scholarly journals Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Estefânia Correia ◽  
António Santos
Keyword(s):  
Minimally Invasive ◽  
Cost Effective ◽  
Functional Results ◽  
Moderate Degree ◽  
Minimally Invasive Techniques ◽  
Secondary Intention ◽  
History Of ◽  
Full Thickness Excision ◽  
Invasive Techniques

We report a case of an 80-year-old female who presented with a four-year history of a growing mass in the perianal area with pain and bleeding during defaecation. Clinical examination revealed a locally destructive, cauliflower-like, verrucous mass measuring 10×12 cm in diameter. Histologic findings revealed a moderate degree of dysplasia of the epithelium with koilocytosis atypia, acanthosis, and parakeratosis, features that are consistent with Buschke-Löwenstein tumour. Polymerase-chain-reaction assay for human papillomavirus (HPV) showed an infection with HPV type 11. Full-thickness excision of involved skin was undertaken by cryotherapy and electrocautery over five months. The entire wound was left open to heal by secondary intention. After 3 years of follow-up, the patient has not experienced a recurrence, with excellent functional results, but the cosmetic results were satisfactory. These minimally invasive techniques can be safer and more cost-effective than surgery and the General Practitioner can play a key role in diagnosis.

scholarly journals A brief history of the development of laparoscopy and minimally invasive techniques

2015 ◽  
pp. 73-76
Author(s):  
Piotr arzynkowski ◽  
◽  
Renata Piotrkowska ◽  
Janina Książek ◽  
Agnieszka Kruk
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Techniques ◽  
History Of ◽  
Invasive Techniques

scholarly journals Surgical Treatment of Brainstem Cavernous Malformations with Three Basic Skull Base Approaches and Minimally Invasive Techniques: Observations in 20 Patients

2017 ◽  
Vol 3 (2) ◽  
pp. 74-83
Author(s):  
Wen Yin ◽  
Jianrong Ma ◽  
Yiwei Liao
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Surgical Approach ◽  
Cavernous Malformation ◽  
Minimally Invasive Techniques ◽  
Cavernous Malformations ◽  
Bleeding Episodes ◽  
Surgical Treatments ◽  
Invasive Techniques

Objective Brainstem cavernous malformation (BSCM) is extremely challenging for neurosurgeons in terms of surgical approach choices. In this article, we summarized our experience in skull base approaches of BSCM, and elucidated the advance of surgical treatments of brain stem cavernous malformation through reviewing recent relevant articles. Methods We retrospectively reviewed 20 consecutive patients who underwent resection between May 1, 2014 and April 30, 2016. Only midline suboccipital, subtemporal approach and retrosigmoid approach were used in this series. The diagnoses of all patients were confirmed by radiological and histological examination. Results All 20 patients were completely extirpated without surgical-related mortality. The mean follow-up period was 9.5 months (range, 2-20 months). Of the 20 patients, 80% symptomatic patients underwent surgery after first bleeding episode within 3 months, 20% after two or more bleeding episodes by magnetic resonance imaging. After resection and during follow-up, 75% of patients had an improvement in their modified Rankin scale (mRS) scores, whereas 10% were worse compared with their preoperative presentation; 15% were unchanged. Conclusion Appropriate basic surgical approach and minimally invasive techniques are necessary in preventing impairment of neurologic function. The three common basic skull base approaches, combined with minimally invasive techniques can handle most of BSCMs with good surgical results.

Surgery and endovenous techniques for the treatment of small saphenous varicose veins: a review of the literature

2011 ◽  
Vol 26 (5) ◽  
pp. 179-184 ◽  
Author(s):  
S S Tellings ◽  
R P M Ceulen ◽  
A Sommer
Keyword(s):  
Minimally Invasive ◽  
Saphenous Vein ◽  
Minimally Invasive Techniques ◽  
Success Rates ◽  
Review Of The Literature ◽  
Treatment Techniques ◽  
Significant Difference ◽  
Invasive Techniques ◽  
All Treatment

In 15% of all patients, varicosis is caused by insufficiency of the small saphenous vein (SSV). In the past it was common to entirely remove the SSV by surgical procedure; however, recently minimally invasive techniques have taken over a significant number of varicose vein treatments. The aim of this paper is a review of the literature of all treatment modalities of the insufficient SSV. The search aimed to identify all papers published describing one or more treatments for SSV insufficiency. International literature databases were searched through for articles eligible for this review. Articles describing one or more treatment techniques for SSV insufficiency were eligible for this review. Also studies describing SSV as well as greater saphenous vein were included as long as they made a clear distinction in their results between the two groups. Studies were excluded if they did not use ultrasound examination to qualify outcome, as this is the golden standard to evaluate venous insufficiency. Seventeen articles were included in this review. Five articles on surgical treatment showed success rates varying from 24% to 100% (follow-up 1.5–60 months). Ten articles on endovenous laser ablation (EVLA) showed success rates varying from 91% to 100% (follow-up 1.5–36 months). Two articles on ultrasound-guided foam sclerotherapy (UGFS) showed success rates varying from 82% to 100% (follow-up 1.5–11 months). Statistical analysis showed a significant difference ( P < 0.05) in success rate of 47.8% versus 94.9% for surgery and EVLA/UGFS, respectively. Most complications for all treatment techniques were mild and self-limiting. Rates of deep venous thrombosis were not described often and in the articles that mentioned it, varied from 1.8% to 3.5% (surgery) and 2.5–5.7% for EVLA. In the absence of large, comparative randomized clinical trials, minimally invasive techniques appear to have a tendency towards better results than surgery, in the treatment of the insufficient SSV.

Single-stage minimally invasive nephroureterectomy for upper tract urothelial carcinoma: Perioperative and early oncological outcomes

2020 ◽  
Vol 13 (5) ◽  
pp. 332-338
Author(s):  
PC Ryan ◽  
UM Haroon ◽  
RA Keenan ◽  
PJ O’Donoghue ◽  
M Hegazy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Urothelial Carcinoma ◽  
Single Stage ◽  
Upper Tract Urothelial Carcinoma ◽  
Perioperative Outcomes ◽  
Minimally Invasive Techniques ◽  
Upper Tract ◽  
Oncological Outcomes ◽  
Invasive Techniques

Objective: The purpose of this article is to present our minimally-invasive techniques for upper tract urothelial carcinoma and review the perioperative and early oncological outcomes at our centre. Materials and methods: A retrospective review of all patients undergoing minimally-invasive surgery for upper tract urothelial carcinoma over a 3-year period following institutional approval was performed. Perioperative and early oncological outcomes were assessed. Results: Twenty-three cases of minimally-invasive single-stage nephroureterectomy were performed with a mean patient age of 69.45 years. Twelve (52%) of these cases were for high-grade disease and six (27%) had received neo-adjuvant chemotherapy. There were no intraoperative complications, no positive surgical margins and four (17.4%) of patients had a post-operative complication. Mean length of stay was 5.5 days and there was one readmission within 30 days of surgery. Seven patients (30%) experienced either local or distant recurrences with a median time to recurrence of 6 months. Recurrence free survival was 69.6%. Two patients died during the follow-up period. Conclusion: Our minimally-invasive techniques provides a safe and reproducible approach for upper tract urothelial carcinoma. Our perioperative outcomes and oncological are comparable to similar studies, but more long-term follow-up and larger patient numbers are required to validate oncological efficacy. Level of evidence: 4.

Frontal Keyhole Craniotomy for Resection of Low- and High-Grade Gliomas

Neurosurgery ◽  
2017 ◽  
Vol 82 (3) ◽  
pp. 388-396 ◽  
Author(s):  
Joshua D Burks ◽  
Andrew K Conner ◽  
Phillip A Bonney ◽  
Chad A Glenn ◽  
Adam D Smitherman ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Senior Author ◽  
Brain Lesions ◽  
Minimally Invasive Techniques ◽  
Who Grade ◽  
Prior Surgery ◽  
Grade Ii ◽  
Keyhole Craniotomy ◽  
Invasive Techniques

Abstract BACKGROUND Minimally invasive techniques are increasingly being used to access intra-axial brain lesions. OBJECTIVE To describe a method of resecting frontal gliomas through a keyhole craniotomy and share the results with these techniques. METHODS We performed a retrospective review of data obtained on all patients undergoing resection of frontal gliomas by the senior author between 2012 and 2015. We describe our technique for resecting dominant and nondominant gliomas utilizing both awake and asleep keyhole craniotomy techniques. RESULTS After excluding 1 patient who received a biopsy only, 48 patients were included in the study. Twenty-nine patients (60%) had not received prior surgery. Twenty-six patients (54%) were diagnosed with WHO grade II/III tumors, and 22 patients (46%) were diagnosed with glioblastoma. Twenty-five cases (52%) were performed awake. At least 90% of the tumor was resected in 35 cases (73%). Three of 43 patients with clinical follow-up experienced permanent deficits. CONCLUSION We provide our experience in using keyhole craniotomies for resecting frontal gliomas. Our data demonstrate the feasibility of using minimally invasive techniques to safely and aggressively treat these tumors.

Treatment of Refractory Low Back Pain Caused by Degenerative Spine Disease with Minimally Invasive Techniques

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376724-s-0034-1376724
Author(s):  
K. Vladimirovich Tyulikov ◽  
K. Korostelev ◽  
V. Manukovsky ◽  
V. Litvinenko ◽  
V. Badalov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Minimally Invasive ◽  
Low Back ◽  
Minimally Invasive Techniques ◽  
Degenerative Spine ◽  
Degenerative Spine Disease ◽  
Invasive Techniques ◽  
Spine Disease

Quantification Analysis of Minimally Invasive Techniques to the Infratemporal Fossa

2020 ◽  
Author(s):  
Moustafa Ali ◽  
Nyall London ◽  
Daniel Prevedello ◽  
Tekin Baglam ◽  
Ray Cho ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Infratemporal Fossa ◽  
Minimally Invasive Techniques ◽  
Quantification Analysis ◽  
Invasive Techniques

Aumento de coroa estética sem elevação de retalho – abordagem minimamente invasiva

2020 ◽  
Vol 12 (45) ◽  
pp. 34-39
Author(s):  
Flavia Sukekava ◽  
Julia Helena Luiz ◽  
Paloma Palma ◽  
Jaques Luiz
Keyword(s):  
Minimally Invasive ◽  
Correct Diagnosis ◽  
Case Series ◽  
Minimally Invasive Techniques ◽  
Bone Removal ◽  
Use Of Technology ◽  
Treatment Plans ◽  
Invasive Techniques ◽  
Crown Lengthening ◽  
Gummy Smile

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

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