Abdominal wall actinomycosis is a rare disease frequently associated with the presence of an intra uterine device.We report on a case of a 47-year-old woman who had used an intrauterine device for many years and had r...Abdominal wall actinomycosis is a rare disease frequently associated with the presence of an intra uterine device.We report on a case of a 47-year-old woman who had used an intrauterine device for many years and had removed it about a month prior to the identif ication of an abdominal wall abscess caused by Actinomyces israelii.The abscess mimicked a malignancy and the patient underwent a demolitive surgical treatment.The diagnosis was obtained only after histopathological examination.Postoperatively,the patient developed an infection of the wound which was treated with daily medication.The combination of long-term high dose antibiotic therapy with surgery led to successful treatment.展开更多
Natural orifice transluminal endoscopic surgery(NOTES)associated with less pain,shorter hospital stay,and outstanding cosmetic results has drawn considerable attention from the academic community.For NOTES,pneumoperit...Natural orifice transluminal endoscopic surgery(NOTES)associated with less pain,shorter hospital stay,and outstanding cosmetic results has drawn considerable attention from the academic community.For NOTES,pneumoperitoneum is an essential technology to obtain intraperitoneal surgical space,which,however,can have some serious adverse hemodynamic effects.In this paper,we propose a novel intra-abdominal wall-lifting device that can replace the pneumoperitoneum functionally for transvaginal NOTES(vNOTES).The device consists mainly of two layers of elastic strips,namely,the outer strips that are used to lift the abdominal wall for surgical exposure and the inner strip with a camera mounted that can rotate to provide a wide surgical field of view.With the design,gasless vNOTES can be carried out with 82.74% of the operative field provided by pneumoperitoneum,eliminating all complications associated with gas insufflation.The design principle and kinematic analysis of the device are discussed in detail and validated by experiments.Finally,a prototype is fabricated to demonstrate the feasibility of the proposed concept.展开更多
文摘Abdominal wall actinomycosis is a rare disease frequently associated with the presence of an intra uterine device.We report on a case of a 47-year-old woman who had used an intrauterine device for many years and had removed it about a month prior to the identif ication of an abdominal wall abscess caused by Actinomyces israelii.The abscess mimicked a malignancy and the patient underwent a demolitive surgical treatment.The diagnosis was obtained only after histopathological examination.Postoperatively,the patient developed an infection of the wound which was treated with daily medication.The combination of long-term high dose antibiotic therapy with surgery led to successful treatment.
文摘Natural orifice transluminal endoscopic surgery(NOTES)associated with less pain,shorter hospital stay,and outstanding cosmetic results has drawn considerable attention from the academic community.For NOTES,pneumoperitoneum is an essential technology to obtain intraperitoneal surgical space,which,however,can have some serious adverse hemodynamic effects.In this paper,we propose a novel intra-abdominal wall-lifting device that can replace the pneumoperitoneum functionally for transvaginal NOTES(vNOTES).The device consists mainly of two layers of elastic strips,namely,the outer strips that are used to lift the abdominal wall for surgical exposure and the inner strip with a camera mounted that can rotate to provide a wide surgical field of view.With the design,gasless vNOTES can be carried out with 82.74% of the operative field provided by pneumoperitoneum,eliminating all complications associated with gas insufflation.The design principle and kinematic analysis of the device are discussed in detail and validated by experiments.Finally,a prototype is fabricated to demonstrate the feasibility of the proposed concept.
