scholarly journals Validation of Robotic-assisted Ureteroplasty with Buccal Mucosa Graft for Stricture at the Proximal and Middle Ureters: The First Comparative Study

2021 ◽  
Author(s):  
Che Hsueh Yang ◽  
Yi Sheng Lin ◽  
Wei Chun Weng ◽  
Chin Heng Lu ◽  
Chao Yu Hsu ◽  
...  
Keyword(s):  
Buccal Mucosa ◽  
Renal Plasma Flow ◽  
Phase 1 ◽  
Case Series ◽  
World Health ◽  
Endoscopic Stenting ◽  
Paired Data ◽  
World Health Organization Quality ◽  
Robotic Assisted ◽  
Buccal Mucosa Graft

Abstract Although ureteroplasty with buccal mucosa graft for long-segmental ureteral stenosis has been developed long ago, evidence was still restricted to case series in published literature. This study aims to validate ureteroplasty with buccal mucosa graft (BMG) in long-segment stricture at the proximal and middle ureters under designed comparative methods. From April 2015 to January 2019, we performed robotic-assisted ureteroplasty with BMG with a two-phase design and compared ureteroplasty and BMG (phase 2 surgery) with endoscopic stenting (phase 1 surgery). Paired data of effective renal plasma flow (ERPF), glomerular filtration rate (GFR), hydronephrosis grade, and physical and psychological domains of the World Health Organization Quality of Life (WHOQOL)-BREF were compared. A total of 29 patients were enrolled, and only three (10%) patients had hydronephrosis resolution after treatment with endoscopic stenting (p = 0.250 to baseline). Compared to endoscopic ureteral stent, Hedges’ g of ureteroplasty with BMG was 0.56 (95% CI: 0.43-0.69), 0.63 (95% CI: 0.46-0.80), 0.80 (95% CI: 0.56-1.04), and 1.06 (95% CI: 0.69-1.43) in EGFR, GFR, physical domain of WHOQOL-BREF, and psychological domain of WHOQOL-BREF, respectively (All significance; p<0.001). After 12-month follow-ups, no recurrence of stricture was reported. In conclusion, Robotic-assisted ureteroplasty with BMG onlay is efficient in reconstruction of long-segment stricture of the proximal and middle ureters.

scholarly journals Repetitive Transcranial Magnetic Stimulation Improves Depressive Symptoms and Quality of Life of Poststroke Patients—Prospective Case Series Study

2019 ◽  
Vol 11 ◽  
pp. 117957351987130
Author(s):  
Hercílio Barbosa da Silva Júnior ◽  
Marcos Rassi Fernandes ◽  
Ângela Maria Costa Souza
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Case Series ◽  
World Health ◽  
World Health Organization Quality

Background: Poststroke depression (PSD) is a serious psychiatric complication often reported after a stroke. Nearly a third of stroke survivors experience depressive symptoms at some point, affecting their functional recovery and quality of life. In recent years, repetitive transcranial magnetic stimulation (rTMS) has been studied by many researchers and found to be a safe supporting tool for the treatment of PSD. Objective: We aim to evaluate the effects of rTMS on PSD and on the quality of life of poststroke patients. Method: A prospective clinical case series, performed at CRER Rehabilitation, Brazil, between June 2016 and May 2017. A nonprobabilistic sample (n = 15) was divided into 2 groups (excitatory stimulation in F3, n = 8; inhibitory stimulation in F4, n = 7) and underwent 20 sessions of rTMS. Individuals were assessed according to the 17-item Hamilton Depression Rating Scale (HAM-D17) and World Health Organization Quality of Life-Brief Version (WHOQOL-BREF) questionnaire at 3 different moments: baseline, at the end of the treatment, and in a 1-month follow-up meeting. Results: Both groups presented a significant change in the score of all WHOQOL-BREF domains and in HAM-D17. In the group that received inhibitory stimulation (F4), score changes were continuous and gradual, comparing the 3 moments. In the excitatory stimulated (F3) group, however, the improvement in scores was more expressive between baseline and the second moment, without significant changes in the follow-up. Conclusions: The findings of this clinical study suggest that rTMS can be a promising tool, capable of relieving depressive symptoms and helping in the improvement of poststroke patients’ quality of life.

scholarly journals V06-07 ROBOTIC ASSISTED BUCCAL MUCOSA GRAFT POSTERIOR URETHROPLASTY

2020 ◽  
Vol 203 ◽  
pp. e557-e558
Author(s):  
Min Suk Jun* ◽  
Michael Siev ◽  
Lee Zhao
Keyword(s):  
Buccal Mucosa ◽  
Robotic Assisted ◽  
Buccal Mucosa Graft

scholarly journals Secondary hypospadias repair using Buccal mucosa graft: case series of 50 patients

2018 ◽  
Vol 5 (4) ◽  
pp. 1345
Author(s):  
Neeraj Sharma ◽  
Mayank Mishra
Keyword(s):  
Buccal Mucosa ◽  
Case Series ◽  
Complication Rates ◽  
Age Group ◽  
Hypospadias Repair ◽  
Buccal Mucosa Graft ◽  
Buccal Mucosal Graft ◽  
The Impact ◽  
Postoperative Study

Background: The aim of the study was to assess the various complications noticed following primary hypospadias repair and to evaluate the impact of preoperative, perioperative and postoperative study of primary hypospadias repair on patients’ quality of life, independence, and complication rates. Objective of this study was to assess the success of buccal mucosa graft in secondary hypospadias repair and study the incidence and severity of complications both to the donor and recipient sites.Methods: A total of 50 patients with previous failed hypospadias repair were included in the study who were admitted in plastic surgery unit from August 2013 to December 2016. The age of patients studied ranged from 8 to 16 years, in which about 60% cases that were presented with previous hypospadias repair were in age group 11-14 years. Patients in this study had undergone multiple previous surgeries for hypospadias repair. Ten patients had 1-2 surgeries and 40 patients had undergone 3 or more procedures for hypospadias repair.Results: In study of 50 patients only 12 had complications following buccal mucosa graft urethroplasty.Conclusions: Overall it showed that buccal mucosal graft urethroplasty had better results in hypospadias cripples.

175: Combined Buccal Mucosa Graft and Local Flap for Urethral Reconstruction in Female Transsexuals

2007 ◽  
Vol 177 (4S) ◽  
pp. 59-59
Author(s):  
Miroslav L. Ojordjevic ◽  
Sava V. Perovic ◽  
Harold M. Reed
Keyword(s):  
Buccal Mucosa ◽  
Local Flap ◽  
Urethral Reconstruction ◽  
Buccal Mucosa Graft
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