DIAGNOSTIC LAPAROSCOPY: Utility and solving diagnostic dilemmas

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 70-71
Author(s):  
Ajaz A Malik
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Open Surgery ◽  
Diagnostic Laparoscopy ◽  
Minimal Invasive ◽  
Invasive Technique ◽  
Basic Procedure ◽  
Almost All ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Diagnostic laparoscopy is the basic procedure in laparoscopic surgery that has wide utility in practice, thus avoiding morbidity associated with open surgery. Laparoscopy is a minimally invasive technique wherein a fibre optic instrument is inserted through the abdominal wall to view the organs in abdomen/pelvis and permit the diagnosis and necessary surgical procedure. Nowadays, almost all general surgical procedures can be performed using minimal invasive techniques. Laparoscopy can be performed both for diagnostic as well as for therapeutic purposes. JMS 2018: 21 (2):70-71

OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

2020 ◽  
pp. 16-18
Author(s):  
A. G. Drozdova
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Minimal Invasive ◽  
Hospital Treatment ◽  
Bed Days ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Summary. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92 % of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43 % of patients, hemorrhagic pancreatic necrosis – in 24 %, infected pancreatic necrosis – in 33 %. The postoperative period was complicated by 13.3 %, the mortality rate was 9.3 %. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

scholarly journals OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

2019 ◽  
pp. 63-65
Author(s):  
A. G. Drozdova
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Minimal Invasive ◽  
Hospital Treatment ◽  
Bed Days ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Abstract. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92% of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43% of patients, hemorrhagic pancreatic necrosis – in 24%, infected pancreatic necrosis – in 33%. The postoperative period was complicated by 13.3%, the mortality rate was 9.3%. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

An Anatomic Study of the Percutaneous Endoscopically Assisted Calcaneal Osteotomy Technique to Correct Hindfoot Malalignment

2016 ◽  
Vol 38 (2) ◽  
pp. 192-199 ◽  
Author(s):  
Andrea Veljkovic ◽  
Joshua Tennant ◽  
Chamnanni Rungprai ◽  
Kaniza Zahra Abbas ◽  
Phinit Phisitkul
Keyword(s):  
Minimally Invasive ◽  
Open Surgery ◽  
Invasive Technique ◽  
Surgical Incision ◽  
Calcaneal Osteotomy ◽  
Osteotomy Technique ◽  
Fresh Frozen ◽  
Wound Healing Problems ◽  
Potential Risks ◽  
Invasive Techniques

Background: Open calcaneal osteotomy using traditional methods is associated with complications such as sural nerve injury and potential wound healing problems. We hypothesized that by using novel minimally invasive techniques, these potential risks could be mitigated. This anatomic cadaveric study serves to assess the safety of percutaneous endoscopically assisted calcaneal osteotomy (PECO) compared to a traditional open osteotomy technique. Methods: Anatomic safety of PECO was assessed using 8 fresh-frozen cadaver below-knee specimens. Lateral calcaneal nerve (LCN) damage was primarily noted and then secondly compared to a potential open surgical incision approach. Results: Only 1 of 11 LCN branches (n = 8 limbs) was transected using PECO, compared to up to 8 of 10 LCN branches (n = 6 limbs) that potentially would have been injured during open surgery. Conclusions: Percutaneous endoscopically assisted calcaneal osteotomy is a minimally invasive technique that had fewer nerve injuries in this cadaveric model than traditional open surgery. Clinical Relevance: Percutaneous endoscopically assisted calcaneal osteotomy due to its less invasive nature may result in fewer neurovascular injuries relative to an open procedure.

scholarly journals Minimally Invasive Advance Beautification Rhinoplasty

2019 ◽  
Vol 4 (12) ◽  
Author(s):  
Dr Munir Alam
Keyword(s):  
Minimal Invasive ◽  
Nasal Tip ◽  
Quick Recovery ◽  
Alar Base ◽  
The Face ◽  
Additional Procedure ◽  
The Aesthetic ◽  
Almost All ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Background: Rhinoplasty is the most challenging surgical procedure amongst all the aesthetic/cosmetic operations. As for the challenges with rhinoplasty are great, so the need of minimal invasive techniques, less scarring, quick recovery especially in the asian nose with thick sebaceous nasal tip skin. The aim in beautification rhinoplasty is to improve the aesthetic proportions, volumes, and angles of the nose, adapted to the face as a whole. Frequently the patient desire is to achieve symmetrical, smaller, more attractive nose with better respiration, which require the identification of aesthetic and functional problems to execute the planned operation. Study Period: The author have had performed fifty seven rhinoplasty procedures from July 2014 to July 2017 with almost 6 months follow up period. Material and Methods: The techniques used for almost all rhinoplasty procedures includes T-excision, humpectomy, macidonian technique for lateral digital osteotomy, columellar sliding and nasal tip refinement. Where needed combined with septoplasty, turbinectomy, polypectomy etc additional procedure in nine patients out of fifity seven. Serdev Sutures® in rhinoplasty include: tip rotation, refinement / narrowing of the tip, lower and medial thirds, alar base narrowing and nasal dorsum lifting of concavities and irregularities. Results: With the advancement in minimal invasive techniques, it has become possible to achieve excellent satisfactory results (80 -100 % by using visual analogue scoring system), where indicated combined with ENT Surgery. Conclusion: The correct nose proportions, angles, and volumes guides the appropriate procedure to the surgeon. By using advance minimal invasive techniques provide predictable results for close rhinoplasty, nearly normal “nonoperated appearance” after atraumatic mini-invasive surgery.

scholarly journals Successful Management of Renal Fusion Anomaly of Kidney with Nephrolithiasis and Urinary Incontinence

2021 ◽  
Author(s):  
Sunirmal Choudhury ◽  
Ankit Sandhu ◽  
Dilip Kumar Pal
Keyword(s):  
Urinary Incontinence ◽  
Minimal Invasive ◽  
Invasive Technique ◽  
Ectopic Ureter ◽  
Successful Management ◽  
Retrograde Intrarenal Surgery ◽  
The Right ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

The presence of an ectopic ureter may be indicated by continuous wetting, seen especially in girls. In majority of such cases, an ectopic ureter is associated with a duplex collecting system and complete ureteral duplication. A 32-year-old female presented with urinary incontinence with normal voiding episodes and right flank pain. On investigation, she was found to have duplex moiety on the right-side with partially duplicated ureter and quadruple moiety on the left-side with partially duplicated quadruple ureter with ectopic opening of ureters. The patient also had right upper calyceal stone. It was successfully managed with totally minimal invasive technique with retrograde intrarenal surgery for right nephrolithiasis and left laparoscopic ureteric reimplantation for ectopic ureter. Patient was continent during the follow-up period of nine months with no significant complications. Developmental anomalies of kidney and ureter though rare, can be managed with total minimal invasive techniques, requires proper planning, instruments and its implementation.

scholarly journals ASSESMENT OF PATIENT SATISACTION FOR CERVICAL SCAR POST THYROIDECTOMY

2021 ◽  
pp. 11-13
Author(s):  
Devendra Pankaj ◽  
Neha Singh
Keyword(s):  
Minimal Invasive ◽  
Study Patient ◽  
Invasive Technique ◽  
International Institute ◽  
Common Procedure ◽  
Scar Assessment ◽  
Level Of Satisfaction ◽  
High Level ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Background:- Thyroidectomy is a common procedure performed for thyroid disease these days. Plan of surgery depends on histology, location and size of lesion.Thyroidectomy is preceded by conventional midcervical skin crease incision, performed by Theoder kocher in late 1870, to advanced mininmal invasive technique. Minimal invasive techniques have certain upright from conventional surgery.This study aims to study patient satisfaction for cervical scar with thyroidectomy conventional kocher's incision.Material & Method:- Sixty five 65 patient underwent thyroidectomy from September 2017 to February 2020 at American international institute of medical sciences Udaipur, Rajasthan. Patient clinical data retrospectively reviewed and patient scar satisfaction acquired telephonically by using validated patient scar assessment questionnaire and data analyzed statistically. Result:- Around 95% patients show high level of satisfaction in the study having scores consistent with scar satisfaction after conventional thyroidectomy. Majority of patients were satisfied with the appearance of their scars,around 5% of patients (n=3) reported significant levels of self consciousness. Conclusion:- .Majority of patients were satisfied with their scars post thyroidectomy.Despite high level of satisfaction there are people shows significant levels of consciousness.There is need of further study to decide certain factor whether encouraging minimal invasive technique over conventional thyroid surgery.

scholarly journals Lacrimal Diversion Devices (Sinopsys Lacrimal Stent): Sharing our Experience with Patients with Chronic Rhinosinusitis without Polyposis

2019 ◽  
Vol 23 (04) ◽  
pp. e422-e426
Author(s):  
Peter Baptista ◽  
Octavio Garaycochea ◽  
Carlos Prieto-Matos ◽  
Marta Alvarez de Linera Alperi ◽  
Juan Alcalde
Keyword(s):  
Chronic Rhinosinusitis ◽  
Surgical Techniques ◽  
Minimal Invasive ◽  
Sinus Surgery ◽  
Invasive Technique ◽  
Topical Medication ◽  
The Mean ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Introduction Chronic rhinosinusitis (CRS) is a highly prevalent pathology in our society. Due to the prevalence of this condition and to the persisting symptoms despite an appropriate medical treatment, surgical techniques are often required. Lately, minimal invasive techniques have been described, such as lacrimal diversion devices (LDDs). This technique offers a fast and convenient choice for delivery of sinus irrigation and topical medication. Objective We aimed to describe our experience with LDDs and evaluate the safety and effectiveness of the procedure in patients with moderate to severe CRS without nasal polyposis (CRSsNP) and persistent symptomatology despite medical therapy. Methods A total of 7 patients underwent bilateral lacrimal stents placement in the operating room. A retrospective observational study was conducted. The Sino-Nasal Outcome Test-20 (SNOT-20) survey was performed and the score obtained was compared before and 1 month after the procedure. Results The LDDs were used for an average of 80 days. During the follow-up, only three patients had a mild complication with the device (granuloma in the punctum, obstruction, and early extrusion). The mean baseline SNOT-20 score dropped significantly (p = 0.015) from 25.85 to 11.57 (mean: - 14.29) 1 month after the procedure. Conclusion According to our experience and results, the use of LDD is a novel, feasible, and less invasive technique to treat refractory CRS. It reduces the risk of mucosal stripping, provides short-term outcomes, and the surgical procedure does not require advanced training in endoscopic sinus surgery. Moreover, it can be performed in-office under local anesthesia or sedation.

Urologic laparoscopic surgery: Light and shade

1995 ◽  
Vol 62 (1_suppl) ◽  
pp. 80-84
Author(s):  
G. Breda ◽  
P. Silvestre ◽  
L. Gherardi ◽  
A. Giunta ◽  
A. Tamai ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Surgical Approach ◽  
World Wide ◽  
Critical Evaluation ◽  
Minimally Invasive Technique ◽  
Laparoscopic Technique ◽  
Invasive Technique

— Analysing material and world-wide urologic laparoscopie surgery experience, the Authors try to define, also according to their experience, the indications for which the laparoscopic technique is established and well accepted and, on the contrary, those which are still controversial. Critical evaluation about laparoscopic surgery indications are often supported by the costs of the “minimally invasive” technique compared to the traditional surgical approach.

scholarly journals Impact of SupervIsed TraInIng on the AcquIsItIon of SImulated LaparoscopIc SkIlls

2013 ◽  
Vol 95 (6) ◽  
pp. 1-6 ◽  
Author(s):  
NA Healy ◽  
KH Chang ◽  
JB Conneely ◽  
C Malone ◽  
MJ Kerin
Keyword(s):  
Minimally Invasive Surgery ◽  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Open Surgery ◽  
Alternative Methods ◽  
Time Constraints ◽  
Laparoscopic Skills ◽  
Supervised Training ◽  
Initial Learning ◽  
Safety Considerations

Laparoscopy or minimally invasive surgery requires surgeons to attain proficiency in skills that are fundamentally different to those required for open surgery. As a result, it both challenges junior trainees and surgeons who are experienced in open surgery. Not surprisingly, the initial learning phase of laparoscopy has been associated with an increased incidence of serious complications. Owing to time constraints and the ethical and safety considerations of allowing novices to perform laparoscopic surgery on patients, alternative methods have been sought to train junior surgeons on the basics of laparoscopic surgery.

scholarly journals Neurospinal Surgery Innovations

2017 ◽  
Vol 3 (3) ◽  
pp. 121-122
Author(s):  
James Wang
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Treatment Plan ◽  
Invasive Technique ◽  
Surgical Trauma ◽  
The Past ◽  
The World ◽  
Spine Diseases ◽  
Invasive Techniques ◽  
Important Branch

Over the past few decades, majority of neurosurgeons only specialize in spinal cord diseases. However, with the advances in spine surgery, more and more neurosurgeons focus on spine diseases. Precision minimally invasive technique in surgery of spine and spinal cord is an important branch of neurosurgery. As traditional surgery has been gradually replaced by precision surgery, open surgery has been gradually replaced by minimally invasive surgery (MIS), the diagnosis and treatment of spine diseases has been benefiting from minimally invasive techniques. With minimal surgical trauma, precise localization, MIS has become the inevitable trend of new neurosurgery. The model of multidisciplinary team is gradually becoming universal in the world in order to make the best treatment plan for the patient with spine diseases on the basis of the comprehensive disciplinary opinion.

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