Effectiveness of Bypass and Sleeve Bariatric Surgical Methods in Weight Reduction

2021 ◽  
Vol 7 (4) ◽  
pp. 1-5
Author(s):  
Cristianne Confessor Castilho Lopes ◽  
Keyword(s):  
Surgical Technique ◽  
Surgical Techniques ◽  
Psychosocial Problems ◽  
Morbid Condition ◽  
Endocrine Disease ◽  
Surgical Methods ◽  
Effective Option ◽  
Grade Ii ◽  
Grade Iii

Obesity is a chronic disease described by the large amount of body fat that leads to an increase in Body Mass Index (BMI). It is subdivided into three levels, being grade I with a BMI between 30 and 34.9 kg/m2, grade II between 35 and 39.9 kg/m2 and grade III or morbid obesity with a BMI above 40 kg/m2. Aiming at reversing the morbid condition caused by the disease, the bariatric surgical technique presents itself as the most effective option to contain grade III obesity, as well as the associated co morbidities. The objective of surgical techniques is to improve the quality of life of the obese, reducing both physical and psychosocial problems. As endocrine disease is related to several co morbidities, such as high blood pressure, sleep apnea and even some types of cancer, it is necessary to carry out an investigation into the surgical technique to be applied as well as its effectiveness during and after the surgical procedure.

scholarly journals EVALUATION OF A TRAINING COURSE ON OPEN VASCULAR SURGICAL TECHNIQUES IN AORTOILIAC PATHOLOGY - 5 YEARS OF EXPERIENCE

2015 ◽  
Vol 88 (2) ◽  
pp. 196-202
Author(s):  
Bogdan Stancu ◽  
Florin Beteg ◽  
Aurel Mironiuc ◽  
Aurel Muste ◽  
Claudia Gherman
Keyword(s):  
Surgical Technique ◽  
Vascular Surgery ◽  
Prospective Study ◽  
Surgical Techniques ◽  
Surgical Skills ◽  
Technical Quality ◽  
Statistical Association ◽  
Abdominal Aortic

Introduction. The aim of this prospective study was to assess the efficacy of a vascular surgery course (2008-2012), and to verify the viability and the feasibility of the vascular anastomoses.Material and method. Vascular surgical techniques performed simultaneously on pigs were: enlargement prosthetic angioplasty, abdominal aortic interposition graft and aortoiliac bypass. Endpoints of the study were the surgical skills and the technical quality, evaluated on a scale ranging from 1 (satisfactory) to 3 (very good) for our participants.Result. A significant improvement in vascular surgical skills tasks was observed during the study years and we also found a semnificative statistical association between the quality of suture and the surgical technique used (Kendall coefficient=0.71, p=0.001<0.05).Conclusions. Our course contributed to the improvement of technical vascular surgical skills of the operator teams, reproducing in vivo, in pigs, the intraoperative environment as in human patients.

scholarly journals Surgical Removal of Defects in the Palate with the Use of TiNi Mesh

2017 ◽  
Vol 2 (1) ◽  
pp. 354
Author(s):  
M.N. Shakirov ◽  
R.N. Dzhonibekova ◽  
I.D. Tazin ◽  
X.O. Gafarov ◽  
V.Y. Mitasov
Keyword(s):  
Surgical Technique ◽  
Connective Tissue ◽  
Minimally Invasive ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
The Body ◽  
Surgical Removal ◽  
Minimally Invasive Surgical ◽  
Body Tissues

Application of a thin- profiled mesh NiTi with filaments thickness of 40 micrometer sand with the cell size of 3x3-5x5 mm for patients allows to improve the quality of the surgical technique in conducting surgical procedures for eliminating different forms and sizes of the palate defects. Due to its biochemical, biophysical compatibility with the body tissues and the peculiar integration properties a connective tissue grows around and through the structure of the implant by forming a durable frame. At the same time this process takes place by type of covering the muco-periosteal cover from the wound periphery to the center of the palate, over the implant material and completes with the full elimination of the existing defect. The developed method should be considered as minimally invasive surgical techniques and is recommended as a method of choice for patients with various background diseases.

Grading Fish for Quality. 2. Statistical Analysis of the Results of Experiments Regarding Grades and Trimethylamine values

1958 ◽  
Vol 15 (4) ◽  
pp. 717-728 ◽  
Author(s):  
P. L. Hoogland
Keyword(s):  
Statistical Analysis ◽  
Linear Regression ◽  
Recent Work ◽  
Statistical Treatment ◽  
Regression Equation ◽  
Linear Regression Equation ◽  
Grade Ii ◽  
Set Up ◽  
Grade Iii

The results of recent work at this station regarding the organoleptic grade of cod and haddock and the trimethylamine content of these fish were subjected to statistical treatment. It was established that there is a relation between grade and trimethylamine content which may be represented by a linear regression equation, if the trimethylamine content is expressed as log (1 + TMA value). The confidence with which this TMA index may be used to estimate grade was also determined. Based on these findings, a scale of TMA values for use in practical grading was set up; the suggested values are grade I: TMA value 0.00 to 1.00; grade II: TMA value 1.01 to 7.00 and grade III: TMA value 7.01 and higher. Finally, a method is suggested by means of which the ability of a grader to judge the quality of fish may be assessed.

scholarly journals A systematic review of surgical methods to restore articular cartilage in the hip

2018 ◽  
Vol 7 (5) ◽  
pp. 336-342 ◽  
Author(s):  
W. E. Hotham ◽  
A. Malviya
Keyword(s):  
Systematic Review ◽  
Medical Journal ◽  
Articular Cartilage ◽  
British Medical Journal ◽  
Surgical Techniques ◽  
Grade System ◽  
Assessment Development ◽  
Surgical Methods ◽  
Quality Of Research

This systematic review examines the current literature regarding surgical techniques for restoring articular cartilage in the hip, from the older microfracture techniques involving perforation to the subchondral bone, to adaptations of this technique using nanofractures and scaffolds. This review discusses the autologous and allograft transfer systems and the autologous matrix-induced chondrogenesis (AMIC) technique, as well as a summary of the previously discussed techniques, which could become common practice for restoring articular cartilage, thus reducing the need for total hip arthroplasty. Using the British Medical Journal Grading of Recommendations, Assessment, Development and Evaluation (BMJ GRADE) system and Grade system. Comparison of the studies discussed shows that microfracture has the greatest quantity and quality of research, whereas the newer AMIC technique requires more research, but shows promise. Cite this article: W. E. Hotham, A. Malviya. A systematic review of surgical methods to restore articular cartilage in the hip. Bone Joint Res 2018;7:336–342. DOI: 10.1302/2046-3758.75.BJR-2017-0331.

Sexuality in women with Mayer-Rokitansky-Küster-Hauser syndrome

2021 ◽  
Vol 86 (3) ◽  
pp. 194-199
Author(s):  
Roman Chmel ◽  
◽  
Marta Nováčková ◽  
Nikoleta Chubanovová ◽  
Zlatko Pastor
Keyword(s):  
Sexual Function ◽  
Surgical Techniques ◽  
Functional Results ◽  
Objective Evaluation ◽  
Female Sexual Function Index ◽  
Sexual Life ◽  
Female Sexual Function ◽  
Function Index ◽  
Surgical Methods

Summary: Objective: Evaluation of the quality of sexual life of women with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) after neovagina creation using dilation and surgical techniques. Methods: Literature search of articles published in the years 2000–2021 using the databases Web of Science, Google Scholar and PubMed by key words: Mayer-Rokitansky-Küster-Hauser syndrome, neovagina, female sexuality and Female Sexual Function Index. We used a standardized international Female Sexual Function Index and other quantitative and qualitative parameters of sexual satisfaction to assess sexual function and overall satisfaction in women with neovagina. Results: It is possible to develop functional neovagina in women with MRKHS by either conservative or surgical techniques. The choice of the method used depends on the experience and skill of the surgeon, on the technical possibilities and equipment of the department, and on the anatomical predispositions and preferences of the patient. Satisfaction with sexual life also depends on the psychosexual maturity and sexual demands of both partners as well as on regular vaginal rehabilitation and quality of long-term psychological support. The functional results of dilation and surgical methods are comparable according to objective criteria. They only differ in individual aspects which correspond to the overall personality traits as well as to the character and quality of cohabitation. Conclusion: Women with MRKHS are primarily handicapped by coital insufficiency and inability to reproduce naturally. Creating a neovagina technically allows them to realize satisfactory coitus, but in most cases, they are still frustrated by the primary problem of „physical indisposition“ and complicated path to motherhood.

scholarly journals Surgical techniques used for tonsil disease in children

2015 ◽  
Vol 62 (3) ◽  
pp. 294-297
Author(s):  
A. Zamfir-Chiru-Anton ◽  
◽  
D.C. Gheorghe ◽  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Surgical Techniques ◽  
The Other ◽  
Intraoperative Blood Loss ◽  
Advantages And Disadvantages ◽  
Surgical Methods ◽  
Surgical Options ◽  
The Difference

The authors review the techniques described for the surgical treatment of the tonsils. Each new method has its own advantages and disadvantages. The difference can be evaluated by studying the intraoperative blood loss and safety of the procedure. Also, the postoperative complications and quality of life can be used as an adjunct to objectively appreciate the different surgical techniques. There is no literature consensus about the superiority of one technique over the other. Multiple studies brought multiple significant results. It is also hard to evaluate the entire panel of surgical methods described concomitantly. The experience of one surgeon and his/her mastering of a certain technique is the actual cause of so many surgical options still in use for tonsil treatment in children.

scholarly journals 10-Year Journey Through Brain Gliomas: Case Report

2020 ◽  
Vol 25 (3) ◽  
pp. 26-28
Author(s):  
Cosmin-Nicodim Cîndea ◽  
Adriana Săceleanu
Keyword(s):  
Statistical Data ◽  
Medical Profession ◽  
Doctor Who ◽  
Wild Type ◽  
Cerebral Gliomas ◽  
Different Types ◽  
Grade Ii ◽  
Brain Gliomas ◽  
Grade Iii

AbstractWe present the case of a 28-year-old doctor who was diagnosed in 2009 with grade II oligodendroglioma. In the next 10 years he underwent 4 surgeries, passing in turn through 3 different types of cerebral gliomas: grade II oligodendroglioma, grade III oligoastrocytoma and IDH Wild-Type glioblastoma. In the spirit of the surgical resection limited by the preservation of the function, he was able to practice his medical profession until the last months of his life. Life expectancy at the time of diagnosis complied with all the statistical data. Although the etiology, pathophysiology and treatment of cerebral gliomas is still full of unknowns, knowing our limits we can provide a good quality of life for our patients.

scholarly journals Recovery of equine oocytes by scraping of the follicular wall with different specifications of needles and morphological analysis of cumulus oophorus

2015 ◽  
Vol 36 (6Supl2) ◽  
pp. 4333
Author(s):  
Suellen Miguez González ◽  
Camila Bizarro da Silva ◽  
Andressa Guidugli Lindquist ◽  
Isabela Búfalo ◽  
Fernanda Zandonadi Machado ◽  
...  
Keyword(s):  
Tunica Albuginea ◽  
Cumulus Cells ◽  
Recovery Rates ◽  
Follicular Aspiration ◽  
Cumulus Oophorus ◽  
Grade Ii ◽  
Student’S T ◽  
Group B ◽  
Grade Iii

In follicular aspiration, physical aspects are of high significance for the technique to succeed, such as vacuum pressure, caliber of the needle and the way the follicular wall curettage is performed. The aim of this study was to investigate the recovery rate of equine oocytes aspirated by scraping of the follicular wall, testing different calibers of disposable needles, as well as the morphological evaluation of the cumulus oophorus complexes (COCs). Mares ovaries (n=447) obtained at a local slaughterhouse were transported to the laboratory in a thermal container (20 °C) and had the tunica albuginea and connective tissues dissected. The aspirated follicles had 10 to 25 mm in diameter, and 30x8 (21G 1 ¼) or 40x12 (18G 1 ½) needles were used for the aspiration, forming group A (G-A) and group B (G-B), respectively. In G-A and G-B, 480 and 548 follicles were aspirated, respectively. Under the stereomicroscope, the oocytes were evaluated according to the quality of the ooplasm and characteristics of the cumulus cells (grade I, II, III and denuded). The statistical analysis was performed using the Student’s t-test, logistic regression and test of proportions, and differences were considered significant when P<0.05. There was no difference between recovery rates of groups G-A (66.5%; 330/496) and G-B (65.5%; 359/548). In the G-A group, grade II oocytes were related to higher recovery rates (46.9%; 145/330) than grade I (23.6%; 72/330), grade III (20.6%; 59/330) and denuded oocytes (8.5%; 24/330; P<0.05). However, in G-B, there was no statistical difference regarding the quality of the recovered oocytes: grade I (23.4%; 77/359), grade II (43.2%; 145/359), grade III (22.5%; 73/359) and denuded (11.1%; 32/359). The 30x8 (21G 1 ¼) needle provided a higher proportion of grades I and II oocytes than the 40x12 (18G 1 ½) needle, with 72.4% (239/330) and 65% (233/359; P<0.05), respectively. Both calibers of needles tested in this study provide efficient oocyte recovery rates. Aspiration with 30x8 (21G 1 ¼) needles resulted in a higher proportion of morphologically good equine oocytes for use in reproductive biotechnologies.

The history of the background and modification of surgical methods for treatment of benign prostate hyperplasia

2021 ◽  
pp. 61-69
Author(s):  
Mark Albertovich Volodin ◽  
Maya Andreevna Kuzmina ◽  
Daria Dmitrievna Vasina ◽  
Evgeny Nikolaevich Bolgov ◽  
Vladimir Aleksandrovich Perchatkin
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Surgical Techniques ◽  
Prostatic Hyperplasia ◽  
Prostate Hyperplasia ◽  
Surgical Interventions ◽  
Literary Sources ◽  
Surgical Methods ◽  
History Of ◽  
Methods Of Treatment

The article presented an overview of literary sources, which include a description of various surgical techniques for the treatment of benign prostatic hyperplasia in different historical periods. The assessment of the disadvantages and advantages of various surgical methods for the treatment of benign prostatic hyperplasia has been made. Modification and improvement of surgical interventions, changes in methods and approaches to surgical treatment of benign prostatic hyperplasia made the surgeon’s work more accessible and of high quality. The development of surgical methods of treatment has made it possible to increase the efficiency of surgical interventions, which, in turn, has a positive effect on the quality of life of urological patients.

scholarly journals Various surgical techniques influence on the local immunity state in the postoperative period in children's tonsils hypertrophy

2020 ◽  
pp. 12-19
Author(s):  
Alexander Bredun ◽  
Oleg Melnikov ◽  
Anatoly Kosakovsky ◽  
Julia Shuklina ◽  
Мarina Timchenko
Keyword(s):  
Surgical Technique ◽  
Immune Complexes ◽  
Surgical Techniques ◽  
General Purpose ◽  
Surgical Instruments ◽  
Local Immunity ◽  
Palatine Tonsils ◽  
Surgical Methods ◽  
Comparison Groups ◽  
Immunity Function

Topicality: There are many conflicting opinions in the literature regarding the best surgical technique for the treatment of OSAS related to palatine hypertrophy – partial (tonsillotomy) or complete (tonsillectomy) removal of lymphoid tissue of the tonsils. Also, there are many opinions about the use of a variety of traditional and modern surgical instruments to reduce the volume of the tonsils, including using a laser, a radiofrequency knife, an ultrasonic knife, a shaver (microdebrider) and a coblator. Aim of the study: The aim of the study was to compare the surgical methods effectiveness of tonsils hypertrophy treatment which the based on the restoration of the mucous membrane's local immunity function. Materials and methods: Children who undergoing surgical treatment for palatine tonsils hypertrophy 2-3 degrees according to the Brodsky classification and the presence of OSAS took part in the study. The patients were randomized and divided into four comparison groups using different surgical techniques. The first group, which used the surgical technique of classical tonsillotomy (TT) included 28 patients, the second group, which used the surgical technique of intracapsular shavertonsillotomy(STT) included 18 patients, the third group, which used surgical technique of intracapsular coblationtonsillotomy (CTT), and groups which using surgical technique of tonsilloplasty included 12 patients (TP). Determined the state of local immunity before surgery and 1 month after surgery by concentration levels of sIgA, α-IFN, IL-1β, TGF-1β and general-purpose immune complexes. Results: Recovery of the concentration of the major marker of local immunity sIgA occurs significantly (P<0.05) faster when using the surgical technique of CTT and STT. Recovery of the concentration of the major marker of antiviral immunity α-IFN occurs significantly (P <0.05) faster when using the surgical technique of CTT, STT and TP. Recovery of the concentration of the anti-inflammatory cytokine IL-1β occurs significantly (P<0.05) faster with the use of the surgical technique of STT and TP. Indicators of the regeneration factor TGF-1β are significantly the highest when using the surgical techniques of STT, TT and TP. The concentration of immune complexes in the oropharyngeal secretions of patients with tonsil hypertrophy at 1 month after surgery significantly decreased with the use of surgical techniques TT and TP. Significant (P <0.05) increase in IgG level was de- termined in all comparison groups except the group where tonsilloplasty was used. Conclusions: The safety surgical technique of palatine tonsils volume reduction – TP and STT promotes significantly (P<0,05) faster restoration of concentration of the main mucous membrane's local immunity markers.

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