Search results for "paro"

Pre-operative interventional radiology: could it have a role before complex laparoscopic surgery?

2021

Bleedings occurring during a surgical intervention can be caused by haemostatic defects, but they are generally due to ineffective local haemostasis. Current coagulation systems may not be sufficient to achieve a good haemostasis, causing, at the same time, tissue dama-ge. Furthermore, the availability of such devices does not eliminate difficulties linked to the isolation of vessels, a crucial step of surgical procedures that require the removal of an organ or part of it, in case of inflammation or neoplasm. This difficulty is even more evident, and weighs more on operative times, when the surgeon engages with video-assisted surgery, where anatomical structures are difficult to detect and …

The LANN technique to reduce postoperative functional morbidity in laparoscopic radical pelvic surgery

2005

BACKGROUND: We investigated the feasibility and advantages of introducing Laparoscopic Neuro-Navigation (LANN) into the field of laparoscopic gynecologic radical pelvic surgery. STUDY DESIGN: In a prospective pilot study, 261 consecutive patients underwent laparoscopic radical pelvic surgery for cervical cancer or deep infiltrating endometriosis of the parametria. During the procedure, dissection and electrostimulation, and consequently, sparing of the pelvic parasympathetic nerves by transection of the parametria, were performed. Postoperative bladder dysfunction was documented. RESULTS: Laparoscopic dissection and electrostimulation of the pelvic splanchnic nerves were feasible in all pat…

Histologic analysis of specimens from laparoscopic endometrioma excision performed by different surgeons: does the surgeon matter?

2011

Objective To evaluate whether the amount of ovarian tissue inadvertently removed along with the endometrioma cyst wall at laparoscopy differs in relation to the operating surgeon's level of expertise. Design Multicenter, prospective trial. Setting Four tertiary care university hospitals. Patient(s) Fifty patients, aged 25 to 40 years, with monolateral ovarian endometriomas who underwent laparoscopic excision. Intervention(s) Operation with the stripping technique by surgeons with specific expertise in endometriosis surgery in four centers (groups A, B, C, and D) and by residents with average training in laparoscopic surgery (group E). Main Outcome Measure(s) Histologic examination for the e…

Colorectal infiltrating deep endometriosis: Laparoscopic treatment. A case report

2022

Endometriosis is a disease affecting approximately 10% of women of fertile age. A particular presentation is deep infiltrating endometriosis of the rectosigmoid colon with symptoms that can mimic an intestinal obstruction or neoplasm. We report the case of a 39-year-old woman with pelvic pain during the menstrual cycle and significant anemia who presented an ectopic endometrial tissue in correspondence of the rectum. Because of the thickness of the lesion the patient underwent a segmental laparoscopic colorectal resection with end-to-end anastomosis.

Enregistrer les interactions au restaurant : atouts et contraintes d’un cadre expérimental

2013

Dans le cadre d’un travail de recherche en Analyse Conversationnelle (Sacks, 1992) traitant des dimensions linguistiques et multimodales des interactions entre le personnel de service et les clients lors d’un repas au restaurant, nous avons élaboré une partie de notre corpus dans un restaurant expérimental équipé d’un système d’enregistrement audio et vidéo. Dans cet article, nous exposerons comment ce dispositif a été utilisé pour la constitution de notre corpus afin de capter des données authentiques enregistrées dans leur contexte naturel de production.Grâce à l’analyse fine de deux extraits, nous montrerons que le dispositif technique à disposition dans cette structure ne peut pas être …

Epilessia temporale e manifestazioni parossistiche neurovegetative in età prescolare: descrizione di un caso clinico emblematico

2014

LE PAROLE CHE INTENDONO L'INFINITO. BREVE FENOMENOLOGIA DELLA RICERCA VERITATIVA

2011

In un'epoca tarda come quella che viviamo, tutte le parole - anche quelle che intendono ed esprimono i mondi della vita quotidiana - sembrano diventare equivoche. Ciò ci consegna spesso ad una sorta di sonnambulismo esistenziale, in cui siamo costretti a parlare parole "parlate", che diventano logorate dall'uso, destinate a banalizzarsi. La scelta d'essere autenticamente desti può aiutarci a recurarare inl senso sorgivo delle parole: a intenderne il significato originario, che riempie di senso le nostre parole. Trovano in ciò fondamento di senso le parole poetiche, quelle metafisiche e quelle religiose...

Rendita catastale e “rendita solare” degli impianti di produzione elettrica a fonti rinnovabili: perequazione fiscale energetico-immobiliare

2014

Fra i temi affrontati dalla legge 11 marzo 2011, n. 23, recante delega al governo per un sistema fiscale più equo, spiccano le questioni fondamentali della riforma catastale e della fiscalità energetico-ambientale, di cui si tratta nel presente studio. La nuova riforma del catasto dei fabbricati aspira a realizzare un sistema fiscale più perequato at-traverso la rimozione della disparità fra redditi (e valori) catastali e redditi (e valori) osservabili nei mercati immobiliari. Il tema catastale è rilevante per i molteplici effetti fiscali che ne derivano, e il divario esistente fra i valori di mercato e quelli catastali, hanno suscitato un grande interesse degli studiosi di estimo, stimolan…

Kombination und Rekombination in der Renaissance

2020

Ein hervorstechendes Merkmal der Musik des 15. und 16. Jahrhunderts ist die Verwendung von praexistenter Musik als Grundlage oder Ausgangspunkt einer neuen Komposition. Solche Werke lassen sich anhand zweier grundsatzlich unterschiedlicher Herangehensweisen unterscheiden, die jeweils eigene kompositionstechnische Probleme nach sich ziehen: Einerseits finden sich Kompositionen, die auf additiven Prozessen und kontrapunktisch anspruchsvollen Strukturen wie Kanons basieren, andererseits solche, in denen eine meist mehrstimmige Vorlage fragmentiert und ihre Bestandteile zu einer neuen Komposition rekombiniert werden. Im vorliegenden Artikel wird diese Unterscheidung ausgehend von Detailanalysen…

Per una Wettergrammatik. La verbalizzazione dei fenomeni atmosferici in tedesco

2009

Language is a very complex system. This article is limited to the semantic sphere of wheather and describes the components that German language offers to its users - words phrases, sentences, texts and the relations between them - to verbalize atmospheric phenomena.