1,720,962 research outputs found
PROSTATECTOMIA RADICALE RETROPUBICA CON RISPARMIO DEL COLLO VESCICALE E DEI LEGAMENTI-PUBO PROSTATICI:QUALE OUTCOME.
La prostatectomia radicale è una procedura chirurgica caratterizzata da un rapporto rischi/benefici favorevole in quanto consente la preservazione della continenza urinaria con un’incidenza di positività dei margini chirurgici molto contenuti. Per raggiungere questo traguardo sono necessari uno staging preoperatorio e una tecnica chirurgica estremamente accurati
Liposarcoma mixoide del funicolo spermatico
The myxoid liposarcoma, a rare form of spermatic cord liposarcoma, is a neoplasia of adult men which arise from adipose tissue, with a slow and subdolous growth, showing good prognosis and low incidence of local or distant recurrence. The case came at our attention is the sixteenth described in literature. Orchifunicolectomy is the gold standard therapy, although in some cases in which this kind of surgery is not radical adjuvant inguinal or retroperithoneal and pelvic nodes radiotheraphy should be taken in consideratio
BLADDER NECK SPARING RADICAL RETROPUBIC PROSTATECTOMY:RESULT ON CONTINENCE AND POSITIVE SURGICAL MARGINS
UTILIZZO DEL "CAPIO RP" NEL CONFEZIONAMENTO DELL'ANASTOMOSI VESCICO-URETRALE DOPO PROSTATECTOMIA RADICALE RETRO-PUBICA
L'anastomosi vescico-uretrale dopo prostatectomia radicale ? un tempo chirurgico di facile esecuzione che a volte pu ̃ risultare estremamente indaginoso nei pazienti con bacino stretto o in presenza di un moncone uretrale troppo corto. Il Capio TM RP p un dispositivo per sutura, che consente di eseguire una perfetta anastomosi in quanto i punti vengono passati facilmente all'interno dell'uretra esattamente nella sede e nel numero che il chirurgo decide, in accordo con la propria esperienza. La stenosi dell'anastomosi p l'incontinenza urinaria sono complicanze che possono avere un impatto negativo sulla qualitˆ di vita del paziente. Scopo dello studio ? stato quello di valutare la continenza e l'incidenza delle stenosi in pazienti sottoposti a prostatectomia radicale retropubica (RRP) ed a successiva anastomosi mediante utilizzo del Capio TM RP
Fattori di rischio nella stenosi dell'anastomosi vescicouretrale dopo prostatectomia radicale.
9. The accuracy of tissue resonance interaction method prob (Trimprob TM) in non-invasive diagnosis of prostatic cancer.Analysis of the result of 782 patients
The aim of our study was to evaluate the real utility of the TRIMprob test before TRUS-guided biopsy approach, putting in relation the number of positive tests of the TRIMprob with the number of positive prostate biopsies that were performed successfully. Sensitivity, Specificity, PPV (Positive predicted value), NPV (Negative predicted value) of the TRIMprob test were analyzed with statistical software package for Social Sciences (SPSS Inc, Chicago, Illinois USA
Advantages on urinary continence using the capio rp suturing device for vesico-urethral anastomosis after radical retropubic prostatectomy
Synopsis of Video Showing the use of the Caprio RP Suturing device for vesico-urethral anastomosis on patients who have had radical retropubic prostatectomy. Hypothesis / aims of study A well performed vesico-urethral anastomosis should provide watertight closure, with appropriate mucosal to mucosal coaptation, and a proper tension free urethral realignment, in order to avoid complications, and improve functional results on early continence rate. Aim of the study is to evaluate the urinary continence rate in patients undergone radical retropubic prostatectomy and Capio RP assisted vesico-urethral anastomosis. Study design, materials and methods 150 patients age ranged from 51 to 73 suffering from localized prostate cancer, underwent radical retropubic prostatectomy, and vesico-urethral anastomosis using the Capio RP suturing device. After the prostate gland and seminal vesicles had been removed, bladder neck was tailored, and the mucosal everted ,to obtain a caliber compatible with urethral size, for a better and safe Capio Rp assisted anastomosis by means of six stitches. The 20F. Foley catheter was removed on postoperative day 7,during cystography, which showed a perfec anastomosis in all cases, with a small leakage in 4 patients. Urinary continence was evaluated on the basis of the daily count of pads used , as reported by the patients. Results 130 patients (86,6%) showed an immediate complete urinary continence, when the catheter has been removed. 18 patients(12%) had a mild urinary dribbling (2 to 3 pads/day), which disappeared within 4 to 6 weeks from surgery.1 patient is completely incontinent,1 patient has a stress incontinence. Interpretation of results Complete urinary continence after radical prostatectomy depends mostly on a well –healed vesico-urethral anastomosis. The results obtained with our surgical technique on continence rate are very encouraging when compared with those reported in Literature (from 6% to 20%). Concluding message In our experience, the use of Capio RP made every vesico-urethral anastomosis extremely easy and safe, allowing the needle to rotate perfectly deep inside the urethral stump,so that the suture can pass through the mucosal, the smooth fibers of the urethra, and the peri- urethral muscular aponeurotic fibers ,thus preserving in most cases an immediate and complete urinary continence. Specify source of funding or grant NONE Is this a clinical trial? No What were the subjects in the study? HUMAN Was this study approved by an ethics committee? No This study did not require eithics committee approval because IT'S A
Anastomosi vescico-uretrale Capio RP assisted dopo prostatectomia radicale.
Vescico-urethral anastomosis following radical retrobupic prostatectomy (RRP) can sometime be extremely difficul due to a short uretheral end or to a narrow and deep pelvis, so that the suture stitches can be wrongly positioned , without passing through the uretheral wall, or the wrong position, and this can produce the onset of a urinary fistula, and sudsequently, stenosis of the anastomotic tract. The CAPIO tm RP suture device allows a perfect vesico-uretheral anastomosis end the suture stitches can be easilu positioned insidethe uretheral wall, and exactly where the surgenon decides to put them according to personal experience. Twenty-six patients age ranged fron 52 to 67 yrs, suffering from localized prostaic cancer, under nerce sparing RRP and subsequent CAPIO tm RP assisted vesico -uretheral anastomosis. In all patients, the catheter was removed 6 days after surgery: 22 patiens (84;6%) showed immediate urinary continence; and for patients (15,4%) had mild stress urinary incontinence , with disappeared after 2 weeks. Medium Qmax during follow-up from 1-8 mounth was 20 mL/sec. The CAPIO tm RP suture deviceis, in our experience, a valid tool in the hands of the urologist that makes any vesico-uretheral anastomosis extremely easy and safe, reducing the risk of complications
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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