scholarly journals Perforating urinary bladder foreign body managed with minimally invasive surgery

2021 ◽  
pp. 44-46
Author(s):  
Ishita Laha ◽  
Shahid Hameed ◽  
Swapnil Sen ◽  
Kalyan Kumar Sarkar
Keyword(s):  
Minimally Invasive Surgery ◽  
Foreign Body ◽  
Urinary Bladder ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Foreign Bodies ◽  
Bladder Wall ◽  
Clinical Impact ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures

Foreign bodies are occasionally reported in the urinary bladder, especially in females. The consequences and clinical impact depend on the route of insertion and the patient’s hemodynamic condition, and their removal may include minimally invasive procedures to open cystostomy. In most cases, foreign bodies are removed through transurethral approach. Here, we report one such case of a foreign body in the urinary bladder, which was self-inserted and had perforated through the bladder wall, yet could be successfully managed by cystoscopic removal without any complications.

scholarly journals Recent Updates in Neurosurgical Interventions for Spontaneous Intracerebral Hemorrhage: Minimally Invasive Surgery to Improve Surgical Performance

2021 ◽  
Vol 12 ◽  
Author(s):  
Hitoshi Kobata ◽  
Naokado Ikeda
Keyword(s):  
Minimally Invasive Surgery ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Intracerebral Hemorrhage ◽  
Invasive Surgery ◽  
Functional Improvement ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Surgical Performance ◽  
Significant Information

The efficacy and safety of surgical treatment for intracerebral hemorrhage (ICH) have long been subjects of investigation and debate. The recent results of the minimally invasive surgery plus alteplase for intracerebral hemorrhage evacuation (MISTIE) III trial demonstrated the safety of the procedure and a reduction in mortality compared to medical treatment. Although no improvement in functional outcomes was shown, the trial elucidated that benefits of intervention depend on surgical performance: a greater ICH reduction, defined as ≤ 15 mL end of treatment ICH volume or ≥70% volume reduction, correlated with significant functional improvement. Recent meta-analyses suggested the benefits of neurosurgical hematoma evacuation, especially when performed earlier and done using minimally invasive procedures. In MISTIE III, to confirm hemostasis and reduce the risk of rebleeding, the mean time from onset to surgery and treatment completion took 47 and 123 h, respectively. Theoretically, the earlier the hematoma is removed, the better the outcome. Therefore, a higher rate of hematoma reduction within an earlier time course may be beneficial. Neuroendoscopic surgery enables less invasive removal of ICH under direct visualization. Minimally invasive procedures have continued to evolve with the support of advanced guidance systems and devices in favor of better surgical performance. Ongoing randomized controlled trials utilizing emerging minimally invasive techniques, such as the Early Minimally Invasive Removal of Intra Cerebral Hemorrhage (ENRICH) trial, Minimally Invasive Endoscopic Surgical Treatment with Apollo/Artemis in Patients with Brain Hemorrhage (INVEST) trial, and the Dutch Intracerebral Hemorrhage Surgery Trial (DIST), may provide significant information on the optimal treatment for ICH.

Laparoscopic-assisted gastrotomy for foreign body retrieval in four dogs

2020 ◽  
Vol 8 (2) ◽  
pp. e000966
Author(s):  
Erin Gibson ◽  
William Culp ◽  
Philipp Mayhew ◽  
Jeffrey J Runge ◽  
Lindsay C Peterson ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Foreign Body ◽  
Minimally Invasive ◽  
Surgical Procedures ◽  
Invasive Surgery ◽  
Foreign Bodies ◽  
Single Port ◽  
Wound Retractor ◽  
Laparoscopic Assistance ◽  
Laparoscopic Assisted

Four dogs with gastric foreign bodies were treated by laparoscopic-assisted gastrotomy. Techniques included two-port technique (n=two dogs), single-port with Alexis wound retractor (one) and single-port GelSeal cap with three cannulae (one). Foreign bodies retrieved included gravel (n=two dogs), trichobezoar (one) and a ball (one). All dogs had foreign bodies successfully removed, and no complications were encountered associated with the surgical procedures. These results suggest that laparoscopic-assisted gastrotomy is a feasible treatment for dogs with gastric foreign bodies via standard two-port technique, single-port with Alexis wound retractor, or single-port with GelSeal device. The benefits of minimally invasive surgery have been well-established for veterinary patients, and further investigation into additional uses is essential; the findings of this series highlight the importance of considering laparoscopic assistance for procedures such as gastrotomy.

scholarly journals Single Port 11 mm Laparoscopic Hysterectomy Performed on a 32-Year-Old Female with Adhesive Disease

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Greg J. Marchand ◽  
Ali Azadi ◽  
Sienna Anderson ◽  
Stacy Ruther ◽  
Sophia Hopewell ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Robotic Surgery ◽  
Minimally Invasive ◽  
Single Port ◽  
Laparoscopic Hysterectomy ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Invasive Approach ◽  
Complicating Factors ◽  
To Receive

In the field of minimally invasive surgery, there is constant drive to devise and execute the most minimally invasive surgeries possible. By the very nature of laparoscopy and robotic surgery, what one can accomplish with several ports of a given size will invariably be studied and attempted with fewer ports and with ports of smaller sizes. Although more complex pathology may require a more invasive approach, surgical cases without serious complicating factors may be amenable to extremely minimally invasive procedures. We report one such case where a 32-year-old female suffering from adenomyosis and endometriosis was able to receive a laparoscopic single-port hysterectomy and bilateral salpingo-oophorectomy through a single 11 mm port created with a blunt trochar.

scholarly journals A Management Algorithm for Retained Rectal Foreign Bodies

2016 ◽  
Vol 11 (3) ◽  
pp. 684-692 ◽  
Author(s):  
Shamir O. Cawich ◽  
Dexter A. Thomas ◽  
Fawwaz Mohammed ◽  
Nahmorah J. Bobb ◽  
Dorothy Williams ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Foreign Bodies ◽  
Clinical Signs ◽  
Extraction Methods ◽  
Transanal Minimally Invasive Surgery ◽  
Management Algorithm ◽  
Rectal Foreign Bodies ◽  
Laparoscopic Assisted

Few authors have proposed therapeutic protocols to manage retained rectal foreign bodies (RFBs). All patients with retained RFBs in hospitals across Trinidad and Tobago over 5 years were identified. Hospital records were retrieved and manually reviewed to extract the following data: demographics, history, foreign body retrieved, clinical signs at presentation, management strategy, duration of hospitalization, and morbidity and mortality. There were 10 patients with RFBs over the study period. The annual incidence of this phenomenon was 0.15 per 100,000 population. All patients were men at a mean age of 50.6 years (range: 27-83; SD = 15.3) who presented after a voluntary delay of 1.4 days (range: 0.5-2.5; SD = 0.7). Only one patient gave an accurate history on presentation, but all eventually admitted to self-insertion for sexual gratification. At presentation, one patient had a spontaneous rectal perforation (10%). The remaining nine patients had attempts at bedside transanal extraction, which was unsuccessful in 89% (8/9) of cases. The RFB was pushed beyond the grasp of forceps, making removal under anesthesia unsuccessful in 62.5% (5/8) cases. These patients required more invasive extraction methods including transanal minimally invasive surgery (1), laparoscopic-assisted advancement with transanal retrieval (1), and open surgery with transmural extraction and anastomoses (3). A management algorithm is proposed for the management of RFBs. Important points in this algorithm are the importance of clinician–patient rapport, early surgical referral, avoidance of bedside extraction in the emergency room, early examination under anesthesia, and the inclusion of emerging therapies such as transanal minimally invasive surgery.

scholarly journals Minimally invasive surgery for inflammatory myofibroblastic tumor of the urinary bladder

Medicine ◽  
2018 ◽  
Vol 97 (49) ◽  
pp. e13474
Author(s):  
He Xu ◽  
Ben He ◽  
Xiang Tu ◽  
Yige Bao ◽  
Lu Yang ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Urinary Bladder ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Inflammatory Myofibroblastic Tumor

scholarly journals Advances and Trends in Pediatric Minimally Invasive Surgery

2020 ◽  
Vol 9 (12) ◽  
pp. 3999
Author(s):  
Andreas Meinzer ◽  
Ibrahim Alkatout ◽  
Thomas Franz Krebs ◽  
Jonas Baastrup ◽  
Katja Reischig ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Invasive Surgery ◽  
Fetal Surgery ◽  
Wide Field ◽  
Invasive Procedures ◽  
Eligibility Criteria ◽  
Double Blind ◽  
Hard Data

As many meta-analyses comparing pediatric minimally invasive to open surgery can be found in the literature, the aim of this review is to summarize the current state of minimally invasive pediatric surgery and specifically focus on the trends and developments which we expect in the upcoming years. Print and electronic databases were systematically searched for specific keywords, and cross-link searches with references found in the literature were added. Full-text articles were obtained, and eligibility criteria were applied independently. Pediatric minimally invasive surgery is a wide field, ranging from minimally invasive fetal surgery over microlaparoscopy in newborns to robotic surgery in adolescents. New techniques and devices, like natural orifice transluminal endoscopic surgery (NOTES), single-incision and endoscopic surgery, as well as the artificial uterus as a backup for surgery in preterm fetuses, all contribute to the development of less invasive procedures for children. In spite of all promising technical developments which will definitely change the way pediatric surgeons will perform minimally invasive procedures in the upcoming years, one must bear in mind that only hard data of prospective randomized controlled and double-blind trials can validate whether these techniques and devices really improve the surgical outcome of our patients.

scholarly journals In Silico Investigation of a Surgical Interface for Remote Control of Modular Miniature Robots in Minimally Invasive Surgery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Apollon Zygomalas ◽  
Konstantinos Giokas ◽  
Dimitrios Koutsouris
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
In Silico ◽  
Simulation Software ◽  
Natural Orifice ◽  
Invasive Procedures ◽  
High Scale ◽  
Miniature Robots ◽  
Controlling System

Aim. Modular mini-robots can be used in novel minimally invasive surgery techniques like natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single site (LESS) surgery. The control of these miniature assistants is complicated. The aim of this study is the in silico investigation of a remote controlling interface for modular miniature robots which can be used in minimally invasive surgery.Methods. The conceptual controlling system was developed, programmed, and simulated using professional robotics simulation software. Three different modes of control were programmed. The remote controlling surgical interface was virtually designed as a high scale representation of the respective modular mini-robot, therefore a modular controlling system itself.Results. With the proposed modular controlling system the user could easily identify the conformation of the modular mini-robot and adequately modify it as needed. The arrangement of each module was always known. The in silico investigation gave useful information regarding the controlling mode, the adequate speed of rearrangements, and the number of modules needed for efficient working tasks.Conclusions. The proposed conceptual model may promote the research and development of more sophisticated modular controlling systems. Modular surgical interfaces may improve the handling and the dexterity of modular miniature robots during minimally invasive procedures.

scholarly journals Long-term professional performance of minimally invasive surgery post-graduates

2015 ◽  
Vol 42 (2) ◽  
pp. 130-135
Author(s):  
Marcelo de Paula Loureiro ◽  
Christiano Maggi Claus ◽  
Eduardo Aimoré Bonin ◽  
Antonio Cury Filho ◽  
Danielson Dimbarre ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Invasive Procedures ◽  
Professional Performance ◽  
Professional Careers ◽  
Level Of Satisfaction ◽  
Previous Contact ◽  
High Level

OBJECTIVE: to evaluate the contribution of a post-graduation program in surgeons professional careers. METHODS: participants were asked to answer a questionnaire with questions related to possible changes in their professional performance after the end of the course. RESULTS: forty-three (76.7%) of the 56 participants eligible for the study responded to the questionnaires. Most participants, 32 (74.4%), had previous contact with laparoscopic surgery; however, only 14 (32.5%) reported the experience as primary surgeon. The expectations on the course were reached or exceeded for 36 (83.7%) participants. Thirty-seven (86%) incorporated minimally invasive procedures in their daily surgical practice, 37 (86%) reported improvements in their income above 10% and 12% reported income increase of over 100%, directly related to their increase of laparoscopic activity. CONCLUSION: the program in minimally invasive surgery provides a high level of satisfaction to its participants, enables them to perform more complex technical procedures, such as sutures, and improves their professional economic performance.

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