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Journal articles on the topic 'Minimally invasive sling surgery'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Iliev, Vasil N., and Irena T. Andonova. "Minimally Invasive Surgery for Stress Urinary Incontinence – Mesh Complications." PRILOZI 35, no. 2 (December 1, 2014): 105–10. http://dx.doi.org/10.2478/prilozi-2014-0013.

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Abstract Currently, the most commonly performed surgeries for stress urinary incontinence (SUI) are mesh midurethral slings (MUS). They are minimally invasive outpatient procedures, and they are as effect-tive as traditional suburethral slings, open retropubic colposuspension (Burch, Marshall-Marchetti), and laparoscopic retropubic colposuspension. They have a short operative time and fewer postoperative complications. In the paper we present results from a prospective study of 214 patients with SUI who underwent midurethral sling placement: 68 patients with retropubic slings (TVT) and 146 patients with transobturator slings (TVT-O) followed over 12 months. The operations were performed at the Department of Obstetrics and Gynaecology at the Medical Faculty, Skopje, R. Macedonia and at the Department of Obstetrics and Gynaecology, General Hospital, Sibenik, Croatia. All MUS placements (TVT and TVT-O) were performed by one surgeon (urogynaecologist) using the standard surgical technique and operative and postoperative protocol for those procedures. TVT and TVT-O meshes are polypropylene macroporous meshes produced by “Ethicon” We evaluated mesh complications related to the procedure (Table 1) and complications specific to the mesh (Table 2). In the article are presented the data from up-to-date literature related to the evaluated topic parallel to our results. We can conclude that all our findings on the evaluated groups are comparable with the data from competent literature. Instead of a conclusion we would like to suggest continuous follow-up of all minimally invasive procedures with midurethral slings placement for collecting experience of side-effects and complications and improving those procedures which are gold standard today in the treatment of SUI.

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2

CHOE, JONG M. "Suprapubic Sling Adjustment: Minimally Invasive Method of Curing Recurrent Stress Incontinence After Sling Surgery." Journal of Urology 168, no. 5 (November 2002): 2059–62. http://dx.doi.org/10.1016/s0022-5347(05)64295-4.

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3

NORRIS, JEFFREY P., DAVID S. BRESLIN, and DAVID R. STASKIN. "Use of Synthetic Material in Sling Surgery: A Minimally Invasive Approach." Journal of Endourology 10, no. 3 (June 1996): 227–30. http://dx.doi.org/10.1089/end.1996.10.227.

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4

Benjo, Alexandre M., Franscisco Y. B. Macedo, Orlando Santana, and Joseph Lamelas. "Papillary Muscle Sling Placement for Functional Mitral Regurgitation during Minimally Invasive Valve Surgery." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 7, no. 6 (November 2012): 448–51. http://dx.doi.org/10.1177/155698451200700614.

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Herein, we report a case of a 39-year-old woman with an 18-month history of peripartum cardiomyopathy. Transthoracic echocardiography revealed severe functional mitral regurgitation and a left ventricular ejection fraction of 20%. Despite optimal medical therapy, she was in New York Heart Association heart failure class IV, with dyspnea on minimal exertion. The patient underwent minimally invasive mitral valve repair with placement of a papillary muscle sling, which improved her symptoms.

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5

Lamelas, Joseph, Christos Mihos, and Orlando Santana. "Surgical Technique: Papillary Muscle Sling for Functional Mitral Regurgitation during Minimally Invasive Valve Surgery." Heart Surgery Forum 16, no. 5 (November 15, 2013): E295—E297. http://dx.doi.org/10.1532/hsf98.2013209.

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In patients with functional mitral regurgitation, the placement of a sling encircling both papillary muscles in conjunction with mitral annuloplasty appears to be a rational approach for surgical correction, because it addresses both the mitral valve and the deformities of the subvalvular mitral apparatus. Reports in the literature that describe the utilization of this technique are few, and mainly involve a median sternotomy approach. The purpose of this communication is to describe the technical details of performing this procedure via a minimally invasive approach.

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6

Kascak, P., and B. Kopcan. "Fatal Injury of the Small Intestine during Retropubic Sling Placement." Case Reports in Obstetrics and Gynecology 2015 (2015): 1–3. http://dx.doi.org/10.1155/2015/164545.

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We describe a case of injury of the small intestine in a patient who underwent placement of Align R retropubic urethral support system (BARD). Absence of characteristic symptoms of the bowel injury and peritonitis led to a rapid development of sepsis, multiple organ failure, and death. Although the placement of midurethral sling is a minimally invasive surgery, good diagnostic skills, proper evaluation of indications, safe performance of the procedure, and thorough postsurgical monitoring are paramount for safe and effective outcome of the surgery.

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7

Tamai, A., A. Donazzan, V. Gallo, and S. Durante. "TVT and TOT: a comparison between these two techniques based on our clinical experience." Urologia Journal 75, no. 4 (October 2008): 232–36. http://dx.doi.org/10.1177/039156030807500406.

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Aim of the Study A retrospective evaluation and a comparison of results from two minimally invasive surgery techniques that we adopted for the treatment of SUI. Materials and Methods. In this study we evaluated 113 selected patients who underwent SUI minimally invasive surgery from 1–1-2000 to 31–12–2007. 87 patients underwent epidural anesthesia. 26 local anesthesia. In Group A (TVT) 61 patients were enrolled, mean age 57.6 (±22). 43 patients (70%) were on menopause. In Group B (TOT out-in) 52 patients were enrolled (for 34 of them we used the Obtape® sling while for 18 the Obtryx® one), their mean age was 58.5 (±20.5) and 39 patients (75%) were on menopause. Patients from both groups did not undergo any past previous urogynecological surgery and suffered from stress urinary incontinence with cervico-urethral hypermobility butno other associated pathology. The pre-operative work-up included an evaluation of patients based on ICS guidelines. Results. Group A (TVT) - mean follow-up 66.3 months, dry patients 53/61 (86.8%). Bladder perforations resolved by catheterization 3/61 (5%). Transient voiding dysfunction 14/61 (22.8%). “De novo” urgency 8/61 (13%). One patient on self-catheterization due to persistent urinary retention underwent a single-side section of the sling with spontaneous micturition and complete continence recovery. Group B (TOT out-in) - mean follow-up 35.5 months, dry patients 43/52 (82%). 4 patients (7.6%) complained oftransient voiding dysfunction, 5 patients (9.5%) for “de novo” urgency, 1 patient underwent a sling removal due to vaginal erosion 4 months after surgery (Obtape®).

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8

Dylewski, Drew A., Jennifer Tash Anger, Cindy L. Amundsen, and George D. Webster. "1157: Minimally Invasive Sling with and Without Concomitant Pelvic Prolapse Surgery: Early Postoperative Outcomes." Journal of Urology 171, no. 4S (April 2004): 305. http://dx.doi.org/10.1016/s0022-5347(18)38394-0.

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9

Kavanagh, Alex, May Sanaee, Kevin V. Carlson, and Gregory G. Bailly. "Management of patients with stress urinary incontinence after failed midurethral sling." Canadian Urological Association Journal 11, no. 6S2 (June 13, 2017): 143. http://dx.doi.org/10.5489/cuaj.4610.

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Surgical failure rates after midurethral sling (MUS) procedures are variable and range from approximately 8‒57% at five years of followup. The disparity in long-term failure rates is explained by a lack of long-term followup and lack of a clear definition of what constitutes failure. A recent Cochrane review illustrates that no high-quality data exists to recommend or refute any of the different management strategies for recurrent or persistent stress urinary incontinence (SUI) after failed MUS surgery. Clinical evaluation requires a complete history, physical examination, and establishment of patient goals. Conservative treatment measures include pelvic floor physiotherapy, incontinence pessary dish, commercially available devices (Uresta®, Impressa®), or medical therapy. Minimally invasive therapies include periurethral bulking agents (bladder neck injections) and sling plication. Surgical options include repeat MUS with or without mesh removal, salvage autologous fascial sling or Burch colposuspension, or salvage artificial urinary sphincter insertion. In this paper, we present the available evidence to support each of these approaches and include the management strategy used by our review panel for patients that present with SUI after failed midurethral sling.

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10

Barron, K. I., J. A. Savageau, and A. N. Morse. "ORAL POSTER 5: Immediate Urinary Retention After Minimally-Invasive Sling: Can We Predict It?" Journal of Pelvic Medicine and Surgery 11, no. 2 (March 2005): 69. http://dx.doi.org/10.1097/01.spv.0000155877.81008.d6.

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11

Romero, A. A., G. D. Webster, and C. L. Amundsen. "NON-ORAL POSTER 19: Comparison of Practice Patterns When Using the Minimally Invasive Sling." Journal of Pelvic Medicine and Surgery 11, no. 2 (March 2005): 76. http://dx.doi.org/10.1097/01.spv.0000156013.98568.8d.

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12

Volodin, Mark Albertovich, Anastasiya Sergeevna Malykhina, Dmitriy Vladimirovich Semenychev, Evgeniy Nikolaevich Bolgov, and Vladimir Aleksandrovich Perchatkin. "Minimally invasive surgery for benign prostatic hyperplasia: causes, forms, and prevention of urinary disorders (literature review)." Vrač skoroj pomoŝi (Emergency Doctor), no. 9 (September 1, 2021): 47–65. http://dx.doi.org/10.33920/med-02-2109-05.

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Benign prostatic hyperplasia (BPH) ranks 4th among all diagnoses in the group of men 50 years of age and older. With an increase in prostate volume of more than 20 cm³, patients develop lower urinary tract symptoms (LUTS), which negatively affect the quality of life of men. Currently, minimally invasive endovideosurgical methods of treating BPH have proven themselves successfully: transurethral resection (TUR) of monopolar or bipolar type, transurethral bipolar enucleation of the prostate (TUEP), holmium laser enucleation of the prostate (HoLEP). However, despite the clinical efficiency of endoscopic operations, the incidence of postoperative complications remains quite significant. After surgical intervention, the main causes of urinary disorders are detrusor overactivity or a decrease in its functional activity, as well as bladder obstruction. Prolonged bladder catheterization in the postoperative period prevents early recovery of independent urination, which is a risk factor for the development of urinary disorders. Stress urinary incontinence has a significant impact on patients, both physically and mentally. For the treatment of postoperative stress urinary incontinence, behavioral therapy, drug treatment of disorders, minimally invasive methods of treatment are used: injections of hyaluronic acid into the submucous layer of the urethra, botulinum toxin into the detrusor, as well as the technique of sacral neuromodulation. Surgical methods include the implantation of a synthetic sphincter or the installation of male sling.

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13

O’Boyle, Amy L., Angela DiCarlo-Meacham, and Sandra Hernandez. "Minimally Invasive Management of Retropubic Bleeding and Hematoma Evacuation After a TVT Secur or Mini-Sling Procedure." Female Pelvic Medicine & Reconstructive Surgery 20, no. 2 (2014): 119–20. http://dx.doi.org/10.1097/spv.0000000000000059.

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14

Santana, Orlando, Natalia V. Solenkova, Andres M. Pineda, Christos G. Mihos, and Joseph Lamelas. "Minimally invasive papillary muscle sling placement during mitral valve repair in patients with functional mitral regurgitation." Journal of Thoracic and Cardiovascular Surgery 147, no. 1 (January 2014): 496–99. http://dx.doi.org/10.1016/j.jtcvs.2013.03.006.

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15

van Veggel, L., M. Morrell, C. Harris, and M. Dormans-Linssen. "A new device for the treatment of female stress urinary incontinence." Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 217, no. 4 (April 1, 2003): 317–21. http://dx.doi.org/10.1243/095441103322060785.

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Treatment for stress urinary incontinence (SUI) comprises a broad range of possible interventions. Non-surgical options include absorbent pads, vaginal weights and cones, biofeedback and minimally invasive techniques such as urethral bulking agents (UBAs). Surgical interventions range in complexity from sling surgery and suspension techniques to more major surgeries such as burch colposuspension. Each option has its challenges and limitations. This paper will focus on UBAs, which are implantable materials whose purpose is to augment urethral tissue function and restore continence. The characteristics required of such materials, and the challenges to be overcome when incorporating them in a successful product design, will be described and discussed. Particular attention will be given to the latest developments in the administration of polydimethylsiloxane elastomer UBA.

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16

Grabbert, Markus, Ricarda M. Bauer, Tanja Hüsch, Alexander Kretschmer, Ruth Kirschner-Hermanns, Ralf Anding, Bernhard Brehmer, et al. "Patient Selection in Surgical Centers of Expertise in the Treatment of Patients with Moderate to Severe Male Urinary Stress Incontinence." Urologia Internationalis 104, no. 11-12 (2020): 902–7. http://dx.doi.org/10.1159/000509444.

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<b><i>Objective:</i></b> To analyze decision-making in patients with male urinary incontinence (SUI) in centers of expertise. The artificial urinary sphincter (AUS) remains the gold standard for male patients with moderate to severe SUI but adjustable male slings are a minimally invasive treatment option with good results, hence without a high level of evidence regarding the optimal patient selection. <b><i>Materials and Methods:</i></b> In total, 220 patients (88 AUS; 132 adjustable slings) were investigated from the DOMINO database that underwent surgery between 2010 and 2012 in 5 urological departments that offer adjustable sling systems as well as AUS systems for patients with moderate to severe urinary incontinence. For statistical analysis, the Mann-Whitney <i>U</i> test was used to identify differences between both groups. <b><i>Results:</i></b> Patients selected for an adjustable male sling were less likely to have a neurological disease (5.3 vs. 9.1%; <i>p</i> = 0.030), a prior urethral stricture (22.7 vs. 50.0%; <i>p</i> = 0.001), a prior incontinence surgery (24.4 vs. 45.5%; <i>p</i> = 0.01), or a prior radiation therapy (26.5 vs. 40.1%; <i>p</i> = 0.001). The severity of preoperative incontinence was higher in patients selected for an AUS with a mean pad usage per day of 7.60 versus 5.80 (<i>p</i> < 0.001). Mean postoperative pad usage and patients’ subjective perception were comparable in both groups. <b><i>Conclusion:</i></b> In centers offering both options, the decision-making is mainly based upon presence of radiation therapy and previous failed incontinence surgery. Despite the more complex patient cohort selected for an AUS implantation with a possible impact on the postoperative outcome, the functional results seem to be comparable indicating a proper preoperative patient assessment and selection in this cohort.

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17

Naidu, Madhu, Ranee Thakar, and Abdul H. Sultan. "Outcomes of minimally invasive suburethral slings with and without concomitant pelvic organ prolapse surgery." International Journal of Gynecology & Obstetrics 127, no. 1 (June 19, 2014): 69–72. http://dx.doi.org/10.1016/j.ijgo.2014.04.017.

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18

Černiauskienė, Aušra, and Juozas Stanaitis. "Moterų šlapimo nelaikymo chirurginis gydymas – nuo atvirųjų iki minimaliai invazinių operacijų." Lietuvos chirurgija 1, no. 1 (January 1, 2003): 0. http://dx.doi.org/10.15388/lietchirur.2003.1.2443.

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Aušra Černiauskienė, Juozas StanaitisVilniaus greitosios pagalbos universitetinė ligoninėVilniaus universiteto Bendrosios ir kraujagyslių chirurgijos klinikos Bendrosios chirurgijos centras Įvadas / tikslas Aprašyti įvairius moterų šlapimo nelaikymo fizinio krūvio metu chirurginio gydymo būdus (klasikinę kolposuspensiją Burch būdu, laparoskopinę kolposuspensiją ir "SPARC" raiščio viršgaktinę implantaciją), pateikti jų rezultatus, išanalizuoti, kokį būdą geriau pasirinkti. Metodai Vilniaus greitosios pagalbos universitetinės ligoninės Bendrosios chirurgijos centre moterų šlapimo nelaikymo gydymui 1996–2002 m. taikyti įvairūs operacijų būdai: buvo atliktos 229 atvirosios kolposuspensijos Burch būdu, 10 laparoskopinių kolposuspensijų ir dvi "SPARC" raiščio implantacijos (pouretrinis pakėlimas proleno raiščiu). Darbe pateikiami 103 ligonių, operuotų 1996–2000 m., ankstyvieji ir vėlyvieji gydymo rezultatai po atvirųjų Burch operacijų, ir 10 ligonių ankstyvieji gydymo rezultatai po laparoskopinių kolposuspensijų (1999–2001 m.). Atlikus bendruosius ir specialiuosius tyrimus (urodinaminius tyrimus, kolpocistogramas), visoms ligonėms nustatytas šlapimo nelaikymas fizinio krūvio metu. Vidutinė hospitalizacijos trukmė: po atvirosios operacijos – 14,7 dienos, po laparoskopinės – 7 dienos, po "SPARC" raiščio implantacijos – 4 dienos. Kateteris šlapimo pūslėje po atvirosios Burch opercijos buvo laikomas 5 paras, po laparoskopinės – 3, po "SPARC" raiščio implantacijos – 1 parą. Ankstyvieji operacinio gydymo rezultatai buvo įvertinti po 3 mėnesių, vėlyvieji – po 1–2, 2–3 ir 3–4 metų. Rezultatai Po atvirosios Burch operacijos ankstyvieji (po 3 mėn.) labai geri ir geri rezultatai nustatyti 96,1 % ligonių, vėlyvieji labai geri ir geri rezultatai po 1–2 metų – 87,4 %, po 2–3 metų – 84,1 %, po 3–4 metų – 81,3 % ligonių. Po laparoskopinės kolposuspensijos praėjus 3 mėnesiams, 9 ligonių rezultatai įvertinti kaip labai geri ir geri, 1 ligonės – vidutiniai (šlapimas laikosi, yra imperatyvus šlapinimasis ištekant minimaliam šlapimo kiekiui). Išvados Atvirosios ir laparoskopinės kolposuspensijos rezultatai rodo, kad šiomis operacijomis veiksmingai gydomas moterų šlapimo nelaikymas. "SPARC" raiščio implantacija – paprasta, greitai atliekama, veiksminga, sukelianti mažiau komplikacijų, tačiau brangi operacija. Prasminiai žodžiai: šlapimo nelaikymas, chirurginis gydymas, laparoskopinė kolposuspensija, pouretriniai raiščiai. Surgical treatment of female stress urinary incontinence : from open to minimally invasive operations Aušra Černiauskienė, Juozas Stanaitis Background / objective The aim of work: to describe different surgical methods in treating female stress urinary incontinence (classical Burch colposuspension, laparoscopic colposuspension and suprapubical implantation of SPARC sling), to show the results, to analyze the preferable methods. Methods 229 open colposuspensions according to Burch, 10 laparoscopic colposuspensions and 2 SPARC sling implantations (suburethral raising with prolene sling) were performed in General Surgery Clinic of Vilnius University Emergency Hospital during the period 1996–2002. We present early and long-term results for 103 patients operated on in 1996–2000 with open Burch colposuspension and early results after laparoscopic colposuspension (1999–2001). All female patients were examined (urodynamic investigation, colpocystograms) and stress urinary incontinence was diagnosed. The average hospitalization time was 14.7 days after open operation, 7 days after laparoscopic operation, and 4 days after SPARC sling implantation. Catheter from the urine bladder was removed after 5 days in case of Burch operation, after 3 days in case of laparoscopic operation, and after 1 day in case of SPARC sling implantation. Early postoperative results were assessed after 3 months, and long-term postoperative results after 1–2 years, 2–3 years and 3–4 years. Results After open Burch operations early (after 3 months) results were very good and good in 96.1% , long-term results were very good and good after 1–2 years in 87.4%, after 2–3 years in 84.1% and after 3–4 years in 81.3% of patients. After laparoscopic colposuspensions, early results were very good and good in 9 cases, medium in one case (the patient contained urine normally but complained of imperative urination with minimal urine excretion). Conclusions Our results show that both open and laparoscopic colposuspensions remain effective operations in rapidly treating female stress urinary incontinence. SPARC sling implantation is a common, quick to perform, effective operation with less postoperative complications, however, it is expensive. Keywords: urinary incontinence, surgical treatment, laparoscopic colposuspension, suburethral sling.

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Chung, Doreen E., Benjamin Dillon, Jordan Kurta, Alexandra Maschino, and Jaspreet S. Sandhu. "Detrusor underactivity is prevalent after radical prostatectomy: A urodynamic study including risk factors." Canadian Urological Association Journal 7, no. 1-2 (January 23, 2013): 33. http://dx.doi.org/10.5489/cuaj.192.

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Introduction: The objective was to determine the prevalence of, and factors that predict, detrusor underactivity (DU) in patients presenting with incontinence or lower urinary tract symptoms (LUTS) following radical prostatectomy (RP). We also determined the prevalence of bladder outlet obstruction (BOO) and detrusor overactivity (DO) in this population.Methods: Patients who underwent urodynamics post-RP were identified. Detrusor underactivity was defined as a maximum flow rate (Qmax) of ≤15 mL/s and detrusor pressure (Pdet) Qmax <20 cmH20 or maximum Pdet <20 cmH20 during attempted voiding. Abdominal voiding (AV) was defined as sustained increase in abdominal pressure during voiding. Bladder outlet obstruction and DO were identified using the Abrams-Griffiths nomogram and the International Continence Society criteria. Univariate logistic regression was used to determine factors predicting DU. The following factors were analyzed: age, year of RP, procedure type (minimally-invasive surgery [MIS] or open), postoperative radiation, nerve-sparing, clinical stage, biopsy Gleason grade and interval between RP and evaluation.Results: Between 2005 and 2008, 264 patients underwent urodynamics post-RP. Detrusor underactivity was observed in 108 patients (41%; 95% CI 35%, 47%), of whom 48% demonstrated AV. Overall, BOO and DO were present in 17% (95% CI 12%, 22%) and 27% (95% CI 22%, 33%), respectively. On univariate analysis, only MIS RP was predictive of DU (univariate odds ratio 2.05 for MIS vs. open; p = 0.009).Conclusions: Detrusor underactivity and AV are common in patients presenting for evaluation of incontinence or LUTS following RP. The etiology of DU in this setting is likely related to the surgical approach. Because DU may affect the success of male incontinence treatment with the male sling or artificial urinary sphincter, it is useful to document its presence prior to treatment. More studies are needed to elucidate the influence of DU on treatment success for male urinary incontinence following RP.

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Schmid, Florian A., J. Koudy Williams, Thomas M. Kessler, Arnulf Stenzl, Wilhelm K. Aicher, Karl-Erik Andersson, and Daniel Eberli. "Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects." International Journal of Molecular Sciences 22, no. 8 (April 12, 2021): 3981. http://dx.doi.org/10.3390/ijms22083981.

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Urinary incontinence (UI) is a major problem in health care and more than 400 million people worldwide suffer from involuntary loss of urine. With an increase in the aging population, UI is likely to become even more prominent over the next decades and the economic burden is substantial. Among the different subtypes of UI, stress urinary incontinence (SUI) is the most prevalent and focus of this review. The main underlying causes for SUI are pregnancy and childbirth, accidents with direct trauma to the pelvis or medical treatments that affect the pelvic floor, such as surgery or irradiation. Conservative approaches for the treatment of SUI are pelvic physiotherapy, behavioral and lifestyle changes, and the use of pessaries. Current surgical treatment options include slings, colposuspensions, bulking agents and artificial urinary sphincters. These treatments have limitations with effectiveness and bear the risk of long-term side effects. Furthermore, surgical options do not treat the underlying pathophysiological causes of SUI. Thus, there is an urgent need for alternative treatments, which are effective, minimally invasive and have only a limited risk for adverse effects. Regenerative medicine is an emerging field, focusing on the repair, replacement or regeneration of human tissues and organs using precursor cells and their components. This article critically reviews recent advances in the therapeutic strategies for the management of SUI and outlines future possibilities and challenges.

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21

Schwarcz, Robert M., Robert A. Goldberg, and Norman Shorr. "A New Paradigm of Surgical Management of the Atonic Face." American Journal of Cosmetic Surgery 22, no. 2 (June 2005): 99–104. http://dx.doi.org/10.1177/074880680502200203.

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Introduction: Consequences of facial paralysis are functionally and cosmetically debilitating. Surgical facial suspension in patients with facial nerve palsy is characterized by inexorable recurrent descent of the atonic tissues. Despite numerous variations on techniques that have been attempted over the years, including muscle and fascia flaps, deep plane or periosteal dissection, and multiple vector fixation, we have been disappointed to note substantial or complete loss of improvement effect over 1–2 years. This experience has allowed us to reassess the basic philosophy of rehabilitation for patients with facial paralysis. If the most robust and invasive surgeries are not adequately permanent to avoid the need for frequent reoperation, then perhaps a rational approach is to accept and anticipate the need for repeat procedures and use minimally invasive procedures that are designed for maintenance reoperations. Materials and Methods/Results: We report our experience with a layered multivector cable suture suspension technique to address the atonic descent of the eyebrow, eyelid, midface, and lower face in patients with facial palsy. We describe 2 approaches, a Keith needle with either Gortex or a nylon suture passed from nasolabial fold to deep temporalis fascia and a procedure involving multivector cables. To address the ocular complications in the atonic face, we review upper and lower eyelid adjunctive techniques. For facial paralysis, solutions to address ocular issues include placement of gold weight to upper eyelid, skin graft to upper eyelid, midface-lift, and lower eyelid slings. Finally, to address the lateral oral commissure droop, we discuss a localized technique involving upward positioning of the area by removal of an ellipse of tissue down to the level of the orbicularis oris muscle. Discussion: We discuss our experiences in addressing the upper face, midface, and lower face regarding static reanimation surgery of the atonic face with multivector cables and other modalities to provide a systematic approach. Many of these techniques can be used on the cosmetic patient as well.

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Manning, J. "Low minimally invasive sling rates in UK elderly women." BJOG: An International Journal of Obstetrics & Gynaecology 123, no. 8 (July 14, 2015): 1392. http://dx.doi.org/10.1111/1471-0528.13513.

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23

Schulz, Jane A., Michelle C. Chan, Scott A. Farrell, William Easton, Annette Epp, Scott A. Farrell, Lise Girouard, et al. "Midurethral Minimally Invasive Sling Procedures for Stress Urinary Incontinence." Journal of Obstetrics and Gynaecology Canada 30, no. 8 (August 2008): 728–33. http://dx.doi.org/10.1016/s1701-2163(16)32923-1.

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24

Heckman, James D. "MINIMALLY INVASIVE SURGERY." Journal of Bone and Joint Surgery-American Volume 85, no. 11 (November 2003): 2069. http://dx.doi.org/10.2106/00004623-200311000-00001.

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25

Takagi, Atsuhiko, and Hisakazu Degawa. "Minimally invasive surgery." JOURNAL OF JAPAN SOCIETY FOR LASER SURGERY AND MEDICINE 12, Supplement (1991): 91–94. http://dx.doi.org/10.2530/jslsm1980.12.supplement_91.

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Cassidy, Michael R., Sepideh Gholami, and Vivian E. Strong. "Minimally Invasive Surgery." Surgical Oncology Clinics of North America 26, no. 2 (April 2017): 193–212. http://dx.doi.org/10.1016/j.soc.2016.10.001.

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Zverina, E., J. Skrivan, J. Betka, J. Kraus, T. Belsan, and W. P. Sollmann. "Minimally invasive surgery." International Congress Series 1259 (February 2004): 75–79. http://dx.doi.org/10.1016/s0531-5131(03)01546-2.

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Goldman, Robert K. "MINIMALLY INVASIVE SURGERY." Critical Care Clinics 16, no. 1 (January 2000): 113–30. http://dx.doi.org/10.1016/s0749-0704(05)70100-7.

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Felsher, J., B. Chand, and J. Ponsky. "Minimally Invasive Surgery." Endoscopy 35, no. 2 (February 2003): 171–77. http://dx.doi.org/10.1055/s-2003-37014.

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Jaffray, B. "Minimally invasive surgery." Archives of Disease in Childhood 90, no. 5 (May 1, 2005): 537–42. http://dx.doi.org/10.1136/adc.2004.062760.

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WICKHAM, J. E. A. "Minimally Invasive Surgery." Journal of Endourology 1, no. 2 (January 1987): 71–74. http://dx.doi.org/10.1089/end.1987.1.71.

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Vierra, M.D, Mark. "MINIMALLY INVASIVE SURGERY." Annual Review of Medicine 46, no. 1 (February 1995): 147–58. http://dx.doi.org/10.1146/annurev.med.46.1.147.

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Rosen, M., and J. Ponsky. "Minimally Invasive Surgery." Endoscopy 33, no. 04 (December 31, 2001): 358–66. http://dx.doi.org/10.1055/s-2001-13689.

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Robinson, T., and G. Stiegmann. "Minimally invasive surgery." Endoscopy 39, no. 01 (January 25, 2007): 21–23. http://dx.doi.org/10.1055/s-2006-945057.

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DiDomenico, Lawrence A., Lawrence A. Ford, Clifford B. Jones, Christian Krettek, and John M. Schuberth. "Minimally Invasive Surgery." Foot & Ankle Specialist 5, no. 3 (May 16, 2012): 201–7. http://dx.doi.org/10.1177/1938640012445565.

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Fitzpatrick, J. M., and J. E. A. Wickham. "Minimally invasive surgery." British Journal of Surgery 77, no. 7 (July 1990): 721–22. http://dx.doi.org/10.1002/bjs.1800770702.

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Manton, Robert N., and Stephanos Pericleous. "Minimally Invasive Surgery." Annals of Surgery 266, no. 6 (December 2017): e56. http://dx.doi.org/10.1097/sla.0000000000001354.

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Montori, A. "Minimally Invasive Surgery." Endoscopy 31, no. 1 (January 1999): 110–16. http://dx.doi.org/10.1055/s-1999-13656.

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Chavarriaga, Alejandro, Amy Wyrzykowski, and David V. Feliciano. "Minimally invasive surgery?" Trauma Surgery & Acute Care Open 3, no. 1 (December 2018): e000290. http://dx.doi.org/10.1136/tsaco-2018-000290.

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Montori, A. "Minimally Invasive Surgery." Endoscopy 30, no. 02 (February 1998): 244–52. http://dx.doi.org/10.1055/s-2007-1001250.

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&NA;. "Minimally Invasive Surgery." Back Letter 26, no. 8 (August 2011): 89. http://dx.doi.org/10.1097/01.back.0000403687.78187.8b.

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Fuchs, K. H. "Minimally Invasive Surgery." Endoscopy 34, no. 2 (February 2002): 154–59. http://dx.doi.org/10.1055/s-2002-19857.

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Shah, Amar, and Anirudh Shah. "Minimally Invasive Surgery." Indian Journal of Pediatrics 75, no. 9 (September 2008): 925–29. http://dx.doi.org/10.1007/s12098-008-0194-3.

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Hamad, Giselle G., and Myriam Curet. "Minimally invasive surgery." American Journal of Surgery 199, no. 2 (February 2010): 263–65. http://dx.doi.org/10.1016/j.amjsurg.2009.05.008.

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McWilliam, James R., Oliver N. Schipper, Noman A. Siddiqui, John R. Clements, and Minton Truitt Cooper. "Minimally Invasive Surgery." Foot & Ankle Specialist 14, no. 2 (April 2021): 153–57. http://dx.doi.org/10.1177/19386400211005536.

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Pawlowski, John, J. Michael Haering, Mark E. Comunale, John Mashikian, Deborah Reynolds, Robert Johnson, and William Cohn. "Minimally invasive anesthesia should accompany minimally invasive surgery." Journal of Cardiothoracic and Vascular Anesthesia 11, no. 4 (June 1997): 536–37. http://dx.doi.org/10.1016/s1053-0770(97)90085-9.

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McCollough, E. Gaylon. "Minimally Invasive—Minimally Effective." Archives of Facial Plastic Surgery 9, no. 4 (July 1, 2007): 293–94. http://dx.doi.org/10.1001/archfaci.9.4.293.

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Granet, David B., M. Edward Wilson, and Rudolph S. Wagner. "Minimally Invasive Strabismus Surgery." Journal of Pediatric Ophthalmology & Strabismus 53, no. 5 (September 1, 2016): 262–65. http://dx.doi.org/10.3928/01913913-20160510-03.

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ISCAN, Mehlika, and Kamil KAYNAK. "Minimally Invasive Pectus Surgery." Güncel Göğüs Hastalıkları Serisi 7, no. 3 (August 5, 2020): 122–34. http://dx.doi.org/10.5152/gghs.2019.048.

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Cheng, Allen. "Minimally invasive heart surgery." Journal of Visualized Surgery 4 (October 2018): 215. http://dx.doi.org/10.21037/jovs.2018.09.17.

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