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Procedure: Laparoscopy
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Total 24572 results found since Jan 2013.
Outcomes of Laparoscopic Partial Nephrectomy in Patients Continuing Aspirin Therapy
Clinical dilemma surrounds the use of aspirin therapy during laparoscopic partial nephrectomy. Despite reduced cardiac morbidity with perioperative aspirin use, fear of bleeding-related complications often prompts discontinuation of therapy prior to surgery. We evaluate perioperative outcomes among patients continuing aspirin and those in whom treatment is stopped preoperatively.
Source: The Journal of Urology - October 29, 2015 Category: Urology & Nephrology Authors: David A. Leavitt, Mohamed Keheila, Michael Siev, Paras H. Shah, Daniel M. Moreira, Arvin K. George, Simpa S. Salami, Michael J. Schwartz, Lee Richstone, Manish A. Vira, Louis R. Kavoussi Source Type: research
Application of Stereoscopic Visualization on Surgical Skill Acquisition in Novices
Conclusions: These results suggest that the intrinsic difficulty of the MISTELS tasks may exceed a novice user's skill. No benefit with additional 3-dimensional cues in naïve surgical trainees was found. Additional visual cues in stereoscopic visualization may only serve to increase cognitive load and potentially decrease skill acquisition and learning.
Source: Journal of Surgical Education - May 22, 2013 Category: Surgery Authors: Manisha Mistry, Victoria A. Roach, Timothy D. Wilson Tags: Original Reports Source Type: research
S/He Who Can, Does and Teaches. S/He Who Cannot, Doesn’t
Background: The saying, “[h]e who can, does. He who cannot, teaches.” suggests that those who have the skills to perform do so, whereas those who do not have those skills become teachers. We hypothesize that this saying as it relates to general surgery residents is not true.Methods: This was a retrospective study of general surgery chief residents from 2009 to 2013. Technical ability was assessed with the Fundamentals of Laparoscopic Surgery examination performance. Teaching ability was assessed with medical student evaluations on a 9-point Likert scale as well as with receipt of teaching awards: The Arnold P. Gold Tea...
Source: Journal of Surgical Education - August 8, 2013 Category: Surgery Authors: John L. Falcone, Peter F. Ferson, Giselle G. Hamad Tags: Original Reports Source Type: research
Drilling: medical indications and surgical technique
Conclusion: laparoscopic drilling is indicated for patients with polycystic ovary syndrome with ovulatory resistance to the use of clomiphene citrate, body mass index less than 30 kg/m2 and preoperative luteinizing hormone above 10 IU/L. The preferred surgical technique should be the realization of 5 to 10 perforations on the surface of each ovary bilaterally using monopolar energy.RESUMO Introdução: a anovulação é uma das principais causas de infertilidade feminina, e a síndrome dos ovários policísticos (SOP) é a principal causa de anovulação. As mulheres com SOP, quando submetidas a indução medicamentosa da ...
Source: Revista da Associacao Medica Brasileira - February 2, 2016 Category: Journals (General) Source Type: research
Laparoscopic repair of bochdalek diaphragmatic hernia in adults
Norman Oneil MachadoNorth American Journal of Medical Sciences 2016 8(2):65-74Bochdalek hernia (BH) is an uncommon form of diaphragmatic hernia. The rarity of this hernia and its nonspecific presentation leads to delay in the diagnosis, with the potential risk of complications. This review summarizes the relevant aspects of its presentation and management, based on the present evidence in the literature. A literature search was performed on PubMed, Google Scholar, and EMBASE for articles in English on BH in adults. All case reports and series from the period after 1955 till January 2015 were included. A total of 180 articl...
Source: North American Journal of Medical Sciences - February 23, 2016 Category: Journals (General) Authors: Norman Oneil Machado Source Type: research
Increasing resident utilization and recognition of the critical view of safety during laparoscopic cholecystectomy: a pilot study from an academic medical center
ConclusionThe combination of focused education along with intraoperative time-out significantly improved CVS scores and knowledge during LC in our institution.
Source: Surgical Endoscopy - August 4, 2016 Category: Surgery Source Type: research
Is In-Vivo Laparoscopic Simulation Learning a step forward in the Undergraduate Surgical Education?
Conclusions The inexpensive, but low-fidelity “FLS” model could serve an equal alternative Simulation-Based Learning model for the early undergraduate training. Our study demonstrated that high fidelity In Vivo simulation for laparoscopic skills does not affect significantly the improvement in the delegates’ performance at the undergraduate level. Further studies should be conducted to identify at which stage of training should high fidelity simulation be introduced.
Source: Annals of Medicine and Surgery - February 1, 2017 Category: Journals (General) Source Type: research
Surgical concepts in esophageal cancer
SummaryDespite neoadjuvant treatment being available for esophageal cancer, surgery remains the cornerstone of treatment. The aim of this article is to give a clear and simple overview of current issues in the available surgical strategies relating to locally limited and advanced disease, including the following: clinical staging, preoperative general condition and comorbidities, surgical strategy, surgical approaches, postoperative complications and the role of surgery in advanced disease. Based on a literature search and our personal professional experience to date, enhanced surgical treatment protocols for the treatment...
Source: Memo - Magazine of European Medical Oncology - January 29, 2019 Category: Cancer & Oncology Source Type: research
Decline of open surgical experience for general surgery residents
ConclusionThe number of open procedures performed by general surgery residents continues to decline despite an increase in total cases reported. The reduction in open surgical experience may result in surgeons who lack technical skills to safely complete open procedures.
Source: Surgical Endoscopy - June 9, 2019 Category: Surgery Source Type: research
17 Years of Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS): Where are Graduates Now?
FMIGS graduates are imperative for the training of modern endoscopic surgery techniques to the next generation of gynecologic surgeons. The recent implementation of Fundamentals of Laparoscopic Surgery (FLS) for board certification and the recent approval of MIGS Focused Practice Designation by the American Board of Medical Specialties only further emphasizes the importance of FMIGS graduates to training institutions, yet the current distribution of FMIG graduates and their interactions with education is not well documented.
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: JJ Woo, ME Johnson, BS Kahn Tags: Open Communications 5: Basic Science/Research/Education (2:00 PM – 3:00 PM) 2:21 PM Source Type: research
Novel Education and Simulation Tools in Urologic Training
AbstractPurpose of ReviewPostgraduate medical training has evolved considerably from an emphasis on hands-on, autonomous learning to a paradigm where simulation technologies are used to introduce and augment certain skill sets. This review is intended to provide an update on surgical simulators and tools for urological trainee education.Recent FindingsWe provide an overview of simulation platforms for robotics, endoscopy, and laparoscopic practice and training. In general, these simulators provide face, content, and construct validity. Various educational and evaluation tools have been adopted.SummarySimulation platforms h...
Source: Current Urology Reports - November 27, 2019 Category: Urology & Nephrology Source Type: research
Symptomatic congenital Morgagni hernia presenting as a chest pain: a case report
ConclusionMorgagni hernia is a rare form of congenital diaphragmatic hernia. It is commonly found either in the first few hours of life or in the antenatal period. It is less common in adults and is usually diagnosed accidentally in asymptomatic patients. Symptomatic adult cases are extremely rare. Respiratory symptoms are the most common presenting symptoms. The primary management for both symptomatic and incidentally discovered asymptomatic cases of Morgagni hernia is surgical correction. Various thoracic and abdominal surgical approaches have been described without a clear consensus on preference for operative repair technique.
Source: Journal of Medical Case Reports - January 17, 2020 Category: General Medicine Source Type: research
Robotic voluminous paraesophageal hernia repair: a case report and review of the literature
ConclusionsVarious reports published in the literature suggested that the robot-assisted approach was effective and was associated with very low postoperative morbidity and was accompanied by satisfactory symptomatic and anatomical radiological outcomes during a follow-up period.The robotic approach to paraesophageal repair is safe and effective with low complication rates. With increased experience, the operative time, length of stay, and complications decrease without compromising surgical principles.
Source: Journal of Medical Case Reports - February 3, 2020 Category: General Medicine Source Type: research
Operative Case Volume Minimums Necessary for Surgical Training Throughout Rural Africa
ConclusionsThe surveyed surgeons highlighted the need for diverse surgical training with minimum exposures. They described increased need for cases reflecting regional variations with a desire for more experience in categories less common at their institutions.
Source: World Journal of Surgery - June 1, 2020 Category: Surgery Source Type: research
