scholarly journals Inbag Morcellation Applied to the Laparoscopic Surgery of Leiomyoma: A Randomized Controlled Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Chloe Bensouda-Miguet ◽  
Erdogan Nohuz ◽  
Emanuele Cerruto ◽  
Annie Buenerd ◽  
Beatrice Nadaud ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Smooth Muscle Cells ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Muscle Cells ◽  
Primary Outcome Measure ◽  
Peritoneal Cytology ◽  
Power Morcellation ◽  
Group A ◽  
Group B

Objective. To evaluate the efficacy and safety of an endoscopic bag during laparoscopic morcellation of leiomyoma or myomatous uterus. Materials and Methods. A total of 48 patients with symptomatic leiomyoma were randomized for laparoscopic morcellation in two groups: group A with a specific endoscopic bag or group B without any bag. The primary outcome measure was the detection of smooth muscle cells from washing after power morcellation determined by peritoneal cytology and immunohistochemistry (IHC). Results. Cytology and IHC from group A did not revealed any smooth muscle cells, while 29% of cases (7/24) from group B were positive ( p = .009 ). The duration of the surgical procedure was the same in both groups. The duration of positioning the bag did not change significantly during the study. Only in one case the use of the bag was difficult due to a low pneumoperitoneum. Conclusions. The use of a morcellation bag is efficient to prevent the spread of smooth muscle cells during the morcellation of leiomyoma or myomatous uterus. This study confirms the feasibility and the safety of the laparoscopic inbag morcellation versus open morcellation.

scholarly journals Effects of different thermal insulation methods on the nasopharyngeal temperature in patients undergoing laparoscopic hysterectomy: a prospective randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guanyu Yang ◽  
Zefei Zhu ◽  
Hongyu Zheng ◽  
Shifeng He ◽  
Wanyue Zhang ◽  
...  
Keyword(s):  
Thermal Insulation ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Laparoscopic Hysterectomy ◽  
Control Group ◽  
Prospective Randomized Controlled Trial ◽  
Warming Blanket ◽  
Group A ◽  
Insulation Effect ◽  
Group B

Abstract Background This study explored the comparison of the thermal insulation effect of incubator to infusion thermometer in laparoscopic hysterectomy. Methods We assigned 75 patients enrolled in the study randomly to three groups: Group A: Used warming blanket; group B: Used warming blanket and infusion thermometer; group C: Used warming blanket and incubator. The nasopharyngeal temperature at different time points during the operation served as the primary outcome. Results The nasopharyngeal temperature of the infusion heating group was significantly higher than that of the incubator group 60 min from the beginning of surgery (T3): 36.10 ± 0.20 vs 35.81 ± 0.20 (P<0.001)90 min from the beginning of surgery (T4): 36.35 ± 0.20 vs 35.85 ± 0.17 (P<0.001). Besides, the nasopharyngeal temperature of the incubator group was significantly higher compared to that of the control group 60 min from the beginning of surgery (T3): 35.81 ± 0.20 vs 35.62 ± 0.18 (P<0.001); 90 min from the beginning of surgery (T4): 35.85 ± 0.17 vs 35.60 ± 0.17 (P<0.001). Regarding the wake-up time, that of the control group was significantly higher compared to the infusion heating group: 24 ± 4 vs 21 ± 4 (P = 0.004) and the incubator group: 24 ± 4 vs 22 ± 4 (P = 0.035). Conclusion Warming blanket (38 °C) combined infusion thermometer (37 °C) provides better perioperative thermal insulation. Hospitals without an infusion thermometer can opt for an incubator as a substitute. Trial registration This trial was registered with ChiCTR2000039162, 20 October 2020.

Coxsackievirus Group B Replication in Cultured Fetal Baboon Aortic Smooth Muscle Cells

1986 ◽  
Vol 20 (2) ◽  
pp. 135-149 ◽  
Author(s):  
Elmer K. Godeny ◽  
Charles J. Gauntt ◽  
Eugene A. Sprague ◽  
Colin J. Schwartz
Keyword(s):  
Smooth Muscle ◽  
Smooth Muscle Cells ◽  
Muscle Cells ◽  
Aortic Smooth Muscle Cells ◽  
Aortic Smooth Muscle ◽  
Group B

scholarly journals Effects of Different Thermal Insulation Methods on Nasopharyngeal Temperature in Patients Undergoing Laparoscopic Hysterectomy: A Prospective Randomized Controlled Trial

2020 ◽  
Author(s):  
Guanyu Yang ◽  
Zefei Zhu ◽  
Hongyu Zheng ◽  
Shifeng He ◽  
Wanyue Zhang ◽  
...  
Keyword(s):  
Thermal Insulation ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Laparoscopic Hysterectomy ◽  
Control Group ◽  
Prospective Randomized Controlled Trial ◽  
Warming Blanket ◽  
Group A ◽  
Insulation Effect ◽  
Group B

Abstract Background: The purpose of this study was to compare the thermal insulation effect of incubator and infusion thermometer in laparoscopic hysterectomy.Methods: 75 patients were enrolled and were assigned randomly to three groups: group A used warming blanket, group B used warming blanket and infusion thermometer, group C used warming blanket and incubator. The primary outcome was nasopharyngeal temperature at different time points during the operation.Results: The nasopharyngeal temperature of the infusion heating group was significantly higher than that of the incubator group 60min at the beginning of surgery(T3):36.10±0.20 vs 35.81±0.20(P＜0.001)；90min at the beginning of surgery(T4):36.35±0.20 vs 35.85±0.17(P＜0.001),and the incubator group was significantly higher than that of the control group 60min at the beginning of surgery(T3):35.81±0.20 vs 35.62±0.18(P＜0.001);90min at the beginning of surgery(T4):35.85±0.17 vs 35.60±0.17(P＜0.001).The wake-up time of the control group was significantly higher than that of the infusion heating group: 23.88±3.86 vs 20.56±3.80(P=0.004), and the incubator group:23.88±3.86 vs 21.52±4.02(P=0.035).Conclusion: Warming blanket (38°C) combined infusion thermometer (37°C) provides better perioperative thermal insulation, and in hospitals without infusion thermometer, an incubator can be used as a substitute.Trial registration: This trial was registered with http://www.chictr.org.cn/index.aspx,ChiCTR2000039162,20 October 2020.

scholarly journals Efficacy of acupuncture based on acupoint combination theory for irritable bowel syndrome: a study protocol for a multicenter randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jing-wen Sun ◽  
Ming-liang Sun ◽  
Da Li ◽  
Jun Zhao ◽  
Su-hua Shi ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Control Group ◽  
Randomized Controlled ◽  
Multicenter Randomized Controlled Trial ◽  
Group A ◽  
Irritable Bowel ◽  
Group B ◽  
Experimental Group

Abstract Background Irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder characterized by abdominal pain, diarrhea or constipation, and changes in defecation patterns. No organic disease is found to explain these symptoms by routine clinical examination. This study aims to investigate the efficacy and safety of acupuncture therapy for IBS patients compared with those of conventional treatments. We also aim to identify the optimal acupoint combination recommended for IBS and to clarify the clinical advantage of the “multiacupoint co-effect and synergistic effect.” Methods and analysis A total of 204 eligible patients who meet the Rome IV criteria for IBS will be randomly stratified into acupuncture group A, acupuncture group B, or the control group in a 1:1:1 ratio with a central web-based randomization system. The prespecified acupoints used in the control group will include bilateral Tianshu (ST25), Shangjuxu (ST37), Neiguan (PC6), and Zusanli (ST36). The prespecified acupoints used in experimental group A will include bilateral Tianshu (ST25), Shangjuxu (ST37), and Neiguan (PC6). The prespecified acupoints used in experimental group B will include bilateral Tianshu (ST25), Shangjuxu (ST37), and Zusanli (ST36). Each patient will receive 12 acupuncture treatments over 4 weeks and will be followed up for 4 weeks. The primary outcome is the IBS-Symptom Severity Scale (IBS-SSS) score. The secondary outcomes include the Bristol Stool Form Scale (BSFS), Work and Social Adjustment Score (WSAS), IBS-Quality of Life (IBS-QOL), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) scores. Both the primary outcome and the secondary outcome measures will be collected at baseline, at 2 and 4 weeks during the intervention, and at 6 weeks and 8 weeks after the intervention. Ethics and dissemination The entire project has been approved by the ethics committee of the Beijing University of Chinese Medicine (2020BZYLL0903). Discussion This is a multicenter randomized controlled trial for IBS in China. The findings may shed light on the efficacy of acupuncture as an alternative to conventional IBS treatment. The results of the trial will be disseminated in peer-reviewed publications. Trial registration Chinese Clinical Trials Register ChiCTR2000041215. First registered on 12 December 2020. http://www.chictr.org.cn/.

scholarly journals DP2 antagonism reduces airway smooth muscle mass in asthma by decreasing eosinophilia and myofibroblast recruitment

2019 ◽  
Vol 11 (479) ◽  
pp. eaao6451 ◽  
Author(s):  
Ruth Saunders ◽  
Himanshu Kaul ◽  
Rachid Berair ◽  
Sherif Gonem ◽  
Amisha Singapuri ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Smooth Muscle Cells ◽  
Muscle Mass ◽  
Airway Smooth Muscle ◽  
Airway Remodeling ◽  
Controlled Trial ◽  
Muscle Cells ◽  
Airflow Limitation ◽  
Airway Smooth Muscle Cells ◽  
Airway Eosinophilia

Increased airway smooth muscle mass, a feature of airway remodeling in asthma, is the strongest predictor of airflow limitation and contributes to asthma-associated morbidity and mortality. No current drug therapy for asthma is known to affect airway smooth muscle mass. Although there is increasing evidence that prostaglandin D2 type 2 receptor (DP2) is expressed in airway structural and inflammatory cells, few studies have addressed the expression and function of DP2 in airway smooth muscle cells. We report that the DP2 antagonist fevipiprant reduced airway smooth muscle mass in bronchial biopsies from patients with asthma who had participated in a previous randomized placebo-controlled trial. We developed a computational model to capture airway remodeling. Our model predicted that a reduction in airway eosinophilia alone was insufficient to explain the clinically observed decrease in airway smooth muscle mass without a concomitant reduction in the recruitment of airway smooth muscle cells or their precursors to airway smooth muscle bundles that comprise the airway smooth muscle layer. We experimentally confirmed that airway smooth muscle migration could be inhibited in vitro using DP2-specific antagonists in an airway smooth muscle cell culture model. Our analyses suggest that fevipiprant, through antagonism of DP2, reduced airway smooth muscle mass in patients with asthma by decreasing airway eosinophilia in concert with reduced recruitment of myofibroblasts and fibrocytes to the airway smooth muscle bundle. Fevipiprant may thus represent a potential therapy to ameliorate airway remodeling in asthma.

scholarly journals Effectiveness Of Positional Stretching Of Coracohumeral Ligament In Addition To Ultrasound In Patient With Adhesive Capsulitis

2019 ◽  
Vol 2 (1) ◽  
pp. 36-42
Author(s):  
Bikash Shrestha ◽  
Manisha Munikar
Keyword(s):  
Primary Outcome ◽  
Outcome Measure ◽  
Adhesive Capsulitis ◽  
Primary Outcome Measure ◽  
Ultrasound Therapy ◽  
Duration Of Treatment ◽  
Movement Restriction ◽  
Coracohumeral Ligament ◽  
Group A ◽  
Group B

Introduction: Adhesive capsulitis is an idiopathic condition of the shoulder characterized by onset of pain and movement restriction and symptoms can last up to 2 years and longer. The primary goal of intervention is to improve ROM, pain and decrease disability. The objective of the study is to determine the combined effect of positional stretching of coracohumeral ligament and ultrasound therapy in patient with adhesive capsulitis. Methods: 30 subjects were included in the study. Each subjectwas assigned into two groups. One group was treated with ultrasound followed by positional coracohumeral ligament stretching and another group was treated with ultrasound only. The duration of treatment was 3 to 4 weeks (10- 12 sessions) in both groups. Primary outcome measure included ROM and SPADI. Results: Both groups showed significant improvement but in comparison of two groups, group A (ultrasound followed by positional CHL stretching) was more effective than group B (ultrasound only). Conclusions: Addition of Positional coracohumeral ligament stretching and ultrasound is effective than ultrasound only in decreasing pain and improving ROM in Adhesive capsulitis. Keywords: Adhesive capsulitis; Coracohumeral ligament; Positional stretching; ultrasound

Immunogold localization of HMB-45 antigen in pulmonary lymphangiomyomatosis

1995 ◽  
Vol 53 ◽  
pp. 998-999
Author(s):  
J.M. Minda ◽  
E. Dessy ◽  
G. G. Pietra
Keyword(s):  
Smooth Muscle ◽  
Smooth Muscle Cells ◽  
Room Temperature ◽  
Osmium Tetroxide ◽  
Muscle Cells ◽  
Ultrastructural Localization ◽  
Reproductive Age ◽  
Thin Sections ◽  
Smooth Muscle Proliferation ◽  
Hmb 45

Pulmonary lymphangiomyomatosis (PLAM) is a rare disease occurring exclusively in women of reproductive age. It involves the lungs, lymph nodes and lymphatic ducts. In the lungs, it is characterized by the proliferation of smooth muscle cells around lymphatics in the bronchovascular bundles, lobular septa and pleura The nature of smooth muscle proliferation in PLAM is still unclear. Recently, reactivity of the smooth muscle cells for HMB-45, a melanoma-related antigen has been reported by immunohistochemistry. The purpose of this study was the ultrastructural localization of HMB-45 immunoreactivity in these cells using gold-labeled antibodies.Lung tissue from three cases of PLAM, referred to our Institution for lung transplantation, was embedded in either Poly/Bed 812 post-fixed in 1% osmium tetroxide, or in LR White, without osmication. For the immunogold technique, thin sections were placed on Nickel grids and incubated with affinity purified, monoclonal anti-melanoma antibody HMB-45 (1:1) (Enzo Diag. Co) overnight at 4°C. After extensive washing with PBS, grids were treated with Goat-anti-mouse-IgG-Gold (5nm) (1:10) (Amersham Life Sci) for 1 hour, at room temperature.

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