Minimally Invasive Therapy & Allied Technologies最新文献

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Minimally invasive approach for inguinoscrotal hernia repair. A systematic literature review. 腹股沟阴囊疝微创修补术。系统的文献综述。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-28 DOI: 10.1080/13645706.2025.2524831
Andrea Balla, Alberto Sartori, Monica Ortenzi, Livia Bressan, Mauro Podda, Salvador Morales-Conde
{"title":"Minimally invasive approach for inguinoscrotal hernia repair. A systematic literature review.","authors":"Andrea Balla, Alberto Sartori, Monica Ortenzi, Livia Bressan, Mauro Podda, Salvador Morales-Conde","doi":"10.1080/13645706.2025.2524831","DOIUrl":"https://doi.org/10.1080/13645706.2025.2524831","url":null,"abstract":"<p><strong>Background: </strong>This systematic review reports the presently available evidence regarding the results of the minimally invasive surgery (MIS) approach for the treatment of inguinoscrotal hernias (ISHs).</p><p><strong>Methods: </strong>After PROSPERO registration (CRD-42023493129), a search was performed in the MEDLINE, Embase, and Web of Science databases.</p><p><strong>Results: </strong>One-thousand-fifty-two patients were included (78.3% and 21.7% underwent transabdominal preperitoneal repair [TAPP] and totally extraperitoneal repair [TEP], respectively). Twenty-one complications occurred during TAPP (2.5%), and 28 occurred during TEP (12.3%). Conversion to open surgery for TAPP procedure was reported in seven patients (0.8%). TEP procedure required conversion to TAPP in 19 patients (8.3%), and open surgery in 18 patients (7.9%) (overall conversion rate 16.2%). Postoperative complication rate was 30.1% (317 patients), with 193 after TAPP repair (23.4%) and 124 after TEP repair (54.4%) (including Clavien-Dindo I-IV). Length of hospital stay ranged between one to five days after both repairs. The overall recurrence rate was 1.6% (19 recurrences), of which 12 (1.3%) and seven (2.8%) recurrences after TAPP and TEP, respectively.</p><p><strong>Conclusions: </strong>MIS approaches for ISH repair are technically challenging. TEP repair should be avoided in case of ISH repair, due to the high rate of postoperative complications, risk of conversion and recurrences.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-14"},"PeriodicalIF":1.7,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experience with transarterial embolization for large symptomatic renal angiomyolipomas in patients with a solitary kidney: long-term outcomes. 经动脉栓塞治疗单肾患者大症状性肾血管平滑肌脂肪瘤的经验:长期结果。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-27 DOI: 10.1080/13645706.2025.2523257
Heng Zhang, Jin Xin Fu, Jin Long Zhang, Li Min Meng, Xi Long Yu, Mao Qiang Wang
{"title":"Experience with transarterial embolization for large symptomatic renal angiomyolipomas in patients with a solitary kidney: long-term outcomes.","authors":"Heng Zhang, Jin Xin Fu, Jin Long Zhang, Li Min Meng, Xi Long Yu, Mao Qiang Wang","doi":"10.1080/13645706.2025.2523257","DOIUrl":"https://doi.org/10.1080/13645706.2025.2523257","url":null,"abstract":"<p><strong>Background: </strong>Treatment of large symptomatic renal angiomyolipomas (AMLs) in patients with a solitary kidney poses a challenge in controlling the tumor while preserving renal function. This retrospective research examines the safety and long-term effects of transarterial embolization (TAE) using iodized oil-bleomycin emulsion plus N-Butyl cyanoacrylate (NBCA) for treating large symptomatic AMLs in patients with a solitary kidney.</p><p><strong>Methods: </strong>Over 20 years, 12 female patients, who had a solitary kidney due to a previous radical nephrectomy for AMLs, underwent TAE. Indications included symptomatic AMLs (retroperitoneal hematoma, hematuria or flank pain) and patients considered very high-risk for surgery (≥5 cm). The study evaluated adverse events (AEs), renal function changes, symptom relief, and tumor size.</p><p><strong>Results: </strong>The median follow-up was 96 months. No significant kidney function decline was noted. Symptoms resolved completely in all patients, with the mean lesion diameter reducing from 7.2 ± 2.5 cm to 0.7 ± 0.5 cm (<i>p</i> < 0.01). Complete resolution (CR) of AMLs occurred in nine patients (83.3%), with no recurrence during follow-up.</p><p><strong>Conclusions: </strong>TAE with iodized oil-bleomycin emulsion plus NBCA for treatment with large symptomatic AMLs in solitary kidney is safe and durability effect, with complete resolution of the symptoms, high rate CR of the tumors, without deterioration of the renal function.</p><p><strong>Trial registration: </strong>ChiCTR2100053296.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimized design of a non-isopeak-ring endovascular stent graft for thoracic aortic aneurysm. 胸主动脉瘤非等开环血管内支架的优化设计。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-24 DOI: 10.1080/13645706.2025.2523253
Yu Zhou, Chengli Song, Ailing Zhang, Shiju Yan
{"title":"Optimized design of a non-isopeak-ring endovascular stent graft for thoracic aortic aneurysm.","authors":"Yu Zhou, Chengli Song, Ailing Zhang, Shiju Yan","doi":"10.1080/13645706.2025.2523253","DOIUrl":"https://doi.org/10.1080/13645706.2025.2523253","url":null,"abstract":"<p><strong>Background: </strong>To optimize the design of the stent graft (SG) with a non-isopeak-ring, this study investigates the radial support and bending flexibility properties of SGs with different spacing, number of peaks, and peak heights.</p><p><strong>Methods: </strong>Numerical simulation and physical experiments were used to compare the mechanical properties of isopeak-ring SGs and non-isopeak-ring SGs.</p><p><strong>Results: </strong>Greater spacing of stent rings can provide greater bending flexibility; fewer peaks in the stent ring result in more radial support and less spring-back force. The SG design featuring a gradient of five wave peaks and a minimum stent ring spacing of 5 mm has the best flexibility. The relationship in terms of radial support force magnitude is as follows: isopeak-ring with heights of 13 mm > combination > gradient > isopeak-ring with heights of 16 mm. Additionally, the smaller the peak height, the greater its radial support.</p><p><strong>Conclusions: </strong>It is found that the gradient SG with five peaks not only provides sufficient radial support but also demonstrates superior flexibility compared to other types of SGs.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety and efficacy of endoscopic resection for gastric gastrointestinal stromal tumors: a retrospective cohort study. 内镜下胃肠道间质瘤切除术的安全性和有效性:一项回顾性队列研究。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2025-01-10 DOI: 10.1080/13645706.2024.2449266
Xiaodan Zhao, Yadong Feng, Mingyue Li, Ye Zhu, Xiajiao Tang, Ruihua Shi
{"title":"Safety and efficacy of endoscopic resection for gastric gastrointestinal stromal tumors: a retrospective cohort study.","authors":"Xiaodan Zhao, Yadong Feng, Mingyue Li, Ye Zhu, Xiajiao Tang, Ruihua Shi","doi":"10.1080/13645706.2024.2449266","DOIUrl":"10.1080/13645706.2024.2449266","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to verify the safety and efficacy of endoscopic resection (ER) for gastric gastrointestinal stromal tumors (GISTs).</p><p><strong>Methods: </strong>Among a consecutive series of resections for gastric GISTs performed in a single center, the outcomes of patients who had ER were compared to standard surgical resection (SR).</p><p><strong>Results: </strong>In the cohort, 329 consecutive primary localized gastric GISTs patients (<i>n</i>, ER/SR = 251/78) were enrolled. Patients receiving ER were revealed to have preferable post-treatment outcomes, prolonged overall survival (OS) and disease-free survival (DFS). Tumor diameter, the only independent risk factor for a complicated post-operative course, was utilized for propensity score matching (PSM). In the PSM cohort, patients receiving ER and SR with similar tumor size (4.0 [2.7-4.5] cm) shared similar aggressiveness in terms of stomach layers of tumor origination and invasion, and modified National Institutes of Health (mNIH) risk criteria. Shorter operative time, fewer economic costs, and shorter post-operative stay were still observed in the ER group (ER vs. SR: 80 [49-120] vs. 120 [98-160] minutes, <i>p</i> < 0.001; 44 [38-51] vs. 60 [49-84] thousand Renminbi [kRMB], <i>p</i> < 0.001; 7.0 [6.0-8.0] vs. 8.5 [6.0-12] days, <i>p</i> = 0.018, respectively). No significant difference in OS and DFS was demonstrated in the PSM cohort.</p><p><strong>Conclusions: </strong>ER is safe and effective, thus a feasible treatment option for indicated gastric GISTs patients with the advantage of faster recovery and lower economic costs.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"166-176"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142951256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endovascular robotics: technical advances and future directions. 血管内机器人技术:技术进展和未来方向。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2025-01-21 DOI: 10.1080/13645706.2025.2454237
Matteo Pescio, Dennis Kundrat, Giulio Dagnino
{"title":"Endovascular robotics: technical advances and future directions.","authors":"Matteo Pescio, Dennis Kundrat, Giulio Dagnino","doi":"10.1080/13645706.2025.2454237","DOIUrl":"10.1080/13645706.2025.2454237","url":null,"abstract":"<p><p>Endovascular interventions excel in treating cardiovascular diseases in a minimally invasive manner, showing improved outcomes over open techniques. However, challenges related to precise navigation - still relying on 2D fluoroscopy - persist. This review examines the role of robotics, highlighting commercial and research platforms, while exploring emerging trends like MRI compatibility, enhanced navigation, and autonomy. MRI-compatible systems offer radiation-free 3D imaging. Human-robot interaction evolves with task-specific interfaces, while autonomy ranges from partial to full, aiding clinical operators. Challenges include complexity and cost, emphasizing compatibility and navigation advancements. Integrating MRI-compatible robots, refining human-robot interaction, and enhancing autonomy promise advancements in endovascular surgery, fueled by AI and innovative imaging.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"239-252"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new method for placental volume measurements using tracked 2D ultrasound and automatic image segmentation. 一种利用跟踪二维超声和自动图像分割测量胎盘体积的新方法。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2025-02-07 DOI: 10.1080/13645706.2025.2449699
Karianne Sagberg, Torgrim Lie, Helene F Peterson, Vigdis Hillestad, Anne Eskild, Lars Eirik Bø
{"title":"A new method for placental volume measurements using tracked 2D ultrasound and automatic image segmentation.","authors":"Karianne Sagberg, Torgrim Lie, Helene F Peterson, Vigdis Hillestad, Anne Eskild, Lars Eirik Bø","doi":"10.1080/13645706.2025.2449699","DOIUrl":"10.1080/13645706.2025.2449699","url":null,"abstract":"<p><strong>Background: </strong>Placental volume measurements can potentially identify high-risk pregnancies. We aimed to develop and validate a new method for placental volume measurements using tracked 2D ultrasound and automatic image segmentation.</p><p><strong>Methods: </strong>We included 43 pregnancies at gestational week 27 and acquired placental images using a 2D ultrasound probe with position tracking, and trained a convolutional neural network (CNN) for automatic image segmentation. The automatically segmented 2D images were combined with tracking data to calculate placental volume. For 15 of the included pregnancies, placental volume was also estimated based on MRI examinations, 3D ultrasound and manually segmented 2D ultrasound images. The ultrasound methods were compared to MRI (gold standard).</p><p><strong>Results: </strong>The CNN demonstrated good performance in automatic image segmentation (F1-score 0.84). The correlation with MRI-based placental volume was similar for tracked 2D ultrasound using automatically segmented images (absolute agreement intraclass correlation coefficient [ICC] 0.58, 95% CI 0.13-0.84) and manually segmented images (ICC 0.59, 95% CI 0.13-0.84). The 3D ultrasound method showed lower ICC (0.35, 95% CI -0.11 to 0.74) than the methods based on tracked 2D ultrasound.</p><p><strong>Conclusions: </strong>Tracked 2D ultrasound with automatic image segmentation is a promising new method for placental volume measurements and has potential for further improvement.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"230-238"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The efficacy and safety of precutting-endoscopic mucosal resection for colorectal tumors: a systematic review and meta-analysis. 内镜粘膜切除术治疗结直肠肿瘤的有效性和安全性:系统综述和荟萃分析。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2024-12-12 DOI: 10.1080/13645706.2024.2440403
Yi Chen, Zhengjie Wu
{"title":"The efficacy and safety of precutting-endoscopic mucosal resection for colorectal tumors: a systematic review and meta-analysis.","authors":"Yi Chen, Zhengjie Wu","doi":"10.1080/13645706.2024.2440403","DOIUrl":"10.1080/13645706.2024.2440403","url":null,"abstract":"<p><strong>Background: </strong>Several modified endoscopic mucosal resection (EMR) techniques have been reported for colorectal tumors. Precutting-EMR (PEMR) is a modification wherein a circumferential mucosal incision is made around a lesion to facilitate en bloc resection. This review compared the efficacy and safety of PEMR with conventional EMR for colorectal lesions.</p><p><strong>Methods: </strong>PubMed, Embase, Scopus, and Web of Science were searched for comparative studies available before February 15, 2024. This systematic review and meta-analysis were recorded in PROSPERO, identified as CRD42024509143.</p><p><strong>Results: </strong>Two hundred and eight studies underwent screening of which seven studies were found eligible. We found no significant difference in en bloc resection rates but complete resection rates were significantly better with PEMR. The duration of the procedure was significantly longer with PEMR as compared to EMR. There was no difference in the risk of delayed bleeding and recurrence between the two groups but the risk of perforation was significantly increased with PEMR.</p><p><strong>Conclusions: </strong>The use of PEMR for colorectal lesions can improve complete resection rates, albeit at the cost of increased duration of the procedure and higher perforation rates compared to conventional EMR. PEMR may also have a tendency of better en bloc resection rates which needs to be confirmed by further studies.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"177-186"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transperineal 3D fusion imaging-guided targeted microwaves ablation for low to intermediate-risk prostate cancer: results of a phase I-II study. 经会阴三维融合成像引导下靶向微波消融治疗低至中危前列腺癌:一项I-II期研究的结果
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2024-11-30 DOI: 10.1080/13645706.2024.2434825
Marco Oderda, Alessandro Marquis, Giorgio Calleris, Daniele D'Agate, Luisa Delsedime, Elena Vissio, Alessandro Dematteis, Marco Gatti, Riccardo Faletti, Giancarlo Marra, Gabriele Montefusco, Paolo Gontero
{"title":"Transperineal 3D fusion imaging-guided targeted microwaves ablation for low to intermediate-risk prostate cancer: results of a phase I-II study.","authors":"Marco Oderda, Alessandro Marquis, Giorgio Calleris, Daniele D'Agate, Luisa Delsedime, Elena Vissio, Alessandro Dematteis, Marco Gatti, Riccardo Faletti, Giancarlo Marra, Gabriele Montefusco, Paolo Gontero","doi":"10.1080/13645706.2024.2434825","DOIUrl":"10.1080/13645706.2024.2434825","url":null,"abstract":"<p><strong>Background: </strong>Targeted microwave ablation (TMA) is a novel modality of focal therapy to treat localized prostate cancer (PCa). We evaluated its short-term functional and oncologic outcomes.</p><p><strong>Method: </strong>We performed a single-center, prospective, interventional phase I-II pilot trial (NCT04627896). TMA was performed in 11 patients with a single intracapsular MRI-visible lesion ≤12 mm, International Society of Urological Pathology (ISUP) grade ≤ 2, Prostate Specific Antigen (PSA) < 20 ng/mL, and a 5-mm safety distance from apex and rectum. Patients were treated with a 12 W very low-loss microwaves ablation system, guided by 3D ultrasound/MRI fusion imaging. Follow-up consisted in clinical visits, PSA and validated questionnaires. MRI was scheduled at five months and rebiopsy at six months. The primary endpoints of study were safety and efficacy (absence of tumour in the treated area).</p><p><strong>Results: </strong>No severe complications were reported. All patients were discharged the same day of treatment without bladder catheter. No significant changes in PSA or questionnaires scores were reported. At rebiopsy, no cancer was found in five patients (45%); eight patients (73%) had an absence of in-field PCa and nine patients (82%) had an absence of in-field ISUP ≥ 2 PCa. New cancer foci outside the treated area were found in three patients (27%). Limitations of this study were the very limited sample size, the short follow-up, and the lack of a comparator.</p><p><strong>Conclusions: </strong>TMA guided by fusion imaging is a safe modality with good ablative efficacy.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"194-202"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of peritoneal flap fixation with curling technique on postoperative lymphocele formation in robot-assisted radical prostatectomy. 用卷曲技术固定腹膜瓣对机器人辅助前列腺癌根治术术后淋巴结形成的影响
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2024-11-15 DOI: 10.1080/13645706.2024.2429069
Ali Serdar Gozen, Samet Senel, Antonios Koudonas, Fabrizio Dal Moro, Jens Rassweiler
{"title":"The effect of peritoneal flap fixation with curling technique on postoperative lymphocele formation in robot-assisted radical prostatectomy.","authors":"Ali Serdar Gozen, Samet Senel, Antonios Koudonas, Fabrizio Dal Moro, Jens Rassweiler","doi":"10.1080/13645706.2024.2429069","DOIUrl":"10.1080/13645706.2024.2429069","url":null,"abstract":"<p><strong>Background: </strong>In robot-assisted radical prostatectomy (RARP), the peritoneal edges isolate the extended pelvic lymph node dissection bed from the peritoneal cavity. We studied the effect of peritoneal re-configuration through peritoneal flap fixation (PFF) with curling technique on lymphocele development.</p><p><strong>Method: </strong>We included 2087 patients who underwent RARP between 2010 and 2022. Two hundred and thirty patients whose operation was performed using the PFF with curling technique were matched in a 1:1 ratio with non-PFF patients based on age, body mass index, initial prostate-specific antigen, and number of removed lymph nodes. Demographic, clinical, intraoperative and postoperative characteristics were collected. Complications were classified using the Clavien-Dindo system and the presence of lymphocele was documented.</p><p><strong>Results: </strong>The two groups were similar in respect to matching parameters. Fifteen (6.5%) patients in the non-PFF group and two (0.9%) patients in the PFF group suffered from symptomatic lymphocele with symptoms such as abdominal pain, fever, lower extremity and/or genital oedema (<i>p</i> = 0.001). Asymptomatic lymphocele was diagnosed by ultrasonography in 19 (8.3%) patients in the non-PFF group and eight (3.5%) patients in the PFF group (<i>p</i> = 0.029).</p><p><strong>Conclusion: </strong>The results of our study support this concept by providing solid indications of the clinical benefits and safety of PFF with the curling technique.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"203-211"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term in vivo comparison of histopathological effects of two barbed sutures and a conventional suture material in a rat model. 两种倒刺缝合线和一种常规缝合线在大鼠模型中的长期体内组织病理学效果比较。
IF 1.7 4区 医学
Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2024-12-01 DOI: 10.1080/13645706.2024.2435553
Atinc Tozsin, Arif Aydin, Mehmet Giray Sonmez, Fahriye Kilinc, Selcuk Guven, Ali Serdar Gozen
{"title":"Long-term in vivo comparison of histopathological effects of two barbed sutures and a conventional suture material in a rat model.","authors":"Atinc Tozsin, Arif Aydin, Mehmet Giray Sonmez, Fahriye Kilinc, Selcuk Guven, Ali Serdar Gozen","doi":"10.1080/13645706.2024.2435553","DOIUrl":"10.1080/13645706.2024.2435553","url":null,"abstract":"<p><strong>Background: </strong>Urological repairs require secure suturing for effective healing. While conventional sutures like Vicryl are common, barbed sutures offer knotless options. This study aims to compare the histopathological effects of barbed and conventional sutures on the bladder.</p><p><strong>Method: </strong>Forty-eight adult Wistar female rats underwent bladder suturing with one of three suture materials: V-Loc<sup>™</sup> 90, Quill<sup>™</sup>, or Vicryl. Each rat's anterior bladder wall was sutured with the designated material, and rats were sacrificed at 6- and 9-weeks post-surgery for histopathological evaluation. Tissue reaction, inflammatory reaction, fibrosis, and suture dissolution were assessed by a blinded pathologist.</p><p><strong>Results: </strong>Vicryl sutures showed significant reductions in tissue reaction, inflammatory reaction, and fibrosis from 6 to 9 weeks (<i>p</i> < 0.05). Quill sutures exhibited an increase in fibrosis over the same period (<i>p</i> < 0.001), while V-Loc sutures showed no significant changes. Comparative analysis revealed Vicryl had the best overall performance in terms of reduced tissue reaction and inflammation.</p><p><strong>Conclusions: </strong>Vicryl sutures demonstrated superior long-term histopathological outcomes compared to barbed sutures, indicating their potential preference for reconstructive bladder surgeries. Our findings emphasize the necessity of conducting additional studies on different anatomical tissues as well as refining suture selection for various surgical situations.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"212-218"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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