non-tined lead fixed on sacral bone, placed 18 years previously using an open technique. Conclusions Lead breakage during removal is not uncommon and adverse effects of retained fragments may occur. Our technique has been safely used for the last 2 years in our centre, with no episodes of lead breakage or retained fragments, except for one non-tined electrode.

Outcome of Achilles Tendon Ruptures Treated by a Limited Open Technique

2008 ◽  
Vol 29 (8) ◽  
pp. 803-807 ◽  
Author(s):  
Hong Geun Jung ◽  
Keun Bae Lee ◽  
Sang Gwon Cho ◽  
Taek Rim Yoon
Keyword(s):  
Achilles Tendon ◽  
Open Technique ◽  
Tendon Ruptures

Research on Preparation and Characterization of Easy-to-Open Tear Tape for Corrugated Carton

2010 ◽  
Vol 174 ◽  
pp. 525-530
Author(s):  
Li Qiang Huang ◽  
Mo Liu
Keyword(s):  
Tensile Strength ◽  
Open System ◽  
Open Technique ◽  
Pressure Sensitive Adhesive ◽  
Corrugated Board ◽  
Pressure Sensitive ◽  
Acrylic Fibers ◽  
Different Thickness

This paper presented a novel tape, which was used to open the corrugated cartons more easily and quickly. Structure of the tear tape consisted of backing materials (acrylic fibers), adhesive (acrylic pressure-sensitive adhesive) and release paper. Prepared tear tapes with different thickness, analyzed the influence of tear tape thickness on performance of open system and added them to the corrugated board, then tested the opening properties of the corrugated board above. The results indicate that the tape, with 0.18mm in thickness and about 25mm in width, can split high quantitative corrugated board smoothly, the tensile strength for opening is 105N at maximum, which means these tape can satisfy the needs of easy-to-open technique.

Defence Anaesthesia transition from the Tri-Service Anaesthetic Apparatus to the Diamedica Portable Anaesthesia Machine 02

2018 ◽  
Vol 165 (5) ◽  
pp. 351-355
Author(s):  
Jonathan David Pearson ◽  
A Maund ◽  
CP Jones ◽  
E Coley ◽  
S Frazer ◽  
...  
Keyword(s):  
Positive Pressure ◽  
High Fidelity Simulation ◽  
Subject Matter Experts ◽  
Simple Method ◽  
Anaesthesia Machine ◽  
Anaesthesia Equipment ◽  
Ease Of Access ◽  
The Uk ◽  
The Military ◽  
Live Patient

Defence Anaesthesia is changing its draw-over anaesthetic capability from the Tri-Service Anaesthetic Apparatus (TSAA) to the Diamedica Portable Anaesthesia Machine 02 (DPA02). The DPA02 will provide a portable, robust, lightweight and simple method for delivering draw-over volatile anaesthesia with the option of positive pressure ventilation through manual or mechanical operation for paediatric and adult patients. The UK Defence Medical Services uses a modified configuration of the DPA02; this paper seeks to explain the rationale for the differing configurations and illustrates alternative assemblies to support integration with other Defence Anaesthesia equipment. High-fidelity simulation training using the DPA02 will continue to be delivered on the Defence Anaesthesia Simulation Course (DASC). Conformité Européenne accreditation of DPA02 supports future UK live patient training in centres of excellence supervised by subject matter experts; this was not possible with the TSAA. This article is intended to be a key reference for all members of the Defence Anaesthesia team. Alongside other resources, it will be given as precourse learning prior to attending the DASC and the Military Operational Surgical Training. This article will also be issued with all Defence DPA02 units, supporting ease of access for review during future clinical exercises (including validation), prior to supervised live training and on operational deployments.

scholarly journals Can reducing the number of stitches compromise the outcome of laparoscopic Burch surgery in the treatment of stress urinary incontinence? Systematic review and meta-analysis

2017 ◽  
Vol 44 (6) ◽  
pp. 649-654 ◽  
Author(s):  
RICARDO JOSÉ SOUZA ◽  
JOSÉ ANACLETO DUTRA RESENDE JÚNIOR ◽  
CLARICE GUIMARÃES MIGLIO ◽  
LEILA CRISTINA SOARES BROLLO ◽  
MARCO AURÉLIO PINHO OLIVEIRA ◽  
...  
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
P Value ◽  
Open Technique ◽  
Control Series ◽  
One Year ◽  
Cure Rates

ABSTRACT The retropubic colposuspension in the treatment of stress urinary incontinence has been rescued with the laparoscopic route. Some authors have reduced the number of stitches, from two to one, due to the difficulty of suturing by this route. To what extent can this modification compromise outcome? To answer this question, we performed a systematic review and meta-analysis on the MEDLINE/PubMed and LILACS/SciELO databases between 1990 and 2015. We included randomized clinical trials, cohort studies and case-control series comparing laparoscopic versus open Burch, and two versus one stitch in laparoscopic Burch, with a minimum follow-up of one year. Fourteen studies compared laparoscopic versus open Burch, in which we found no differences between the two techniques using one stitch (Relative Risk - RR - of 0.94, 95% CI 0.79-1.11) and two stitches (RR of 1.03, 95% CI 0.97-1.10). Only one study compared one stitch versus two stitches in laparoscopic Burch, with cure rates of 68% versus 87%, respectively (p-value= 0.02). We did not identify differences when compared open technique with two stitches versus laparoscopic with one stitch and open technique with two stitches versus laparoscopic with two. The study comparing one versus two laparoscopic stitches demonstrated superior results with the latter. Although there is no robust evidence, when Burch surgery is performed laparoscopically, the use of two stitches seems to be the best option.

Open Surgical versus Minimally Invasive in Situ Femorodistal Bypass: Long-term Results

2003 ◽  
Vol 10 (1) ◽  
pp. 117-120 ◽  
Author(s):  
Nomdo S. Renken ◽  
Cees H.A. Wittens ◽  
Peter M.T. Pattynama ◽  
Nico A.J.J. Du Bois ◽  
Lukas C. van Dijk
Keyword(s):  
Minimally Invasive ◽  
Limb Salvage ◽  
Long Term Results ◽  
Open Technique ◽  
Treatment Groups ◽  
Closed Technique ◽  
Open Versus

Purpose: To compare long-term patency and limb survival rates for the classical in situ surgical bypass procedure versus a minimally invasive technique for femorodistal revascularization. Methods: From May 1992 to June 1994, a prospective multicenter study was undertaken at 4 centers to evaluate the open versus closed technique for femorodistal bypass grafting. Of 97 patients enrolled in the trial, 73 patients (49 men; mean age 71 years) were assigned to the long-term follow-up protocol and prospectively randomized to the open (n = 38) or closed (n = 35) procedure. The classical open technique is characterized by a long incision over the length of the bypass graft, while the minimally invasive procedure involves only two short incisions over each anastomosis site (the side branches are closed with a coaxial embolization catheter system). Graft patency was evaluated with duplex imaging periodically throughout the 4-year observation period. Results: There was no statistically significant difference between the treatment groups with respect to age, sex, hypertension, ischemic heart disease, or smoking. However, the open group had a significantly greater incidence of diabetes (p = 0.037). Over a median 4.7-year follow-up (range 0.3–6.4), 9 (12%) patients (3 open and 6 closed) were lost to follow-up: 2 died and 7 refused the duplex examination. No significant differences in 4-year patency, limb salvage, or survival was demonstrated between the open versus closed treatment groups; 4-year secondary patency was 62% versus 64%, respectively, and limb salvage was 72% versus 86%. Conclusions: The closed technique for femorodistal in situ bypass procedures yields favorable long-term outcomes compared to the traditional open technique.

scholarly journals Retro rectus mesh repair for umbilical hernia in adults: a study of 50 cases

2019 ◽  
Vol 7 (1) ◽  
pp. 49
Author(s):  
Ketan Vagholkar
Keyword(s):  
Gold Standard ◽  
Surgical Outcome ◽  
Mesh Repair ◽  
Umbilical Hernia ◽  
Open Repair ◽  
Laparoscopic Approach ◽  
Open Technique ◽  
Surgical Practice ◽  
Local Complications ◽  
Onlay Mesh

Background: Umbilical hernia is one of the most commonly encountered hernia in surgical practice. A variety of repairs have been tried our ranging from open to laparoscopic. However controversy still persists as to which type of repair is the gold standard for umbilical hernia. Open technique comprises of the onlay mesh repair which is known to develop a variety of complications. Even laparoscopic approach also has failure rates as well as local complications. The aim of the study was to evaluate the surgical outcome of open retro rectus mesh repair for adult umbilical hernias.Methods: 50 consecutive cases of umbilical hernia were repaired by open technique with retro rectus placement of mesh.Results: There were no local complications or any recurrence in any of the fifty patients.Conclusions: Retro rectus placement of mesh in open repair of umbilical hernia in adults is a safe and effective modality of treatment. 

scholarly journals Clinical Outcome, Return to Pre-injury Activities and Patients Satisfaction after Open ACL Reconstruction And Arthroscopic Reconstruction; An Experience From A Developing Country

2020 ◽  
pp. 13-17
Author(s):  
Prof. Shehzad Javed ◽  
Dr. Muhammad Farrukh Bashir ◽  
Dr. Zubair Khalid ◽  
Dr. Umair Ahmed ◽  
Prof Amer Aziz
Keyword(s):  
Anterior Cruciate Ligament ◽  
Clinical Outcome ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Open Technique ◽  
Arthroscopic Reconstruction ◽  
Open Procedure ◽  
Patients Satisfaction ◽  
Anterior Cruciate

Introduction: There are two techniques for reconstruction of anterior cruciate ligament (ACL), open technique and arthroscopic assisted technique. Arthroscopic assisted technique has many advantages over open procedure but it needs more expertise and cost comparatively.The objective of this study is to identify the clinical outcomes on basis of lyshlomknee score (LKS) system and find out patients satisfaction after performing both procedures in two groups separately. Material and Methods: Retrospective analysis of 600 patients undergoing open ACL reconstruction and arthroscopic reconstruction from 2005 to 2018 was done, at the Department of Orthopaedics, Ghurki Hospital, Lahore. We included all those patients who were 18 to 45 years of age and had at least 1 year follow up.

Sign in / Sign up

Export Citation Format

Share Document