Статті в журналах: "Miniimally invasive surgical procedures"

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Andersson, R. E. "Less invasive pilonidal sinus surgical procedures." coloproctology 41, no. 2 (February 21, 2019): 117–20. http://dx.doi.org/10.1007/s00053-019-0341-5.

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McLoitghlin, Thomas M. "Complications of Minimally Invasive Cardiac Surgical Procedures." Seminars in Cardiothoracic and Vascular Anesthesia 3, no. 2 (July 1999): 136–42. http://dx.doi.org/10.1177/108925329900300209.

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del Nido, Pedro J. "Minimally Invasive Cardiac Surgical Procedures in Children." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 15, no. 2 (March 2020): 95–98. http://dx.doi.org/10.1177/1556984520914283.

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Ulmer, Brenda C. "Best Practices for Minimally Invasive Procedures." AORN Journal 91, no. 5 (May 2010): 558–75. http://dx.doi.org/10.1016/j.aorn.2009.12.028.

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Seifert, Patricia C. "“Other Invasive Procedures” Open New Doors." AORN Journal 91, no. 5 (May 2010): 536–37. http://dx.doi.org/10.1016/j.aorn.2010.03.001.

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Nebbia, Martina, Paulo Gustavo Kotze, and Antonino Spinelli. "Training on Minimally Invasive Colorectal Surgery during Surgical Residency: Integrating Surgical Education and Advanced Techniques." Clinics in Colon and Rectal Surgery 34, no. 03 (March 29, 2021): 194–200. http://dx.doi.org/10.1055/s-0041-1722843.

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AbstractSurgery is an ever-evolving discipline and continually incorporates new technologies that have improved the ability of the operating room surgeon to perform. The next generation of minimally invasive surgery includes laparoscopic and robotic-assisted procedures. Graduating residents may be expected to have the skills to perform common colorectal procedures using these technologies, and residency programs are developing curriculums to teach these skills. Minimally invasive techniques are challenging and learning only by observation and practice alone is difficult. This requires dedicated training and mentoring.New simulation methods have been conceived specifically for minimally invasive procedures, and these embrace a combination of virtual reality simulators and box trainers, with animal and human tissue, as well as synthetic materials. The aim of this review is to provide an overview of training in minimally invasive colorectal surgery with a focus on different types of simulators that build the basis to develop and include a multistep training approach in a structured training curriculum for minimally invasive colorectal procedures.

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Hiemstra, Ellen, Wendela Kolkman, Saskia le Cessie, and Frank Willem Jansen. "Are Minimally Invasive Procedures Harder to Acquire than Conventional Surgical Procedures?" Gynecologic and Obstetric Investigation 71, no. 4 (2011): 268–73. http://dx.doi.org/10.1159/000321796.

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Cicekoglu, Ferit, Seyhan Babaroglu, Onur Hanedan, Murat Songur, Garip Altintas, and Kerem Yay. "Minimally invasive cardiac surgical procedures in female population." Journal-Cardiovascular Surgery 2, no. 2 (2014): 25. http://dx.doi.org/10.5455/jcvs.2014223.

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Marini, J. C., B. Lee, and P. J. Garlick. "Non-surgical alternatives to invasive procedures in mice." Laboratory Animals 40, no. 3 (July 2006): 275–81. http://dx.doi.org/10.1258/002367706777611479.

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Thornhill, Martin H., Mark J. Dayer, and Thomas J. Cahill. "Infective Endocarditis After Invasive Medical and Surgical Procedures." Journal of the American College of Cardiology 71, no. 24 (June 2018): 2753–55. http://dx.doi.org/10.1016/j.jacc.2018.03.533.

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Blikkendaal, Mathijs D., Sara R. C. Driessen, Sharon P. Rodrigues, Johann P. T. Rhemrev, Maddy J. G. H. Smeets, Jenny Dankelman, John J. van den Dobbelsteen, and Frank Willem Jansen. "Measuring surgical safety during minimally invasive surgical procedures: a validation study." Surgical Endoscopy 32, no. 7 (January 19, 2018): 3087–95. http://dx.doi.org/10.1007/s00464-018-6021-7.

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King, Cecil A. "Family Presence During Invasive Procedures and Resuscitation." AORN Journal 73, no. 5 (May 2001): 979–80. http://dx.doi.org/10.1016/s0001-2092(06)61752-3.

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Anderson, Deverick J., Jean Marie Arduino, Shelby D. Reed, Daniel J. Sexton, Keith S. Kaye, Chelsea A. Grussemeyer, Senaka A. Peter, et al. "Variation in the Type and Frequency of Postoperative Invasive Staphylococcus aureus Infections According to Type of Surgical Procedure." Infection Control & Hospital Epidemiology 31, no. 7 (July 2010): 701–9. http://dx.doi.org/10.1086/653205.

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Objective.To determine the epidemiological characteristics of postoperative invasive Staphylococcus aureus infection following 4 types of major surgical procedures.Design.Retrospective cohort study.Setting.Eleven hospitals (9 community hospitals and 2 tertiary care hospitals) in North Carolina and Virginia.Patients.Adults undergoing orthopedic, neurosurgical, cardiothoracic, and plastic surgical procedures.Methods.We used previously validated, prospectively collected surgical surveillance data for surgical site infection and microbiological data for bloodstream infection. The study period was 2003 through 2006. We defined invasive S. aureus infection as either nonsuperficial incisional surgical site infection or bloodstream infection. Nonparametric bootstrapping was used to generate 95% confidence intervals (CIs). P values were generated using the Pearson x2 test, Student t test, or Wilcoxon rank-sum test, as appropriate.Results.In total, 81,267 patients underwent 96,455 procedures during the study period. The overall incidence of invasive S. aureus infection was 0.47 infections per 100 procedures (95% CI, 0.43–0.52); 227 (51%) of 446 infections were due to methicillin-resistant S. aureus. Invasive S. aureus infection was more common after cardiothoracic procedures (incidence, 0.79 infections per 100 procedures [95% CI, 0.62–0.97]) than after orthopedic procedures (0.37 infections per 100 procedures [95% CI, 0.32–0.42]), neurosurgical procedures (0.62 infections per 100 procedures [95% CI, 0.53–0.72]), or plastic surgical procedures (0.32 infections per 100 procedures [95% CI, 0.17¬0.47]) (P < .001). Similarly, S. aureus bloodstream infection was most common after cardiothoracic procedures (incidence, 0.57 infections per 100 procedures [95% CI, 0.43–0.72]; P < .001, compared with other procedure types), comprising almost three-quarters of the invasive S. aureus infections after these procedures. The highest rate of surgical site infection was observed after neurosurgical procedures (incidence, 0.50 infections per 100 procedures [95% CI, 0.42–0.59]; P < .001, compared with other procedure types), comprising 80% of invasive S. aureus infections after these procedures.Conclusion.The frequency and type of postoperative invasive S. aureus infection varied significantly across procedure types. The highest risk procedures, such as cardiothoracic procedures, should be targeted for ongoing preventative interventions.

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Schwartz-Filho, Humberto Osvaldo, William Cunha Brandt, and Caio Vinicius Gonçalves Roman-Torres. "Minimally Traumatic Surgical Procedures in Periodontics: a Review." Journal of Health Sciences 17, no. 1 (July 1, 2015): 60. http://dx.doi.org/10.17921/2447-8938.2015v17n1p60-63.

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<p>The concept of minimally invasive procedures can be extended to all fields of dentistry. Periodontics, in particular, has been reported as one of the areas with great benefits. This review aims to describe the use of minimally invasive procedures in periodontal surgery, its concepts, applications, and possible benefits from its use. For that, 682 articles published between 1950 and 2012 focused on minimally invasive periodontal surgery were evaluated. Of them, 669 studies did not describe clearly the procedures, and did not attend the inclusion criteria. The results showed that proper lighting promotes increased visual acuity during surgical procedures, favoring the precision associated with<br />microsurgical instruments specifically designed, allowing a more accurate manipulation of the soft and hard tissues. Surgical access avoids unnecessary tissues removal, optimizing the debridement, improving vascularisation, and therefore the possibility of obtaining primary healing of surgical wounds. The microsurgical approach can improve the predictability of different periodontal procedures, providing better results and cause less postoperative discomfort. However, few controlled methodologies on the use of instruments to promote minimally invasive procedures in periodontics have been found in literature. Therefore, studies are needed to determine whether microsurgical techniques can lead to a significant difference in the successful outcome. Most of the studies are based on observations and experiences of the authors, which clearly<br />show that there are advantages in having better lighting, better vision, and a more controlled and less traumatic technique.</p>

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Okumura, Meinoshin, Yasushi Shintani, Mitsunori Ohta, Yoshihisa Kadota, Masayoshi Inoue, and Hiroyuki Shiono. "Minimally invasive surgical procedures for thymic disease in Asia." Journal of Visualized Surgery 3 (July 27, 2017): 96. http://dx.doi.org/10.21037/jovs.2017.06.03.

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Patel, Akanksha, Vinay Sanghi, and VibhuRanjan Gupta. "Implementation of surgical safety checklist for all invasive procedures." Journal of National Accreditation Board for Hospitals & Healthcare Providers 2, no. 2 (2015): 41. http://dx.doi.org/10.4103/2319-1880.174347.

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&NA;. "Specially Designed Surgical Tools Could Improve Minimally Invasive Procedures." Journal of Clinical Engineering 34, no. 4 (October 2009): 192–93. http://dx.doi.org/10.1097/01.jce.0000337822.00014.d1.

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Murthy, Raghav A., Nicholas S. Clarke, and Kemp H. Kernstine. "Minimally Invasive and Robotic Esophagectomy." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 13, no. 6 (November 2018): 391–403. http://dx.doi.org/10.1097/imi.0000000000000572.

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Great advances have been made in the surgical management of esophageal disease since the first description of esophageal resection in 1913. We are in the era of minimally invasive esophagectomy. The current three main approaches to an esophagectomy are the Ivor Lewis technique, McKeown technique, and the transhiatal approach to esophagectomy. These operations were associated with a high morbidity and mortality. The recent advances in minimally invasive surgical techniques have greatly improved the outcomes of these surgical procedures. This article reviews the literature and describes the various techniques available for performing minimally invasive esophagectomy and robot-assisted esophagectomies, the history behind the development of these techniques, the variations, and the contemporary outcomes after such procedures.

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Subhas, Gokulakkrishna, and Vijay K. Mittal. "Minimally Invasive Training During Surgical Residency." American Surgeon 77, no. 7 (July 2011): 902–6. http://dx.doi.org/10.1177/000313481107700728.

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The field of postgraduate minimally invasive surgery training has undergone substantial growth and change. A survey was sent to all program directors in surgery. Minimally invasive training patterns, facilities, their views, and performance of residents were examined. Ninety-five directors (38%) responded to the questionnaire. Of these, 51 per cent (n = 48) had a program size of three to four residents and 33 per cent (n = 31) had a program size of five to six residents. In 3 per cent of programs (n = 3), residents could not achieve the minimum Accreditation Council for Graduate Medical Education required numbers for advanced laparoscopic cases. Only 47 per cent of programs (n = 45) had dedicated rotations in minimally invasive surgery, ranging from 2 to 11 months. Up to 10 per cent (n = 9) of program directors felt that the current training in minimally invasive surgery was insufficient. Fifty-five per cent (n = 52) felt that laparoscopic adhesiolysis was an advanced laparoscopic procedure, and 33 per cent (n = 31) felt that there should be a separate minimum requirement for each of the commonly performed basic and advanced laparoscopic cases by Accreditation Council for Graduate Medical Education. Fifty-six per cent (n = 53) of programs were performing robotic surgery. Minimally invasive surgery training for surgical residents needs to increase opportunities so that they are able to perform laparoscopic procedures with confidence. There should be specific number requirements in each category of individual basic and advanced laparoscopic procedures.

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Oppenheimer, Jeffrey H., Igor DeCastro, and Dennis E. McDonnell. "Minimally invasive spine technology and minimally invasive spine surgery: a historical review." Neurosurgical Focus 27, no. 3 (September 2009): E9. http://dx.doi.org/10.3171/2009.7.focus09121.

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The trend of using smaller operative corridors is seen in various surgical specialties. Neurosurgery has also recently embraced minimal access spine technique, and it has rapidly evolved over the past 2 decades. There has been a progression from needle access, small incisions with adaptation of the microscope, and automated percutaneous procedures to endoscopically and laparoscopically assisted procedures. More recently, new muscle-sparing technology has come into use with tubular access. This has now been adapted to the percutaneous placement of spinal instrumentation, including intervertebral spacers, rods, pedicle screws, facet screws, nucleus replacement devices, and artificial discs. New technologies involving hybrid procedures for the treatment of complex spine trauma are now on the horizon. Surgical corridors have been developed utilizing the interspinous space for X-STOP placement to treat lumbar stenosis in a minimally invasive fashion. The direct lateral retroperitoneal corridor has allowed for minimally invasive access to the anterior spine. In this report the authors present a chronological, historical perspective of minimal access spine technique and minimally invasive technologies in the lumbar, thoracic, and cervical spine from 1967 through 2009. Due to a low rate of complications, minimal soft tissue trauma, and reduced blood loss, more spine procedures are being performed in this manner. Spine surgery now entails shorter hospital stays and often is carried out on an outpatient basis. With education, training, and further research, more of our traditional open surgical management will be augmented or replaced by these technologies and approaches in the future.

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O'Toole, John E., Kurt M. Eichholz, and Richard G. Fessler. "Surgical site infection rates after minimally invasive spinal surgery." Journal of Neurosurgery: Spine 11, no. 4 (October 2009): 471–76. http://dx.doi.org/10.3171/2009.5.spine08633.

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Object Postoperative surgical site infections (SSIs) have been reported after 2–6% of spinal surgeries in most large series. The incidence of SSI can be < 1% after decompressive procedures and > 10% after instrumented fusions. Anecdotal evidence has suggested that there is a lower rate of SSI when minimally invasive techniques are used. Methods A retrospective review of prospectively collected databases of consecutive patients who underwent minimally invasive spinal surgery was performed. Minimally invasive spinal surgery was defined as any spinal procedure performed through a tubular retractor system. All surgeries were performed under standard sterile conditions with preoperative antibiotic prophylaxis. The databases were reviewed for any infectious complications. Cases of SSI were identified and reviewed for clinically relevant details. The incidence of postoperative SSIs was then calculated for the entire cohort as well as for subgroups based on the type of procedure performed, and then compared with an analogous series selected from an extensive literature review. Results The authors performed 1338 minimally invasive spinal surgeries in 1274 patients of average age 55.5 years. The primary diagnosis was degenerative in nature in 93% of cases. A single minimally invasive spinal surgery procedure was undertaken in 1213 patients, 2 procedures in 58, and 3 procedures in 3 patients. The region of surgery was lumbar in 85%, cervical in 12%, and thoracic in 3%. Simple decompressive procedures comprised 78%, instrumented arthrodeses 20%, and minimally invasive intradural procedures 2% of the collected cases. Three postoperative SSIs were detected, 2 were superficial and 1 deep. The procedural rate of SSI for simple decompression was 0.10%, and for minimally invasive fusion/fixation was 0.74%. The total SSI rate for the entire group was only 0.22%. Conclusions Minimally invasive spinal surgery techniques may reduce postoperative wound infections as much as 10-fold compared with other large, modern series of open spinal surgery published in the literature.

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Arts, Sebastian, Hans Delye, and Erik J. van Lindert. "Intraoperative and postoperative complications in the surgical treatment of craniosynostosis: minimally invasive versus open surgical procedures." Journal of Neurosurgery: Pediatrics 21, no. 2 (February 2018): 112–18. http://dx.doi.org/10.3171/2017.7.peds17155.

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OBJECTIVETo compare minimally invasive endoscopic and open surgical procedures, to improve informed consent of parents, and to establish a baseline for further targeted improvement of surgical care, this study evaluated the complication rate and blood transfusion rate of craniosynostosis surgery in our department.METHODSA prospective complication registration database that contains a consecutive cohort of all pediatric neurosurgical procedures in the authors’ neurosurgical department was used. All pediatric patients who underwent neurosurgical treatment for craniosynostosis between February 2004 and December 2014 were included. In total, 187 procedures were performed, of which 121 were endoscopically assisted minimally invasive procedures (65%). Ninety-three patients were diagnosed with scaphocephaly, 50 with trigonocephaly, 26 with plagiocephaly, 3 with brachycephaly, 9 with a craniosynostosis syndrome, and 6 patients were suffering from nonsyndromic multisutural craniosynostosis.RESULTSA total of 18 complications occurred in 187 procedures (9.6%, 95% CI 6.2–15), of which 5.3% (n = 10, 95% CI 2.9–10) occurred intraoperatively and 4.2% (n = 8, 95% CI 2.2–8.2) occurred postoperatively. In the open surgical procedure group, 9 complications occurred: 6 intraoperatively and 3 postoperatively. In the endoscopically assisted procedure group, 9 complications occurred: 4 intraoperatively and 5 postoperatively. Blood transfusion was needed in 100% (n = 66) of the open surgical procedures but in only 21% (n = 26, 95% CI 15–30) of the endoscopic procedures. One patient suffered a transfusion reaction, and 6 patients suffered infections, only one of which was a surgical site infection. A dural tear was the most common intraoperative complication that occurred (n = 8), but it never led to postoperative sequelae. Intraoperative bleeding from a sagittal sinus occurred in one patient with only minimal blood loss. There were no deaths, permanent morbidity, or neurological sequelae.CONCLUSIONSComplications during craniosynostosis surgery were relatively few and minor and were without permanent sequelae in open and in minimally invasive procedures. The blood transfusion rate was significantly reduced in endoscopic procedures compared with open procedures.

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Rathinam, Alwin Kumar. "Trajectory Planning using Surgical Device Orientation in Ultrasound Guided Minimally Invasive Surgical Procedures." International Journal on Advanced Science, Engineering and Information Technology 8, no. 4 (August 30, 2018): 1296. http://dx.doi.org/10.18517/ijaseit.8.4.6498.

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Moline, Lisa R. "Patient psychologic preparation for invasive procedures: An integrative review." Journal of Vascular Nursing 18, no. 4 (December 2000): 117–22. http://dx.doi.org/10.1067/mvn.2000.111640.

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Clark, Angela P. "Presence of family members during codes and invasive procedures." Journal of PeriAnesthesia Nursing 19, no. 4 (August 2004): 270. http://dx.doi.org/10.1016/j.jopan.2004.06.015.

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Neufeld, Steven K., Daniel Dean, and Syed Hussaini. "Outcomes and Surgical Strategies of Minimally Invasive Chevron/Akin Procedures." Foot & Ankle International 42, no. 6 (January 27, 2021): 676–88. http://dx.doi.org/10.1177/1071100720982967.

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Background: Minimally invasive surgery (MIS) is increasingly being used for bunion correction, but limited patient outcome data have been reported for third-generation minimally invasive chevron/Akin (MICA) techniques. The aim of this study was to report on radiographic outcomes, pain control, satisfaction, learning curve, and complication rates in a consecutive series of 94 patients undergoing MICA procedures for hallux valgus. It also describes strategies for avoiding perioperative complications that may arise with MIS bunionectomies. Methods: The treating surgeon’s first 94 MICA procedures were included in the study. Radiographs were reviewed to measure pre- and postoperative intermetatarsal angles (IMAs), hallux valgus angles (HVAs), and soft tissue/bony foot width. Outcome measures, including visual analog scale (VAS) scores and Coughlin satisfaction scores, were obtained. Complication rates were retrospectively assessed though chart review. Statistical analysis was performed using Student t test for continuous variables and χ2 test for categorical variables. Average patient follow-up was 11.2 months. Results: VAS scores dropped 1 week postoperatively, from 5.2 preoperatively to 2.4 ( P < .001). IMA improved from 12.6 degrees to 5.7 degrees at final follow-up ( P < .001), while HVA improved from 26.8 degrees to 10.3 degrees ( P < .001). Bony foot width improved from 92.4 mm to 87.2 mm ( P < .001), and soft tissue foot width improved from 104.1 mm to 100.1 mm ( P < .001). The reoperation rate was 5%, including 3 hardware removals, 1 irrigation and debridement, and 1 neurolysis. Ninety-four percent of patients reported good or excellent satisfaction with the procedure. Complication rates and patient satisfaction scores were similar between the first and second half of patients ( P > .05), suggesting the learning curve was not a factor. Conclusion: In our experience, the MICA osteotomy was a safe and reproducible technique, associated with rapid improvement in pain scores, early weightbearing, significant deformity correction, high patient satisfaction, and low frequency of complications. In addition, the learning curve for the procedure was not as steep as previously reported. Level of Evidence: Level III, retrospective comparative series.

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Klauzová, Kateřina. "Types of anesthesia in outpatient mini-invasive aesthetics surgical procedures." Dermatologie pro praxi 14, no. 4 (November 20, 2020): 214–19. http://dx.doi.org/10.36290/der.2020.040.

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Шахрай, С. В., М. Ю. Гаин, and Ю. М. Гаин. "Minimally Invasive Laser Procedures for Surgical Treatment of Pilonidal Cyst." Хирургия. Восточная Европа, no. 1 (March 28, 2022): 42–56. http://dx.doi.org/10.34883/pi.2022.11.1.004.

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Цель. Изучить послеоперационные результаты малоинвазивных лазерных операций при пилонидальных кистах и провести их сравнительную оценку с результатами традиционных хирургических методов лечения.Материалы и методы. В исследование вошли 106 пациентов с хроническим и 60 пациентов с острым воспалением пилонидальной кисты, которые были слепо распределены – по две равные группы методом простой рандомизации. Пациентам группы А выполняли лазерную коагуляцию и кюретаж пилонидальной кисты, в группе B – иссечение кисты, в группе С – чрезраневую лазерную коагуляцию, в группе D – простую санацию абсцесса. Применялось лазерное излучение диодного аппарата с длиной волны 1,56 мкм, мощностью 10–15 Вт.Результаты. Вероятность рецидива заболевания через 1 год после лазерной коагуляции и кюретажа пилонидальной кисты – 5,67%. Достоверные преимущества перед методом иссечения кисты были выявлены по показателям уровня болевого синдрома, частоты раневой инфекции, длительности лечения, срокам эпителизации послеоперационных ран (p<0,05, Mann – Whitney U-test, Chi-Square). При эхоскопии через год после малоинвазивных операций достоверно реже наблюдались инфильтративные изменения мягких тканей в зоне послеоперационного рубца, а также рубцовые деформации межъягодичной складки (Chi-Square (df=1) p=0,00001, p=0,0062).Средние сроки заживления ран в группах С и D оказались сопоставимы (p=0,8054, z=–0,3458 Mann – Whitney U-test). У 10% пациентов в группе D через месяц выявлен вторичный свищ, что позднее потребовало иссечения кисты. Выявлены преимущества чрезраневой лазерной коагуляции по частоте ремиссии заболевания через 1 год после начала лечения (p=0,0122, Chi-square с поправкой Yates). При морфометрии, эхоскопии через год наличие инфильтрата без жидкостных структур и воспаления в группе С было выявлено в 6,67% наблюдений, в группе D – в 22,5%.Заключение. Методы лазерной коагуляции с кюретажем пилонидальной кисты и чрезраневой лазерной коагуляции обладают рядом преимуществ по сравнению с традиционными вмешательствами. Они могут стать альтернативными вариантами лечения хронического и острого воспаления пилонидальной кисты в условиях «хирургии одного дня». Purpose. To study the postoperative results of minimally invasive laser operations in pilonidal cysts and conduct its comparative assessment with the results of traditional surgical treatments.Materials and methods. The study included 106 patients with chronic and 60 patients with acute inflammation of pilonidal sinus who were blindly distributed – into two equal groups by simple randomization. Patients of group A underwent laser coagulation and curettage of the pilonidal sinus, in group B – sinus excision, in group C – laser coagulation through a wound, in group D – simple incision of the abscess. Laser radiation of a diode apparatus with a wavelength of 1.56 microns with a power of 10–15 W was used.Results. The recurrence rate of the disease 1 year follow-up after laser coagulation and curettage of the pilonidal sinus is 5.67%. Significant advantages over the method of sinus excision were revealed by indicators of the level of pain syndrome, the frequency of wound infection, the duration of treatment, the timing of postoperative wounds healing (p<0.05, Mann – Whitney U-test, Chi-Square). During ultrasound, a year after minimally invasive operations, infiltrative changes of tissues in the postoperative zone were significantly less common, as well as scar deformities of the intergluteal area (Chi-Square (df=1) p=0.00001, p=0.0062).Median wound healing times in groups C and D were comparable (p=0.8054, z=–0.3458 Mann – Whitney U-test). In 10% of patients in group D, a secondary fistula was detected after a month, which later required a sinus excision. The benefits of laser coagulation through a wound by disease remission rate 1 year after start of treatment (p=0.0122, Yates corrected Chi-square) were identified. In dimension measurement, ultrasound after a year, the presence of infiltrate without fluid structures and inflammation in group C was detected in 6.67% of patients, in group D – in 22.5%.Сonclusion. The laser coagulation with pilonidal sinus curettage method and laser coagulation through a wound has a number of advantages over the traditional operations. The methods can become one of the alternative options for treating chronic and acute pilonidal sinus in regimen of "one-day surgery".

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Bousquet, F., P. Bousquet, and L. Vazquez. "Transtomography for implant placement guidance in non-invasive surgical procedures." Dentomaxillofacial Radiology 36, no. 4 (May 2007): 229–33. http://dx.doi.org/10.1259/dmfr/91082519.

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Okazumi, S., T. Ochiai, H. Shimada, H. Matsubara, Y. Nabeya, Y. Miyazawa, T. Shiratori, T. Aoki, and M. Sugaya. "Development of less invasive surgical procedures for thoracic esophageal cancer." Diseases of the Esophagus 17, no. 2 (June 1, 2004): 159–63. http://dx.doi.org/10.1111/j.1442-2050.2004.00379.x.

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Vargas, M. V., R. Amdur, C. Marfori, and G. Moawad. "Surgical Outcomes of Minimally Invasive and Abdominal Procedures for Endometriosis." Journal of Minimally Invasive Gynecology 24, no. 7 (November 2017): S117. http://dx.doi.org/10.1016/j.jmig.2017.08.375.

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McCormick, PH, WA Tanner, FBV Keane, and S. Tierney. "Minimally invasive techniques in common surgical procedures: Implications for training." Irish Journal of Medical Science 172, no. 1 (March 2003): 27–29. http://dx.doi.org/10.1007/bf02914782.

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Ogon, M., H. Maurer, C. Wimmer, F. Landauer, W. Sterzinger, and M. Krismer. "Minimally invasive approaches and surgical procedures in the lumbar spine." Der Orthopäde 26, no. 6 (June 27, 1997): 553–61. http://dx.doi.org/10.1007/pl00003411.

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Hussain, Namath S., and Mick J. Perez-Cruet. "Complication management with minimally invasive spine procedures." Neurosurgical Focus 31, no. 4 (October 2011): E2. http://dx.doi.org/10.3171/2011.8.focus11165.

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Spine surgery as we know it has changed dramatically over the past 2 decades. More patients are undergoing minimally invasive procedures. Surgeons are becoming more comfortable with these procedures, and changes in technology have led to several new approaches and products to make surgery safer for patients and improve patient outcomes. As more patients undergo minimally invasive spine surgery, more long-term outcome and complications data have been collected. The authors describe the common complications associated with these minimally invasive surgical procedures and delineate management options for the spine surgeon.

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P, Anuroopa, Sahla Ambadi, Punit Naidu, and Savita S. "Treatment of Gingival Recession by a Novel Pinhole Technique- A Report of Two Cases." Journal of Dentistry, Oral Disorders & Therapy 6, no. 2 (October 12, 2018): 1–5. http://dx.doi.org/10.15226/jdodt.2018.00198.

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Background: The concept of minimal invasive technique has gained importance in the recent years and is replacing the open surgical procedures in the field of periodontology too. The treatment of gingival recession has always been technique sensitive with it's associated morbidity and discomfort because of the invasive nature. This article presents a report of two cases treated with a minimally invasive Pinhole Surgical Technique, which is a modern marvel, gradually taking over the open surgical procedures, resulting in a near overall root coverage, especially in multiple recession defects. Keywords: Pinhole technique; PRF; Recession; Root coverage;

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Wolf, Randall K. "Surgical Treatment of Atrial Fibrillation." Updates in Cardiac Electrophysiology, no. 17.1 (March 25, 2021): 56–64. http://dx.doi.org/10.14797/vndg5944.

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The surgical treatment of atrial fibrillation (AF) has evolved significantly over the last 20 years and even more so in the last 5 years. There are now many clinically successful surgical procedures focused on eliminating AF and AF-related stroke. This review discusses the current types of surgical AF procedures, including minimally invasive and hybrid, and may assist clinicians in understanding the various surgical AF options available to patients today.

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Stenvers, Elke, Riemke C. Mars, and Rutger G. Zuurmond. "Frail Patients Benefit From Less Invasive Procedures." Geriatric Orthopaedic Surgery & Rehabilitation 10 (January 1, 2019): 215145931988528. http://dx.doi.org/10.1177/2151459319885283.

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Purpose: A traumatic periprosthetic fracture (PPF) is a long-term complication of total hip arthroplasty. Treatment options include revision, open reposition and internal fixation (ORIF), and minimally invasive techniques (MITs). To select the optimal surgical procedure, the level of frailty has to be considered, especially in patients with geriatric trauma. The aim of this study is to determine whether a frail patient has a better outcome postoperatively after less invasive treatment. Methods and materials: Sixty-three patients with an PPF were analyzed in this retrospective study. The level of frailty was obtained by the complex fracture frailty index (CFFI). The CFFI combines comorbidities, laboratory tests, physical abilities, social factors, and cognitive functions. Primary outcomes in this study include mortality, minor complications, and 3 major complications (deceased, reoperation or immobility after 1 year). Results: Thirty frail patients had lower survival rates ( P = .014) and significantly more major complications with a relative risk of 3.7 ( P = .02). In the entire group of 63 patients, there were no significant differences detected in the outcome measures; however, when specified in a subgroup of 30 frail patients according to our CFFI, significant differences were found. Patients treated with MIT had significantly less major and minor complications compared to ORIF and revision. Furthermore, patients treated with ORIF experienced significantly less minor complications than with revision surgery ( P = .015). Discussion and conclusion: This study shows that frail patients can be adequately detected using our frailty score CFFI and have a lower survival rate, regardless the type of surgery. Another finding is that for frail patients, more invasive surgery has a negative influence on the outcome of the treatment. Therefore, it is of great importance to assess and use the patient’s level of frailty to determine the surgical procedure for a PPF.

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Lungu, Daniel Adrian, Elisa Foresi, Paolo Belardi, Sabina Nuti, Andrea Giannini, and Tommaso Simoncini. "The Impact of New Surgical Techniques on Geographical Unwarranted Variation: The Case of Benign Hysterectomy." International Journal of Environmental Research and Public Health 18, no. 13 (June 22, 2021): 6722. http://dx.doi.org/10.3390/ijerph18136722.

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Since the 1980s, the international literature has reported variations for healthcare services, especially for elective ones. Variations are positive if they reflect patient preferences, while if they do not, they are unwarranted, and thus avoidable. Benign hysterectomy is among the most frequent elective surgical procedures in developed countries, and, in recent years, it has been increasingly delivered through minimally invasive surgical techniques, namely laparoscopic or robotic. The question therefore arises over what the impact of these new surgical techniques on avoidable variation is. In this study we analyze the extent of unwarranted geographical variation of treatment rates and of the adoption of minimally invasive procedures for benign hysterectomy in an Italian regional healthcare system. We assess the impact of the surgical approach on the provision of benign hysterectomy, in terms of efficiency (by measuring the average length of stay) and efficacy (by measuring the post-operative complications). Geographical variation was observed among regional health districts for treatment rates and waiting times. At a provider level, we found differences for the minimally invasive approach. We found a positive and significant association between rates and the percentage of minimally invasive procedures. Providers that frequently adopt minimally invasive procedures have shorter average length of stay, and when they also perform open hysterectomies, fewer complications.

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Stangler, Susan A. "Competency for Safe Patient Care During Operative and Invasive Procedures." AORN Journal 90, no. 6 (December 2009): 940–41. http://dx.doi.org/10.1016/j.aorn.2009.11.047.

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Wolfe, J. Alan, S. Chris Malaisrie, R. Saeid Farivar, Junaid H. Khan, W. Clark Hargrove, Michael G. Moront, William H. Ryan, et al. "Minimally Invasive Mitral Valve Surgery II Surgical Technique and Postoperative Management." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 11, no. 4 (July 2016): 251–59. http://dx.doi.org/10.1097/imi.0000000000000300.

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Techniques for minimally invasive mitral valve repair and replacement continue to evolve. This expert opinion, the second of a 3-part series, outlines current best practices for nonrobotic, minimally invasive mitral valve procedures, and for postoperative care after minimally invasive mitral valve surgery.

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Mátrai, Zoltán, Gusztáv Gulyás, Csaba Kunos, Ákos Sávolt, Emil Farkas, András Szollár, and Miklós Kásler. "Minimally invasive breast surgery." Orvosi Hetilap 155, no. 5 (February 2014): 162–69. http://dx.doi.org/10.1556/oh.2014.29783.

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Due to the development in medical science and industrial technology, minimally invasive procedures have appeared in the surgery of benign and malignant breast diseases. In general , such interventions result in significantly reduced breast and chest wall scars, shorter hospitalization and less pain, but they require specific, expensive devices, longer surgical time compared to open surgery. Furthermore, indications or oncological safety have not been established yet. It is quite likely, that minimally invasive surgical procedures with high-tech devices – similar to other surgical subspecialties –, will gradually become popular and it may form part of routine breast surgery even. Vacuum-assisted core biopsy with a therapeutic indication is suitable for the removal of benign fibroadenomas leaving behind an almost invisible scar, while endoscopically assisted skin-sparing and nipple-sparing mastectomy, axillary staging and reconstruction with latissimus dorsi muscle flap are all feasible through the same short axillary incision. Endoscopic techniques are also suitable for the diagnostics and treatment of intracapsular complications of implant-based breast reconstructions (intracapsular fluid, implant rupture, capsular contracture) and for the biopsy of intracapsular lesions with uncertain pathology. Perception of the role of radiofrequency ablation of breast tumors requires further hands-on experience, but it is likely that it can serve as a replacement of surgical removal in a portion of primary tumors in the future due to the development in functional imaging and anticancer drugs. With the reduction of the price of ductoscopes routine examination of the ductal branch system, guided microdochectomy and targeted surgical removal of terminal ducto-lobular units or a „sick lobe” as an anatomical unit may become feasible. The paper presents the experience of the authors and provides a literature review, for the first time in Hungarian language on the subject. Orv. Hetil., 2014, 155(5), 162–169.

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Horgan, Santiago, Robert A. Berger, Enrique F. Elli, and N. Joseph Espat. "Robotic-Assisted Minimally Invasive Transhiatal Esophagectomy." American Surgeon 69, no. 7 (July 2003): 624–26. http://dx.doi.org/10.1177/000313480306900716.

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Minimally invasive surgery has been increasing in its adaptability to a wide range of procedures. Initially used in general surgery for cholecystectomy its use has now expanded to include Nissen fundoplications, Heller myotomies, donor nephrectomies, and total esophagectomies. Technological advancements have evolved to include robotic systems for performance of complex surgical procedures. We report on our experience of using robotic-assisted technology to perform a transhiatal total esophagectomy.

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Dai, Jian S. "Surgical robotics and its development and progress." Robotica 28, no. 2 (January 27, 2010): 161. http://dx.doi.org/10.1017/s0263574709990877.

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Surgical robotics is the study and application of advanced robotic technology to diverse surgical procedures, particularly to minimally invasive surgery. The advanced robotic technology in minimally invasive surgery leads to momentous change in and generates a tremendous impact on surgery, resulting in less pain and scarring, reduced blood loss and transfusions, lower risk of complication, shorter hospital stays and faster recovery periods.

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Babić, S., S. Tanasković, V. Sotirović, and Đ. Radak. "Surgical treatment of portal hypertension." Medicinska istrazivanja 47, no. 1 (2013): 33–38. http://dx.doi.org/10.5937/medist1301033b.

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Portal hypertension (PHT) is one of the main causes of morbidity and mortality in patients with severe liver diseases. The most serious complication of PHT is haemorrhage due to rupture of the gastric and esophageal varices and requires primary prophylaxis, acute bleeding management and secondary prophylaxis of re-bleeding. Surgical treatment of PHT developed from invasive total shunt surgery to recent minimal-invasive procedures, but the best therapeutic solution is still a subject of many clinical studies. In this review, we investigated positives and downsides of current surgical solutions for dealing with portal hypertension.

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Stadie, Axel Thomas, Ralf Alfons Kockro, Robert Reisch, Andrei Tropine, Stephan Boor, Peter Stoeter, and Axel Perneczky. "Virtual reality system for planning minimally invasive neurosurgery." Journal of Neurosurgery 108, no. 2 (February 2008): 382–94. http://dx.doi.org/10.3171/jns/2008/108/2/0382.

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Object The authors report on their experience with a 3D virtual reality system for planning minimally invasive neurosurgical procedures. Methods Between October 2002 and April 2006, the authors used the Dextroscope (Volume Interactions, Ltd.) to plan neurosurgical procedures in 106 patients, including 100 with intracranial and 6 with spinal lesions. The planning was performed 1 to 3 days preoperatively, and in 12 cases, 3D prints of the planning procedure were taken into the operating room. A questionnaire was completed by the neurosurgeon after the planning procedure. Results After a short period of acclimatization, the system proved easy to operate and is currently used routinely for preoperative planning of difficult cases at the authors' institution. It was felt that working with a virtual reality multimodal model of the patient significantly improved surgical planning. The pathoanatomy in individual patients could easily be understood in great detail, enabling the authors to determine the surgical trajectory precisely and in the most minimally invasive way. Conclusions The authors found the preoperative 3D model to be in high concordance with intraoperative conditions; the resulting intraoperative “déjà-vu” feeling enhanced surgical confidence. In all procedures planned with the Dextroscope, the chosen surgical strategy proved to be the correct choice. Three-dimensional virtual reality models of a patient allow quick and easy understanding of complex intracranial lesions.

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Kumar, Ajay, and Jiang Ge Ning. "Feasibility of surgical procedures of invasive thymoma invading the neighbouring organs." International Surgery Journal 6, no. 7 (June 29, 2019): 2645. http://dx.doi.org/10.18203/2349-2902.isj20192618.

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Thymomas are the commonest anterior mediastinal compartment neoplasm, which constitutes about 20 and 50% respectively of all mediastinal and anterior compartment tumors occurring in the adult population. The various staging systems of thymomas have been defined on the basis of the degree of invasiveness. According to the WHO classification, there are six histological types of thymic epithelial tumors. The most important prognostic factor is the stage according to Masaoka’s system. The treatment of thymomas involves combinations of surgery, radiation, and chemotherapy. The determination of which combination is chosen is reflected mostly by the stage of the disease. In the case of invasive disease, radiation therapy is often used as adjuvant treatment. Although invasive thymoma commonly infiltrates neighbouring mediastinal structures, its extension into the superior vena cava (SVC) and consequent SVC occlusion are rare. In this kind of cases, the urgent removal of the thymoma and radical resection of the tumour infiltrating the SVC represents the reasonable option.

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Roumm, Adam R., Laura Pizzi, Neil I. Goldfarb, and Herbert Cohn. "Minimally Invasive: Minimally Reimbursed? An Examination of Six Laparoscopic Surgical Procedures." Surgical Innovation 12, no. 3 (September 2005): 261–87. http://dx.doi.org/10.1177/155335060501200313.

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Dobrzhanskiy, O., Y. Kondratskyi, A. Kolesnik, E. Shudrak, R. Fridel, and A. Minich. "Role of minimally invasive surgical procedures in treatment of gastric cancer." European Journal of Surgical Oncology 45, no. 2 (February 2019): e78. http://dx.doi.org/10.1016/j.ejso.2018.10.282.

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Geis, W. P., H. C. Kim, P. C. McAfee, J. G. Kang, and E. J. Brennan, Jr. "Synergistic benefits of combined technologies in complex, minimally invasive surgical procedures." Surgical Endoscopy 10, no. 10 (October 1996): 1025–28. http://dx.doi.org/10.1007/s004649900230.

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Ruhotina, Nedim, Julien Dagenais, Giorgio Gandaglia, Akshay Sood, Firas Abdollah, Steven L. Chang, Jeffrey J. Leow, et al. "The impact of resident involvement in minimally-invasive urologic oncology procedures." Canadian Urological Association Journal 8, no. 9-10 (October 13, 2014): 334. http://dx.doi.org/10.5489/cuaj.2170.

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Introduction: Robotic and laparoscopic surgical training is an integral part of resident education in urology, yet the effect of resident involvement on outcomes of minimally-invasive urologic procedures remains largely unknown. We assess the impact of resident participation on surgical outcomes using a large multi-institutional prospective database.Methods: Relying on the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Participant User Files (2005-2011), we abstracted the 3 most frequently performed minimally-invasive urologic oncology procedures. These included radical prostatectomy, radical nephrectomy and partial nephrectomy. Multivariable logistic regression models were constructed to assess the impact of trainee involvement (PGY 1-2: junior, PGY 3-4: senior, PGY ≥5: chief) versus attending-only on operative time, length-of-stay, 30-day complication, reoperation and readmission rates.Results: A total of 5459 minimally-invasive radical prostatectomies,1740 minimally-invasive radical nephrectomies and 786 minimally-invasive partial nephrectomies were performed during the study period, for which data on resident surgeon involvement was available. In multivariable analyses, resident involvement was not associated with increased odds of overall complications, reoperation, or readmission rates for minimally-invasive prostatectomy, radical and partial nephrectomy. However, operative time was prolonged when residents were involved irrespective of the type of procedure. Length-of-stay was decreased with senior resident involvement in minimally-invasive partial nephrectomies (odds ratio [OR] 0.49, p = 0.04) and prostatectomies (OR 0.68, p = 0.01). The major limitations of this study include its retrospective observational design, inability to adjust for the case complexity and surgeon/hospital characteristics, and the lack of information regarding the minimally-invasive approach utilized (whether robotic or laparoscopic).Conclusions: Resident involvement is associated with increased operative time in minimally-invasive urologic oncology procedures. However, it does not adversely affect the complication, reoperation or readmission rates, as well as length-of-stay.

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