scholarly journals Robot-assisted thoracoscopic repair of a late-onset Bochdalek hernia: a case report

2018 ◽  
Author(s):  
Mario Lima ◽  
Niel Di Salvo ◽  
Sara Ugolini ◽  
Michele Libri ◽  
Giovanni Ruggeri
Keyword(s):  
Late Onset ◽  
Surgical Approaches ◽  
Indications For Surgery ◽  
Bochdalek Hernia ◽  
Major Malformation ◽  
Significant Morbidity ◽  
Robotic Technology ◽  
Robot Assisted ◽  
Thoracoscopic Repair ◽  
Thoracoscopic Procedure

Bochdalek hernia (BH) is a major malformation that consists of a postero-lateral diaphragmatic defect through which abdominal contents can migrate into the thorax. It is most commonly a neonatal pathology associated with significant morbidity and mortality. Rarely, this type of congenital diaphragmatic hernia (CDH) presents later in life, some even in adulthood. Indications for surgery are not clear even though the majority of authors, being aware of the possible severe complications, recommend surgical correction in all cases. Many surgical approaches have been tried for this pathology, both open (laparotomic or thoracotomic) and minimally invasive (laparoscopic or thoracoscopic). We report a case of a late-onset BH corrected with a robot-assisted thoracoscopic procedure. The use of robotic technology for CDH has never been described to date.

Advantages and disadvantages of main surgical approaches for robot-assisted radical prostatectomy

2020 ◽  
Vol 10 (4) ◽  
pp. 347-354
Author(s):  
Dmitriy M. Il’in ◽  
Vladimir A. Makeev
Keyword(s):  
Radical Prostatectomy ◽  
Abdominal Cavity ◽  
Prostate Gland ◽  
Clinical Situation ◽  
Surgical Approaches ◽  
Robot Assisted ◽  
Scientific Databases ◽  
Advantages And Disadvantages ◽  
Robotic Assisted Surgery ◽  
History Of

The introduction of robotic-assisted surgery into clinical practice has opened up new possibilities for the surgical treatment of urological patients. Robot-assisted radical prostatectomy (RARP) is one of the most commonly performed robot-assisted surgery. The review is devoted to the main surgical approaches for RARP. An analysis of publications on this topic was carried out using the search engines of the scientific databases PubMed, Medscape, Google Scholar, eLibrary when writing the article The article presents an overview of the advantages and disadvantages of the existing four access options for RARP: anterior, perineal, lateral and posterior, as well as oncological and functional outcomes of operations. It has been shown that a surgeon with different approaches can choose the most suitable one for a given clinical situation, focusing on the stage of the disease, the patients age, anatomical features of the prostate gland, the state of the patients erectile function, and the history of operations on the abdominal cavity and pelvic organs.

scholarly journals Practical aspects of treatment of kidney cancer in a modern hospital: the evolution of surgical approaches

2018 ◽  
Vol 14 (2) ◽  
pp. 44-53
Author(s):  
S. A. Rakul ◽  
K. V. Pozdnyakov ◽  
R. A. Eloev ◽  
N. A. Pliskachevskiy
Keyword(s):  
Minimally Invasive ◽  
Locally Advanced ◽  
Renal Tumors ◽  
Da Vinci Surgical System ◽  
Surgical Approaches ◽  
City Hospital ◽  
Robot Assisted ◽  
Nephron Sparing ◽  
Analysis Of Results ◽  
Modern Hospital

Objective: analysis of results of the outcomes of surgical treatment for renal tumors in the Saint Petersburg City Hospital No. 40 over the last 5 years and determination the trends.Materials and methods. The study included 293 patients that underwent 296 surgeries for renal tumors. The majority of patients (87.84 %) were diagnosed with localized cancer, whereas locally advanced and metastatic forms were detected in 4.39 and 7.77 % of cases respectively. We performed radical nephrectomy (RNE) or nephron sparing (NS) via open or minimally invasive route (videoendoscopic or robot-assisted surgery using the da Vinci Surgical System).Results. Organ-preserving surgeries were performed in 52.36 % of patients, RNE – in 47.64 % of patients; minimally invasive and open surgeries were conducted in 95.95 and 4.05 % respectively. In individuals with stage cT1a cancer, NS and RNE were performed in 87 and 13 % of cases respectively; in patients with stage cT1b cancer, NS and RNE were performed in 50.82 and 49.18 % of cases respectively. The majority (90.2 %) of patients with renal tumors >7 cm underwent minimally invasive surgeries, primarily RNE. The incidence of severe postoperative complications after NS and RNE was comparable: 5.75–8.06 and 1.67–15.38 % respectively (р = 0.64).Conclusion. Minimally invasive NS is the method of choice for stage сT1 tumors; however, in some cases, we should also consider it for tumors >7 cm. Videoendoscopic surgery is the most preferable option for these patients, whereas robot-assisted techniques should be used for organpreserving surgeries and RNE in difficult cases.

scholarly journals Workplace Inhalant Abuse in Adult Female: Brief Report

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Rohit Verma ◽  
Yatan Pal Singh Balhara ◽  
Smita N. Deshpande
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Adult Female ◽  
Late Onset ◽  
Cross Cultural ◽  
Substance Abuse Problem ◽  
Clinical Report ◽  
Significant Morbidity ◽  
Inhalant Abuse ◽  
Altered Mental State

Inhalant abuse is the purposeful inhalation of intoxicating gases and vapors for the purpose of achieving an altered mental state. With its propensity for being yet an under-recognized form of substance use, being gateway to hard substances, cross-cultural penetration crossing socioeconomic boundaries, and causing significant morbidity and mortality in early ages, the prevention of inhalant misuse is a highly pertinent issue. This clinical report identifies a newer perspective in the emergence of inhalant abuse initiation. We report a case of an adult female with late onset of inhalant dependence developing at workplace and recommend for greater awareness, prevention, and management of this expanding substance abuse problem.

Thoracoscopic repair of a Bochdalek hernia in an adult

2003 ◽  
Vol -1 (1) ◽  
pp. 1-1 ◽  
Author(s):  
P. Willemse ◽  
P.R. Schütte ◽  
P.W. Plaisier
Keyword(s):  
Bochdalek Hernia ◽  
Thoracoscopic Repair

Hemophilic Arthropathy: Considerations in Management

2001 ◽  
Vol 91 (8) ◽  
pp. 406-414 ◽  
Author(s):  
Thomas J. Chang ◽  
Shenin Mohamed ◽  
Julie Hambleton
Keyword(s):  
Replacement Therapy ◽  
Surgical Management ◽  
Economic Burden ◽  
Disease Process ◽  
Surgical Approaches ◽  
Indications For Surgery ◽  
Management Options ◽  
Hemophilic Arthropathy ◽  
Very High

The authors evaluate nonsurgical and surgical approaches to treating patients with hemophilic arthropathy and review the functional and economic limitations imposed on treating these patients. Indications for surgery are discussed and a case study that incorporates both conservative and surgical management options is presented. While the advent of factor replacement therapy has dramatically changed the course of treatment and prognosis for patients with hemophilia, the authors argue that the economic burden of treating these patients is still very high. The authors recommend that proper conservative and surgical management options for patients with hemophilia should be based upon a thorough understanding of the disease process. (J Am Podiatr Med Assoc 91(8): 406-414, 2001)

Hand-Assisted Thoracoscopic Repair of a Bochdalek Hernia in an Adult

2006 ◽  
Vol 16 (1) ◽  
pp. 54-58 ◽  
Author(s):  
Albeir Mousa ◽  
Michael Sanusi ◽  
Robert C. Lowery ◽  
Mark H. Genovesi ◽  
Joshua H. Burack
Keyword(s):  
Bochdalek Hernia ◽  
Thoracoscopic Repair

scholarly journals EP.WE.67Management of Acute Appendicitis during the Early phase of the COVID-19 Pandemic: a Single NHS Centre Study

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Md Mahfooz Buksh ◽  
George Kerans ◽  
Ahmad Al Samaraee
Keyword(s):  
Length Of Stay ◽  
Surgical Management ◽  
Early Phase ◽  
Open Surgery ◽  
Preoperative Imaging ◽  
Surgical Approaches ◽  
Significant Morbidity ◽  
Centre Study ◽  
Number Of Patients ◽  
The Mean

Abstract Aims During the early phase of the COVID-19 pandemic, general surgeons were advised to apply conservative management/open surgery for appendicitis. This single NHS centre study has explored the resulted management differences. Methods Retrospective study covering prepandemic data over (March-May, 2019) & early pandemic data over (March-May, 2020). Results Prepandemic data (43 patients): The mean age was 38.3 years. The mean length of stay was 1.7 days. Preoperative imaging was used in 32(74.4%) patients; this was diagnostic in 28(87.5%). Non-surgical management was used in 4(9.3%) patients; one needed surgery eventually. Surgical approaches in 40 patients were (laparoscopic: 38(95%), open: 2(5%)). Neither significant morbidity nor mortality was reported. Early pandemic data (35 patients): The mean age was 31.2 years. The mean length of stay was 2.2 days. Preoperative imaging was used in 30(85.7%) patients; this was diagnostic in 26(86.6%). Non-surgical management was used in 8(22.9%) patients; one needed surgery eventually. Surgical approaches in 28 patients were (laparoscopic: 10(35.7%), open: 18(64.3%)). Neither significant morbidity nor mortality was reported, apart from one patient with COVID-19 postoperative infection. Conclusions There was a tendency towards applying a conservative approach/open surgery during the early days of the pandemic. Though this was statistically significant (p<0.05), the total number of patients was small to achieve statistically stronger conclusions. Laparoscopy was selectively used during the early days of the pandemic where the benefit outweighed the risks.

scholarly journals Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy

2021 ◽  
Author(s):  
Takehiro Ohyama ◽  
Masaki Shimbo ◽  
Fumiyasu Endo ◽  
Kazunori Hattori
Keyword(s):  
Radical Prostatectomy ◽  
Late Onset ◽  
Robot Assisted

scholarly journals Robot-Assisted Radical Cystectomy in the Management of Bladder Cancer

2006 ◽  
Vol 6 ◽  
pp. 2560-2565 ◽  
Author(s):  
Jessica L. Keim ◽  
Dan Theodorescu
Keyword(s):  
Radical Cystectomy ◽  
Randomized Trials ◽  
Case Reports ◽  
Case Series ◽  
Feasibility Studies ◽  
Robotic Technology ◽  
Robot Assisted ◽  
The Past ◽  
Hospital Stays ◽  
Open Radical Cystectomy

The application of robotic technology to laparoscopic surgery has the potential to revolutionize the entire field of urology. The use of robotic-assisted radical cystectomy has been demonstrated in the literature only within the past 3 years, as much of the reconstruction and urinary diversion techniques associated with radical cystectomy are considered more technically challenging than other procedures. Here we review the available literature pertaining to this procedure, which consists of a limited number of case reports, case series, and pilot or feasibility studies. While theses results seem to point towards less blood loss, lower transfusion rates, and shorter hospital stays compared to open radical cystectomy, definitive conclusions and recommendations cannot yet be made because of a lack of larger and/or prospective studies or randomized trials.

Orbital Fractures

2021 ◽  
Vol 35 (04) ◽  
pp. 269-273
Author(s):  
Peiran Zhou ◽  
Christopher B. Chambers
Keyword(s):  
Clinical Evaluation ◽  
Treatment Options ◽  
Diagnostic Evaluation ◽  
Surgical Approaches ◽  
Facial Trauma ◽  
Orbital Fracture ◽  
Acute Management ◽  
Indications For Surgery ◽  
Orbital Fractures ◽  
Appropriate Treatment

AbstractOrbital fractures are common in facial trauma and can be a challenge to treat. Understanding anatomy of the orbit, the clinical evaluation, indications for surgery, surgical approaches, complications, and postoperative are essential in providing appropriate treatment for patients who have sustained orbital fractures. In this article, the authors review the diagnostic evaluation, acute management, treatment options, and common complications of orbital fractures, as well as recent advancements in orbital fracture repairs.

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