scholarly journals Minimally Invasive Techniques for Management of Salivary Gland Pathology

2017 ◽  
Vol 1 (1) ◽  
pp. 11-14
Author(s):  
Rui Fernandes ◽  
Salam Salman ◽  
Anastasiya Quimby
Keyword(s):  
Salivary Gland ◽  
Minimally Invasive ◽  
Surgical Approach ◽  
Standard Of Care ◽  
Invasive Technique ◽  
Minimally Invasive Techniques ◽  
Success Rates ◽  
Operator Experience ◽  
Invasive Techniques ◽  
Open Surgical Approach

Purpose. The goal of this article is to describe the technique used at our institution and highlight potential pitfalls during sialendoscopy. Discussion. Indication for sialendoscopy, sialendoscopy technique are discussed. Results. Despite the high reported success rates with sialendoscopy, the procedure is deemed to be technically challenging and correlation between success rates and operator experience has been shown. Conclusion. Sialendoscopy is a minimally invasive technique that is gradually replacing the classic open surgical approach to the treatment of obstructive salivary gland diseases as the standard of care.

Minimally Invasive Separation Surgery for Metastases in the Vertebral Column: A Technical Report

2019 ◽  
Vol 18 (6) ◽  
pp. 606-613
Author(s):  
Rafael A Vega ◽  
Jeffrey I Traylor ◽  
Ahmed Habib ◽  
Laurence D Rhines ◽  
Claudio E Tatsui ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Minimally Invasive ◽  
Definitive Treatment ◽  
Invasive Technique ◽  
Thoracic Vertebrae ◽  
Minimally Invasive Techniques ◽  
Invasive Approach ◽  
Invasive Techniques

Abstract BACKGROUND Epidural spinal cord compression (ESCC) is a common and severe cause of morbidity in cancer patients. Minimally invasive surgical techniques may be utilized to preserve neurological function and permit the use of radiation to maximize local control. Minimally invasive techniques are associated with lower morbidity. OBJECTIVE To describe a novel, minimally invasive operative technique for the management of metastatic ESCC. METHODS A minimally invasive approach was used to cannulate the pedicles of the thoracic vertebrae, which were then held in place by Kirschner wires (K-wires). Following open decompression of the spinal cord, cannulated screws were placed percutaneously with stereotactic guidance through the pedicles followed by cement induction. Stereotactic radiosurgery is performed in the postoperative period for residual metastatic disease in the vertebral body. RESULTS The minimally invasive technique used in this case reduced tissue damage and optimized subsequent recovery without compromising the quality of decompression or the extent of metastatic tumor resection. Development of more minimally invasive techniques for the management of metastatic ESCC has the potential to facilitate healing and preserve quality of life in patients with systemic malignancy. CONCLUSION ESCC from vertebral metastases poses a challenge to treat in the context of minimizing potential risks to preserve quality of life. Percutaneous pedicle screw fixation with cement augmentation provides a minimally invasive alternative for definitive treatment of these patients.

scholarly journals Surgical Treatment of Brainstem Cavernous Malformations with Three Basic Skull Base Approaches and Minimally Invasive Techniques: Observations in 20 Patients

2017 ◽  
Vol 3 (2) ◽  
pp. 74-83
Author(s):  
Wen Yin ◽  
Jianrong Ma ◽  
Yiwei Liao
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Surgical Approach ◽  
Cavernous Malformation ◽  
Minimally Invasive Techniques ◽  
Cavernous Malformations ◽  
Bleeding Episodes ◽  
Surgical Treatments ◽  
Invasive Techniques

Objective Brainstem cavernous malformation (BSCM) is extremely challenging for neurosurgeons in terms of surgical approach choices. In this article, we summarized our experience in skull base approaches of BSCM, and elucidated the advance of surgical treatments of brain stem cavernous malformation through reviewing recent relevant articles. Methods We retrospectively reviewed 20 consecutive patients who underwent resection between May 1, 2014 and April 30, 2016. Only midline suboccipital, subtemporal approach and retrosigmoid approach were used in this series. The diagnoses of all patients were confirmed by radiological and histological examination. Results All 20 patients were completely extirpated without surgical-related mortality. The mean follow-up period was 9.5 months (range, 2-20 months). Of the 20 patients, 80% symptomatic patients underwent surgery after first bleeding episode within 3 months, 20% after two or more bleeding episodes by magnetic resonance imaging. After resection and during follow-up, 75% of patients had an improvement in their modified Rankin scale (mRS) scores, whereas 10% were worse compared with their preoperative presentation; 15% were unchanged. Conclusion Appropriate basic surgical approach and minimally invasive techniques are necessary in preventing impairment of neurologic function. The three common basic skull base approaches, combined with minimally invasive techniques can handle most of BSCMs with good surgical results.

Surgery and endovenous techniques for the treatment of small saphenous varicose veins: a review of the literature

2011 ◽  
Vol 26 (5) ◽  
pp. 179-184 ◽  
Author(s):  
S S Tellings ◽  
R P M Ceulen ◽  
A Sommer
Keyword(s):  
Minimally Invasive ◽  
Saphenous Vein ◽  
Minimally Invasive Techniques ◽  
Success Rates ◽  
Review Of The Literature ◽  
Treatment Techniques ◽  
Significant Difference ◽  
Invasive Techniques ◽  
All Treatment

In 15% of all patients, varicosis is caused by insufficiency of the small saphenous vein (SSV). In the past it was common to entirely remove the SSV by surgical procedure; however, recently minimally invasive techniques have taken over a significant number of varicose vein treatments. The aim of this paper is a review of the literature of all treatment modalities of the insufficient SSV. The search aimed to identify all papers published describing one or more treatments for SSV insufficiency. International literature databases were searched through for articles eligible for this review. Articles describing one or more treatment techniques for SSV insufficiency were eligible for this review. Also studies describing SSV as well as greater saphenous vein were included as long as they made a clear distinction in their results between the two groups. Studies were excluded if they did not use ultrasound examination to qualify outcome, as this is the golden standard to evaluate venous insufficiency. Seventeen articles were included in this review. Five articles on surgical treatment showed success rates varying from 24% to 100% (follow-up 1.5–60 months). Ten articles on endovenous laser ablation (EVLA) showed success rates varying from 91% to 100% (follow-up 1.5–36 months). Two articles on ultrasound-guided foam sclerotherapy (UGFS) showed success rates varying from 82% to 100% (follow-up 1.5–11 months). Statistical analysis showed a significant difference ( P < 0.05) in success rate of 47.8% versus 94.9% for surgery and EVLA/UGFS, respectively. Most complications for all treatment techniques were mild and self-limiting. Rates of deep venous thrombosis were not described often and in the articles that mentioned it, varied from 1.8% to 3.5% (surgery) and 2.5–5.7% for EVLA. In the absence of large, comparative randomized clinical trials, minimally invasive techniques appear to have a tendency towards better results than surgery, in the treatment of the insufficient SSV.

Management of Chylous Ascites after Laparoscopic Cholecystectomy Using Minimally Invasive Techniques: A Case Report and Literature Review

2006 ◽  
Vol 72 (1) ◽  
pp. 60-63 ◽  
Author(s):  
Eric H. Jensen ◽  
Carl A. Weiss
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Minimally Invasive ◽  
Rare Complication ◽  
Fluid Collection ◽  
Chylous Ascites ◽  
Invasive Technique ◽  
Minimally Invasive Techniques ◽  
Suture Ligation ◽  
Invasive Techniques ◽  
Gallbladder Fossa

Chylous ascites is a rare complication after many abdominal procedures. It has never been reported after laparoscopic cholecystectomy. We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. A percutaneously drained abdominal fluid collection revealed chylous ascites. Lymphoscintigraphy demonstrated extravasation at the level of the hepatic fossa. At laparoscopic exploration, a chylous leak within the gallbladder fossa was controlled with suture ligation and fibrin glue with immediate resolution of the leak. This demonstrates a novel, minimally invasive technique for control of a previously unreported complication after laparoscopic cholecystectomy.

Minimally Invasive Technique for Closure of Atrial Septal Defect

1998 ◽  
Vol 6 (2) ◽  
pp. 88-90 ◽  
Author(s):  
Jacques AM van Son ◽  
Anno Diegeler ◽  
Eugene KW Sim ◽  
Rüdiger Autschbach ◽  
Friedrich W Mohr
Keyword(s):  
Minimally Invasive ◽  
Atrial Septal Defect ◽  
Iliac Artery ◽  
Septal Defect ◽  
External Iliac Artery ◽  
Invasive Technique ◽  
Minimally Invasive Techniques ◽  
The Mean ◽  
The Right ◽  
Invasive Techniques

Minimally invasive techniques for repair of extracardiac anomalies in congenital heart disease have evolved over the last 5 years and laid the foundation for the next phase: the repair of intracardiac defects. Fifteen patients (9 females and 6 males) with a median age of 9.8 years (range, 5.2 to 54 years) underwent closure of a secundum atrial septal defect through a small right anterior thoracotomy. The right external iliac artery was cannulated through a small groin incision and the atrial septal defect was repaired during hypothermic fibrillatory arrest for a mean period of 14 ± 5 minutes. The mean length of the thoracotomy was 4.9 ± 0.8 cm (range, 4.5 to 8.8 cm) while the mean length of the groin incision was 3.9 ± 0.5 cm (range, 2.9 to 5.3 cm). In the 3 youngest patients, the external iliac artery was cannulated with an 8F arterial cannula. Direct closure of the atrial septal defect was possible in all patients. The mean operative time was 109 ± 39 minutes. There was no perioperative or late mortality and no morbidity except for a tear in the right femoral artery of a 19-year-old girl. No residual atrial septal defect was observed in any of the patients. Although minimally invasive techniques for repair of intracardiac defects are not fully developed with regard to indications, the procedure described here provided secure closure of the defects with excellent cosmetic results.

scholarly journals The roughness of deciduous dentin surface and shear bond strength of glass ionomers in the treatment with four minimally invasive techniques

RSC Advances ◽  
2019 ◽  
Vol 9 (55) ◽  
pp. 32197-32204
Author(s):  
María de los Angeles Moyaho-Bernal ◽  
Bitia Eunice Badillo-Estévez ◽  
Ester Luminosa Soberanes-de la Fuente ◽  
Maykel González-Torres ◽  
Bernardo Teutle-Coyotecatl ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Bond Strength ◽  
Shear Bond Strength ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Minimally Invasive Techniques ◽  
Tooth Structure ◽  
Dentin Surface ◽  
Invasive Techniques

The concept of minimally invasive technique in dentistry emphasizes conservative strategies in the management of caries, which results in less destruction of healthy tooth structure.

scholarly journals Outcomes of Minimally Invasive Thyroid Surgery – A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Lisa H. de Vries ◽  
Dilay Aykan ◽  
Lutske Lodewijk ◽  
Johanna A. A. Damen ◽  
Inne H. M. Borel Rinkes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Meta Analysis ◽  
Endoscopic Thyroidectomy ◽  
Standard Of Care ◽  
Minimally Invasive Techniques ◽  
Conventional Thyroidectomy ◽  
Significant Difference ◽  
Invasive Techniques

PurposeConventional thyroidectomy has been standard of care for surgical thyroid nodules. For cosmetic purposes different minimally invasive and remote-access surgical approaches have been developed. At present, the most used robotic and endoscopic thyroidectomy approaches are minimally invasive video assisted thyroidectomy (MIVAT), bilateral axillo-breast approach endoscopic thyroidectomy (BABA-ET), bilateral axillo-breast approach robotic thyroidectomy (BABA-RT), transoral endoscopic thyroidectomy via vestibular approach (TOETVA), retro-auricular endoscopic thyroidectomy (RA-ET), retro-auricular robotic thyroidectomy (RA-RT), gasless transaxillary endoscopic thyroidectomy (GTET) and robot assisted transaxillary surgery (RATS). The purpose of this systematic review was to evaluate whether minimally invasive techniques are not inferior to conventional thyroidectomy.MethodsA systematic search was conducted in Medline, Embase and Web of Science to identify original articles investigating operating time, length of hospital stay and complication rates regarding recurrent laryngeal nerve injury and hypocalcemia, of the different minimally invasive techniques.ResultsOut of 569 identified manuscripts, 98 studies met the inclusion criteria. Most studies were retrospective in nature. The results of the systematic review varied. Thirty-one articles were included in the meta-analysis. Compared to the standard of care, the meta-analysis showed no significant difference in length of hospital stay, except a longer stay after BABA-ET. No significant difference in incidence of recurrent laryngeal nerve injury and hypocalcemia was seen. As expected, operating time was significantly longer for most minimally invasive techniques.ConclusionsThis is the first comprehensive systematic review and meta-analysis comparing the eight most commonly used minimally invasive thyroid surgeries individually with standard of care. It can be concluded that minimally invasive techniques do not lead to more complications or longer hospital stay and are, therefore, not inferior to conventional thyroidectomy.

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