Combination of on-demand sedation, water exchange, cap-assisted colonoscopy and underwater polypectomy - a novel approach of minimally invasive colonoscopy and polypectomy associated with plausible increased value for screening

2015 ◽  
Vol 5 (1) ◽  
pp. 41 ◽  
Author(s):  
Felix W Leung ◽  
Keyword(s):  
Minimally Invasive ◽  
Water Exchange ◽  
On Demand ◽  
Novel Approach

A Novel Approach to Inguinal Seroma after Minimally Invasive Mitral Valve Surgery

2021 ◽  
Author(s):  
F. Lakew ◽  
W. Hohenberger ◽  
A. Jankulovki ◽  
P. Perier ◽  
A. Diegeler
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Novel Approach

Tissue Engineered Successful Reconstruction of a Complex Traumatized Lower Extremity

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Srinjoy Saha
Keyword(s):  
Minimally Invasive ◽  
Soft Tissues ◽  
Platelet Rich Plasma ◽  
Thigh Muscle ◽  
Muscle Injuries ◽  
Invasive Approach ◽  
Novel Approach ◽  
Duration Of Surgery ◽  
Biomaterial Application ◽  
Split Skin

Introduction: Tissue engineered reconstruction is a minimally invasive approach for healing major complex wounds successfully. It combines accurate, conservative debridement with a specially adapted suction method, platelet-rich plasma (PRP) injections, and biomaterial application to salvage injured tissues and grows new soft tissues over wounds. Case Report: A healthy young man in his early 30s presented to our emergency department with complex knee-thigh injuries following a high-velocity automobile accident. Degloved anterolateral thigh, severe thigh muscle injuries, and ruptured extensor patellar mechanism were observed. Accurate conservative (as opposed to radical) debridement and PRP injections salvaged the injured muscles and tendons. Specially carved reticulated foam wrapped around the injured ischemic muscles, followed by low negative, short intermittent, cyclical suction therapy. Wound exploration 4 days apart revealed progressive improvements with considerable vascularization of the injured soft tissues within 2 weeks. Thereafter, meticulous reconstruction of the salvaged muscles and tendons restored anatomical congruity. An absorbable synthetic biomaterial covered the sizeable open wound with vast areas of exposed tendons. Five weeks later, exuberant granulating tissue ingrowth within the biomaterial filled up the tissue defect. A split-skin graft covered the remaining raw areas, which “took” completely. Early rehabilitation enabled the patient to return to active work, play contact sports, and perform strenuous activities effortlessly. Conclusion: Minimally invasive tissue engineered reconstruction is a novel approach using a series of simple minimally invasive procedures. It lessens the duration of surgery and anesthesia, maximizes soft-tissue salvage, lowers morbidity, minimizes hospitalization, saves costs, and improves the patient’s quality of life significantly. Keywords: Mangled extremity, Limb salvage, Financial, Trauma, Modified negative pres

A novel approach for minimally invasive everted esophagectomy in pigs

2017 ◽  
Vol 2 ◽  
pp. 11-11
Author(s):  
Yong Zhang ◽  
Shuo Li ◽  
Haiqi He ◽  
Lei Ma ◽  
Xiaomei Yang ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Novel 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 Restoring the unrestorable! Developing coronal tooth tissue with a minimally invasive surgical extrusion technique

BDJ ◽  
2019 ◽  
Vol 226 (10) ◽  
pp. 789-793 ◽  
Author(s):  
Thomas Dietrich ◽  
Ralf Krug ◽  
Gabriel Krastl ◽  
Phillip L. Tomson
Keyword(s):  
Minimally Invasive ◽  
Traumatic Injury ◽  
Tooth Structure ◽  
Advantages And Disadvantages ◽  
Minimally Invasive Surgical ◽  
Novel Approach ◽  
Alternative Approaches ◽  
Orthodontic Extrusion ◽  
Tooth Tissue ◽  
Crown Lengthening

Abstract Surgical extrusion is a recognised treatment option for teeth that have insufficient coronal tooth structure remaining due to deep caries, resorption or traumatic injury. However, the technique has not been widely adopted, arguably because extraction of a severely compromised tooth may be difficult to achieve in a gentle and predictable way. In this paper, we present our novel approach to surgical extrusion and subsequent management of teeth using a vertical extraction system (Benex), which has become the method of choice in the authors' practice for many teeth that would otherwise be deemed unrestorable. We describe the clinical procedure in detail and discuss the advantages and disadvantages compared to alternative approaches, including surgical crown lengthening and orthodontic extrusion.

scholarly journals Current Advancements in Transdermal Biosensing and Targeted Drug Delivery

Sensors ◽  
2019 ◽  
Vol 19 (5) ◽  
pp. 1028 ◽  
Author(s):  
Prem Pandey ◽  
Shubhangi Shukla ◽  
Shelby Skoog ◽  
Ryan Boehm ◽  
Roger Narayan
Keyword(s):  
Drug Delivery ◽  
Minimally Invasive ◽  
Targeted Drug Delivery ◽  
Reverse Iontophoresis ◽  
Drug Molecules ◽  
Amphiphilic Drug ◽  
Novel Approach ◽  
Barrier To Entry ◽  
And Performance ◽  
Iontophoretic Delivery

In this manuscript, recent advancements in the area of minimally-invasive transdermal biosensing and drug delivery are reviewed. The administration of therapeutic entities through the skin is complicated by the stratum corneum layer, which serves as a barrier to entry and retards bioavailability. A variety of strategies have been adopted for the enhancement of transdermal permeation for drug delivery and biosensing of various substances. Physical techniques such as iontophoresis, reverse iontophoresis, electroporation, and microneedles offer (a) electrical amplification for transdermal sensing of biomolecules and (b) transport of amphiphilic drug molecules to the targeted site in a minimally invasive manner. Iontophoretic delivery involves the application of low currents to the skin as well as the migration of polarized and neutral molecules across it. Transdermal biosensing via microneedles has emerged as a novel approach to replace hypodermic needles. In addition, microneedles have facilitated minimally invasive detection of analytes in body fluids. This review considers recent innovations in the structure and performance of transdermal systems.

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