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Wx urinary leakage
This document discusses identifying urinary leakage after surgery and questions around routinely doing cystograms, catheter duration, and use of prophylactic antibiotics for leaks. It notes leakage can be identified early in surgery, continue intermittently in drain output, or be late after catheter removal and raises questions on optimal practices to manage these complications.
Base of prostate and lateral dissection +
The document discusses a surgical technique for prostate cancer called "Base of prostate and lateral dissection" where the base of the prostate and seminal vesicles are dissected while attempting to spare the neurovascular bundles. It provides details on 141 recent cases, noting that 41% of cases involved locally advanced T3 disease and of those T3 cases, 43% had positive margins after surgery.
Draping patient
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise stimulates the production of endorphins in the brain which elevate mood and reduce stress levels.
Rrp a decade of evolution
1) Robotic radical prostatectomy has evolved over the past decade to improve patient outcomes and achieve the "trifecta" of curing cancer, early continence, and preserved erectile function.
2) Precise surgical anatomy is crucial but not fully understood; identifying fascial planes and neurovascular structures is key to nerve-sparing techniques that preserve erectile function.
3) Interfascial and nerve-sparing robotic techniques have improved based on increased anatomical knowledge, allowing closer dissection and better outcomes.
Apical dissection athens 2011
The document discusses techniques for robot-assisted radical prostatectomy that may lead to better patient outcomes. It describes preserving key anatomical structures like the puboprostatic ligaments and selectively ligating the dorsal vein complex to achieve earlier continence. Dissecting along the apical surface helps preserve sphincteric muscle fibers. One study found 80% continence at catheter removal and 73% potency after 3 months using these techniques. Careful apical dissection while preserving important anatomy may improve continence and potency outcomes after prostatectomy.
Recommended
Wx urinary leakage
This document discusses identifying urinary leakage after surgery and questions around routinely doing cystograms, catheter duration, and use of prophylactic antibiotics for leaks. It notes leakage can be identified early in surgery, continue intermittently in drain output, or be late after catheter removal and raises questions on optimal practices to manage these complications.
Base of prostate and lateral dissection +
The document discusses a surgical technique for prostate cancer called "Base of prostate and lateral dissection" where the base of the prostate and seminal vesicles are dissected while attempting to spare the neurovascular bundles. It provides details on 141 recent cases, noting that 41% of cases involved locally advanced T3 disease and of those T3 cases, 43% had positive margins after surgery.
Draping patient
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise stimulates the production of endorphins in the brain which elevate mood and reduce stress levels.
Rrp a decade of evolution
1) Robotic radical prostatectomy has evolved over the past decade to improve patient outcomes and achieve the "trifecta" of curing cancer, early continence, and preserved erectile function.
2) Precise surgical anatomy is crucial but not fully understood; identifying fascial planes and neurovascular structures is key to nerve-sparing techniques that preserve erectile function.
3) Interfascial and nerve-sparing robotic techniques have improved based on increased anatomical knowledge, allowing closer dissection and better outcomes.
Apical dissection athens 2011
The document discusses techniques for robot-assisted radical prostatectomy that may lead to better patient outcomes. It describes preserving key anatomical structures like the puboprostatic ligaments and selectively ligating the dorsal vein complex to achieve earlier continence. Dissecting along the apical surface helps preserve sphincteric muscle fibers. One study found 80% continence at catheter removal and 73% potency after 3 months using these techniques. Careful apical dissection while preserving important anatomy may improve continence and potency outcomes after prostatectomy.
Specimen removal
This document provides instructions for specimen removal and wound closure after a procedure. It involves removing the specimen through the sheath using 0/0 Vicryl or 0/0 Nylon sutures with a J needle. The skin is then closed using clips or subcuticular sutures.
Post operative care athens 2011
Post-operative care following robotic-assisted laparoscopic prostatectomy (RALP) involves removing pelvic drainage on day 1 if the urethra-vesical anastomosis is watertight and no pelvic lymph node dissection was performed. The catheter is left in place and the patient is mobilized. On day 2, patients can potentially be discharged if they choose. On day 6, a retrograde cystography is performed and if there is no leakage, the catheter is removed. Patients are discharged on day 7. Follow-ups at 1 month and 3 months assess PSA, urinary continence, and erectile dysfunction, considering further examinations or treatments if issues are present.
Post operative care
The document outlines a post-operative care plan, including pre-op pelvic floor exercises, drain and catheter care, analgesia medications for immediate post-op and discharge, and follow-up instructions for clip and catheter removal within 10-14 days of surgery.
Shadow - INTELLIGENT JAMMING
Amesys supplies world class expertise in EW and INTEL systems for military and government agencies, backed by
recognised engineering know-how and a proven ability to innovate.
Amesys is setting new standards by introducing its intelligent jamming solutions ShaDow.
This unique product range shifts protection and communication jamming efficiency to a level never reached before.
Amesys is addressing with these systems highly demanding markets such as military, law enforcement and VIP protection.
Complications – bowel perforation
Bowel perforation is a potential complication during surgery. There are different types of bowel injuries that can occur including those from surgical ports, traction, the rectum, or thermal damage. If a perforation occurs, it must be carefully closed in layers, a covering stoma may be considered, antibiotics administered, and the patient closely observed.
Plnd athens 2011
Robotic-assisted extended pelvic lymphadenectomy (ePLND) during radical prostatectomy can achieve a comparable nodal yield to open surgery. A study of 99 patients who underwent robotic-assisted ePLND found a median nodal yield of 19 nodes removed, ranging from 8 to 53 nodes. Other studies on ePLND for bladder cancer also found comparable nodal yields between robotic and open surgery. Performing an ePLND is currently indicated at the O.L.V. Robotic Surgery Institute for prostate cancer patients with a biopsy Gleason score of 4+3 or higher, or 3+4 with a PSA over 10 ng/mL or more than 50% positive cores.
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Specimen removal
This document provides instructions for specimen removal and wound closure after a procedure. It involves removing the specimen through the sheath using 0/0 Vicryl or 0/0 Nylon sutures with a J needle. The skin is then closed using clips or subcuticular sutures.
Post operative care athens 2011
Post-operative care following robotic-assisted laparoscopic prostatectomy (RALP) involves removing pelvic drainage on day 1 if the urethra-vesical anastomosis is watertight and no pelvic lymph node dissection was performed. The catheter is left in place and the patient is mobilized. On day 2, patients can potentially be discharged if they choose. On day 6, a retrograde cystography is performed and if there is no leakage, the catheter is removed. Patients are discharged on day 7. Follow-ups at 1 month and 3 months assess PSA, urinary continence, and erectile dysfunction, considering further examinations or treatments if issues are present.
Post operative care
The document outlines a post-operative care plan, including pre-op pelvic floor exercises, drain and catheter care, analgesia medications for immediate post-op and discharge, and follow-up instructions for clip and catheter removal within 10-14 days of surgery.
Shadow - INTELLIGENT JAMMING
Amesys supplies world class expertise in EW and INTEL systems for military and government agencies, backed by
recognised engineering know-how and a proven ability to innovate.
Amesys is setting new standards by introducing its intelligent jamming solutions ShaDow.
This unique product range shifts protection and communication jamming efficiency to a level never reached before.
Amesys is addressing with these systems highly demanding markets such as military, law enforcement and VIP protection.
Complications – bowel perforation
Bowel perforation is a potential complication during surgery. There are different types of bowel injuries that can occur including those from surgical ports, traction, the rectum, or thermal damage. If a perforation occurs, it must be carefully closed in layers, a covering stoma may be considered, antibiotics administered, and the patient closely observed.
Plnd athens 2011
Robotic-assisted extended pelvic lymphadenectomy (ePLND) during radical prostatectomy can achieve a comparable nodal yield to open surgery. A study of 99 patients who underwent robotic-assisted ePLND found a median nodal yield of 19 nodes removed, ranging from 8 to 53 nodes. Other studies on ePLND for bladder cancer also found comparable nodal yields between robotic and open surgery. Performing an ePLND is currently indicated at the O.L.V. Robotic Surgery Institute for prostate cancer patients with a biopsy Gleason score of 4+3 or higher, or 3+4 with a PSA over 10 ng/mL or more than 50% positive cores.