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Article Synopsis
  • - The study explores the effectiveness and safety of the "Overlapping" lymphaticovenular anastomosis (LVA) technique for treating lymphedema, focusing on patients with varying severity of the condition.
  • - Seventeen patients were enrolled, all of whom demonstrated significant postoperative improvements in limb swelling, with the Overlapping technique achieving a 100% success rate and a mean drainage volume of 472.29 ml.
  • - The Overlapping method not only showed promising results but also reduced the average surgical time to 5.3 minutes, suggesting it could be a beneficial addition to existing LVA techniques.
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Use of Octopus™ Tissue Stabilizer for Minimal Manipulation Approach of Bronchial Anastomosis in Lung Transplant.

Braz J Cardiovasc Surg

October 2023

Lung Transplant Group, Disciplina de Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil.

Bronchial anastomotic complications are a cause of grave concern for surgeons that perform lung transplantations. There are several risk factors that may lead to this complication, being inadequate surgical technique one of them, specifically regarding adequate exposure and manipulation of the bronchial stump and anastomosis. Here we report the use of Octopus™ Tissue Stabilizer as a mean to allow for a better exposure of the stump and facilitate a "no-touch" approach towards anastomosis.

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Introduction: Significant hemodynamic derangements can occur during off-pump coronary artery bypass graft (OPCAB) surgery resulting from the displacement of the beating heart, which may necessitate conversion to on-pump surgery.

Aim: We proposed to evaluate the alterations in hemodynamic parameters in patients during the course of anastomosis in OPCAB surgery using the Octopus tissue stabilizer.

Material And Methods: In 100 consecutive patients undergoing OPCAB surgery, hemodynamic variables including cardiac output (CO), heart rate (HR), mean arterial pressure (MAP) and central venous pressure (CVP) were recorded at baseline, during each coronary artery anastomosis at 2 min, 10 min and after release of the Octopus tissue stabilizer.

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Assistive Techniques for Proximal Anastomosis in Minimally Invasive Coronary Artery Bypass Grafting.

Innovations (Phila)

March 2018

From the *Department of Cardiac Surgery, Wuhan Asia Heart Hospital, Wuhan, China; and †Division of Cardiovascular Surgery, Yamato Seiwa Hospital, Yamato City, Japan.

We introduce assistive techniques for proximal anastomosis in off-pump minimally invasive coronary artery bypass grafting (MICS CABG) to overcome difficult access to the ascending aorta in MICS CABG. An 8-cm left thoracotomy is made in the fifth intercostal space. ThoraTrak retractor (Medtronic Inc, Minneapolis, MN USA) is used to open the thoracotomy and is pulled to the cephalad and rightward direction toward to the ascending aorta.

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