scholarly journals Laparoscopic Management of Intra-Abdominal Testis: 5-Year Single-Centre Experience—A Retrospective Descriptive Study

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Tariq O. Abbas ◽  
Ahmed Hayati ◽  
Adel Ismail ◽  
Mansour Ali
Keyword(s):  
Success Rate ◽  
Undescended Testis ◽  
Clinical Findings ◽  
Undescended Testes ◽  
Single Centre ◽  
Internal Inguinal Ring ◽  
Single Centre Experience ◽  
Nonpalpable Testis ◽  
Objectively Measured ◽  
Very High

Background. Undescended testis is one of the most common urological problems in children, affecting about 1% of boys at age of 1 year. Of these, about 20% have a nonpalpable testis with a very high probability that the testis is absent. This may have a significant impact on the possibility of malignancy in these testes, as well as on the later fertility of these subjects.Methods. We retrospectively analyzed the demographic and clinical findings, as well as immediate and 6-month outcomes, in 91 patients diagnosed with impalpable undescended testes between January 2006 and December 2010.Results. Of the 91 patients, 9 had bilateral and 82 had unilateral impalpable testes. All 100 testes were managed laparoscopically. The largest group of intra-abdominal testes in this series, 42 testes, was entering the internal ring; in these, laparoscopic exploration and standard open orchiopexy resulted in a 66% success rate. The total success rate was 63.3%.Conclusion. Laparoscopy is extremely useful in both the diagnosis and treatment of impalpable testes. Objectively measured mobility of the testis towards the contralateral internal inguinal ring is an excellent intraoperative indicator for type of orchiopexy. Standardization of management may increase the success rate of orchiopexy.

Abstract 646: Epicardial Ablation Of Ventricular Tachycardia - A Single Centre Experience

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Boris Schmidt ◽  
KR Julian Chun ◽  
Buelent Koektuerk ◽  
Feifan Ouyang ◽  
Karl-Heinz Kuck
Keyword(s):  
Ventricular Tachycardia ◽  
Success Rate ◽  
Single Centre ◽  
Epicardial Ablation ◽  
Single Centre Experience ◽  
Radiofrequency Current ◽  
Acute Success ◽  
Procedural Success ◽  
Lv Aneurysm

Background: Radiofrequency current ablation (RFA) of ventricular tachycardia (VT) focuses on endocardial (endo) substrates. However, if endo RFA fails, an epi approach is a potential treatment option. We report a single centre experience of epi VT ablation. Patients and Methods: Between 06/2005 and 02/2008 42 pts (14 female, mean age 49 ± 18 years) underwent electroanatomical endo and epi mapping and ablation for intractable VT, syncope or VT storm with multiple ICD discharges. Pts with normal heart (n=7), ischemic cardiomyopathy (ICM; n=8), NICM (n=11), ARVD (n=8), LV-aneurysm (n=7) or sarcoidosis (n=1) were studied. Mean LV ejection fraction was 45±12%. 20/42 had had at least 1 previous ablation attempt for VT (range 1– 4 ablations). Acute success was defined as non-inducibility of the previously inducible VT. Chronic success was defined as recurrence of any VT. Results: Acute procedural success rate was 79% (30/38). In 4 pts VTs were not inducible during EPS. In 28/42 pts endo mapping revealed no pathologic potentials. In 23/38 pts and 7/38 the succesful RFC ablation site was epi and endo, respectively. In 9/38 pts endo ablation failed and VT could only be ablated from epi. Further 7/38 pts needed both endo and epi ablation. In In 4/8 failed ablations epi RFC ablation was impossible due to failed access to target site (adhesions; n=2), close vicinity of a coronary artery (n=1) or the phrenic nerve (n=1). Procedure duration was 263±97 min. Unfortunately, 1 pt died due to perforation of RV and 1 pt had severe hepatic bleeding after epi puncture. One pt died in cardiogenic shock 1 d after the procedure. In 2 pts a sterile pericarditis occurred which resolved without any further intervention. After a median follow-up of 293 days (1–929 days) 53% of pts were alive and free from any VT. Conclusion: In pts with failed endo RFC ablation for VT due to different etiologies epi RFC ablation was acutely successful in 61% of pts with a moderate chronic success rate. However, major complications occured in approximately 5% of pts. Epi mapping should be considered if endo pathologic potentials are absent or if endo ablation failed.

scholarly journals A single centre experience in the management of undescended testes

2020 ◽  
Vol 7 (1) ◽  
pp. 8-13
Author(s):  
Dr. Ramesh Singh L ◽  
◽  
Dr. Khuraijam Gojen Singh ◽  
Dr. Nongmaithem Mackson Singh ◽  
Dr. Sunilkumar Singh Salam ◽  
...  
Keyword(s):  
Undescended Testes ◽  
Single Centre ◽  
Single Centre Experience

Success rate of medical thoracoscopy and talc pleurodesis in malignant pleurisy: A single-centre experience

Respirology ◽  
2018 ◽  
Vol 23 (6) ◽  
pp. 613-617 ◽  
Author(s):  
Joke Leemans ◽  
Christophe Dooms ◽  
Vincent Ninane ◽  
Jonas Yserbyt
Keyword(s):  
Success Rate ◽  
Single Centre ◽  
Talc Pleurodesis ◽  
Medical Thoracoscopy ◽  
Single Centre Experience ◽  
Malignant Pleurisy

scholarly journals Pediatric-adolescent andrology: Single centre experience

2020 ◽  
Vol 92 (2) ◽  
Author(s):  
Nicola Zampieri ◽  
Francesco Camoglio
Keyword(s):  
Erectile Dysfunction ◽  
Metabolic Diseases ◽  
Semen Analysis ◽  
Medical Specialty ◽  
Penile Curvature ◽  
Undescended Testes ◽  
Single Centre ◽  
Specific Protocol ◽  
Single Centre Experience ◽  
Medical Consultations

Introduction: Andrology is the medical specialty dealing with men’s health and reproductive system from birth to adulthood, including genital, hormonal, reproductive, sexual as well as psychological aspects; the aim of this study is to report our 10 year-experience Material and methods: In September 2009, a Pediatric Andrology Outpatient Clinic was opened at the Authors’ Institution. The continuous request for access to the service, together with an increasingly helpful collaboration with local clinicians, has led to an increase in the number of treated patients. At the Clinic, visits are performed for both surgical and medical consultations by the multidisciplinary medical group for the treatment of conditions in the adolescent patient. All patients are followed every 3, 6 and 12 months when indicated. Patients with undescended testes were excluded because managed into a specific protocol. Also patients with syndrome or metabolic diseases are excluded from the analysis. Results: During the study period, September 2009-September 2019, the following conditions were managed: varicocele - 1436 patients; gynecomastia - 18 patients; penile curvature - 89 patients; webbed penis - 132 patients; hypospadias-related diseases - 39 patients; erectile dysfunction - 14 patients; obesity and abnormal semen analysis - 47 patients. During the study period there was an increase for each category especially for medical reasons. Conclusions: Pediatric-adolescent andrology clinics should count on the expertise of different skilled professionals to cope with an ever-increasing number of requests and to offer the timely management of conditions that until very recently were considered social taboos or caused concern only in adulthood like the erectile dysfunction. The evolution of our society, which also means evolution of the mass media, should go hand in hand with the development of Medicine, which needs to adjust to and prevent new healthcare issues.

scholarly journals Setting Up Workflow of an Intraoperative MRI Unit: A Single-Centre Experience of First 53 Cases

2018 ◽  
Vol 05 (03) ◽  
pp. 177-183
Author(s):  
Nitin Manohar ◽  
Deviprasad Mohapatra ◽  
Anandh Balasubramaniam ◽  
Keerthi Rao ◽  
Deepti Srinivas ◽  
...  
Keyword(s):  
Residual Tumor ◽  
Primary Objective ◽  
Resonance Imaging ◽  
Single Centre ◽  
Methodical Approach ◽  
Single Centre Experience ◽  
Workflow Pattern ◽  
High Level ◽  
Very High

Abstract Background Setting up of a new “nearby” operation room type intraoperative magnetic resonance imaging (iMRI) unit poses a unique set of challenges to the operating team. We describe here an account of our experiences and a step by step protocol designed by us and followed to troubleshoot the issues encountered. The primary objective of the study was to observe our learning curve in the process of setting up of a new iMRI unit. The secondary objectives were to look at the number of residues detected, quality of imaging, and complications during iMRI. Materials and Methods An observational study was conducted over a 3-month period involving cases requiring iMRI. Initially, a simulation was performed using healthy volunteers, which helped in developing a systematic protocol and drafting checklists to ensure a smooth workflow pattern. Data collection included details regarding hindrances encountered, how these were tackled, iMRI details (residual tumor, re-surgery), and complications, if any. Results A total of 53 cases underwent iMRI in the study period. Among these, 51 were tumor cases that revealed residue (detected in 28 [54.9%] cases), and re-surgery for further resection was performed in 21/28 (75%) cases. A very high level of surgeons’ satisfaction regarding image quality of intraoperative scan was recorded (45/53 [84%]). The number of personnel required for shifting and shifting times could be reduced with efficient utilization of the checklist. Conclusion A methodical approach to tackle impediments while setting up a new unit such as iMRI facilitates its smooth functioning and ensures minimal interruptions and evades undue complications.

scholarly journals The Role of the Appendix Testis in Normal Testicular Descent: Is There a Connection?

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Zlatan Zvizdic ◽  
Dragana Zivkovic ◽  
Jasmin Sabanovic ◽  
Emir Milisic
Keyword(s):  
Undescended Testis ◽  
Testicular Descent ◽  
Separate Entity ◽  
Undescended Testes ◽  
Internal Inguinal Ring ◽  
Group A ◽  
Group B ◽  
Appendix Testis

Objective. The presence of testicular appendices was prospectively evaluated in 89 boys with 96 undescended testes who underwent orchidopexy over the period of 4 years.Results. The patients were divided into two groups. Group A included 42 boys with 49 undescended testes positioned close to the internal inguinal ring, and Group B included 47 boys with 47 undescended testes close to the external inguinal ring. The incidence of appendix testis (AT) in Group A was 57.1% (28 in 49) and 78.7% (37 in 47) in Group B. The results of our study showed significantly decreased incidence of testicular appendices in undescended testes positioned close to the internal inguinal ring compared with undescended testes positioned close to the external inguinal ring (p<0.05).Conclusion. AT may play a role in normal testicular descent and the undescended testis positioned close to the external inguinal ring can be considered as a separate entity of the true congenital undescended testis.

P6019His-Purkinje system pacing in single centre experience after 324 cases

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
M Jastrzebski ◽  
P J Moskal ◽  
A Bednarek ◽  
G Kielbasa ◽  
D Czarnecka
Keyword(s):  
Success Rate ◽  
Sinus Node ◽  
Cardiac Resynchronization ◽  
Conduction Delay ◽  
Routine Practice ◽  
Single Centre ◽  
Purkinje System ◽  
Single Centre Experience ◽  
Qrs Duration ◽  
The Mean

Abstract Introduction His-Purkinje system pacing preserves or restores physiologic depolarization of the left ventricle during permanent pacing. It consists of two complementary techniques: His bundle pacing (HB-P) and the recently introduced left bundle branch pacing (LBB-P). There is limited data on HB-P outcomes and only a few reports of LBB-P results. Purpose Our aim was to investigate success rate, complications, acute and early pacing parameters in patients undergoing HB-P and LBB-P in the setting of a cardiology tertiary centre that routinely implants HB-P and LBB-P pacemakers. Methods On the basis of a prospective database we performed a longitudinal cohort study of all consecutive patients with His-Purkinje system devices implanted in the years 2014–2019. In all cases, model 3830 lumen-less 4.1 Fr pacing lead was used. HB-P was achieved via HB mapping or pace mapping, LBB-P was achieved via deep septal lead deployment under electrophysiological and 12-lead ECG guidance. Results Since 2014 there were 324 implantations of His-Purkinje system pacemakers. Baseline patients' characteristics are presented in Table. The overall success rate was 81.5%. Selective HB-P, non-selective HB-P and LBB-P were achieved in 53%, 19% and 28% of successful cases. The mean fluoroscopy time was 11±9 min. The lead delivery was performed using single sheath (C315His) in 83% cases, while in 17% extra steerable sheath was necessary (C304XL). The acute mean LBB-P capture threshold @0.5 ms was significantly lower than in HB-P (0.65±0.43V vs. 1.47±0.8V). The mean chronic LBB-P capture threshold @1.0 ms was also lower than in HB-P (0.45±0.3V vs. 0.95±0.7V, p<0.001). The acute sensing amplitude was significantly higher in LBB-P vs HB-P (10±5mV vs 4±3mV). The mean paced QRS duration was significantly shorter for selective HB-P (113±22 ms) and LBB-P (108±12 ms) vs. non-selective HB-P (132±22 ms). The complications included: 4 cases of threshold increase that required lead revision; 3 early lead dislodgments; 1 loss of LBB capture, 3 pocket hematomas, 2 system infections and 1 pneumothorax. Baseline characteristics Age; sex 73±12 years (19–95 years); 64% males Mean EF; mean QRS duration; Presence of heart failuire or ischemic heart disease 47±15%; 128±32 ms; 48%; 37.5% Pacing indication AV block 31%; sinus node disease 12%; atrial fibrillation with bradycardia 37%; CRT 20% QRS morphology narrow QRS 61%; LBBB 20%; other 14%; IVCD 6% CRT, Cardiac Resynchronization Therapy; IVCD, Interventricular Conduction Delay. Conclusion His-Purkinje system pacing in routine practice has an acceptable success rate, pacing parameters and complication rate; the LBB-P provides better pacing parameters than HB-P. We believe that such single-centre experience paves the way for a large randomized trial of physiologic pacing.

A SINGLE CENTRE EXPERIENCE OF POST‐RENAL TRANSPLANT LYMPHOPROLIFERATIVE DISORDER (PTLD)

Nephrology ◽  
2000 ◽  
Vol 5 (3) ◽  
pp. A93-A93
Author(s):  
Herzig Ka ◽  
Juffs Hg ◽  
Brown Am ◽  
Gill D ◽  
Hawley Cm ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Lymphoproliferative Disorder ◽  
Single Centre ◽  
Single Centre Experience
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