Top videos
J Vasc Surg. 2009 Jul;50(1):134-9. Celiac artery compression syndrome managed by laparoscopy. Baccari P, Civilini E, Dordoni L, Melissano G, Nicoletti R, Chiesa R. Department of General Surgery, Scientific Institute San Raffaele University Hospital, Milan, Italy. paolo.baccari@hsr.it Abstr...
act OBJECTIVE: Celiac artery compression syndrome (CACS) is an unusual condition caused by abnormally low insertion of the median fibrous arcuate ligament and muscular diaphragmatic fiber resulting in luminal narrowing of the celiac trunk. Surgical treatment is the release of the extrinsic compression by division of the median arcuate ligament overlying the celiac axis and skeletonization of the aorta and celiac trunk. The laparoscopic approach has been recently reported for single cases. Percutaneous transluminal angioplasty (PTA) and stenting of the CA alone, before or after the surgical relief of external compression to the celiac axis, has also been used. We report our 7-year experience with the laparoscopic management of CACS caused by the median arcuate ligament. METHODS: Between July 2001 and May 2008, 16 patients (5 men; mean age, 52 years) were treated. Diagnosis was made by duplex ultrasound scan and angiogram (computed tomography [CT] or magnetic resonance). The mean body mass index of the patients was 21.2 kg/m(2). One patient underwent laparoscopic surgery after failure of PTA and stenting of the CA, and two patients after a stenting attempt failed. RESULTS: All procedural steps were laparoscopically completed, and the celiac trunk was skeletonized. The laparoscopic procedures lasted a mean of 90 minutes. Two cases were converted to open surgery for bleeding at the end of the operation when high energies were used. The postoperative course was uneventful. Mean postoperative hospital stay was 3 days. On follow-up, 14 patients remained asymptomatic, with postoperative CT angiogram showing no residual stenosis of the celiac trunk. One patient had restenosis and underwent aortoceliac artery bypass grafting after 3 months. Another patient had PTA and stenting 2 months after laparoscopic operation. All patients reported complete resolution of symptoms at a mean follow-up of 28.3 months. CONCLUSIONS: The laparoscopic approach to CACS appears to be feasible, safe, and successful, if performed by experienced laparoscopic surgeons. PTA and stenting resulted in a valid complementary procedure only when performed after the release of the extrinsic compression on the CA. Additional patients with longer follow-up are needed.
A NEW GENERATION OF IMMEDIATE ZIRCONIA IMPLANTS: ANATOMICAL AND CUSTOM-MADE.
YOUR DENTAL ROOT IS MILLED IN ZIRCONIA AND IN 2 MINUTES SEATED, NO DRILLING, NO AUGMENTATION, NO MEMBRANES, FLAPLESS, NO 3D PLANNING, NO CAD/CAM SPLINTS OR GUIDED SURGERY REQUIRED! EASY AND CONSEQUENTIAL SYSTEM.
NO MORE INCONGRUOUS AND UGLY SILVER-COLORED TITANIUM IMPLANTS IN TIME CONSUMING, PAINFUL AND COSTLY PROCEDURES. IT`S HIGH TIME TO RESPECT THE ANATOMY NOT ALTER IT BY DRILLING AND AUGMENTATION. BIOIMPLANT
Réduire La Cellulite, Meilleure Creme Anti Cellulite, Programme Anti Cellulite, Cuisse Cellulite http://perdre-sa-cellulite.plus101.com Une Bonne Alimentation Pour Lutter Contre la Cellulite. Certains aliments ont des composants naturels antioxydants et draineurs qui éliminent naturellement la cellulite. Parmi eux se trouvent le céleri branche. Il s’agit d’un légume un peu amère mais qui aide beaucoup à accélérer le métabolisme des graisses afin de débarrasser la cellulite. Coupé en bâtonnet, il peut être consommé en apéro ou en plat de crudités. Le poireau figure également dans la liste des meilleurs aliments anticellulite. Légume anti-rétention d’eau, il chasse les toxines tout en luttant contre la cellulite. Enfin, n’oubliez pas de consommer de l’ananas si vous voulez combattre votre cellulite. Il a pour principal mission de réduire la rétention d’eau. Selon des experts en physiologie, les femmes ont 90 muscles dans les membres inférieurs et en les stimulant doucement, ces muscles des fesses, jambes, hanches et cuisses, 76,3% des femmes peuvent inverser la cause de la peau d’orange et des capitons pour avoir une peau tonifiée et lisse. CLIQUEZ ICI: http://perdre-sa-cellulite.plus101.com
Achalasia is a neurogenic esophageal motility disorder characterized by impaired esophageal peristalsis and a lack of lower esophageal sphincter relaxation during swallowing. Symptoms are slowly progressive dysphagia, usually to both liquids and solids, and regurgitation of undigested food. Evaluation typically includes manometry, barium swallow, and endoscopy. Treatments include dilation, chemical denervation, surgical myotomy, and peroral endoscopic myotomy.
Eczema, or atopic dermatitis, is a rash that primarily occurs in people with asthma or allergies. The rash is often reddish and itchy with a scaly texture. Psoriasis is a common skin condition that can cause a scaly, itchy, red rash to form along the scalp, elbows, and joints.Apr 13, 2016
Types of multiple myeloma. Multiple myeloma is the most common type of plasma cell cancer. The bones and bone marrow are the main sites where myeloma cells (abnormal plasma cells) are produced. The myeloma cells can form tumours, called plasmacytomas, in many bones in the body.
Dieta Alcalina Pdf, Tabla De Alimentos Alcalinos, Beneficios Del Agua Alcalina, Frutas Para Adelgazar--- http://dieta-alcalina-alimentos.good-info.co --- Eligiendo los alimentos para una Dieta Alcalina Es en verdad fácil adoptar una dieta rica en alimentos alcalinos. La mayoría de las frutas y vegetales son excelentes opciones. La carne roja no es una buena opción, pero puedes añadir abundante proteínas a tus comidas usando los productos a base de soya, deliciosos frijoles, legumbres y tanto nueces como almendras. Deberías eliminar las grasas insalubres de tu dieta, pero puedes consumir las grasas buenas como el aceite de oliva, canola y la semilla de lino. El alto contenido graso de los productos lácteos debe ser evitado, pero puedes beber leche de soya y de cabra. Los quesos hechos de leche de soya y cabra también serían buenas opciones. Remplaza las calorías vacías de la soda con delicioso té frío de hierbas, té verde y agua con limón. El café debe ser evitado, pero puedes tomar bebidas calientes a base de té o té verde. Remplaza la pasta con cereales integrales como arroz integral (salvaje), mijo y quinoa. Cuando endulces tus comidas, usa productos naturales como stevia y miel. Como puedes ver, tendrás muchas opciones nutritivas, todas deliciosas y altas en propiedades alcalinizantes. Descubre como la dieta alcalina funciona & por qué los alimentos alcalinos son altamente recomendados para tu salud. Haz clic aquí http://dieta-alcalina-alimentos.good-info.co
The core features of migraine are headache, which is usually throbbing and often unilateral, and associated features of nausea, sensitivity to light, sound, and exacerbation with head movement. Migraine has long been regarded as a vascular disorder because of the throbbing nature of the pain.