We strongly advocate similar audits in other health-care areas and systems. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.”
“Background and Purpose: Because of the increased use of robot-assisted laparoscopic prostatectomy (RALP) for the management of localized prostate cancer, surgeons in training face the issues of developing skills in both open surgery and the robotic console. This study compares prospectively the safety and efficacy of
the first 50 open radical retropubic prostatectomy (RRP) procedures and the first 50 RALP procedures, performed by the same surgeon in the same institution.
Patients and Methods: The patients’ baseline demographic, clinical, and oncologic parameters were prospectively Ricolinostat recorded. The study end points included oncologic outcome, functional outcomes check details (at 3 months), and perioperative parameters. Complications were classified according to the modified Clavien system.
Results: No statistically significant differences were noted between the two groups in terms of preoperative patient characteristics and oncologic parameters. The operative time and mean estimated blood loss were lower in the RALP group (P < 0.001), but no statistically significant difference was noted in regard to transfusion rates (P = 0.362). Mean hospital
stay was lower in the RALP group (P < 0.001). The minor (Clavien I + II) and major (Clavien III + IV) complication rates were comparable between the two groups. The overall positive margin (PSM) rates were 20% and 18% for RRP and RALP, respectively (P = 0.799), while for pT(3) disease, the PSM rates were 26.1% and 22.2%% for RRP and RALP, respectively (P = 0.53). The 3-month continence rates were 88% and 90% for RRP and RALP, respectively (P = 0.749). For preoperatively potent patients,
3-month potency rates were comparable between the two groups (60.6% and 62.1% in the RRP and the RALP group, respectively, P = 0.893).
Conclusion: The early learning curve for RALP appears safe and results in equivalent functional and oncologic outcome, when compared with the results of open surgery.”
“Background: Some techniques of transvaginal ovarian drilling have been previously described. Nevertheless a monopolar transvaginal Navitoclax ovarian cauterization, that use the expertise and safety of transvaginal puncture for oocyte captation seems to be an easier and feasible approach. The aim of this study was to develop a minimally invasive ovarian cauterization technique under transvaginal ultrasound control, and to evaluate the safety of the transvaginal ovarian monopolar cauterization, female sheep at reproductive age were used as an experimental model.
Findings: An experimental study was performed in a university research center. Seventeen female sheep (15 Corriedale e 2 Suffolk) in reproductive age were submitted to transvaginal ovarian cauterization with a monopolar Valleylab Force 2 electrocautery.