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[PMID]:28865555
[Au] Autor:Gueye NA; Goodman LR; Falcone T
[Ad] Endereço:Department of Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio.
[Ti] Título:Versatility of the suprapubic port in robotic assisted laparoscopic myomectomy.
[So] Source:Fertil Steril;108(3):e1, 2017 Sep.
[Is] ISSN:1556-5653
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To demonstrate the multiple advantages of the suprapubic port in robotic assisted laparoscopic myomectomy. DESIGN: Video demonstration of a robotic assisted laparoscopic myomectomy technique using a suprapubic incisional retractor (GelPOINT). SETTING: Hospital. PATIENT(S): A 32-year-old primigravid women with heavy menstrual bleeding and pelvic pain with a 12-cm leiomyoma (International Federation of Gynecology and Obstetrics type 5). INTERVENTION(S): Illustrate a surgical approach during robotic assisted laparoscopic myomectomy with the use of a 5-cm suprapubic incision, an incisional retractor (GelPOINT) for the enucleation, and extraction of a large leiomyoma. MAIN OUTCOME MEASURE(S): The effective enucleation and extraction of a leiomyoma specimen using an incisional retractor and GelPOINT. The steps of the technique and the role of GelPOINT are demonstrated. RESULT(S): The procedure was performed without incident, and the patient experienced pain relief and lighter menses postoperatively. This technique has been performed successfully since June 2014 on 22 women. CONCLUSION(S): During a robotic assisted laparoscopic myomectomy the suprapubic incision is both advantageous and practical. The small incision allows the surgery to remain minimally invasive; the primary umbilical trocar is inserted under direct visualization in an already insufflated abdomen; the location of the incision allows the surgical assistant easy access to the port; the passing of the needles occurs under direct visualization with minimal camera manipulation; and last, the extraction of large tissue can be performed within a specimen pouch through this same suprapubic incision in a short period.
[Mh] Termos MeSH primário: Laparoscópios
Leiomioma/cirurgia
Procedimentos Cirúrgicos Robóticos/instrumentação
Miomectomia Uterina/instrumentação
Neoplasias Uterinas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Desenho de Equipamento
Feminino
Seres Humanos
Laparoscopia/métodos
Leiomioma/patologia
Procedimentos Cirúrgicos Robóticos/métodos
Miomectomia Uterina/métodos
Neoplasias Uterinas/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170904
[St] Status:MEDLINE


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[PMID]:28411368
[Au] Autor:Kim JH
[Ad] Endereço:Department of Surgery, Eulji University College of Medicine, Daejeon, Republic of Korea.
[Ti] Título:Laparoscopy-specific ventral approach in laparoscopic hemihepatectomy.
[So] Source:J Surg Oncol;116(2):159-163, 2017 Aug.
[Is] ISSN:1096-9098
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The laparoscopic caudal approach is very different from the open ventral approach, specifically with respect to the surgical view, which is completely different and is the underlying reason for why laparoscopic hepatectomy is technically challenging. We have introduced a new laparoscopy-specific ventral approach in laparoscopic hemihepatectomy. METHODS: The liver was transected from the ventral side to the dorsal side, via a flexible laparoscope, as in open liver resection. The key characteristic of the ventral approach is the early opening of the cranial part, which guides the accurate transection and maintains an open cutting plane. The middle hepatic vein is exposed from the root side toward the periphery. RESULTS: From March to December 2016, this technique was performed on 12 patients. Of these patients, five underwent right hepatectomy, five underwent left hepatectomy, and two underwent extended left hepatectomy that included the middle hepatic vein. The median operative time was 250 min (range 210-350 min), and the median blood loss was 165 mL (range 100-260 mL). There was no postoperative morbidity or mortality. The median postoperative hospital stay was 8 days (range 5-14 days). CONCLUSION: This ventral approach may be an effective and feasible technique for laparoscopic hemihepatectomy.
[Mh] Termos MeSH primário: Hepatectomia/métodos
Laparoscopia/métodos
[Mh] Termos MeSH secundário: Perda Sanguínea Cirúrgica
Seres Humanos
Laparoscópios
Tempo de Internação
Duração da Cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170416
[St] Status:MEDLINE
[do] DOI:10.1002/jso.24636


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[PMID]:28365949
[Au] Autor:Qiu D; Zhuang H; Han F
[Ad] Endereço:Department of Hepato-Biliary-Pancreatic Surgery, Henan Cancer Hospital affiliated to Zhengzhou University, Zhengzhou City, China.
[Ti] Título:Effect and influence factor analysis of intrahepatic Glisson's sheath vascular disconnection approach for anatomical hepatectomy by three-dimensional laparoscope.
[So] Source:J BUON;22(1):157-161, 2017 Jan-Feb.
[Is] ISSN:1107-0625
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To investigate the effects and influence factor analysis of intrahepatic Glisson's sheath vascular disconnection approach for anatomical hepatectomy by three-dimensional (3D) laparoscope. METHODS: 82 patients with liver cancer were selected and divided into the control group with 45 cases and observation group with 37 cases according to different treatment methods. The control group was subjected to conventional laparotomy or resection under two-dimensional (2D) laparoscope while the observation group was subjected to anatomical hepatectomy by intrahepatic Glisson's sheath vascular disconnection approach under 3D laparoscope, and the therapeutic effects were compared. RESULTS: The operation time and porta hepatis anatomy time were not significantly different (p>0.05). The amount of bleeding in the observation group was less than that of the control group, and the difference was statistically significant (p<0.05). The achievement ratio of the operation in both groups was compared and showed no statistical difference (p=1.00). With a median follow-up time of 26.5 months, the complication occurrence rate in the observation group was significantly lower than that of the control group (p<0.05). Comparison of the survival rate of both groups showed no differences. The multivariate logistic regression analysis suggested that the average maximum diameter of tumor and tumor close to porta hepatis were independent risk factors that influenced the operative results of the observation group. CONCLUSION: Intrahepatic Glisson's sheath vascular disconnection approach by 3D laparoscope for anatomical hepatectomy was superior in terms of safety and effectiveness, and the average maximum diameter of tumor and tumor close to porta hepatis were independent risk factors that influenced the operative results.
[Mh] Termos MeSH primário: Hepatectomia/métodos
Laparoscópios
Neoplasias Hepáticas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Análise Fatorial
Feminino
Seres Humanos
Neoplasias Hepáticas/mortalidade
Neoplasias Hepáticas/patologia
Modelos Logísticos
Masculino
Meia-Idade
Taxa de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170403
[St] Status:MEDLINE


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[PMID]:28306484
[Au] Autor:Jones K; Case JB; Evans B; Monnet E
[Ti] Título:Evaluation of the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice.
[So] Source:J Am Vet Med Assoc;250(7):795-800, 2017 Apr 01.
[Is] ISSN:1943-569X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE To evaluate the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice. DESIGN Prospective study. SAMPLE A single 2-veterinarian small animal practice in southern California. PROCEDURES In early 2012, endoscopic equipment was purchased, and both veterinarians in the practice undertook training in rigid endoscopic and laparoscopic procedures. Subsequently, information for client-owned animals that underwent endoscopic and laparoscopic procedures during a 12-month period (2012 to 2013) was collected. Cost of equipment and training, revenue generated, specific procedures performed, surgery time, complications, and client satisfaction were evaluated. RESULTS 78 endoscopic procedures were performed in 73 patients, including 71 dogs, 1 cat, and 1 rabbit. Cost of endoscopic and laparoscopic equipment and training in the first year was $14,809.71; most equipment was financed through a 5-year lease at a total cost of $57,507.70 ($ 10,675.20/y). Total revenue generated in the first year was $50,423.63. The most common procedures performed were ovariectomy (OVE; n = 49), prophylactic gastropexy (6), and video otoscopy (12). Mean ± SD surgery times for OVE (n = 44) and for OVE with gastropexy (5) were 63.7 ± 19.7 minutes and 73.0 ± 33.5 minutes; respectively. Twelve of 54 patients undergoing laparoscopic procedures experienced minor intraoperative complications. Conversion to laparotomy was not required in any patient. There were no major complications. All 49 clients available for follow-up were satisfied. CONCLUSIONS AND CLINICAL RELEVANCE With appropriate training and equipment, incorporation of basic rigid endoscopy and laparoscopy may be feasible in small animal general practice. However, results of the present study are not applicable to all veterinarians and practice settings, and patient safety considerations should always be paramount.
[Mh] Termos MeSH primário: Endoscópios/veterinária
Endoscopia/veterinária
Hospitais Veterinários/economia
Laparoscópios/veterinária
Laparoscopia/veterinária
[Mh] Termos MeSH secundário: Animais
Gatos
Cães
Endoscópios/economia
Endoscopia/economia
Seres Humanos
Laparoscópios/economia
Laparoscopia/economia
Animais de Estimação
Estudos Prospectivos
Coelhos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.2460/javma.250.7.795


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[PMID]:28279396
[Au] Autor:Brady JT; Bhakta A; Steele SR; Trunzo JA; Senagore AJ; Holmgren K; Schillero A; Champagne BJ
[Ad] Endereço:Department of Colorectal Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
[Ti] Título:Reprocessed bipolar energy for laparoscopic colectomy: Is it worth it?
[So] Source:Am J Surg;214(1):59-62, 2017 Jul.
[Is] ISSN:1879-1883
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Reprocessed (re-sterilized) bipolar energy devices represent one effort to reduce operative costs. METHODS: Between January 2014 to October 2015, 76 patients underwent laparoscopic colectomy using a reprocessed bipolar energy device and were case-matched to 76 patients from a prospectively-maintained database from November 2012 to December 2013 when an identical, new device was used. Outcomes included reprocessed device safety, efficiency and hospital costs. RESULTS: There was no difference in patient demographics, operative times or failed pedicle ligation requiring intervention between groups (all P > 0.05). In 19.7% of reprocessed cases, the surgeon opened an additional new device after dissatisfaction with the reprocessed instrument. Operating room costs and total costs were less for the reprocessed device group (all P < 0.05). CONCLUSION: Reprocessed bipolar energy devices were associated with savings in operative expenses, however, larger studies are warranted due to the high surgeon dissatisfaction regarding safety concerns with the reprocessed equipment.
[Mh] Termos MeSH primário: Colectomia/economia
Reutilização de Equipamento
Laparoscópios/economia
Laparoscopia/economia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Atitude do Pessoal de Saúde
Perda Sanguínea Cirúrgica
Estudos de Casos e Controles
Feminino
Custos Hospitalares
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Duração da Cirurgia
Estados Unidos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE


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[PMID]:28265766
[Au] Autor:Bravo R; Trépanier JS; Arroyave MC; Fernández-Hevia M; Pigazzi A; Lacy AM
[Ad] Endereço:Hospital Clínic de Barcelona, Villarroel 170, 08036, Barcelona, Spain. rbravo@clinic.ub.es.
[Ti] Título:Combined transanal total mesorectal excision (taTME) with laparoscopic instruments and abdominal robotic surgery in rectal cancer.
[So] Source:Tech Coloproctol;21(3):233-235, 2017 Mar.
[Is] ISSN:1128-045X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Laparoscopic surgery for rectal cancer can be technically challenging. We describe a hybrid technique combining abdominal robotic dissection and transanal total mesorectal excision. This procedure was performed in a 50-year-old man with rectal adenocarcinoma at 5 cm from the dentate lane. Preoperative staging was T2N0M0. Surgery went well without complications, and estimated blood loss was less than 50 mL. Robotic surgical time was 90 min, and total operative time was 160 min. The patient was discharged on postoperative day 3. Pathology analysis revealed an intact mesorectum (TME grade 3) and a T2N0 tumor with negative margins. Hybrid surgery with pelvic robotic dissection and transanal total mesorectal excision was feasible, quick and safe in this patient and may be a method that can be developed further.
[Mh] Termos MeSH primário: Adenocarcinoma/cirurgia
Laparoscópios
Neoplasias Retais/cirurgia
Procedimentos Cirúrgicos Robóticos/métodos
Cirurgia Endoscópica Transanal/instrumentação
[Mh] Termos MeSH secundário: Abdome/cirurgia
Terapia Combinada
Seres Humanos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Robóticos/instrumentação
Cirurgia Endoscópica Transanal/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE
[do] DOI:10.1007/s10151-017-1597-9


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[PMID]:28226355
[Au] Autor:Li H; Zhang Q; Chen L; Min L; Wang X; Liu F; Sun Y
[Ad] Endereço:Deparatment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
[Ti] Título:[Role of diagnostic laparoscopy in the treatment plan of gastric cancer].
[So] Source:Zhonghua Wei Chang Wai Ke Za Zhi;20(2):195-199, 2017 Feb 25.
[Is] ISSN:1671-0274
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To assess the clinical value of the diagnostic laparoscopy in choosing treatment strategies for patients with gastric cancer. METHODS: Retrospective analysis was performed on clinical and pathological data collected from 2 023 patients undergoing gastric cancer surgery in the Zhongshan Hospital of Fudan University from 2009 to 2014. All the patients were diagnosed as gastric cancer by endoscopic biopsy and staged by imaging examination before surgery. During the diagnostic laparoscopy procedure, a small periumbilical incision was made and a pneumoperitoneum with CO under 10-15 mmHg was established through a port. A 10 mm trocar was put in, and the camera was inserted. Two 5 mm trocars were put in two ports which located in midclavicular line two fingers under the left and right costal margin and then the instruments were inserted. A thorough inspection included ascites, the abdominal cavity, liver, diaphragm, spleen, greater omentum, colon, small intestine, mesentery, adnexa (female) and pelvic floor. If the tumor located at the posterior part of the stomach, the gastrocolic ligament was opened in order to look for carcinomatosis in the omental bursa. The accuracy rate of diagnostic laparoscopy in diagnosing adjacent organ invasion and intra-abdominal metastasis was calculated, and the rate of adjusting treatment plans after diagnostic laparoscopy was also calculated. RESULTS: There were 52.7%(1 067/2 023) of patients underwent diagnostic laparoscopy. The accuracy rate of diagnostic laparoscopy in evaluating adjacent organ invasion and intra-abdominal metastasis were 98.3%(1 049/1 067) and 98.1%(1 047/1 067) respectively. Besides, 14 patients with stage T4b and 32 with intra-abdominal metastasis, which were missed by imaging examination, were diagnosed by diagnostic laparoscopy. The treatment plans of 9.3% (99/1 067) of patients were changed after diagnostic laparoscopy, and 65 (6.1%) cases of non-therapeutic laparotomy were avoided. However, 18 cases of adjacent organ invasion and 20 cases of intra-abdominal metastasis were still missed by diagnostic laparoscopy, and 12 cases received non-therapeutic laparotomy. CONCLUSION: Diagnostic laparoscopy has considerable value in assessing adjacent organ invasion and intra-abdominal metastasis and has great clinical significance in making precise treatment plans.
[Mh] Termos MeSH primário: Neoplasias Abdominais/diagnóstico por imagem
Neoplasias Abdominais/secundário
Laparoscopia/estatística & dados numéricos
Invasividade Neoplásica/diagnóstico por imagem
Neoplasias Gástricas/diagnóstico por imagem
[Mh] Termos MeSH secundário: Sistema Digestório/patologia
Procedimentos Cirúrgicos do Sistema Digestório/métodos
Feminino
Seres Humanos
Laparoscópios
Laparoscopia/instrumentação
Laparoscopia/métodos
Laparotomia/estatística & dados numéricos
Masculino
Planejamento de Assistência ao Paciente/estatística & dados numéricos
Estudos Retrospectivos
Neoplasias Gástricas/cirurgia
Instrumentos Cirúrgicos
Procedimentos Desnecessários/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE


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[PMID]:28089570
[Au] Autor:Bourdel N; Collins T; Pizarro D; Debize C; Grémeau AS; Bartoli A; Canis M
[Ad] Endereço:Department of Gynecologic Surgery, Centre Hospitalier de l'Université Estaing Clermont-Ferrand, Clermont-Ferrand, France; ALCoV, Image Science for Interventional Techniques (Unité Mixte de Recherche 6284, Centre National de la Recherche Scientifique), University of Auvergne, Clermont-Ferrand, France
[Ti] Título:Use of augmented reality in laparoscopic gynecology to visualize myomas.
[So] Source:Fertil Steril;107(3):737-739, 2017 Mar.
[Is] ISSN:1556-5653
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To report the use of augmented reality (AR) in gynecology. DESIGN: AR is a surgical guidance technology that enables important hidden surface structures to be visualized in endoscopic images. AR has been used for other organs, but never in gynecology and never with a very mobile organ like the uterus. We have developed a new AR approach specifically for uterine surgery and demonstrated its use for myomectomy. SETTING: Tertiary university hospital. PATIENT(S): Three patients with one, two, and multiple myomas, respectively. INTERVENTION(S): AR was used during laparoscopy to localize the myomas. MAIN OUTCOME MEASURE(S): Three-dimensional (3D) models of the patient's uterus and myomas were constructed before surgery from T2-weighted magnetic resonance imaging. The intraoperative 3D shape of the uterus was determined. These models were automatically aligned and "fused" with the laparoscopic video in real time. RESULT(S): The live fused video made the uterus appear semitransparent, and the surgeon can see the location of the myoma in real time while moving the laparoscope and the uterus. With this information, the surgeon can easily and quickly decide on how best to access the myoma. CONCLUSION(S): We developed an AR system for gynecologic surgery and have used it to improve laparoscopic myomectomy. Technically, the software we developed is very different to approaches tried for other organs, and it can handle significant challenges, including image blur, fast motion, and partial views of the organ.
[Mh] Termos MeSH primário: Laparoscopia
Leiomioma/cirurgia
Leiomiomatose/cirurgia
Cirurgia Assistida por Computador
Miomectomia Uterina/métodos
Neoplasias Uterinas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Interpretação de Imagem Assistida por Computador
Imagem Tridimensional
Laparoscópios
Laparoscopia/efeitos adversos
Laparoscopia/instrumentação
Leiomioma/patologia
Leiomiomatose/patologia
Imagem por Ressonância Magnética
Valor Preditivo dos Testes
Cirurgia Assistida por Computador/efeitos adversos
Cirurgia Assistida por Computador/instrumentação
Carga Tumoral
Miomectomia Uterina/efeitos adversos
Miomectomia Uterina/instrumentação
Neoplasias Uterinas/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170605
[Lr] Data última revisão:
170605
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE


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[PMID]:28075157
[Au] Autor:Manning TG; Perera M; Christidis D; Kinnear N; McGrath S; O'Beirne R; Zotov P; Bolton D; Lawrentschuk N
[Ad] Endereço:1 Department of Surgery, Austin Health, University of Melbourne , Melbourne, Australia .
[Ti] Título:Visual Occlusion During Minimally Invasive Surgery: A Contemporary Review of Methods to Reduce Laparoscopic and Robotic Lens Fogging and Other Sources of Optical Loss.
[So] Source:J Endourol;31(4):327-333, 2017 Apr.
[Is] ISSN:1557-900X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Maintenance of optimal vision during minimally invasive surgery is crucial to maintaining operative awareness, efficiency, and safety. Hampered vision is commonly caused by laparoscopic lens fogging (LLF), which has prompted the development of various antifogging fluids and warming devices. However, limited comparative evidence exists in contemporary literature. Despite technologic advancements there remains no consensus as to superior methods to prevent LLF or restore visual acuity once LLF has occurred. We performed a review of literature to present the current body of evidence supporting the use of numerous techniques. METHODS: A standardized Preferred Reporting Items for Systematic Reviews and Meta-Analysis review was performed, and PubMed, Embase, Web of Science, and Google Scholar were searched. Articles pertaining to mechanisms and prevention of LLF were reviewed. We applied no limit to year of publication or publication type and all articles encountered were included in final review. Limited original research and heterogenous outcome measures precluded meta-analytical assessment. RESULTS: Vision loss has a multitude of causes and although scientific theory can be applied to in vivo environments, no authors have completely characterized this complex problem. No method to prevent or correct LLF was identified as superior to others and comparative evidence is minimal. Robotic LLF was poorly investigated and aside from a single analysis has not been directly compared to standard laparoscopic fogging in any capacity. CONCLUSIONS: Obscured vision during surgery is hazardous and typically caused by LLF. The etiology of LLF despite application of scientific theory is yet to be definitively proven in the in vivo environment. Common methods of prevention of LLF or restoration of vision due to LLF have little evidence-based data to support their use. A multiarm comparative in vivo analysis is required to formally assess these commonly used techniques in both standard and robotic laparoscopes.
[Mh] Termos MeSH primário: Laparoscópios
Laparoscopia/métodos
Lentes
Procedimentos Cirúrgicos Robóticos/métodos
Vapor
Temperatura Ambiente
[Mh] Termos MeSH secundário: Seres Humanos
Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Procedimentos Cirúrgicos Robóticos/instrumentação
Visão Ocular
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Steam)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170602
[Lr] Data última revisão:
170602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170112
[St] Status:MEDLINE
[do] DOI:10.1089/end.2016.0839


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[PMID]:27925307
[Au] Autor:García-Peña O; Rangel-Santos R; Rodríguez-De Lara R; Apodaca-Sarabia CA; Maldonado-Simán E
[Ad] Endereço:Posgrado en Producción Animal, Departamento de Zootecnia, Universidad Autónoma Chapingo, Texcoco, MX, México.
[Ti] Título:A new device to inseminate cows at the base of the uterine horns.
[So] Source:Reprod Domest Anim;52(2):344-349, 2017 Apr.
[Is] ISSN:1439-0531
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:A new device (Chapingo device) to deposit semen at the base of the uterine horns of cattle was developed at Universidad Autonoma Chapingo, Mexico. Nine Holstein heifers were inseminated by transvaginal laparoscopy, using a laparoscope for cattle and the Chapingo device. A dose of sexed semen (2.1 × 10 spermatozoa) was deposited at the base of the uterine horn ipsilateral to the ovary where the preovulatory follicle was identified. Insemination was achieved in all the heifers, taking on average 13.7 ± 3.1 min per animal. In all cases, it was possible to see both ovaries, the base of the uterine horns and the oviducts. After the procedure, none of the heifers showed any type of complications such as haemorrhage, adhesions or trauma. On days 21 and 22 after insemination, four of the nine heifers (44.4%) returned into oestrus; on day 30 after insemination, one heifer was found to be pregnant by ultrasound. The results show the feasibility of generating pregnancies by transvaginal laparoscopy in heifers inseminated with sexed semen.
[Mh] Termos MeSH primário: Bovinos
Inseminação Artificial/veterinária
Laparoscópios/veterinária
Útero/anatomia & histologia
[Mh] Termos MeSH secundário: Animais
Feminino
Inseminação Artificial/instrumentação
Masculino
Espermatozoides/fisiologia
Útero/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161208
[St] Status:MEDLINE
[do] DOI:10.1111/rda.12879



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