scholarly journals 1. STA-MCA bypass (M2-B Basic technique and pitfalls of vascular reconstruction surgery)

2004 ◽  
Vol 13 (4) ◽  
pp. 323
Author(s):  
Kiyohiro Houkin
2019 ◽  
Vol 56 (2) ◽  
pp. 405-408
Author(s):  
Cristina Tudoran ◽  
Mariana Tudoran ◽  
Tudor Ciocarlie ◽  
Catalina Giurgi-Oncu ◽  
Dana Velimirovici ◽  
...  

Aortic aneurysm (AA) and especially dissecting aneurism (DAA) represent life threatening medical conditions and vascular reconstruction surgery with the insertion of a vascular prosthetic grafts is often required to save patients life. In this paper we debate over the long term outcome of 23 patients who underwent five to eight years ago an aortic reconstruction surgery with insertion of Dacron grafts. They attended, during 2018, the emergency room of the County Emergency Hospital Pius Brinzeu of Timisoara in terms of patency complications of the prosthesis. Despite slight dilatation of the Dacron graft and of the native aorta, presence of mural thrombi and/or progress of aortic regurgitation, their evolution was satisfactory, without severe complications.


2017 ◽  
pp. 437-446
Author(s):  
Maria Ciesielska

Men’s circumcision is in many countries considered as a hygienic-cosmetic or aesthetic treatment. However, it still remains in close connection with religious rites (Judaism, Islam) and is still practiced all over the world. During the Second World War the visible effects of circumcision became an indisputable evidence of being a Jew and were often used especially by the so-called szmalcownicy (blackmailers). Fear of the possibility of discovering as non-Aryan prompted many Jews hiding on the so-called Aryan side of Warsaw to seek medical practitioners who would restore the condition as it was before the circumcision. The reconstruction surgery was called in surgical jargon “knife baptizing”. Almost all of the procedures were performed by Aryan doctors although four cases of hiding Jewish doctors participating in such procedures are known. Surgical technique consisted of the surgical formation of a new foreskin after tissue preparation and stretching it by manual treatment. The success of the repair operation depended on the patient’s cooperation with the doctor, the worst result was in children. The physicians described in the article and the operating technique are probably only a fragment of a broader activity, described meticulously by only one of the doctors – Dr. Janusz Skórski. This work is an attempt to describe the phenomenon based on the very scanty source material, but it seems to be the first such attempt for several decades.


2018 ◽  
Vol 2 (3) ◽  
pp. 429
Author(s):  
Abd. Mulud

This research is motivated by the low ability of basic technique of playing the students' grate V.A SDN 002Pantai Cermin Kabupaten Kampar. This study aims to improve the basic techniques of playing kasti throughcooperative learning methods paired type students class V.A SDN 002 Pantai Cermin Kampar District. Thesubjects of this study are students of class V.A SDN 002 Pantai Cermin Kabupaten Kampar with the number ofstudents as many as 28 people. The form of research is classroom action research. The instrument of thisresearch consisted of performance instrument and data collection instrument in the form of observation sheet ofteacher activity and student activity. The basic technique ability to play with cooperative method of paired typelearning in VA VAN 002 Pantai Cermin Kabupaten Kabupaten Kampar average of basic technique ability toplay the students' census on the initial test is categorized less with percentage 48,9%, in cycle I increase to68,4% with sufficient category whereas in cycle II the average ability of students is categorized very high with90.8% percentage. The cassical completeness specified in this study that 80% of students have been declaredthoroughly achieved. The conclusion of this research is the application of cooperative learning method pair typecan improve basic technique of playing kasti.


Author(s):  
Igor Belokrylov ◽  
Semen Semikov

At the present stage psychodynamic (psychoanalytic) psychotherapy is one of the most commonly used methods of psychological treatment and somatoform disorders (SFR), second only to cognitive-behavioral psychotherapy. The trends of the method technology are the following: focusing interventions on the most important pathogenetic mechanisms of SFR, short-form preference, distant treatment via the Internet, combining the basic technique with nonanalytical methods (in particular, hypnosis). The studies highlighted in the review provide reliable information about the effectiveness of the psychodynamic psychotherapy of SFR, however currently the evidence database on this issue is not sufficient and needs to be replenished.


2013 ◽  
Vol 32 (7) ◽  
pp. 738-741
Author(s):  
Min-hui ZHU ◽  
Hong-liang ZHENG ◽  
Shi-cai CHEN ◽  
Dong-hui CHEN

Cancers ◽  
2021 ◽  
Vol 13 (15) ◽  
pp. 3735
Author(s):  
Roberta Angelico ◽  
Bruno Sensi ◽  
Alessandro Parente ◽  
Leandro Siragusa ◽  
Carlo Gazia ◽  
...  

Cholangiocarcinoma (CCA) is an aggressive malignancy of the biliary tract. To date, surgical treatment remains the only hope for definitive cure of CCA patients. Involvement of major vascular structures was traditionally considered a contraindication for resection. Nowadays, selected cases of CCA with vascular involvement can be successfully approached. Intrahepatic CCA often involves the major hepatic veins or the inferior vena cava and might necessitate complete vascular exclusion, in situ hypothermic perfusion, ex situ surgery and reconstruction with autologous, heterologous or synthetic grafts. Hilar CCA more frequently involves the portal vein and hepatic artery. Resection and reconstruction of the portal vein is now considered a relatively safe and beneficial technique, and it is accepted as a standard option either with direct anastomosis or jump grafts. However, hepatic artery resection remains controversial; despite accumulating positive reports, the procedure remains technically challenging with increased rates of morbidity. When arterial reconstruction is not possible, arterio-portal shunting may offer salvage, while sometimes an efficient collateral system could bypass the need for arterial reconstructions. Keys to achieve success are represented by accurate selection of patients in high-volume referral centres, adequate technical skills and eclectic knowledge of the various possibilities for vascular reconstruction.


Author(s):  
E A Guneri ◽  
A Cakir Cetin

Abstract Objective To compare the results of endoscopic and microscopic ossicular chain reconstruction surgery. Methods Patients undergoing ossicular chain reconstruction surgery via an endoscopic (n = 31) or microscopic (n = 34) technique were analysed for age, gender, Middle Ear Risk Index, ossicular chain defect, incision type, ossicular chain reconstruction surgery material, mean air conduction threshold, air–bone gap, air–bone gap gain, word recognition score, mean operation duration and mean post-operative follow up. Results Post-operative air conduction, air–bone gap and word recognition score improved significantly in both groups (within-subject p < 0.001 for air conduction and air–bone gap, and 0.026 for word recognition score); differences between groups were not significant (between-subject p = 0.192 for air conduction, 0.102 for air–bone gap, and 0.709 for word recognition score). Other parameters were similar between groups, except for incision type. However, endoscopic ossicular chain reconstruction surgery was associated with a significantly shorter operation duration (p < 0.001). Conclusion Endoscopic ossicular chain reconstruction surgery can achieve comparable surgical and audiological outcomes to those of microscopic ossicular chain reconstruction surgery in a shorter time.


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