scholarly journals Elektivna resekcija slezine - pregled tehnika resekcije i prikaz nove tehnike zasnovane na radiofrekventnoj koagulaciji i desikaciji

2002 ◽  
Vol 49 (3) ◽  
pp. 19-24 ◽  
Author(s):  
Miroslav Milicevic ◽  
P. Bulajic ◽  
M. Zuvela ◽  
Z. Raznatovic ◽  
V. Obradovic ◽  
...  
Keyword(s):  
Blood Loss ◽  
Clinical Application ◽  
New Technique ◽  
Short Overview ◽  
Splenic Resection

The authors present a short overview of the development of elective splenic resections. Past and present indications are presented. Contemporary hemostatic technique for elective splenic resection are discussed. An original new technique for transsegmental partial splenic resection using RF generator (Radionic Cool Tip) without any additional hemostatic procedures is presented. This technique is inovative and when use properly it is a practically zero blood loss technique. A patient with transsegmental splenic resection using RF generator is presented. Further clinical application of the technique is necessary.

scholarly journals Fahmy's four quadrant sutures: a new technique for control of blood loss during cesarean delivery for placenta previa

2018 ◽  
Vol 7 (8) ◽  
pp. 3004
Author(s):  
Mohamed S. Fahmy ◽  
Laila Ezzat ◽  
Maraey M. Khalil ◽  
Ahmed H. Elsayed ◽  
Sherif S. Fahmy ◽  
...  
Keyword(s):  
Blood Loss ◽  
Cesarean Delivery ◽  
Simple Procedure ◽  
Placenta Previa ◽  
Suture Technique ◽  
University Hospital ◽  
New Technique ◽  
Artery Ligation ◽  
The Mean ◽  
Four Quadrant

Background: The objective of this study is to assess the efficacy and safety of Fahmy's four quadrant suture technique (FFQS) in controlling blood loss during cesarean delivery for placenta previa (PP).Methods: The study was carried out in a tertiary University Hospital between January 2017 to December 2017 involved 12 women with heavy bleeding occurred after removal of the placenta from the lower section during cesarean delivery for PP. The FFQS technique consisted of two sutures to ligate the uterine branches on both sides and two sutures on the anterior and posterior wall of the lower uterine segment. Details regarding the management and maternal outcomes were recorded.Results: The mean age of the study participants was 29.58±5.29 years and the mean parity was 2.25±1.14. The mean gestational age at termination of pregnancy was 36.91±1.38 weeks.  The mean duration of the whole surgery was 78.75±43.28 minutes, while the mean duration of FFQS technique was only 10±2.09 minutes. The technique was exclusively effective in 8 out of 12 cases (66.67%) while 2 cases needed bilateral internal iliac artery ligation and 2 cases needed hysterectomy. The mean amount of blood loss in all cases was 2433.33±833.76 ml. the mean amount of transfused packed RBCs was 3.92±1.68 units and fresh frozen plasma (FFP) was 3.42±1.44 units. All cases had uneventful postoperative course and no mortality cases in present series.Conclusions: The new technique; FFQS represents a rapid, effective, and inexpensive opportunity for women with bleeding from the lower segment of uterus due to PP. This simple procedure should be attempted before other complex measures to achieve good hemostasis.

scholarly journals A NEW TECHNIQUE FOR THE CREATION OF AN ATRIAL SEPTAL DEFECT WITH CLINICAL APPLICATION

1963 ◽  
Vol 46 (4) ◽  
pp. 510-521 ◽  
Author(s):  
Samuel R. Schuster ◽  
Earl Kiernan ◽  
Jens Rosencranz ◽  
Achmed Bozer
Keyword(s):  
Atrial Septal Defect ◽  
Clinical Application ◽  
Septal Defect ◽  
New Technique ◽  
The Creation ◽  
A New Technique

scholarly journals Seventy years since the invention of the averaging technique in Neurophysiology: Tribute to George Duncan Dawson

2021 ◽  
Author(s):  
Otto Jesus Hernández Fustes ◽  
Cláudia Suemi Kamoi Kay ◽  
Paulo José Lorenzoni ◽  
Renata Dal-Prá Ducci ◽  
Lineu Cesar Werneck ◽  
...  
Keyword(s):  
Evoked Potentials ◽  
Clinical Application ◽  
Clinical Neurophysiology ◽  
New Technique ◽  
Averaging Technique

ABSTRACT In 1951, the physiologist George Duncan Dawson presented his work with the averaging of the signal in the evoked potentials (EPs), opening a new stage in the development of clinical neurophysiology. The authors present aspects of Professor Dawson’s biography and a review of his work on the EPs and, mainly, the article reveals the new technique in detail that would allow the growth of the clinical application of the visual, auditory, and somatosensory EPs.

scholarly journals New technique for laparoscopic partial splenectomy to decrease blood loss

2018 ◽  
Vol 5 (3) ◽  
pp. 983
Author(s):  
Ghada Morshed ◽  
Tamer El-Gaabary
Keyword(s):  
Blood Loss ◽  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Partial Splenectomy ◽  
New Technique ◽  
Serological Tests ◽  
Postoperative Blood Transfusion ◽  
Splenic Cysts ◽  
The Mean ◽  
Decrease Blood Loss

Background: Laparoscopic splenectomy is feasible, effective, and safe with low morbidity rates, faster recovery when compared with patients who undergo open splenectomy. The aim of this study was to describe a new technique for laparoscopic partial splenectomy to decrease blood loss.Methods: This study started from May 2015 till April 2017. This retrospective study included total 20 adults containing 12 females, ten with hydatid cyst of the spleen with positive serological tests for Echinococcus granulosus (Indirect hemagglutination (IHA)) was used, and two cases with congenital splenic cysts with negative serology for Echinococcus granulosus and eight males with hydatid cyst positive serological tests for Echinococcus granulosus.Results: The mean time for laparoscopic resection was 150 minutes (range from 90 to 200 min). No bleeding, no postoperative pancreatic fistula or diaphragmatic injury. No conversion was necessary. The mean hospital stay was 4 days (range from 2 to 6 days). None of the patients needed postoperative blood transfusion. No post-splenectomy infections. Three weeks and after 6 months postoperatively, US Doppler was done and found normal vascularisation of the splenic remnant.Conclusions: Clipless, Sutureless laparoscopic partial splenectomy is feasible and safe. This surgical procedure offers advantages of decrease blood loss and preservation of splenic tissue, reducing the risk of post-splenectomy sepsis.

scholarly journals New Technique for Controlling Bleeding in Laparoscopic Liver Resection

2019 ◽  
Vol 4 (03) ◽  
Author(s):  
Luigi Masoni ◽  
Leandro Landi, MD ◽  
Riccardo Maglio, MD
Keyword(s):  
Liver Resection ◽  
Blood Loss ◽  
Laparoscopic Hepatectomy ◽  
Liver Parenchyma ◽  
New Technique ◽  
Solid Organ ◽  
Intraoperative Bleeding ◽  
Endoscopic Clips ◽  
Estimated Blood Loss ◽  
A New Technique

Introduction: The liver is a vascular-rich solid organ. Safe and effective dissection of the vessels and liver parenchyma, and control of intraoperative bleeding are the main concerns when performing liver resection. Controlling bleeding during laparoscopic hepatectomy(LH) is technically demanding, but reportedly associated with less estimated blood loss (EBL) than open surgery. Several studies have confirmed that intraoperative blood loss and postoperative transfusion are predictors of postoperative morbidity and mortality in liver surgery. Various methods and instruments have been developed during hepatectomy. Case presentation: The present study aimed to describe and evaluate hemorrhage control techniques during left lateral partial segmentectomy with use of endoscopic clips. Conclusion: control of intraoperative bleeding it is the most important aspect in liver resection. we propose a new technique for controlling bleeding in restricted operating spaces.

scholarly journals New technique for intestinal lengthening – from the idea to the clinical application

2014 ◽  
Vol 67 (6) ◽  
pp. 323-328
Author(s):  
Tamás Cserni ◽  
Garbriella Varga ◽  
Dániel Érces ◽  
József Kaszaki ◽  
Beáta Biszku ◽  
...  
Keyword(s):  
Clinical Application ◽  
New Technique ◽  
Intestinal Lengthening ◽  
Serial Transverse Enteroplasty

Bevezetés: Súlyos rövidbél-szindrómában, a természetes adaptáció következtében, a megmaradt vékonybél annyira kitágul, hogy a béltartalmat nem képes továbbítani, ez stasishoz, bacterialis translocatióhoz, majd sepsishez vezethet. A passzázs javítására jelenleg alkalmazott műtétek közül a Bianchi-műtét igen bonyolult, a serial transverse enteroplasty (STEP) lényegesen egyszerűbb, de az izomrostok orientációját drámaian megváltoztatva afiziológiás állapotot teremt. Célunk egy új, egyszerű és kevéssé kockázatos bélhosszabbító műtéti technika kifejlesztése volt, amely nem változtatja meg jelentősen a bél mikroszkópos anatómiáját. Anyag és módszer: Az ötlet a bél spirális vonal mentén történő incisióján és kisebb kaliberen történő retubularisatióján alapul. A műtétet spiral intestinal lengthening and tailoringnek (SILT) neveztük el. Elsőként a műtét kivitelezhetőségét és az izomrostok orientációjára gyakorolt hatását vizsgáltuk bélszimulátoron és sertésbélen. Az intramuralis keringésváltozásokat in vivo mikroszkópia segítségével elemeztük, majd műtétet túlélő sertésmodellen (n = 6) teszteltük, csak ezek után került sor a klinikai alkalmazásra. Eredmények: A SILT könnyen kivitelezhetőnek bizonyult, az izomrostok orientációja nem változott lényegesen. A műtét nem okozott kritikus változást a bélfal keringésében, és amennyiben a lumen szűkítése nem haladta meg a 75%-ot, nem észleltünk sebészi komplikációt vagy krónikus szöveti ischaemiát sem. Az első klinikai alkalmazás is sikeres volt. Következtetés: A SILT-műtét nem változtatja meg a bél izomstruktúráját, biztonságos és ajánlható módszer a bélhosszabbításra.

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