scholarly journals Minimally Invasive Treatment of Pelvic Fractures With Titanium Elastic Nailing: an Innovative Technology

2021 ◽  
Author(s):  
Zhaofeng Jia ◽  
Wangxing Liu ◽  
Jiandong Lin ◽  
Jingyin Ding ◽  
Xinjia Hu
Keyword(s):  
Minimally Invasive ◽  
Closed Reduction ◽  
Pelvic Ring ◽  
Early Stage ◽  
Pelvic Fractures ◽  
Minimally Invasive Treatment ◽  
Innovative Technology ◽  
Invasive Treatment ◽  
Pelvic Fixation ◽  
Titanium Elastic Nailing

Abstract Background: Minimally invasive treatment has become the most popular and effective method for the treatment of pelvic fractures. The aim of this study was to evaluate the safety and efficacy of a new technique, titanium elastic nailing (TEN), for the minimally invasive treatment of pelvic fractures. Methods: 18 patients with pelvic fractures were referred to us between March 2020 to November 2020, including 13 males and 5 females. The pelvic fractures were temporarily fixed by pelvic fixation belt accompanied with the traction from lower limb bone. The anterior pelvic ring injury (superior ramus of pubis) and ilium fracture were all treated with closed reduction and intramedullary fixation with minimally invasive TEN. Intraoperative C-arm, including pelvic anteroposterior, pelvic outlet, inlet and ilium oblique view) and O-arm fluoroscopy (intraoperative CT) were employed to determine the reduction of fractures and the location of elastic titanium nails in the bone channel. Results: By adopting closed reduction and minimally invasive incision, the pelvic fractures could be safely fixed by placing the elastic titanium nail in the osseous medullary cavity channels of the pelvis. Postoperative investigation indicated that the wounds of all the patients were healed in the first stage, without any occurrence of complications such as nerve, blood vessel and important tissue structure injuries. The patients recovered quickly after the operation and could perform functional exercise in the early stage. Conclusion: TEN can be used for the minimally invasive treatment of pelvic fractures. This novel technique has no obvious complications and worthwhile to use in clinic practice.

scholarly journals Minimally-invasive treatment of early stage breast cancer: A feasibility study using radiofrequency ablation under local anesthesia

The Breast ◽  
2014 ◽  
Vol 23 (2) ◽  
pp. 152-158 ◽  
Author(s):  
Kai-Uwe Schässburger ◽  
Lars Löfgren ◽  
Ulla Lagerstedt ◽  
Karin Leifland ◽  
Karin Thorneman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Radiofrequency Ablation ◽  
Minimally Invasive ◽  
Local Anesthesia ◽  
Feasibility Study ◽  
Early Stage ◽  
Early Stage Breast Cancer ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment

scholarly journals Minimally Invasive Screw Fixation of Unstable Pelvic Fractures Using the “Blunt End” Kirschner Wire Technique Assisted by 3D Printed External Template

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Kaifang Chen ◽  
Sheng Yao ◽  
Fan Yang ◽  
Deepak Drepaul ◽  
Dionne Telemacque ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Functional Recovery ◽  
Pelvic Ring ◽  
Kirschner Wire ◽  
Pelvic Fractures ◽  
Invasive Treatment ◽  
Surgical Time ◽  
3D Printed ◽  
Surgical Duration

Objective. This study aimed to determine the accuracy and safety of the “blunt end” Kirschner wire (KW) technique for the minimally invasive treatment of unstable pelvic fractures with the assistance of a 3D printed external template. Methods. Clinical data of 28 patients with unstable pelvic fractures between January 2016 and January 2018 were retrospectively analyzed. There were 6 cases of B1, 10 of B2, 8 of C1, and 4 of C2 fractures, all of which received surgical treatment. The “blunt end” KW technique with a 3D template was adopted for the minimally invasive placement of the iliosacral (IS) or superior ramus screws. The number of intraoperative fluoroscopies, surgical time, and complications were recorded. Postoperative reduction was assessed using the Matta criteria, and the Majeed score system was used to evaluate postoperative functional recovery. Results. The average number of fluoroscopies was 35 per patient, and the average surgical time was 85.2 min. A total of 19 S1 and 28 S2 IS screws were inserted. Eleven antegrade superior ramus screws and 4 retrograde screws were placed in 11 patients, and anterior subcutaneous internal fixation (INFIX) was used to fix the anterior pelvic ring in 17 patients. All patients were followed up for an average of 18 months. Postoperative reduction was evaluated by Matta’s criteria: excellent in 16 cases, good in 9 cases, and fair in 3 cases. The Majeed score was used in the last follow-up to evaluate functional recovery: excellent in 13 cases, good in 10 cases, fair in 4 cases, and poor in 1 case. There were no cases of operative vascular injury. Conclusion. The “blunt end” KW technique with a 3D printed external template is a safe and effective method for the placement of IS and superior ramus screws in unstable pelvic fractures with minimized surgical duration and radiation exposure.

scholarly journals Biomechanical comparison of minimally invasive treatment options for Type C unstable fractures of the pelvic ring

2020 ◽  
Vol 106 (1) ◽  
pp. 127-133 ◽  
Author(s):  
Adrian Cavalcanti Kußmaul ◽  
Axel Greiner ◽  
Christian Kammerlander ◽  
Christian Zeckey ◽  
Matthias Woiczinski ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pelvic Ring ◽  
Treatment Options ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Type C ◽  
Biomechanical Comparison ◽  
Unstable Fractures

scholarly journals Fuzheng Xiaoliu granules reduce the 2-year recurrence rate of early-stage hepatitis B virus-related hepatocellular carcinoma after comprehensive minimally invasive surgery: a study protocol for a prospective, multicenter, central randomized, double-blind, placebo-controlled clinical trial

2021 ◽  
Author(s):  
Xinju Chen ◽  
Suping Ma ◽  
Xiaoqi Chen ◽  
Yaokun Hao ◽  
Qing Zhao ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Minimally Invasive ◽  
Recurrence Rate ◽  
Early Stage ◽  
Minimally Invasive Treatment ◽  
Control Group ◽  
Invasive Treatment ◽  
B Virus

Abstract Background: Hepatitis B virus (HBV) infection is one of the most common risk factors for hepatocellular carcinoma (HCC). With the continuous improvement of minimally invasive treatment techniques such as transarterial chemoembolization (TACE) and radiofrequency ablation (RFA), comprehensive minimally invasive treatment (TACE & RFA) has been widely used in the treatment of early-stage (Barcelona Clinic Liver Cancer (BCLC) stage 0 and A) HCC and has good safety and clinical efficacy. However, recurrence and metastasis after comprehensive minimally invasive treatment are still key factors affecting the survival rate of patients. In recent years, Chinese medicine has highlighted its unique advantages in the adjuvant treatment of liver cancer surgery and minimally invasive treatment. Thus, this study aimed to evaluate the efficacy and safety of Fuzheng Xiaoliu granules (FZXLG) for treating early-stage HBV-related HCC after comprehensive minimally invasive treatment and to explore whether FZXLG can delay the progression of HBV-related HCC. Methods: This is a prospective, multicenter, central randomized, double-blind, placebo-controlled clinical trial. A total of 312 patients with early HBV-related HCC who underwent comprehensive minimally invasive treatment within 2 months were randomized in a 1:1 ratio into two groups: the experimental group and the control group. The experimental group will receive basic FZXLG plus Western medicine treatment, and the control group will receive basic FZXLG simulator plus Western medicine treatment. Each group will be treated for 1 year and followed-up for 1 year. The primary outcome measure is the 2-year recurrence rate of patients with early-stage HBV-related HCC after minimally invasive treatment. The secondary outcomes include (1) measurable active lesions, (2) alpha-fetoprotein (AFP), (3) immunological indicators, such as comparison of CD3+, CD4+, CD8+ absolute values, CD4+/CD8+ before and after the test, (4) hepatitis B virus quantity, and (5) Karnofsky functional status score. Discussion: These results will provide research data on the efficacy and safety of FZXLG for the treatment of early-stage HBV-related HCC after comprehensive minimally invasive treatment. These findings will also be based on laboratory indicators and adverse events for safety assessment to determine whether FZXLG can reduce the 2-year recurrence rate of HCC after minimally invasive surgery, which will provide reliable evidence for the clinical treatment of HCC.Trial registration: Chinese Clinical Trial Registry, ChiCTR1900022999. Registered on 5 May 2019.

scholarly journals EAU, AUA and NICE Guidelines on Surgical and Minimally Invasive Treatment of Benign Prostate Hyperplasia: A Critical Appraisal of the Guidelines Using the AGREE-II Tool

2021 ◽  
pp. 1-10
Author(s):  
Dmitry Enikeev ◽  
Vincent Misrai ◽  
Enrique Rijo ◽  
Roman Sukhanov ◽  
Denis Chinenov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Treatment Options ◽  
Stakeholder Involvement ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Agree Ii ◽  
Prostate Hyperplasia ◽  
Assessment Score ◽  
Nice Guideline ◽  
Agree Ii Tool

<b><i>Objective:</i></b> To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. <b><i>Methods:</i></b> The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. <b><i>Results:</i></b> According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). <b><i>Conclusions:</i></b> The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.

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