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A Novel Expert Coaching Model in Urology, Aimed at Accelerating the Learning Curve in Robotic Prostatectomy.

INTRODUCTION/BACKGROUND: The surgical residency model assumes that upon completion, a surgeon is ready to practice and grow independently. H … nded to focus more on anatomic and technique-based questions such as tissue handling and the use of cautery and clips. Overall, the surgeons thought this program provoked critical discussion and subsequently modified their technique, and "agreed" or "strongly agreed" that they would seek further sessions. CONCLUSIONS: Surgical coaching at a large medical …

Intraoperative coagulopathy during cesarean section as an unsuspected initial presentation of COVID-19: a case report.

BACKGROUND: The world's understanding of COVID-19 continues to evolve as the scientific community discovers unique presentations of this disease. This case report depicts an unexpected intraoperative coagulopathy during a cesarean section in an otherwise asymptomatic patient who was later found to have COVID-19. This case suggests that there may be a higher risk for intrapartum bleeding in the pregnant, largely asymptomatic COVID-positive patient with more abnormal COVID laboratory values. CASE: The case patient displayed D-Dimer elevations beyond what is typically observed among this hospita

Surgical management of lung metastases.

Management of pulmonary metastases has evolved considerably over the last few decades but is still controversial. The surgical management of lung metastases is outlined, discussing the preoperative management, indications for surgery, the surgical approach and outcomes according to the primary histology.

Ligamentum Flavum Flap Technique in Lumbar Microdiscectomy.

BACKGROUND: Microdiscectomy has been the gold-standard technique for the treatment of lumbar disc herniation. A potential reason for subopti … erating microscope and fluoroscopy unit in order to ensure accurate starting points.Utilize minimal cautery at all levels of dissection.Hold the ligamentum flavum taut superficially while incising with use of a no.-15 scalpel.Detach the ligamentum flavum while safely preserving the attachments on the lateral border.Perform proper repositioning of the liga …

Robot-assisted Sistrunk's operation, total thyroidectomy, and neck dissection via a transaxillary and retroauricular (TARA) approach in papillary carcinoma arising in thyroglossal duct cyst and thyroid gland.

BACKGROUND: Carcinomas arising in the thyroglossal duct cysts are rare, accounting only for about 0.7-1.5 % of all thyroglossal duct cysts. … , and the two instrument arms were equipped with 5 mm Maryland forceps and a 5 mm spatula monopolar cautery for TGDCa excision via retroauricular approach. When conducting total thyroidectomy and neck dissection via transaxillary approach, three instrument arms were utilized, each equipped with 5 mm Maryland forceps, ProGrasp forceps and a 5 mm spatula mo …

Efficacy and safety of endoscopic ultrasound-guided gastrojejunostomy in patients with malignant gastric outlet obstruction and ascites.

Background and study aims  Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) is an endoscopic procedure for treating gastric outlet obstruction (GOO). Limited data exist regarding the safety and efficacy of EUS-GJ in patients with malignant GOO with ascites. Thus, we aimed to study the outcomes and safety of EUS-GJ in GOO patients with vs. without ascites. Patients and methods  This is a retrospective cohort study of patients with malignant GOO who underwent successful EUS-GJ at a tertiary care academic center. Primary outcomes included the efficacy and safety of EUS-GJ. Secondary outcom

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… The majority of EUS-GJ procedures were performed by advancing a cautery-enhanced LAMS, followed by advancing a guidewire through the LAMS catheter into the small bowel. … | 24 (100.0) | 30 (96.8) Non-cautery-enhanced | 0 (0.0) | 1 (3.2) Clinical success (%) | 22 (91.7) | 29 (93.5) | 1.00 30-day readmission (%) | 6 (25.0) | 6 (19.4) | 0.62 Length of hospital stay after procedure, days, mean (SD) | 4.8 ± 3.4 | 3.0 ± 4.1 | 0.13 Adverse Events, no. patients (%) | 9 (37.5 …

A case of tumor lysis syndrome and acute renal failure associated with elotuzumab treatment in multiple myeloma.

Renal dysfunction is a common comorbidity of multiple myeloma. However, tumor lysis syndrome is a rare cause of renal dysfunction in multiple myeloma. Elotuzumab is a newly US FDA-approved monoclonal antibody used in the treatment of refractory multiple myeloma. To our knowledge, elotuzumab has not been associated with a case of tumor lysis syndrome. We present the case of a patient who developed clinical tumor lysis syndrome 1 week after treatment with elotuzumab accompanied by renal failure with hyperphosphatemia, hyperkalemia, and profound hyperuricemia. His course was further complicated b

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… However, the patient’s course was complicated by recurrent large-volume epistaxis that was refractory to dabigatran reversal with idaricizumab, desmopressin, plasma, platelet, and blood transfusions and repeated packing and cautery. …

Percutaneous Endoscopic Decompression for Lumbar Central and Lateral Recess Spinal Stenosis: A Combined Uni-Portal and Bi-Portal Approach.

BACKGROUND: Endoscopic decompression of lumbar spinal stenosis has been gaining popularity as the least invasive of several minimally invasi … ng. Bone surface bleeding from drilling can be controlled through the use of radiofrequency bipolar cautery, bone wax, and low-speed reverse-direction drilling over the cancellous bleeding foci. ACRONYMS AND ABBREVIATIONS: BMI = body mass indexCT = computed tomographyEQ5D = EuroQol-5 DimensionMRI = magnetic resonance imagingODI = Oswestry Disability Inde …

Glanzmann's thrombasthenia: pathogenesis, diagnosis, and current and emerging treatment options.

Glanzmann's thrombasthenia (GT) is a genetic platelet surface receptor disorder of GPIIb/IIIa (ITG αIIbβ3), either qualitative or quantitative, which results in faulty platelet aggregation and diminished clot retraction. Spontaneous mucocutaneous bleeding is common and can lead to fatal bleeding episodes. Control and prevention of bleeding among patients with GT is imperative, and remains challenging. Local measures, including anti-fibrinolytic therapy, with or without platelet transfusions, used to be the mainstay of therapy. However, in recent years the use of recombinant factor VIIa (rFVIIa

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… bleeding, further treatment with platelet transfusion and/or rFVIIa is necessary. 12 Interestingly, nasal packing with salt pork strips has been used to successfully control life threatening nasal hemorrhage in a hemodynamically unstable child with GT, after anti-fibrinolytic agents, rFVIIa, nasal cautery …

Management of keratinocyte carcinoma - Special considerations in the elderly.

Keratinocyte carcinomas (KCs) are now an epidemic in The United States of America, especially in elderly patients. KCs, including basal cell carcinoma and squamous cell carcinoma, can lead to disfigurement and occasionally death. However, the lower mortality rate associated with KC compared with melanoma allows for increased flexibility in the selection of treatment. Flexibility in treatment is particularly important in the elderly given that this patient population often has medical comorbidities that should be considered. These patients may have multiple KCs, higher risk tolerance to recurre

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… In an elderly population, it is important to consider the presence of implanted electrical devices, such as pacemakers, defibrillators, deep-brain stimulators, cochlear implants, nerve stimulators, and gastric pacemakers given the potential for high-frequency electrical current from the cautery source … Thus, alternative machines, battery-powered heat electrocautery or bipolar forceps, or chemical cautery with agents including aluminum chloride, Monsel’s solution, and silver nitrate can be used for hemostasis without implanted device interference or a reduction in cure rate. …

Clinical Outcomes of Endoscopic Submucosal Dissection for Early Gastric Cancer Patients With Concurrent Advanced Malignancies With Expected Poor Prognosis.

AimsDespite improved outcomes for malignant tumors, evidence regarding the management of patients with multiple malignancies remains limited. We aimed to evaluate the clinical outcomes and prognosis of patients undergoing endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) complicated by advanced malignancies in other organs with a poor prognosis.Methods and resultsWe retrospectively reviewed 3703 gastric cancer patients who underwent ESD at our hospital (2005-2022), focusing on those with advanced extra-gastric malignancies with a 5-year survival rate of ConclusionsRecently,

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… The duration of cautery for hemostasis is significantly longer in cases with perforation compared to cases without perforation [ 28 ]. …

Robotic coloanal anastomosis with or without intersphincteric resection for low rectal cancer: starting with the perianal approach followed by robotic procedure.

BACKGROUND: Coloanal anastomosis (CAA)/intersphincteric resection (ISR) is a promising method of sphincter-preserving surgery for very low r … he perianal approach before beginning robotic dissection. The muscular rectal wall was divided by a cautery at the level of the puborectalis muscle by robotic arms. While performing the CAA/ISR, secure and meticulous dissection through the pelvic floor is important for oncological safety, which could be easily performed with the aid of robotic ergonomic E …

Alignment of a Ritchey-Chrétien telescope with primary mirror figure error guided by the rapid measurement of binodal astigmatism.

AbstractHereditary hemorrhagic telangiectasia (HHT) causes severe recurrent epistaxis, chronic gastrointestinal bleeding, solid organ arteriovenous malformations, and significant anemia. Although it is the second most common inherited bleeding disorder worldwide, no approved therapies exist. The multicenter, US randomized, controlled PATH-HHT trial demonstrated efficacy of short-term pomalidomide treatment of epistaxis in HHT. However, questions regarding long-term safety, effectiveness, and utility for HHT-associated gastrointestinal bleeding remain. The PATH-HHT ATLAS (after trial longitudin

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… Chronic gastrointestinal bleeding, n (%) | 24 (39) Previous bleeding treatments, n (%) | Systemic antifibrinolytics | 25 (40) Systemic bevacizumab | 14 (23) Bevacizumab ineffective or bevacizumab refractory ‡ | 10 (16) Bevacizumab intolerant | 3 (5) Other previous systemic therapies § | 14 (23) Nasal cautery …

Amyloidosis and Carpal Tunnel Syndrome: Surgical Technique for Extended Carpal Tunnel Release with Tenosynovium and Transverse Carpal Ligament Biopsies.

UNLABELLED: Carpal tunnel syndrome (CTS) is common in patients with transthyretin amyloidosis (ATTR), and many experience residual symptoms and/or develop recurrent disease following routine carpal tunnel release (CTR). An extended CTR with median nerve neurolysis is recommended for thorough nerve decompression. Tissue confirmation of amyloidosis can be performed at the time of CTR with biopsies of the transverse carpal ligament and/or tenosynovium. METHODS: We describe a retrospective, single-center experience performing an extended CTR technique including unilateral and bilateral cases for

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… If the risks of holding the patient’s anticoagulation are deemed higher than the postoperative surgical benefits by the referring physician, anticoagulation can be continued perioperatively and bipolar cautery is used intraoperatively for hemostasis. …

Risk of Surgeon Contracting COVID-19 while Operating on COVID-19-Positive Patient, Impact of Safety Measures: Lessons Learnt.

Introduction  On March 11, 2020, the novel coronavirus disease 2019 (COVID-19) was declared as a pandemic. General surgeons provide care to … t p  = 1.000). Air conditioner was switched-off only in 7.3% surgeries ( n  = 41). Smoke evacuator (cautery with attached suction) was not used in 97.6% cases. Clinical documentation (handling of patient's files) was done outside OR in only 17.1% surgeries ( n  = 41). However, there was no significant association between these safety measures and contract …

Surgical approaches to fertility preservation in the cancer patient: current and future directions.

Advances in oncologic therapies have markedly improved survival among reproductive-age female patients, making fertility preservation an essential component of comprehensive cancer care. Gonadotoxic treatments, including chemotherapy, radiotherapy, and surgery, can disrupt ovarian and uterine endocrine function, resulting in premature ovarian insufficiency and infertility. This narrative review summarizes current and emerging surgical approaches to fertility preservation, organized by anatomic focus on the ovary, uterus, and cervix. Ovarian transposition preserves ovarian endocrine function by

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… However, some studies have employed bipolar cautery to achieve improved hemostasis ( 55 ). Donnez et al. described a technique involving decortication of the ovary followed by transplantation of the graft. …

Effects of Carbon Nanomaterials and Aloe vera on Melanomas-Where Are We? Recent Updates.

Melanoma is an aggressive skin cancer that affects approximately 140,000 people worldwide each year, with a high fatality rate. Available treatment modalities show limited efficacy in more severe cases. Hence, the search for new treatment modalities, including immunotherapies, for curing, mitigating, and/or preventing cancer is important and urgently needed. Carbon nanoparticles associated with some plant materials, such as Aloe vera, have shown appealing antineoplastic activity, derived mainly from the compounds aloin, aloe-emodin, barbaloin acemannan, and octapeptide, thus representing new p

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… A guide to curettage and cautery in the management of skin lesions. Aust. J. Gen. Pract. 2021;50:893–897. doi: 10.31128/AJGP-10-20-5695. 8. Robert C., Karaszewska B., Schachter J., Rutkowski P., Mackiewicz A., Stroiakovski D., Lichinitser M., Dummer R., Grange F., Mortier L., et al. …

Drug-Induced Periocular and Ocular Surface Disorders: An EAACI Position Paper.

Various systemic and topical medications can induce ocular and periocular cutaneous adverse effects (AEs), ranging from mild to severe. These AEs may lead to ocular surface (OS) damage and, in some cases, life-threatening complications. Drug-induced ocular adverse reactions are generally classified into two primary categories: toxic reactions and/or allergic hypersensitivity reactions, which can be IgE or non-IgE-mediated. Systemic antibiotics, antivirals, and anticonvulsants can trigger adverse reactions that may involve the OS. Drugs like antihistamines, beta-blockers, antipsychotics, antide

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… Punctal cautery combined with intensive lubrication has been effective in stabilizing the OS and improving tear film in severe DED [ 35 ]. Mucous membrane grafting can reduce blink‐related microtrauma from the lid margin keratinization, improving OS integrity and vision (Figure 2E,F ) [ 35 , 36 ]. …

Cancer Stem Cells (CSCs), Circulating Tumor Cells (CTCs) and Their Interplay with Cancer Associated Fibroblasts (CAFs): A New World of Targets and Treatments.

The importance of defining new molecules to fight cancer is of significant interest to the scientific community. In particular, it has been shown that cancer stem cells (CSCs) are a small subpopulation of cells within tumors with capabilities of self-renewal, differentiation, and tumorigenicity; on the other side, circulating tumor cells (CTCs) seem to split away from the primary tumor and appear in the circulatory system as singular units or clusters. It is becoming more and more important to discover new biomarkers related to these populations of cells in combination to define the network am

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… The New World of Anti-Cancer Treatments The history of cancer started a millennia ago with Egyptian and Greek populations, where patients with malignant neoformations were treated by radical surgery and cautery with very poor results and consequent death [ 176 ]. …

NAPCON 2025 – Best Original Research Abstracts

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