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Assessment of Hemostatic Powder in Order to Prevent Staple Line Bleeding After Sleeve Gastrectomy in High-Risk Patients: A Multicentric Randomized Controlled Trial.
Surg Technol Int
December 2024
Department of Gastroenterological Surgery, Clinique Clementville, Montpellier, France.
Introduction: Preventing staple line bleeding (SLB) is still a main issue in bariatric surgery procedures, especially after laparoscopic sleeve gastrectomy (LSG). Staple line reinforcements (SLR), mattress sutures, or titanium clip application did not show any statistical superiority compared to other methods. In this randomized controlled trial, we tested hemostatic powder (HP) in order to assess a possible role in the prevention of active bleeding, hematoma formation, the need for transfusions, and the increased risk for hospitalization.
View Article and Find Full Text PDFAnterior communicating artery aneurysm with concomitant A2 segment triplication and anterior communicating artery fenestration, A rare case series on microsurgical treatment.
Ann Med Surg (Lond)
December 2024
Bowers Neurosurgical Frailty and Outcomes Data Science Lab, Sandy, UT, USA.
Introduction And Importance: There are few cases of multiple simultaneous anterior communicating artery (AComA) aneurysms with A2 triplication and AComA duplication.
Cases Presentation: (1) A fenestrated AComA with a saccular aneurysm (neck diameter 9 mm; dome height 8 mm) projecting superiorly from the distal AComA branch, as well as an anomalous artery arising from the posterior surface of the same AComA. (2) A duplicate AComA with a saccular aneurysm (neck diameter of 5 mm; dome height of 9 mm) projecting superioposteriorly from the distal AComA branch, as well as an anomalous artery arising from the anterior surface of the same AComA was diagnosed.
A Three-Year Follow-Up of a Patient With Large Vestibular Aqueduct Syndrome Who Underwent Bilateral Endolymphatic Duct Blockage Surgery.
Cureus
October 2024
Department of Otolaryngology, St. Marianna University School of Medicine, Kawasaki, JPN.
Large vestibular aqueduct syndrome (LVAS) is a congenital malformation characterized by an abnormally large vestibular aqueduct, diagnosed primarily via CT scans. Patients with LVAS often experience progressive hearing loss and recurrent vertigo, with treatment strategies mirroring those for Meniere's disease. Traditional surgical interventions such as endolymphatic sac decompression (ESD) are common; however, the efficacy of endolymphatic duct blockage (EDB) as an alternative still remains under investigation.
View Article and Find Full Text PDF[Influence of operator's experience on the quality and success rate of root canal treatment with new nickel-titanium instruments].
Zhonghua Kou Qiang Yi Xue Za Zhi
November 2024
Center for Microscope Enhanced Dentistry, School of Stomatology, Capital Medical University, Beijing100162, China.
Article Synopsis
- The study evaluates how the experience level of operators affects the quality and success of root canal treatments using new nickel-titanium instruments, highlighting the need for improvement in clinical practices.
- Data was collected from 277 cases performed by residents (1-3 years of experience) and specialists (5-7 years of experience), comparing complication rates, filling quality, and overall success rates.
- Results showed that residents had a higher incidence of flare-ups and lower rates of satisfactory fillings compared to specialists, but both groups had similar overall success rates, suggesting that operator experience significantly influences treatment quality but not necessarily the ultimate success of the procedure.
[Application of anterior esophageal wall full layer fixation and gastric tube guidance in total laparoscopic overlap method for intracorporeal esophagojejunostomy].
Zhonghua Wei Chang Wai Ke Za Zhi
October 2024
Department of Gastrointestinal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Clinical Research Academy of Chinese Medicine, Guangzhou 510405, China.
Article Synopsis
- The study investigates a surgical technique combining anterior esophageal wall fixation and gastric tube guidance for patients with advanced gastric cancer who undergo total laparoscopic esophagojejunostomy.
- It highlights the successful outcomes of 42 patients operated on between May 2021 and June 2023, with no conversions to open surgery or perioperative deaths.
- The results indicate minimal operative times, no intraoperative complications, and smooth postoperative recoveries with no significant issues such as hemorrhage or stenosis.
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