Exemplos de uso de Minimally invasive access em Inglês e suas traduções para o Português
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Surgical technique for minimally invasive access.
Concerning advanced gastric cancer,recent studies have demonstrated the safety and feasibility of the minimally invasive access.
Such minimally invasive access may also be used for the analysis of environmental impact on biomarkers of pollution.
Another group8 also conducted a study to compare 2 instruments used to harvest autogenous bone through minimally invasive access.
The use of the robotics platform as a minimally invasive access has gained much interest in the surgical area of rectal cancer worldwide.
This is what we showed in this article,the intercrural suture can be performed under a closed rhinoplasty with a minimally invasive access.
In our series, the minimally invasive access group demonstrated CPB and aortic clamping times, respectively: 142.7± 59.5 min and 88.6± 31.5 min.
In general, one can obtain an iliac bone graft through open(traditional)or closed(minimally invasive access) surgical interventions5,6.
A number of modifications to minimally invasive access and surgery have since been studied for their ability to further minimize surgical trauma and improve results.
The number of days for hospital discharge was significantly lower in patients treated by laparoscopic surgery compared to those undergoing laparotomy operation,due its minimally invasive access.
Most studies have shown that the acute postoperative recovery is better when a minimally invasive access is used, with less bleeding, lower muscle damage and shorter hospital stay.
The minimally invasive access used was superior median hemisternotomy and cardiopulmonary bypass was established through ascendant aorta and right atrium cannulation, similar to the traditional technique.
Use of DHS as the fixation method for transtrochanteric fractures, with a minimally invasive access, presented a high consolidation rate and low morbidity and mortality, along with a very low complication rate.
With the increasing sensitivity of imaging methods, especially in cases in which the lesions are located peripherally,we believe that minimally invasive accesses will be more widely in the near future.
Regarding the surgical approach, a limited minimally invasive access proximal to the greater trochanter was the approach most used 56.88%, followed by a lateral access below the vastus 40.36% Table 5.
Perhaps, the association of techniques such as computer-guided surgery,which enables good outcomes in implants alignment with the minimally invasive access port come to be used more frequently in knee arthroplasties.
Several studies have shown that a minimally invasive access can lead to better recovery in the immediate postoperative period, with less pain, less bleeding during the hospital stay, less muscle injury and, consequently, shorter hospital stay.
However, future research should be conducted to examine our findings, and also to address thelimitations of our study, with the aim of enriching our understanding of harvesting bone grafts from the iliac crest through a minimally invasive access using bone extractors.
Some authors have even warned of higher complication rates and risks with some minimally invasive accesses, such as a single anterior access, and have reported unusual complications and prolonged duration of surgery, along with long learning curves.
This procedure is considered minimally invasive when compared to the traditional technique, because it uses very similar steps to those employed in the open approach, with the exception of a smaller incision, andminimal tissue dissection/manipulation(closed approach or minimally invasive access)7.8.
Years4. Only patients with grafts harvested from the anterior superior iliac crest by a minimally invasive access(closed approach with bone extractors), who attended postoperative follow-up, and who agreed to participate in the study by providing informed written consent, were included.
To evaluate the results of patients submitted to partial sternotomy, we compared the surgical and postoperative results of patients who underwent the two procedures total andhemisternotomy with the aim of determining if the aortic valve can be routinely treated by the minimally invasive access.
The only variable evaluated in this study that showed a significant difference for the minimally invasive access, i.e. the smaller-sized incision, theoretically would indicate that the esthetic result would be better. However, in 2005, Mow et al. demonstrated worse scarring results from small incisions.
The Trendelenburg clinical test, which shows weakness of the abductor musculature of the hip, was positive in five patients who were operated by means of the traditional lateral approach butwas absent from all the patients who underwent surgery by means of the posterior minimally invasive access, although there was no statistically significant difference p 0.06.
With experience, we started to develop a pilot study of CABG using minimally invasive access by left anterior thoracotomy LAT, approaching the anterior branches of the left coronary artery without cardiopulmonary bypass for the treatment of obstructions of the anterior descending and diagonal coronary arteries 6-8.
The comparison of muscular strength by means of an isokinetic dynamometer allowed us to conclude that there is no difference in knee extensor andflexor musculature strength and at six months postoperatively among patients submitted to total knee arthroplasty using a minimally invasive access port and a transquadricipital access port.
The appearance of innovative stabilizing devices and intracoronary shunts, as well as the development of retractors andsurgical techniques such as minimally invasive access, has rekindled interest in the comparative reassessment of the true costs and benefits of available approaches for revascularization, now in respect to the long-term evolution.
The first group, the Mini Group, consisted of 12 consecutive patients submitted to aortic valve replacement in isolation from June 2002 using a minimally invasive access- superior median hemisternotomy. The second group, the Total Group, consisted of 12 consecutive patients who had previously undergone aortic valve replacement using the total sternotomy technique in the same hospital.
The medium-term clinical and radiographic results andthe complication rate are similar for patients undergoing total hip arthroplasty by means of a posterior minimally invasive access and by means of the traditional right lateral route. However, the right lateral access more frequently causes insufficiency of the abductor musculature, in relation to the posterior minimally invasive access.
To stabilize the fracture, three surgical accesses were used: a lateral access below the vastus was used in cases of fixation with a plate and sliding screw; a lateral minimally invasive access proximal to the greater trochanter was used in cases of fixation with a cephalomedullary nail; and, in cases in which direct reduction was necessary, the access previous programmed was extended so as to expose the focus of the fracture, independent of the type of implant used.