Technical Considerations for Bipolar Enbloc Resection of Bladder Tumors

Videourology ◽  
2020 ◽  
Author(s):  
Shu Hui Neo ◽  
Yong Wei Lim ◽  
Palaniappan Sundaram ◽  
Lianne Ai Ling Lee ◽  
Lui Shiong Lee
Keyword(s):  
Bladder Tumors ◽  
Enbloc Resection ◽  
Technical Considerations

1086: Cystoscopic Optical Coherence Tomography in Diagnosis and Management of Clinical Bladder Tumors

2007 ◽  
Vol 177 (4S) ◽  
pp. 358-359 ◽  
Author(s):  
Christopher S. Lee ◽  
Alek Mishail ◽  
Jason M. Kim ◽  
Alexander Kirshenbaum ◽  
Howard L. Adler ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Optical Coherence ◽  
Bladder Tumors ◽  
Diagnosis And Management

744: Grade Concordance of Urothelial Tumors of the Upper Tracts with Bladder Tumors

2006 ◽  
Vol 175 (4S) ◽  
pp. 242-242
Author(s):  
Ashraf Abusamra ◽  
Mazen Abdelhady ◽  
Ben H. Chew ◽  
Jonathan I. Izawa ◽  
Stephen E. Pautler ◽  
...  
Keyword(s):  
Bladder Tumors ◽  
Urothelial Tumors

V1390: Laparoscopic Partial Nephrectomy: Technical Considerations and Pitfalls in Complex Cases

2007 ◽  
Vol 177 (4S) ◽  
pp. 458-458
Author(s):  
Erik P. Castle ◽  
Michael E. Woods ◽  
Raju Thomas ◽  
Rodney Davis
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Technical Considerations ◽  
Complex Cases

Comparison of Endoscopic Versus Percutaneous Approach (Blind) to Control the Obturator Jerk in Patients Undergoing Transurethral Resection of Bladder Tumors Under Spinal Anesthesia

2020 ◽  
Vol 21 (2) ◽  
pp. 120-126
Author(s):  
Alamgir Md ◽  
Karim Km Monwarul ◽  
Nandy SP ◽  
Md Monwar Ul Haque ◽  
Sakhawat Mahmud Khan
Keyword(s):  
Statistical Analysis ◽  
Spinal Anesthesia ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Complete Resection ◽  
Satisfaction Level ◽  
Bladder Tumors ◽  
Percutaneous Approach ◽  
Group A ◽  
Group B

Objective: The aim of the study was to compare the endoscopic versus percutaneous approach (blind) to control the obturator jerk in patients undergoing transurethral resection of bladder tumors under spinal anesthesia. Materials and methods: A prospective observational study was performed in Department of Urology, Chittagong Medical College, Chittagong and some Private Hospitals (Ltd.) in Chittagong city during the period from January 2016 to June 2016. Total 100 patients were grouped into two, on alternate basis. Fifty(50) patients in group- A conducted with endoscopic infiltration with 20ml of injection 2% lignocaine at the bladder tumor base and another 50 patients in group-B, conducted with blind percutaneous technique with same drug and volume ( 20ml inj.2% lignocaine) to control obturator jerk. Severity of obturator jerk in both procedure, percentage of complete resection, ONB procedure related time, ONB procedure related complications and surgeon’s satisfaction level were recorded and compared between two approaches. Chi-square analysis was performed to compare the ease of approach and outcome of the two techniques. A value of P<0.05 was considered statistically significant. Results: The mean age of the patients were 59.44+7.681. In group-A, 50 patients were given inj. 2% lignocaine endoscopically at the bladder tumor base to control obturator jerk. Twenty five patients (50%) had no jerk, 20 patients(40%) developed mild jerk and 5 patients (10%) developed moderate jerk and no patients developed severe jerk. Second attempt was taken in moderate jerk patients (5 patients) and succeeded in 3(6%) patients. So, in this group, complete resection of bladder tumor was possible in 96%. In group B, complete resection of bladder tumor was possible in 84%. Statistical analysis was done and result is significant in case of endoscopic procedure to control obturator jerk(p<0.05). ONB Procedure related time was <20 mins. in 32(64%) patients in group-A and 45 (90%) patients in group- B. 20 mins. or more time was required for 18 (36%) patients in group-A and 5 (10%) patients in group-B. Statistical analysis was done and result is significant in percutaneous (blind) technique (p<0.05). ONB procedure related complications in group-A and Group –B were noted. Statistical analysis was done and result is insignificant (p>0.05). Surgeons satisfaction level were recorded on the basis of obturator jerk block and complete resection and which was statistically significant in favour of endoscopy group (p<0.05). Conclusion: It is concluded that endoscopic injection of 2% lignocaine into the bladder tumor base is better in case of jerk elimination and complete resection than blind percutaneous approach. Though, ONB procedure related time was significantly less in percutaneous group. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.120-126

Congestion Management in Restructured Power Systems with Economic and Technical Considerations

2019 ◽  
Vol 1 (1) ◽  
pp. 41-46
Author(s):  
Manikandan R ◽  
Kavya P ◽  
Shalini R
Keyword(s):  
Power Systems ◽  
Developed Countries ◽  
Congestion Management ◽  
Power Demand ◽  
Independent System ◽  
Deregulated Power System ◽  
Independent System Operator ◽  
System Operator ◽  
Management Techniques ◽  
Technical Considerations

In this paper, restructuring of monopolistic power systems is inevitable in this day and age to cope up with the radical growth of power demand. In developed countries restructuring is already in place while developing countries are getting accustomed to it. Above and beyond the benefits to customers in terms of economy and quality, there are several challenges prevailing particularly in transmission while exercising deregulation. The foremost challenging task of Independent System Operator (ISO) is managing the transmission line congestion in a deregulated power system. In most of the congestion management techniques, only the economic aspects are considered. The minimum voltage derivation for electronic industries and acceptable voltage derivation for high power applications are considered with suitable weighting factors in the objective function.

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