Conservative Surgery for Abnormally Invasive Placenta: A New Technique

2019 ◽  
Author(s):  
Keyword(s):  
Conservative Surgery ◽  
New Technique ◽  
Invasive Placenta ◽  
A New Technique ◽  
Abnormally Invasive Placenta

scholarly journals Preoperative parathyroid harpoon localisation: a new technique helpful in reoperative patients with persistent hyperparathyroidism

2013 ◽  
Vol 95 (2) ◽  
pp. e1-e2
Author(s):  
J Gómez-Ramírez ◽  
D Tagarro ◽  
JM Bravo ◽  
E Martín-Pérez ◽  
E Larrañaga
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Gland ◽  
Conservative Surgery ◽  
New Technique ◽  
Reoperative Surgery ◽  
Abnormal Parathyroid Gland ◽  
Persistent Hyperparathyroidism ◽  
A New Technique ◽  
Ultrasonography Guidance ◽  
Inexpensive Technique

Surgery for persistent primary hyperparathyroidism remains a major challenge for surgeons and these reoperative procedures require an experienced parathyroid surgeon. The goal of reoperative surgery is to excise the abnormal parathyroid gland(s) and limit exploration to help minimise the potential complications. At least two positive and concordant localising studies should be available before reoperation because the technical difficulties in these cases make an exact localisation necessary before surgery. We describe the placement of a metallic harpoon under ultrasonography guidance as a safe, simple and inexpensive technique for localisation of the enlarged gland prior to conservative surgery.

Problems with Reoperation of the Parotid Gland and Facial Nerve

1988 ◽  
Vol 99 (5) ◽  
pp. 480-488 ◽  
Author(s):  
John J. Conley
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Clinical Observation ◽  
Biological Process ◽  
Conservative Surgery ◽  
Benign Disease ◽  
New Technique ◽  
The Status ◽  
A New Technique

The decision as to how to handle recurrent benign disease in the parotid gland can be a perplexing problem. It may cover the gamut of clinical observation, through conservative surgery to radical ablation. The situation is a balance between the nature of the biological process, the possibility of cure or control, and the status of the facial nerve. These problems can be exceptionally difficult in analysis and philosophical management, and are frequently pinioned between technical craftsmanship, curability, and deformity. An understanding, however, of the variety of possibilities—and particularly their relationship to the facial nerve—will help to position these cases within the realm of surgical reality. A new technique of interfascicular dissection is proposed in certain instances.

scholarly journals Adenomyosis: Difficult to Diagnose, and Difficult to Treat

2001 ◽  
Vol 7 (2) ◽  
pp. 89-95 ◽  
Author(s):  
C. Wood
Keyword(s):  
Drug Therapy ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Conservative Surgery ◽  
New Technique ◽  
Artery Embolization ◽  
A New Technique

Drug therapy may be effective in controlling symptoms but the frequent coexistence of endometriosis and the lack of controlled studies make their efficacy difficult to quantify. Danazol IUD has been shown to reduce symptoms. Conservative surgery involving endomyometrial ablation, laparoscopic myometrial electrocoagulation or excision has proven to be effective in more than 50% of patients, although follow up has been restricted to three years. Arterial uterine artery embolization is a new technique which may be tried before considering hysterectomy. Hysterectomy may still be necessary in severe cases of adenomyosis.

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