Search results for "Endoscopic surgery"

Laparoscopic-ultrasonographic combined technique for the creation of a neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome

1996

Objective To create a neovagina using a combined laparoscopic and ultrasonographic technique in Mayer-Rokitansky-Kuster-Hauser syndrome by modification of Vecchietti's operation. Design Case report. Setting Division of Physiopathology of Reproduction, University of Palermo, Palermo, Italy. Main Outcome Measure(s) The advancement of the needle from the pseudohymen, through the vesicorectal space using a triple contrast ultrasonographic technique. Result(s) The ultrasonographic scanning guides the accurate transit from external genitalia to the peritoneal cavity. Conclusion(s) This original approach allowed a safe and rapid creation of a neovagina in a case of Mayer-Rokitansky-Kuster-Hauser s…

Acoustical analysis of Spanish vowels produced by laryngectomized subjects.

2001

The purpose of this study was to describe the acoustic characteristics of Spanish vowels in subjects who had undergone a total laryngectomy and to compare the results with those obtained in a control group of subjects who spoke normally. Our results are discussed in relation to those obtained in previous studies with English-speaking laryngectomized patients. The comparison between English and Spanish, which differ widely in the size of their vowel inventories, will help us to determine specific or universal vowel production characteristics in these patients. Our second objective was to relate the acoustic properties of these vowels to the perceptual data obtained in our previous work (J. L…

Surgical treatment of choanal atresia with transnasal endoscopic approach with stentless single side-hinged flap technique: 5 year retrospective anal…

2017

Introdução: A atresia de coanas é uma malformação congênita rara da cavidade nasal caracterizada pela obliteração completa da coana posterior. Nos 67% dos casos a atresia coanal é unilateral, acometendo principalmente (71%) a cavidade nasal direita. Diferentemente da forma unilateral, a atresia coanal bilateral é uma condição com risco de vida, frequentemente associada a angústia respiratória com alimentação e cianose intermitente exacerbada pelo choro. O tratamento cirúrgico permanece como a única opção terapêutica. Objetivo: Relatar a nossa experiência no uso de uma abordagem endoscópica transnasal com a técnica de retalho articulado de um lado só sem colocação de stent para o tratamento …

Craniovertebral Junction Transanasal and Transoral Approaches: Reconstruct the Surgical Pathways with Soft or Hard Tissue Endocopic Lines? This Is th…

2017

A variety of pathological conditions may affect the clivus and the craniovertebral junction (CVJ). These include congenital disorders, chronic inflammation, neoplasms, infections, and posttraumatic conditions that could all result in CVJ compression and myelopathy Endoscopic-assisted procedures have been further developed for CVJ decompression and they have now become conventional approaches. The aims of the present study were: (1) to compare “radiological” and “surgical” nasoaxial lines (NAxLs); (2) to introduce an analogous radiological line as a predictor of the superior extension of the transoral approach (palatine inferior dental arch line (PIA); (3) to compare the “radiological” nasop…

Surgeons’ assessment of internal anal sphincter nerve supply during TaTME - inbetween expectations and reality

2016

Abstract Background: Intraoperative identification of nerve fibers heading from the inferior rectal plexus (IRP) to the internal anal sphincter (IAS) is challenging. The transanal total mesorectal excision (TaTME) is said to better preserve pelvic autonomic nerves. The aim of this study was to investigate the nerve identification rates during TaTME by transanal visual and electrophysiological assessment. Material and methods: A total of 52 patients underwent TaTME for malignant conditions. The IRP with its posterior branches to the IAS and the pelvic splanchnic nerves (PSN) were visually assessed in 20 patients (v-TaTME). Electrophysiological nerve identification was performed in 32 patient…

Endoscopic Endonasal Resection of a Schwannoma of the Anterior Cranial Fossa.

2020

Endoscopic surgery of the rhinobasis with a computer-assisted localizer

1996

The endoscope is useful for the diagnosis and surgical therapy of diseases of the nose, the paranasal sinuses and its neighboring regions, and allows for microinvasive, functional approaches. The reduced invasiveness of therapeutic procedures is sometimes accompanied by insufficient clearness of the surgical field, however. This significant problem is solved by the computer-assisted-surgery (CAS) system, an intraoperative localizer. It allows continuous orientation based on three-dimensional reconstructed preoperative CT scans with superimposed positioning of the endoscope. We have now adapted CAS for endoscopic sinus surgery, which meant that a variety of visualization methods were tested.…

Direct image-guided retroperitoneal approach and treatment of the pancreas by using natural orifice transluminal endoscopic surgery after EUS sugar-a…

2021

Die endoskopische Fasziotomie mit und ohne Perforansdiszision bei chronischem Ulcus cruris venosum

1999

Lange bestehende venose Unterschenkelgeschwure erweisen sich haufig gegenuber modernen konservativen Therapiemodalitaten als refraktar. Nach operativer Sanierung des oberflachlichen Venensystems bieten endoskopische Methoden die Moglichkeit, pathophysiologisch relevante Perforansinsuffizienzen zu beseitigen und chronisch funktionelle Kompartmentsyndrome durch paratibiale Fasziotomie kausal anzugehen. Wir berichten uber 13 endoskopisch durchgefuhrte paratibiale Fasziotomien mit und ohne Ausschaltung inkompetenter Perforansvenen (Endoscopic subfascial division of perforators = ESDP) bei Patienten mit Ulcus cruris venosum einer Bestandsdauer von im Median 15 Jahren. Neben sofortiger Reduzierun…

Der Einsatz eines optischen Navigationssystem in der Nasennebenh�hlenchirurgie

2003

Hintergrund. Fur die moderne Nasennebenhohlenchirurgie stehen heute verschiedene CAS-Systeme zur Verfugung.Das Vector-Vision-Compact®-System stellt erstmals ein speziell fur Nasennebenhohleneingriffe konzipiertes optisches Gerat dar.Seine Praktikabilitat und Zuverlassigkeit wurde in der Nasennebenhohlenchirurgie uberpruft. Patienten und Methode. Das System wurde bei 60 Patienten mit polyposer Pansinusitis verwendet.Die Bestimmung der Systemgenauigkeit erfolgte visuell und wurde mit etablierten Systemen verglichen.Fehlerquellen sowie systembedingte Komplikationen wurden uberpruft. Ergebnisse. Die Systemgenauigkeit betrug 1,9 mm und war anderen Navigationssystemen gleichwertig. In 83,3% aller…