scholarly journals Hemorrhagic Complications of Minimally Invasive Urological Surgeries, Treated with Selective Endovascular Embolization

2007 ◽  
Vol 7 ◽  
pp. 784-788
Author(s):  
Sarel Halachmi ◽  
Amos Ofer ◽  
Eduard Gershin ◽  
Ahuva Engel ◽  
Shimon Meretyk
Keyword(s):  
Minimally Invasive ◽  
Open Surgery ◽  
Kidney Tissue ◽  
Case Series ◽  
Endovascular Embolization ◽  
Angiographic Embolization ◽  
Hemorrhagic Complications ◽  
Life Threatening ◽  
Urological Procedures ◽  
Risk Of Hemorrhage

Minimally invasive urological procedures have gained in popularity and replaced open surgery in various urological procedures. Although considered minimally invasive, these procedures are not free from complications, and life-threatening hemorrhage may occur. Herein we describe 3 case series of patients who underwent minimally invasive urological surgeries that were complicated with bleeding. In all 3 patients we used super selective angiographic embolization to stop hemorrhage. Minimally invasive urological surgeries carry the risk of hemorrhage, and patients should be informed about this possibility. In hemodynnmic stable patients endovascular embolization allowed bleeding cessation with maximal preservation of the bleeding kidney tissue.

scholarly journals Life-threatening spontaneous hematoma of the chest wall treated with packing and delayed chest closure

2019 ◽  
pp. 01-03
Author(s):  
Francesco Mongelli ◽  
Francesco Proietti ◽  
Miriam Patella ◽  
Stefano Cafarotti
Keyword(s):  
Conservative Treatment ◽  
Minimally Invasive ◽  
Surgical Intervention ◽  
Endovascular Embolization ◽  
Minimally Invasive Techniques ◽  
Life Threatening ◽  
Thoracic And Abdominal ◽  
Invasive Techniques ◽  
Anticoagulated Patients ◽  
Spontaneous Hematoma

Bleeding of the thoracic and abdominal wall most commonly occur in anticoagulated patients [1]. The management is based on anticoagulant therapy reversal which is mostly effective [2]. If conservative treatment is insufficient, good results are provided by endovascular embolization techniques [2,3]. The need of surgical intervention is extremely rare and limited to cases in which minimally invasive techniques are unsuccessful or somehow contraindicated [4].

scholarly journals Minimally invasive treatment of gynecomastia by ultrasound-guided vacuum-assisted excision: report of a case series

Mastology ◽  
2021 ◽  
Vol 31 ◽  
Author(s):  
Henrique Lima Couto ◽  
Carolina Nazareth Valadares ◽  
Osmar Pellegrini Junior ◽  
Tereza Cristina Ferreira de Oliveira ◽  
Patricia Martins Gomes El Bacha ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Approach ◽  
Open Surgery ◽  
Breast Biopsy ◽  
Case Series ◽  
Ultrasound Guided ◽  
Invasive Treatment ◽  
Nipple Areola Complex ◽  
Areola Complex ◽  
Patient Reported

Introduction: Gynecomastia (GM) is a benign proliferation of glandular breast tissue in men. Some cases need surgical intervention. Traditional open surgery by semicircular inferior periareolar incision is the most common surgical approach. In order to obtain better esthetic results, some alternatives to open surgery have been proposed, such as liposuction, endoscopic mastectomy, and vacuum-assisted excision (VAE). Objective: To describe the technical surgical approach of ultrasound-guided VAE of GM and its results from a case series. Method: This is an evaluation of seven GM cases submitted to ultrasound-guided VAE with a 10G needle using the ENCOR® BD whole circumference automated breast biopsy system in Redimasto – Redimama, a Brazilian breast center. The result was considered good or satisfactory when it showed minimal remaining gland, good symmetry, no retraction, necrosis, hypertrophic scar, or displacement of the nipple-areola complex. All patients answered a questionnaire to evaluate their satisfaction and perception of the procedure. Results: Seven (7) patients with Simon grade 1 and 2 bilateral GM underwent ultrasound-guided VAE. No case of displacement, necrosis, or retraction of the nipple-areola complex, post-procedure bleeding, infection, skin necrosis, or asymmetry was detected. No patient reported decrease or change in nipple sensation or erection. All patients had bruises and hematomas that spontaneously resolved within 30 days. All results were considered good or excellent by patients and surgeons. Conclusion: Minimally invasive ultrasound-guided VAE is an excellent alternative for the treatment of GM. It is better indicated for Simon grade 1 and 2 GM, with good and excellent esthetic results, small scar, and low rates of nipple and areolar complications. It allows an outpatient procedure with low morbidity (local anesthesia) and fast recovery.

scholarly journals Life-Threatening Retroperitoneal Hematoma in a Patient with COVID-19

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Monarch Shah ◽  
John Paul Colombo ◽  
Sanya Chandna ◽  
Haris Rana
Keyword(s):  
Respiratory Illness ◽  
Suspected Case ◽  
Retroperitoneal Hemorrhage ◽  
Active Monitoring ◽  
Safety And Efficacy ◽  
Optimal Dosing ◽  
Therapeutic Anticoagulation ◽  
Hemorrhagic Complications ◽  
Life Threatening ◽  
Risk Of Hemorrhage

COVID-19 is a respiratory illness that affects the human body in many different ways. The disease carries both thrombotic and hemorrhagic complications, especially in those patients who are anticoagulated to prevent the thromboembolic manifestations. In this report, we discuss a case of retroperitoneal hemorrhage in a patient treated with therapeutic anticoagulation which ultimately led to the patient’s death. The literature highlights the importance of anticoagulation because it reduces mortality in patients hospitalized with COVID-19. Although, more recent studies suggest that patients treated with therapeutic anticoagulation are at a higher risk of hemorrhage and increased mortality. Therefore, our case stresses the importance of active monitoring of these patients to detect any suspected case of hemorrhage early to reduce mortality. Overall, more research should be conducted to determine the optimal dosing of anticoagulation that balances safety and efficacy.

scholarly journals Hemorrhagic Complications of Minimally Invasive Urological Surgeries, Treated with Selective Endovascular Embolization

TSW Urology ◽  
2007 ◽  
Vol 2 ◽  
pp. 58-62
Author(s):  
Saral Halachmi ◽  
Amos Ofer ◽  
Eduard Gershin ◽  
Ahuva Engel ◽  
Shimon Meretyk
Keyword(s):  
Minimally Invasive ◽  
Endovascular Embolization ◽  
Hemorrhagic Complications

scholarly journals Endoscopic minimally invasive transforaminal interbody fusion without general anesthesia: initial clinical experience with 1-year follow-up

2016 ◽  
Vol 40 (2) ◽  
pp. E13 ◽  
Author(s):  
Michael Y. Wang ◽  
Jay Grossman
Keyword(s):  
Minimally Invasive ◽  
General Anesthesia ◽  
Open Surgery ◽  
Interbody Fusion ◽  
Short Form ◽  
Case Series ◽  
Sf 36 ◽  
Clinical Series ◽  
The Mean

OBJECTIVE One of the principal goals of minimally invasive surgery has been to speed postoperative recovery. In this case series, the authors used an endoscopic technique for interbody fusion combined with percutaneous screw fixation to obviate the need for general anesthesia. METHODS The first 10 consecutive patients treated with a minimum of 1 year's follow-up were included in this series. The patients were all treated using endoscopic access through Kambin's triangle to allow for neural decompression, discectomy, endplate preparation, and interbody fusion. This was followed by percutaneous pedicle screw and connecting rod placement using liposomal bupivacaine for long-acting analgesia. No narcotics or regional anesthetics were used during surgery. RESULTS All patients underwent the procedure successfully without conversion to open surgery. The patients' average age was 62.2 ± 9.0 years (range 52–78 years). All patients had severe disc height collapse, and 60% had a Grade I spondylolisthesis. The mean operative time was 113.5 ± 6.3 minutes (range 105–120 minutes), and blood loss was 65 ± 38 ml (range 30–190 ml). The mean length of hospital stay was 1.4 ± 1.3 nights. There were no intraoperative or postoperative complications. Comparison of preoperative and final clinical metrics demonstrated that the Oswestry Disability Index improved from 42 ± 11.8 to 13.3 ± 15.1; the 36-Item Short Form Health Survey (SF-36) Physical Component Summary improved from 47.6 ± 3.8 to 49.7 ± 5.4; the SF-36 Mental Component Summary decreased from 47 ± 3.9 to 46.7 ± 3.4; and the EQ-5D improved from 10.7 ± 9.5 to 14.2 ± 1.6. There were no cases of nonunion identified radiographically on follow-up imaging. CONCLUSIONS Endoscopic fusion under conscious sedation may represent a feasible alternative to traditional lumbar spine fusion in select patients. Larger clinical series are necessary to validate that clinical improvements are sustained and that arthrodesis rates are successful when compared with open surgery. This initial experience demonstrates the possible utility of this procedure.

Aumento de coroa estética sem elevação de retalho – abordagem minimamente invasiva

2020 ◽  
Vol 12 (45) ◽  
pp. 34-39
Author(s):  
Flavia Sukekava ◽  
Julia Helena Luiz ◽  
Paloma Palma ◽  
Jaques Luiz
Keyword(s):  
Minimally Invasive ◽  
Correct Diagnosis ◽  
Case Series ◽  
Minimally Invasive Techniques ◽  
Bone Removal ◽  
Use Of Technology ◽  
Treatment Plans ◽  
Invasive Techniques ◽  
Crown Lengthening ◽  
Gummy Smile

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

scholarly journals Case Series of Three Patients with Rifampicin-Induced Thrombocytopenia

2020 ◽  
Author(s):  
Chandramouli M.T
Keyword(s):  
Pulmonary Tuberculosis ◽  
Adverse Reactions ◽  
Rare Complication ◽  
Case Series ◽  
Tuberculosis Treatment ◽  
Effective Drug ◽  
Antitubercular Drugs ◽  
Short Course ◽  
Life Threatening

AbstractLife-threatening adverse reactions of antitubercular drugs are uncommon; however, thrombocytopenia is one such rare complication encountered with rifampicin, isoniazid, ethambutol, and pyrazinamide. Rifampicin is the most effective drug and its use in the tuberculosis treatment led to the emergence of modern and effective short-course regimens. I am reporting case series of three patients with pulmonary tuberculosis presented with rifampicin-induced thrombocytopenia.

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