Therapeutic Ureteral Occlusion with Ifabond Cyanoacrylate Glue: An Interesting Solution

2017 ◽  
Vol 84 (3) ◽  
pp. 203-205 ◽  
Author(s):  
Marco Oderda ◽  
Sergio Lacquaniti ◽  
Flavio Fraire ◽  
Jacopo Antolini ◽  
Marco Camilli ◽  
...  
Keyword(s):  
Therapeutic Option ◽  
Minimally Invasive Approach ◽  
Cyanoacrylate Glue ◽  
Percutaneous Injection ◽  
Invasive Approach ◽  
Distal Ureter ◽  
Urinary Leakage ◽  
Novel Approach ◽  
Interesting Solution ◽  
Ureteral Occlusion

Objective The aim of this study was to present a novel approach for complete and permanent ureteral occlusion using a percutaneous injection of Ifabond cyanoacrylate glue. Methods We describe in detail all the steps of our surgery, performed on a 79-year-old patient with urinary leakage from ureteral stump following radical cystectomy. N-hexyl-cyanoacrylate glue (Ifabond) was used to occlude the distal ureter and solve the leakage. Results Our approach was successful, sparing our already frail patient further surgical procedures. Six months pyelography confirmed the complete ureteral blockage with absence of extravasation. Conclusions In complicated scenarios with urinary leakages and frail patients, synthetic glues such as Ifabond might represent an interesting therapeutic option to solve the fistulas, leading to durable success with a minimally invasive approach.

scholarly journals The Arrowhead Ministernotomy with Rigid Sternal Plate Fixation: A Minimally Invasive Approach for Surgery of the Ascending Aorta and Aortic Root

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Mark J. Russo ◽  
John Gnezda ◽  
Aurelie Merlo ◽  
Elizabeth M. Johnson ◽  
Mohammad Hashmi ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Aortic Root ◽  
Plate Fixation ◽  
Aortic Surgery ◽  
Case Series ◽  
Ascending Aorta ◽  
The Body ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Novel Approach

Background. Ministernotomy incisions have been increasingly used in a variety of settings. We describe a novel approach to ministernotomy using arrowhead incision and rigid sternal fixation with a standard sternal plating system.Methods. A small, midline, vertical incision is made from the midportion of the manubrium to a point just above the 4th intercostal mark. The sternum is opened in the shape of an inverted T using two oblique horizontal incisions from the midline to the sternal edges. At the time of chest closure, the three bony segments are aligned and approximated, and titanium plates (Sternalock, Jacksonville, Florida) are used to fix the body of the sternum back together.Results. This case series includes 11 patients who underwent arrowhead ministernotomy with rigid sternal plate fixation for aortic surgery. The procedures performed were axillary cannulation (n=2), aortic root replacement (n=3), valve sparing root replacement (n=3), and replacement of the ascending aorta (n=11) and/or hemiarch (n=2). Thirty-day mortality was 0%; there were no conversions, strokes, or sternal wound infections.Conclusions. Arrowhead ministernotomy with rigid sternal plate fixation is an adequate minimally invasive approach for surgery of the ascending aorta and aortic root.

scholarly journals A Simple and Novel Approach in Treating Congenital Symmastia (Using Tisseel in a 2-Step Approach)

2020 ◽  
Vol 6 ◽  
pp. 2513826X2095301
Author(s):  
Bismark Adjei ◽  
Susie Z. Yao ◽  
Ashraf Mostafa ◽  
Ommen Koshy
Keyword(s):  
Minimally Invasive ◽  
Fibrin Sealant ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Root Cause ◽  
Minimal Scarring ◽  
Novel Approach ◽  
Management Approaches

Introduction: Congenital symmastia is notoriously difficult to treat. Many management approaches have been reported but none seem to address the root cause of the anatomic deformity and may result in significant scarring. Method: We propose a minimally invasive approach to treating congenital symmastia with good results and minimal scarring by liposuction and use of a fibrin sealant. Conclusion: Liposuction of the pre-sternal area and injection of fibrin sealant as an adhesive with post-operative pressure garment support worked well to create and maintain a good cleavage.

scholarly journals Minimally invasive esophagectomy in the treatment of esophageal cancer

2011 ◽  
Vol 58 (4) ◽  
pp. 27-30 ◽  
Author(s):  
Milos Bjelovic ◽  
Dejan Stojakov ◽  
Bratislav Spica ◽  
Dejan Velickovic ◽  
Dragan Gunjic ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Mediastinal Lymph Node ◽  
Therapeutic Option ◽  
Minimally Invasive Esophagectomy ◽  
Invasive Procedures ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Invasive Esophagectomy ◽  
Open Esophagectomy ◽  
Esophagectomy For Cancer

In the Western countries, the incidence of esophageal carcinoma is 3-6 cases per 100.000 persons. Despite tremendous success of other therapeutic options, surgical treatment still represents the best therapeutic option whenever possible. For the long period, debate has centered on which of the available surgical procedures is superior - transhiatal or transthoracic esophagectomy. Minimally invasive esophagectomy (MIE) could offer both minimally invasive approach and proper mediastinal lymph node dissection. Minimally invasive esophagectomy is safe and adequate, but time consuming and technically demanding procedure. It is procedure reserved for the surgeons experienced in open esophagectomy for cancer, and specially trained in advanced minimally invasive procedures. Even in that case, learning curve is steep.

Minimally Invasive Approach for Wilms Tumor Treatment in a Small Child - A Case Report

Urology ◽  
2020 ◽  
Author(s):  
Alexandre Azevedo Ziomkowski ◽  
João Rafael Silva Simões Estrela ◽  
Nilo Jorge Carvalho Leão Barretto ◽  
Nilo César Leão Barretto
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Wilms Tumor ◽  
Small Child ◽  
Tumor Treatment ◽  
Minimally Invasive Approach ◽  
Invasive Approach

A Minimally Invasive Approach for Treatment of Cholesterol Granuloma of the Petrous Apex

2019 ◽  
Author(s):  
Brandon Lucke-Wold ◽  
Maya Fleseriu ◽  
Haley Calcagno ◽  
Timothy Smith ◽  
Joshua Levy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Petrous Apex ◽  
Cholesterol Granuloma ◽  
Minimally Invasive Approach ◽  
Invasive Approach

Surgical Technique: Papillary Muscle Sling for Functional Mitral Regurgitation during Minimally Invasive Valve Surgery

2013 ◽  
Vol 16 (5) ◽  
pp. E295-E297 ◽  
Author(s):  
Joseph Lamelas ◽  
Christos Mihos ◽  
Orlando Santana
Keyword(s):  
Mitral Regurgitation ◽  
Minimally Invasive ◽  
Median Sternotomy ◽  
Rational Approach ◽  
Functional Mitral Regurgitation ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Mitral Annuloplasty ◽  
Technical Details ◽  
Mitral Apparatus

In patients with functional mitral regurgitation, the placement of a sling encircling both papillary muscles in conjunction with mitral annuloplasty appears to be a rational approach for surgical correction, because it addresses both the mitral valve and the deformities of the subvalvular mitral apparatus. Reports in the literature that describe the utilization of this technique are few, and mainly involve a median sternotomy approach. The purpose of this communication is to describe the technical details of performing this procedure via a minimally invasive approach.

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