scholarly journals Correcting Reflux Laparoscopically

1998 ◽  
Vol 12 (5) ◽  
pp. 327-332 ◽  
Author(s):  
Eric C Poulin ◽  
Christopher M Schlachta ◽  
Joseph Mamazza
Keyword(s):  
Minimally Invasive ◽  
Antireflux Surgery ◽  
Abdominal Cavity ◽  
Learning Curves ◽  
Barium Swallow ◽  
Short Esophagus ◽  
Minimally Invasive Techniques ◽  
Laparoscopic Procedures ◽  
Surgical Methods ◽  
Invasive Techniques

Most operations in the abdominal cavity and chest can be performed using minimally invasive techniques. As yet it has not been determined which laparoscopic procedures are preferable to the same operations done through conventional laparotomy. However, most surgeons who have completed the learning curves of these procedures believe that most minimally invasive techniques will be scientifically recognized soon. The evolution, validation and justification of advanced laparoscopic surgical methods seem inevitable. Most believe that the trend towards procedures that minimize or eliminate the trauma of surgery while adhering to accepted surgical principles is irreversible. The functional results of laparoscopic antireflux surgery in the seven years since its inception have been virtually identical to the success curves generated with open fundoplication in past years. Furthermore, overall patient outcomes with laparoscopic procedures have been superior to outcomes with the traditional approach. Success is determined by patient selection and operative technique. Patient evaluation should include esophagogastroduodenoscopy, barium swallow, 24 h pH study and esophageal motility study. Gastric emptying also should be evaluated. Patients who have abnormal propulsion in the esophagus should not receive a complete fundoplication (Nissen) because it adds a factor of obstruction. Dor or Toupet procedures are adequate alternatives. Prokinetic agents, dilation or pyloroplasty are used for pyloric obstruction ranging from little to more severe. Correcting reflux laparoscopically is more difficult in patients with obesity, peptic strictures, paraesophageal hernias, short esophagus, or a history of previous upper abdominal or antireflux surgery.

scholarly journals Minimally Invasive Approaches in the Thoracic Surgery

2021 ◽  
Author(s):  
Güntuğ Batıhan ◽  
Kenan Can Ceylan
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Thoracic Surgery ◽  
Invasive Surgery ◽  
Minimally Invasive Techniques ◽  
The Past ◽  
Minimally Invasive Surgical ◽  
First Choice ◽  
Surgical Methods ◽  
Invasive Techniques

Minimally invasive techniques in thoracic surgery have made great progress over the past 20 years and are still evolving. Many surgical procedures performed with large thoracotomy incisions in the past can now be performed with much smaller incisions. With many studies, the advantages of minimally invasive surgery have been clearly seen, and thus its use has become widespread worldwide. Today, minimally invasive surgical methods have become the first choice in the diagnosis and treatment of lung, pleural and mediastinal pathologies. Minimally invasive approaches in thoracic surgery include many different techniques and applications. In this chapter, current minimally invasive techniques in thoracic surgery are discussed and important points are emphasized in the light of the current literature.

scholarly journals Role of Laparoscopic Antireflux Surgery in the Management of Chronic GERD Symptoms

1999 ◽  
Vol 13 (9) ◽  
pp. 761-764 ◽  
Author(s):  
Mehran Anvari
Keyword(s):  
Minimally Invasive ◽  
Medical Therapy ◽  
Proton Pump ◽  
Antireflux Surgery ◽  
Laparoscopic Antireflux Surgery ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques ◽  
Gerd Symptoms

Since the application of minimally invasive techniques to antireflux surgery eight years ago, there has been a rapid increase in the use of laparoscopic antireflux surgery. It is increasingly used as an alternative to long term medical therapy with proton pump inhibitors. The factors responsible for the rapid popularity of this procedure are reviewed, and the choice of techniques, current indications and available literature on the outcomes of these procedures are discussed.

411 LEARNING CURVES IN MINIMALLY INVASIVE ESOPHAGECTOMY: A SYSTEMATIC REVIEW

2020 ◽  
Vol 33 (Supplement_1) ◽  
Author(s):  
P Prasad ◽  
L Wallace ◽  
M Navidi ◽  
S Wahed ◽  
A Immanuel ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Learning Curve ◽  
Minimally Invasive Esophagectomy ◽  
Learning Curves ◽  
Minimally Invasive Techniques ◽  
Robotic Assisted ◽  
Invasive Esophagectomy ◽  
Training Programmes ◽  
Meta Analyses ◽  
Invasive Techniques

Abstract   Minimally invasive techniques are being increasingly used in the treatment of esophageal cancer. The learning curve for minimally invasive esophagectomy (MIE) is variable and can have an impact upon training delivered within residency and fellowship programmes. The aims of this review are to critically appraise current literature on the learning curve for MIE, identify what parameter(s) is used to quantify achieving competence and determine if there is evidence of resultant impact on surgical training. Methods A search of the major reference databases (MEDLINE, EMBASE, Cochrane) was performed with no time limits up to the date of the search (February 2020). Results were screened in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and study quality assessed using the Newcastle-Ottawa Scale for cohort studies. Results Twenty-one studies comprising 2720 patients were included- 17 studies reported on a combination of thoracoscopic, hybrid and total MIE, 3 studies reported robotic assisted alone and 1 study evaluated robotic assisted and thoracoscopic esophagectomy. 3 studies used a cumulative sum (CUSUM) analysis to define learning, 1 study used CUSUM and another parameter and 17 studies used one or more parameters. Quantification of surgical competence was variable and ranged from 12–80 cases for robotic surgery and 12–60 cases for other modes of MIE. One study reported trainees achieving MIE skills quicker if mentoring surgeons had attained proficiency on the learning curve. Conclusion Learning curves in MIE remain ill-defined with limited evidence on impact upon training received by residents and fellows. Additionally, the parameters used to define achievement of surgical competency is heterogenous. As minimally invasive techniques are increasingly adopted, specific standards to help define competence need to be identified and agreed on. This could help in designing training programmes and improve the rate of achieving competency.

Treatment of Refractory Low Back Pain Caused by Degenerative Spine Disease with Minimally Invasive Techniques

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376724-s-0034-1376724
Author(s):  
K. Vladimirovich Tyulikov ◽  
K. Korostelev ◽  
V. Manukovsky ◽  
V. Litvinenko ◽  
V. Badalov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Minimally Invasive ◽  
Low Back ◽  
Minimally Invasive Techniques ◽  
Degenerative Spine ◽  
Degenerative Spine Disease ◽  
Invasive Techniques ◽  
Spine Disease

Quantification Analysis of Minimally Invasive Techniques to the Infratemporal Fossa

2020 ◽  
Author(s):  
Moustafa Ali ◽  
Nyall London ◽  
Daniel Prevedello ◽  
Tekin Baglam ◽  
Ray Cho ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Infratemporal Fossa ◽  
Minimally Invasive Techniques ◽  
Quantification Analysis ◽  
Invasive Techniques

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.

Laser Stories in Medicine

2020 ◽  
Author(s):  
Science Repository
Keyword(s):  
Minimally Invasive ◽  
Modern Medicine ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

The usage of lasers has become increasingly popular in modern medicine, as minimally invasive techniques are continually being used in the treatment of different pathologic pathways

scholarly journals Minimally Invasive Local Treatments for Bone and Pulmonary Metastases

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Meena Bedi ◽  
David M. King ◽  
Sean Tutton
Keyword(s):  
Minimally Invasive ◽  
Bone Metastases ◽  
Metastatic Disease ◽  
Pulmonary Metastases ◽  
Alternative Therapies ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

Surgery and chemotherapy have historically been the mainstay of treatment in patients with metastatic disease. However there are many alternative therapies available to relieve the symptoms and morbidity of metastases. In this paper, we review the role and highlight the advantages of minimally invasive techniques employed in patients with pulmonary and bone metastases.

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