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HYSPAIN CLINICAL TRIAL Testing the Efficacy of Paracervical Anesthesia for Pain Control During Office Hysteroscopy: A Randomized, Single-Center, Double-Blind, Placebo-Controlled Clinical Trial.
J Clin Med
December 2024
Gynaecology and Obstetrics Department, Hospital Universitario Puerta de Hierro, Majadahonda, 28222 Madrid, Spain.
Hysteroscopy is a key gynecological procedure for diagnosing and treating endometrial conditions. While hysteroscopy is often performed in office settings without sedation, patients frequently report significant pain during the procedure. This study aims to evaluate the efficacy of paracervical anesthesia with mepivacaine compared to placebo in managing pain during office hysteroscopy.
View Article and Find Full Text PDFExpanding Applications and Future of Robotic Microsurgery.
J Craniofac Surg
November 2024
Department of Plastic Surgery, University Hospital Muenster.
Robotic-assisted microsurgery has emerged as a transformative technology, offering enhanced precision for complex procedures across various fields, including lymphatic surgery, breast reconstruction, trauma, and neurosurgery. This paper reviews current advancements, applications, and potential future directions for robotic-assisted microsurgery. In lymphatic surgery, robotic systems such as Symani have improved precision in thoracic duct reconstruction and lymphatic vessel anastomoses, reducing morbidity despite longer surgery times.
View Article and Find Full Text PDFIntraoperative navigation in craniofacial surgery.
Arch Craniofac Surg
October 2024
Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Korea.
Craniofacial surgery requires comprehensive anatomical knowledge of the head and neck to ensure patient safety and surgical precision. Over recent decades, there have been significant advancements in imaging techniques and the development of real-time surgical navigation systems. Intraoperative navigation technology aligns surgical instruments with imaging-derived information on patient anatomy, enabling surgeons to closely follow preoperative plans.
View Article and Find Full Text PDF[Digital tools in primary total knee arthroplasty-Prevalence in the German-speaking region].
Orthopadie (Heidelb)
December 2024
ECOM - Praxis für Orthopädie, Sportmedizin und Unfallchirurgie, Arabellastraße 17, 81925, München, Deutschland.
Background: Digital tools are being increasingly used worldwide in primary knee arthroplasty. This study aimed to analyze the utilization density of digital tools, the preferred alignment strategies, and the obstacles and benefits of implementing these technologies in German-speaking countries.
Materials And Methods: An online survey with 57 questions about digital tools in primary knee arthroplasty and their usage was conducted among members of the Arthroplasty Working Group (AE).
Vitreoschisis-induced vitreous cortex remnants in proliferative vitreoretinopathy: A comprehensive review from basic research to clinical practice.
Acta Ophthalmol
December 2024
Rotterdam Ophthalmic Institute, Rotterdam, The Netherlands.
Article Synopsis
- * The review focuses on vitreoschisis-induced vitreous cortex remnants (VCR), which are often overlooked but play a key role in promoting PVR due to their involvement in fibrocellular growth and difficulty in detection during surgery.
- * Emphasizing the need for complete removal of vitreous and effective identification of VCR, the review suggests that improving surgical techniques and visualization could enhance outcomes for patients with RRD.
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