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Full-thickness Resection

Brian C Deutsch, Zachary G Schwam, Vivian Z Kaul, George B Wanna
Herein we present the rare case of angiolymphoid hyperplasia with eosinophilia of the external ear treated by surgical resection and full-thickness skin graft. Current diagnosis and management options are reviewed.
March 12, 2019: American Journal of Otolaryngology
Attapon Junlapan, Sara Abu-Ghanem, C Kwang Sung, Edward J Damrose
PURPOSE: Transoral resection of Zenker's diverticulum (TORD) was first reported in 2010. We present results for our modified approach to transoral resection (MTORD)-full-thickness cricopharyngeal myectomy, diverticulum sac excision, and suture closure of the pharyngotomy-and evaluate its safety and efficacy compared to endoscopic stapling and open approaches. METHODS: A retrospective study was performed in patients who underwent transoral resection of Zenker's diverticulum using MTORD, endoscopic stapler-assisted diverticulotomy (ESD), or trancervical diverticulectomy (TCD) from July 2009 to August 2017...
March 15, 2019: European Archives of Oto-rhino-laryngology
Bilgen Fatma, Ural Alper, Bekerecioglu Mehmet
Vascular anomalies are a group of lesions originating from blood vessels and lymphatics with varying histology and clinical behavior. They form the most common congenital anomalies in infants and children. The reconstructive method for the facial region defects varies depending on the size and position of the defect, as well as the patient's age, health status and aesthetic concerns. In this case, the authors present a male patient who underwent a wide resection of his mustache area because of vascular malformation and reconstructed with hair-bearing temporal artery island flap...
March 6, 2019: Journal of Craniofacial Surgery
Nathalie A Reisbig, Erin Pinnell, Logan Scheuerman, Hayam Hussein, Alicia L Bertone
Osteoarthritis (OA) is a progressive disease associated with cartilage injury and its inherently limited repair capability. Synovium-based cellular constructs (sConstructs) are proposed as possible treatments. Equine sConstructs were produced from decellularized synovium-based extracellular matrix scaffolds (sECM) seeded with synovium-derived mesenchymal stem cells (sMSC), and engineered to express green fluorescent protein (GFP), or bone morphogenetic protein-2 (BMP-2). Survival, distribution, and chondrogenic potential of the sConstructs in vitro and in vivo were assessed...
2019: PloS One
Antonio Carlos Abramo, Thiago Walmsley Lucena, Romulo Grechi Sgarbi, Marcio Scartozzoni
BACKGROUND: Mastopexy autoaugmentation by using an extended vertical flap and two transverse triangular flaps of mammary parenchyma was performed through an adjustable vertical ice cream cone-shaped approach. METHOD: A vertical rectangular flap with the length of the inferior pole and thickness of the mammary parenchyma was supported at the inframammary fold. Dissection of the vertical flap was extended underneath the areola until the projection of its upper limit, adding 4-5 cm to the length of the vertical flap...
March 6, 2019: Aesthetic Plastic Surgery
Stefania Ghersi, Marco Bassi, Stefano Landi, Cecilia Binda, Emanuele Dabizzi, Vincenzo Cennamo
No abstract text is available yet for this article.
March 5, 2019: Endoscopy
Lucas Harrison, Michelle Sieffert, Sangati Kadakia, Sameep Kadakia, Ron Michael Johnson, Yadranko Ducic
The nose is a complex structure important for aesthetic appearance, social interaction, and respiration. Full thickness nasal defects with resection of the septum pose a significant challenge to the reconstructive surgeon due to the lack of local tissues to replace the nasal lining and significant risk of nasal collapse owing to the paucity of rigid infrastructure. The purpose of this paper is to present a unique case of nasal reconstruction utilizing a bilaminar paramedian forehead flap (combined pericranial flap and forehead flap) with embedded cantilever rib graft in a patient who underwent resection for an intranasal malignancy involving the septum and soft tissue envelope...
February 19, 2019: American Journal of Otolaryngology
Ammar B Nassri, Ahmad Alkhasawneh, James S Scolapio, Miguel H Malespin, Bruno de Souza Ribeiro
BACKGROUND: Over-the-scope clip-assisted endoscopic full thickness resection (eFTR) of subepithelial tumors is a novel and promising endoscopic technique. Recently, there have been prospective studies investigating its use for colonic masses, but data regarding its use and efficacy in the duodenum are limited to a few reports. CASE SUMMARY: A 65-year-old African American female presents for evaluation of persistent gastroesophageal reflux disease not responsive to medical treatment...
February 16, 2019: World Journal of Gastrointestinal Endoscopy
Susanne M Hürtgen, Georg Schmitz, Karsten Junge, Elisabeth Breuer, Jens J W Tischendorf
The endoscopic full-thickness resection (EFTR) is established in ablation of recurrent colorectal adenomas, which cannot be removed by endoscopic resection in cases of fibrosis. The EFTR can be applied with low risk, in one step, with the use of special devices, such as the full-thickness resection device (FTRD® ). The main risks described in literature are bleeding and perforations. The mentioned perforations were explained by previous defects of the device system or patient-related predisposed parameters for perforation...
February 2019: Zeitschrift Für Gastroenterologie
Miguel Fraile López, Rodrigo Ugalde Herrá, Fernando Fernández Cadenas
Endoscopic full-thickness resection (EFTR) is a new technique for the resection of colonic lesions with limitations for other techniques such as endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) due to fibrosis, the location of the lesion or invasion depth. In addition, techniques such as ESD require a long learning curve and unfortunately they are not fully implemented in Western countries. EFTR has numerous indications, which are expanding daily. The Full-Thickness Resection Device (FTRD) is a promising tool, although it has many limitations and is associated with some risks...
February 11, 2019: Revista Española de Enfermedades Digestivas
Toshikatsu Nitta, Jun Kataoka, Masato Ohta, Yuko Takashima, Kensuke Fujii, Masatsugu Ishii, Yoshihiro Inoue, Atsushi Takeshita, Takashi Ishibashi
Owing to the advantages of a laparoscopic approach, laparoscopic cholecystectomy (LC) is thought to be the treatment of choice in gallbladder disease, even in cases of suspected malignancy. However, it is difficult to differentiate between cholecystitis and gallbladder carcinoma (GBC). We performed radical hepatectomy in patients with pT2 GBC diagnosed by full-thickness frozen biopsy. A 75-year-old Japanese man presented to our hospital with discomfort in the right upper quadrant of the abdomen. This patient was diagnosed with suspected GBC and was scheduled to undergo LC and intraoperative histological examination...
September 2018: Case Reports in Gastroenterology
Franz Ludwig Dumoulin, Ralf Hildenbrand
Endoscopic polypectomy and endoscopic mucosal resection (EMR) are the established treatment standards for colorectal polyps. Current research aims at the reduction of both complication and recurrence rates as well as on shortening procedure times. Cold snare resection is the emerging standard for the treatment of smaller (< 5mm) polyps and is possibly also suitable for the removal of non-cancerous polyps up to 9 mm. The method avoids thermal damage, has reduced procedure times and probably also a lower risk for delayed bleeding...
January 21, 2019: World Journal of Gastroenterology: WJG
Hiroyuki Iwanaga, Takashi Nuri, Masashi Okada, Koichi Ueda
This report presents reconstruction of wide- and full-thickness upper eyelid defects with a composite radial forearm-splitting palmaris longus tendon flap, which maintains eyelid opening and closing functions and supporting tissue in a Meibomian gland carcinoma in the right upper eyelid (case 1) and Merkel cell carcinoma in the right upper eyelid (case 2). After tumor resection with excisional margins, the defects involved the muscle, tarsal, and mucosa, with defect sizes of 60 × 40 mm and 85 × 40 mm, respectively...
January 21, 2019: Microsurgery
Sumin Zhu, Jie Lin, Shu Huang
BACKGROUND: Esophageal leiomyomas, the most common benign primary tumors of the esophagus, are esophageal subepithelial lesions treated by surgery traditionally. In recent years, endoscopic submucosal dissection and related endoscopic treatment techniques are adopted by endoscopists to resect gastrointestinal submucosal tumors. But if a giant esophageal leiomyoma approaches the esophagus entrance and originates from the deep layer of muscularis propria, it will be difficult for both endoscopic resection and surgical treatment...
January 21, 2019: Journal of Cardiothoracic Surgery
Armin Kuellmer, Julius Mueller, Karel Caca, Patrick Aepli, Dani Dakkak, Brigitte Schumacher, Anne Glitsch, Claus Schäfer, Ingo Wallstabe, Christopher Hofmann, Andreas Erhardt, Benjamin Meier, Dominik Bettinger, Robert Thimme, Arthur Schmidt
BACKGROUND & AIMS: Current international guidelines recommend endoscopic resection for T1 colorectal cancer (CRC) with histological low-risk features and oncologic resection for those at high-risk of lymphatic metastasis. Exact risk stratification is therefore crucial to avoid under- as well as over-treatment. Endoscopic full-thickness resection (EFTR) has shown to be effective for treatment of nonlifting benign lesions. In this multicenter, retrospective study we aimed to evaluate efficacy, safety and clinical value of EFTR for early colorectal cancer...
January 14, 2019: Gastrointestinal Endoscopy
Hidekazu Kitakata, Tohru Itoh, Shinichi Kinami, Ken Kawaura, Kazu Hamada, Sadafumi Azukisawa, Rika Kobayashi, Junji Kamai, Takeo Kosaka
Background and study aims  Endoscopic full-thickness resection (EFTR) is a useful procedure that allows minimal resection of the gastric wall because the tumor can be located endoscopically. However, the procedure carries a risk of peritoneal infection or dissemination. Thus, we devised a new EFTR technique in which the serosa is sealed using a silicone sheet to prevent the escape of gastric juice. Materials and methods  Three whole stomachs were harvested from pigs for an ex vivo experiment, and seven pigs were used for an in vivo experiment...
January 2019: Endoscopy International Open
Ying Xiong, Qian-Qian Chen, Ning-Li Chai, Shun-Chang Jiao, En-Qiang Ling Hu
AIM: To assess the efficiency of endoscopic trans-esophageal submucosal tunneling surgery (EESTS) technique for diseases located around the aorta ventralis. METHODS: Nine pigs were assigned to EESTs. The procedures were as follows: First, a long esophageal submucosal tunnel was established. Second, full-thickness myotomy was created. Third, an endoscope was entered into the abdominal cavity through a muscle incision and the endoscope was around the aorta ventralis...
January 7, 2019: World Journal of Gastroenterology: WJG
Kenneth J Chang
In this paper, I reviewed the emerging field of endoscopic surgery and present data supporting the contention that endoscopy can now be used to treat many foregut diseases that have been traditionally treated surgically. Within each topic, the content will progress as follows: "lessons learned", "technical considerations" and "future opportunities". Lessons learned will provide a brief background and update on the most current literature. Technical considerations will include my personal experience, including tips and tricks that I have learned over the years...
January 7, 2019: World Journal of Gastroenterology: WJG
Saowanee Ngamruengphong, Elizabeth Thompson, Megan McKnight, Juliana Yang, Pankaj J Pasricha
BACKGROUND AND AIMS: Diagnosis of gastrointestinal neuromuscular diseases is mostly on basis of symptomatology and is often unreliable. Pathological analysis of affected tissue eg, the myenteric plexus and muscle, is a potentially valuable method for both diagnosis and advancement of our knowledge about the biological basis for these syndromes. However, until now access to the deeper layers of the GI tract has been limited, generally requiring invasive surgical techniques. METHODS: We report a "close-then-resect" endoscopic full-thickness biopsy (EFTB) technique using over-the-scope clip and telescope for rectal muscle biopsy in patients with suspected severe neuromuscular gut disorders...
January 9, 2019: Gastrointestinal Endoscopy
Mariana Ferreira Cardoso, Ming-Yan Cai, Mei-Dong Xu
We report the case of a 61-year-old female with a submucosal tumor (SMT) located in the proximal transverse colon, incidentally diagnosed on screening colonoscopy. Contrast-enhanced abdominopelvic computed tomography showed a well-circumscribed hyperenhancing mass with 20 mm, compatible with a gastrointestinal stromal tumor. On repeat colonoscopy (Olympus® ), after submucosal injection of indigo carmine and saline, a semi-circumferential incision was performed using the HookKnife™ (Olympus® ). This article is protected by copyright...
January 9, 2019: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
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