Background: Live donor nephrectomy is an important donor source. Donor nephrectomy can be performed by laparoscopy or hand-assisted laparoscopy. Different types of hand port devices can be used for assistance. In the literature there are few studies about hand-assisted laparoscopy without a hand port. In this study, we aimed to evaluate the impact of not using a hand port for hand-assisted laparoscopic donor nephrectomy for kidney transplantation.
Methods: Patients who were operated on for kidney donation between January 2011 and June 2018 evaluated retrospectively. The patients were divided into 2 groups: group A, on whom a hand port was used, and group B, whose surgeries did not involve a hand port. The groups were compared for sex, age, body mass index, amount of intraoperative bleeding, warm ischemia time, duration of surgery, perioperative complications, duration of hospital stay, and postoperative complications.
Results: There were 159 patients in group A and 146 patients in group B. There was no difference between the groups considering intraoperative bleeding, warm ischemia time, duration of surgery and postoperative early complications (P > .05 for all).
Conclusion: Hand-assisted laparoscopic donor nephrectomy without a hand port can be considered an easy and effective method of laparoscopic nephrectomy.
Pterosaurs, iconic flying reptiles of the Mesozoic, walked on all fours. A new study has analysed their hand and foot anatomy and how it enabled the walking lifestyle that may have been the foundation of their attaining gigantic sizes.
Background: One aspect that is often impaired in people living with stroke is the motor function of the upper limb.
Purpose: To explore the reasons behind the low focus on upper limb rehabilitation after stroke and to understand the views of rehabilitation professionals (RPs) on the use of upper limb rehabilitation technologies for self-management of stroke.
Study Design: A qualitative descriptive design that employs a one-on-one semistructured interview method.
This paper investigates the impact of workload pressure on primary care outcomes using a unique dataset from English general practices. Leveraging the absence of General Practitioner (GP) colleagues as an instrumental variable, we find that increased workload leads to an increase in prescription rates of antibiotics as well as in the share of assessment referrals. On the other hand, the quantity and frequency of psychotropics decreases.
Uniportal video-assisted thoracoscopic surgery( VATS) is a thoracoscopic surgery in which a camera and multiple forceps are inserted into one wound and the operation is performed under complete monitoring. Since Diego Gonzalez-Rivas reported on lobectomy in 2011, various other procedures such as pneumonectomy, segmentectomy, sleeve, double sleeve, and carina reconstruction have been performed. Now, it is performed not only in Asia and Europe, but also in South America, the Middle East, and other parts of the world.
It has been argued that domestication explains the ability of domestic animals to use human cues, but similar abilities exist in wild animals repeatedly exposed to humans. Little is known on the importance of the developmental stage of this exposure for developing such abilities. Orphancy and subsequent hand-rearing constitute a quasi-experimental situation for investigating this question.
