41,032 results match your criteria Forceps Delivery


[The future of laparoscopy and robotics in urology].

Aktuelle Urol 2018 Dec 6;49(6):488-499. Epub 2018 Dec 6.

Urologische Universitätsklinik Mannheim, Klinik für Urologie und Kinderurologie, Mannheim.

The introduction of robotics led to a decrease in the importance of classical laparoscopy. Nevertheless laparoscopy and retroperitoneoscopy underwent significant technological improvements during the last decade, including introduction of 4k Ultra HD video technology, 3D-HD-videosystems, minaturised instruments, advanced sealing devices, instruments with 7 degrees of freedom, and ergonomic platforms Ethos Chair. The monopoly of robotic surgical devices will end in 2019, because key patents of Intuitive Surgical will expire. Read More

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December 2018
6 Reads

Efficacy of Clutch Cutter for Standardizing Endoscopic Submucosal Dissection for Early Gastric Cancer: A Propensity Score-Matched Analysis.

Digestion 2018 Dec 6:1-9. Epub 2018 Dec 6.

Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Background/aims: The purpose of this study was to evaluate the safety and efficacy of gastric endoscopic submucosal dissection (ESD) using the Clutch Cutter (CC), a scissor-type knife, compared with those of procedures using conventional devices.

Methods: This single-center retrospective study evaluated 237 patients with early gastric cancer: 83 who underwent ESD using the CC group and 154 who underwent ESD using the insulated-tip knife 2 (IT2 group). Clinicopathological features and technical outcomes were compared between the 2 groups using a propensity score-matched analysis. Read More

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December 2018
3 Reads

Patient readiness for hospital discharge and its relationship to discharge preparation and structural factors: A cross-sectional study.

Int J Nurs Stud 2018 Nov 19;90:13-20. Epub 2018 Nov 19.

Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland; Inselspital Bern University Hospital, Nursing Research Unit, 3010 Bern, Switzerland.

Background: Nursing discharge preparation is vital to successful hospital-to-home transitions. However, despite a wealth of evidence on its effectiveness, little is known of the structure- and process-related factors that facilitate or impede its use in clinical practice. Specifically, the associations between unit size and type, leadership support, skill mix, staffing, nurse and patient characteristics, discharge teaching and patient readiness for discharge have rarely been studied. Read More

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November 2018
2 Reads

Ultrasonic scalpel-assisted endoscopic endonasal surgery of infratemporal fossa: our first impressions.

World Neurosurg 2018 Dec 3. Epub 2018 Dec 3.

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, HNS&FDRc, University of Insubria, Varese, Italy.

Background: Endoscopic endonasal transpterygoid approach is emerging as a valid option for treating selected tumors in the infratemporal fossa. Compared to traditional open approaches, the endoscopic endonasal approach (EEA) presents more difficulty in controlling bleeding and less choice in surgical instruments for endoscopic tumor dissection, which is often performed with bipolar forceps or steel dissectors.

Case Description: We describe the use of an ultrasonic scalpel device for performing endoscopic endonasal resection of two rare infratemporal fossa tumors (mature teratoma and hemangiopericytoma), which has not been reported in the literature so far. Read More

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December 2018
1 Read

[Infrapectineal plate for repair with minimal invasion of quadrilateral blade acetabular fractures: description new implant and paramedial access].

Acta Ortop Mex 2018 May-Jun;32(3):118-125

Instituto de Astronomía de la Universidad Nacional Autónoma de México.

Introduction: Quadrilateral plate fractures are the most difficult to reduce and fix. Different techniques have been developed for quadrilateral plate osteosynthesis. The objective of this work was to create an implant and a novel approach to simplify and improve acetabular fracture osteosynthesis. Read More

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December 2018

Evaluation of Continuous Lactate Monitoring Systems within a Heparinized In Vivo Porcine Model Intravenously and Subcutaneously.

Biosensors (Basel) 2018 Dec 4;8(4). Epub 2018 Dec 4.

Biocrede Inc., Plymouth, MI 48170, USA.

We present an animal model used to evaluate the in vivo performance of electrochemical amperometric continuous lactate sensors compared to blood gas instruments. Electrochemical lactate sensors were fabricated, placed into 5 Fr central venous catheters (CVCs), and paired with wireless potentiostat devices. Following in vivo evaluation and calibration, sensors were placed within the jugular and femoral veins of a porcine subject as a preliminary assessment of in vivo measurement accuracy. Read More

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December 2018

Longitudinal multimodal MRI as prognostic and diagnostic biomarker in presymptomatic familial frontotemporal dementia.

Brain 2018 Nov 30. Epub 2018 Nov 30.

Department of Neurology, Erasmus Medical Center, Rotterdam, The Netherlands.

Developing and validating sensitive biomarkers for the presymptomatic stage of familial frontotemporal dementia is an important step in early diagnosis and for the design of future therapeutic trials. In the longitudinal Frontotemporal Dementia Risk Cohort, presymptomatic mutation carriers and non-carriers from families with familial frontotemporal dementia due to microtubule-associated protein tau (MAPT) and progranulin (GRN) mutations underwent a clinical assessment and multimodal MRI at baseline, 2-, and 4-year follow-up. Of the cohort of 73 participants, eight mutation carriers (three GRN, five MAPT) developed clinical features of frontotemporal dementia ('converters'). Read More

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November 2018

Can an Augmented Reality Headset Improve Accuracy of Acetabular Cup Orientation in Simulated THA? A Randomized Trial.

Clin Orthop Relat Res 2018 Nov 29. Epub 2018 Nov 29.

K. Logishetty, L. Western, R. Morgan, F. Iranpour, J. P. Cobb, E. Auvinet, MSk Lab, Imperial College London, London, UK.

Background: Accurate implant orientation reduces wear and increases stability in arthroplasty but is a technically demanding skill. Augmented reality (AR) headsets overlay digital information on top of the real world. We have developed an enhanced AR headset capable of tracking bony anatomy in relation to an implant, but it has not yet been assessed for its suitability as a training tool for implant orientation. Read More

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November 2018

Consultant led peer assisted learning model.

Clin Teach 2018 Dec 2. Epub 2018 Dec 2.

University of Exeter Medical School, Exeter, UK.

Background: Undergraduate medical students frequently report inadequate basic surgical skills such as suturing and knot tying. In recent years, peer assisted learning (PAL) has proven to be an effective method of teaching basic surgical skills. The consistency of the teaching and the quality of the content may be questionable in these workshops. Read More

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December 2018

Management and risk factors for incomplete resection associated with jumbo forceps polypectomy for diminutive colorectal polyps: a single-institution retrospective study.

Surg Endosc 2018 Nov 30. Epub 2018 Nov 30.

Department of Anatomical Pathology, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan.

Background: Cold forceps polypectomy is simple and widely used in clinical practice. However, there are concerns about the risk of incomplete resection using this technique. In recent years, it has been reported that polypectomy with jumbo forceps (JF) is an effective treatment modality for diminutive polyps (DPs) because JF are able to remove large tissue samples with the combined advantage of a higher complete histological resection rate for DPs than standard forceps. Read More

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November 2018

Clinical and Radiological Outcomes of Foraminal Decompression Using Unilateral Biportal Endoscopic Spine Surgery for Lumbar Foraminal Stenosis.

Clin Orthop Surg 2018 Dec 21;10(4):439-447. Epub 2018 Nov 21.

Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Background: Since open Wiltse approach allows limited visualization for foraminal stenosis leading to an incomplete decompression, we report the short-term clinical and radiological results of unilateral biportal endoscopic foraminal decompression using 0° or 30° endoscopy with better visualization.

Methods: We examined 31 patients that underwent surgery for neurological symptoms due to lumbar foraminal stenosis which was refractory to 6 weeks of conservative treatment. All 31 patients underwent unilateral biportal endoscopic far-lateral decompression (UBEFLD). Read More

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December 2018
1 Read

White matter differences between essential tremor and Parkinson disease.

Neurology 2018 Nov 30. Epub 2018 Nov 30.

From the Departments of Radiology and Radiological Sciences (M.R.J., M.J.D.), Neurological Surgery (D.J.E., P.E.K.), Biostatistics (Y.-C.L., H.K.), Neurology (P.T., P.H., M.J.D.), and Psychiatry (M.J.D.), Vanderbilt University Medical Center, Nashville, TN; Department of Pathophysiology and Transplantation (G.F.) University of Milan, Italy; and Chemical and Physical Biology Program (K.J.P.) and Departments of Electrical Engineering (B.A.L., B.M.D.), Computer Engineering (B.A.L., B.M.D.), Computer Science and Biomedical Engineering (B.A.L., B.M.D.), and Neurology (D.O.C.), Vanderbilt University, Nashville, TN.

Objective: To assess white matter integrity in patients with essential tremor (ET) and Parkinson disease (PD) with moderate to severe motor impairment.

Methods: Sedated participants with ET (n = 57) or PD (n = 99) underwent diffusion tensor imaging (DTI) and fractional anisotropy, mean diffusivity, axial diffusivity, and radial diffusivity values were computed. White matter tracts were defined using 3 well-described atlases. Read More

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November 2018

Reduced white matter fractional anisotropy mediates cortical thickening in adults born preterm with very low birthweight.

Neuroimage 2018 Nov 28. Epub 2018 Nov 28.

Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Pediatrics, Sørlandet Hospital, Arendal, Norway.

Development of the cerebral cortex may be affected by aberrant white matter development. Preterm birth with very low birth weight (VLBW) has been associated with reduced fractional anisotropy of white matter and changes in cortical thickness and surface area. We use a new methodological approach to combine white and gray matter data and test the hypothesis that white matter injury is primary, and acts as a mediating factor for concomitant gray matter aberrations, in the developing VLBW brain. Read More

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November 2018

The Impact of Breast Lumpectomy Tray Utilization on Cost Savings.

J Surg Res 2019 Jan 27;233:32-35. Epub 2018 Jul 27.

Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address:

Background: Right-sizing instrument trays reduce processing and replacement costs, physical strain, and turnover times. Historically, a 98-instrument head and neck tray has been used for breast lumpectomy cases at our institution. Observations revealed that many instruments on the tray were not used during the breast cases. Read More

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January 2019

A survey of vascular specialists' practice patterns of inferior vena cava filter placement and retrieval.

Vascular 2018 Dec 1:1708538118815394. Epub 2018 Dec 1.

1 Section of Vascular Surgery, Yale University School of Medicine, New Haven, USA.

Objectives: The placement of inferior vena cava filters (IVCF) continues to rise. Vascular specialists adopt different practices based on local expertise. This study was performed to assess the attitudes of vascular specialists towards the placement and retrieval of IVCF. Read More

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December 2018

Q-PULS, a new quasi-physiological pulsatile extracorporeal model to simulate heart function.

Interact Cardiovasc Thorac Surg 2018 Dec 4. Epub 2018 Dec 4.

Department of Cardiovascular Surgery, Heart Center Brandenburg, University Hospital, Brandenburg Medical School, Bernau bei Berlin, Germany.

Objectives: The invention of new surgical procedures requires testing at different stages including animal models. To facilitate this process, we have developed a computer-controlled extracorporeal circulation system for testing of an explanted porcine heart simulating a variety of physiological parameters. Mitral valve function can be assessed before and after induced valve insufficiency and after valve repair. Read More

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December 2018

A Survey About Dental Instruments at the Primary Health Care in Brazil.

Braz Dent J 2018 Sep-Oct;29(5):500-506

Department of Community and Preventive Dentistry, School of Dentistry, UFMG - Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

This study describes the structure of oral health services in primary health care in Brazil and the instruments available for the provision of oral health care and to compare the number of instruments according to organizational characteristics of health services and among the macroregions. Of the 23,251 oral health teams (OHTs) in the Public Health System, 17,513 (75.3%) participated in this study. Read More

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May 2018
1 Read

Is It Safe for Trainees to Perform Single-Incision Pediatric Endosurgery Splenectomy?

J Laparoendosc Adv Surg Tech A 2018 Dec 5. Epub 2018 Dec 5.

3 Department of Anaesthesia, King Fahd Armed Forces Hospital , Jeddah, Saudi Arabia .

Introduction: Few centers worldwide have advanced single-incision pediatric endosurgery (SIPES) splenectomy. The safety and feasibility of SIPES performed by trainees were not assessed before. SIPES splenectomy is a demanding technique that needs high level of skills. Read More

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December 2018

Non-surgical mechanical treatment of peri-implant mucositis: the effect of sub-mucosal mechanical instrumentation following supra-mucosal plaque removal. A 7-month prospective single cohort study.

Eur J Oral Implantol 2018 ;11(4):455-466

Purpose: To evaluate the effect of sub-mucosal mechanical instrumentation following supra-mucosal plaque removal in the treatment of peri-implant mucositis.

Materials And Methods: A total of 44 patients, 27 from a specialist clinic in Sweden, and 17 from a Japanese one, were included. The 44 patients had a total of 175 implants of which 84 (48%) had clinical signs of mucositis (bleeding on probing [BoP]) and no radiographic bone loss. Read More

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January 2018

Robot-assisted resection of gastric duplication cysts in a child: a detailed case report.

Pediatr Med Chir 2018 Dec 4;40(2). Epub 2018 Dec 4.

Department of Pediatric Surgery, "Spirito Santo" Hospital, Pescara; "G. d'Annunzio" University, Chieti-Pescara.

Gastric duplication cysts (GDCs) represent 4-9% of alimentary tract duplications. Early diagnosis and surgical excision are essential to avoid morbidity or neoplastic degeneration. Roboticassisted excision of GDCs has never been described in childhood. Read More

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December 2018
4 Reads

An Easy and Safe Method of Liver Retraction Using a Silicone Disc and Needle Forceps for Laparoscopic Gastrectomy.

J Laparoendosc Adv Surg Tech A 2018 Dec 4. Epub 2018 Dec 4.

Department of Gastroenterological, General, Breast and Thyroid Surgery, Faculty of Medicine, Yamagata University , Yamagata City, Japan .

Background: For safe laparoscopic gastrectomy, it is essential to secure a good visual field by employing liver retraction. We have developed a safe and easy method for liver retraction using a silicone disc, and evaluated its feasibility.

Methods: We analyzed retrospectively 36 patients with gastric cancer, who underwent laparoscopic distal gastrectomy employing liver retraction by a silicone disc and needle forceps (Silicone group) or by the Penrose drain method (Penrose group) between January 2013 and July 2016. Read More

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December 2018
4 Reads

Transhepatic forceps biopsy combined with biliary drainage in obstructive jaundice: safety and accuracy.

Eur Radiol 2018 Dec 3. Epub 2018 Dec 3.

Department of Interventional and Diagnostic Imaging, University Hospital of Caen, Avenue de la Côte de Nacre, 14033, Caen Cedex, France.

Purpose: This study was conducted in order to investigate the safety and accuracy of percutaneous transluminal forceps biopsy (PTFB) during percutaneous biliary drainage (PTBD) in patients with a suspicion of malignant biliary stricture.

Material And Methods: Fifty consecutive patients with obstructive jaundice underwent PTFB during PTBD. Biopsy specimens were obtained using 5. Read More

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December 2018

Oncological safety of use of ultrasonic activated shears in gastric cancer surgery: Long-term results of randomized controlled trial.

Chin J Cancer Res 2018 Oct;30(5):492-499

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea.

Objective: Ultrasonically activated shears (UAS) have been applied in open gastric surgeries with no or little evidence. It was previously reported about the surgical outcome and effectiveness of UAS based on a randomized controlled trial of 256 patients with gastric cancer. We aimed to clarify the long-term oncological safety of the use of UAS in the aspect of overall survival and recurrence. Read More

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October 2018
1 Read

Novel evaluation method for electrosurgical ablation by monopolar hot biopsy forceps for colonoscopy.

Med Devices (Auckl) 2018 24;11:379-389. Epub 2018 Oct 24.

Department of Mechanical Engineering, Georgia Southern University, Statesboro, GA 30459, USA,

Aim: This study evaluates tissue injury, which results from electrosurgical ablation, by correlating lesion depth to tissue impedance, and introduces a newly developed real-time feedback control system that can be applied for preventing excessive tissue injury. Although some previous studies had evaluated such tissue injuries in other ways, a specific mechanism is necessary to actually prevent excessive tissue injury.

Materials And Methods: Ablation tests were performed by using an impedance bridge circuit and gel block that have been developed in two previous studies. Read More

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October 2018

Systematic review of quality of life following pleurectomy decortication and extrapleural pneumonectomy for malignant pleural mesothelioma.

BMC Cancer 2018 Nov 29;18(1):1188. Epub 2018 Nov 29.

Institute for Translational Epidemiology and Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Background: Few studies have focused on quality of life (QoL) after treatment of malignant pleural mesothelioma (MPM). There are still questions as to which surgical procedure, extrapleural pneumonectomy (EPP) or pleurectomy decortication (P/D) is most effective and results in better survival outcomes, involves fewer complications, and results in better QoL. Here we performed a literature review on MPM patients to assess and compare QoL changes after P/D and EPP. Read More

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November 2018

Endoscope-assisted hemispherotomy: translation of technique from cadaveric anatomical feasibility study to clinical implementation.

Authors:

J Neurosurg Pediatr 2018 Oct 1:1-9. Epub 2018 Oct 1.

OBJECTIVEAppropriately chosen candidates with medically refractory epilepsy may benefit from hemispheric disconnection. Traditionally, this involves a large surgical exposure with significant associated morbidity. Minimally invasive approaches using endoscopic assistance have been described by only a few centers. Read More

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October 2018

Some Remarks upon the Use of the Forceps in Midwifery, Suggested on Reading a Paper on That Subject, Signed L. G., Contained in the Medical and Physical Journal for September.

Authors:
A B Granville

Lond Med Phys J 1820 Oct;44(260):274-282

Physician-Accoucheur to the Westminster General Dispensary; Principal Physician to the Royal Infirmary for the Diseases of Children; and Physician-in-ordinary to his Royal Highness the Duke of Clarence.

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October 1820

On the Forceps and Vectis.

Authors:

Med Phys J 1811 Aug;26(150):111-114

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On the Use of the Forceps.

Authors:

Med Phys J 1809 May;21(123):382-385

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Dr. Clark's Improved Surgical Instruments.

Authors:
Thomas Clark

Med Phys J 1804 Dec;12(70):543-548

Verdun sur Meuse.

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December 1804

Mr. Jardine, on Surgical Instruments.

Authors:
W Jardine

Med Phys J 1804 Sep;12(67):198-204

Dumfries.

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September 1804

Training with brain-machine interfaces, visuo-tactile feedback and assisted locomotion improves sensorimotor, visceral, and psychological signs in chronic paraplegic patients.

PLoS One 2018 29;13(11):e0206464. Epub 2018 Nov 29.

Neurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), São Paulo, Brazil.

Spinal cord injury (SCI) induces severe deficiencies in sensory-motor and autonomic functions and has a significant negative impact on patients' quality of life. There is currently no systematic rehabilitation technique assuring recovery of the neurological impairments caused by a complete SCI. Here, we report significant clinical improvement in a group of seven chronic SCI patients (six AIS A, one AIS B) following a 28-month, multi-step protocol that combined training with non-invasive brain-machine interfaces, visuo-tactile feedback and assisted locomotion. Read More

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November 2018

Long-term fertility, oncological, and quality-of-life outcomes after trachelectomy in early stage cervical cancer.

Arch Gynecol Obstet 2018 Nov 28. Epub 2018 Nov 28.

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Sahlgrenska Academy at University of Gothenburg, 41345, Gothenburg, Sweden.

Purpose: Our aim was to evaluate fertility-sparing surgery of early stage cervical cancer after the introduction of vaginal trachelectomy (VT) and pelvic lymph node dissection (PLND). The objectives were to assess surgical, long-term oncological, fertility, and obstetric outcomes together with self-assessed quality of life (QoL).

Methods: All women ≤ 40 years diagnosed with early stage cervical cancers IA1-IB1 and ≤ 2 cm treated by VT and PLND between 2000 and 2014 were included. Read More

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November 2018

Regional cost analysis for laparoscopic cholecystectomy.

Surg Endosc 2018 Nov 28. Epub 2018 Nov 28.

Kaiser Permanente South Sacramento, 6600 Bruceville Rd., Sacramento, CA, 95823, USA.

Background: Laparoscopic cholecystectomy is the most common procedure performed by general surgeons in the United States, with approximately 600,000 procedures performed annually. As the cost of care rises, there is increasing emphasis on utilization and quality. Our objective was to evaluate the cost of laparoscopic cholecystectomy in our health system and to compare the operative times and outcomes at high- and low-cost centers. Read More

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November 2018
4 Reads

Patient-reported outcomes and safety in patients undergoing synovial biopsy: comparison of ultrasound-guided needle biopsy, ultrasound-guided portal and forceps and arthroscopic-guided synovial biopsy techniques in five centres across Europe.

RMD Open 2018 26;4(2):e000799. Epub 2018 Oct 26.

Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, UK.

Background: We present a European multicenter study, comparing safety data and patient-reported outcomes (PRO) from patients undergoing synovial biopsy using ultrasound-guided needle biopsy (US-NB), ultrasound-guided portal and forceps (US-P&F) or arthroscopic-guided (AG) procedures.

Objectives: To describe safety and PRO data on joint indices of pain, stiffness and swelling before and after biopsy, procedural discomfort, joint status compared with before biopsy and willingness to undergo a second biopsy for each technique and compare the three techniques. To evaluate the impact on PRO and safety data of corticosteroid therapy as part of the biopsy procedure and sequential biopsy procedures. Read More

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October 2018
1 Read

Influence of Different Angles of File Access on Cyclic Fatigue Resistance of Reciproc and Reciproc Blue Instruments.

J Endod 2018 Dec 25;44(12):1849-1855. Epub 2018 Oct 25.

Department of Conservative Dentistry, School of Dentistry, Pusan National University, Yangsan, Korea. Electronic address:

Introduction: The purpose of this study was to compare the cyclic fatigue of Reciproc (REC; VDW, Munich, Germany) and Reciproc blue (REB, VDW) with different angles of file access.

Methods: The cyclic fatigue resistance of 120 new REC R25 and REB R25 (REB) files was tested. Instruments were divided into 8 groups on the basis of the access angle inside the artificial canal tested (n = 15): groups 1, 2, 3, and 4 included REC tested at 0°, 10°, 20°, and 30°, respectively, and groups 5, 6, 7, and 8 consisted of REB tested at 0°, 10°, 20°, and 30°, respectively. Read More

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December 2018

A Multimodality Navigation System for Endoscopic Fetal Surgery: A Phantom Case Study for Congenital Diaphragmatic Hernia.

Surg Innov 2018 Nov 28:1553350618813244. Epub 2018 Nov 28.

2 King's College Hospital, Fetal Medicine Research Institute, London, UK.

This article presents a multi-modality tracking and navigation system achieved by merging optical tracking and ultrasound imaging into a novel navigation software to help in surgical pre-planning and real-time target setting and guidance. Fetal surgeries require extensive experience in coordination of hand-eye-ultrasound-surgical equipment, knowledge, and precise assessment of relative anatomy. While there are navigation systems available for similar constrained working spaces in arthroscopic and cardiovascular procedures, fetal minimally invasive surgery does not yet have a dedicated navigation platform capable of supporting robotic instruments that can be adapted to the set of unique procedures. Read More

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November 2018

Colonization of in the gastric cardia: A comparison between the UFT300 and CLO tests.

JGH Open 2018 Jun 15;2(3):93-96. Epub 2018 May 15.

Division of Gastroenterology, Department of Internal Medicine Mackay Memorial Hospital Taipei Taiwan.

Background And Aim: To assess the detection rates of colonization in the gastric cardia with two commercial kits of rapid urease test: 5 min UFT300 and 24 h CLO test in H. pylori-infected patients.

Methods: Eighty consecutive dyspeptic patients with confirmed H. Read More

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Omnidirectional malleable ring retractor: A new approach to retraction during carotid endarterectomy.

World Neurosurg 2018 Nov 24. Epub 2018 Nov 24.

Department of Neurosurgery, Tokyo Women's Medical University 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666 Japan. Electronic address:

Objective: To resolve problems with retraction instruments in order to obtain shallow and flat operative field in procedures such as carotid endarterectomy (CEA), we developed a new malleable tin-alloy omnidirectional retraction supporting (ORS) ring.

Methods: The new ORS ring has an ellipse-shaped (major axis: 275 mm; minor axis: 192 mm) bar frame (4 mm×6 mm). The bar has 22 equidistant outward protrusions (length,12 mm; diameter, 2. Read More

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November 2018

Design and Study of a Next-Generation Computer-Assisted System for Transoral Laser Microsurgery.

OTO Open 2018 Apr-Jun;2(2):2473974X18773327. Epub 2018 May 10.

Department of Advanced Robotics, Istituto Italiano di Tecnologia, Genova, Italy.

Objective: To present a new computer-assisted system for improved usability, intuitiveness, efficiency, and controllability in transoral laser microsurgery (TLM).

Study Design: Pilot technology feasibility study.

Setting: A dedicated room with a simulated TLM surgical setup: surgical microscope, surgical laser system, instruments, ex vivo pig larynxes, and computer-assisted system. Read More

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Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval.

Radiol Case Rep 2019 Feb 20;14(2):246-250. Epub 2018 Nov 20.

Department of Diagnostic and Interventional Imaging, University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA.

Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in which all commonly described endoscopic and percutaneous techniques failed to retrieve a proximally migrated, fractured, and looped plastic biliary stent. Read More

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February 2019

Evaluation of stainless steel surgical instruments subjected to multiple use/processing.

Infect Dis Health 2018 Mar 28;23(1):3-9. Epub 2017 Sep 28.

Surgical Infection Research Group, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia. Electronic address:

Background: To determine the effect of multiple use and processing cycles on instrument quality over the life of stainless steel, complex designed clinical surgical instruments.

Methods: Steam sterilised surgical instruments due to be discarded from Australian hospitals, because of loss of functionality, were assessed for contaminating protein and bacteria using the bicinchoninic acid protein assay and microbial culture, respectively. Biofilm presence and instrument damage were visually confirmed by scanning electron microscopy (SEM). Read More

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Endobronchial forceps-assisted complex retrieval of inferior vena cava filters.

J Vasc Surg Venous Lymphat Disord 2018 Nov 23. Epub 2018 Nov 23.

Division of Interventional Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Mass.

Objective: The objective of this study was to assess the safety, feasibility, and effectiveness of endobronchial forceps-assisted retrieval of inferior vena cava (IVC) filters when standard retrieval techniques fail.

Methods: An Institutional Review Board-approved single-center retrospective review during a 6-year period identified 60 consecutive patients (23 men and 37 women; mean age, 49.3 years; range, 19-77 years) in whom rigid endobronchial forceps were required for IVC filter retrieval after standard techniques failed. Read More

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November 2018

Efficacy and safety of cold forceps polypectomy utilizing the jumbo cup: a prospective study.

Intest Res 2018 Nov 28. Epub 2018 Nov 28.

Division of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.

Background/aims: There are few prospective studies on cold forceps polypectomy (CFP) using jumbo cup forceps. Therefore, we examined patients with diminutive polyps (5 mm or smaller) treated with CFP using jumbo cup forceps to achieve an adenoma-free colon and also assessed the safety of the procedure and the recurrence rate of missed or residual polyp after CFP by performing follow-up colonoscopy 1 year later.

Methods: We included patients with up to 5 adenomas removed at initial colonoscopy and analyzed data from a total of 361 patients with 573 adenomas. Read More

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November 2018
3 Reads

Perioperative Pressure Injuries: A Systematic Literature Review.

Adv Skin Wound Care 2018 Dec;31(12):556-564

At the University Hospital of Udine, in Udine, Italy, Giampiera Bulfone, PhD, RN; Valentina Bressan, PhD, RN; and Alessandro Morandini, BNS, RN, are surgical nurses. Simone Stevanin, MNS, RN, is a perioperative nurse, University Hospital of Padova, Italy. The authors have disclosed no financial relationships related to this article. Submitted January 1, 2018; accepted in revised form May 16, 2018.

Objective: To conduct a systematic review to investigate risk factors, incidence, and preventive strategies for perioperative pressure injuries (PIs).

Methods: The authors reviewed four databases for literature published from January 2001 to December 2017. Selected articles included primary quantitative studies with prospective, descriptive, and longitudinal design or randomized controlled trials that evaluated risk factors, incidence, and preventive strategies for perioperative PIs. Read More

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December 2018

New Strategies for Surgical Myocardial Revascularization.

Circulation 2018 Nov;138(19):2160-2168

University of Oxford, United Kingdom (D.P.T.).

We summarize the evidence on the new strategies for coronary artery bypass grafting (CABG). Hybrid CABG implies surgical grafting of the left anterior descending artery and percutaneous treatment of the other target vessels, with the promise of combining the durable benefits of surgery with the less invasive approach of percutaneous coronary interventions. Robotic CABG and minimally invasive CABG are performed through minimal incision or port access with dedicated equipment and instruments. Read More

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November 2018