scholarly journals Morcellation: Its Origin and Where It is heading to?

2015 ◽  
Vol 7 (2) ◽  
pp. 77-82
Author(s):  
Rahul Manchanda ◽  
Soma Ghoshal ◽  
Anushree Mittal ◽  
BC Manjula
Keyword(s):  
Clinical Practice ◽  
Minimally Invasive ◽  
South Asian ◽  
Drug Administration ◽  
Invasive Procedure ◽  
Current Status ◽  
Minimally Invasive Procedure ◽  
Advantages And Disadvantages ◽  
Specimen Retrieval ◽  
To Come

ABSTRACT A morcellator is a device used to cut, grind and extract tissue. This minimally invasive procedure is designed to help patient heal faster while removing the tissue that is causing the problems. The Food and Drug Administration (FDA) gave its approval for this device in 1993. Since then, nearly two dozen similar devices have hit the market. The authors review the available literature in order to put into perspective current status and position of morcellation in clinical practice. The evolution of morcellation over the course of years, its advantages and recent controversies and various other methods of specimen retrieval their advantages and disadvantages are discussed. Morcellation being one of the techniques, has been in the news with FDA discouraging the use of these devices as they can lead to spread of cancerous tissue or they can lead to dissemination of undiagnosed cancer. We also discussed the recent innovations in morcellators and its techniques and through this topical discussion try to come to some conclusion. How to cite this article Manjula BC, Manchanda R, Mittal A, Ghoshal S. Morcellation: Its Origin and Where It is heading to?. J South Asian Feder Obst Gynae 2015;7(2):77-82.

Use of newly developed instruments and endoscopes: full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach

2007 ◽  
Vol 6 (6) ◽  
pp. 521-530 ◽  
Author(s):  
Sebastian Ruetten ◽  
Martin Komp ◽  
Harry Merk ◽  
Georgios Godolias
Keyword(s):  
Minimally Invasive ◽  
Lumbar Disc ◽  
Invasive Procedure ◽  
Leg Pain ◽  
Herniated Disc ◽  
Measuring Instruments ◽  
Minimally Invasive Procedure ◽  
Technical Problems ◽  
Endoscopic Techniques ◽  
Advantages And Disadvantages

Object Even with good results, conventional disc operations may result in subsequent damage due to trauma. Endoscopic techniques have become the standard in many areas because of the advantages they offer intraoperatively and postoperatively in rehabilitation. The goal of this prospective study was to examine the expanded technical possibilities of full-endoscopic transforaminal and interlaminar resection of herniated lumbar discs in which the authors used newly developed optics and instruments. The focus was on questions of achieving sufficient decompression, as well as the advantages and disadvantages of the minimally invasive procedure. Methods Two hundred thirty-two patients underwent follow up for 2 years after undergoing surgery. In addition to general and specific parameters, the following measuring instruments were used: a visual analog scale, the German version of the North American Spine Society instrument, and the Oswestry Disability Index of low-back pain disability. Postoperatively 84% of the patients no longer had leg pain, and 12% had only occasional pain. The results of decompression were equivalent to those of conventional procedures. The incidence of traumatization was reduced. Epidural scarring was minimized. The recurrence rate was 6.0%. No serious surgical complications were observed. Resection of the herniated disc was technically possible in all cases in which the new instruments were used. Conclusions The authors view the aforedescribed techniques, which offer the advantages of a truly minimally invasive procedure, as a sufficient and safe supplementation and alternative to conventional procedures, when the appropriate indication criteria are heeded. The new endoscope with its 4.2-mm working channel and corresponding instruments significantly reduced the technical problems.

scholarly journals Liquid Biopsy in Pancreatic Cancer: Are We Ready to Apply It in the Clinical Practice?

Cancers ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1986
Author(s):  
Victoria Heredia-Soto ◽  
Nuria Rodríguez-Salas ◽  
Jaime Feliu
Keyword(s):  
Pancreatic Cancer ◽  
Clinical Practice ◽  
Early Diagnosis ◽  
Minimally Invasive ◽  
Liquid Biopsy ◽  
Genetic Material ◽  
Current Status ◽  
Ductal Adenocarcinoma ◽  
Disease Monitoring ◽  
Global Status

Pancreatic ductal adenocarcinoma (PDAC) exhibits the poorest prognosis of all solid tumors, with a 5-year survival of less than 10%. To improve the prognosis, it is necessary to advance in the development of tools that help us in the early diagnosis, treatment selection, disease monitoring, evaluation of the response and prognosis. Liquid biopsy (LB), in its different modalities, represents a particularly interesting tool for these purposes, since it is a minimally invasive and risk-free procedure that can detect both the presence of genetic material from the tumor and circulating tumor cells (CTCs) in the blood and therefore distantly reflect the global status of the disease. In this work we review the current status of the main LB modalities (ctDNA, exosomes, CTCs and cfRNAs) for detecting and monitoring PDAC.

S34 TENSION-FREE VAGINAL TAPE: ONE OF THE MINIMALLY INVASIVE PROCEDURE IN SUI

2010 ◽  
Vol 9 (6) ◽  
pp. 567
Author(s):  
X. Quni ◽  
I. Haxhiu ◽  
H. Aliu ◽  
N. Baftiu ◽  
M. Toska ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Tension Free ◽  
Tension Free Vaginal Tape

scholarly journals Minimally Invasive Therapies for Female Stress Urinary Incontinence: the Current Status of Bioinjectables/New Devices (Adjustable Continence Therapy, Urethral Submucosal Collagen Denaturation by Radiofrequency)

2009 ◽  
Vol 9 ◽  
pp. 466-478 ◽  
Author(s):  
Simone Crivellaro ◽  
John J. Smith
Keyword(s):  
Clinical Trials ◽  
Urinary Incontinence ◽  
Clinical Practice ◽  
Stress Urinary Incontinence ◽  
Minimally Invasive ◽  
Emerging Technologies ◽  
Current Status ◽  
Female Stress Urinary Incontinence ◽  
Salvage Procedure ◽  
Collagen Denaturation

The aim of this review is to provide an update on the current status of evolving minimally invasive therapies for stress urinary incontinence. Bioinjectables have been available for some time and their current status is reviewed. The adjustable continence device has been used as a salvage procedure for females for a number of years in clinical trials, yet many are unfamiliar with it. Lastly, radiofrequency via a transurethral route has also been utilized in small numbers and will be updated. These later two emerging technologies need further exposure to better define their role in our clinical practice.

scholarly journals Common operation, uncommon complication. Bleeding from superior haemorrhoidal artery after minimally invasive procedure for hemorrhoids – a case report

2019 ◽  
Vol 39 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Janavikula Sankaran Rajkumar ◽  
Aluru Jayakrishna Reddy ◽  
Ravikumar Radhakrishnan ◽  
Anirudh Rajkumar ◽  
Syed Akbar ◽  
...  
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Common Operation ◽  
Uncommon Complication

scholarly journals EMBOLIZATION OF RENAL ANGIOMYOLIPOMA: CASE SERIES

2015 ◽  
Vol 1 (2) ◽  
Author(s):  
Ghania Masood ◽  
Iffat Rehman ◽  
Saquib Khawar ◽  
Khurram A Mufti ◽  
Imran K. Niazi
Keyword(s):  
Minimally Invasive ◽  
Key Words ◽  
Case Series ◽  
Invasive Procedure ◽  
Standard Of Care ◽  
Renal Angiomyolipoma ◽  
Minimally Invasive Procedure ◽  
Benign Lesions ◽  
Current Standard ◽  
Spontaneous Haemorrhage

Renal angiomyolipomas (AML) are benign lesions usually left alone. However, lesions larger than 4 cm carry the risk of spontaneous haemorrhage and need treatment. Angiography and embolisation are the current standard of care particularly in patients with high operative risks. Angio-embolisation is a safe, minimally invasive procedure preserving maximum renal parenchyma, with the added advantage of preventing peri-procedural morbidity. Two cases of AML are presented in this case series. Key words: Angiomyolipoma, embolisation, renal 

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