When the disposable arthroscopic banana knife (Linvatec, Largo, FL) became unavailable, many pediatric surgeons adapted the use of spatula tip cautery for laparoscopic pyloromyotomy; however, reusable arthroscopic knives remain readily available and are well suited to the procedure. We compared laparoscopic pyloromyotomy with a reusable arthroscopic banana knife (Sklar, West Chester, PA; catalog no. 45-6050) to those using spatula tip cautery at a single institution between September 1, 2012, and December 31, 2019. Mann-Whitney test was used to compare operative time, room time, and time to discharge between groups. Overall, 109 patients underwent pyloromyotomy for hypertrophic pyloric stenosis during the study time period. Of these, 12 were open and one was undertaken with the Storz pyloromyotomy knife, so these were excluded. A total of 74 (77.1%) laparoscopic cases with spatula tip cautery and 22 (22.9%) with the banana knife were included. Mean age at the time of surgery was ∼37 days. The majority of patients in each group were white, male, and full term. The most common comorbid conditions were reactive airway disease and neonatal abstinence syndrome. There were no significant differences in operative time ( = .61), room time ( = .41), or time from surgery to discharge ( = .26) between procedures using the banana knife and those using the cautery spatula tip. There were no perforations or recurrences. Our findings suggest that the reusable banana knife is a safe and effective alternative to spatula tip cautery for laparoscopic pyloromyotomy, with no difference in operative time, time from surgery to discharge, or complications.
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http://dx.doi.org/10.1089/lap.2021.0370 | DOI Listing |
Zootaxa
March 2023
ICAR-National Research Centre for Banana, Thogamalai Road, Thayanur Post, Tiruchirappalli 620102, Tamil Nadu, India. .
The tribe Platynaspini (Coleoptera, Coccinellidae) of the Indian subcontinent is reviewed and ten species of Platynaspis Redtenbacher 1843 are briefly described and illustrated with notes on their distribution, biology, and hosts, wherever known. A lectotype is designated for Platynaspis flavoguttata (Gorham, 1894) (lectotype designation). Neoplatynaspis nataliae gen.
View Article and Find Full Text PDFNeurosurg Rev
June 2022
Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
J Laparoendosc Adv Surg Tech A
December 2021
Department of Surgery, UMass Medical School-Baystate, Springfield, Massachusetts, USA.
When the disposable arthroscopic banana knife (Linvatec, Largo, FL) became unavailable, many pediatric surgeons adapted the use of spatula tip cautery for laparoscopic pyloromyotomy; however, reusable arthroscopic knives remain readily available and are well suited to the procedure. We compared laparoscopic pyloromyotomy with a reusable arthroscopic banana knife (Sklar, West Chester, PA; catalog no. 45-6050) to those using spatula tip cautery at a single institution between September 1, 2012, and December 31, 2019.
View Article and Find Full Text PDFPlant Dis
March 2021
Agriculture and Agri-Food Canada, 4902 Victoria Avenue North, Vineland Station, ON L0R 2E0, Canada, Vineland, Ontario, Canada;
Moldy core is a fungal disease of apple fruits that is characterized by mycelial growth in the seed locules and is sometimes accompanied by penetration of the immediate surrounding flesh. The disease can go undetected until the fruit is cut open, as no external symptoms appear on the fruit. Alternaria, Aspergillus, Cladosporium, Coniothyrium, Epicoccum, Phoma and Stemphylium are some of the common pathogens associated with moldy core (Serdani et al.
View Article and Find Full Text PDFAustralas Psychiatry
December 2014
Consultant Psychiatrist, Psychotherapy Unit, Monash Health, Clayton, VIC, Australia
Objective: This paper discusses the implications for training of the centrality of the therapeutic alliance to the practice of psychiatry.
Conclusion: Recent research highlights the centrality of the therapeutic alliance, not only to positive outcomes across the psychotherapies but in all psychiatric practice. This understanding, along with a cultural shift toward psychological-mindedness, suggests that we teach relational as well as intellectual skills and implement a broader role for psychotherapy training.
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