RESUMEN
In the field of adnexal surgeries in children, robotic surgery seems to make easier the realization of minimal invasive surgery. It could lead to a decrease of post-surgical adherences and therefore preserve the fertility of young patients. We report the first paratubal cystectomy performed using robotic assistance on a child in order to preserve her future fertility and discuss advantages and disadvantages of this technology.
Asunto(s)
Laparoscopía/métodos , Quiste Paraovárico/cirugía , Robótica , Adolescente , Femenino , Humanos , Infertilidad Femenina/prevención & control , Complicaciones Posoperatorias/prevención & control , Adherencias Tisulares/prevención & controlRESUMEN
AIMS: Evaluation of the mini invasiveness and the learning curve of the Prolift technique. MATERIALS AND METHODS: Prospective study. All patients were operated on by the same surgeon. The mini-invasiveness of the procedure was estimated through the evaluation of the intraoperative and immediate postoperative complications. The learning curve was evaluated through the analysis of the operative time. RESULTS: Between January and December 2007. Forty-seven patients were included in the study. Mean follow-up was: 11,8 months. Two cases of bladder injury and two cases of intraoperative bleeding (>500 ml) were reported. One case of vaginal erosion and one case of recurrence of the prolapse occurred during the follow-up. The mean operative time was 62+/-18 min. The mean operative time of the posterior step of the Prolift was 24+/-min and remained stable after the 18th procedure. DISCUSSION: The learning cure of the posterior of the procedure is longer because of the passage of the needles through the ischiorectal foramens. The technique is mini-invasive considered the low rate of intra and immediate postoperative complication and the learning curve short. CONCLUSIONS: Longer follow-up is needed to evaluate the efficacy of the procedure in the long term.
Asunto(s)
Procedimientos Quirúrgicos Ginecológicos/efectos adversos , Procedimientos Quirúrgicos Ginecológicos/métodos , Complicaciones Intraoperatorias/epidemiología , Complicaciones Posoperatorias/epidemiología , Prolapso Uterino/cirugía , Vagina/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos , Estudios Prospectivos , Implantación de Prótesis/efectos adversos , Implantación de Prótesis/métodos , Resultado del Tratamiento , Vejiga Urinaria/lesiones , Prolapso Uterino/clasificaciónRESUMEN
A study realized on 360 clinical urine specimens compared results of the cytobacteriological examination obtained from freshly voided urines and from the same urines preserved during 24 hours at room temperature (20-22 degrees). A new system (UC & S Vacutainer system--Becton-Dickinson) was used for preservation. Urine preservation induced no change in count of leukocytes and erythrocytes present in urine and in bacterial count (agreement between the two numerations: 98.8 p. cent). Bacterial identification and determination of antibacterial activity of antibiotics remained also unchanged. Soluble antigens eventually present in urine were not altered by preservation on UC & S tubes. This study showed that UC & S Vacutainer system was very effective for preservation of urine clinical specimens.