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Feasible Techniques Named "Pure" Robotic Simple Hysterectomy With 4 Robotic Arms "4+0" Mode for Hysterectomy in da Vinci Xi.
Asian J Endosc Surg
December 2024
Department of Obstetrics and Gynecology, Kawasaki Medical School, Okayama, Japan.
Introduction: The three-arm approach is mainly selected, despite the multiple robotic arms in da Vinci Xi. This type of surgical setup may provide less autonomy to the console surgeon and result in greater dependence on the bedside surgical assistant. Therefore, the 4th arm is used instead of the assist port, which is why we developed "pure" robot simple hysterectomy (PRSH) as a novel surgical technique, in which all ports are operated by robotic arms.
View Article and Find Full Text PDFSpontaneous transvaginal evisceration of small intestine in a case of long-standing uterine and rectal prolapse.
BMJ Case Rep
December 2024
Department of Surgery, Post Graduate Institute of Medical Education and Research and Capital Hospital, Bhubaneswar, Odisha, India
Spontaneous transvaginal small bowel evisceration, without recent trauma or surgery, is extremely rare. Complications include bowel obstruction, perforation, gangrene, septicaemia and death, requiring urgent surgical intervention. We report a case of a woman in her late 60s, who presented with 70-75 cm of small intestine eviscerated through the vagina, alongside a long history of uterine and rectal prolapse.
View Article and Find Full Text PDFPre-sacral glomangioma: a rare localization of glomus tumors: case report.
Ann Med Surg (Lond)
December 2024
General Surgery Department "B", La Rabta Hospital, The Faculty of Medicine, The University of Tunis El Manar, Tunis, Tunisia.
Introduction And Importance: Deep-located glomangiomas are rarely reported. Because of their scarcity, treatment strategy is hard to establish. Herein, the authors report the first case to our knowledge of pre-sacral glomangioma.
View Article and Find Full Text PDFHuman-AI collaborative multi-modal multi-rater learning for endometriosis diagnosis.
Phys Med Biol
December 2024
University of Surrey, University of Surrey, UK, Guildford, Surrey, GU2 7XH, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND.
Article Synopsis
- - Endometriosis, affecting about 10% of individuals assigned female at birth, is difficult to diagnose and often requires surgical or MRI imaging methods, with MRI being quicker but less precise.
- - A significant diagnostic indicator is the obliteration of the Pouch of Douglas, yet even experienced clinicians find it hard to accurately classify this from MRI images, which makes training reliable AI models a challenge.
- - The paper introduces the HAICOMM methodology, which combines multi-rater and multi-modal learning with human-AI collaboration, leading to more accurate diagnoses of endometriosis compared to traditional methods and improving classification accuracy.
Impact of the uroperitoneum on the development of paralytic ileus: a preclinical study in the pig model.
World J Urol
November 2024
Unit of Urology, Clinique Saint-Augustin, Bordeaux, France.
Article Synopsis
- * In the experiment, urine was either aspirated from the bladder or leaked through the ureter into the peritoneum of seven minipigs, with samples taken at 4 and 10 hours for analysis of inflammatory response.
- * Results show that while urine in the peritoneum causes bowel distention, there was no significant inflammatory response in the visceral peritoneum within the 10-hour observation period, leading to questions about other mechanisms affecting bowel distention.
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