scholarly journals Preliminary results from minimally invasive video-assisted thyroidectomy

2005 ◽  
Vol 123 (6) ◽  
pp. 298-299 ◽  
Author(s):  
Rogério Aparecido Dedivitis ◽  
André Vicente Guimarães
Keyword(s):  
Minimally Invasive ◽  
Length Of Hospital Stay ◽  
Postoperative Outcome ◽  
Postoperative Recovery ◽  
Day Length ◽  
Safe Procedure ◽  
Cosmetic Results ◽  
Preliminary Results ◽  
Video Assisted ◽  
Duration Of Surgery

CONTEXT AND OBJECTIVE: Minimally invasive video-assisted gasless thyroidectomy (MIVAT) has mainly been described in Italy and has been demonstrated to be a safe procedure with additional advantages regarding cosmetic results and postoperative outcome. The aim of this work is to analyze our preliminary results from minimally invasive video-assisted thyroidectomy. DESIGN AND SETTING: Retrospective study at the Head and Neck Surgery Service of Hospital Ana Costa, Santos. METHODS: Twelve patients underwent hemithyroidectomy and another three underwent total thyroidectomy by means of minimally invasive video-assisted thyroidectomy between June and September 2004. Gender, age, goiter volume, major diameter of the dominant nodule, duration of surgery, pain complaints during the first postoperative day, length of hospital stay, cosmetic result and complications were retrospectively analyzed. RESULTS: All the patients were women, with median age of 34. The median goiter volume was 16.5 ml, and the median major diameter of the nodule was 2.3 cm. Ten patients reported mild pain at the surgical site. The median scar size was 2.0 cm and all patients considered the cosmetic results excellent. The median duration of surgery was 55 minutes, all patients were discharged on the first postoperative day, and there were no complications. CONCLUSIONS: The outcome from minimally invasive video-assisted thyroidectomy is good in terms of cosmetic results, analgesia and postoperative recovery. The scar is shorter than in the conventional procedure.

Minimally Invasive Plication of the Diaphragm: A Single-Center Prospective Study

2021 ◽  
pp. 155698452110115
Author(s):  
Marco Nardini ◽  
Shruti Jayakumar ◽  
Marcello Migliore ◽  
Mario Nosotti ◽  
Ian Paul ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Length Of Hospital Stay ◽  
Symptomatic Improvement ◽  
Postoperative Recovery ◽  
Safe Procedure ◽  
Invasive Approach ◽  
Telephone Consultation ◽  
Diaphragm Paralysis

Objective Plication of the diaphragm is a life-changing procedure for patients affected by diaphragm paralysis. Traditionally, this procedure is performed through a thoracotomy. Access to the diaphragm via this incision is poor and the indications for surgery are limited to patients who can actually sustain such an invasive approach and associated morbidities. A minimally invasive approach was developed to improve the surgical management of diaphragm paralysis. Methods Patients underwent minimally invasive diaphragm plication either by video-assisted or robotic surgery through a 3-port technique with CO2 insufflation. Patients were followed at the routine 6-week clinic and also by telephone consultation 6 to 12 months postoperatively. Data were collected on postoperative complications, postoperative pain or numbness, symptomatic improvement, and change to quality of life following surgery. Results Forty-eight patients underwent 49 minimally invasive diaphragm plication. Median postoperative length of hospital stay was 4 days (range: 2 to 34 days) and there were no cases of mortality. Mean reduction in Medical Research Council dyspnea score per patient was 2.2 points (mode: 3 points). Twenty-eight patients (77.8%) reported a significant symptomatic improvement enabling improvements in quality of life, and 97.2% ( n = 35) were satisfied with the surgical outcome. Conclusions Minimally invasive diaphragm plication is a safe procedure associated with prompt postoperative recovery. It is effective at reducing debilitating dyspnea and improving quality of life.

scholarly journals Minimally invasive video-assisted thyroidectomy: a critical analysis of long-term cosmetic results using a validated tool

2019 ◽  
Vol 101 (3) ◽  
pp. 180-185 ◽  
Author(s):  
M Sahm ◽  
R Otto ◽  
M Pross ◽  
R Mantke
Keyword(s):  
Minimally Invasive ◽  
Conventional Group ◽  
Long Term Results ◽  
Cosmetic Results ◽  
Assessment Score ◽  
Conventional Thyroidectomy ◽  
Video Assisted ◽  
Scar Assessment

Introduction Since its first publication in 1997, minimally invasive video-assisted thyroidectomy (MIVAT) has developed into the predominant minimally invasive surgery of the thyroid. A major advantage over conventional thyroid surgery is the superior cosmetic result. However, there are still few data comparing the long-term cosmetic results of the two methods. This paper compares the long-term cosmetic results of the two methods, based on follow-up assessments. Methods Between 2004 and 2011, 143 preselected patients underwent a MIVAT in our department. Additionally, 134 patients underwent a conventional thyroidectomy in our hospital in 2011. A total of 117 patients from the MIVAT group and 102 patients from the conventional thyroidectomy group received follow-up assessments after 23.1 and 23.6 months, respectively, using the patient and observer scar assessment scale. Results The measurable cervical scar length averaged 1.9 cm in the MIVAT group and 3.9 cm in the conventional group (P < 0.001). Some 11.1% of the patients in the MIVAT group and 7.1% of the patients in the conventional group had developed keloid (P = 0.391). The patient scar assessment score was 10.4 for the MIVAT group compared with 9.9 for the conventional thyroidectomy group (P = 0.691) and the observer scare assessment score was 8.6 for MIVAT compared with 9.9 for conventional thyroidectomy (P = 0.011). Conclusion In the patient assessment instrument, conventional thyroidectomy had a small advantage over MIVAT in the cosmetic long-term results. This difference between the two groups was, however, not significant. Our result contradicts short-term cosmetic results of published randomized studies with improvement for MIVAT. The Observer Score demonstrates a significant advantage of the MIVAT.

scholarly journals A new minimally invasive surgical technique for the treatment of ovarian cysts in children

2021 ◽  
Vol 23 (5) ◽  
pp. 677-682
Author(s):  
O. V. Spakhi ◽  
A. H. Zaporozhchenko ◽  
V. V. Morhun ◽  
O. P. Pakholchuk
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Ovarian Neoplasms ◽  
Abdominal Cavity ◽  
Length Of Hospital Stay ◽  
Ovarian Cysts ◽  
Group Iii ◽  
Group I ◽  
Duration Of Surgery

The topical issue of pediatric surgery is the treatment of ovarian cysts based on the development of new technologies for surgical correction of the disease. Aim. To analyze the effectiveness of using a new minimally invasive method for removal of cystic ovarian neoplasms in children. Material and methods. A retrospective analysis of 77 female patients with ovarian cysts, aged from 3 months to 17 years, was carried out. The patients were divided into 3 groups depending on the various surgical techniques used for their treatment. Group I consisted of 32 (41 %) girls who underwent cystectomy according to the new transabdominal technique for removing ovarian cysts in children. Group II included 19 (25 %) children who underwent a laparoscopic surgery. Group III comprised 26 (34 %) children who underwent a hybrid laparoscopy-assisted cystectomy. The following indicators were analyzed: the age of patients, the nature and number of complications of the disease course, the size of cystic neoplasms, the duration of surgical interventions, the number of cases accompanied by cyst contents leaking into the abdominal cavity during surgical manipulations, and the length of hospital stay. Results. The mean age of all patients was 11.23 ± 0.57 years. Planned hospitalizations amounted to 46 (59.7 %) cases. The duration of surgery in group I was almost 1.5 times lower (P < 0.05) than that in patients of group II and 2 times shorter than in children of group III (P < 0.05). Free cyst contents leaking into the abdominal cavity was observed in 35 (91.4 %) patients of Group III, which required additional measures aimed at the abdominal cavity sanation. The proposed minimally invasive transabdominal surgical technique prevented this complication in all 32 patients of Group I. The length of hospital stay did not differ significantly (P > 0.05) between children groups I and II and did not exceed 7.50 ± 0.35 (M ± SEM) days. This indicator was almost 1.5 times higher in Group III patients. Conclusions. The new minimally invasive transabdominal method for removing cystic ovarian neoplasms in children provided minimal trauma with maximum ablasticity and cosmetic effect of the operation. The proposed technique made it possible to prevent the development of intraoperative and postoperative complications, significantly reduce the duration of surgery and the recovery time of patients.

scholarly journals A prospective randomized peri- and post-operative comparison of the minimally invasive anterolateral approach versus the lateral approach

2013 ◽  
Vol 5 (3) ◽  
pp. 19 ◽  
Author(s):  
Stefan Landgraeber ◽  
Henning Quitmann ◽  
Sebastian Güth ◽  
Marcel Haversath ◽  
Wojciech Kowalczyk ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hip Replacement ◽  
Postoperative Outcome ◽  
Lateral Approach ◽  
Harris Hip Score ◽  
Anterolateral Approach ◽  
Total Hip ◽  
Duration Of Surgery ◽  
Minimally Invasive Anterolateral Approach

There is still controversy as to whether minimally invasive total hip arthroplasty enhances the postoperative outcome. The aim of this study was to compare the outcome of patients who underwent total hip replacement through an anterolateral minimally invasive (MIS) or a conventional lateral approach (CON). We performed a randomized, prospective study of 75 patients with primary hip arthritis, who underwent hip replacement through the MIS (n=36) or CON (n=39) approach. The Western Ontario and McMaster Universities Osteoarthritis Index and Harris Hip score (HHS) were evaluated at frequent intervals during the early postoperative follow-up period and then after 3.5 years. Pain sensations were recorded. Serological and radiological analyses were performed. In the MIS group the patients had smaller skin incisions and there was a significantly lower rate of patients with a positive Trendelenburg sign after six weeks postoperatively. After six weeks the HHS was 6.85 points higher in the MIS group (P=0.045). But calculating the mean difference between the baseline and the six weeks HHS we evaluated no significant differences. Blood loss was greater and the duration of surgery was longer in the MIS group. The other parameters, especially after the twelfth week, did not differ significantly. Radiographs showed the inclination of the acetabular component to be significantly higher in the MIS group, but on average it was within the same permitted tolerance range as in the CON group. Both approaches are adequate for hip replacement. Given the data, there appears to be no significant long term advantage to the MIS approach, as described in this study.

Minimally invasive video-assisted cervical ventral slot in dogs

2011 ◽  
Vol 24 (01) ◽  
pp. 50-56 ◽  
Author(s):  
M. Manassero ◽  
S. Blot ◽  
J. L. Thibaud ◽  
V. Viateau ◽  
D. Leperlier
Keyword(s):  
Minimally Invasive ◽  
Skin Incision ◽  
Surgical Approaches ◽  
Safe Procedure ◽  
Clinical Experiences ◽  
Technical Problems ◽  
Video Assisted ◽  
Iatrogenic Damage ◽  
Recorded Data ◽  
Potential Damage

Summary Objectives: To investigate the feasibility of a minimally invasive video-assisted (MIVA) cervical ventral slot (VS) in dogs without the use of fluoroscopy, and to report our initial clinical experiences in dogs. Methods: Two surgical approaches to an inter-vertebral disk space (IVDS) were performed in eight intact canine cadavers to determine the feasibility of MIVA-VS using the Destandau Endospine™ Device a (DED) without fluoroscopic guidance. In a subsequent clinical study, 10 client-owned dogs admitted for a Hansen type 1 disk extrusion underwent a MIVA-VS. Recorded data in both studies included: incision lengths, correct targeting of the IVDS, technical problems encountered during the procedure, and potential damage to major anatomical structures. In the 10 clinical cases, duration of the procedure and clinical outcome at five and 12 days, and after a minimum of three months were also recorded. Results: Correct exposure of the targeted IVDS was achieved in all cases. There was no major iatrogenic damage. Mean skin incision length was 39 mm and mean surgery time was 52 minutes. The technique provided increased illumination and magnification of the surgical field. Recovery was uneventful in all cases. Clincial relevance: The present study provided evidence that MIVA-VS using the DED was feasible and a relatively fast and safe procedure for the treatment of cervical disk herniation. Advantages of the technique seemed to include shorter incisions, less dissection and improved visibility.

Long-term cosmetic results after minimally invasive video-assisted thyroidectomy

2011 ◽  
Vol 25 (10) ◽  
pp. 3202-3208 ◽  
Author(s):  
Maik Sahm ◽  
Beate Schwarz ◽  
Sybille Schmidt ◽  
Matthias Pross ◽  
Hans Lippert
Keyword(s):  
Minimally Invasive ◽  
Cosmetic Results ◽  
Video Assisted

Central Neck Lymph Node Removal During Minimally Invasive Video-Assisted Thyroidectomy for Thyroid Carcinoma: A Feasible and Safe Procedure

2002 ◽  
Vol 12 (3) ◽  
pp. 181-185 ◽  
Author(s):  
Rocco Bellantone ◽  
Celestino Pio Lombardi ◽  
Marco Raffaelli ◽  
Mauro Boscherini ◽  
Pier Francesco Alesina ◽  
...  
Keyword(s):  
Lymph Node ◽  
Thyroid Carcinoma ◽  
Minimally Invasive ◽  
Safe Procedure ◽  
Central Neck ◽  
Neck Lymph Node ◽  
Video Assisted ◽  
Node Removal

scholarly journals Minimally Invasive Non-Endoscopic Correction for Sagittal Craniosynostosis in Children Aged Below 6 Months

2021 ◽  
Vol 9 (D) ◽  
pp. 294-299
Author(s):  
Ayman Farghal ◽  
Khaled Bassim ◽  
Amr Mostafa Elkatatny
Keyword(s):  
Minimally Invasive ◽  
Length Of Hospital Stay ◽  
Sagittal Craniosynostosis ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Long Term Follow Up ◽  
Good Cosmetic ◽  
Endoscopic Correction ◽  
A Prospective Study

AIM: Object of this study is to determine effectiveness of this procedure used in this study which is minimally invasive non endoscopic correction for sagittal craniosynostosis in children below 6 months. METHODS: A prospective study was done in Neurosurgery children unit, Abu Elreash Japanese children hospital, Cairo university, Egypt, for patients with non syndromatic sagittal craniosynostosis. The variables analyzed; OFD, BPD, CI pre. & postoperative, age of patients at time of surgery, sex, duration of surgery and length of hospital stay. RESULTS: Our results shows statistically significant difference between pre-operative with post-operative after 2 days, post-operative follow-up, and follow-up after 1 year for OFD, BPD and CI. CONCLUSIONS: Internal helmet technique used in correction of sagittal synostosis in children below 6 months old giving good cosmetic results with the following advantages, (1) short surgery time, (2) small wound, (3) no much blood loss, (4) immediate good cosmetic result, (5) no need to use external devices which reduces the cost, family load, and child suffering, and (6) no need for long-term follow-up.

scholarly journals Topographic, anatomical and clinical rationale of the optimal minimally invasive technique of parathyroidectomy

2021 ◽  
Vol 180 (4) ◽  
pp. 11-17
Author(s):  
P. N. Romashchenko ◽  
N. F. Fomin ◽  
D. O. Vshivtsev ◽  
N. A. Maistrenko ◽  
Yu. V. Maleev ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Minimally Invasive ◽  
Aminolevulinic Acid ◽  
Parathyroid Tissue ◽  
Fluorescent Labeling ◽  
Parathyroid Glands ◽  
Invasive Technique ◽  
Video Assisted ◽  
Duration Of Surgery ◽  
Human Cadavers

Introduction. The information presented in the literature on the use of minimally invasive interventions in the treatment of hyperparathyroidism is not fully justified by topographical and anatomical studies and does not take into account individual features of the location and syntopia of the parathyroid glands, which requires additional scientific research.Objective.Based on the topographical and anatomical features of the structure of the anterior neck region, we determined the most rational methods of minimally invasive interventions on the parathyroid glands and evaluated their clinical effectiveness in patients with hyperparathyroidism.Methods and materials. The design of the study consisted of two stages – topographical and anatomical, and clinical. Topographical and anatomical stage was performed on 2 levels: 1) on anatomical material, which included 15 human cadavers; 2) on plastinated cross sections of the neck (n=44) of human cadavers. During the clinical stage, we studied results of examination and treatment of 53 patients with hyperparathyroidism, who underwent surgery using three methods: Сonventional (n=18/34 %); Minimally Invasive Video-Assisted Parathyroidectomy (n=32/60 %) and Transoral Endoscopic Parathyroidectomy Vestibular Approach (n=3/6 %).Results. During the topographical and anatomical stage, the validity and safety of minimally invasive video-assisted parathyroidectomy was proved. The use of this access in clinical practice as an alternative to the conventional one has shown its effectiveness in reducing the frequency of specific postoperative complications from 16.7 to 6.3 % with an acceptable increase in the duration of surgery from (42.8±15.7) to (64.4±23.5) minutes and maintaining the average duration of inpatient treatment after surgery at the level of (3.4±0.6) days.Conclusion. Minimally invasive video-assisted parathyroidectomy can be considered the operation of choice in the treatment of patients with hyperparathyroidism. The use of this technique with the implementation of lateralization of the thyroid lobe, the preservation of the superior and inferior thyroid vessels, as well as the use of intraoperative neuromonitoring and identification of pathological and normal parathyroid tissue by fluorescent labeling with 5-aminolevulinic acid can improve the results of surgical treatment, reduce the number of postoperative complications, the frequency of persistence and relapse of the disease, and improve the quality of life of patients.

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