scholarly journals Effects of the cryolipolysis using the advanced redux method in the treatment of localized adiposity

2020 ◽  
pp. 1-8
Author(s):  
Roseane Débora Barbosa Soares ◽  
Rodrigo Marcel Valentim da Silva ◽  
Júlio Costa e Silva ◽  
Bruna Figueiredo Pinto ◽  
Stephan Queiroga Farias ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Lymphatic Drainage ◽  
Controlled Clinical Trial ◽  
Suction Pressure ◽  
Application Time ◽  
Non Invasive ◽  
Abdominal Region ◽  
Invasive Method ◽  
Localized Adiposity

Background: Among the techniques used in clinical practice to reduce localized adiposity, cryolipolysis has been highlighted, which is a non-invasive method capable of reducing the thickness of the adipose tissue without damage to the surrounding tissues. However, several associations of techniques suggest an intensification of the results, associating cryolipolysis with other treatments, and the most common is ultracavitation (UCV) or radiofrequency (RF) and massage. Objective: To investigate the effects of cryolipolysis associated with UCV and RF on localized adiposity. Methods: This is a blinded and controlled clinical trial. The sample was composed of 30 females divided into 2 groups of 15: one group received cryolipolysis application in the abdominal region, and performed 1 session of drainage weekly; while another group performed the cryolipolysis and then 8 applications of UCV associated with RF and modeling massage (protocol named Advanced Redux Method – ARM), once a week. The parameters used in cryolipolysis were: temperature: -7ºC; suction pressure: 30 kpa; and application time: 50 min. For the UCV, the parameters were time of 8 minutes, 30w of potency and intensity of 10 w/cm2 . After cryolipolysis, a follow-up of 2 months was performed to verify the changes related to weight, perimeter and thickness of the adipose tissue, measured by ultrasonography. The reassessments were performed 30 and 60 days after the cryolipolysis. Results: It was observed that the ARM promoted a greater reduction of adiposity located in the abdominal region, in the plicometry, perimetry and ultrasonography variables (p<0.05). In the analysis of the questionnaires the ARM group showed lower edema, pain, ecchymosis after application when compared to the group associated only with the drainage. The percentage of satisfaction was also higher in the ARM group. Conclusion: Therefore, it can be observed that the association of UCV, RF and modeling massage through the ARM promoted a higher reduction in adiposity than the group that exclusively performed the cryolipolysis treatment with lymphatic drainage.

scholarly journals Endoscopic ampullectomy

2012 ◽  
Vol 03 (S 05) ◽  
pp. 065-067 ◽  
Author(s):  
Michael Bourke
Keyword(s):  
Treatment Decision ◽  
Ampulla Of Vater ◽  
En Bloc ◽  
Non Invasive ◽  
Relative Safety ◽  
Invasive Method ◽  
En Bloc Excision ◽  
Bloc Excision ◽  
Careful Assessment

AbstractEndoscopic ampullectomy offers a minimally invasive method of effectively treating non-invasive neoplasms of the ampulla of Vater and surrounding peri-ampullary region with high success and relative safety. These lesions would otherwise require surgical intervention, including pancreatico-duodenectomy. However, major complications may occur and a careful assessment of the patients comorbidities and their ability to tolerate adverse events needs to be factored into the treatment decision. Careful staging, often multi-modality is required, particularly for extensive lesions. Complete en-bloc excision of the entire neoplasm should be the goal with conventional papillary adenomas. Large lesions with extra-papillary extension currently require extended piecemeal excision, however with meticulous technique, recurrence is uncommon in longterm follow up.

Complications and seeding risk after percutaneous liver biopsy in an oncological setting.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 246-246 ◽  
Author(s):  
Katja De Paepe ◽  
Lawrence Bonne ◽  
Nicos Fotiadis ◽  
Naureen Starling ◽  
Ian Chau ◽  
...  
Keyword(s):  
Liver Biopsy ◽  
Percutaneous Biopsy ◽  
Minimal Risk ◽  
Percutaneous Liver Biopsy ◽  
Ct Guided ◽  
Non Invasive ◽  
Needle Tract ◽  
Invasive Method ◽  
Tumor Types

246 Background: Percutaneous biopsy of suspected liver metastases is a common practice for diagnostic purposes. Particularly, in the setting of oncological clinical trials, it is a relatively non-invasive method to obtain sufficient tissue for molecular analyses at regular set time points. However, various complications may occur, including seeding of the tumour along the biopsy tract. Only few reports exist on the actual incidence of seeding, on a limited number of tumor types. The aim of this study was to evaluate the technique’s safety and risk of seeding. Methods: All patients with an ultrasound or CT-guided liver biopsy between 2012-2016 were included. Medical records were reviewed retrospectively for post-biopsy complications and all follow-up imaging was re-assessed for the presence of seeding, defined as tumoral deposits in the biopsy needle tract. Results: In total 782 biopsies were performed in 550 patients (282 women, 268 men; mean age of 61 years), 43.9% (343/782) for trials and 56.1% (439/782) for diagnostic/molecular purposes, 93.7% (733/782) were diagnostic, revealing malignancy in 96.9% (710/733). Number of biopsies per patient ranged between 1 (n=387) to 7 (n=1), a co-axial system was used in 70.6% (552/782) and multiple passes in 29.4% (230/782). Complications were reported in 8.8% (69/782), more often pain (4.7%) and hypotension/vasovagal (2.3%). Admission and/or re-intervention were needed for more severe complications as bleeding (1.0%), sepsis/fever (1.1%), pulmonary embolism (0.3%) and pneumothorax (0.4%). Seeding was seen in 1.1% (8/782) of cases (2/44 melanoma, 1/11 GIST, 1/39 cholangiocarcinoma, 1/247 colorectal, 1/14 oesophagus, 1/97 breast, 1/31 prostate). Mean time for seeding was 208 days (range 43-469 d); mean post-biopsy survival time was 495 days in the seeding and 349 days in the non-seeding group. Conclusions: Percutaneous liver biopsy is a highly effective and safe method for tissue collection, with only a minimal risk of seeding.

scholarly journals Thermal Signature Based Sleep Analysis Sensor

2017 ◽  
Author(s):  
Ali Seba ◽  
Dan Istrate ◽  
Toufik Guettari ◽  
Adrien Ugon ◽  
Andrea Pinna ◽  
...  
Keyword(s):  
Muscle Tone ◽  
Physiological State ◽  
Complete Analysis ◽  
Sleep Stages ◽  
Non Invasive ◽  
Ocular Movements ◽  
Sleep Analysis ◽  
Invasive Method ◽  
Thermal Signature

This paper address the development of a new technic in the sleep analysis domain. Sleep is defined as a periodic physiological state during which vigilance is suspended and reactivity to external stimulations diminished. We sleep on average between six and nine hours per night and our sleep is composed of four to six cycles of about 90-minutes each. Each of these cycles is composed of a succession of several stages of sleep, more or less deep. The analysis of sleep is usually done using a polysomnography. This examination consists of recording, among other things, electrical cerebral activity by electroencephalography (EEG), ocular movements by electrooculography (EOG) and chin muscle tone by electromyography (EMG). The recording is done mostly in a hospital, more specifically in a service for monitoring the pathologies related to sleep. The readings are then interpreted manually by an expert to generate a hypnogram, a curve showing the succession of sleep stages during the night in 30-second epochs. The proposed method is based on the follow-up of the thermal signature that makes it possible to classify the activity into three classes: "awakening", "calm sleep" and "agitated sleep". The contribution of this non-invasive method is part of the screening of sleep disorders, to be validated by a more complete analysis of the sleep. The measure provided by this new system, based on temperature monitoring (patient and ambient), aims to be integrated into the tele-medicine platform developed within the framework of the Smart-EEG project by the SYEL - SYst&egrave;mes ELectroniques team. Analysis of the data collected during the first surveys carried out with this method showed a correlation between thermal signature and activity during sleep. The advantage of this method lies in its simplicity and the possibility of carrying out measurements of activity during sleep and without direct contact with the patient at home or hospitals.

scholarly journals The Diagnostic Role of Urinary N-Acetyl-β-D-glucosaminidase (NAG) Activity in the Detection of Renal Tubular Impairment

2005 ◽  
Vol 48 (2) ◽  
pp. 75-80 ◽  
Author(s):  
Sylva Skálová
Keyword(s):  
Renal Damage ◽  
Perinatal Asphyxia ◽  
Non Invasive ◽  
Diagnostic Role ◽  
Invasive Method ◽  
Nephrotoxic Drugs ◽  
Renal Tubular

The kidney function can be assessed by a number of methods. The urinary excretion of enzymes, in particular N-acetyl-β-D-glucosaminidase (NAG), is considered a relatively simple, cheap, fast and non-invasive method in the detection and follow-up of renal tubular function under various conditions. The determination of urinary NAG provides a very sensitive and reliable indicator of renal damage, such as injury or dysfunction due to diabetes mellitus, nephrotic syndrome, inflammation, vesicoureteral reflux, urinary tract infection, hypercalciuria, urolithiasis, nephrocalcinosis, perinatal asphyxia, hypoxia, hypertension, heavy metals poisoning, treatment with aminoglycosides, valproate, or other nephrotoxic drugs. This paper gives an overview of the current use of urinary NAG in the detection of renal injury.

scholarly journals Use of Lipocavitation in the Treatment of Localized Adiposity: a Review

2021 ◽  
Vol 6 (3) ◽  
pp. 01-10
Author(s):  
Emerson Barbosa da Silva ◽  
Carla Bianca de Freitas Bozo ◽  
Patrick Gabriel dos Santos Pessini
Keyword(s):  
Adipose Tissue ◽  
Mechanism Of Action ◽  
Exploratory Study ◽  
Body Contouring ◽  
Well Being ◽  
The Body ◽  
Non Invasive ◽  
Selective Destruction ◽  
Technological Advances ◽  
Localized Adiposity

With the growing demand for body, contouring, non-invasive devices for reducing localized fat have become increasingly popular and have grown exponentially in the last decade. The Lipocavitation technique has been used recently for this purpose and has been evaluated as a method for the selective destruction of adipose tissue. This work has as main objective, to bring up the practice, the mechanism of action in the body and the effects of the use of lipocavitation in the treatment of localized adiposity. This is an exploratory study of bibliographic review, with consultation in the databases of the VHL (Virtual Health Library), PUBMED and MEDLINE and SciELO. The results showed that the lipocavitation technique used in aesthetics to reduce adipocytes allows the destruction of localized fat, facilitating its elimination and contributing to the reduction of localized measures. With the current technological advances, a variety of techniques can be used, or even combined, allowing innovation to professionals, bringing improvement and well-being to each individual.

133Xe-DSPECT: Bedeutung der zerebrovaskulären Reservekapazität für Diagnostik und Therapie der chronischen zerebralen Ischämie

1988 ◽  
Vol 27 (04) ◽  
pp. 127-134 ◽  
Author(s):  
P. Schmiedek ◽  
T. Kreisig ◽  
K. Einhäupl ◽  
W. Bauer ◽  
E. Moser ◽  
...  
Keyword(s):  
Blood Flow ◽  
Bypass Surgery ◽  
Reserve Capacity ◽  
Non Invasive ◽  
Flow Reserve ◽  
Diagnostik Und Therapie ◽  
Severe Reduction ◽  
Before And After ◽  
Invasive Method

Using 133Xe-DSPECT, measurements of regional cerebral blood flow (rCBF) were performed before and after stimulation with 1 g of Diamox® in 55 patients with symptomatic occlusion of the internal carotid artery (ICA) and 26 patients without evidence of brain disease (normals). In normals, a negative correlation (r = -0,74) of the Diamox-induced increase of hemispheric blood flow (reserve capacity) and rCBF at rest was observed. In 48 of the 55 patients (87%) with ICA-occlusion a reduced reserve capacity was found. The extent of reduction, however, did not correlate with the findings of transmission CT, because 15 of 21 patients (71 %) with normal CT-scans presented a moderate to severe reduction of reserve capacity. In contrast, reserve capacity corresponded to the extent of arterial collateralisation as documented by cerebral panangiography. In 31 patients EC/IC-bypass surgery was performed. In follow-up studies reserve capacity increased, especially in patients who had a severe reduction preoperatively. Therefore, the combined measurement of rCBF at rest and of reserve capacity is a sensitive, non-invasive method for the diagnosis of (even bilateral) cerebrovascular disease and can be helpful to identify patients with hemodynamic ischemia, who may benefit from EC/IC-bypass surgery.

scholarly journals OCT Angiography: A Technique for the Assessment of Retinal and Optic Nerve Diseases in the Pediatric Population

2018 ◽  
Vol 8 (12) ◽  
pp. 2441 ◽  
Author(s):  
María Guirao Navarro ◽  
Manuel Saenz de Viteri Vazquez ◽  
Javier Zarranz-Ventura ◽  
Jesús Barrio-Barrio
Keyword(s):  
Pediatric Population ◽  
Foveal Avascular Zone ◽  
Retinal Vasculature ◽  
Non Invasive ◽  
Optic Nerve Diseases ◽  
Avascular Zone ◽  
Invasive Method ◽  
Vascular Plexuses ◽  
Near Future

Optical coherence tomography angiography (OCT-A) is a novel, rapidly evolving, non-invasive imaging technique that allows images of the retinal vasculature to be obtained in a few seconds. Blood vessels of different retinal vascular plexuses and the foveal avascular zone (FAZ) can be examined without the administration of any contrast or dye. Due to these characteristics, OCT-A could be an excellent complementary test to study retinal vascularization in children. Until now, most of the studies with OCT-A have been conducted in adults and only a few have been carried out in children. In this review, we describe the principles and advantages of OCT-A over traditional imaging methods and provide a summary of the OCT-A findings in retinopathy of prematurity and other retinal and optic disc pathologies in children. In view of the promising results from studies, the advantages of a relatively rapid and non-invasive method to assess the retinal vasculature makes OCT-A a tool of which applications in the field of pediatric ophthalmology will be expanded in the near future for patient diagnosis and follow-up in every day clinical practice.

scholarly journals Cryotherapy as a method of choice in the treatment of cylindromas on the elderly

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Piotr Brzezinski ◽  
Masaoud Sousak ◽  
Beatriz Di Martino Ortiz ◽  
Anca Chiriac
Keyword(s):  
Liquid Nitrogen ◽  
Palliative Treatment ◽  
The Elderly ◽  
Good Alternative ◽  
Non Invasive ◽  
Apocrine Differentiation ◽  
Adnexal Tumor ◽  
Invasive Method ◽  
Surgical Excisions

<p>The elderly (i.e., geriatric group) are often vulnerable to skin cancer. These patients often cannot cope with biopsies and surgical excisions. A good alternative is cryotherapy. Cylindroma is a benign adnexal tumor of the skin with eccrine and apocrine differentiation, and commonly occurs in the scalp. We present the case of an 82- year-old woman with a number of large tumors located on the head, which were effectively removed via cryotherapy with liquid nitrogen as a palliative treatment. No recurrence was detected during the two-year follow-up. Cryotherapy with liquid nitrogen is an effective and non-invasive method for the treatment of benign skin tumors in the elderly.</p>

Thermography in Biomedicine

2021 ◽  
pp. 172-187
Author(s):  
Iskra Alexandra Nola ◽  
Darko Kolarić
Keyword(s):  
Breast Cancer ◽  
Gold Standard ◽  
Early Detection Of Cancer ◽  
Screening Method ◽  
Breast Cancer Detection ◽  
Non Invasive ◽  
Invasive Method ◽  
Uniform Manner ◽  
Harmful Radiation

The historical details are important to understand the development and application of thermography with particular emphasis on its application in medicine, explained on breast cancer detection. Today, recommendations for breast cancer include the use of mammography as the gold standard screening method. In public health, the importance of screening women for possible breast cancer is indisputable, especially in light of the fact that the size of the cancer directly corresponds to the success of the cure. A method that will allow early detection of cancer and/or successful follow-up of postoperative or adjuvant treatment is unquestionable. Thermography as a non-invasive method is harmless and therefore enables repetition without harmful radiation to the patient, unlike mammography. These features should be sufficient to empower its application. However, its breakthrough does not proceed as expected. This chapter particularly emphasizes the importance of conducting studies in a uniform manner to enable the collected data to be comparable appropriately with the methods used so far.

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