Carotid Eversion Endarterectomy

2003 ◽  
Vol 16 (1) ◽  
pp. 39-43
Author(s):  
F. Dall'Antonia
Keyword(s):  
Patient Outcome ◽  
Interventional Radiology ◽  
Vascular Surgery ◽  
Surgical Techniques ◽  
Surgery Technique ◽  
Surgical Methods ◽  
Eversion Endarterectomy ◽  
Interventional Radiology Procedures

Carotid eversion endarterectomy is a long-standing vascular surgery technique practised at the San Bortolo Hospital. We compared this technique with more traditional surgical methods, summarising patient outcome in the tables. Eversion endarterectomy offers many advantages over traditional surgical techniques and must now be compared with interventional radiology procedures.

Awareness of radiation doses and risks among radiology residents, fellows, specialists, consultants and technologists in Jeddah, Saudi Arabia: Cross-Sectional Study. (Preprint)

2019 ◽  
Author(s):  
Bashayer Hassan Shuaib ◽  
Rahaf Hisham Niazi ◽  
Ahmed Haitham Abduljabbar ◽  
Mohammed Abdulraheem Wazzan
Keyword(s):  
Interventional Radiology ◽  
Ionizing Radiation ◽  
Statistical Significance ◽  
Knowledge Score ◽  
P Value ◽  
Radiation Doses ◽  
Cross Sectional ◽  
The Right ◽  
Interventional Radiology Procedures ◽  
Radiology Staff

BACKGROUND Radiology now plays a major role to diagnose, monitoring, and management of several diseases; numerous diagnostic and interventional radiology procedures involve exposure to ionizing radiation. Radiology now plays a major role to diagnose, monitoring, and management of several diseases; numerous diagnostic and interventional radiology procedures involve exposure to ionizing radiation. OBJECTIVE This study aimed to discover and compare the awareness level of radiation doses, protection issues, and risks among radiology staff in Jeddah hospitals. METHODS A cross-sectional survey containing 25 questions on personal information and various aspects of radiation exposure doses and risks was designed using an online survey tool and the link was emailed to all radiology staff in eight tertiary hospitals in Jeddah. The authors were excluded from the study. A P-value of < .05 was used to identify statistical significance. All analyses were performed using SPSS, version 21. RESULTS Out of 156 participants the majority 151 (96.8%) had poor knowledge score, where the mean scores were 2.4±1.3 for doses knowledge, 2.1±1.1for cancer risks knowledge, 2.3±0.6 for general information, and 6.7±1.9 for the total score. Only 34.6% of the participants were aware of the dosage of a single-view chest x-ray, and 9.0% chose the right answer for the approximate effective dose received by a patient in a two-view. 42.9% were able to know the correct dose of CT abdomen single phase. There is a significant underestimation of cancer risk of CT studies especially for CT abdomen where only 23.7% knew the right risk. A p-value of <0.05 was used to identify statistical significance. No significant difference of knowledge score was detected regarding gender (P =.2) or work position (P=.66). CONCLUSIONS Our survey results show considerable inadequate knowledge in all groups without exception. We recommended a conscientious effort to deliver more solid education and obtain more knowledge in these matters and providing periodic training courses to teach how to minimize the dose of radiation and to avoid risk related. CLINICALTRIAL not applicable

scholarly journals Checking the integrity of eyes in prone position: A novel application of video laryngoscopes

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110158
Author(s):  
Daniel Gerber ◽  
Balthasar Eberle ◽  
Gabor Erdoes
Keyword(s):  
Patient Outcome ◽  
Vascular Surgery ◽  
Prone Position ◽  
Visual Loss ◽  
Video Laryngoscope ◽  
Severe Complication ◽  
Simple Solution ◽  
Additional Material ◽  
Perioperative Visual Loss ◽  
Improve Patient

Perioperative visual loss is a rare but severe complication after surgery in prone position. One of several mechanisms is direct ophthalmic compression. This can be avoided through optimal positioning and padding of the head, but position and integrity of the eyes need to be checked at regular intervals. We describe the use of a conventional video laryngoscope during vascular surgery in prone position as a simple solution for intermittent monitoring of external integrity of the eyes and size of the pupils. This requires no additional material and allows documentation of the findings. Our method might reduce complications and improve patient outcome.

scholarly journals Distal radioulnar joint stabilization with open foveal reinsertion versus tendon graft reconstruction: an experimental study using radiostereometry

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Janni Kjærgaard Thillemann ◽  
Sepp De Raedt ◽  
Torben Bæk Hansen ◽  
Bo Munk ◽  
Maiken Stilling
Keyword(s):  
Experimental Study ◽  
Surgical Techniques ◽  
Distal Radioulnar Joint ◽  
Tendon Graft ◽  
Imaging Method ◽  
Radioulnar Joint ◽  
Clinical Recommendation ◽  
Surgical Methods ◽  
Custom Made ◽  
Stabilizing Effect

Abstract Purpose Symptomatic instability of the distal radioulnar joint (DRUJ) caused by lesion of the Triangular Fibrocartilage Complex (TFCC) can be treated with a number of surgical techniques. Clinical examination of DRUJ translation is subjective and limited by inter-observer variability. The aim of this study was to compare the stabilizing effect on DRUJ translation with two different surgical methods using the Piano-key test and a new precise low-dose, non-invasive radiostereometric imaging method (AutoRSA). Methods In a randomized experimental study we evaluated the DRUJ translation in ten human cadaver arms (8 males, mean age 78 years) after cutting the proximal and distal TFCC insertions, and after open surgical TFCC reinsertion (n = 5) or TFCC reconstruction using a palmaris longus tendon graft ad modum Adams (n = 5). The cadaver arms were mounted in a custom-made fixture for a standardized Piano-key test. Radiostereometric images were recorded and AutoRSA software was used for image analyses. Standardised anatomical axes and coordinate systems of the forearm computer tomography bone models were applied to estimate DRUJ translation after TFCC lesions and after surgical repair. Results The DRUJ translation after cutting the proximal and distal TFCC insertions was 2.48 mm (95% CI 1.61; 3.36). Foveal TFCC reinsertion reduced DRUJ translation by 1.78 mm (95% CI 0.82; 2.74, p = 0.007), while TFCC reconstruction reduced DRUJ translation by 1.01 mm (95% CI -1.58; 3.60, p = 0.17). Conclusion In conclusion, foveal TFCC reinsertion significantly decreased DRUJ translation while the stabilizing effect of Adams TFCC reconstruction was heterogeneous. This supports the clinical recommendation of TFCC reinsertion in patients suffering from symptomatic DRUJ instability due to acute fovea TFCC lesions.

scholarly journals Surgical techniques: past, present and future

2012 ◽  
Vol 2 (1) ◽  
pp. 9 ◽  
Author(s):  
Karim Qayumi
Keyword(s):  
Middle Ages ◽  
Technological Progress ◽  
Surgical Techniques ◽  
Neolithic Period ◽  
Minimally Invasive Surgical ◽  
Surgical Methods ◽  
Modern Hospital ◽  
The 19Th Century ◽  
Further Development ◽  
Shed Light

The aim of this paper is to provide an analytical survey of the information available on the development of past and present surgical techniques, and to make projections for the future. For the purposes of this paper, the <em>Past</em> starts in the Neolithic period and ends in the 1800s. In this context, I have divided the <em>Past</em> into <em>Prehistoric</em>, <em>Ancient</em> and <em>Middle Ages</em>, and this period ends in the second half of the 19th century when the major obstacles to the further development of surgery, such as overcoming pain and infection, were removed. We will discuss the development of surgical techniques, and the obstacles and opportunities prevalent in these periods. In the context of this paper, the <em>Present</em> begins in 1867, when Louis Pasteur discovered microorganisms, and ends in the present day. There have been many important changes in the development of surgical techniques during this period, such as the transfer of surgery from the unsterile operating room to the modern hospital operating theater, the development of advanced and specialized surgical practices, such as transplants and laparoscopy, and minimally invasive surgical methods, robotic and Natural Orifice Transluminal Endoscopic Surgery. It is very difficult to foresee how surgical techniques will develop in the <em>Future</em> because of the unpredictable nature of technological progress. Therefore, in this paper, the forecast for the <em>Future</em> is limited to the next 50- 100 years and is a realistic calculation based on already existing technologies. In this context, the <em>Future</em> is divided into the development of surgical techniques that will develop in the <em>near</em> and <em>distant</em> future. It is anticipated that this overview will shed light on the historical perspective of surgical techniques and stimulate interest in their further development.

scholarly journals A Novel Lead Garment Structural System to Alleviate Orthopedic Stress for Surgeons

2018 ◽  
Author(s):  
Hilary Johnson ◽  
Sally Miller ◽  
Prianca Tawde ◽  
Bethany LaPenta ◽  
Daniel Teo ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Radiation Protection ◽  
Preliminary Analysis ◽  
Healthcare Professionals ◽  
User Feedback ◽  
Musculoskeletal Injuries ◽  
Structural System ◽  
Testing Procedures ◽  
Emergency Procedures ◽  
Interventional Radiology Procedures

Cardiovascular, orthopedic, and interventional radiology procedures using fluoroscopy require healthcare professionals to wear heavy lead garments for radiation protection, sometimes for up to 12 hours per day. Wearing lead garments for prolonged periods of time can lead to musculoskeletal injuries, discomfort, and fatigue. MobiLead is a mobile lead garment frame that was developed to reduce the weight supported by the user in an effort to mitigate these problems. The MobiLead system moves the lower garment load off the user’s body to a structural ground-supported frame and redistributes the upper load from the shoulders to the hips through a torso frame. The system is compact and maximizes the limited space available in operating rooms, while still giving the surgeon adequate mobility for various emergency procedures. Preliminary analysis of device effectiveness was conducted using electromyography and qualitative surgeon user feedback surveys. This paper will discuss the design, fabrication, and testing procedures for this mobile radiation protection system optimizing both support and mobility.

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