Search results for "Procedures"
showing 10 items of 1678 documents
Innovations in the Art of Microneurosurgery for Reaching Deep-Seated Cerebral Lesions.
2019
Deep-seated cerebral lesions have fascinated and frustrated countless surgical innovators since the dawn of the microneurosurgical era. To determine the optimal approach, the microneurosurgeon must take into account the characteristics and location of the pathological lesion as well as the operator's range of technical expertise. Increasingly, microneurosurgeons must select between multiple operative corridors that can provide access to the surgical target. Innovative trajectories have emerged for many indications that provide more flexible operative angles and superior exposure but result in longer working distances and more technically demanding maneuvers. In this article, we highlight 4 …
Prevention and treatment of intracranial hypertension
2007
Intracranial pressure (ICP) is the pressure exerted by cranial contents on the dural envelope. It comprises the partial pressures of brain, blood and cerebrospinal fluid (CSF). Normal intracranial pressure is somewhere below 10 mmHg; it may increase as a result of traumatic brain injury, stroke, neoplasm, Reye's syndrome, hepatic coma, or other pathologies. When ICP increases above 20 mmHg it may damage neurons and jeopardize cerebral perfusion. If such a condition persists, treatment is indicated. Control of ICP requires measurement, which can only be performed invasively. Standard techniques include direct ventricular manometry or measurement in the parenchyma with electronic or fiberopti…
Tonographic Effect of Ocular Response Analyzer in Comparison to Goldmann Applanation Tonometry.
2016
AIMS The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA). METHODS Both eyes of 31 glaucoma patients and 35 healthy controls underwent nine IOP-measurements performed with GAT and ORA. The number of GAT and ORA measurements performed on each eye differed depending on the randomly allocated investigation scheme. Central corneal thickness (CCT), anterior chamber volume (ACV) and anterior chamber depth (ACD) were assessed with Pentacam before and after the repeated GAT/ORA measurements. RESULTS There was no sta…
Combined inguinal hernia in the elderly. Portraying the progression of hernia disease
2016
Abstract Introduction Identification of a combined hernia is a common occurrence in the course of inguinal hernia repair. This type of protrusion disease seems to affect the elderly, in particular. Very few investigations have been carried out to ascertain the structural changes that occur in the groin affected by this clinical condition. Method Analysis of intraoperative findings of combined inguinal hernias evidenced in the elderly, from the most recent 100 groin hernia repair procedures carried out by a single operator, represents the basis of the article. Protrusions that presumably represent the forerunner of this type of hernia were also analyzed: double ipsilateral inguinal hernias c…
De piedra negra, tinta aguada y albayalde. Las técnicas de dibujo de Joan de Joanes y el 'estado del arte' en la Valencia del siglo XVI. ¿Tradición o…
2020
[ES] El presente artículo pretende realizar un somero análisis al corpus de dibujos sobre papel atribuido a Joan de Joanes y a sus más directos seguidores, desde una óptica metaformal, adentrándose en la génesis misma de tales diseños, desde su concepción hasta sus funciones. Han sido muy eventuales las apreciaciones sobre los procedimientos gráficos usados por el pintor y, en general, la cuestión de sus dibujos se ha abordado siempre desde la tradicional perspectiva de confrontación iconográfica y formal. No se ha ahondado en cuestiones que, a nuestro parecer, resultan claves para entender una figura tan poliédrica y compleja como la del artista valentino: como cuánto débito existe entre e…
Anatomic Posterolateral Knee Reconstructions Require a Popliteofibular Ligament Reconstruction Through a Tibial Tunnel
2010
Background: No biomechanical study has been performed analyzing the merits of reconstructing the popliteofibular ligament (PFL) through a tibial tunnel with an anatomic reconstruction of the posterolateral knee. Hypothesis: There is no difference in an anatomic posterolateral knee reconstruction with or without a PFL reconstruction placed through a tibial tunnel in restoring knee motion to the intact, uninjured state, and the knee is not overconstrained with this reconstruction. Study Design: Controlled laboratory study. Methods: Eight paired knees were tested in the intact state and then sectioned to simulate a grade III posterolateral knee injury. The reconstruction for the first paired …
Reclutamiento y reclutas en la ciudad de Valencia (1717-1762)
2019
This research aims to analyze recruitment by quintas, Spanish word for recruitment levies by lot, in the city of Valencia and the townships included in its jurisdictional area. The analyzed period began in 1717 with the first levie decreted by king Philip V once the War of Spanish Succession was over. Applied this levie in the kingdom of Valencia, this was the first application of levies by lot. The closing year for the reported period up to 1762, whith the last levy made by king Charles III before the establishment of the annual periodicity for the recruitment process. Procedures with which human contingents claimed to the city of Valencia between the mentioned dates were organized and dis…
Use of a collagen/elastin-membrane for the tissue engineering of dermis.
1999
In an experimental model in rats, xenogeneic membranes consisting of processed native collagen and elastin were grafted to serve as a template for the formation of a neo-dermis, while in vitro-cultured autogeneic keratinocytes were applied on top of this to restore an epidermis. The process of tissue reconstruction and the digestion of the grafted membrane components were analysed by histological and immunohistochemical methods as well as electron microscopy. Approximately 3 weeks post grafting the membranes were completely vascularised and colonized by different types of cells. After 6 weeks, the collagenous fibres of the graft were mostly replaced by newly formed collagenous texture, wher…
Nonsurgical Procedures for Keratoconus Management
2017
Objectives. To describe the past 20 years’ correction modalities for keratoconus and their visual outcomes and possible complications.Methods. A review of the published literature related to the visual outcomes and possible complications in the context of keratoconus management using nonsurgical procedures for the last 20 years (glasses and contact lenses) was performed. Original articles that reported the outcome of any correction modalities of keratoconus management were reviewed.Results. The most nonsurgical procedure used on keratoconus management is the contact lens fitting. Soft contact lenses and soft toric contact lenses, rigid gas-permeable contact lenses, piggyback contact lens sy…
Renal Transplantation by Automatic Anastomotic Device in a Porcine Model
2015
Automatic vascular staplers for vascular anastomoses in kidney transplantation may dramatically reduce the operative time and, in particular, warm ischemia time, thus increasing the outcome of transplantation. Ten pigs underwent kidney auto-transplantation by automatic anastomotic device. Kidneys were collected by laparotomy with selective ligations at the renal hilum and perfused with cold storage solution. To overcome the shortage in length of renal hilum, a tract of the internal jugular vein was harvested to increase the length of the vessels. The anastomoses were totally performed by the use of the anastomotic device. On 10 kidney transplants, nine were successful and no complications o…