Nasal Hydropulsion: A Novel Tumor Biopsy Technique

Abstract Objective: To describe a minimally invasive comprehensive treatment for granulomatous lobular mastitis (GLM) and compare its effect with the existing methods, particularly in terms of its recurrence rate and esthetic outcomes. Methods: This retrospective study reviewed 69 GLM patients receiving the minimally invasive comprehensive treatment. Patients’ information, including age, clinical features, image characteristics, histopathological findings, mastitis history, treatment process, operative technique, recurrence, and esthetic effect, was evaluated. Results: All patients were female with a median age of 32 (range 17 - 55) years. Hospital stays ranged from 2 to 34 days, with a median of 6 days. The shortest time for complete rehabilitation was 2 days and the longest time was 365 days, with a median of 30 days. After a median follow-up of 391 days (range 162 - 690), 7 patients (10.14%) relapsed. The average cosmetic score was 2.62 ± 0.57 points and was mainly related to the past treatment, especially the surgical history. Conclusion: Minimally invasive comprehensive treatment is a new method for the treatment of GLM, ensuring a therapeutic effect while maintaining breast beauty.

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Minimally invasive comprehensive treatment for granulomatous lobular mastitis

10.21203/rs.2.16905/v3 ◽

2020 ◽

Author(s):

Yaohuai Wang ◽

Junlong Song ◽

Yi Tu ◽

Chuang Chen ◽

Shengrong Sun

Keyword(s):

Retrospective Study ◽

Minimally Invasive ◽

Operative Technique ◽

Treatment Process ◽

Comprehensive Treatment ◽

The Past ◽

Image Characteristics ◽

Surgical History ◽

Hospital Stays

Abstract Objective: To describe a minimally invasive comprehensive treatment for granulomatous lobular mastitis (GLM) and compare its effect with the existing methods, particularly in terms of its recurrence rate and esthetic outcomes. Methods: This retrospective study reviewed 69 GLM patients receiving the minimally invasive comprehensive treatment. Patients’ information, including age, clinical features, image characteristics, histopathological findings, mastitis history, treatment process, operative technique, recurrence, and esthetic effect, was evaluated. Results: All patients were female with a median age of 32 (range 17 - 55) years. Hospital stays ranged from 2 to 34 days, with a median of 6 days. The shortest time for complete rehabilitation was 2 days and the longest time was 365 days, with a median of 30 days. After a median follow-up of 391 days (range 162 - 690), 7 patients (10.14%) relapsed. The average cosmetic score was 2.62 ± 0.57 points and was mainly related to the past treatment, especially the surgical history. Conclusion: Minimally invasive comprehensive treatment is a new method for the treatment of GLM, ensuring a therapeutic effect while maintaining breast beauty.

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Minimally invasive comprehensive treatment for granulomatous lobular mastitis

10.21203/rs.2.16905/v1 ◽

2019 ◽

Author(s):

Yaohuai Wang ◽

Junlong Song ◽

Yi Tu ◽

Chuang Chen ◽

Shengrong Sun

Keyword(s):

Retrospective Study ◽

Minimally Invasive ◽

Operative Technique ◽

Treatment Process ◽

Comprehensive Treatment ◽

The Past ◽

Image Characteristics ◽

Surgical History ◽

Hospital Stays

Abstract Objective: To describe a minimally invasive comprehensive treatment for granulomatous lobular mastitis (GLM) and compare its effect with the existing methods, particularly in terms of its recurrence rate and esthetic outcomes. Methods: This retrospective study reviewed 69 GLM patients receiving the minimally invasive comprehensive treatment. Patients’ information, including age, clinical features, image characteristics, histopathological findings, mastitis history, treatment process, operative technique, recurrence, and esthetic effect, was evaluated. Results: All patients were female with a median age of 32 (range 17 - 55) years. Hospital stays ranged from 2 to 34 days, with a median of 6 days. The shortest time for complete rehabilitation was 2 days and the longest time was 365 days, with a median of 30 days. After a median follow-up of 391 days (range 162 - 690), 7 patients (10.14%) relapsed. The average cosmetic score was 2.62 ± 0.57 points and was mainly related to the past treatment, especially the surgical history. Conclusion: Minimally invasive comprehensive treatment is a new method for the treatment of GLM, ensuring a therapeutic effect while maintaining the breast beauty.

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Cirurgia Paliativa em Pacientes com Tumor Periampular Irressecável: Estudo Retrospectivo de 5 Anos em um Hospital em São José dos Campos – SP/Surgical Palliation in Patients with Unresectable Periampullary Tumor: a Retrospective Study of 5 Years in a Hosp

REVISTA CIÊNCIAS EM SAÚDE ◽

10.21876/rcsfmit.v3i4.171 ◽

1970 ◽

Vol 3 (4) ◽

pp. 9-20

Author(s):

José Henrique Gomes Torres ◽

Rosyane Rena De Freitas

Keyword(s):

Pancreatic Cancer ◽

Retrospective Study ◽

Survival Rates ◽

Periampullary Tumor ◽

The Past ◽

Palliative Procedure ◽

Surgical Palliation ◽

Head Of The Pancreas ◽

Keywords Pancreatic Cancer ◽

Main Complication

Objetivo: Avaliar diferentes métodos paliativos quanto a sua resolução, complicações e sobrevida em pacientes com tumor periampular irressecável. Materiais e métodos: Estudo retrospectivo com análise dos prontuários de pacientes com tumor periampular irressecável e que foram submetidos a procedimento paliativo no Hospital Municipal Dr José de Carvalho Florence nos últimos cinco anos. Resultados: O principal tumor periampular foi o de cabeça de pâncreas, com incidência de 94%, acometendo pacientes com média de 66 anos, sem preferência por sexo. Os procedimentos mais realizados foram derivação biliar e colocação de endoprótese através de colangiopancreatografia endoscópica retrógrada, apresentando sobrevidas de 586 e 56 dias, respectivamente. Conclusão: A coledocojejunostomia foi o procedimento mais realizado e apresentou menor tempo de internação e maiores sobrevida e tempo de permanência anictérico. Pneumonia foi a complicação mais frequente. Palavras chave: Câncer pancreático, Colangiocarcinoma, Cuidados paliativos. Objective: To evaluate different palliative methods concerning its resolution, complications and survival in patients with unresectable periampular tumor. Materials and methods: Retrospective study analysing records of patients with unresectable periampullary tumor and who underwent palliative procedure in the Hospital Municipal Dr José de Carvalho Florence in the past five years. Results: The main periampullary tumor was the head of the pancreas, with an incidence of 94%, affecting patients with an average of 66 years old, regardless of gender. The most common procedures were bypass and biliary stent, with survival rates of 586 and 56 days, respectively. Conclusion: Coledocojejunostomy was the procedure which was the most often performed and showed a shorter hospital stay and longer survival time and time without jaundice. Pneumonia was the main complication. Keywords: Pancreatic cancer, Cholangiocarcinoma, Palliative care

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Competency-Based Education in Minimally Invasive and Robotic Colorectal Surgery

Clinics in Colon and Rectal Surgery ◽

10.1055/s-0040-1718683 ◽

2021 ◽

Vol 34 (03) ◽

pp. 155-162

Author(s):

Marisa Louridas ◽

Sandra de Montbrun

Keyword(s):

Minimally Invasive ◽

Technical Skill ◽

Assessment Tools ◽

Independent Practice ◽

Competency Based Education ◽

The Past ◽

Robotic Colorectal Surgery ◽

Competency Based ◽

Colorectal Surgeons ◽

Educational Paradigm

AbstractMinimally invasive and robotic techniques have become increasingly implemented into surgical practice and are now an essential part of the foundational skills of training colorectal surgeons. Over the past 5 years there has been a shift in the surgical educational paradigm toward competency-based education (CBE). CBE recognizes that trainees learn at different rates but regardless, are required to meet a competent threshold of performance prior to independent practice. Thus, CBE attempts to replace the traditional “time” endpoint of training with “performance.” Although conceptually sensible, implementing CBE has proven challenging. This article will define competence, outline appropriate assessment tools to assess technical skill, and review the literature on the number of cases required to achieve competence in colorectal procedures while outlining the barriers to implementing CBE.

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Does a high BMI affect the outcome of minimally invasive TLIF? A retrospective study of 207 patients

European Spine Journal ◽

10.1007/s00586-021-06907-z ◽

2021 ◽

Author(s):

Ayush Sharma ◽

Akash Shakya ◽

Vijay Singh ◽

Nilesh Mangale ◽

Ghanshyam Kakadiya ◽

...

Keyword(s):

Retrospective Study ◽

Minimally Invasive ◽

High Bmi

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Felid Cardiopulmonary Nematodes: Dilemmas Solved and New Questions Posed

Pathogens ◽

10.3390/pathogens10010030 ◽

2021 ◽

Vol 10 (1) ◽

pp. 30

Author(s):

Donato Traversa ◽

Simone Morelli ◽

Angela Di Cesare ◽

Anastasia Diakou

Keyword(s):

Respiratory Infections ◽

Small Animal ◽

Biological Information ◽

Scientific Debate ◽

The Past ◽

Research Perspectives ◽

Unexpected Findings ◽

New Research ◽

Alternative Routes ◽

Applied Knowledge

In the past decade cardiopulmonary nematodes affecting felids have become a core research topic in small animal parasitology. In the late 2000s, an increase in studies was followed by unexpected findings in the early 2010s, which have stimulated research teams to start investigating these intriguing parasites. Prolific scientific debate and exchanges have then fostered field and laboratory studies and epi-zootiological surveys. New data have improved basic and applied knowledge, solved dilemmas and posed new questions. This article discusses the past and present background to felid cardiopulmonary nematodes after the last few years of intense scientific research. New data which have demonstrated the key role of Aelurostrongylus abstrusus and Troglostrongylus brevior in causing respiratory infections in domestic cats, and on the nil to negligible current importance of other species, i.e., Troglostrongylus subcrenatus, Oslerus rostratus and Angiostrongylus chabaudi, are presented. Biological information and hypothesized alternative routes of infection are analysed and discussed. Novel identification and taxonomical data and issues are reported and commented upon. On the whole, recent biological, ecological and epi-zootiological information on felid meta-strongyloids is critically analysed, with the aim to answer outstanding questions, stimulate future studies, and underline new research perspectives.

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Proctorship in Minimally Invasive Colorectal Surgery

Clinics in Colon and Rectal Surgery ◽

10.1055/s-0040-1722765 ◽

2021 ◽

Vol 34 (03) ◽

pp. 186-193

Author(s):

Assad Zahid ◽

Danilo Miskovic

Keyword(s):

Quality Control ◽

Colorectal Surgery ◽

Minimally Invasive ◽

Emerging Technology ◽

Specific Technique ◽

Novel Technique ◽

The Past ◽

Or Groups ◽

Minimally Invasive Colorectal Surgery ◽

Teaching Programs

AbstractTeaching an established surgeon in a novel technique by a colleague who has acquired a level of expertise is often referred to as “proctoring” or “precepting.” Surgical preceptorships can be defined as supervised teaching programs, whereby individual or groups of surgeons (proctors) experienced in a certain technique support a colleague who wants to adopt this technique (sometimes referred to as “delegates” or “preceptees”). Preceptorship programs really focus on a specific technique, technology, or skill which is required to broaden, complement, or transform an established surgeon's practice.Within colorectal surgery, in the past 30 years, there is been an evolution of interventional options including open, laparoscopic, robotic, and endoscopic procedures. With each new emerging technology and technique, safe and effective uptake by established surgeons is best been attained by a period of proctorship by an experienced colleague. Formalizing this has been facilitated largely through industry support. There, however, remains a considerable chasm when it comes to standardization, quality control, and jurisprudence.This article aims to describe the requirements for a contemporary proctorship program, to examine instruments of quality control, and how to improve effectiveness.

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