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Search Results: 1 - 10 of 10841 matches for " surgery "
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E. Tarcoveanu
Jurnalul de Chirurgie , 2005,
Extent of Surgery for Differentiated Thyroid Cancer: Recommended Guideline
Ganiyu A. Rahman
Oman Medical Journal , 2011,
An Unusual Case of Right Transmesocolic Hernia with Ureter at the Neck of Sac  [PDF]
Mahendra Singh Gond, Arjun Saxena, Pawan Agarwal, Uday Somashekar, Dhananjaya Sharma
Surgical Science (SS) , 2011, DOI: 10.4236/ss.2011.26073
Abstract: The purpose of the present article is to present an unusual case of internal herniation. In this case small bowl obstruction was due to congenital right trans-mesocolic hernia which had the right ureter at the neck of the sac forming a constriction band. This requires careful widening of neck of hernia, so as to avoid iatrogenic trauma to ureter. This unusual presentation needs dissemination as this type of internal hernia is extremely rare.
The surgical management of morbidly obese women with endometrial cancer  [PDF]
Stephanie Kuku, John Dick, Adeola Olaitan
Health (Health) , 2012, DOI: 10.4236/health.2012.412A208

There is an obesity epidemic in the Western World. Currently one in four adults is obese and three in ten children in the UK is overweight or obese [1]. The UK Foresight Study [2] predicts that if nothing is done, this figure will rise to five in ten (50%) in women by 2050. The endocrine changes induced by obesity lead to an increased incidence of endometrial cancer. The majority of women with endometrial cancer present with early disease which means that surgery will form all or part of their treatment. This presents serious challenges as these women often have associated comorbid conditions. In this article we explore the relationship between obesity and endometrial cancer and highlight the surgical challenges.

Transanal Endoscopic Video Assisted Rectal Lesion Resection, New Techniques Addressing Neoplasms  [PDF]
Ali Mahmood, Javier Nieto, Madhu Ragupathi, Prianka Gajula
Surgical Science (SS) , 2012, DOI: 10.4236/ss.2012.36060
Abstract: Early rectal cancer beyond the reach of conventional instruments has resulted in major abdominal and pelvic operations. As visualization is compromised beyond 6 - 8 cm, proximal to the anal verge, there have been several innovations and techniques to address T1 or T2 rectal cancer in the mid to upper rectum. Transanal Endscopic Microsurgery (TEM) was a technique that had garnered some success, however with expensive instrumentation along with limitations in instrument mobility, this technology was not applicable to many patients. Transanal Endoscopic Video Assisted (TEVA) rectal resection offers a cheap and readily accessible media to address early rectal cancer. Any hospital with standard laparoscopic ability is capable to offer TEVA rectal resection. We do advocate appropriate patient selection and advise that there is a learning curve with the increased requirement for technical difficulty. Once mastered, however, this surgical approach does provide yet another tool in the armamentarium of the surgeon.
Short-term postoperative discomfort in patients receiving flapless contra open implant surgery  [PDF]
Alexander Aizenberg, Jesper Jansson, Peter Abrahamsson
Open Journal of Stomatology (OJST) , 2013, DOI: 10.4236/ojst.2013.35050

Purpose: The aim of this pilot study was to evaluate subjective and objective findings on short-term post-operative discomfort in patients receiving flapless implant surgery compared to traditional open flap surgery. Materials and Methods: A two-centre, prospective survey study was conducted, using a customized questionnaire. Between December 2010 and January 2012, 20 patients were consecutively included. Eleven received conventional open-flap surgery and nine received flapless surgery. Inflammatory signs, analgesic consumption and sleeping difficulties were evaluated up to seven days postoperatively. A clinical examination was made one week postoperatively. Results: Significantly less experienced swelling was noted 24 hours after flapless surgery compared to open flap surgery for patients receiving four implants or more, and at three days postoperatively for patients receiving single implants. No difference concerning sleeping difficulties, pain or analgesic consumption was found. Clinical examination one week postoperatively showed no differences in wound gaps, redness of the mucosa, or presence of pus between the groups. Conclusions: In conclusion, flapless surgery seems to have a limited effect on postoperative comfort and short-term post-operative signs of soft tissue healing compared to open flap surgery. There is a need for larger randomized trials for evaluating differences in postoperative discomfort between the two surgical techniques.

Transvaginal Approach for Nongynecologic Intraperitoneal Procedures  [PDF]
José F. Noguera, Gonzalo Martín, José M. Mu?oz, Antonio Melero, Raúl Sánchez, Javier Valdivia, Marcos Bruna, Antonio Salvador, Cristóbal Zaragoza
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.521180
The minimally invasive surgery through natural orifices has revolutionized the laparoscopic surgery for abdominal procedures. The use of the vaginal approach is not new for gynecologists but it is a new concept for the non-gynecological laparoscopic surgeons. The use of this new approach has been used to perform some procedures and to extract specimens after a laparoscopic surgery, but we don’t know exactly the number of procedures performed until today. There are few papers with clinical experience and a lot of philosophical papers about NOTES. Our aim is to know how and how often we are using this new approach for non-gynecological abdominal minimally invasive procedures. With the revision of the PubMed publications we obtained a total of 268 articles, of which 125 were included in the analysis (46.64%). Cholecystectomy was the procedure more usually performed: there is a large clinical experience with a total of 2432 transvaginal cholecystectomies. Bariatric surgery, colectomy and appendectomy have been other surgical procedures with some clinical experience in the use of the transvaginal approach. Analyzing the publications on transvaginal approach, we observed that the use of the vaginal route for non-gynecological abdominal surgery was not anecdotal, with accumulative experience of more than 3000 patients reported in published studies. The use of the vaginal route has shown its safety, obtaining some additional benefits such as the aesthetic and the faster functional recovery. Dyspareunia, one of the most feared, has not been reported in studies as a concern to consider.
Suicide after Excimer Laser Refractive Surgery: On the Importance of Matching Expectations  [PDF]
Gysbert van Setten
Open Journal of Ophthalmology (OJOph) , 2015, DOI: 10.4236/ojoph.2015.53022
Abstract: Background: Refractive surgery may change the individual life to the better largely eliminating the need for spectacles. However, expectations may vary and postoperative reality may come as a surprise. Aim: To emphasize the need for thorough alignment of expectations and options between surgeon and patient. Methods: A case is presented in which a successful refractive laser operation is a part of a trigger mechanism for a depressive episode leading to suicide. It emphasizes the crucial importance of constructive alignment of expectations between patient and treating physician prior to surgery. Results: The case presented outlines that ophthalmic surgery at the edge of high-tec with all its tempting features is also very attractive to individuals with very well defined and less flexible expectations. The possible irreversibility of some of the refractive surgery may force the patient postoperatively into a psychological corner, immobilizing him/her and restricting his/her options. Conclusions: High-tec operations dealing with one of the most elementary senses we have, vision, demand a thorough estimation of the patients profile prior to any surgery. Only matching expectations between the possible and desired outcome and reconfirmation of the match may reduce the risk of postoperative crisis which may carry a risk the patient’s life.
Metastatic Primary Pulmonary Angiosarcoma  [PDF]
Brendan F. Judy, Jarrod D. Predina, Jay Mittal, Charuhas Deshpande, Sunil Singhal
Surgical Science (SS) , 2011, DOI: 10.4236/ss.2011.23026
Abstract: Angiosarcoma is an extremely aggressive tumor with a high rate of mortality. It can arise in any tissue of the body and is most commonly found in the skin and soft tissue[1]. Pulmonary angiosarcoma is usually secondary to a primary location of the body and presents as both solitary and multiple nodules. Primary pulmonary angiosarcoma is a rare disease with less than 20 cases reported in the English literature. In our report we present a case of metastatic primary pulmonary angiosarcoma involving the most ( > 100) pulmonary nodules known to date. Novel treatment strategy using an anti-angiogenic inhibitor was used to treat this disease for the first time to our knowledge; however, it was unsuccessful in controlling disease progression. This report reviews the literature of this rare and devastating disease.
Neuronavigation and epilepsy surgery  [PDF]
Martin B. Glaser, Konrad J. Werhahn, Peter Grunert, Clemens Sommer
Health (Health) , 2010, DOI: 10.4236/health.2010.27114
Abstract: Resective epilepsy surgery is an elective therapy indicated in focal epilepsy patients who are resistant to pharmacotherapy. Every effort should be undertaken to perform the procedures as safe and less traumatic as possible. Neuronavigation could represent a suitable tool to reduce surgical morbidity and increase surgical radicality. Here, we present a series of 41 patients who were operated on for medically intractable epilepsy using neuronavigation. Overall, complication rate was 17% with a favourable seizure outcome of 88% (Engel’s class I/II). Our data suggest that neuronavigation is a valuable surgical technique to accomplish a favourable outcome in epilepsy surgery.
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