Articles: surgery.
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A subset of patients who undergo video-assisted thoracoscopic sympathectomy for hyperhydrosis develop post-procedure compensatory sweating that is perceived as more debilitating than their initial complaints. We propose a novel treatment to reverse sympathectomy by implantation of an intercostal nerve graft using the da Vinci robot. ⋯ Robotic intercostal nerve grafting for reversal of thoracic sympathectomy is technically feasible. The robotic device allows the principles of neural microsurgery to be maintained and provides a minimally invasive option for reconstruction of the sympathetic chain.
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Ann Chir Plast Esthet · Aug 2008
Review[Substantiated scientific facts, current scientific facts. What are the consequences in esthetic surgery?].
"Substantiated scientific facts" is reported in 1936 Mercier decree. This expression is often confused with current scientific facts. But, for jurists, they have different senses with consequences in aesthetic surgery, particularly when using new procedures or when new indications are founded for substantiated techniques. Fat autograft in breast aesthetic surgery is a current event example.
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Controlled Clinical Trial
Real-time endobronchial ultrasound-guided transbronchial needle aspiration in mediastinal staging of non-small cell lung cancer: how many aspirations per target lymph node station?
The goal of this study was to determine the optimal number of aspirations per lymph node (LN) station during endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) for maximum diagnostic yield in mediastinal staging of non-small cell lung cancer (NSCLC) in the absence of rapid on-site cytopathologic examination. ⋯ Optimal results can be obtained in three aspirations per LN station in EBUS-TBNA for mediastinal staging of potentially operable NSCLC. When at least one tissue core specimen is obtained by the first or second aspiration, two aspirations per LN station can be acceptable.
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It is the aim of this study to demonstrate which disorders of the hip joint can and should be treated by hip arthroscopy. ⋯ The published studies attain a level of evidence IV. Although no data on the long-term outcome are available, it can be concluded that hip arthroscopy has become an important option for treatment of disorders of the hip. As an established component of the treatment algorithm, hip arthroscopy closes the gap between conservative and invasive procedures.