scholarly journals Comparison of Bipolar Scissors and Bipolar Forceps in Tonsillectomy

2002 ◽  
Vol 81 (10) ◽  
pp. 714-717 ◽  
Author(s):  
Nitesh Patel ◽  
Paul Kirkland ◽  
Pavan Tandon ◽  
Terry Hung ◽  
Jeff Knight
Keyword(s):  
Surgical Technique ◽  
Telephone Survey ◽  
Intraoperative Complications ◽  
Operating Time ◽  
Bipolar Diathermy ◽  
Outpatient Procedure ◽  
Bipolar Scissors ◽  
A Prospective Study ◽  
New Surgical Technique

Bipolar diathermy scissors tonsillectomy is a relatively new surgical technique. We conducted a prospective study of 90 patients to compare this technique with bipolar forceps tonsillectomy. We found that the use of the bipolar scissors required significantly less operating time (mean: 3.03 min less) and allowed patients to resume eating solid food more rapidly (mean: 40.35 min earlier). Bipolar scissors tonsillectomy was safe, and there were no intraoperative complications or primary hemorrhages. A postoperative follow-up telephone survey revealed that patients who underwent scissors tonsillectomy experienced no more morbidity than did the forceps group during the first 2 weeks after surgery. We conclude that bipolar scissors tonsillectomy is a safe and rapid technique that can be used successfully as an outpatient procedure.

A Novel Surgical Technique for Large Frontoencephalocele Management: The Mercy Ships Approach

FACE ◽  
2021 ◽  
pp. 273250162097932
Author(s):  
Naikhoba C. O. Munabi ◽  
Eric S. Nagengast ◽  
Gary Parker ◽  
Shaillendra A. Magdum ◽  
Mirjam Hamer ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Intraoperative Complications ◽  
Complication Rates ◽  
The Novel ◽  
Middle Income ◽  
Middle Income Countries ◽  
Lumbar Drain ◽  
Cerebral Herniation ◽  
Long Nose

Background: Large frontoencephaloceles, more common in low and middle-income countries, require complex reconstruction of cerebral herniation, elongated nose, telecanthus, and cephalic frontal bone rotation. Previously described techniques involve multiple osteotomies, often fail to address cephalad brow rotation, and have high complication rates including up to 35% mortality. This study presents a novel, modified, single-staged technique for frontoencephalocele reconstruction performed by Mercy Ships. This technique, which addresses functional and aesthetic concerns with minimal osteotomies, may help improve outcomes in low resources settings. Methods: Retrospective review was performed of patients who underwent frontoencephalocele reconstruction through Mercy Ships using the technique described. Patient data including country, age, gender, associated diagnoses, and prior interventions were reviewed. Intraoperative and post-operative complications were recorded. Results: Eight patients with frontoencephalocele (ages 4-14 years) underwent surgery with the novel technique in 4 countries. Average surgical time was 6.0 ± 0.9 hours. No intraoperative complications occurred. Post-operatively 1 patient experienced lumbar drain dislodgement requiring replacement and a second had early post-operative fall requiring reoperation for hardware replacement. In person follow-up to 2.4 months showed no additional complications. Follow-up via phone at 1 to 2 years post-op revealed all patients who be satisfied with surgical outcomes. Conclusions: Reconstruction of large frontoencephaloceles can be challenging due to the need for functional closure of the defect and craniofacial reconstruction to correct medial hypertelorism, long nose deformity, and cephalad forehead rotation. The novel surgical technique presented in this paper allows for reliable reconstruction of functional and aesthetic needs with simplified incision design, osteotomies, and bandeau manipulation.

Viscocanalostomy: A Pilot Study

1998 ◽  
Vol 8 (2) ◽  
pp. 57-61 ◽  
Author(s):  
R.G. Carassa ◽  
P. Bettin ◽  
M. Fiori ◽  
R. Brancato
Keyword(s):  
Intraoperative Complications ◽  
Glaucoma Surgery ◽  
Ophthalmological Examination ◽  
Schlemm’S Canal ◽  
Short Term ◽  
Term Study ◽  
Schlemm's Canal ◽  
Short Term Study ◽  
A Prospective Study

Purpose Viscocanalostomy is a new, non-penetrating procedure for glaucoma surgery. We started a prospective study to assess the effectiveness and safety of the operation. Materials and methods Up to March 1998 we enrolled 33 patients (33 eyes) suffering from glaucoma, uncontrolled despite maximum medical therapy, who underwent viscocanalostomy according to Stegmann's technique. A complete ophthalmological examination was performed the day before surgery and on days 1 and 7 postoperatively. Further visits were scheduled at months 1, 3, 6 and 12. Results In four eyes Schlemm's canal was either missed or not deroofed properly, and the procedure was converted into simple trabeculectomy. After a mean follow-up of 3.0±2.6 months (range 1–10), success defined as IOP > 2 and < 21 mmHg with no medication was obtained in 86.2% of the cases (25/29); 23 out of 29 eyes (79.3%) had IOP > 2 and < 16 mmHg. In the 25 successful eyes, mean IOP was 27.7±9.5 mmHg (range 13–48) preoperatively and 12.0±3.0 mmHg (range 7–18) (p<0.0001) at the end of the follow-up period. Mean VA ranged from 0.35±0.34 to 0.32±0.32 (n.s.). Intraoperative complications included Descemet rupture (7), with iris plugging in two cases; choroidal deroofing (3), irregular incision of Schlemm's canal (2). Postoperative complications included: self-resolving 2-mm hyphema (4); IOP spike (1); inadvertent filtering bleb (2); hypotony with choroidal detachment for one week (1). Conclusions In this short-term study, viscocanalostomy proved effective and safe in lowering IOP in glaucomatous eyes.

External Fixation for Surgical Treatment of a Mallet Finger

2003 ◽  
Vol 28 (3) ◽  
pp. 228-230 ◽  
Author(s):  
T. KALELI ◽  
C. OZTURK ◽  
S. ERSOZLU
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Interphalangeal Joint ◽  
Mallet Finger ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
The Mean ◽  
Extensor Lag ◽  
New Surgical Technique

A new surgical technique is described for the treatment of mallet finger deformity which involves the application of a mini external fixator across the distal interphalangeal joint and resection of a portion of the extensor mechanism. We reviewed 19 patients who were treated with this technique, at a mean follow-up period of 36 (range, 24–48) months. The mean extensor lag was 2° (range, −7° to 13°) and the mean flexion range was 70° (range, 20°–90°).

scholarly journals Medial patellofemoral ligament reconstruction for patellofemoral instability: a new surgical technique

2021 ◽  
Vol 7 (4) ◽  
pp. 843
Author(s):  
Shreekantha K. S. ◽  
Mohammed Usman ◽  
Deepak Malik ◽  
Mahammad Aseem ◽  
Mohammad Gous Mulla
Keyword(s):  
Surgical Technique ◽  
Functional Outcome ◽  
Ligament Reconstruction ◽  
Medial Patellofemoral Ligament ◽  
Patellofemoral Instability ◽  
Lysholm Score ◽  
Mpfl Reconstruction ◽  
Kujala Score ◽  
New Surgical Technique

<p class="abstract"><span lang="EN-US">The purpose of this study was to present new surgical technique for MPFL reconstruction. We also describe its functional outcome, complications, and the advantages of the procedure. This study is a prospective analysis of collected data during the period of august 2018 to January 2020. Ten cases of patients with recurrent symptomatic patellar instability and who underwent isolated MPFL reconstruction were included in the study. Kujala scoring and lysholm scoring was done to assess the functional outcome at follow-up. Post-operative dislocation and apprehension were recorded in each case along with any complication. Pre-operative Kujala score was 36.80 which improved to 89.80 postoperatively at the time follow-up. Pre-operative lysholm score was 36.80 which improved to 92.70 postoperatively at the time follow-up. The improvement in Kujala score and Lysholm score was found to be highly significant (p&lt;0.01). We have done a simple technique where MPFL is reconstructed anatomically to restore kinematics and stability. Consistent good results with early rehabilitation can be obtained using the described technique.</span></p>

Colgajo de recto anterior del abdomen para el tratamiento de los defectos de cobertura lumbosacros. [Rectus abdominis flap for the treatment of lumbosacral coverage defects.]

2018 ◽  
Vol 83 (2) ◽  
pp. 76
Author(s):  
Franco L. De Cicco ◽  
Mariano O. Abrego ◽  
Gerardo L. Gallucci ◽  
Pablo De Carli ◽  
Jorge G. Boretto
Keyword(s):  
Soft Tissue ◽  
Surgical Technique ◽  
Intraoperative Complications ◽  
Vascular Complications ◽  
Rectus Abdominis ◽  
Muscular Tissue ◽  
Recipient Site ◽  
Rectus Abdominis Flap ◽  
Sacral Tumor

<p> </p><p><strong>Introduction</strong>: Treatment of soft tissue lumbosacral defects is based on dead space management and defect coverage. The aim of this study is to describe the surgical technique, results and complications of patients who underwent rectus abdominis flap for lumbosacral defects coverage.</p><p><strong>Methods</strong>: A six-year retrospective review was performed. Demographic characteristics are analyzed. Surgical technique and intra-operative complications are described. Postoperative variables, such as donor site complications, recipient site complications, and flap survival were also reported. </p><p><strong>Results</strong>: Five patients met the inclusion criteria (average age, 50 years). Four patients presented sacral tumor diagnosis and one patient had lumbosacral osteomyelitis. Mean follow-up was 20 months. Flap average size was 8 x 13 cm. Intraoperative complications were one pedicle injury (microsurgical repair) and the death of a patient. Regarding postoperative complications, one wound dehiscence was reported. None of the flaps suffered vascular complications and all remained vital throughout follow-up.</p><p><strong>Conclusion</strong>: Rectus abdominis flap should be considered a valid option in the management of large soft tissue lumbosacral defects. This flap provides sufficient skin volume and muscular tissue. Surgical technique is relatively simple with no need for microsurgical procedure.</p><p> </p><p> </p><p> </p>

Modified Indiana Pouch: Surgical technique and preliminary results

1997 ◽  
Vol 64 (2) ◽  
pp. 251-254
Author(s):  
G. Muto ◽  
M. Moroni ◽  
S. Leoni ◽  
E. Spatafora ◽  
F. Bardari
Keyword(s):  
Metabolic Acidosis ◽  
Surgical Technique ◽  
Acute Pyelonephritis ◽  
Operating Time ◽  
Reggio Emilia ◽  
Gastrointestinal Anastomosis ◽  
Preliminary Results ◽  
Indiana Pouch ◽  
Operative Complications

– Two modified continent Indiana Pouch techniques are presented, one of which using gastrointestinal anastomosis (GIA) staplers. The authors describe their experience with 88 patients who underwent the above operation at the Divisions of Urology in the Maria Vittoria Hospital of Turin and S. Maria Nuova Hospital of Reggio Emilia. Mean follow-up is 18 months (range 4-26). A total of 24 post-operative complications are described: 2 bowel obstructions, 4 strictures of the stoma, 3 parastomal hernias, 1 pouchitis and 1 acute pyelonephritis, 2 cases of incontinence, 2 of over-distension of the pouch, 5 ureteral obstructions and 4 cases of diarrhoea. Neither stones of the pouch nor metabolic acidosis were observed. Using GIA staplers for tailoring the pouch saves 120 minutes operating time for an additional cost of about 600 $.

scholarly journals A New Surgical Approach for the Treatment of Conjunctivochalasis: Reduction of the Conjunctival Fold with Bipolar Electrocautery Forceps

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Eduardo Arenas ◽  
Diana Muñoz
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Medical Records ◽  
Good Alternative ◽  
New Technique ◽  
Complete Reduction ◽  
New Surgical Technique

Aim. To report a new surgical technique for the treatment of conjunctivochalasis.Methods. A new surgical technique in which specially designed bipolar electrocautery forceps facilitate the complete reduction of the conjunctival folds without creating lesions near the corneoscleral limbus was designed. A retrospective revision of the medical records of patients treated with this technique between the years 2011 and 2013 was made, and eighteen eyes of sixteen patients with conjunctivochalasis treated with this new technique were included.Results.All the eyes treated showed a significant improvement with no evidence of scar lesions after a mean follow-up time of 10 months.Conclusions. The surgical technique presented here could be a good alternative for the management of conjunctivochalasis.

scholarly journals Periareolar augmentation mastopexy: A new approach dealing with the cases as tuberous breasts

2016 ◽  
Vol 49 (02) ◽  
pp. 172-177 ◽  
Author(s):  
Roberto Moltó-García ◽  
María Eloísa Villaverde-Doménech ◽  
Virina González-Alonso ◽  
Francisco Ripoll-Orts ◽  
Eduardo Simon-Sanz
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Surgical Techniques ◽  
Inferior Pole ◽  
Malpractice Claims ◽  
One Year ◽  
Periareolar Mastopexy ◽  
Augmentation Mastopexy ◽  
New Surgical Technique

ABSTRACTBackground: Periareolar augmentation mastopexy is one of the most demanded operations at Plastic Surgery clinics. Nevertheless, it is one of the leads of malpractice claims in United States caused by the high patient expectations and the standard surgical techniques which may result in common complications. The aim of this report is to present a new surgical approach to solve these complications. Methods: After establishing a working hypothesis, we performed a revision study of our patients and we came to the following conclusion: in order to perform a periareolar mastopexy for ptosis correction, breast has to be tuberous at any level and to have abnormally short inferior pole. These findings may explain the main complications from periareolar augmentation mastopexy with the standard surgical techniques. Consequently, we started a prospective observational study including 56 patients following a new surgical technique which deals the cases as tuberous breasts. Results: During three years, fifty-six periareolar mastopexies were performed with this new surgical approach with one year follow-up. No major complications were observed and 40 of the patients (71%) described the results as very positive. Conclusion: “If a periareolar mastopexy can be performed, then it must be a tuberous breast”. According to this, a new surgical technique for periareolar augmentation mastopexy has been developed obtaining an improvement in our surgical results and achieving a totally different view on this pathology, which has not been reported in literature yet.

scholarly journals New Surgical Technique for Robotic Myomectomy: Continuous Locking Suture on Myoma (LSOM) Technique

2021 ◽  
Vol 10 (4) ◽  
pp. 654
Author(s):  
Sa Ra Lee ◽  
Eun Sil Lee ◽  
Hye Rim Eum ◽  
Young-Jae Lee ◽  
Shin-Wha Lee ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Operating Time ◽  
Perioperative Outcomes ◽  
Transfusion Rate ◽  
Cesarean Sections ◽  
Postoperative Fever ◽  
Estimated Blood Loss ◽  
Robotic Myomectomy ◽  
The Cost ◽  
New Surgical Technique

Robot-assisted laparoscopic myomectomy (RALM) has broadened the indications even in complex myomas. However, the high cost of RALM remains the main disadvantage. Therefore, a surgical technique that can reduce the cost of RALM and still has the advantages of robotic surgery is required. We propose a “locking suture on myoma (LSOM)” technique and compared the operative and perioperative outcomes of patients who underwent RALM with or without the LSOM technique. We included 337 patients who underwent RALM with (n = 160) or without (n = 177) the LSOM technique between March 2019 and August 2020. The LSOM group had low parity and gravidity, with a low rate of Cesarean sections. Myoma type was not different between the groups; however, patients in the LSOM group had larger, heavier, and higher number of myomas, although fewer patients had multiple myomas and were discharged earlier. Total operating time, estimated blood loss, pre- and postoperative hemoglobin levels, transfusion rate, and postoperative fever were not different between the two groups. In conclusion, the LSOM technique may be a viable surgical option for myomas, as it can reduce the cost of RALM by obviating the need for robotic Tenaculum forceps.

scholarly journals Laparoscopic versus open surgical management of idiopathic varicocele: a study on 100 patients

2017 ◽  
Vol 4 (9) ◽  
pp. 3071
Author(s):  
Deepak Verma ◽  
Chhanwar Lal ◽  
Avdhesh Sharma ◽  
Manoj Sirwi
Keyword(s):  
Surgical Technique ◽  
Prospective Study ◽  
Hospital Stay ◽  
Operating Time ◽  
Common Condition ◽  
Analgesic Requirement ◽  
Surgical Practice ◽  
Post Operative Pain ◽  
Grade Ii ◽  
A Prospective Study

Background: Idiopathic varicocele is common condition encountered in surgical practice requiring surgical correction. Open surgical technique had been in use for long but laparoscopic varicocelectomy is another choice for its management.Methods: This is a prospective study on 100 patients. 70 patients were subjected to laparoscopic and 30 to open inguinal varicocelectomy.Results: Majority of patients were between 16 to 25 years of age. 55% were asymptomatic and 10% had infertility. Grade II varicocele was observed in 50% patients. All patients had left side involvement with bilateral varicocele in 2% patients. Mean operating was 13.8 min in unilateral and 17.3 min in bilateral laparoscopic varicocelectomy whereas it was 27.55 min in unilateral and 49.7 min in bilateral open varicocelectomy. 5.7% and 6.6% had secondary hydrocele and hospital stay was 1.25 and 3.4 days in laparoscopic and open group respectively.Conclusions: Laparoscopic varicocelectomy is safe, effective procedure with less post-operative pain and analgesic requirement. It also has shorter operating time and post-operative hospital stay. Procedures like opposite varicocele, herniotomy, adhesiolysis or orchiopexy can also be done.

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