Search results for "Ligation"
showing 10 items of 330 documents
Ureteral injury during left colectomy for cancer: Laparoscopic management. A case report
2020
Abstract Introduction Iatrogenic ureteral lesions may occur after any abdominal and pelvic surgery. They are severe and can affect renal function and even vital prognosis. This study aimed to determine the clinical aspects and the therapeutic approaches of a lower third injury of the ureter during a laparoscopic left colectomy. Presentation of case An 81 year-old-man with left-sided colon cancer underwent laparoscopic left colectomy. During surgery there was a continuous full-thickness solution of the left ureter for which an end-to-end ureteral anastomosis was performed. In the postoperative period the patient underwent multiple urological and radiological interventional procedures due to …
Associated Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) Registry: What Have We Learned?
2020
In 2007, the first associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure was performed in Regensburg, Germany. ALPPS is a variation of two-stage hepatectomy to induce rapid liver hypertrophy allowing the removal of large tumors otherwise considered irresectable due to a too small future liver remnant. In 2012, the international ALPPS registry was created, and it now contains more than 1,000 cases. During the past years, improved patient selection and refinements in operative techniques, in particular, less invasive approaches such as Partial ALPPS, Tourniquet ALPPS, Ablation-assisted ALPPS, Hybrid ALPPS or Laparoscopic or Robotic approaches, have resu…
Outpatient Treatment of Hemorrhoidal Disease: The Alternative Way to Treat Hemorrhoidal Disease in a Simple, Safe and Effective Manner.
2021
Background:: Hemorrhoidal disease is a widespread problem in healthy working patients. The traditional surgical approaches cause a loss of several working days related to the post-- operative course that is often painful. To avoid these problems while offering a symptoms resolution in patients with low degrees hemorrhoids, the non-surgical treatments are nowadays largely proposed in proctological clinics. Methods: We resume the recent literature on the issue to offer a practical and easy to use guide for clinicians. Results: Rubber band ligation, injection sclerotherapy and infrared coagulation are cost effective, safe and effective treatments for patients with II- and III-degree hemorrhoi…
Multiplex Ligation-dependent Probe Amplification analysis of Copy Number Variants in mentally retarded patients
2011
The aetiology of mental retardation and dysmorphism is still poorly understood in over half of the affected individuals. Recent studies have shown that genomic mutations such as Copy Number Variants (CNV) can be important factors predisposing to the highly heterogeneous clinical conditions observed in affected individuals. Genome−wide array−Comparative Genomic Hybridization (aCGH) is the best technology available so far for a first screening of CNVs in genomic DNA in patients and control individuals. However, CNVs detected by aCGH need validation by an independent method such as Multiplex Ligation-dependent Probe Amplification (MLPA). In this report we present the results of a MLPA analysis…
How Should We Interpret Institutional Duty-Claims?
2013
It is rather natural to suppose that what we mean when we say that an institutional organization has a moral duty is parallel to whatever it is that we mean when we say that an individual has a duty. I challenge this interpretation on the grounds that it assumes that institutional organizations possess those characteristics or abilities requisite for moral agency—an assumption which I argue is highly suspicious. Against such an interpretation, I argue that we have very good reasons to suppose that the term ‘has a duty’ is used equivocally across individual and institutional contexts. In other words, the meaning of an institutional duty-claim is quite different than that of an individual dut…
Ethica cordis
2007
La ética del discurso es un óptimo fundamento para la ética cívica de una sociedad moralmente pluralista, pero siempre que no se contente con su dimensión procedimental, sino que saque a la luz su dimensión cordial. Sólo que entonces pasa de ser ética del discurso a ethica cordis. El presente trabajo intenta dar ese paso, y con ese fin cubre tres etapas: 1) en qué medida son necesarios los vínculos, 2) en qué consiste el vínculo discursivo, 3) cómo el vínculo comunicativo incluye el discursivo y va más allá, dando lugar a una ética de la razón cordial. Discourse ethics is the best foundation for the civil ethics of a morally pluralist society, but only on condition that it does not remain m…
Status filozoficznomoralny i teologicznomoralny ludzkiego ciała, zwłok, komórek, tkanek i narządów w kontekście badań nad ludzkim materiałem biologic…
2020
Multiplex Ligation-dependent Probe Amplification (MLPA)
2011
The Multiplex Ligation-dependent Probe Amplification (MLPA) is a PCR-based method. The procedure relies on sequence-specific probe hybridization of genomic DNA, followed by multiplex-PCR amplification of the hybridized probe and a semiquantitative analysis of the resulting PCR products. MLPA allows the analysis of around 40 loci in the same reaction, and is a sensitive and relatively fast technique. Only a small amount of DNA is required and results are available within 2 days.The critical factors when performing MLPA analyses from formalin-fixed paraffin-embedded (FFPE) tissues are DNA integrity and purity; for this reason, a suitable DNA extraction method must be chosen.The MLPA protocol …
Il nesso di causalita` materiale nella responsabilita` contrattuale e la ripartizione dell’onere della prova
2019
Il saggio prende le mosse da un orientamento della Suprema Corte, in corso di consolidamento, che ritiene il nesso di causalita` nella responsabilita` professionale del medico oggetto di prova distinta rispetto all’inadempimento o alla colpa, addossandone l’onere al creditore. In tal modo, le due specie della responsabilita` civile, contrattuale e aquiliana, non divergerebbero sul versante del requisito della causalita` ed e` questo un esito sistematico di cui si puo` fondatamente dubitare. A un esame approfondito, l’intero impianto dell’orientamento si rivela piuttosto fragile per una pluralita` di ragioni che pero` sono tutte riconducibili all’errore di fondo di trascurare le specificita`…