scholarly journals Long-Term Functional Results of a Modified Caudal-to-Cranial Approach in Laparoscopic Segmental Left Colectomy for Diverticular Disease

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Michele Manigrasso ◽  
Marcella Pesce ◽  
Marco Milone ◽  
Pietro Anoldo ◽  
Anna D’Amore ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Short Form ◽  
Standard Procedure ◽  
Reference Value ◽  
Left Colectomy ◽  
Incontinence Score ◽  
Asa Score ◽  
Low Tie ◽  
Uncomplicated Diverticulitis ◽  
Cranial Approach

A modified caudal-to-cranial approach to perform laparoscopic left colectomy for benign diseases has been recently designed to facilitate the low-tie mesenteric dissection. A chart review has been performed including all consecutive patients with uncomplicated diverticulitis who have been treated by segmental left colectomy with a caudal-to-cranial approach. A total of 34 patients were included in the study. 21 patients were male, mean age was 54.1 ± 11.3 , and mean BMI was 26 ± 5.5 . Patients with ASA Score I were 7, with ASA II were 9, and with ASA Score III were 5. Incontinence Score (IS) resulted in an average of 5 ± 2 , 2 grade of incontinence and the CS score showed an average of 10 ± 3 , 2 grade of constipation. Health status, evaluated by Short Form-36 questionnaire, was demonstrated in these patients’ great physical function, role, general health, and social function. The anorectal manometry performed 6 months after surgery showed a normal value in terms of the anal resting pressure ( 47 ± 13  mmHg) and an increased volume to stimulate desire to defecate ( 197 ± 25  ml). The length of the anal sphincter was normal compared to the reference value ( 37 ± 5.4  mm). Although further studies are required to obtain definitive conclusions, our results are encouraging to propose low-tie segmental colectomy as the standard procedure for the treatment of uncomplicated diverticulitis, and our modified surgical approach could be considered useful to facilitate the surgical approach.

Measurement System Analysis Combined with Shewhart’s Approach

2015 ◽  
Vol 637 ◽  
pp. 7-11 ◽  
Author(s):  
Magdalena Diering ◽  
Adam Hamrol ◽  
Agnieszka Kujawińska
Keyword(s):  
Process Control ◽  
Control Chart ◽  
Measurement System ◽  
Manufacturing Process ◽  
Control Charts ◽  
System Analysis ◽  
Standard Procedure ◽  
Reference Value ◽  
Measurement Systems ◽  
On Line

The paper presents new procedure of methodology for statistical assessment of measurement systems variation (methodology known in the literature as Measurement Systems Analysis, MSA). This procedure allows for calculation and monitoring in real time (that is on-line) of measurement system (MS) characteristics which determine its usability for manufacturing process control. The presented solution pointed out the gap in process control, which consists in lack of methods for monitoring measurement processes in the on-line way. Their key point consists of taking samples that are also needed for the process control chart for the needs of the MSA method. This means that the samples are taken directly from the production line and during the production process. The method is combined with the standard procedure of statistical process control (SPC) with the use of process control charts. It is based on two control charts. The first one is called AD-chart (Average Difference chart) and it allows to estimate the variation between the operators and stability of the monitored measurement system. The second control chart illustrates the %R&R index (Repeatability and Reproducibility) and allows to monitor the MS capability.The paper also presents authors’ proposal of guidelines about the reference value for the %R&R index calculation and assessment. Recommendations and guidelines for choosing the reference value are based on two criteria: information about sample and manufacturing process variation and the purpose of using MS (product or process control).

scholarly journals Posterior Approach to Optimise Patient-Reported Outcome from Revision Hip Arthroplasty

2016 ◽  
Vol 27 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Julia Blackburn ◽  
Diana Lim ◽  
Ian Harrowell ◽  
Michael C. Parry ◽  
Ashley W. Blom ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Revision Surgery ◽  
Posterior Approach ◽  
Short Form ◽  
Lateral Approach ◽  
Revision Hip Arthroplasty ◽  
Satisfaction Scale ◽  
Patient Reported ◽  
Revision Tha

Introduction Most total hip arthroplasties (THAs) in the UK are performed through a posterior or lateral surgical approach. We aimed to investigate any difference in outcome from revision THA according to the approach at primary and revision THA surgery. Methods A retrospective cohort study of 205 patients who underwent revision THA for aseptic loosening. Patients rated their pain from 0-10 and completed the Self-Administered Patient Satisfaction Scale (SAPS), Oxford Hip Score (OHS), WOMAC and Short form-12 questionnaires. Results 205 patients (209 hips) from a cohort of 238 patients (243 hips, 86%) were available for analysis. The mean follow-up was 5 years (SD 1.71). Grouping by approach 20% (43/209) had both primary and revision procedures via a lateral approach, 20% (43/209) had their primary surgery via a lateral approach and their revision surgery via a posterior approach, whilst 60% (123/209) had both procedures via a posterior approach. The WOMAC and OHS were significantly better in patients who had a posterior approach for both primary and revision surgery, compared to those that did not (OHS p = 0.028, WOMAC p = 0.026). We found no significant differences in pain, satisfaction or health-related quality of life between the groups. Discussion Choice of approach for revision hip arthroplasty is influenced by a number of factors, but in clinical situations where either a lateral or posterior approach could be used, the posterior approach appears to be associated with better joint-specific outcomes. Registry data may help further explore the associations between surgical approach and the outcome from revision THA.

scholarly journals Segmental left colectomy: a modified caudal-to-cranial approach

2016 ◽  
Vol 31 (3) ◽  
pp. 1487-1487 ◽  
Author(s):  
Marco Milone ◽  
Francesco Milone
Keyword(s):  
Left Colectomy ◽  
Cranial Approach

scholarly journals Impact of Surgical Approach on Clinical Outcomes in the Treatment of Lumbar Pseudarthrosis

2016 ◽  
Vol 6 (8) ◽  
pp. 786-791 ◽  
Author(s):  
R. Kirk Owens ◽  
Mladen Djurasovic ◽  
Charles H. Crawford ◽  
Steven D. Glassman ◽  
John R. Dimar ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Interbody Fusion ◽  
Short Form ◽  
Lumbar Fusion ◽  
Linear Regression Analysis ◽  
Current Data ◽  
Leg Pain ◽  
Surgical Approaches ◽  
Modest Improvement ◽  
Sf 36

Study Design Retrospective comparative cohort. Objective Pseudarthrosis following fusion for degenerative lumbar spine pathologies remains a substantial problem. Current data shows that patients who develop a pseudarthrosis have suboptimal outcomes. This study evaluates if treatment of pseudarthrosis can be affected by surgical approach. Methods Medical records of 63 female and 65 male patients (mean age 50.37) who were treated for nonunion following lumbar fusion were reviewed. Sixty patients underwent posterolateral fusion (PSF), 18 underwent PSF with transforaminal interbody fusion (TLIF), 32 underwent anterior and posterior spinal fusion (AP), and 24 underwent anterior lumbar interbody fusion (ALIF). Results Significant differences between the treatment groups were observed in length of stay ( p = 0.000), blood loss ( p = 0.000), and operative time ( p = 0.000). In the AP fusion group, minimal clinically important difference (MCID) was reached in 47% of patients for back pain, 28% for leg pain, and 28% for Oswestry Disability Index (ODI). PSF had the highest percentage of patients reaching MCID for Short Form-36 (SF-36) physical composite score at 25%. ALIF and TLIF subgroups reached MCID for ODI in 17% of patients. Linear regression analysis showed that type of surgical approach did not impact change in ODI scores. Conclusion Although not statistically significant, the AP fusion group reached MCID more frequently in all outcomes except SF-36 Physical Component Summary. All surgical approaches examined for treatment of lumbar pseudarthrosis resulted in only poor to modest improvement in ODI. This result further emphasizes the importance of achieving a solid fusion with the index surgery.

The Italian Version of the Affective Gottschalk-Gleser Content Analysis Scales: A Step Toward Concurrent Validation

1996 ◽  
Vol 12 (1) ◽  
pp. 43-52
Author(s):  
Thomas Suslow ◽  
Marco W. Battacchi ◽  
Margherita Renna
Keyword(s):  
Content Analysis ◽  
Convergent Validity ◽  
Short Form ◽  
Standard Procedure ◽  
Self Report ◽  
Emotional States ◽  
Italian Version ◽  
Affective Content ◽  
Affective Content Analysis ◽  
Correlational Data

A first approach to the validation of the Italian version of the Gottschalk-Gleser Content Analysis Scales of Anxiety and Hostility is presented. To assess the validity of the Affective Content Analysis Scales the Gottschalk-Gleser standard procedure for obtaining verbal samples was followed and concurrently self-report measurements of comparable emotional constructs were applied. A short form of the Differential Emotions Scale (DES) was administered three times to 50 university students to measure the emotional state before as well as after speech sampling and the affectivity associated with the narrated life event. To investigate whether the Gottschalk-Gleser Affect Scales measure emotional traits the State-Trait-Anxiety-Inventory, an S-R Inventory of Anxiety, the Shame-Guilt Scale ( Battacchi, Codispoti, & Marano, 1994 ) and the Irritability Scale ( Caprara, Borgogni, Cinanni, di Giandomenico, & Passerini, 1985 ) were applied. Though the correlations between the measures were generally low, evidence of convergent validity emerged for the Gottschalk-Gleser Total Anxiety Scale, the anxiety subscales Guilt Anxiety and Shame Anxiety (that seem to measure an anxiety pattern consisting of several basic emotions) and for the hostility subscale Overt Outward Hostility. The correlational data indicate that the Gottschalk-Gleser Affect Scales assess emotional traits as well as emotional states.

scholarly journals Quality of life with anal fistula

2016 ◽  
Vol 98 (5) ◽  
pp. 334-338 ◽  
Author(s):  
HA Owen ◽  
GN Buchanan ◽  
A Schizas ◽  
R Cohen ◽  
AB Williams
Keyword(s):  
Quality Of Life ◽  
Anal Fistula ◽  
Recurrent Disease ◽  
Short Form ◽  
Factors Affecting ◽  
Incontinence Score ◽  
Sf 36 ◽  
Working Age ◽  
Faecal Continence

Introduction Anal fistula affects people of working age. Symptoms include abscess, pain, discharge of pus and blood. Treatment of this benign disease can affect faecal continence, which may, in turn, impair quality of life (QOL). We assessed the QOL of patients with cryptoglandular anal fistula. Methods Newly referred patients with anal fistula completed the St Mark’s Incontinence Score, which ranges from 0 (perfect continence) to 24 (totally incontinent), and Short form 36 (SF–36) questionnaire at two institutions with an interest in anal fistula. The data were examined to identify factors affecting QOL. Results Data were available for 146 patients (47 women), with a median age of 44 years (range 18–82 years) and a median continence score of 0 (range 0–23). Versus population norms, patients had an overall reduction in QOL. While those with recurrent disease had no difference on continence scores, QOL was worse on two of eight SF–36 domains (p<0.05). Patients with secondary extensions had reduced QOL in two domains (p<0.05), while urgency was associated with reduced QOL on five domains (p<0.05). Patients with loose seton had the same QOL as those without seton. No difference in urgency was found between patients with and without loose seton. In primary fistula patients, 19.4% of patients experienced urgency versus 36.3% of those with recurrent fistulas. Conclusions Patients with anal fistula had a reduced QOL, which was worse in those with recurrent disease, secondary extensions and urgency. Loose seton had no impact on QOL.

Outcome Comparison of Endoscopic (Endonasal Trans-Sphenoidal) Repairs of CSF Leak vs. Transcranial Approach

2022 ◽  
Vol 9 (1) ◽  
pp. 39-43
Author(s):  
Mehran Ali ◽  
Naseer Hassan ◽  
Hamayun Tahir ◽  
Mansoor Ahmad ◽  
Samir Khan Kabir ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Standard Procedure ◽  
Endoscopic Approach ◽  
Csf Leak ◽  
Endoscopic Endonasal ◽  
Outcome Comparison ◽  
Transcranial Approach ◽  
Cranial Approach ◽  
The Mean ◽  
Endoscopic Group

OBJECTIVES: To compare the effectiveness of Endoscopic (endonasal transsphenoidal) repair of CSF leak with transcranial approach in terms of post-operative complications.  METHODOLOGY:   This study was conducted in the Department of Neurosurgery, Lady Reading Hospital, Peshawar. Total of 40 patients diagnosed according to inclusion criteria were enrolled and were divided into two groups. One group was treated with endonasal trans-sphenoidal repair, and another was treated with a trans-cranial approach. All patients were followed for 1 year.  RESULTS:  The mean age of enrolled patients was 35.4±11.6 years. There were 62.5% male and 37.5% female. In the endoscopic group the recurrence rate was observed in 3 (15%) of the patients while in the trans-cranial group the recurrence rate was observed in 2 (10%) of the patients. The overall recurrence and success rate was 8% and 92% respectively. About 4 patients developed an infection, which was treated successfully.  CONCLUSION:  It is concluded that the endoscopic approach is safe and effective. The endoscopic approach should be considered as standard procedure for treatment.

scholarly journals Chronic rhinosinusitis: is any indication for Caldwell-Luc approach in endoscopic sinus surgery era?

2021 ◽  
Vol 7 (2) ◽  
pp. 239
Author(s):  
Daniel Lupoi
Keyword(s):  
Surgical Treatment ◽  
Surgical Approach ◽  
Gold Standard ◽  
Endoscopic Sinus Surgery ◽  
Maxillary Sinusitis ◽  
Standard Procedure ◽  
Treatment Method ◽  
Sinus Surgery ◽  
Inclusion Criteria ◽  
Therapeutic Guidelines

<p class="abstract"><strong>Background:</strong> Caldwell-Luc procedure was the gold standard procedure for chronic maxillary sinusitis until the endoscopic sinus surgery developed more and more. The aim of this study was to show the importance of Caldwell-Luc surgical approach in endoscopic sinus surgery era.</p><p class="abstract"><strong>Methods:</strong> Prospective study between 2009 and 2019 in the ENT Department of the Clinical Hospital Sfânta Maria from Bucharest. The inclusion criteria were as follows: adult patients diagnosed clinical and paraclinical with isolated chronic maxillary rhinosinusitis in whom correctly conducted drug treatment failed and, according to current therapeutic guidelines, had indication for surgical treatment. The treatment method consisted of a surgical approach, which was classic or endoscopic, depending on the situation imposed on each patient.  </p><p class="abstract"><strong>Results:</strong> The application of the inclusion criteria in the study led in a group of 521 patients, of which 282 men (54.12%) and 239 women (45.87%). Following the accounting of the days of hospitalization and those of medical leave at discharge, a number of days of absenteeism of 13.85 days resulted in the case of patients treated classically and 8.62 days for those treated endoscopically. Also the endoscopic group had a better endoscopic and VAS score postoperatively.</p><p class="abstract"><strong>Conclusions:</strong> Surgical treatment of maxillary sinus can be minimally invasive- endoscopic, extended endoscopic or classical open surgery. Open classic surgical treatment remains the last treatment alternative, with indication for rhinosinusal recurrences or the imminence of complications. Endoscopic surgery is the “gold standard” for chronic maxillary rhinosinusitis.</p><p> </p>

The Best Surgical Approach for Left Colectomy: A Comparative Study Between Transverse Laparotomy, Midline Laparotomy and Laparoscopy

2014 ◽  
Vol 18 (5) ◽  
pp. 1010-1016 ◽  
Author(s):  
Frédéric Borie ◽  
Jean-Marc Bigourdan ◽  
Marie-Hélène Pissas ◽  
Jeremy Ripoche ◽  
Bertrand Millat
Keyword(s):  
Comparative Study ◽  
Surgical Approach ◽  
Midline Laparotomy ◽  
Left Colectomy

Evolution of the microstructure of Cu(Ti)/SiO2 layers annealed in NH3

1995 ◽  
Vol 53 ◽  
pp. 452-453
Author(s):  
J. Liu ◽  
N. D. Theodore ◽  
D. Adams ◽  
S. Russell ◽  
T. L. Alford ◽  
...  
Keyword(s):  
Thermal Stability ◽  
Titanium Nitride ◽  
Large Scale ◽  
Standard Procedure ◽  
Alloy Film ◽  
Electron Beam Evaporation ◽  
Copper Metallization ◽  
Nominal Composition ◽  
Ti Alloy ◽  
Thermally Grown

Copper-based metallization has recently attracted extensive research because of its potential application in ultra-large-scale integration (ULSI) of semiconductor devices. The feasibility of copper metallization is, however, limited due to its thermal stability issues. In order to utilize copper in metallization systems diffusion barriers such as titanium nitride and other refractory materials, have been employed to enhance the thermal stability of copper. Titanium nitride layers can be formed by annealing Cu(Ti) alloy film evaporated on thermally grown SiO2 substrates in an ammonia ambient. We report here the microstructural evolution of Cu(Ti)/SiO2 layers during annealing in NH3 flowing ambient.The Cu(Ti) films used in this experiment were prepared by electron beam evaporation onto thermally grown SiO2 substrates. The nominal composition of the Cu(Ti) alloy was Cu73Ti27. Thermal treatments were conducted in NH3 flowing ambient for 30 minutes at temperatures ranging from 450°C to 650°C. Cross-section TEM specimens were prepared by the standard procedure.

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