scholarly journals Laser for the treatment of twin to twin transfusion syndrome

2005 ◽  
Vol 20 (6) ◽  
pp. 478-481 ◽  
Author(s):  
Denise Araújo Lapa Pedreira ◽  
Gregório Lorenzo Acácio ◽  
Carolina Leite Drummond ◽  
Rita de Cássia Sanchez e Oliveira ◽  
Alice D'Agostini Deustch ◽  
...  
Keyword(s):  
Gold Standard ◽  
Standard Treatment ◽  
Neonatal Period ◽  
Uterine Cavity ◽  
Initial Experience ◽  
Therapeutic Technique ◽  
Surface Vessels ◽  
Proper Training ◽  
A New Technique

PURPOSE: To report the initial experience in our country with a new technique for twin to twin transfusion syndrome (TTTS) treatment, using laser to coagulate the placental vessels responsible for the twin transfusion during gestation. METHODS: Prospective study of eight cases diagnosed with TTTS evaluated in our service from january 2001 to june 2005. Through percutaneous introduction of a 2,0mm diameter fetoscope in the uterine cavity, placental surface vessels where directly visualized. Those identified as responsible for the transfusion were laser coagulated. The procedure combines ultrasonography and fetoscopy, in a so-called sonoendoscopic technique (FETENDO). RESULTS: Among the eight pregnancies evaluated, five cases were submitted to the procedure (10 fetuses). All fetuses survived for at least five weeks after surgery. A total of eight fetuses were born alive and five survived the neonatal period. In a 18 months follow-up after birth, all five are still alive and well and their mean age is now 10,6 months. The total survival rate was 50% and in three pregnancies, at least one fetus survived. CONCLUSIONS: Laser fetoscopy is actually the "gold-standard" treatment of TTTS. Nevertheless is a sophisticated technique that epends of proper training. Our service is the first in our country to offer this therapeutic technique. Our success rate is comparable with the international literature.

Hysteroscopy

2020 ◽  
pp. 597-606
Author(s):  
O. A. O’Donovan ◽  
Peter J. O’Donovan
Keyword(s):  
Gold Standard ◽  
Uterine Cavity ◽  
Direct Visualization ◽  
Postmenopausal Bleeding ◽  
Endometrial Polyps ◽  
Current State ◽  
Technological Advances ◽  
Wide Range ◽  
Proper Training ◽  
Low Incidence

Hysteroscopy (direct endoscopic visualization) of the endometrial cavity is an exciting and rapidly developing field of gynaecological practice. The most dramatic advances have occurred during the last 20 years due to technological advances including miniaturization of equipment and improved optics. Hysteroscopy is used both diagnostically and therapeutically to treat a wide range of gynaecological problems (heavy menstrual bleeding, infertility, and postmenopausal bleeding). The most recent advances allow accurate direct visualization of the uterine cavity which provides a platform for targeted biopsies, safe removal of endometrial polyps, and treatment of fibroids, septa, and adhesions. Proper training has resulted in a low incidence of serious complications. The current consensus is that hysteroscopy provides a gold standard not only for evaluating and treating intrauterine pathology but also for allowing a minimalist approach which has resulted in improved patient outcomes. This chapter provides an overview of the current state of this exciting and evolving field.

scholarly journals Whether Hemiarthroplasty Remains a Gold Standard Treatment for Patients With Displaced Femoral Neck Fractures? - A 20-year Sample of 4516 Patients From a Single Institute

2020 ◽  
Author(s):  
Chi-Yung Yeung ◽  
Shang-Wen Tsai ◽  
Po-Kuei Wu ◽  
Cheng-Fong Chen ◽  
Ming-Chau Chang ◽  
...  
Keyword(s):  
Gold Standard ◽  
Standard Treatment ◽  
Revision Rate ◽  
Femoral Stem ◽  
Recurrent Dislocation ◽  
Geriatric Population ◽  
Displaced Femoral Neck Fractures ◽  
Neck Fracture ◽  
Therapeutic Study

Abstract BackgroundFemoral neck fracture (FNF) is among the commonest fractures affecting the geriatric population. Hemiarthroplasty (HA) is a standard treatment procedure and has been performed by hip surgeons for decades. Recently, primary total hip replacement has proved advantageous for the treatment of such fractures. This study analysed the causes of HA failure and reevaluated whether HA remains a gold standard treatment for patients with displaced FNFs.MethodsA total of 4516 patients underwent HA at our centre from 1998 to 2017. The HA implants included unipolar and bipolar prostheses. Patients were enrolled who received the diagnosis of a displaced FNF, underwent primary HA initially, required second revision procedures, and were followed up for a minimum of 36 months. Data were collected and comprehensively analysed.ResultsIn 4516 cases, 99 patients underwent second surgeries. The revision rate was 2.19%. Reasons for failure were acetabular wear (n = 30, 30.3%), femoral stem subsidence (n = 24, 24.2%), periprosthetic fracture (n = 22, 22.2%), infection (n = 16, 16.2%), and recurrent dislocation (n = 7, 7.1%). The mean follow-up period was 78.1 months. The interval between failed HA and revision surgery was 22.8 months.ConclusionHA has an extremely low revision rate and remains a gold standard treatment for patients with displaced FNFs.Levels of Evidence: Level III, Retrospective Cohort Study, Therapeutic Study

scholarly journals Posterior Percutaneous Endoscopic Cervical Diskectomy as a treatment for cervical radiculopathy

2019 ◽  
pp. 1-2
Author(s):  
Hao Wu
Keyword(s):  
Nerve Root ◽  
Gold Standard ◽  
Standard Treatment ◽  
Cervical Radiculopathy ◽  
Endoscopic Technique ◽  
Spinal Instability ◽  
Adjacent Segment ◽  
Less Invasive ◽  
Symptom Relapse

Anterior cervical diskectomy and fusion (ACDF) is the gold standard treatment for patients with cervical radiculopathy. However, the use of ACDF for patients with cervical radiculopathy can result in several disadvantages, such as limitation of motion and accelerating degeneration of adjacent segment. An alternative, less invasive endoscopic technique, posterior percutaneous endoscopic cervical diskectomy (PPECD), was applied to address the above problems associated with ACDF. The patient presented with pain and weakness of the left arm for 2 years. P-PECD was applied and complete decompression of the nerve root was achieved. The symptoms were relieved after surgery. Postoperative MR showed the ruptured disk fragment was successful removed. No spinal instability or symptom relapse was observed in follow-up. PPECD may be an option for patients with cervical radiculopathy.

324 Cases of Misplaced IUCD — A 5-Year Study

2003 ◽  
Vol 33 (1) ◽  
pp. 11-12 ◽  
Author(s):  
Meenakshi Barsaul ◽  
Neeraj Sharma ◽  
Krishna Sangwan
Keyword(s):  
Developing Countries ◽  
Family Planning ◽  
Uterine Cavity ◽  
Cervical Canal ◽  
Contraceptive Device ◽  
Primary Health Centres ◽  
Intrauterine Contraceptive ◽  
Proper Training ◽  
And Migration

Copper-T remains the mainstay of family planning measures in developing countries but is associated with serious complications like bleeding, perforation and migration to adjacent organs or omentum. Patients with misplaced intrauterine contraceptive device (IUCD) may present with pregnancy or lost strings or may remain asymptomatic for years. In our series of 324 cases with misplaced IUCD1; in 258 (79.93%) cases copper-T was found in the uterine cavity and in 47 cases (14.51%) it was removed from cervical canal. In only 18 cases (5.56%), it was translocated and of these 66.67% were inserted at primary health centres. Laparoscopic retrieval was successful in 61.11% cases. Endoscopy thus helps in the localization and retrieval of misplaced IUCDs. A regular follow up of IUCDs for visible threads would help in earlier detection of misplaced IUCDs. Proper training of paramedical staff is mandatory in developing countries to provide safe and better family planning services.

scholarly journals Carpal tunnel release by mini palmar incision

2011 ◽  
Vol 5 (1) ◽  
pp. 139-142 ◽  
Author(s):  
Kawee Pataradool ◽  
Pravit Kitidumrongsook ◽  
Adisorn Patradul
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Gold Standard ◽  
Standard Treatment ◽  
Carpal Tunnel Release ◽  
Small Series ◽  
Tunnel Syndrome ◽  
Open Carpal Tunnel Release ◽  
Mini Incision

Abstract Background: Open carpal tunnel release is the gold standard treatment for carpal tunnel syndrome. However, there are complications related to the long incision. Method: We report the results from a mini-incision open carpal tunnel release with simple instruments. Results: There were no complications in our small series, improvement of scores was shown at four-week follow-up, and cosmetic results were satisfactory. Conclusions: Mini-incision carpal tunnel release is one option to treat carpal tunnel syndrome.

scholarly journals Paraganglioma of the Thyroid Gland: A Case Report and a Review of the Literature

2021 ◽  
pp. 014556132110345
Author(s):  
Massimo Campagnoli ◽  
Michele Cerasuolo ◽  
Giorgio Arena ◽  
Valeria Dell’Era ◽  
Annalisa Andorno ◽  
...  
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Gold Standard ◽  
Standard Treatment ◽  
Incidental Finding ◽  
Definitive Diagnosis ◽  
Review Of The Literature ◽  
Staining Techniques ◽  
Histological Staining

Paragangliomas of the thyroid gland are rare and usually they originate from the inferior laryngeal paraganglia. In this case report, we describe the case of a 78-year-old woman who presented with an incidental finding of thyroid nodule dislocating the trachea. After a systemic and radiological evaluation, right lobo-isthmectomy was performed, and the definitive diagnosis of paraganglioma was reached. Diagnosis of these thyroidal lesions could be difficult due to their rarity, to their specific radiological aspects and the need of employing specific histological staining techniques. Once the definitive diagnosis is reached, patients should undergo a systemic and genetic evaluation. Surgery is the gold standard treatment; radiotherapy should be considered when aggressive behavior is suspected. Regular long-lasting follow-up should be proposed to these patients considering the unpredictable behavior of these lesions.

scholarly journals Endoscopic treatment of intraluminal ureteral suture with holmium laser

2021 ◽  
Vol 93 (2) ◽  
pp. 248-249
Author(s):  
Jorge Panach-Navarrete ◽  
María Negueroles-García ◽  
José María Martínez-Jabaloyas
Keyword(s):  
Gold Standard ◽  
Standard Treatment ◽  
Ureteral Injury ◽  
Holmium Laser ◽  
Central Position ◽  
Promising Technique ◽  
Intense Pain ◽  
Ureteral Trauma ◽  
Open Reconstruction

Although reconstructive surgery is the most accepted treatment for ureteral injury, there are reports of cases where endourologic treatment led to correct resolution of the problem. We present the case of a female patient aged 72-year-old who was previously underwent sacralcolpopexy because of anterior vaginal compartment prolapse. The patient underwent surgery to remove the mesh, due to the pain she had had since it was placed. A mid-line laparotomy was performed removing completely the mesh. At 48 hours after intervention, the patient started feeling an intense pain in the left renal fossa that was not relieved with anti-inflammatories and morphic drugs. In the diagnostic ureteroscopy, it was found iatrogenic suture of the ureter. Due to the availability of holmium laser, an endoureterotomy was performed in the 12h central position on the tip, with laser parameters of 1J-10Hz. A 6F ureteral stent was maintained for one month. During follow-up, the patient remained asymptomatic and without dilation of the left system on imaging tests. Although we accept that open reconstruction is the gold standard treatment for ureteral trauma, we describe holmium laser endoureterotomy as a promising technique to consider in the event of ureteral intraluminal ligation.

Multislice imaging of gastrointestinal stromal tumors

2018 ◽  
pp. 3-14
Keyword(s):  
Computed Tomography ◽  
Key Words ◽  
Gold Standard ◽  
Gastrointestinal Stromal Tumors ◽  
Mesenchymal Tumors ◽  
Stromal Tumors ◽  
Preferential Localization ◽  
Multislice Imaging ◽  
Computed Tomography Diagnosis

Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the digestive tract (1%). These tumors express the CD 117 in 95% of cases. The stomach is the preferential localization (70%). Diagnosis is difficult and sometimes late. Progress of imaging has greatly improved the management and the prognosis. Computed tomography (CT) is the gold standard for diagnosis, staging, and treatment follow-up. The increasing recognition of GIST’s histopathology and the prolonged survival revealed some suggestive imaging aspects. Key words: gastro-intestinal stromal tumors; computed tomography; diagnosis

ASSESSMENT RESULTS OF SINGLE-PORT LAPAROSCOPIC APPENDECTOMY AT HUE CENTRAL HOSPITAL

2011 ◽  
pp. 114-118
Author(s):  
Nhu Hiep Pham ◽  
Huu Thien Ho ◽  
Anh Vu Pham ◽  
Van Nghia Tran
Keyword(s):  
Laparoscopic Appendectomy ◽  
Single Port ◽  
Operation Time ◽  
Invasive Procedure ◽  
Minimal Invasive ◽  
Central Hospital ◽  
Surgical Department ◽  
A New Technique ◽  
Rate Female

Objectives: Laparoscopic appendectomy (LA) is becoming popular for the treatment of acute appendicitis. Since it was the first described, LA has been modified various times. We present the results of a new technique of LA conducted through a single port. Materials and methods: From March 2011 to November 2011, we have performed 28 operations Single Port Laparoscopic Appendectomy at the Surgical Department of Hue Central Hospital. Results: There were 28 patients, 57.1% were female, 42.9% were male, rate female/male was 1.3. The mean age is 36.4. The second port insertion was required in 2 patients (7.2%). Mean operation time was 44.6 minutes and postoperative hospital stay 3-5 days took 71.4%. Postoperative compications occurred in 1 case (3.6%) was of omphalitis. During 2-4 weeks follow up no problem related to the appendectomy have been reported. Conclusions: Single - port intracorporeal appendectomy procedure is a safe, minimal invasive procedure with excellent cosmetic results.

scholarly journals Severe tricuspid regurgitation 14 years after diagnosis of “transient neonatal tricuspid regurgitation”

Heart ◽  
2001 ◽  
Vol 86 (1) ◽  
pp. 88-90
Author(s):  
D Boshoff ◽  
L Mertens ◽  
M Gewillig
Keyword(s):  
Tricuspid Regurgitation ◽  
Neonatal Period ◽  
Clinical Course ◽  
Subsequent Evolution ◽  
Severe Tricuspid Regurgitation ◽  
Echocardiographic Examination ◽  
Long Term Follow Up ◽  
Transient Tricuspid Regurgitation

A 14 year old girl presented with severe tricuspid regurgitation after she was diagnosed with “transient tricuspid regurgitation of the newborn”. In the neonatal period she had presented with severe tricuspid regurgitation without an obvious underlying anatomical cause. This spontaneously regressed during the first months of life. She was dismissed from follow up at the age of 5 years after complete normalisation of the clinical and echocardiographic examination. The subsequent evolution and management of the patient, as well as the possible pathogenesis responsible for the unusual clinical course, is discussed. This case stresses the importance of long term follow up of patients with transient tricuspid regurgitation.

Sign in / Sign up

Export Citation Format

Share Document