scholarly journals MODERN TRENDS TO LAPAROSCOPIC SURGERY IN GYNECOLOGY

2010 ◽  
Vol 1 (3) ◽  
pp. 98-102
Author(s):  
S A Levakov ◽  
A G Kedrova ◽  
N S Wanke

Gynecologic laparoscopy has evolved from a limited surgical procedure used only for diagnosis and tubal ligations to a major surgical tool used to treat a multitude of gynecologic indications. Today, laparoscopy is one of the most common surgical procedures performed by gynecologists. The review presents the main trends of development of modern surgery in gynecology with the author's personal views on the key contentious issues of endoscopic sinus surgery.

2005 ◽  
Vol 19 (4) ◽  
pp. 400-405 ◽  
Author(s):  
Neepa M. Thacker ◽  
Federico G. Velez ◽  
Joseph L. Demer ◽  
Marilene B. Wang ◽  
Arthur L. Rosenbaum

Background Orbital complications associated with endoscopic sinus surgery are well documented. Damage to the medial rectus muscle results in complicated strabismus and disturbing diplopia. The aim of this study was to characterize the types of extraocular muscle injury and the number of muscles involved that may complicate endoscopic sinus surgery and correlate its occurrence to factors in the surgical procedure itself. Methods A retrospective chart review was performed of 14 patients with strabismus after endoscopic sinus surgery. Operative notes of the surgical procedure, pathology reports of the intraoperative specimens, postoperative pattern of strabismus, the extraocular muscle involved, and the type of muscle injury characterized by orbital imaging were reviewed in each patient. Results In our series, not only the medial rectus muscle but also the inferior rectus and the superior oblique muscles were damaged with multiple muscles being involved in one patient. Extraocular muscle injury varied from hematoma, entrapment of muscle in the fractured orbital wall, damage to the oculomotor nerve entry zone, muscle transection, and partial or complete muscle destruction with entrapment in scar tissue. Use of the microdebrider causes extensive irreparable muscle damage. Conclusion Extraocular muscle damage complicating endoscopic sinus surgery can produce therapeutically challenging complicated strabismus.


2013 ◽  
Vol 51 (4) ◽  
pp. 343-348
Author(s):  
C.M. Chang ◽  
K.M. Fang ◽  
T.W. Huang ◽  
C.T. Wang ◽  
P.W. Cheng

Background: Studies on the performance of surface registration with electromagnetic tracking systems are lacking in both live surgery and the laboratory setting. This study presents the efficiency in time of the system preparation as well as the navigational accuracy of surface registration using electromagnetic tracking systems. Methodology: Forty patients with bilateral chronic paranasal pansinusitis underwent endoscopic sinus surgery after undergoing sinus computed tomography scans. The surgeries were performed under electromagnetic navigation guidance after the surface registration had been carried out on all of the patients. The intraoperative measurements indicate the time taken for equipment set-up, surface registration and surgical procedure, as well as the degree of navigation error along 3 axes. Results: The time taken for equipment set-up, surface registration and the surgical procedure was 179 +- 23 seconds, 39 +- 4.8 seconds and 114 +- 36 minutes, respectively. A comparison of the navigation error along the 3 axes showed that the deviation in the medial-lateral direction was significantly less than that in the anterior-posterior and cranial-caudal directions. Conclusion: The procedures of equipment set-up and surface registration in electromagnetic navigation tracking are efficient, convenient and easy to manipulate. The system accuracy is within the acceptable ranges, especially on the medial-lateral axis.


1989 ◽  
Vol 101 (6) ◽  
pp. 629-632 ◽  
Author(s):  
C. Ron Cannon

A simple, rellable technique for videotaping endoscopic sinus surgery is described. This system may be used for teaching purposes and patient education. It may also be used to document pathologic conditions of the sinus as well as for documenting the surgical procedure itself.


2005 ◽  
Vol 19 (6) ◽  
pp. 612-616 ◽  
Author(s):  
Ünal Bayiz ◽  
Engin Dursun ◽  
Ahmet İslam ◽  
Hakan Korkmaz ◽  
Necmi Arslan ◽  
...  

Background The purpose of this study was to reveal the role of septoplasty in curing chronic rhinosinusitis (CRS) in patients with significant septal deviation. Methods This prospective study involved 26 patients with CRS and septal deviation. The patients were randomly divided into two groups according to the applied surgical procedures. In the first and second groups, septoplasty and septoplasty plus endoscopic sinus surgery were applied, respectively. Subjective (questionnaire) and objective (endoscopy and computerized tomography) success rates were used to analyze the results. Results Septoplasty alone and septoplasty plus endoscopic sinus surgery were applied in 57.7% (15/26) and 42.3% (11/ 26) of the patients, respectively. Success rates were 93.3% (14/15) and 81.8% (9/11), subjectively (p > 0.05), and 66.7% (10/15) and 54.5% (6/11), objectively (p > 0.05), respectively in each group. Conclusion We suggest that septoplasty alone can be adequate for the treatment of CRS with septal deviation.


Skull Base ◽  
2005 ◽  
Vol 15 (S 2) ◽  
Author(s):  
Mark Jorissen ◽  
S. Bogaerts ◽  
V. Poorten

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