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[PMID]:29300076
[Au] Autor:Gilbert S; Singh D; Sivakumar MK
[Ad] Endereço:Department of cardiothoracic surgery. Kovai medical center and hospital limited. Post box no. 3209, Avanashi road, Coimbatore - 641014, Tamil Nadu, India.
[Ti] Título:Modified carbodissection: A new technique for harvesting the internal mammary artery.
[So] Source:Multimed Man Cardiothorac Surg;2017, 2017 Oct 29.
[Is] ISSN:1813-9175
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The modified carbodissection technique is a new technique for harvesting the internal mammary artery during coronary artery bypass graft surgery. It is performed using an improvised instrument that consists of an electrocautery device and a carbon dioxide blower/mister. It combines electrocautery dissection and continuous controlled gas blow dissection along with saline irrigation mist. Gas dissection causes vasodilation and maintains the artery in a dilated state during dissection. Saline flow reduces the amount of heat generated at the cautery site and prevents drying and desiccation of the tissues. This technique is safe in terms of reduced thermal injury, and reduced early arterial spasm and myocardial ischemia, and it improves vision during harvest and shortens the duration of the harvesting procedure.
[Mh] Termos MeSH primário: Ponte de Artéria Coronária
Dissecação/métodos
Eletrocirurgia/métodos
Artéria Torácica Interna/cirurgia
Coleta de Tecidos e Órgãos/métodos
[Mh] Termos MeSH secundário: Dióxido de Carbono/uso terapêutico
Gases/uso terapêutico
Seres Humanos
Artéria Torácica Interna/transplante
[Pt] Tipo de publicação:VIDEO-AUDIO MEDIA
[Nm] Nome de substância:
0 (Gases); 142M471B3J (Carbon Dioxide)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180105
[St] Status:MEDLINE
[do] DOI:10.1510/mmcts.2017.018


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[PMID]:29300070
[Au] Autor:Durko A; Mahtab E; Romeo J; Bogers A
[Ad] Endereço:Department of Cardio-Thoracic Surgery Erasmus University Medical Center 's-Gravendijkwal 230 Rotterdam 3015CE The Netherlands.
[Ti] Título:Skeletonized internal mammary artery harvest with diathermy and cold dissection.
[So] Source:Multimed Man Cardiothorac Surg;2017, 2017 Dec 12.
[Is] ISSN:1813-9175
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This surgical tutorial demonstrates the technique of skeletonized internal mammary artery harvesting for coronary artery bypass grafting, using diathermy and cold dissection [1]. The procedure is performed on the left internal mammary artery, but is also applicable for harvesting the right internal mammary artery.
[Mh] Termos MeSH primário: Ponte de Artéria Coronária/métodos
Doença da Artéria Coronariana/cirurgia
Artéria Torácica Interna/cirurgia
Coleta de Tecidos e Órgãos/métodos
[Mh] Termos MeSH secundário: Diatermia
Dissecação/métodos
Eletrocoagulação
Seres Humanos
Artéria Torácica Interna/transplante
[Pt] Tipo de publicação:VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180105
[St] Status:MEDLINE
[do] DOI:10.1510/mmcts.2017.023


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[PMID]:29424509
[Au] Autor:Calderón-Lara SA; Morgan-Ortíz F; Trapero-Morales M; Trapero-Corona IM; Peraza-Garay FJ
[Ti] Título:[Operative morbidity of the hidrodisección with epinefrina during the surgery for prolapse of pelvic organs].
[Ti] Título:Morbilidad operatoria de la hidrodisección con epinefrina en la cirugía del prolapso de órganos pélvicos..
[So] Source:Ginecol Obstet Mex;84(8):484-90, 2016 08.
[Is] ISSN:0300-9041
[Cp] País de publicação:Mexico
[La] Idioma:spa
[Ab] Resumo:Objetive: To assess the effect of the hydrodissection on operative morbidity and operative time in patients undergoing vaginal surgery for pelvic organ prolapse. Material and methods: Experimental, prospective, longitudinal, comparative, randomized study: randomized controlled clinical. Randomly, 44 patients were assigned to receive management hydrodissection with epinephrine (Group 1= 22) or not hydrodissection (Group 2= 22) prior to the start of the surgical procedure. The variables analyzed were operative morbidity (defined as infection, hematoma and surgical postoperative bleeding requiring transfusion) and surgical time required to complete the procedure. Results: The average age was 58.1 years (± 9.3) in the group of hydrodissection and 63.0 years (± 10.6) in the group without hydrodissection (p = .111). The frequency of postoperative complications was similar enters both groups (p> .05) presenting only one case of postoperative hematoma in Group 1 and none in Group 2. The operative bleeding was significantly lower in the hydrodissection group (240.9 ± 111.9 mL) compared with the group of non hydrodissection (324.1 ± 104.9 mL). No significant difference in operative time was found (p = 0.67) compared with 135.5 (± 22.6) minutes in Group 1 and 139.3 (± 32.5) minutes. Conclusion: Hydrodissection with epinephrine compared with non Hydrodissection significantly reduces operative bleeding but no differences in operative morbidity and operative time in patients undergoing vaginal surgery in the management of pelvic organ prolapse.
[Mh] Termos MeSH primário: Dissecação/métodos
Epinefrina/administração & dosagem
Prolapso de Órgão Pélvico/cirurgia
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Estudos Longitudinais
Meia-Idade
Duração da Cirurgia
Hemorragia Pós-Operatória/epidemiologia
Estudos Prospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
YKH834O4BH (Epinephrine)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


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[PMID]:29419702
[Au] Autor:Baradwan S; Wadi KA
[Ti] Título:Unilateral ectopic breast tissue on vulva in postpartum woman: A case report.
[So] Source:Medicine (Baltimore);97(6):e9887, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Ectopic mammary gland tissues occur in about 2% to 6% of women in general population. Vulva is considered a rare site for the ectopic breast tissue. PATIENT CONCERNS: We report a rare case of a 27 year-old woman, para 2 and presenting as a vulvar mass in the postpartum period. DIAGNOSES: Ectopic mammary tissue in vulva. INTERVENTIONS: The mass was removed by wide local excision. Histopathological assessment revealed features of ectopic mammary tissue CONCLUSION:: The vulvar region is one of the reported sites for ectopic breast tissue in the body. The presence of a rapidly enlarging, well-encapsulated mass in the vulvar region associated with recent delivery or lactation is suggestive of ectopic breast tissue. LESSONS: It is important for clinicians to get a good history and consider ectopic breast tissue on vulva in postpartum women and confirm diagnosis via biopsy with histopathological examination.
[Mh] Termos MeSH primário: Mama
Coristoma
Dissecação/métodos
Doenças da Vulva
[Mh] Termos MeSH secundário: Adulto
Biópsia/métodos
Coristoma/diagnóstico
Coristoma/patologia
Coristoma/cirurgia
Diagnóstico Diferencial
Feminino
Seres Humanos
Período Pós-Parto
Resultado do Tratamento
Doenças da Vulva/diagnóstico
Doenças da Vulva/patologia
Doenças da Vulva/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009887


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[PMID]:28459126
[Au] Autor:Hu S; Zhuo L; Zhang X; Yang S
[Ad] Endereço:Department of Anatomy, Zunyi Medical College, Zunyi, Guizhou, China.
[Ti] Título:Localization of nerve entry points as targets to block spasticity of the deep posterior compartment muscles of the leg.
[So] Source:Clin Anat;30(7):855-860, 2017 Oct.
[Is] ISSN:1098-2353
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To identify the optimal body surface puncture locations and the depths of nerve entry points (NEPs) in the deep posterior compartment muscles of the leg, 60 lower limbs of thirty adult cadavers were dissected in prone position. A curved line on the skin surface joining the lateral to the medial epicondyles of the femur was taken as a horizontal reference line (H). Another curved line joining the lateral epicondyle of the femur to the lateral malleolus was designated the longitudinal reference line (L). Following dissection, the NEPs were labeled with barium sulfate and then subjected to spiral computed tomography scanning. The projection point of the NEP on the posterior skin surface of the leg was designated P, and the projection in the opposite direction across the transverse plane was designated P'. The intersections of P on H and L were identified as P and P , and their positions and the depth of the NEP on PP' were measured using the Syngo system and expressed as percentages of H, L, and PP'. The P points of the tibial posterior, flexor hallucis longus and flexor digitorum longus muscles were located at 38.10, 46.20, and 55.21% of H, respectively. The P points were located at 25.35, 41.30, and 45.39% of L, respectively. The depths of the NEPs were 49.11, 54.64, and 55.95% of PP', respectively. The accurate location of these NEPs should improve the efficacy and efficiency of chemical neurolysis for treating spasticity of the deep posterior compartment muscles of the leg. Clin. Anat. 30:855-860, 2017. © 2017 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Perna (Membro)/inervação
Espasticidade Muscular/terapia
Músculo Esquelético/inervação
Bloqueio Nervoso
Nervos Periféricos/anatomia & histologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Pontos de Referência Anatômicos
Cadáver
Dissecação
Feminino
Seres Humanos
Masculino
Meia-Idade
Nervos Periféricos/diagnóstico por imagem
Decúbito Ventral
Tomografia Computadorizada Espiral
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1002/ca.22893


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[PMID]:27771339
[Au] Autor:Schulz C
[Ad] Endereço:Department of Anatomy, Brighton and Sussex Medical School, Brighton, United Kingdom; Eye Unit, Salisbury District Hospital, Salisbury, United Kingdom. Electronic address: chrisschulz@doctors.org.uk.
[Ti] Título:The Value of Clinical Practice in Cadaveric Dissection: Lessons Learned From a Course in Eye and Orbital Anatomy.
[So] Source:J Surg Educ;74(2):333-340, 2017 Mar - Apr.
[Is] ISSN:1878-7452
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To test the hypothesis that there is greater benefit in a dissection-based anatomy course among those participants with clinical experience in the relevant field, and those without. DESIGN: A retrospective comparative study. SETTING: Brighton and Sussex Medical School Anatomy Department: an educational facility that provides undergraduate and postgraduate anatomy teaching using cadaveric specimens. PARTICIPANTS: All attendees (n = 40) to a postgraduate course in eye and orbital anatomy completed course evaluation forms. The course has been attended by delegates from around the country, with experience ranging from that of final year medical students to clinical fellows who have completed their specialist training in ophthalmology. RESULTS: Those participants who were practicing ophthalmology tended to be older than those who were not, with a greater amount of time spent on prior learning. Participants scored both the prosection-led and dissection-led sessions highly, with a mean combined evaluation of 8.9 (out of 10) for dissection-led learning and 9.2 for prosection-led learning. Prosection-led learning was regarded equally by those participants currently practicing in ophthalmology, and those who are not. In contrast, dissection-led learning was scored higher by those participants who were practicing ophthalmology (9.4), when compared with those not in ophthalmic practice (8.5; p = 0.018). CONCLUSIONS: The present study supports the hypothesis that the benefits of cadaveric dissection could be maximized during postgraduate surgical training. This has important implications given the trend away from cadaveric dissection in the undergraduate curriculum.
[Mh] Termos MeSH primário: Anatomia/educação
Educação de Graduação em Medicina/métodos
Oftalmologia/educação
[Mh] Termos MeSH secundário: Adulto
Cadáver
Dissecação/métodos
Olho/anatomia & histologia
Feminino
Seres Humanos
Masculino
Órbita/anatomia & histologia
Estudos Retrospectivos
Faculdades de Medicina
Estudantes de Medicina/estatística & dados numéricos
Inquéritos e Questionários
Reino Unido
[Pt] Tipo de publicação:COMPARATIVE STUDY; EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29185358
[Au] Autor:Pisa J; Gousseau M; Mowat S; Westerberg B; Unger B; Hochman JB
[Ad] Endereço:1 Surgical Hearing Implant Program, Department of Otolaryngology-Head and Neck Surgery, Health Sciences Centre, Winnipeg, Manitoba, Canada.
[Ti] Título:Simplified Summative Temporal Bone Dissection Scale Demonstrates Equivalence to Existing Measures.
[So] Source:Ann Otol Rhinol Laryngol;127(1):51-58, 2018 Jan.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Emphasis on patient safety has created the need for quality assessment of fundamental surgical skills. Existing temporal bone rating scales are laborious, subject to evaluator fatigue, and contain inconsistencies when conferring points. To address these deficiencies, a novel binary assessment tool was designed and validated against a well-established rating scale. METHODS: Residents completed a mastoidectomy with posterior tympanotomy on identical 3D-printed temporal bone models. Four neurotologists evaluated each specimen using a validated scale (Welling) and a newly developed "CanadaWest" scale, with scoring repeated after a 4-week interval. RESULTS: Nineteen participants were clustered into junior, intermediate, and senior cohorts. An ANOVA found significant differences between performance of the junior-intermediate and junior-senior cohorts for both Welling and CanadaWest scales ( P < .05). Neither scale found a significant difference between intermediate-senior resident performance ( P > .05). Cohen's kappa found strong intrarater reliability (0.711) with a high degree of interrater reliability of (0.858) for the CanadaWest scale, similar to scores on the Welling scale of (0.713) and (0.917), respectively. CONCLUSION: The CanadaWest scale was facile and delineated performance by experience level with strong intrarater reliability. Comparable to the validated Welling Scale, it distinguished junior from senior trainees but was challenged in differentiating intermediate and senior trainee performance.
[Mh] Termos MeSH primário: Dissecação/educação
Educação de Pós-Graduação em Medicina/métodos
Internato e Residência
Otolaringologia/educação
Impressão Tridimensional
Osso Temporal/anatomia & histologia
Osso Temporal/cirurgia
[Mh] Termos MeSH secundário: Competência Clínica
Simulação por Computador
Avaliação Educacional
Feminino
Seres Humanos
Masculino
Manitoba
Curva ROC
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417745090


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[PMID]:29245240
[Au] Autor:Chen B; Lu H; Ren C; Ma L; Hu X; Qi H; Gao Z
[Ad] Endereço:Department of Plastic Surgery, China Japan Friendship Hospital, Beijing, China.
[Ti] Título:Excision of sebaceous cyst by intraoral approach: A case report.
[So] Source:Medicine (Baltimore);96(49):e8803, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Surgical removal of a sebaceous cyst is usually accomplished through an external incision, which inevitably results in a scar. Herein, we described an intraoral approach for excising sebaceous cysts located in the lip or cheek near lip commissure, to avoid a skin scar. PATIENT CONCERNS: Removal of the cyst but without leaving a scar on the face. DIAGNOSES: Six patients were diagnosed with a subcutaneous cyst located in the lip or cheek near lip commissure. INTERVENTIONS: We implemented an intraoral approach to excise the cyst, wherein an intraoral incision was made and blunt dissection was performed through the buccinator muscle or orbicularis oris muscle until the cyst wall was seen. The cyst was then dissected from the surrounding subcutaneous tissue by careful blunt dissection with a hemostat and completely removed through the intraoral incision. OUTCOMES: All patients had complete recovery, with no recurrence or complaints for at least 6 months after the surgery. LESSONS: A sebaceous cyst located in the lip or cheek near lip commissure can be excised by an intraoral approach through the mouth, which avoids a visible scar on the skin.
[Mh] Termos MeSH primário: Bochecha/cirurgia
Dissecação/métodos
Cisto Epidérmico/cirurgia
Músculos Faciais/cirurgia
Lábio/cirurgia
[Mh] Termos MeSH secundário: Adulto
Cicatriz/etiologia
Cicatriz/prevenção & controle
Dissecação/efeitos adversos
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008803


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[PMID]:29232814
[Au] Autor:Ciappetta P; Pescatori L
[Ad] Endereço:University of Bari, Bari, Italy.
[Ti] Título:In Reply to the Letter to the Editor Regarding "Anatomic Dissection of Arachnoid Membranes Encircling the Pituitary Stalk on Fresh Non-Formalin-Fixed Specimens: Anatomoradiologic Correlations and Clinical Applications in Craniopharyngioma Surgery".
[So] Source:World Neurosurg;109:507, 2018 01.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Craniofaringioma
Hipófise
[Mh] Termos MeSH secundário: Aracnoide-Máter
Dissecação
Seres Humanos
Neoplasias Hipofisárias
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29232813
[Au] Autor:Kurucz P; Ganslandt O
[Ad] Endereço:Department of Neurosurery, Klinikum Stuttgart, Stuttgart, Germany. Electronic address: p.kurucz@klinikum-stuttgart.de.
[Ti] Título:Letter to the Editor Regarding "Anatomic Dissection of Arachnoid Membranes Encircling the Pituitary Stalk on Fresh Non-Formalin-Fixed Specimens: Anatomoradiologic Correlations and Clinical Applications in Craniopharyngioma Surgery".
[So] Source:World Neurosurg;109:505-506, 2018 01.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Craniofaringioma
Hipófise
[Mh] Termos MeSH secundário: Aracnoide-Máter
Dissecação
Seres Humanos
Neoplasias Hipofisárias
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE



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