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

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.

2012 ◽  
Vol 32 (4) ◽  
pp. E3 ◽  
Author(s):  
Emun Abdu ◽  
Daniel F. Hanley ◽  
David W. Newell

Spontaneous intracerebral hemorrhage is a serious public health problem and is fatal in 30%–50% of all occurrences. The role of open surgical management of supratentorial intracerebral hemorrhage is still unresolved. A recent consensus conference sponsored by the National Institutes of Health suggests that minimally invasive techniques to evacuate clots appear to be a promising area and warrant further investigation. In this paper the authors review past, current, and potential future methods of treating intraparenchymal hemorrhages with minimally invasive techniques and review new data regarding the role of stereotactically placed catheters and thrombolytics.


1998 ◽  
Vol 12 (5) ◽  
pp. 327-332 ◽  
Author(s):  
Eric C Poulin ◽  
Christopher M Schlachta ◽  
Joseph Mamazza

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.


Radiographics ◽  
2005 ◽  
Vol 25 (suppl_1) ◽  
pp. S173-S189 ◽  
Author(s):  
Nael E. A. Saad ◽  
Wael E. A. Saad ◽  
Mark G. Davies ◽  
David L. Waldman ◽  
Patrick J. Fultz ◽  
...  

Author(s):  
M. A. Akselrov ◽  
М. P. Razin ◽  
M. N. Satyvaldayev ◽  
G. B. Vol’skiy ◽  
V. A. Skobelev ◽  
...  

Purpose.To analyze the results of treatment of children with keel-shaped deformity of the chest using various methods.Materials and methods.The work is based on the retrospective analysis of treatment outcomes for 28 children who obtained treatment for KSDC at pediatric surgical departments of Regional Clinical Hospital No. 2 in Tyumen and Children’s Regional Clinical Hospital in Kirov. These are clinical bases of pediatric surgery departments of Tyumen and Kirov State Medical Universities. Various treatment methods were applied including chest constant pressure devices and thoracoplasties.Results and discussion. The Ravich procedure was done in 14 children. The patients stayed at the hospital for 18±3 days and required prolonged anesthesia and long-term antibacterial therapy; discharge was followed by long-term immobilization with a plaster or polymer corset. 6 children had surgeries using smallinvasive thoracoplasty based on the method offered by H. Abramson. The hospital treatment stage was 7 to 11 days. 8 children had therapy using orthosis.Conclusion. The authors believe that mental traumas caused by a keel-shaped deformity require minimally invasive techniques for correction that eliminate the deformity considering esthetic requirements of a patient.


2007 ◽  
Vol 89 (7) ◽  
pp. 685-688 ◽  
Author(s):  
C Gerrand ◽  
G McNulty ◽  
N Brewster ◽  
J Holland ◽  
A McCaskie

INTRODUCTION The introduction of minimally invasive techniques for hip replacement into clinical practice has been driven by the perceived benefits of smaller incisions, shorter in-patient stays and faster rehabilitation. This may be at the cost of higher complication rates. The purpose of this study was to explore the opinions and priorities of patients in relation to these techniques. PATIENTS AND METHODS A cross-sectional survey was performed in an elective out-patient setting. RESULTS Of 44 patients approached, 36 agreed to participate. From most important to least important, patients rated the following items in order: ‘rate of complications’; ‘implant survival’; ‘length of rehabilitation’; ‘time in hospital’ and ‘length of scar’. Despite this, 21 of 35 (60%) responders stated they would accept the offer of minimally invasive techniques if made. CONCLUSIONS Patients appear to prioritise long-term outcomes and low complication rates over the shorter scars, reduced in-patient stay and reduced rehabilitation times potentially offered by minimally invasive hip arthroplasty. Despite this, the technique remains popular among patients.


2013 ◽  
Vol 24 (2) ◽  
pp. 231-248 ◽  
Author(s):  
Praveen V. Mummaneni ◽  
Tsung-Hsi Tu ◽  
John E. Ziewacz ◽  
Olaolu C. Akinbo ◽  
Vedat Deviren ◽  
...  

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