INTRODUCTION: With the growing prevalence of patients with amyotrophic lateral sclerosis(ALS) there is a need to describe and analyze the correct peri-operative management. ALS is a progressive neurodegenerative disease that has devastating effects to respiratory muscles resulting in respiratory failure death in 80% of patients. Diaphragm pacing(DP) replaces ventilators in spinal cord injury patients and delays death and tracheostomy in ALS patients. This report outlines the peri-operative outco
Objective
Despite improvements in analgesic techniques, insufficient postoperative pain control remains a significant problem, with a recent study reporting the presence of moderate to extreme pain after 79% of inpatient and 72% of outpatient surgeries.1 Opioid analgesics, though widely used for postoperative pain control, can cause undesirable side effects (most commonly nausea and vomiting, constipation, and sedation) that delay mobilization, demand more intensive postoperative care, and lowe
Background : Laparoscopic splenectomy is the first surgical choice for benign splenic disease. Some studies have reported single-site laparoscopic splenectomy, but this technique poses many technical difficulties such as instrument clashing, lack of triangulation, odd angles, and lack of space. Recently, robotic single-site operation has been introduced as a more feasible approach.
Methods : We present the case of a 28 year-old woman with a symptomatic splenic cyst, which had been increasing in
OBJECTIVE OF THE DEVICE:
When the laparoscope is removed for cleaning/defogging, it must be cleaned and either a defogging solution applied and/or be warmed before reinsertion. Otherwise fogging will reoccur instantly. Additionally, upon reinsertion the lens is frequently smudged with debris and/or silicone grease from the trocar seals (the latter serves as a lubricant) requiring the scope to be removed and cleaned again which is frustrating to the OR staff. The FloShield® Air System (FloShield
1) Objective of the technology or device.
Description of a new technique in ventral hernia repair from the peritoneal cavity (Circular Herniorrhaphy) without large raising/dissecting myocutaneous flaps without bilateral external oblique fasciotomy.
2) Description the technology and method of the use or application.
The old scar is not excised. The abdomen is entered via a midline laparotomy. The incision is extended at either end to give adequate access to all the margins of the defect. The p