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  • Open Access

    EDITORIAL

    Femoral Access with Ultrasound-Guided Puncture and Z-Stitch Hemostasis for Adults with Congenital Heart Diseases Undergoing Electrophysiological Procedures

    Fu Guan1,*, Matthias Gass2, Florian Berger2, Heiko Schneider1, Firat Duru1,3, Thomas Wolber1,3,*

    Congenital Heart Disease, Vol.19, No.1, pp. 85-92, 2024, DOI:10.32604/chd.2024.047266 - 20 March 2024

    Abstract Aims: Although the application of ultrasound-guided vascular puncture and Z-stitch hemostasis to manage femoral access has been widely utilized, there is limited data on this combined application in adult congenital heart disease (ACHD) patients undergoing electrophysiological (EP) procedures. We sought to evaluate the safety and efficacy of ultrasound-guided puncture and postprocedural Z-stitch hemostasis for ACHD patients undergoing EP procedures. Methods and Results: The population of ACHD patients undergoing transfemoral EP procedures at the University of Zurich Heart Center between January 2019 and December 2022 was observed and analyzed. During the study period, femoral access (left/right, arterial/venous)… More >

  • Open Access

    COMMENTARY

    Aquablation and question of hemostasis

    Abilash Menon, Peter J. Gilling

    Canadian Journal of Urology, Vol.28, No.3, pp. 10691-10691, 2021

    Abstract This article has no abstract. More >

  • Open Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Optimal port placement during laparoscopic radical prostatectomy

    Ashis Chawla, Adnan Qureshi, Aziz Alamri, Edward D. Matsumoto

    Canadian Journal of Urology, Vol.19, No.1, pp. 6142-6146, 2012

    Abstract Introduction: Placement of anterior abdominal wall trocars during laparoscopic radical prostatectomy (LRP) carries the risk of inadvertent injury to the inferior epigastric artery (IEA) and potential conflict between midline and lateral ports. We described and evaluated a new measured port placement approach.
    Materials and methods: The intervention group included patients who underwent LRP using a specifically measured five-port approach. The medial 10 mm ports were placed 5 cm from the patient’s midline at a level midway between the anterior superior iliac spine (ASIS) and the umbilicus. The control group had five ports placed at the surgeon’s discretion.… More >

  • Open Access

    ARTICLE

    The effect of local compression and topical epinephrine on perioperative bleeding and degree of urinary extravasation on postoperative cystogram following radical retropubic prostatectomy

    Rena Malik, Juliana Laze, Herbert Lepor

    Canadian Journal of Urology, Vol.17, No.4, pp. 5272-5277, 2010

    Abstract Objective: To evaluate the efficacy of local compression and topical epinephrine in controlling perioperative bleeding during open radical retropubic prostatectomy (ORRP) and its impact on the degree of urinary extravasation on initial postoperative cystogram.
    Methods: Between September 2005 to March 2009, 476 men underwent ORRP performed by a single surgeon. Group 1 (n = 200) underwent ORRP between September 2005 and November 2006 without pelvic compression; Group 2 (n = 76) underwent ORRP between November 2006 and May 2007 and a dry laparotomy pad was positioned in the pelvis immediately prior to abdominal wound closure; Group 3… More >

  • Open Access

    ARTICLE

    Effect of modifi ed suprapubic prostatectomy for benign prostatic hyperplasia on postoperative hemoglobin levels

    Chukwudi O. Okorie1, Louis L. Pisters2

    Canadian Journal of Urology, Vol.17, No.4, pp. 5255-5258, 2010

    Abstract Objectives: Hemostasis during suprapubic prostatectomy for benign prostatic hyperplasia (BPH) is commonly affected by placing sutures at the 5 o'clock position and the 7 o'clock position of the bladder neck. However, the urethral arterial branches of the inferior vesical artery that supplies the prostate extend from the 1 o'clock to 5 o'clock position and from the 7 o'clock to 11 o'clock position of the bladder neck, with the largest branches located posteriorly. This study analyses the effect of a modified suprapubic prostatectomy technique, which covered the area from the 1 o'clock position to the 11 o'clock… More >

  • Open Access

    ARTICLE

    Effi cacy of the argon beam coagulator alone in obtaining hemostasis after laparoscopic porcine heminephrectomy: a pilot study

    Alvaro Lucioni, Marcelo A. Orvieto, Kevin C. Zorn, Tamara Lotan, Edward M. Gong, Gary D. Steinberg, Arieh L. Shalhav

    Canadian Journal of Urology, Vol.15, No.3, pp. 4091-4096, 2008

    Abstract Introduction: The argon beam coagulator (ABC) is used in combination with other hemostatic agents and suture renorrhaphy to obtain hemostasis after laparoscopic partial nephrectomy. We performed a pilot study evaluating the efficacy of the ABC-alone in obtaining hemostasis during laparoscopic heminephrectomy (LHN) in a porcine model.
    Methods: Eight pigs (4 small (30 kg-40 kg) and 4 large (70 kg-80 kg)), underwent bilateral LHN. Hemostasis then was obtained by using the ABC at 120W as a single modality. The collecting system was not repaired. The hilum was unclamped and the renal defect observed for 20 minutes with pneumoperitoneum… More >

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