scholarly journals Liver Parenchymal Transection Through Radiofrequency Ablation Using a Radial Probe: Technical Report of a New Modality

Cureus ◽  
2021 ◽  
Author(s):  
Venu Bhargava Mulpuri ◽  
Dr. Prasanth Gurijala ◽  
Bhaskar R Yerolla ◽  
Gokul Kumar ◽  
Ashwini Dutt
2017 ◽  
Vol 224 (6) ◽  
pp. e11-e16
Author(s):  
Tullio Piardi ◽  
Mikael Chetboun ◽  
Sara Cavallari ◽  
Rami Rhaiem ◽  
Patrick Pessaux ◽  
...  

Pain Medicine ◽  
2019 ◽  
Vol 20 (11) ◽  
pp. 2208-2212 ◽  
Author(s):  
Aaron Conger ◽  
Daniel M Cushman ◽  
Kortnie Walker ◽  
Russell Petersen ◽  
David R Walega ◽  
...  

Abstract Background Fluoroscopically guided cooled genicular nerve radiofrequency ablation (RFA) is an increasingly performed procedure for chronic, refractory knee pain due to osteoarthritis. Traditionally, partial sensory denervation has been accomplished through ablation of the superomedial, superolateral, and inferomedial genicular nerves. However, recent cadaveric studies have demonstrated additional sensory nerves and significant anatomic variation that impact current protocols. Objective We describe an updated cooled genicular nerve radiofrequency ablation protocol that accounts for varied nerve location of the superomedial, superolateral, and inferomedial genicular nerves, as well as capture of the terminal articular branches of the nerves to the vastus intermedius, vastus lateralis, and vastus medialis. Furthermore, we describe an adjusted technique for inferomedial genicular nerve capture that mitigates the risk of pes anserine tendon injury. Design Technical report and brief literature review. Methods Cadaveric studies relating to the sensory innervation of the anterior knee joint were reviewed, and a more accurate and comprehensive cooled genicular nerve radiofrequency ablation (CRFA) protocol is proposed. Conclusions Based on recent, rigorous anatomic dissections of the knee, the proposed genicular nerve CRFA protocol will provide more complete sensory denervation and potentially improve clinical outcomes. Prospective studies will be needed to confirm the hypothesis that this protocol will result in improved effectiveness and safety of genicular nerve RFA.


2016 ◽  
Vol 2 (1) ◽  
pp. 30-36
Author(s):  
Vivek Mangla ◽  
Shailendra Lalwani ◽  
Siddharth Mehrotra ◽  
Naimish Mehta ◽  
Samiran Nundy

While liver surgery has become safer with improvements in peri-operative management, parenchymal resection is the part of the procedure which is associated with major loss of blood and damage to important structures if not performed carefully. The ideal technique for hepatic parenchymal transection should be quick, easy to perform, reduce intra-operative blood loss and transfusion requirement, reduce post-operative bile leakage, and cause minimal damage to the surrounding hepatic parenchyma-- preferably at the lowest cost possible. This paper is a review of commonly used techniques for liver parenchymal transection during liver resections. According to the literature, there is little benefit of using the complicated and expensive devices over the simpler clamp crushing technique. We in our institution, who perform a large number of liver resections and living donor transplants, prefer to use the clamp crushing technique with a bipolar cautery for most resections and cavitron ultrasonic aspirator(CUSA) with a bipolar cautery for removal of part of the liver from a living donor.


HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S1027
Author(s):  
V. Vij ◽  
A. Singhal ◽  
V. Chorasiya ◽  
Q. Mohamed ◽  
A. Srivastava ◽  
...  

2019 ◽  
Vol 8 (6) ◽  
pp. 572-581 ◽  
Author(s):  
Tomoaki Yoh ◽  
François Cauchy ◽  
Olivier Soubrane

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e509-e510
Author(s):  
S. Banerjee ◽  
A. Manke ◽  
T. Bhutia ◽  
R. Thambudorai ◽  
P. Roy ◽  
...  

2015 ◽  
Vol 39 (6) ◽  
pp. 1543-1549 ◽  
Author(s):  
Naoto Gotohda ◽  
Takeharu Yamanaka ◽  
Akio Saiura ◽  
Katsuhiko Uesaka ◽  
Masaji Hashimoto ◽  
...  

HPB ◽  
2009 ◽  
Vol 11 (4) ◽  
pp. 275-281 ◽  
Author(s):  
Viniyendra Pamecha ◽  
Kurinchi Selvan Gurusamy ◽  
Dinesh Sharma ◽  
Brian R. Davidson

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