Minimally Invasive Technique for Closure of Atrial Septal Defect

1998 ◽  
Vol 6 (2) ◽  
pp. 88-90 ◽  
Author(s):  
Jacques AM van Son ◽  
Anno Diegeler ◽  
Eugene KW Sim ◽  
Rüdiger Autschbach ◽  
Friedrich W Mohr
Keyword(s):  
Minimally Invasive ◽  
Atrial Septal Defect ◽  
Iliac Artery ◽  
Septal Defect ◽  
External Iliac Artery ◽  
Invasive Technique ◽  
Minimally Invasive Techniques ◽  
The Mean ◽  
The Right ◽  
Invasive Techniques

Minimally invasive techniques for repair of extracardiac anomalies in congenital heart disease have evolved over the last 5 years and laid the foundation for the next phase: the repair of intracardiac defects. Fifteen patients (9 females and 6 males) with a median age of 9.8 years (range, 5.2 to 54 years) underwent closure of a secundum atrial septal defect through a small right anterior thoracotomy. The right external iliac artery was cannulated through a small groin incision and the atrial septal defect was repaired during hypothermic fibrillatory arrest for a mean period of 14 ± 5 minutes. The mean length of the thoracotomy was 4.9 ± 0.8 cm (range, 4.5 to 8.8 cm) while the mean length of the groin incision was 3.9 ± 0.5 cm (range, 2.9 to 5.3 cm). In the 3 youngest patients, the external iliac artery was cannulated with an 8F arterial cannula. Direct closure of the atrial septal defect was possible in all patients. The mean operative time was 109 ± 39 minutes. There was no perioperative or late mortality and no morbidity except for a tear in the right femoral artery of a 19-year-old girl. No residual atrial septal defect was observed in any of the patients. Although minimally invasive techniques for repair of intracardiac defects are not fully developed with regard to indications, the procedure described here provided secure closure of the defects with excellent cosmetic results.

Minimally Invasive Separation Surgery for Metastases in the Vertebral Column: A Technical Report

2019 ◽  
Vol 18 (6) ◽  
pp. 606-613
Author(s):  
Rafael A Vega ◽  
Jeffrey I Traylor ◽  
Ahmed Habib ◽  
Laurence D Rhines ◽  
Claudio E Tatsui ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Minimally Invasive ◽  
Definitive Treatment ◽  
Invasive Technique ◽  
Thoracic Vertebrae ◽  
Minimally Invasive Techniques ◽  
Invasive Approach ◽  
Invasive Techniques

Abstract BACKGROUND Epidural spinal cord compression (ESCC) is a common and severe cause of morbidity in cancer patients. Minimally invasive surgical techniques may be utilized to preserve neurological function and permit the use of radiation to maximize local control. Minimally invasive techniques are associated with lower morbidity. OBJECTIVE To describe a novel, minimally invasive operative technique for the management of metastatic ESCC. METHODS A minimally invasive approach was used to cannulate the pedicles of the thoracic vertebrae, which were then held in place by Kirschner wires (K-wires). Following open decompression of the spinal cord, cannulated screws were placed percutaneously with stereotactic guidance through the pedicles followed by cement induction. Stereotactic radiosurgery is performed in the postoperative period for residual metastatic disease in the vertebral body. RESULTS The minimally invasive technique used in this case reduced tissue damage and optimized subsequent recovery without compromising the quality of decompression or the extent of metastatic tumor resection. Development of more minimally invasive techniques for the management of metastatic ESCC has the potential to facilitate healing and preserve quality of life in patients with systemic malignancy. CONCLUSION ESCC from vertebral metastases poses a challenge to treat in the context of minimizing potential risks to preserve quality of life. Percutaneous pedicle screw fixation with cement augmentation provides a minimally invasive alternative for definitive treatment of these patients.

Management of Chylous Ascites after Laparoscopic Cholecystectomy Using Minimally Invasive Techniques: A Case Report and Literature Review

2006 ◽  
Vol 72 (1) ◽  
pp. 60-63 ◽  
Author(s):  
Eric H. Jensen ◽  
Carl A. Weiss
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Minimally Invasive ◽  
Rare Complication ◽  
Fluid Collection ◽  
Chylous Ascites ◽  
Invasive Technique ◽  
Minimally Invasive Techniques ◽  
Suture Ligation ◽  
Invasive Techniques ◽  
Gallbladder Fossa

Chylous ascites is a rare complication after many abdominal procedures. It has never been reported after laparoscopic cholecystectomy. We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. A percutaneously drained abdominal fluid collection revealed chylous ascites. Lymphoscintigraphy demonstrated extravasation at the level of the hepatic fossa. At laparoscopic exploration, a chylous leak within the gallbladder fossa was controlled with suture ligation and fibrin glue with immediate resolution of the leak. This demonstrates a novel, minimally invasive technique for control of a previously unreported complication after laparoscopic cholecystectomy.

scholarly journals Minimally Invasive Techniques for Management of Salivary Gland Pathology

2017 ◽  
Vol 1 (1) ◽  
pp. 11-14
Author(s):  
Rui Fernandes ◽  
Salam Salman ◽  
Anastasiya Quimby
Keyword(s):  
Salivary Gland ◽  
Minimally Invasive ◽  
Surgical Approach ◽  
Standard Of Care ◽  
Invasive Technique ◽  
Minimally Invasive Techniques ◽  
Success Rates ◽  
Operator Experience ◽  
Invasive Techniques ◽  
Open Surgical Approach

Purpose. The goal of this article is to describe the technique used at our institution and highlight potential pitfalls during sialendoscopy. Discussion. Indication for sialendoscopy, sialendoscopy technique are discussed. Results. Despite the high reported success rates with sialendoscopy, the procedure is deemed to be technically challenging and correlation between success rates and operator experience has been shown. Conclusion. Sialendoscopy is a minimally invasive technique that is gradually replacing the classic open surgical approach to the treatment of obstructive salivary gland diseases as the standard of care.

Combined “Hybrid” Open and Minimally Invasive Surgical Correction of Adult Thoracolumbar Scoliosis

Neurosurgery ◽  
2012 ◽  
Vol 72 (2) ◽  
pp. 151-159 ◽  
Author(s):  
Paul Park ◽  
Frank La Marca
Keyword(s):  
Minimally Invasive ◽  
Visual Analog Scale ◽  
Oswestry Disability Index ◽  
Tissue Injury ◽  
Scoliosis Surgery ◽  
Lumbar Region ◽  
Minimally Invasive Techniques ◽  
Analog Scale ◽  
The Mean ◽  
Invasive Techniques

Abstract BACKGROUND: Surgery for scoliosis requires extensive exposure, resulting in significant tissue injury and longer recovery times. To minimize morbidity in scoliosis surgery, several studies have shown successful application of a combination of minimally invasive techniques; however, the extent of scoliosis treated has been modest. OBJECTIVE: To achieve some of the benefits of minimally invasive surgery and yet treat curves of greater degree, we have used a combined approach, incorporating both open and minimally invasive techniques. METHODS: We analyzed a prospectively acquired database in addition to reviewing electronic records of patients undergoing hybrid surgery for thoracolumbar scoliosis. Nine patients were identified. The minimally invasive portion involved the lumbar region in all cases. Pain was assessed by the visual analog scale and disability was measured by the Oswestry Disability Index. RESULTS: Mean preoperative scoliosis was 47.8 degrees, which was corrected to a mean 15.2 degrees. An average of 7.8 spinal levels was treated. Estimated blood loss averaged 1094.4 mL, and length of hospital stay averaged 7.2 days. Acute complications occurred in 2 patients. Longer term complications occurred in 2 patients, consisting of adjacent segment disease. The mean improvement in the visual analog scale score was 3.7 and the mean improvement on the Oswestry Disability Index was 30.5. Average follow-up was 29.2 months. CONCLUSION: The hybrid approach for the treatment of scoliosis results in acceptable radiographic and clinical outcomes. Complications did not appear increased compared with those expected with scoliosis surgery. Although decreased adjacent tissue injury was achieved with the minimally invasive component of the procedure, a larger comparative study is required to determine magnitude of this benefit.

scholarly journals The roughness of deciduous dentin surface and shear bond strength of glass ionomers in the treatment with four minimally invasive techniques

RSC Advances ◽  
2019 ◽  
Vol 9 (55) ◽  
pp. 32197-32204
Author(s):  
María de los Angeles Moyaho-Bernal ◽  
Bitia Eunice Badillo-Estévez ◽  
Ester Luminosa Soberanes-de la Fuente ◽  
Maykel González-Torres ◽  
Bernardo Teutle-Coyotecatl ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Bond Strength ◽  
Shear Bond Strength ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Minimally Invasive Techniques ◽  
Tooth Structure ◽  
Dentin Surface ◽  
Invasive Techniques

The concept of minimally invasive technique in dentistry emphasizes conservative strategies in the management of caries, which results in less destruction of healthy tooth structure.

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