Óscar Ó Prada-Delgado,
Rodrigo R Estévez-Loureiro,
Ramón R Calviño-Santos,
Eduardo E Barge-Caballero,
Jorge J Salgado-Fernández,
Pablo P Piñón-Esteban,
Jose Manuel JM Vázquez-Rodríguez,
Guillermo G Aldama-López,
Xacobe X Flores-Ríos,
María Rita MR Soler-Martín,
Nicolás N Vázquez-González and
Alfonso A Castro-Beiras
Abstract
The use of vascular closure devices (VCDs) for the reduction of access site complications following percutaneous coronary intervention (PCI) remains controversial. Patients undergoing primary PCI for acute ST-segment elevation myocardial infarction (STEMI) are at high risk of femoral artery complicat...
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PMID: 21641370
PDF is available here.
Abstract
Sutures are routinely used to achieve haemostasis and to approximate soft tissues after extractions, periodontal procedures, implant surgery and soft tissue biopsies. This paper provides the general dental practitioner with the knowledge and understanding of sutures to select the most appropriate for...
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PMID: 21834314
PDF is available here.
Abstract
Civilian liver trauma is generally sustained by blunt injury, with management strategies increasingly focusing on selective non-operative strategies and endovascular intervention. Military liver trauma is more often ballistic in nature and almost always requiring operative interventi...
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PMID: 21805762
PDF is available here.
Abstract
We hypothesize a survival advantage in patients managed with DCR when compared with a historical cohort of patients. During the 2-year retrospective review, a 1-year period after institution of DCR was compared with a historical control. Resuscitation strategies were analyzed and stratified into eme...
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PMID: 21337881
PDF is available here.
Abstract
We hypothesized that an effective windlass tourniquet could be removed after application of a hemostatic dressing in a swine model of peripheral vascular injury. A tourniquet was placed proximally in 50 forelimb-injured swine after 30 seconds of hemorrhage with cessation of hemorrhage in all cases....
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PMID: 21337872
PDF is available here.
Abstract
We report 3 cases of what we believe were FloSeal-induced small bowel obstructions (SBO).
We present a series of small bowel obstructions after FloSeal use. Our series includes urology, gynecologic oncology, and general surgery cases at the same institution where the product was app...
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PMID: 21985725
PDF is available here.
Abstract
This reports on the modification of a technique of parenchymal compression ideated to reduce blood loss during liver transection, favorably affecting patient's outcome by reducing the need of Pringle maneuver and operative time through the active role of the second surgeon....
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PMID: 21830427
PDF is available here.
Abstract
We have conducted a randomized trial comparing the application of 5mL of fibrin glue (Tissucol) and the treatment by PlasmaJet (Plasma Surgical Limited, Theale, UK) on the raw surface of the liver stump after elective hepatic resection.
Fifty-eight consecutive hepatic resections were...
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PMID: 21830417
PDF is available here.
Abstract
These results were confirmed on the multivariate analysis where blood transfusions, primary tumor nodal involvement, and the size of CRLM of more than 5 cm prevailed as determinants of poor outcome.
This study confirms the safety and effectiveness of HPC and demonstrates that in the human situation,...
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PMID: 21107113
PDF is available here.
Abstract
Significant hemorrhage together with blood transfusion increases postoperative morbidity and mortality of hepatic resection. Hepatic vascular occlusion is effective in minimizing bleeding during hepatic parenchymal transection. This article aimed to review the current role and status of various tech...
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PMID: 20943455
PDF is available here.
Abstract
We aimed to assess the predictive value of fibrin-based thromboelastometry performed before weaning from cardiopulmonary bypass (CPB) for cryoprecipitate administered to correct the bleeding diathesis after CPB involving deep hypothermic circulatory arrest. Eleven patients undergoing aortic surgery...
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PMID: 20729723
PDF is available here.
Abstract
Real-time visualization of submucosal arterial flow at the base of an ulcer might improve endoscopic hemostasis by permitting more accurate assessment of the artery, precise targeting of therapy, and confirmation of vessel ablation.
To evaluate the utility of a novel, forward-viewing echoendoscope i...
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PMID: 20630519
PDF is available here.
Abstract
We report the case of a 70-year-old woman who had previously undergone anterior resection in 2001 for a diverticular stricture. Bleeding from pelvic veins intra-operatively necessitated the use of two thumbtacks to aid haemostasis. Over the next 7 years, she presented repeatedly with anal pain, blee...
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PMID: 20573309
PDF is available here.
Abstract
We therefore asked whether subcutaneous indwelling vacuum drainage is advantageous over intraarticular indwelling vacuum drainage in terms of blood drainage, bleeding-related complications, and functional outcomes in primary TKA.
We randomized 111 patients undergoing TKAs to have eit...
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PMID: 20127212
PDF is available here.
Abstract
One 20-mg per kg intraoperative dose of tranexamic acid reduced the perioperative decrease in hemoglobin and red blood cell transfusion rates in patients having TKA and THA compared with those of a similar cohort of patients in whom the protocol was not used. This weight increment dosing facilitated...
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PMID: 20063079
PDF is available here.
Abstract
The bleeding stoppage and the wound sanitation constitute an important problem of modern surgery. There is information presented concerning the apparatuses elaboration for the bleeding stoppage, processing of the soft living tissues wounds, including the infected, during surgical operations conducti...
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PMID: 20825094
PDF is available here.
Abstract
We have developed a simple, inexpensive device for performing trans-septal suturing that is easy to use in the nasal cavity. We conclude that the use of continuous septal suturing with our device is an easy modification of the standard procedure, with only a small increase in operating time....
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PMID: 20502757
PDF is available here.
Carmelo Luigiano,
Francesco Ferrara,
Stefania Ghersi,
Carlo Fabbri,
Vincenzo Cennamo,
Patrizia Landi,
Anna Maria Polifemo,
Paola Billi,
Marco Bassi,
Pierluigi Consolo,
Angela Alibrandi and
Nicola D'Imperio
Abstract
In our experience, endoclip-assisted resection is a safe alternative to endoloop for the resection of large pedunculated colorectal polyps when endoloop placement is difficult or impossible....
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PMID: 19657735
PDF is available here.
Abstract
BACKGROUND: Fibroids remain the commonest pelvic tumour seen in women with myomectomy being the major form of treatment in our environment. Techniques to minimize blood loss will reduce patient morbidity and the need for blood transfusions. One such technique is the use of a tourniquet during myomec...
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PMID: 20499747
PDF is available here.
Abstract
In the months following the operation, the incidence of the late onset of a pulmonary fistula was higher when the harmonic scalpel was used. It was believed that the small bronchial stump could not tolerate the airway pressure because the thick coagulation necrosis delayed healing of the postoperati...
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PMID: 20190705
PDF is available here.
Abstract
We add a new compression suture to the list of those introduced by earlier researchers....
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PMID: 20358211
PDF is available here.
Abstract
The results show that the Trendelenburg position is vastly superior to the Valsalva manoeuvre in identifying bleeding vessels at haemostasis. It has become our practice to put patients in Trendelenburg tilt routinely (we have discontinued the Valsalva manoeuvre), to check its adequacy before closing...
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PMID: 20501015
PDF is available here.
Abstract
Transanal hemorrhoidal dearterialization appears to be a very effective minimally invasive option to treat hemorrhoids and can be performed in a day-surgery setting. Future controlled trials comparing transanal hemorrhoidal dearterialization with other procedures will show the real potential of tran...
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PMID: 20389215
PDF is available here.
Abstract
Normalization of plasma fibrinogen levels may be associated with satisfactory haemostasis and reduced bleeding. The aim of this retrospective study was to assess fibrinogen recovery parameters after administration of fibrinogen concentrate (Haemocomplettan P) to patients with diffuse...
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PMID: 20348140
PDF is available here.
Abstract
The fibrin sealant after major liver resection was effective for decreasing drainage volume (mean [SD] volume, 1124.7 [842.8] mL in the control group and 691.2 [499.5] mL in the collagen sponge group; P = .007) with a higher volume of output by drain each postoperative day in the control patients (P...
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PMID: 20479348
PDF is available here.
Abstract
The mean size of the oval-shaped artefact was 8.4 x 6.6 mm (+/-1.0 x 0.8 mm) and was almost identical to the maximum artefact size of the phantom measurement (8.3 x 5.7 mm). Device placement did not result in an increased peak velocity (proximal 69 +/- 23 cm/s, at the level of 64 +/- 11 cm/s and dis...
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PMID: 19936755
PDF is available here.
Abstract
In a porcine model, transgastric FBF endoscopic hemostasis was as effective as conventional laparoscopic hemostasis using LBF across a wide range of vessels.
Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved....
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PMID: 19942215
PDF is available here.
Abstract
Most surgeons are taught how to use pneumatic tourniquets by their senior colleagues as no formal teaching is given. Most of the complications are infrequent and preventable. However, their consequences can be devastating to the patient with medicolegal implications. Our results show suboptimal know...
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PMID: 20223078
PDF is available here.
Abstract
All pigs survived. Mean warm ischemia time was 18 minutes, mean blood loss was 90 mL, and mean resected weight was 13.7 g. There was no evidence of leak on retrograde study. Histologically, nonspecific changes were noted in all specimens, which included dystrophic calcification, scarring, and areas...
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PMID: 20218894
PDF is available here.
Abstract
Time to hemostasis when using TachoSil compared with TachoComb was increased 14% (-13% to 48%) with heparin and 10% (-26% to 66%) without heparin (mean +/- 95% confidence interval; p > 0.05 in both). Time to hemostasis with heparin administration increased significantly in both treatments: TachoComb...
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PMID: 20386279
PDF is available here.
Abstract
During the study periods, 1998 cases of endoscopic sinus surgery were identified where topical 1:1000 epinephrine was used. Two complications were identified (0.1%), one at each institution. One patient suffered coronary artery vasospasm, attributed to the use of topical 1:1000 epinephrine during su...
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PMID: 20338114
PDF is available here.
Abstract
Removal of the fallopian tubes and ovaries at the time of vaginal hysterectomy is a skill that must be acquired if one is to be a competent vaginal surgeon. Various techniques have been described and will be reviewed in this chapter. A single technique or series of steps often must be modified depen...
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PMID: 20142640
PDF is available here.
Abstract
We examine a series of 3 patients in whom rectal trauma resulting in life-threatening hemorrhage was associated with use of the ConvaTec Flexi-Seal fecal management system. In 2 patients there was a history of traumatic removal, and the third developed a rectal pressure ulcer associated with use of...
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PMID: 20173484
PDF is available here.
Abstract
Our data suggest that an 8 Fr Angio-Seal device can be utilized effectively and safely in procedures requiring larger access sites up to 10 Fr....
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PMID: 20197581
PDF is available here.
Abstract
Operative time was 220 minutes with minimum blood loss. Hospital stay was 4 days. Pathology showed free surgical margins. The patient is alive with no signs of recurrence 18 months after the operation. CONCLUSION: Totally laparoscopic left hemihepatectomy is safe and feasible in selected patients an...
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PMID: 20230243
PDF is available here.
Abstract
Our objective was to evaluate the hemostatic efficacy of a newly modified chitosan in a porcine grade V liver injury model. Fifteen Yorkshire pigs underwent standardized grade V liver injuries with a specially designed liver clamp and were randomized to either modified chitosan (MC) patch treatment...
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PMID: 20349664
PDF is available here.
Abstract
The efficacy of preparation "Tachocomb" application in 224 children, ageing from 1 day to 18 years old, was studied up. The spectrum of the preparation studying had included the investigation of its properties, which secure an additional isolation for the intestinal and vascular walls defects, and h...
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PMID: 20491260
PDF is available here.
Abstract
The authors' experience with 80 totally laparoscopic liver resections over a 4(1/2)-year period demonstrates that laparoscopic liver surgery is safe and effective in experienced hands for major resections. An intimate knowledge of the technology and techniques available for preventing and managing s...
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PMID: 19609610
PDF is available here.
Abstract
Laparoscopic major resections remain a challenge for liver surgeons. This video illustrates, step by step, our laparoscopic technique for left hepatectomy.
The control of vascular inflow and outflow as well as the division of the left hepatic duct were carried out ext...
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PMID: 19633894
PDF is available here.
Abstract
Minimally invasive liver resection is gaining acceptance worldwide. However, the laparoscopic approach often is reserved for small segmental resections due to the fear of significant blood loss. The expansion of laparoscopic liver surgery will depend on the ability of expert surgeons...
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PMID: 19609610
PDF is available here.
Abstract
Minimally invasive liver resection is gaining acceptance worldwide. However, the laparoscopic approach often is reserved for small segmental resections due to the fear of significant blood loss. The expansion of laparoscopic liver surgery will depend on the ability of expert surgeons...
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PMID: 19609610
PDF is available here.
Abstract
Laparoscopic major resections remain a challenge for liver surgeons. This video illustrates, step by step, our laparoscopic technique for left hepatectomy.
The control of vascular inflow and outflow as well as the division of the left hepatic duct were carried out ext...
|
PMID: 19633894
PDF is available here.
Abstract
Laparoscopic major resections remain a challenge for liver surgeons. This video illustrates, step by step, our laparoscopic technique for left hepatectomy.
The control of vascular inflow and outflow as well as the division of the left hepatic duct were carried out ext...
|
PMID: 19633894
PDF is available here.
Abstract
Minimally invasive liver resection is gaining acceptance worldwide. However, the laparoscopic approach often is reserved for small segmental resections due to the fear of significant blood loss. The expansion of laparoscopic liver surgery will depend on the ability of expert surgeons...
|
PMID: 19609610
PDF is available here.
Abstract
Laparoscopic major resections remain a challenge for liver surgeons. This video illustrates, step by step, our laparoscopic technique for left hepatectomy.
The control of vascular inflow and outflow as well as the division of the left hepatic duct were carried out ext...
|
PMID: 19633894
PDF is available here.
Abstract
Minimally invasive liver resection is gaining acceptance worldwide. However, the laparoscopic approach often is reserved for small segmental resections due to the fear of significant blood loss. The expansion of laparoscopic liver surgery will depend on the ability of expert surgeons...
|
PMID: 19609610
PDF is available here.
Abstract
Laparoscopic major resections remain a challenge for liver surgeons. This video illustrates, step by step, our laparoscopic technique for left hepatectomy.
The control of vascular inflow and outflow as well as the division of the left hepatic duct were carried out ext...
|
PMID: 19633894
PDF is available here.
Abstract
Minimally invasive liver resection is gaining acceptance worldwide. However, the laparoscopic approach often is reserved for small segmental resections due to the fear of significant blood loss. The expansion of laparoscopic liver surgery will depend on the ability of expert surgeons...
|
PMID: 19609610
PDF is available here.
Abstract
Minimally invasive liver resection is gaining acceptance worldwide. However, the laparoscopic approach often is reserved for small segmental resections due to the fear of significant blood loss. The expansion of laparoscopic liver surgery will depend on the ability of expert surgeons...
|
PMID: 19609610
PDF is available here.
Abstract
Laparoscopic major resections remain a challenge for liver surgeons. This video illustrates, step by step, our laparoscopic technique for left hepatectomy.
The control of vascular inflow and outflow as well as the division of the left hepatic duct were carried out ext...
|
PMID: 19633894
PDF is available here.
Abstract
Laparoscopic major resections remain a challenge for liver surgeons. This video illustrates, step by step, our laparoscopic technique for left hepatectomy.
The control of vascular inflow and outflow as well as the division of the left hepatic duct were carried out ext...
|
PMID: 19633894
PDF is available here.