scholarly journals Endoscopic dacryocystorhinostomy

2010 ◽  
Vol 67 (6) ◽  
pp. 463-467
Author(s):  
Milanko Milojevic ◽  
Sinisa Avramovic ◽  
Bratislav Kostic ◽  
Jelena Sotirovic ◽  
Aleksandar Peric
Keyword(s):  
Surgical Procedure ◽  
Postoperative Recovery ◽  
Surgical Instruments ◽  
Endoscopic Surgical Procedure ◽  
Daily Routine ◽  
Wegener Granulomatosis ◽  
Female Patients ◽  
Military Medical Academy ◽  
Lacrimal Apparatus ◽  
Nose Diseases

Background/Aim. Intensive epiphora (lacrimal apparatus disease) can make difficult daily routine and cause ocular refraction disturbances. In most cases ethiology is unknown, rarely occurs after nose surgical procedures, face fractures, in Wegener granulomatosis, sarcoidosis and malignancies. The aim of this study was to evaluate efficacy of endonasal endoscopic surgical procedure with the conventional surgical instruments in treatment of nasolacrimal obstructions. Methods. This retrospective study included 12 female patients with endonasal endoscopic surgical procedure from Otorhinological and Ophtalmological Departments of Military Medical Academy, Belgrade from September 2007 to April 2009. Preoperative nasal endoscopy was performed in order to reveal concomitant pathological conditions and anatomic anomalies which could make surgical procedure impossible. Computerized tomography was performed only in suspect nose diseases. Surgical endonasal endoscopic procedure was performed by otorhinolaryngologist and ophtalmologist in all patients. The patients had regular controls from 2 to 20 months. Results. A total of 12 female patients, age 34-83 years, were included in our study. Epiphora was a dominant symptom in all patients. In two patients deviation of nasal septum was found, and in other one conha bulosa at the same side as chronic dacryocystitis. All patients were subjected to endonasal dacryocystorhinostomy (DCR) by endoscopic surgical technique using conventional instruments. Concomitantly with DCR septoplastics in two patients and lateral lamictetomy in one patient were performed. There were no complications intraoperatively as well as in the immediate postoperative course. In two patients the need for reoperation occurred. Conclusion. Endoscopic DCR is minimally invasive and efficacious procedure for nasolacrymal obstructions performed by otorhinolaryngologist and ophtalmologist. Postoperative recovery is very fast.

Virtual surgical planning and 3D-printed guided biopsy of bilateral lesions in the mandible: a case report

2020 ◽  
Vol 4 (4) ◽  
pp. 185-192
Author(s):  
Douglas Rangel Goulart ◽  
Lucas Raineri Capeletti ◽  
Gabriel Henrique Campos Pinheiro ◽  
Mateus Veppo dos Santos ◽  
Alessandro Lourenço Januario
Keyword(s):  
Case Report ◽  
Surgical Procedure ◽  
Surgical Planning ◽  
Inferior Alveolar Nerve ◽  
Postoperative Recovery ◽  
Virtual Surgical Planning ◽  
Drill Guide ◽  
Bone Biopsies ◽  
3D Printed ◽  
Bilateral Lesions

Purpose: To report the use of virtual surgical planning and a 3D printed drill guide for the biopsy of mandibular lesions. Case report: A 38-year-old woman presented with two bilateral lesions in the mandibular body, in close proximity to the inferior alveolar nerve and the molar roots. An incisional biopsy was planned with coDiagnostiX software using the cone beam computed tomography DICOM files and a cast model that had been digitalized using a bench scanner (7series, Dental Wings, Quebec, Canada). A tooth-supported drill guide was produced by 3D printing with digital light processing technology (Moonray S, Sprintray, CA, USA). The surgical procedure was performed under local anesthesia. No complications were observed intraoperatively or during postoperative recovery. Conclusion: The use of an intraoperative surgical 3D-printed drill guide enables a smaller surgical procedure and more precise bone biopsies.

Uniportal thoracoscopic right anterior basal (S8) segmentectomy using unidirectional dissection

2021 ◽  
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedure ◽  
Lower Lobe ◽  
Lung Parenchyma ◽  
Surgical Instruments ◽  
Thoracoscopic Approach ◽  
Minimally Invasive Surgical Procedure ◽  
Small Incision ◽  
Minimally Invasive Surgical ◽  
The Right

Anterior basal (S8) segmentectomy is one of the most challenging procedures among the uncommon pulmonary segmentectomies because the surgeon has to identify dominant pulmonary vein branches located deep in the lung parenchyma. Moreover, with the uniportal thoracoscopic approach, the angulation of inserted surgical instruments via a single small incision is extremely limited, which causes technical difficulties. However, adoption of a suitable procedure such as unidirectional dissection enables us to perform this type of minimally invasive surgical procedure. We describe the successful results of a patient undergoing uniportal thoracoscopic S8 segmentectomy of the right lower lobe and explain the nuances of performing it.

scholarly journals Early Functional Rehabilitation after Meniscus Surgery: Are Currently Used Orthopedic Rehabilitation Standards Up to Date?

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Matthias Koch ◽  
Clemens Memmel ◽  
Florian Zeman ◽  
Christian G. Pfeifer ◽  
Johannes Zellner ◽  
...  
Keyword(s):  
Surgical Procedure ◽  
Weight Bearing ◽  
Meniscus Repair ◽  
Partial Meniscectomy ◽  
Early Rehabilitation ◽  
Daily Routine ◽  
Functional Rehabilitation ◽  
Orthopedic Surgeons ◽  
Meniscus Replacement ◽  
Rehabilitation Concepts

Meniscus therapy is a challenging process. Besides the respective surgical procedure such as partial meniscectomy, meniscus repair, or meniscus replacement, early postoperative rehabilitation is important for meniscus regeneration and return to sport and work as well as long-term outcome. Various recommendations are available. However, the current literature lacks information concerning the actual early rehabilitation in daily routine recommended by orthopedic surgeons. Thus, the purpose of this study was to investigate currently used standard early rehabilitation protocols in the daily routine of orthopedic surgeons. This study investigated the recommendations and concepts for early rehabilitation after meniscus therapy given by German, Austrian, and Swiss orthopedic institutions. Standardized criteria such as weight bearing, range of motion, use of an orthosis, and rehabilitation training were analyzed according to the conducted surgical procedure: partial meniscectomy, meniscus repair, or meniscus replacement. The analysis of standard rehabilitation concepts for partial meniscectomy (n=15), meniscus repair (n=54), and meniscus replacement (n=7) showed significantly earlier functional rehabilitation in all criteria after partial meniscectomy in contrast to meniscus repair techniques (p<0.001). In addition, significant restrictions were found in full weight bearing, full range of motion, and the use of braces. In summary, a wide range of recommendations for weight bearing, ROM, brace therapy, and mobilization is available, particularly after meniscus repair and meniscus replacement. Most concepts are in accordance with those described in the current literature. Further research is necessary to enhance the scientific evidence on currently used early rehabilitation concepts after meniscus therapy.

L'enterocistoplastica nel recupero della funzione vescicale gravemente compromessa nella donna non neurologica. Nostra esperienza

1994 ◽  
Vol 61 (1_suppl) ◽  
pp. 243-244
Author(s):  
F. Catanzaro ◽  
M. Pizzoccaro ◽  
F. Cappellano ◽  
F. Torelli ◽  
M. Baruffi ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Radical Hysterectomy ◽  
Surgical Procedure ◽  
Bladder Capacity ◽  
Upper Urinary Tract ◽  
Bladder Function ◽  
Ureteral Reimplantation ◽  
Female Patients ◽  
Tract Function

The Authors report their experience in the recovery of bladder function in 8 female patients (5 of whom had undergone radical hysterectomy + CHT + RT for gynecological tumours) by means of ileovesicoplasty and bilateral ureteral reimplantation. They underline the improvement of bladder capacity (7/7), continence (7/7), voiding (good results in 5/7) and upper urinary tract function (5/7). All patients are satisfied at a mean follow-up of 31 months. The Authors propose this surgical procedure as an alternative to external diversion.

scholarly journals Canalicular Curettage to the Rescue: a report of three cases

2020 ◽  
Vol 12 (2) ◽  
pp. 333-338
Author(s):  
Sabin Sahu ◽  
Prerna Arjyal Kafle ◽  
Diwa Hamal ◽  
Adit Gupta ◽  
Dipesh Kumar Ram ◽  
...  
Keyword(s):  
Conservative Management ◽  
Surgical Procedure ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Postoperative Recovery ◽  
Squamous Papilloma ◽  
Size And Shape ◽  
Silicone Stent ◽  
Successful Outcomes

Introduction: Canalicular curettage is a surgical procedure used to remove canalicular contents and debris from canaliculi. It is usually indicated for chronic, persistent or recalcitrant canalicular diseases with no resolution of symptoms after conservative management. We describe 3 different cases of persistent canalicular diseases which needed canalicular curettage to rescue from the conditions leading to successful outcomes. Cases and observations:• Case 1: A 45-year-old male presented with recurrent punctal granuloma 3 months after DCR surgery. Canalicular exploration and curettage with one-snip punctoplasty following excision of the mass revealed a segment of remnant silicone stent. There was no recurrence of mass in subsequent follow up visits.• Case 2: A 35-year-old female presented with recurrent canaliculitis for last 6 months. Canalicular curettage revealed multiple small calcified masses of varying size and shape. The patient had good postoperative recovery and showed no recurrence of symptoms.• Case 3: A 32-year-old female presented with gradually increasing pedunculated mass arising out of punctum for last one month. Excision of mass with canalicular curettage was done. Biopsy proved it to be squamous papilloma of the canaliculi. There was no recurrence of mass. Conclusion: Canalicular curettage is a simple, safe and effective surgical intervention to rescue from the recalcitrant canalicular conditions like canaliculitits, retained foreign bodies, canalicular neoplasms leading to successful outcomes.

scholarly journals THE COMBINED ENDOSCOPIC-SURGICAL PROCEDURE FOR POLYP CLEARANCE IN PEUTZ JEGHERS SYNDROME

2005 ◽  
Vol 41 (4) ◽  
pp. 536
Author(s):  
Emilia J Cohen Sabban ◽  
Marina Orsi ◽  
Veronica Busoni ◽  
Jorge Olmos ◽  
Pablo Lobos ◽  
...  
Keyword(s):  
Surgical Procedure ◽  
Endoscopic Surgical Procedure ◽  
Peutz Jeghers Syndrome

scholarly journals Myomectomy by vaginal route

2004 ◽  
Vol 132 (1-2) ◽  
pp. 18-21 ◽  
Author(s):  
Zagorka Milovanovic ◽  
Dusan Stanojevic
Keyword(s):  
Operating Time ◽  
Surgical Techniques ◽  
Posterior Wall ◽  
Postoperative Recovery ◽  
Surgical Instruments ◽  
Prospective Clinical Study ◽  
Vaginal Route ◽  
Operative Blood Loss ◽  
Operative Trauma ◽  
Vaginal Myomectomy

In recent years, the development of new surgical techniques in uterus myoma treatment have reduced operative trauma significantly. Our objective was to present operative technique-vaginal myomectomy, making a prospective clinical study where we have evaluated the operative and postoperative period after intentive diagnosis. The result of our study shows the feasibility of myomectomy by entering the peritoneum through the posterior vaginal fornix, using traditional and cheap surgical instruments and thus avoiding the trauma of laparatomy, minimal operative blood loss, reduced operating time and postoperative recovery. In our opinion, vaginal myomectomy could be useful for the treatment of selected cases with fundal or posterior wall uterine myomas.

A Contemporary View of Tracheoesophageal Voice Restoration

2012 ◽  
Vol 22 (1) ◽  
pp. 33-44
Author(s):  
Jodi K. Knott ◽  
Jan S. Lewin
Keyword(s):  
Total Laryngectomy ◽  
Postoperative Recovery ◽  
Daily Routine ◽  
Geographical Distance ◽  
Specialized Knowledge ◽  
Voice Restoration ◽  
Treatment Regimens ◽  
The Past ◽  
Contemporary View ◽  
Rehabilitative Services

Voice restoration following total a laryngectomy has evolved over the past several decades. The patient who undergoes a total laryngectomy with tracheoesophageal (TE) puncture moves through several phases of treatment during their postoperative recovery and vocal restoration. The method of TE puncture is relatively simple; however, TE voice restoration is often complicated by the challenges associated with more intensive cancer treatment regimens, the geographical distance that impedes access to rehabilitative services, and myriad available products that require specialized knowledge and experience. In this article, we will provide a contemporary view of TE voice restoration, including its challenges for patients and clinicians. In addition, we will discuss the speech-language pathologist's role in the patient's rehabilitation, from providing evaluation and instruction regarding voice restoration and care of the stoma to ensuring the patient's transition back into their normal daily routine.

scholarly journals Surgeon at Work: Hand-Assisted Laparoscopic Construction of Gastric Conduit for Thoracic Esophageal Cancer

2001 ◽  
Vol 7 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Tatsuya Aoki ◽  
Akihiko Tsuchida ◽  
Yoshiaki Osaka ◽  
Yu Takagi ◽  
Motoo Shinohara ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Surgical Procedure ◽  
Operating Time ◽  
Gastric Conduit ◽  
The Body ◽  
Greater Omentum ◽  
Esophageal Hiatus ◽  
Endoscopic Surgical Procedure ◽  
Thoracic Esophageal Cancer ◽  
Time Required

A method for hand-assisted laparoscopic construction of gastric conduit for thoracic esophageal cancer was developed. Since this endoscopic surgical procedure is less invasive than open surgery, it contributes to improvement of post-operative respiratory functions and reduces respiratory complications. What distinguishes our surgical procedure is that unlike methods described in previous reports, it begins with treatment of the left gastroepiploic vessels at the height of the inferior edge of the spleen, followed by dissection from the esophageal hiatus to the lesser curvature and then dissection and excision of left gastric arteries and veins. Finally, the exposed esophagus and stomach are drawn outside the body and the right gastroepiploic blood vessels are preserved, followed by dissection of the greater omentum. This approach to gastric conduit construction was undertaken in 6 patients and the mean operating time was 123 minutes. Although in the first 3 of these patients the operating time was 150 minutes or more, the time required shortened to around 90 minutes for each of the last 3 cases, as the procedure was mastered. In each case, the volume of intraoperative hemorrhage did not exceed 50 ml.

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