Diffusing Fibre Tip for the Minimally Invasive Treatment of Liver Tumours by Interstitial Laser Coagulation (ILC): An Experimental Ex Vivo Study

1999 ◽  
Vol 14 (1) ◽  
pp. 32-39 ◽  
Author(s):  
C.T. Germer ◽  
D. Albrecht ◽  
C. Isbert ◽  
J. Ritz ◽  
A. Roggan ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Ex Vivo ◽  
Minimally Invasive Treatment ◽  
Laser Coagulation ◽  
Invasive Treatment ◽  
Liver Tumours ◽  
Interstitial Laser ◽  
Ex Vivo Study

scholarly journals MULTISTAGE MINIMALLY INVASIVE TREATMENT FOR PERIANAL ABSCESS

2020 ◽  
Vol 19 (2) ◽  
pp. 83-90
Author(s):  
A. G. Khitaryan ◽  
A. Z. Alibekov ◽  
S. A. Kovalev ◽  
A. A. Orekhov ◽  
Abdallah Ousmane ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Perianal Abscess ◽  
Advancement Flap ◽  
Complete Healing ◽  
Minimally Invasive Treatment ◽  
Laser Coagulation ◽  
Invasive Treatment ◽  
Internal Fistula ◽  
Results Of Treatment ◽  
Seton Drainage

AIM: to improve the results of treatment for perianal abscess using ultrasound navigation, seton drainage of the internal fistula and subsequent minimally invasive treatment of fistula.PATIENTS AND METHODS: seventy-two patients with perianal abscess were included in cohort retrospective study. At the first stage the abscess opening and seton under ultrasound navigation with contrast was performed. On the second stage the FiLaC procedure was performed. RESULTS: follow-up was 8-14 weeks, 29 (53.7%) patients had subcutaneous or submucosal seton displacement, while 8 (11.1%) produced complete healing. Twenty-one (29.2%) patients required fistulectomy. In 25 (46.3%) patients, intra- and transsphincteric fistulas were detected in 18 (33.3%) and 7 (12.9%) cases, respectively. All these patients underwent laser coagulation of the fistula. After a single laser coagulation, fistula healing within 4 weeks was found in 19 (76.0%) patients. Six (24.0%) patients underwent second laser coagulation of the fistula, while healing was observed in 2 (8.0%) patients. Four (16.0%) patients after second coagulation produced recurrence and have underwent surgery (LIFT procedure or advancement flap).CONCLUSION: perianal abscess opening with seton provides recovery in 14.8% and produces «ideal» fistula for laser ablation in 46.2% within 10-14 weeks after. Multistage minimally multistage approach provides healing and not affects anal continence in 84.0%.

scholarly journals EAU, AUA and NICE Guidelines on Surgical and Minimally Invasive Treatment of Benign Prostate Hyperplasia: A Critical Appraisal of the Guidelines Using the AGREE-II Tool

2021 ◽  
pp. 1-10
Author(s):  
Dmitry Enikeev ◽  
Vincent Misrai ◽  
Enrique Rijo ◽  
Roman Sukhanov ◽  
Denis Chinenov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Treatment Options ◽  
Stakeholder Involvement ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Agree Ii ◽  
Prostate Hyperplasia ◽  
Assessment Score ◽  
Nice Guideline ◽  
Agree Ii Tool

<b><i>Objective:</i></b> To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. <b><i>Methods:</i></b> The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. <b><i>Results:</i></b> According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). <b><i>Conclusions:</i></b> The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.

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