CO2 Cystoscopy for Evaluation of Ureteral Patency

Publication date: Available online 27 August 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Marco Aurelio Pinho Oliveira, Thiers Soares Raymundo, Thiago Rodrigues Dantas Pereira, Felipe Vaz de Lima, Diogo Eugenio Abreu da SilvaABSTRACTGynecological surgeries are associated with various perioperative complications, especially urinary tract injuries. Intraoperative cystoscopy plays an important role in allowing the bladder to be assessed to ensure there are no injuries. The verification of the urinary jet from the ureters is a fundamental step but is not always easy to accomplish. Dyes are frequently used but they are not always available and are associated with adverse effects. Our study aims to demonstrate the use of CO2 as the medium of distension during cystoscopy. A total of 47 patients underwent CO2 cystoscopy after laparoscopic hysterectomy (26) or bladder endometriosis nodule resection (21). The ureteral jets were easily identified in all cases, leaving no doubt as to their patency. The median time between the onset of cystoscopy and the view of jetting from both ureteral ostia was 145 seconds (range 80-300 seconds). All cystoscopies were normal and no patient had any signs of accidental urinary tract injury in the follow-up period. Only two patients had a mild urinary tract infection. The cystoscopy technique using CO2 was fast, easy, safe and efficient. We recommend that bladder distension with CO2 should be a reasonable alternative when cystoscopy is ...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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Publication date: Available online 10 October 2020Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Nilgun Kavrut Ozturk, Ali Sait Kavakli, Ulku Arslan, Guzin Aykal, Murat SavaƟ
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
Aquas PowerFlow Tube Set - Product Usage: The device delivers sterile irrigation fluids to surgical sites during laparoscopic procedures and to evacuate blood, tissue debris, and smoke from the surgical site
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
AbstractPurposeTo present our experience of laparoscopic and robotic ureteroplasty using onlay flap or graft for the management of long proximal or middle ureteral strictures and summarize our treatment strategies for these challenging scenarios.MethodsFrom March 2018 to January 2020, 53 patients with long proximal/middle ureteral strictures (2 –6 cm) who underwent laparoscopic or robotic onlay flap/graft ureteroplasty were retrospectively enrolled. Different reconstruction techniques were chosen based on our management strategy: pelvic flap (PF) was the first choice for proximal stricture if pelvic tissue was s...
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
Laparoscopic uterine-sparing surgery is being performed increasingly in women with severe symptoms or subfertility secondary to adenomyosis. Although the purpose of this surgery is to increase fertility and improve quality of life, this surgery has not become the standard treatment for adenomyosis as it is difficult to excise the affected adenomyotic tissue completely, and critical complications (e.g. placenta increta and uterine rupture) may develop [1,2]. The exact mechanism resulting in the effectiveness of this surgery remains unclear, and some of the advantages of removing an affected area are theoretical.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Correspondence Source Type: research
Publication date: Available online 9 October 2020Source: Hepatobiliary &Pancreatic Diseases InternationalAuthor(s): Suhyun Lim, Chang Hwan Kim, Kwang Yeol Paik, Wook Kim
Source: Hepatobiliary and Pancreatic Diseases International - Category: Gastroenterology Source Type: research
Condition:   Penetrating Abdominal Trauma Intervention:   Procedure: Minimally invasive surgery (laparoscopy and laparoscopic-assisted procedures) in both diagnosis and treatment of penetrating abdominal trauma in Children Sponsor:   dr. Muhammad Abdelhafez Mahmoud, MD Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Urolithiasis Intervention:   Device: stent extraction Sponsor:   St. Petersburg State Pavlov Medical University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 8 October 2020Source: International Journal of Surgery Case ReportsAuthor(s): Kosei Takagi, Yuzo Umeda, Takashi Kuise, Ryuichi Yoshida, Kazuhiro Yoshida, Kazuya Yasui, Yuma Tani, Takahito Yagi, Toshiyoshi Fujiwara
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Condition:   Penetrating Abdominal Trauma Intervention:   Procedure: Minimally invasive surgery (laparoscopy and laparoscopic-assisted procedures) in both diagnosis and treatment of penetrating abdominal trauma in Children Sponsor:   dr. Muhammad Abdelhafez Mahmoud, MD Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Urolithiasis Intervention:   Device: stent extraction Sponsor:   St. Petersburg State Pavlov Medical University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
More News: Cystoscopy | Endometriosis | Hysterectomy | Laparoscopy | Study | Ureter and Renal Pelvis Cancer | Urinary Tract Infections