Conus-level combined dorsal and ventral lumbar rhizotomy for treatment of mixed hypertonia: technical note and complications

Combined dorsal and ventral rhizotomy is an effective treatment for patients with concurrent spasticity and dystonia, with the preponderance of complaints relating to their lower extremities. This operative approach provides definitive relief of hypertonia and should be considered after less-invasive techniques have been exhausted. Previously, the surgery has been described through an L1–S1 laminoplasty. In this series, 7 patients underwent a conus-level laminectomy for performing a lumbar dorsal and ventral rhizotomy. Technical challenges included identifying the appropriate-level ventral roots and performing the procedure in children with significant scoliosis. Techniques are described to overcome these obstacles. The technique was found to be safe, with no infections, CSF leaks, or neurogenic bladders.

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Nonsurgical Rhinoplasty: A Technical Note

The American Journal of Cosmetic Surgery ◽

10.1177/0748806821990159 ◽

2021 ◽

pp. 074880682199015

Author(s):

Ian S. Lehrer ◽

Joe Niamtu

Keyword(s):

Hyaluronic Acid ◽

Minimally Invasive ◽

Cosmetic Surgery ◽

Recovery Time ◽

Technical Note ◽

Dermal Fillers ◽

Facial Surgery ◽

Before And After ◽

Application Potential ◽

Invasive Techniques

Cosmetic facial surgery procedures and therapies have continued to evolve with an emphasis on minimally invasive techniques with a shorter recovery time. We present a how-to guide for nonsurgical rhinoplasty including the use of different hyaluronic acid fillers. We provide examples of before and after patient photos as well as photos demonstrating our technique. This technical note highlights the popular concept of minimally invasive nasal contouring using dermal fillers. As such, we provide a brief overview of different dermal fillers that can be used for this application, potential problems and complications, as well as remedies. Dermal fillers have become an entry point into cosmetic surgery for many patients. Our technique of nasal contouring with hyaluronic acid fillers in particular yields safe, effective, and repeatable results.

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Less invasive techniques for mitral valve surgery

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(98)70354-x ◽

1998 ◽

Vol 115 (4) ◽

pp. 772-779 ◽

Cited By ~ 98

Author(s):

Didier F. Loulmet ◽

Alain Carpentier ◽

Peter W. Cho ◽

Alain Berrebi ◽

Nicola d'Attellis ◽

...

Keyword(s):

Mitral Valve ◽

Mitral Valve Surgery ◽

Valve Surgery ◽

Less Invasive ◽

Invasive Techniques

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Surgical management of chronic Achilles tendon ruptures using less invasive techniques

Foot and Ankle Surgery ◽

10.1016/j.fas.2017.02.002 ◽

2018 ◽

Vol 24 (2) ◽

pp. 164-170 ◽

Cited By ~ 17

Author(s):

Nicola Maffulli ◽

Francesco Oliva ◽

Gayle D. Maffulli ◽

Angelo Del Buono ◽

Nikolaos Gougoulias

Keyword(s):

Achilles Tendon ◽

Surgical Management ◽

Less Invasive ◽

Tendon Ruptures ◽

Invasive Techniques

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A less-invasive technique for posterior spinal fusion using intermittent retraction during pedicle screw insertion: A technical note

Interdisciplinary Neurosurgery ◽

10.1016/j.inat.2021.101404 ◽

2021 ◽

pp. 101404

Author(s):

Mahmoud M.Taha ◽

Mazen M. Taha ◽

Ahmed Al Awamry

Keyword(s):

Spinal Fusion ◽

Pedicle Screw ◽

Posterior Spinal Fusion ◽

Technical Note ◽

Invasive Technique ◽

Screw Insertion ◽

Less Invasive ◽

Pedicle Screw Insertion

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Less Invasive Techniques to the Optic Nerve in Aneurysm Surgery

Surgery for Cerebral Stroke ◽

10.2335/scs.34.420 ◽

2006 ◽

Vol 34 (6) ◽

pp. 420-427 ◽

Cited By ~ 2

Author(s):

Hideki TANABE ◽

Shinya SUMIOKA ◽

Touru IKENAGA ◽

Yuji SHIMANO ◽

Souichiro YASUDA ◽

...

Keyword(s):

Optic Nerve ◽

Aneurysm Surgery ◽

Less Invasive ◽

Invasive Techniques

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Late Nineteenth- and Early Twentieth-Century Scientific Developments in Epigraphy

The Oxford Handbook of Egyptian Epigraphy and Paleography ◽

10.1093/oxfordhb/9780190604653.013.19 ◽

2020 ◽

pp. 270-284

Author(s):

Vanessa Davies

Keyword(s):

Twentieth Century ◽

Cultural Background ◽

Physical Location ◽

Less Invasive ◽

Early Twentieth Century ◽

Research Organizations ◽

Late Nineteenth ◽

Eighteenth And Nineteenth Centuries ◽

Invasive Techniques ◽

Print Publications

The science of epigraphy has its roots in drawings and paintings made by travelers and those who worked on state-funded expeditions in the eighteenth and nineteenth centuries. In the late nineteenth and early twentieth centuries, it was primarily archaeologists, associated with universities and other research organizations, who recorded temple and tomb decoration. The desire to document texts and art was spurred by a growing push to conserve the monuments due to threats by those who visited, studied, and collected artifacts from them. In accord with this vision, the wet squeeze method of recording inscriptions was gradually replaced with less invasive techniques, such as dry squeezes, tracings, freehand copies, and photographs. Many factors influenced—and continue to influence—ways of recording of decoration: technical (physical location of decoration, available light, cost and limitations associated with print publications) and personal (the epigrapher’s training, cultural background, and attention to text and/or image).

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Comparison of Direct and Less Invasive Techniques for the Treatment of Severe Aorto-Iliac Occlusive Disease

Annals of Vascular Surgery ◽

10.1016/j.avsg.2017.07.002 ◽

2018 ◽

Vol 46 ◽

pp. 226-233 ◽

Cited By ~ 3

Author(s):

Kimberly C. Zamor ◽

Andrew W. Hoel ◽

Irene B. Helenowski ◽

Adam W. Beck ◽

Joseph R. Schneider ◽

...

Keyword(s):

Occlusive Disease ◽

Less Invasive ◽

Invasive Techniques

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Diseases of the Adrenal Gland and Adrenalectomy

10.2310/7800.16151 ◽

2019 ◽

Author(s):

Quan-Yang Duh ◽

Frederick Thurston Drake

Keyword(s):

Primary Aldosteronism ◽

Cushing Syndrome ◽

Laparoscopic Approach ◽

Adrenal Incidentaloma ◽

Operative Approach ◽

Adrenal Surgery ◽

Adrenocortical Cancer ◽

Retroperitoneoscopic Adrenalectomy ◽

Adrenocortical Carcinomas ◽

Invasive Techniques

Evaluation and treatment of adrenal disease encompasses a broad range of disorders, including pheochromocytoma, primary hypercortisolism, primary aldosteronism, and malignancies such as adrenocortical carcinoma and metastases from other primary cancers. This pathophysiologic diversity and the technical challenges of operating on these bilateral organs with the attendant differences in left and right anatomy make adrenal surgery a complex but rewarding endeavor. Adrenal surgeons must be engaged in the physiologic aspects of the disease being treated, the anatomic details of lesion and laterality, and the technical considerations in selecting an operative approach and carrying it out successfully. Guidelines for the management of pheochromocytoma, primary hypercortisolism, and primary aldosteronism are reviewed in this chapter. Consensus is emerging that resection of adrenal metastases from other primary cancers can prolong survival in well-selected patients and that most are suitable for a laparoscopic approach. Most adrenal surgeons agree that large or locally aggressive adrenocortical carcinomas must be resected in an open fashion, though there is some controversy surrounding the operative approach in the setting of small or indeterminate lesions. Minimally invasive techniques have revolutionized adrenal surgery, and surgeons who wish to incorporate adrenal surgery into their practice must master either the laparoscopic or the retroperitoneoscopic approach. This review contains 8 figures, 2 tables, and 28 references. Key Words: adrenal cortex, adrenalectomy, adrenal incidentaloma, adrenal medulla, adrenocortical cancer, Cushing syndrome, laparoscopic adrenalectomy, pheochromocytoma, primary aldosteronism, retroperitoneoscopic adrenalectomy

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A Less Invasive Posterior Approach for the Management of Extended Secondary Epidural Abscess Technical Note

Zentralblatt für Neurochirurgie ◽

10.1055/s-2007-981672 ◽

2007 ◽

Vol 68 (3) ◽

pp. 119-122

Author(s):

R. Greiner-Perth ◽

Y. Allam ◽

J. Silbermann ◽

R. Gahr

Keyword(s):

Posterior Approach ◽

Epidural Abscess ◽

Technical Note ◽

Less Invasive

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Glenohumeral Microfracture

Cartilage ◽

10.1177/1947603510366577 ◽

2010 ◽

Vol 1 (2) ◽

pp. 121-126 ◽

Cited By ~ 3

Author(s):

Michael J. Salata ◽

James S. Kercher ◽

Sarvottam Bajaj ◽

Nikhil N. Verma ◽

Brian J. Cole

Keyword(s):

Effective Treatment ◽

Glenohumeral Joint ◽

Imaging Modalities ◽

Cartilage Lesions ◽

Less Invasive ◽

Significant Challenge ◽

Chondral Defects

The treatment of symptomatic cartilage lesions in the glenohumeral joint presents a significant challenge due to poor healing characteristics. Diagnosis of glenohumeral chondral defects is not always clear, and while current imaging modalities are good, many lesions require arthroscopy to fully appreciate. Arthroplasty remains an effective treatment in low-demand patients; however, younger, higher demand individuals may be treated with less invasive reparative measures. This paper discusses the diagnosis of glenohumeral chondral pathology and presents the technique, rehabilitation, and available outcomes following microfracture in the shoulder.

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