Minimally Invasive Partial Spleen Resection Preserving the Lower Pole in Children: A Technical Report on Feasibility and Safety

2021 ◽  
Author(s):  
Jozef Babala ◽  
Alessio Pini Prato ◽  
Petra Zahradnikova ◽  
Igor Beder
Keyword(s):  
Minimally Invasive ◽  
Lower Pole ◽  
Technical Report

scholarly journals Advanced Techniques for Endoscopic Intracerebral Hemorrhage Evacuation: A Technical Report With Case Examples

2020 ◽  
Vol 20 (1) ◽  
pp. 119-129
Author(s):  
Robert J Rothrock ◽  
Alexander G Chartrain ◽  
Jacopo Scaggiante ◽  
Jonathan Pan ◽  
Rui Song ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Minimally Invasive ◽  
Intracerebral Hemorrhage ◽  
Health System ◽  
Surgical Techniques ◽  
Collateral Damage ◽  
Single Center ◽  
Safety And Efficacy ◽  
Case Examples ◽  
Technical Report

Abstract BACKGROUND Multiple surgical techniques to perform minimally invasive intracerebral hemorrhage (ICH) evacuation are currently under investigation. The use of an adjunctive aspiration device permits controlled suction through an endoscope, minimizing collateral damage from the access tract. As with increased experience with any new procedure, performance of endoscopic minimally invasive ICH evacuation requires development of a unique set of operative tenets and techniques. OBJECTIVE To describe operative nuances of endoscopic minimally invasive ICH evacuation developed at a single center over an experience of 80 procedures. METHODS Endoscopic minimally invasive ICH evacuation was performed on 79 consecutive eligible patients who presented a single Health System between March 2016 and May 2018. We summarize 4 core operative tenets and 4 main techniques used in 80 procedures. RESULTS A total of 80 endoscopic minimally invasive ICH evacuations were performed utilizing the described surgical techniques. The average preoperative and postoperative volumes were 49.5 mL (standard deviation [SD] 31.1 mL, interquartile range [IQR] 30.2) and 5.4 mL (SD 9.6, mL IQR 5.1), respectively, with an average evacuation rate of 88.7%. All cause 30-d mortality was 8.9%. CONCLUSION As experience builds with endoscopic minimally invasive ICH evacuation, academic discussion of specific surgical techniques will be critical to maximizing its safety and efficacy.

scholarly journals Minimally Invasive Percutaneous Nephrolithotomy in Management of Lower Pole Renal Stones 2cm or Less

2018 ◽  
Vol 86 (12) ◽  
pp. 4525-4529
Author(s):  
MOHAMED ABD EL-WAHED, M.D.; AHMED M. SHOUMAN, M.D. ◽  
ASHRAF MOSHARAFA, M.D.; AHMED A. MORSY, M.D.
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stones ◽  
Lower Pole ◽  
Minimally Invasive Percutaneous Nephrolithotomy

scholarly journals Minimally Invasive Widening of the Facet Joints in Cervical Radiculopathy by Modified Needles: Technical Report

2015 ◽  
Vol 3 (6) ◽  
Author(s):  
GeonMok Lee ◽  
HyangJoo Lee ◽  
Yong Suk Kim ◽  
JongHyun Han ◽  
EunYong Lee ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Cervical Radiculopathy ◽  
Facet Joints ◽  
Technical Report

scholarly journals Emergent Embolization of a Very Late Detected Pseudoaneurysm at a Lower Pole Subsegmental Artery of the Kidney after Clampless Laparoscopic Partial Nephrectomy

2016 ◽  
Vol 10 (2) ◽  
pp. 105-107 ◽  
Author(s):  
Francesco Chiancone ◽  
Maurizio Fedelini ◽  
Luigi Pucci ◽  
Domenico Di Lorenzo ◽  
Clemente Meccariello ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Renal Artery ◽  
Partial Nephrectomy ◽  
Renal Tumors ◽  
Invasive Technique ◽  
Absorbable Suture ◽  
Lower Pole ◽  
Artery Pseudoaneurysm ◽  
Surgical Complexity ◽  
Renal Artery Pseudoaneurysm

Renal artery pseudoaneurysm is a rare but life-threatening condition. Its incidence is higher after minimally invasive partial nephrectomy (PN) than after the open approach. We reported a case of a renal artery pseudoaneurysm occurred about four months after a clampless laparoscopic PN. A 49-year-old female underwent a clampless laparoscopic PN for a right renal tumor with high surgical complexity. The patient experienced an intraoperative blood loss from renal bed and the surgeons performed a deep medullary absorbable suture. Three months after surgery the patient underwent a renal ultrasonography with good results. The patient came to our emergency department 115 days after surgery with a hypovolemic shock stage 3. Her CT scan showed a pseudoaneurysm of a lower pole vessel of the right kidney. She underwent a superselective embolization of the segmental renal artery. The surgical complexity of the tumor, the anatomical relationships with the renal sinus and the deep medullary suture could be responsible for the development of the pseudoaneurysm. The authors presented an unusual case of a very late detected pseudoaneurysm of a renal vessel, suggesting that all very complex renal tumors removed with a minimally invasive technique should be followed up closely at least during the first six-months in order to early detect this major complication.

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