Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques最新文献

{"title":"Endoscopic-assisted surgery for skull defects with subdural effusion.","authors":"Jian-Yun Zhou,&nbsp;Xin Zhang,&nbsp;Hai-Bin Gao,&nbsp;Ze Cao,&nbsp;Wei Sun","doi":"10.5114/wiitm.2020.99350","DOIUrl":"https://doi.org/10.5114/wiitm.2020.99350","url":null,"abstract":"<p><strong>Introduction: </strong>Subdural effusion is a common complication that occurs after decompressive craniectomy. According to the endoscopy results, the formation mechanism of subdural effusion after decompressive craniectomy was discussed.</p><p><strong>Aim: </strong>The morphological structure of subdural effusion in skull defects was observed with endoscopy, and endoscopic-assisted surgery was performed for subdural effusion.</p><p><strong>Material and methods: </strong>From January 2018 to March 2020, 19 cases of skull repair and treatment of subdural effusion were performed. The external wall of the capsule was kept intact during the operation, subdural effusion and surgical procedure of the subdural effusion under an endoscope could be observed, and the results of endoscopic observation were described and recorded. A hemostasis gauze was placed between the two layers of the subdural effusion cavity. Another 13 cases of skull defects with subdural effusion treated without endoscopy during the same time period were enrolled in the study as the control group. The postoperative disappearance of effusion and the incidence of postoperative complications were compared between the two groups.</p><p><strong>Results: </strong>Analysis with an endoscope revealed that all cases of subdural effusion in skull defects presented capsules. The main structures included the outer wall, boundary, inner wall, and fistula. The outer wall was made up of new tissue that had formed after removing the bone flap under the skin flap by artificial peeling under the condition of keeping the whole cavity. The inner wall consisted of thickened arachnoid, dura, and artificial dura. It presented with neovascularization networks, which showed a tendency to form new membrane structures through mutual adhesion and fusion. The inner and outer wall of the skull had fused to form the boundary of the cavity. Cerebrospinal fluid fistulas were detected in 31.6% of the internal walls. Subdural effusion was effectively treated in both the experimental group and the control group. Compared with the control group, complications in the experimental group were significantly reduced.</p><p><strong>Conclusions: </strong>The effusion cavity can be divided into three types based on its structural characteristics: fistula type, membrane type, and closed type. In this study, the formation mechanism of skull defects combined with subdural effusion was explored. This represents a new method for treating subdural effusion in which hemostasis gauze is placed between the two layers of the effusion cavity and cerebrospinal fluid fistula under an endoscope, which can effectively reduce the incidence of postoperative complications.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"219-226"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/wiitm.2020.99350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25534521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation.","authors":"Guiying Zhu,&nbsp;Fenglin Hu,&nbsp;Changmiao Wang","doi":"10.5114/wiitm.2020.101025","DOIUrl":"https://doi.org/10.5114/wiitm.2020.101025","url":null,"abstract":"<p><p>Endoscopic retrograde cholangiopancreatography (ERCP) is the main diagnosis and treatment for biliary and pancreatic diseases; however, ERCP requires a high level of technical skill and experience, and there is always a risk of complications. ERCP-related duodenal perforation is one of the most serious complications of ERCP, and although the incidence rate is relatively low, the mortality rate is high. Recently, the introduction of new classification methods and the development of endoscopic technology and equipment have made endoscopic therapy a new trend. This may change the management strategy of perforation. Therefore, we reviewed the latest developments in endoscopic management, surgical management, and conservative internal medicine management. In addition to introducing many new endoscope treatment methods, we also discussed the timing of interventions, the progress of endoscope and surgical indications, and corresponding prevention strategies. We aim to retrospectively analyse these treatment modalities to propose appropriate solutions to improve dynamic clinical therapy.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"19-29"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/4c/WIITM-16-42481.PMC7991950.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical evaluation of endovascular repair of abdominal aortic aneurysm based on long-term experiences.","authors":"Piotr Kulig,&nbsp;Krzysztof Lewandowski,&nbsp;Bogusław Rudel,&nbsp;Maciej Chwała,&nbsp;Marek Piwowarczyk,&nbsp;Wojciech Mrowiecki","doi":"10.5114/wiitm.2020.93984","DOIUrl":"https://doi.org/10.5114/wiitm.2020.93984","url":null,"abstract":"<p><strong>Introduction: </strong>The endovascular method as a less invasive treatment for patients with abdominal aortic aneurysm (AAA) has become an alternative to conventional open surgery.</p><p><strong>Aim: </strong>The objective of the present study was to analyse the outcomes of endovascular treatment of AAA patients in long-term observation.</p><p><strong>Material and methods: </strong>A group of 236 AAA patients subjected to planned endovascular aneurysm repair (EVAR) between 2010 and 2015 was reviewed. Rates of mortality, surgical complications and re-interventions were collected in the separate time periods, i.e. up to 30 days after surgery, 30 days to 3 years, and from 3 to 5 years after surgery. Cumulative rates of these parameters were evaluated in the short-term (up to 30 days after surgery), medium-term (up to 3 years), and long-term (up to 5 years after surgery) perspective.</p><p><strong>Results: </strong>The median age of patients was 75 years, and the most common comorbidities were arterial hypertension (54%) and ischaemic heart disease (52%). Cumulative short-, medium- and long-term mortality rates were 2.5%, 14.2% and 28.9%, respectively. Total rates of surgical complications in short-, medium- and long-term observation were 7.6%, 12.6% and 17.5%, respectively. The cumulative rate of re-interventions ranged from 4.2% to 11.4%.</p><p><strong>Conclusions: </strong>In the consecutive time periods, the increase in the percentage of surgical complications and re-interventions increased gradually, in contrast to mortality, where the curve grew significantly, which is expected due to the aging and numerous comorbidities in the observed group of patients.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"191-198"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/96/WIITM-16-40211.PMC7991931.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25534518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular revascularization of chronically occluded vertebral artery: single-center experience.","authors":"Xueli Cai,&nbsp;Liangtong Huang,&nbsp;Xueping Chen,&nbsp;Jingping Sun,&nbsp;Feng Gao","doi":"10.5114/wiitm.2020.97445","DOIUrl":"https://doi.org/10.5114/wiitm.2020.97445","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic vertebral basilar artery occlusion is one of the most common causes of ischemic stroke, which accounts for roughly 20% of all cases. However, the evidence for the precise clinical effect in treatment of the initial segment of chronic vertebral basilar artery occlusion is not sufficient.</p><p><strong>Aim: </strong>To evaluate the feasibility and efficacy of endovascular therapy in the initial segment of chronic vertebral basilar artery occlusion.</p><p><strong>Material and methods: </strong>This is a retrospective study based on data obtained from Lishui Hospital of Zhejiang University. We identified patients who underwent treatment for initial segment occlusion of the vertebral basilar artery from September 2014 to September 2018.</p><p><strong>Results: </strong>Among a total of twenty-two subjects, 77.27% of them were men and the median age was 61 years old. The primary medical history of these patients included hypertension (15, 68.18%), hyperlipidemia (13, 59.09%), diabetes mellitus (11, 50.00%), and coronary artery disease (6, 27.27%). About 54.54% of the patients were current smokers. Successful recanalization was achieved in 86.36% of patients. Five cases of balloon dilatation were recanalized and fourteen cases were treated by balloon dilation combined with stent implantation. During the follow-up period, there were no recurrent cerebral ischemic events, including <i>transient ischemic attack</i> or stroke. Six (27.27%) arteries were found to exhibit angiographic re-stenosis.</p><p><strong>Conclusions: </strong>The clinical effect of balloon dilatation or balloon dilatation combined with stenting in the treatment of chronic vertebral basilar artery occlusion in the beginning segment was feasible and safe.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"211-218"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bd/84/WIITM-16-41379.PMC7991923.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25534520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early complications of translumbar cannulation of the inferior vena cava as a quick, last-chance method of gaining access for hemodialysis. Ten years of experience in one clinical center.","authors":"Jarosław Leś,&nbsp;Sebastian Spaleniak,&nbsp;Arkadiusz Lubas,&nbsp;Stanisław Niemczyk,&nbsp;Grzegorz Kade","doi":"10.5114/wiitm.2020.99944","DOIUrl":"https://doi.org/10.5114/wiitm.2020.99944","url":null,"abstract":"<p><strong>Introduction: </strong>The gold standard of vascular access for chronic hemodialysis patients is the arteriovenous fistula (AVF). If an AVF cannot be created, the hemodialysis catheter can be inserted into the internal jugular, femoral or subclavian vein. After exhausting the abovementioned standard accesses, translumbar access to the inferior vena cava (IVC) is considered a quick, last-chance and rescue method.</p><p><strong>Aim: </strong>Retrospective analysis of early complications (EC) of translumbar IVC catheterization using one type of catheter by one medical team.</p><p><strong>Material and methods: </strong>From January 2010 to October 2019, a total of 34 translumbar IVC catheters were implanted in 27 patients.</p><p><strong>Results: </strong>A major EC was found in 1 (2.9%) procedure. Minor EC occurred in 23.5 attempts. None of these complications required an intervention.</p><p><strong>Conclusions: </strong>In patients with exhausted possibilities of obtaining standard vascular access for HD, translumbar IVC cannulation proved to be a safe and effective method.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"282-288"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/a3/WIITM-16-42063.PMC7991928.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcome and analysis of procedural failure during uterine artery chemoembolisation as a treatment of caesarean scar pregnancy.","authors":"Krzysztof Pyra,&nbsp;Maciej Szmygin,&nbsp;Viktor Bérczi,&nbsp;Maria Tsitskari,&nbsp;Michał Sojka,&nbsp;Grzegorz Pietras,&nbsp;Sławomir Woźniak","doi":"10.5114/wiitm.2020.100713","DOIUrl":"https://doi.org/10.5114/wiitm.2020.100713","url":null,"abstract":"<p><strong>Introduction: </strong>Caesarean scar pregnancy (CSP) is a relatively rare yet life-threatening condition in which the embryo is implanted in the scar after caesarean section. Recent studies have reported that uterine artery chemoembolisation (UAC) can be safe and effective method in treating CSP.</p><p><strong>Aim: </strong>To present the clinical outcome of UAC with a mixture of methotrexate and gelatine sponge for the treatment of CSP and analysis of procedural failure.</p><p><strong>Material and methods: </strong>Forty-one patients diagnosed with CSP were treated with selective endovascular chemoembolisation of uterine arteries. Short- and long-term results, reasons for procedural failure, and clinical outcome were analysed.</p><p><strong>Results: </strong>Primary procedure failed in 7 out of 41 (17%) cases. In 4 cases additional blood supply to the CSP was disclosed; 3 out of 4 from an ovarian artery and one from a superior vesical artery. In other 3 patients, reperfusion of uterine arteries was observed. All these 7 patients underwent successful secondary embolisation. The majority of the followed-up patients reported regular menses after the intervention. Four women suffered from amenorrhoea and 2 from hypomenorrhoea that continued after 90 days. Twelve patients expressed the desire for subsequent pregnancy. From this group, 5 conceived within a year of the procedure. The rest did not achieve a pregnancy.</p><p><strong>Conclusions: </strong>UAC proved to be a safe and effective method and should be considered as an option for CSP treatment, especially for women hoping to preserve their fertility. However, the presence of collateral blood supply should always be considered.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"243-248"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/d9/WIITM-16-42366.PMC7991929.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of training and selected factors on speed and quality of performing different tasks on the endoscopic simulator.","authors":"Maciej Kasprzyk,&nbsp;Michał Łuczak,&nbsp;Nel Kaczmarek,&nbsp;Jakub Psiuk,&nbsp;Marta Twardowska,&nbsp;Piotr Czarnecki","doi":"10.5114/wiitm.2020.97364","DOIUrl":"https://doi.org/10.5114/wiitm.2020.97364","url":null,"abstract":"<p><strong>Introduction: </strong>One of the most significant challenges nowadays is to educate and predict the predispositions of young surgeons taking into consideration that every ability has its own learning curve.</p><p><strong>Aim: </strong>To determine the influence of selected factors and examine the shape and the length of the learning curve in performing simple tasks on an endoscopic simulator.</p><p><strong>Material and methods: </strong>Twenty students took part in 4 training sessions with a one-week break between sessions. They were training 12 min and performed three tasks at every session on the endoscopic simulator. To identify whether selected factors influence the time of completing tasks, the participants were asked to fill in questionnaires. All participants also completed the Minnesota Manual Dexterity Test (MMDT) to assess hand-eye coordination.</p><p><strong>Results: </strong>Our research reveals that regardless of activities performed in free time, the shape of the learning curve was logarithmic. Improvement after the fourth session ranged from 50% to 75%. Performing specific activities in the free time did not influence the results achieved on the simulator. No statistically significant correlation between MMDT results and the time to accomplish each task was found.</p><p><strong>Conclusions: </strong>This study has shown that the length of the learning curve of performing simple tasks is quite short and the shape is logarithmic. It suggests that more complex exercises should be included in the training programme.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"110-116"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/ac/WIITM-16-41347.PMC7991932.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25533157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of efficiency of vascular-preserving urethroplastic methods of the bulbo-membranous part of the urethra.","authors":"Vladimir Beloborodov,&nbsp;Vladimir Vorobev,&nbsp;Alexey Kalyagin,&nbsp;Igor Seminskiy,&nbsp;Bator Sharakshinov,&nbsp;Sergei Popov,&nbsp;Olga Baklanova","doi":"10.5114/wiitm.2020.94281","DOIUrl":"https://doi.org/10.5114/wiitm.2020.94281","url":null,"abstract":"<p><strong>Introduction: </strong>There are several options for vessel-sparing anastomotic procedures that allow one to avoid disturbances in the normal blood supply to the spongy body and successfully perform plastic surgery of distal urethral strictures.</p><p><strong>Aim: </strong>To perform a comparative analysis of the effectiveness of reconstructive surgical treatment of strictures of the bulbo-membranous urethra with anastomotic surgery with and without vessel-sparing.</p><p><strong>Material and methods: </strong>A prospective study was carried out on 28 patients with a diagnosis of stricture of the bulbo-membranous urethra who underwent treatment in the period 2012-2018 in the conditions of a urological hospital of Irkutsk City Clinical Hospital No. 1. Anastomotic urethroplasty was performed using one of two methods: with full mobilization of the spongy body bulb and a vessel-sparing method when the spongy body does not intersect.</p><p><strong>Results: </strong>The effectiveness of the classical method of anastomosing EPA-TWW ((excision and primary anastomosis urethroplasty (Turner-Warwick) and excision and Jordan's technique of vessel sparing excision and primary anastomosis)) was comparable with the method of anastomosing without crossing the (spongy body of EPA-J). Postoperative changes in the parameters of the functional status of patients based on the International Prostate Symptom Score (IPSS), International Index of Erectile Function, and Quality of Life were comparable in patients undergoing EPA-TWW and EPA-J. The final data indicate a statistically equivalent risk of developing complications such as urinary incontinence, shortening of the penis, and decreased erectile function.</p><p><strong>Conclusions: </strong>The study did not demonstrate a statistically significant difference in the effectiveness of the treatment and the risks of complications during anastomotic surgery with or without vessel-sparing. However, an unformalized assessment demonstrates the best state of erectile function in patients after vascular-preserving surgery.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"151-162"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/9e/WIITM-16-40322.PMC7991951.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25533546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short versus long biliopancreatic limb in Roux-en-Y gastric bypass surgery for treatment of type 2 diabetes mellitus.","authors":"Zhigang Ke,&nbsp;Fan Li,&nbsp;Yu Gao,&nbsp;Xunmei Zhou,&nbsp;Fang Sun,&nbsp;Li Wang,&nbsp;Jing Chen,&nbsp;Xin Tan,&nbsp;Zhiming Zhu,&nbsp;Weidong Tong","doi":"10.5114/wiitm.2020.99997","DOIUrl":"https://doi.org/10.5114/wiitm.2020.99997","url":null,"abstract":"<p><strong>Introduction: </strong>Although laparoscopic Roux-en-Y gastric bypass (RYGB) is still widely accepted as a valid procedure in the treatment of obesity and type 2 diabetes mellitus (T2DM), there continues to be a significant controversy about how long the Roux and biliopancreatic limb should be bypassed for optimum results.</p><p><strong>Aim: </strong>To assess the effect of a longer biliopancreatic limb (BPL) length on glycemic control after RYGB in T2DM patients.</p><p><strong>Material and methods: </strong>Eighty-four patients with uncontrolled T2DM who underwent RYGB between May 2010 and April 2017 were collected from the prospectively designed database. Forty patients (S-BPL group) received BPL lengths ≤ 50 cm, including 30 cm (n = 1), 40 cm (n = 1), and 50 cm (n = 38). Forty-four patients (L-BPL group) received 100 cm BPL. Anthropometry, serum glucose and lipid metabolic parameters were measured at baseline and 1, 3, 6, 12, 24 and 36 months after surgery.</p><p><strong>Results: </strong>Comparing the two groups, there were no significant differences in anthropometric and biochemical measures, except the weight and body mass index, which were higher in the S-BPL group (85.91 ±20.32 vs. 76.25 ±16.99, p = 0.038; 31.87 ±6.61 vs. 28.7 ±4.29, p = 0.005) compared to the L-BPL group. The body weight, glucose and lipid metabolic parameters decreased over time and then remained essentially stable from the first year in both groups. Two years after surgery, the remission (HbA_1c% ≤ 6%) of T2DM was 31.2% in the S-BPL group and 37.5% in the L-BPL group (p = 0.685).</p><p><strong>Conclusions: </strong>With consistent total small bowel bypass (AL + BPL) lengths, lengthening of the BPL from 30 to 100 cm did not affect the post-RYGB glycemic control and weight loss.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"129-138"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/2e/WIITM-16-42091.PMC7991953.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25533544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heron-mouth neuroendoscopic sheath-assisted neuroendoscopy plays critical roles in treating hypertensive intraventricular hemorrhage.","authors":"Jie Xu,&nbsp;Siyuan Ma,&nbsp;Weijiang Wu,&nbsp;Wenfeng Fang,&nbsp;Aihua Zhu,&nbsp;Chun Ge,&nbsp;Hua Lu","doi":"10.5114/wiitm.2020.99351","DOIUrl":"https://doi.org/10.5114/wiitm.2020.99351","url":null,"abstract":"<p><strong>Introduction: </strong>Neuroendoscopy is widely applied for treating hypertensive intracerebral hemorrhage.</p><p><strong>Aim: </strong>To explore the effects of heron-mouth neuroendoscopic sheath-assisted neuroendoscopy on treatment of hypertensive intraventricular hemorrhage.</p><p><strong>Material and methods: </strong>A type of heron-mouth neuroendoscopic sheath combining the advantages of minimally invasive columnar endoscopic sheath and open operation methods was designed. The end of sheath catheter could be dilated if necessary, without increasing risk of cortex injury. Heron-mouth neuroendoscopic sheath-assisted neuroendoscopy was applied in treatment of hypertensive intraventricular hemorrhage. A total of 19 patients with hypertensive intraventricular hemorrhage were selected and divided into an external ventricular drainage + urokinase group and a neuroendoscopy group. Hematoma clearance rate, surgical time, ventricular drainage time, intracranial infection, hydrocephalus and Glasgow Outcome Score (GOS) at 3 months after the operation were compared between two groups.</p><p><strong>Results: </strong>Hematoma clearance rate, ventricular drainage time, mortality rate and GOS at 3 months after surgery in the neuroendoscopy group were significantly better compared to those in the external ventricular drainage + urokinase group (p < 0.05). Postoperative complications, including intracranial infection hydrocephalus and pulmonary infection in the neuroendoscopy group, were less numerous compared to those in the external ventricular drainage + urokinase group, but without statistical significance (p > 0.05). However, surgical time was significantly longer in the neuroendoscopy group compared to that in the external ventricular drainage + urokinase group (p < 0.05). There was no significant difference in incidence rate of hydrocephalus between the two groups (p > 0.05).</p><p><strong>Conclusions: </strong>Clinical effects of heron-mouth neuroendoscopic sheath-assisted neuroendoscopy were better than those of external ventricular drainage combining urokinase dissolution in treating hypertensive intraventricular hemorrhage.</p>","PeriodicalId":520827,"journal":{"name":"Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques","volume":" ","pages":"199-210"},"PeriodicalIF":1.7,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/08/WIITM-16-41896.PMC7991947.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25534519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}