Purpose: This study evaluated the impact of the pelvic pillow on a single surgeon's learning how to perform laparoscopic low anterior resection (LAR) for rectal cancer.
Methods: We compared the outcomes for 23 patients with rectal cancer including the first 11 patients who underwent laparoscopic LAR without the pelvic pillow, and the latter 12 patients with the pelvic pillow by a single surgeon.
Results: The stage of the pelvic pillow (+) was more advanced than that of the pelvic pillow (-). The length of the operation and postoperative start of oral intake for the pelvic pillow (+) were shorter and earlier than those of the pelvic pillow (-). The pelvic surgical field in the pelvic pillow (+) was better and allowed better evaluation than the pelvic pillow (-).
Conclusions: Maintaining an excellent view of the pelvic surgical field with the pelvic pillow might have an impact on learning laparoscopic LAR.
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http://dx.doi.org/10.1097/SLE.0b013e31828fa659 | DOI Listing |
Radiography (Lond)
July 2024
Department of Radiography, University Collage of Northern Denmark, Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark. Electronic address:
Introduction: During Computed Tomography (CT) scans of the Thorax-Abdomen-Pelvis (TAP) the patient's arms should be positioned above the head to obtain optimal image quality and expose the patient to the lowest possible radiation dose. This may be impossible with patients with shoulder problems leading to arms being positioned in other ways. This study aimed to investigate differences in objective image quality and estimated effective dose (E), when positioning the arms below shoulder level in CT-TAP.
View Article and Find Full Text PDFAm J Obstet Gynecol
March 2024
North Bristol NHS Trust and Royal College of Obstetricians and Gynaecologists, Bristol, United Kingdom.
Globally, more than 1 in 5 women give birth by cesarean delivery, and at least 5% of these births are at full cervical dilatation. In these circumstances, and when labor has been prolonged in the first stage of labor, the fetal head can become low and wedged deep in the woman's pelvis, making it difficult to deliver the baby. This emergency is known as impacted fetal head.
View Article and Find Full Text PDFCurr Oncol
August 2023
Division of Radiation Oncology, IEO European Institute of Oncology IRCCS, 20141 Milan, Italy.
In this technical development report, we present the strategic placement of fiducial markers within the prostate under the guidance of computed tomography (CT) and electromagnetic navigation (EMN) for the delivery of ultra-hypofractionated cyberknife (CK) therapy in a patient with localized prostate cancer (PCa) who had previously undergone chemo-radiotherapy for rectal cancer and subsequent abdominoperineal resection due to local recurrence. The patient was positioned in a prone position with a pillow under the pelvis to facilitate access, and an electromagnetic fiducial marker was placed on the patient's skin to establish a stable position. CT scans were performed to plan the procedure, mark virtual points, and simulate the needle trajectory using the navigation system.
View Article and Find Full Text PDFHealth Technol Assess
March 2023
Lifespan and Population Health Academic Unit, University of Nottingham, Nottingham, UK.
Background: Second-stage caesarean sections, of which there are around 34,000 per year in the UK, have greater maternal and perinatal morbidity than those in the first stage. The fetal head is often deeply impacted in the maternal pelvis, and extraction can be difficult. Numerous techniques are reported, but the superiority of one over another is contentious and there is no national guidance.
View Article and Find Full Text PDFAust N Z J Obstet Gynaecol
June 2023
Department of Obstetrics and Gynaecology, Women's and Babies' Division, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Background: Caesarean birth at full cervical dilatation can be technically challenging and may be associated with increased risks of maternal and neonatal morbidity, often secondary to difficulties in delivering a deeply impacted fetal head. The Fetal Pillow is a device designed to elevate an impacted fetal head out of the pelvis and reduce birth trauma.
Aims: To evaluate birth outcomes following the introduction of the Fetal Pillow at a tertiary maternity hospital.
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