Área de Gastroenterología

Higiene y desinfección hospitalaria

Gestión

Documentos

Id_original

217607

URL original

http://hospitecnia.com/?p=217607

Third-generation nephrectomy by natural orifice transluminal endoscopic surgery

info@anyma.io — Sat, 01 Dec 2007 00:00:00 +0000

Third-generation nephrectomy by natural orifice transluminal endoscopic surgery Sáb, 01/12/2007 - 00:00

J Urol, 2007 Dec;178(6):2648-54Autores:

Lima, E.; Rolanda, C.; Pêgo, J.M.; Henriques-Coelho, T.; Silva, D.; Osório, L.; Moreira, I.; Carvalho, J.L.; Correia-Pinto, J.
Life and Health Sciences Research Institute, School of Health Sciences, University of Minho, Braga, Portugal

Abstract:

PURPOSE: Recently there has been increasing enthusiasm for performing simple abdominal procedures by transgastric surgery. We previously reported the usefulness of a combined transgastric and transvesical approach to cholecystectomy. In this study we assessed the feasibility of combined transgastric and transvesical approach for performing a more complex surgical procedure, such as nephrectomy, in a porcine model.

MATERIALS AND METHODS: In a nonsurvival study combined transgastric and transvesical approaches were established in 6 female pigs. Under ureteroscope guidance we installed a transvesical 5 mm over tube into the peritoneal cavity and a flexible gastroscope was passed orally into the peritoneal cavity by a gastrotomy. We performed right or left nephrectomy with instruments introduced by the 2 devices that worked in the renal hilum, alternating device intervention for dissection and retraction procedures.

RESULTS: Four right and 2 left nephrectomies were performed. There were no complications during the creation of transvesical and transgastric access. In all animals we visualized the 2 kidneys. The renal vessels and ureter were reasonably individualized and ligated separately with ultrasonic scissors, which were introduced through the transvesical port. In 2 early cases mild hemorrhage occurred after ultrasonic ligation. To overcome this complication we applied clips successfully before ultrasonic ligation in the remaining animals. Thus, complete renal release and mobilization to the stomach were achieved in all animals.

CONCLUSIONS: Nephrectomy by natural orifices using the combined transgastric and transvesical approach is technically feasible, although to our knowledge there is no reliable method for removing the specimen with current instruments.Lima, E. ... [et al.]

Idioma

Inglés

Procedencia

The Journal of urology

Categoría

Id_original

218633

URL original

http://hospitecnia.com/?p=218633

fecha bibliografia

01/12/2007

Recomendations relatives à la désinfection des endoscopes

info@anyma.io — Thu, 30 Nov 2006 00:00:00 +0000

Recomendations relatives à la désinfection des endoscopes Jue, 30/11/2006 - 00:00

Páginas: 3 pág.
Referencia del documento: DM-RECO 05/02afssaps

Destacado home

No Destacado

Categoría

Higiene y desinfección hospitalaria

Gestión

Artículos

Id_original

214846

URL original

http://hospitecnia.com/?p=214846

Totally endoscopic robotic-assisted repair of patent ductus arteriosus and vascular ring in children

info@anyma.io — Thu, 01 Dec 2005 00:00:00 +0000

Totally endoscopic robotic-assisted repair of patent ductus arteriosus and vascular ring in children Jue, 01/12/2005 - 00:00

Ann Thorac Surg, 2005 Dec;80(6):2309-13Autores:

Suematsu, Y.; Mora, B.N.; Mihaljevic, T.; del Nido, P.J.
Department of Cardiac Surgery, Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA

Abstract:

BACKGROUND: This study reports on our initial experience with robotically assisted patent ductus arteriosus (PDA) closure and vascular ring division in children.

METHODS: From April 2002 to May 2004, 15 patients underwent PDA closure (n = 9) and vascular ring repair (n = 6) by a totally endoscopic approach, utilizing the Da Vinci robotic system. The mean age of the patients was 8.3 +/- 4.7 years (range, 3 to 18) and the mean weight, 35.5 +/- 19.0 kg (range, 14.1 to 77.0 kg). Three thoracoscopic trocars were used to accommodate the endoscopic camera and two surgical instruments with an additional small incision for lung retraction. After dissection by the surgeon seated at the master console, PDA ligation with clips or division of the atretic arch and ductal ligament was performed.

RESULTS: Total operative times were 170 +/- 46 minutes (PDA) and 167 +/- 48 minutes (vascular ring). One patient with vascular ring was converted to thoracotomy because of dense adhesions due to previous surgery. Precise and easy surgical maneuver was possible with the articulated surgical instruments and three-dimensional visualization in 14 patients. Intraoperative transesophageal echocardiography confirmed no persistent shunt in all PDA patients. No laryngeal nerve injury and hemorrhage were noted. All patients were extubated in the operating room. Median length of postoperative hospital stay was 1.5 days.

CONCLUSIONS: Robotically assisted PDA closure and vascular ring division is a feasible and safe procedure. Future technologic improvement, including smaller instrument size and incorporation of tactile feedback, may permit application of this technique to even younger infants and intracardiac repairs.Suematsu, Y. ... [et al.]

Idioma

Inglés

Procedencia

The Annals of Thoracic Surgery

Categoría

Id_original

217940

URL original

http://hospitecnia.com/?p=217940

fecha bibliografia

01/12/2005

Endoscopic gastrojejunostomy with survival in a porcine model

info@anyma.io — Mon, 01 Aug 2005 00:00:00 +0000

Endoscopic gastrojejunostomy with survival in a porcine model Lun, 01/08/2005 - 00:00

Gastrointest Endosc, 2005 Aug;62(2):287-92Autores:

Kantsevoy, S.V.; Jagannath, S.B.; Niiyama, H.; Chung, S.S.; Cotton, P.B.; Gostout, C.J.; Hawes, R.H.; Pasricha, P.J.; Magee, C.A.; Vaughn, C.A.; Barlow, D.; Shimonaka, H.; Kalloo, A.N.
Division of Gastronenterology, Johns Hopkins Hospital, Baltimore, MD 21205, USA

Abstract:

BACKGROUND: We have previously reported the feasibility and the safety of an endoscopic transgastric approach to the peritoneal cavity in a porcine model. We now report successful performance of endoscopic gastrojejunostomy with survival.

METHODS: All procedures were performed on 50-kg pigs, with the pigs under general anesthesia, in aseptic conditions with sterilized endoscopes and accessories. The stomach was irrigated with antibiotic solution, and a gastric incision was performed with a needle-knife and a sphincterotome. A standard upper endoscope was advanced through a sterile overtube into the peritoneal cavity. A loop of jejunum was identified, was retracted into the stomach, and was secured with sutures while using a prototype endoscopic suturing device. An incision was made into the jejunal loop with a needle-knife, and the filet-opened ends of the jejunal wall were secured to the gastric wall with a second line of sutures, completing the gastrojejunostomy.

OBSERVATIONS: Two pigs survived for 2 weeks. Endoscopy and a radiographic contrast study performed after gastrojejunostomy revealed a patent anastomosis with normal-appearing gastric and jejunal mucosa. Postmortem examination demonstrated a well-healed anastomosis without infection or adhesions.

CONCLUSIONS: The endoscopic transgastric approach to create a gastrojejunostomy is technically feasible and can be performed, with survival, in a porcine model.Kantsevoy, S.V. ... [et al.]

Idioma

Inglés

Procedencia

Gastrointestinal Endoscopy

Categoría

Id_original

218634

URL original

http://hospitecnia.com/?p=218634

fecha bibliografia

01/08/2005

ALBYN MEDICAL

info@anyma.io — Tue, 28 Jun 2005 00:00:00 +0000

ALBYN MEDICAL Mar, 28/06/2005 - 00:00

Empresa especializada en Urodinamia y Mobilidad Gastrointestinal. Diseño, producción y provisión de equipos y fungibles a clientes.Empresa especializada en Urodinamia y Mobilidad Gastrointestinal. Diseño, producción y provisión de equipos y fungibles a clientes.

Tipo

Categoría

Bloque obstétrico - maternidad hospitalaria

Diagnóstico por la imagen

Área de Urología

Proveedores

Id_original

208623

URL original

http://hospitecnia.com/?p=208623

Robotic-assisted thoracoscopic resection of esophageal leiomyoma

info@anyma.io — Thu, 01 Apr 2004 00:00:00 +0000

Robotic-assisted thoracoscopic resection of esophageal leiomyoma Jue, 01/04/2004 - 00:00

Surg Endosc, 2004 Apr;18(4):713-6Autores:

Elli, E.; Espat, N.J.; Berger, R.; Jacobsen, G.; Knoblock, L.; Horgan, S.
Minimally Invasive and Robotic Surgery Center, Department of General Surgery, University of Illinois at Chicago, 840 South Wood Street, MC 958, Chicago, Illinois 60610, USA

Abstract:

Esophageal leiomyoma represents 70-80% of all benign esophageal tumors but only approximately 0.5% of all esophageal neoplasms; optimal surgical treatment consists of local resection. We present the first reported robotic-assisted thoracoscopic resection of two patients with esophageal leiomyoma using the daVinci Surgical System. Operative technique and technical considerations are presented.Elli, E. ... [et al.]

Idioma

Inglés

Procedencia

Surgical Endoscopy

Categoría

Id_original

218484

URL original

http://hospitecnia.com/?p=218484

fecha bibliografia

01/04/2004

Robotic assisted rectopexy

info@anyma.io — Thu, 01 Jan 2004 00:00:00 +0000

Robotic assisted rectopexy Jue, 01/01/2004 - 00:00

Am J Surg, 2004 Jan;187(1):88-92Autores:

Munz, Y.; Moorthy, K.; Kudchadkar, R.; Hernandez, J.D.; Martin, S.; Darzi, A.; Rockall, T.
Department of Surgical Oncology and Technology, Imperial College School of Science, Technology and Medicine, St. Mary's Campus, London, United Kingdom

Abstract:

BACKGROUND: During the last 3 years, robotic surgery has had a considerable impact on minimally invasive surgery in a wide range of specialties. This study describes the surgical technique and preliminary results of our first 6 cases of robotic assisted suture rectopexy.

METHODS: During a period of 13 months 6 patients with full thickness rectal prolapse were operated on with the da Vinci surgical system. All patients were considered suitable for a suture rectopexy. Setting-up time, procedure time, patient recovery, and hospital stay were recorded and compared with the current literature.

RESULTS: All operations were completed successfully using the robotic system. There were no major complications and no deaths. Mean setting-up time was 28 minutes, mean operation time was 127 minutes, and mean hospital stay was 6 days. At 3 to 6 months of follow-up all patients are in good health, with no signs of recurrence and no reports of constipation.

CONCLUSIONS: Robotic assisted suture rectopexy is feasible and safe and apparently meets accepted standards of laparoscopic surgery.Munz, Y. ... [et al.]

Idioma

Inglés

Procedencia

American journal of surgery

Categoría

Id_original

218632

URL original

http://hospitecnia.com/?p=218632

fecha bibliografia

01/01/2004

Guide pour l`utilisation des laveurs-desinfecteurs d`endoscopes

info@anyma.io — Sat, 01 Nov 2003 00:00:00 +0000

Guide pour l`utilisation des laveurs-desinfecteurs d`endoscopes Sáb, 01/11/2003 - 00:00

Ses travaux ont pour objectif de décliner de façon pratique, pour la désinfection des dispositifs médicaux, le cadre de gestion des risques liés à la maladie de Creutzfeldt-Jakob défini dans la circulaire DGS/DHOS n°138 du 14 mars 2001. 1. INTRODUCTION
2. LA DESCRIPTION DS CYCLES
2.1. Pré-traitement
2.2. Test d`étanchéité
2.3. Transport (endoscopie à distance du lieu de tratement)
2.4. Nettoyage
2.5. Rinçages
2.6. Désinfection
2.7. Rinçage terminal
2.8. Purge des canaux / séchage
3. LES FLUIDES ALIMENTANT LA MACHINE
3.1. Les produits d`étergents et désinfectnats
3.2. L’eau
4. LE DISPOSITIF DE PROTECTION CONTRE LES RETOURS D’EAU
5. Le cycle d`auto-désinfection
5.1. Cycle d`auto-désinfection journalier
5.2. Autres cycles d`auto-désinfection
6. LE SYSTÈME DE CONTROLE DE L`IRRIGATION DES CANAUX
7. LA VALIDATION DU LDE
8. LA MAINTENANCE ET LE CONTROLE DE QUALITÉ
9. LES CONTROLES BACTÉRIOLOGIQUES
9.1. Controles de la qualité microbiologique de l`eau
9.2. Controles des endoscopes
10. LA DÉMARCHE QUALITÉ
10.1. La rédaction des procédures et des protocoles (ou mode opératoire)
10.2. LA TRAÇABILITÉ
10.3. La formation des utilisateurs
10.4. L`identification et la qualification du personnel technique ou de maintenance
10.5. Les évaluations internes
10.6. La matériovigilance
11. LISTE DES VÉRIFICATIONS ET CONTROLES DE ROUTINE
12. GLOSSAIRE

Idioma

Francés

Procedencia

Ministere de la Sante. République Française

Destacado home

No Destacado

Categoría

Documentos

Id_original

222634

URL original

http://hospitecnia.com/?p=222634

fecha documento

01/11/2003

Guide_Por_Lutilisation_Des_Laveurs-Desinfecteurs_Dendoscope1579522620.ope385.02 KB

Autor original

Comité de expertos

BIOMED SERVICIOS DE MANTENIMIENTO S.L.

info@anyma.io — Thu, 16 Oct 2003 00:00:00 +0000

BIOMED SERVICIOS DE MANTENIMIENTO S.L. Jue, 16/10/2003 - 00:00

Mantenimiento y reparación de Endoscopios, Fibroscopios o videoendoscopios.Mantenimiento y reparación de Endoscopios, Fibroscopios o videoendoscopios.

Tipo

Categoría