Use and Efficacy of Hemostats in Neurosurgery.

Use and Efficacy of Hemostats in Neurosurgery. Surg Technol Int. 2020 Sep 17;37: Authors: Signorelli F, Montano N Abstract Hemostasis plays a central role throughout neurosurgery. In microneurosurgery, a bloodless operating field under an operating microscope allows fast and effective surgery, thereby reducing the risk of postoperative hemorrhage. Apart from mechanical methods, such as positioning of the patient's head and body, bone plugging, suction, and metal clips, neurosurgical hemostasis is achieved mainly with bipolar coagulation, which permits optimal control of hemorrhage, allows for fine coagulation of small vessels and is safe in patients with pacemakers and defibrillators. Gelatin sponge is a non-antigenic protein that can absorb 45 times its weight in blood, and, when wet, is plastered to the irregularities of the bleeding surface. It enables the repair of torn veins, such as the superior sagittal sinus, without compromising the patency of the vessel. Surgicel® (Johnson &Johnson, New Brunswick, NJ), the first oxidized cellulose to be introduced, is used to control capillary, venous, or smaller arterial bleeding because it acts as a matrix for the formation of a clot. Over the past few decades, research on the development of hemostatic agents has shifted to the use of fibrin sealants and flowable agents such as Tisseel Fibrin Sealant® (Baxter, Deerfield, IL), Evicel Fibrin Sealant® (Ethicon, Somerville, NJ) and FloSeal® (Ba...
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research

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CONCLUSION: Senhance ® (TransEnterix) 5 mm articulating instruments are technically stable and can be safely used in various abdominal procedures. The initial results suggest that these 5 mm articulating instruments can be a supportive tool in further robotic surgery, providing advantages in suturing and dissection with less risk of injury to surrounding tissue. PMID: 32926398 [PubMed - as supplied by publisher]
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research
CONCLUSION: According to current data, transurethral laser vaporization and enucleation of the prostate are the treatment of choice for patients under anticoagulation; however, other transurethral techniques, such as BipoLEP have an acceptable risk of bleeding and can be an alternative depending on local resources. Newer minimally invasive approaches could become more important in the future. PMID: 32930822 [PubMed - as supplied by publisher]
Source: Der Urologe. Ausg. A - Category: Urology & Nephrology Authors: Tags: Urologe A Source Type: research
Conclusion Neuroendoscopy provides excellent illumination and vision when a small bone flap is employed. The main advantages of this technique include the precise treatment of structures which are related with progression and recurrence of CSDH, and the minimally invasive nature of the procedure. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - Category: Neurosurgery Authors: Tags: Surgical Technique Source Type: research
AbstractIntroductionBased on current knowledge, the SARS-CoV-2 is transmitted via droplet, aerosols and smear infection. Due to a confirmed high virus load in the upper respiratory tract of COVID-19 patients, there is a potential risk of infection for health care professionals when performing surgical procedures in this area. The aim of this study was the semi-quantitative comparison of ENT-typical interventions in the head and neck area with regard to particle and aerosol generation. These data can potentially contribute to a better risk assessment of aerogenic SARS-CoV-2-transmission caused by medical procedures.Material...
Source: European Archives of Oto-Rhino-Laryngology - Category: ENT & OMF Source Type: research
Conclusions. Our study showed that there was no significant difference between the 2 groups in postoperative surgical results and morbidity. The total bleeding amount was significantly less in the hybrid group. The study shows that HUB is comparable to the ultrasonic coagulating shears in terms of efficacy and safety during thyroid surgery. PMID: 32757879 [PubMed - as supplied by publisher]
Source: Surgical Innovation - Category: Surgery Authors: Tags: Surg Innov Source Type: research
This is a fascinating paper. The authors state that “the combination of NovaSure and LNG-IUS was particularly suitable for patients with a history of dysmenorrhea and at risk for endometrial cancer”(1).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: LETTER TO THE EDITOR Source Type: research
Is it ever OK to joke about mental illness or suicide? In today’s Not Crazy podcast, Gabe and Lisa welcome Frank King, a comedian who’s turned his struggles with major depression and suicidal thinking into comedic material. What do you think? Is joking about suicide too heavy? Or is humor a good coping mechanism? Join us for an in-depth discussion on gallows humor. (Transcript Available Below) Subscribe to Our Show! And Please Remember to Rate &Review Us!   Guest Information for ‘Frank King — Joking and Suicide’ Podcast Episode Frank King, Suicide Prevention speaker and Trainer w...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Disorders General Inspiration & Hope Interview Mental Health and Wellness Not Crazy Podcast Suicide Source Type: blogs
ConclusionThis pilot study shows that ERCP-guided RFA is safe to use and able to reduce tumor volume and re-interventions in patients with inoperable ampullary cancer.
Source: Digestive Diseases and Sciences - Category: Gastroenterology Source Type: research
Publication date: Available online 20 February 2020Source: Clinics and Research in Hepatology and GastroenterologyAuthor(s): Mateus Pereira Funari, Igor Braga Ribeiro, Diogo Turiani Hourneaux de Moura, Wanderley Marques Bernardo, Vitor Ottoboni Brunaldi, Daniel Tavares Rezende, Ricardo Hannum Resende, Michele Oliveira de Marco, Tomazo Antonio Prince Franzini, Eduardo Guimarães Hourneaux de MouraSummaryBackgroundBiliary sphincterotomy is an invasive method that allows access to the bile ducts, however, this procedure is not exempt of complications. Studies in the literature indicate that the mode of electric current ...
Source: Clinics and Research in Hepatology and Gastroenterology - Category: Gastroenterology Source Type: research
Publication date: Available online 10 February 2020Source: The Annals of Thoracic SurgeryAuthor(s): Arnaud Van Linden, Florian Hecker, Jasper Lehmann-Grube, Mani Arsalan, Manfred Richter, Brigitte Matzke, Tomas Holubec, Thomas WaltherAbstractBackgroundVarious devices are available for endoscopic radial artery harvesting (ERAH) during coronary artery bypass grafting (CABG). Thermal spread and graft damage, however, are common concerns. Aim of this study was to compare the MiFusion TLS2™ system (Endotrust, Germany) with direct heat technique and the LigaSure™ Maryland system (Medtronic, USA) using advanced bipola...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
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