scholarly journals Non-invasive removal of self-locking entrapped nephrostomy tubes

2020 ◽  
Vol 92 (3) ◽  
Author(s):  
Fabio Campodonico ◽  
Umberto Geremia Rossi ◽  
Marco Ennas ◽  
Alessandro Valdata ◽  
Antonia Di Domenico ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Invasive Technique ◽  
Nephrostomy Tube ◽  
Introducer Sheath ◽  
Non Invasive ◽  
Fluoroscopy Guidance ◽  
Exchange Technique

Introduction: The removal of an encrusted nephrostomy tube can be a challenging maneuver. Urological literature is very bare in detailing techniques for removal of entrapped percutaneous catheters. We present a simple, safe and non-invasive technique of nephrostomy removal using a vascular introducer sheath, useful to manage complicated situations such as nephrostomies blocked for severe encrustations or disabled in their self-locking system. Surgical technique: The nephrostomy tube is cut and the stump is passed with a suture needle. The suture is passed through the inner vascular introducer sheath tip, and the introducer is then removed. The introducer sheath is advanced over the nephrostomy until joining the pigtail segment, under fluoroscopy guidance. Thus the suture is pulled out with strenght to contrast the opposite stiffness of the encrusted coil, until the nephrostomy has safely come out. Comment: The sheath exchange technique is quick, involves less manipulation through the perirenal fascia and kidney, and is suitable for different conditions of entrapped nephrostomies.

Comparison of Percutaneous versus Open Surgical techniques for placement of Peritoneal Dialysis Catheters

JMS SKIMS ◽  
2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Imtiyaz Ahmad Wani ◽  
Rayees Yousuf Sheikh ◽  
Muzafar Masood Wani ◽  
Arif Hamid ◽  
Gh Mohammad Bhat ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Surgical Technique ◽  
Hospital Stay ◽  
Surgical Techniques ◽  
Invasive Technique ◽  
Surgical Morbidity ◽  
Non Invasive ◽  
Laparoscopic Techniques ◽  
Access Technique ◽  
Mini Laparotomy

Background: Nephrologists have used percutaneous placements of peritoneal dialysis catheters (PDCs) with or without fluoroscopic guidance. PDCs are also placed using mini-laparotomy and laparoscopic techniques by surgeons. Percutaneous PDC placement by nephrologists is a simple, non-invasive technique with minimum intraoperative morbidity. We compared operative and immediate complications of PDCs using percutaneous versus open surgical mode of insertion. Methods: Data of all patients entering into CAPD programme in our center between July 2011 to July 2015 was collected. A total of 377 PDCs had been inserted over 48 months in 358 patients. Of 377 catheters inserted, 224 had been inserted by percutaneous method and 153 by surgical technique. Results: Wound hematoma developed in 3.5% of percutaneously placed catheters vs 2.6% of catheters placed by surgical technique, p-0.061. Haemorrhagic effluent was seen in 4.46% of percutaneously placed catheters vs 3.92% of surgically placed catheters, p-0.068. Bowel injury occurred in 1.33% of percutaneously placed catheters vs 0.65% of surgically placed catheters, p-0159. Dialysate leak occurred in 2.6% of catheters placed percutaneously vs 6.5% of catheters placed by surgical technique, p-0.068. Percutaneous PDC allowed a significantly shorter hospital stay, smaller wound size and less break-in period Conclusions: Percutaneously placed CAPD catheters by nephrologists ensues significantly less hospital stay, small sized incision, lesser break-in period and less post-surgical morbidity as compared with surgically placed catheters. Percutaneous PDC placement is minimally invasive, safe, less time consuming and dependable peritoneal access technique.

USING DOPPLER TO ASSESS THE FETAL HEALTH FOR THE PREDICTION OF GESTATIONAL OUTCOME

2014 ◽  
pp. 9-18
Author(s):  
Thi Linh Giang Truong ◽  
Vu Quoc Huy Nguyen
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Umbilical Artery ◽  
Functional Method ◽  
Invasive Technique ◽  
Routine Practice ◽  
Fetal Health ◽  
Uterine Arteries ◽  
Non Invasive ◽  
Key Words Doppler

Background: Assessment of fetal health plays the most important role in prenatal care because of influence of the prediction of gestational outcome. One of the main aims of routine antenatal care is to identify the ‘ at risk ‘ fetus in order to apply clinical interventions which could results in reduced perinatal morbidity and mortality. Doppler ultrasound is a non invasive technique whereby the movement of blood is studied by detecting the change in frequence of reflected sound, Doppler blood flow velocity waves form of fetal side (umbilical artery, middle cerebral artery ...) and maternal side ( uterine arteries) are discussed and monograms for routine practice are presented. Recently this method is important tool for qualifying high risk pregnancies and help early forecasts the health of the babies and mothers disorder. Doppler sonography in obstetrics is a widely accepted functional method of examining the prediction of gestational outcome. Key words: Doppler, umbilical artery, middle cerebral artery, uterine arteries

scholarly journals Thermal Liquid Biopsy (TLB) Focused on Benign and Premalignant Pancreatic Cyst Diagnosis

2020 ◽  
Vol 11 (1) ◽  
pp. 25
Author(s):  
Sonia Hermoso-Durán ◽  
Guillermo García-Rayado ◽  
Laura Ceballos-Laita ◽  
Carlos Sostres ◽  
Sonia Vega ◽  
...  
Keyword(s):  
Liquid Biopsy ◽  
Pancreatic Cyst ◽  
Point Of View ◽  
Invasive Technique ◽  
Background Current ◽  
Interesting Point ◽  
Pancreatic Lesion ◽  
Non Invasive ◽  
Patient Diagnosis ◽  
New Biomarkers

Background: Current efforts in the identification of new biomarkers are directed towards an accurate differentiation between benign and premalignant cysts. Thermal Liquid Biopsy (TLB) has been previously applied to inflammatory and tumor diseases and could offer an interesting point of view in this type of pathology. Methods: In this work, twenty patients (12 males and 8 females, average ages 62) diagnosed with a pancreatic cyst benign (10) and premalignant (10) cyst lesions were recruited, and biological samples were obtained during the endoscopic ultrasonography procedure. Results: Proteomic content of cyst liquid samples was studied and several common proteins in the different groups were identified. TLB cyst liquid profiles reflected protein content. Also, TLB serum score was able to discriminate between healthy and cysts patients (71% sensitivity and 98% specificity) and between benign and premalignant cysts (75% sensitivity and 67% specificity). Conclusions: TLB analysis of plasmatic serum sample, a quick, simple and non-invasive technique that can be easily implemented, reports valuable information on the observed pancreatic lesion. These preliminary results set the basis for a larger study to refine TLB serum score and move closer to the clinical application of TLB providing useful information to the gastroenterologist during patient diagnosis.

278 Assessing effects of lateral tilt on cardiac output using a Non-invasive technique

2021 ◽  
Vol 224 (2) ◽  
pp. S182-S183
Author(s):  
Zaid Diken ◽  
Antonio F. Saad ◽  
Sema Hajmurad ◽  
Rakesh Vadhera ◽  
Michelle Simon ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Invasive Technique ◽  
Lateral Tilt ◽  
Non Invasive

Non-invasive methods in the assessment of portal hypertension severity

2021 ◽  
Vol 75 (2) ◽  
pp. 125-133
Author(s):  
Soňa Franková ◽  
Jan Šperl
Keyword(s):  
Portal Hypertension ◽  
Liver Fibrosis ◽  
Shear Wave ◽  
Transient Elastography ◽  
Venous Pressure ◽  
Liver Stiffness ◽  
Invasive Technique ◽  
Hepatic Veins ◽  
Oesophageal Varices ◽  
Non Invasive

Portal hypertension represents a wide spectrum of complications of chronic liver diseases and may present by ascites, oesophageal varices, splenomegaly, hypersplenism, hepatorenal and hepatopulmonary syndrome or portopulmonary hypertension. Portal hypertension and its severity predicts the patient‘s prognosis: as an invasive technique, the portosystemic gradient (HPVG – hepatic venous pressure gradient) measurement by hepatic veins catheterisation has remained the gold standard of its assessment. A reliable, non-invasive method to assess the severity of portal hypertension is of paramount importance; the patients with clinically significant portal hypertension have a high risk of variceal bleeding and higher mortality. Recently, non-invasive methods enabling the assessment of liver stiffness have been introduced into clinical practice in hepatology. Not only may these methods substitute for liver biopsy, but they may also be used to assess the degree of liver fibrosis and predict the severity of portal hypertension. Nowadays, we can use the quantitative elastography (transient elastography, point shear-wave elastrography, 2D-shear-wave elastography) or magnetic resonance imaging. We may also assess the severity of portal hypertension based on the non-invasive markers of liver fibrosis (i.e. ELF test) or estimate clinically signifi cant portal hypertension using composite scores (LSPS – liver spleen stiff ness score), based on liver stiffness value, spleen diameter and platelet count. Spleen stiffness measurement is a new method that needs further prospective studies. The review describes current possibilities of the non-invasive assessment of portal hypertension and its severity.

A Harmonic Tracking Technique for Recovery of Gear Motion From Non-Stationary Vibration Signals

1995 ◽  
Author(s):  
Christopher A. Lerch ◽  
Richard H. Lyon
Keyword(s):  
Diagnostic System ◽  
Time Spectrum ◽  
Time Dependent ◽  
Invasive Technique ◽  
Signal Distortion ◽  
Vibration Signals ◽  
Tracking Method ◽  
Non Invasive ◽  
Stationary Vibration ◽  
Short Time

Abstract A method termed harmonic tracking is developed to recover time dependent gear motion from machine casing vibration. The harmonic tracking method uses short-time spectral generation and a subsequent set of algorithms to locate and track gear meshing frequencies as functions of time. The meshing frequencies are then integrated with respect to time to obtain the rotation of individual gears. More specifically, spectral generation is performed using the discrete Fourier transform, and the locating and tracking algorithms involve locating tones in each short-time spectrum and tracking them through successive spectra to recover gear meshing harmonics. The harmonic tracking method is found to be more robust than demodulation-based methods in the presence of measurement noise and signal distortion from the structural transfer function between gears and the casing. The harmonic tracking method is tested, both through simulation and experiments involving motor-operated valves (MOV’s) as part of the development of a diagnostic system for MOV’s. In all cases, the harmonic tracking method is found to recover gear motion with sufficient accuracy to perform diagnostics. The harmonic tracking method should be generally applicable to situations in which a non-invasive technique is required for determining the time-dependent angular speeds and displacements of gearbox input, intermediary, and output shafts.

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