26 research outputs found
Clinical and microbiological effects of a single application of sodium hypochlorite gel during subgingival re-instrumentation: a triple-blind randomized placebo-controlled clinical trial.
No full textMini-laparoscopic cholecystectomy with the MiniLap® percutaneous surgical system: a series of 32 patients
No full textKonstantinos Sapalidis,1 Christoforos Kosmidis,1 Nikos Michalopoulos,1 Stylianni Laskou,1 Efstathios Pavlidis,1 Stelios Mantalovas,1 Dimitrios Giannakidis,1 Aikaterini Amaniti,1 Charilaos Koulouris,1 Athanasios Katsaounis,1 Alexandru C Munteanu,1 Valeriou Surlin,1 Paul Zarogoulidis,2 Isaak Kesisoglou1 1Third Department of Surgery, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece; 2Pulmonary-Oncology Department, “Theageneio” Cancer Hospital, Thessaloniki, Greece Background: In recent years, mini-laparoscopic procedures are gaining the preference of most surgeons due to their potentially better surgical outcomes. The Mini Lap Percutaneous Surgical System with MiniGrip® Handle is currently the less invasive instrument and can be applied to a wide range of operations. The current paper presents its application on percutaneous laparoscopic cholecystectomy. Materials and methods: From January 2017 to June 2017, 32 patients underwent percutaneous laparoscopic cholecystectomy with the MiniLap® system. All operations were performed by the same surgical team. Results: No conversions and no overall complications were reported. Drainage were not necessary. Mean surgical time was 35 minutes, while patients were released in <24 hours after the operation. Conclusion: The MiniLap system with the use of the mini grip handle seems to sustain the benefits of performing laparoscopically. However, further trials should be conducted so as to establish its safety on cholecystectomies. Keywords: cholecystectomy, minimally invasive surgery, MiniGrip handle, percutaneous cholecystectomy, mini-laparoscop
Design of a predictive score to assess the risk of developing hypocalcemia after total thyroidectomy. A retrospective study
No full textAnastasios Papanastasiou,1 Konstantinos Sapalidis,1 Stylianos Mantalobas,1 Stefanos Atmatzidis,1 Nikolaos Michalopoulos,1 Valeriu Surlin,1 Athanasios Katsaounis,1 Aikaterini Amaniti,1 Paul Zarogoulidis,1 Ioannis Passos,1 Charilaos Koulouris,1 Efstathios Pavlidis,1 Dimitrios Giannakidis,1 Stelian Mogoanta,2 Christoforos Kosmidis,1 Isaak Kesisoglou113rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece; 2Department of Surgery, Faculty of Dentistry, University of Medicine and Pharmacy of Craiova, Craiova, RomaniaBackground: Temporary hypocalcemia is the most common complication in patients after total thyroidectomy. To date, according to the literature, various predictors of the above complication have been proposed, but none of them seems to be effective enough.Objectives: The aim of this study was to develop a reliable predictive tool for biochemical hypocalcemia in the first 48 hrs after total thyroidectomy without central dissection by analyzing several parameters relevant to this operation and to suggest a new score.Methods: A retrospective study was performed on patients who had undergone total thyroidectomy without central neck dissection from October 2017 until January 2018. Data were collected from 36 patients and studied if there was a statistically significant relationship between the risk of hypocalcemia and 10 preselected prognostic factors.Results: The prognostic score was formed, which included the 6 factors that showed a statistically significant relationship. Moreover, an extensive check of the predictive value of the above score was performed. It was found, therefore, that at a value of 3 and above the sensitivity was 100%, the specificity 79.16%, the positive prognostic value (PPV) 70.58% and the negative predictive value (NPV) 100%.Conclusions: High sensitivity of CaReBe’S TiP score makes it feasible to predict patients with postoperative hypocalcemia. High NPV would allow surgeons to exclude patients with a score less than 3 from supplementary calcium medication and achieve a shorter hospitalization for them.Keywords: design, thyroidectomy, hypocalcemia, prognostic factor
The use of prosthesis in inguinal hernia repair
No full textAims: To evaluate the use of mesh in the evolution of hernia repair technique during a period of twelve years.
Patients--methods: From january 1991, to december 2002, 1306 patients 1136 men, 190 women, with inguinal hernia, with a mean age of 47.4 years old (15-98) have had an elective surgical repair. 1097 (83.9 per cent) were unilateral. 209 (16.1 per cent) were recurrent hernia. Clinical data, operative technique have been prospectively evaluated: Four techniques were used: Shouldice procedure, Stoppa operation and laparoscopic repair (TEP) in 1992 and Lichtenstein technique since 1993.
Results: During the study, meshes were used in 65.7 per cent of the patients respectively 33.3 per cent for Lichtenstein, 26.9 per cent for laparoscopic repair and only 5.3 per cent for Stoppa open procedure. During the study, prosthesis rate increased from 9.1 to 85.4 per cent for primary hernia and from 10 to 100 per cent for recurrent hernias. To day, Stoppa procedure is not yet performed. Herniorraphies decrease from 91.9 to 14.6 per cent.
Conclusions: "Tension free" techniques represent 85.4 per cent of all procedures at the end of the study, specially Lichtenstein operation (65 per cent) which seems to become the new "Gold Standart" in inguinal hernia repair
PANCREATIC CANCER ANGIOGENESIS ASSESSMENT BY CONFOCAL LASER ENDOMICROSCOPY AND ANTI-CD105 ANTIBODY IN PANCREATIC CANCER – A PILOT STUDY
No full textQuestioning modern time with Hannah Arendt and Walter Benjamin
No full textFour texts from Arendt and Benjamin are the scene of our thinking. We enact the question of time as a refusal to abide by the modern conception of time, where the present is the only ground of the real. We argue for a notion of time, in which all that-has-been is considered a site of real experience.
Firstly we discuss Arendt's book On Revolution. Through issues such as history, the eventful and revolt we show the usefulness of the question of time to further our understanding. Secondly in Arendt's 'What is Freedom', freedom is discussed beyond the private individual, as a matter of plurality, of living together. The question of time shows freedom grounded beyond the individual's present, in the historical time of plurality.
With Benjamin's essay 'On some motifs in Baudelaire' we show poetry as a challenge to the symbolic environment of the commodity world. Poetry appears as a keeper of our relation to the time of memory and language that precedes us. In Benjamin's 'The Work of Art in the Age of Its Technological Reproducibility', we distinguish art from technology through the question of time. Art's experience
involves an active relation with what-has-been, with past generations; it challenges the technological way of relating to the world that destroys the depth of human expenence.
Finally, Arendt and Benjamin are presented together, stressing their use of history and tradition to address the problems of modernity. Their effort to think the eventful is related to their negation of historical progression. From the question of time, their thinking teaches us a form of critique that denies the preconception of presence as being the totality of the real. Under their gaze presence is revealed as a changing surface under the sway of history, of time
Fiction and film : the influence of cinema on writers from Trinidad and Jamaica 1950-1985
No full textThis thesis considers the relationship between film and novels that were published by writers from Trinidad and Jamaica between the years 1950 - 1985. Through close textual analysis and by utilising a combination of cinematic and literary theories, the thesis examines the extent to which filmic references have been absorbed into
fictional writing and reflects upon the implications for such cultural transformations. The thesis also provides a detailed, historical background to the development of cinema in both islands, with a further analysis of the specific role played by the Hindi film in Trinidad. The interdisciplinary nature of the literary analysis and the detailed historical data contained herein should be considered an original contribution to knowledge within the field of Caribbean studies
