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Revital Greenberg - One of the best experts on this subject based on the ideXlab platform.
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five year follow up of doppler guided hemorrhoidal Artery Ligation
Techniques in Coloproctology, 2012Co-Authors: Shmuel Avital, R Inbar, Eliad Karin, Revital GreenbergAbstract:Background Doppler-guided hemorrhoidal Artery Ligation (DGHAL) was described as lower risk and a less painful alternative to hemorrhoidectomy. We report our experience and 5-year follow-up with this procedure.
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outcome of stapled hemorrhoidopexy versus doppler guided hemorrhoidal Artery Ligation for grade iii hemorrhoids
Techniques in Coloproctology, 2011Co-Authors: Shmuel Avital, Refael Itah, Yehuda Skornick, Revital GreenbergAbstract:Purpose To evaluate the long-term results, early and late complication rates, and overall satisfaction of patients with grade III hemorrhoids treated by stapled hemorrhoidopexy (SH) or Doppler-guided hemorrhoidal Artery Ligation (DGHAL).
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first 100 cases with doppler guided hemorrhoidal Artery Ligation
Diseases of The Colon & Rectum, 2006Co-Authors: Revital Greenberg, Shmuel Avital, Eliad Karin, Yehuda Skornick, Nahum WerbinAbstract:This study was designed to examine the benefits of a Doppler-guided hemorrhoidal Artery Ligation technique in terms of surgical outcome, functional recovery, and postoperative pain. Using local, regional, or general anesthesia, 100 patients with symptomatic Grades II or III hemorrhoids underwent sonographic identification and suture Ligation of six to eight terminal branches of the superior rectal Artery above the dentate line. Visual Analog Scales were used for postoperative pain scoring. Surgical and functional outcomes were assessed at 6 weeks and 3, 6, and 12 months after surgery. There were 42 (42 percent) males and 58 (58 percent) females (mean age, 42 years; median duration of symptoms, 6.3 years). The mean operative time was 19 minutes. Local anal block combined with intravenous sedation (n = 93) or general or spinal (n = 7) anesthesia was used. Only five were hospitalized overnight. There was no urinary retention, bleeding, or mortality in the immediate postoperative course. The mean pain score decreased from 2.1 at two hours postoperative to 1.3 on the first postoperative day. All patients had a complete functional recovery by the third postoperative day. Ninety-four patients remained asymptomatic after a mean follow-up of six months: four patients required additional surgical excision, and two required rubber band Ligations for persistent bleeding. On follow-up, there was no report of incontinence to gas or feces, fecal impaction, or persistent pain. Our experience indicates that Doppler-guided hemorrhoidal Artery Ligation is safe and effective and can be performed as an outpatient procedure with local or regional anesthesia and with minimal postoperative pain and early recovery.
Chung Mau Lo - One of the best experts on this subject based on the ideXlab platform.
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portal hyperperfusion injury as the cause of primary nonfunction in a small for size liver graft successful treatment with splenic Artery Ligation
Liver Transplantation, 2003Co-Authors: Chung Mau LoAbstract:Abstract Dysfunction of a small-for-size graft is an important clinical problem after living donor liver transplantation in adults. We report a case of primary nonfunction after a small-for-size right lobe living donor liver transplant that was successfully salvaged by reduction of portal pressure and blood flow after splenic Artery Ligation. The case established portal hyperperfusion injury as a cause of primary nonfunction in a small-for-size graft and we recommend that portal pressure be measured when clinical suspicion arises. Splenic Artery Ligation is a technically simple procedure that can be applied for the prevention or treatment of such injury. (Liver Transpl 2003;9:626-628.)
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Portal hyperperfusion injury as the cause of primary nonfunction in a small-for-size liver graft-successful treatment with splenic Artery Ligation
Liver Transplantation, 2003Co-Authors: Chung Mau Lo, Chi Leung Liu, Sheung Tat FanAbstract:Dysfunction of a small-for-size graft is an important clinical problem after living donor liver transplantation in adults. We report a case of primary nonfunction after a small-for-size right lobe living donor liver transplant that was successfully salvaged by reduction of portal pressure and blood flow after splenic Artery Ligation. The case established portal hyperperfusion injury as a cause of primary nonfunction in a small-for-size graft and we recommend that portal pressure be measured when clinical suspicion arises. Splenic Artery Ligation is a technically simple procedure that can be applied for the prevention or treatment of such injury.
Giuseppe Carotenuto - One of the best experts on this subject based on the ideXlab platform.
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Dermcidin: a skeletal muscle myokine modulating cardiomyocyte survival and infarct size after coronary Artery Ligation
Cardiovascular research, 2015Co-Authors: Giovanni Esposito, Gabriele G. Schiattarella, Cinzia Perrino, Fabio Cattaneo, Gianluigi Pironti, Anna Franzone, Giuseppe Gargiulo, Fabio Magliulo, Federica Serino, Giuseppe CarotenutoAbstract:Aims Coronary Artery disease is the leading cause of death in western countries, and its association with lower extremity peripheral Artery disease (LE-PAD) represents an independent predictor of worse outcome. However, the molecular mechanisms underlying these effects are currently unknown. Methods and results To investigate these processes, we used in vitro approaches and several mouse models: (i) unilateral limb ischaemia by left common femoral Artery Ligation [peripheral ischaemia (PI), n = 38]; (ii) myocardial infarction by permanent Ligation of the left descending coronary Artery (MI, n = 40); (iii) MI after 5 weeks of limb ischaemia (PI + MI, n = 44); (iv) sham operation (SHAM, n = 20). Compared with MI, PI + MI hearts were characterized by a significant increase in cardiomyocyte apoptosis, larger infarct areas, and decreased cardiac function. By using a proteomic approach, we identified a ≅8 kDa circulating peptide, Dermcidin (DCD), secreted by ischaemic skeletal muscles, enhancing cardiomyocytes apoptosis under hypoxic conditions and infarct size after permanent coronary Artery Ligation. siRNA interference experiments to reduce DCD circulating levels significantly reduced infarct size and ameliorated cardiac function after MI. Conclusion Our data demonstrate that chronic limb ischaemia activates detrimental pathways in the ischaemic heart through humoral mechanisms of remote organ crosstalk. Thus, DCD may represent a novel important myokine modulating cardiomyocyte survival and function.
Shmuel Avital - One of the best experts on this subject based on the ideXlab platform.
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five year follow up of doppler guided hemorrhoidal Artery Ligation
Techniques in Coloproctology, 2012Co-Authors: Shmuel Avital, R Inbar, Eliad Karin, Revital GreenbergAbstract:Background Doppler-guided hemorrhoidal Artery Ligation (DGHAL) was described as lower risk and a less painful alternative to hemorrhoidectomy. We report our experience and 5-year follow-up with this procedure.
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outcome of stapled hemorrhoidopexy versus doppler guided hemorrhoidal Artery Ligation for grade iii hemorrhoids
Techniques in Coloproctology, 2011Co-Authors: Shmuel Avital, Refael Itah, Yehuda Skornick, Revital GreenbergAbstract:Purpose To evaluate the long-term results, early and late complication rates, and overall satisfaction of patients with grade III hemorrhoids treated by stapled hemorrhoidopexy (SH) or Doppler-guided hemorrhoidal Artery Ligation (DGHAL).
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first 100 cases with doppler guided hemorrhoidal Artery Ligation
Diseases of The Colon & Rectum, 2006Co-Authors: Revital Greenberg, Shmuel Avital, Eliad Karin, Yehuda Skornick, Nahum WerbinAbstract:This study was designed to examine the benefits of a Doppler-guided hemorrhoidal Artery Ligation technique in terms of surgical outcome, functional recovery, and postoperative pain. Using local, regional, or general anesthesia, 100 patients with symptomatic Grades II or III hemorrhoids underwent sonographic identification and suture Ligation of six to eight terminal branches of the superior rectal Artery above the dentate line. Visual Analog Scales were used for postoperative pain scoring. Surgical and functional outcomes were assessed at 6 weeks and 3, 6, and 12 months after surgery. There were 42 (42 percent) males and 58 (58 percent) females (mean age, 42 years; median duration of symptoms, 6.3 years). The mean operative time was 19 minutes. Local anal block combined with intravenous sedation (n = 93) or general or spinal (n = 7) anesthesia was used. Only five were hospitalized overnight. There was no urinary retention, bleeding, or mortality in the immediate postoperative course. The mean pain score decreased from 2.1 at two hours postoperative to 1.3 on the first postoperative day. All patients had a complete functional recovery by the third postoperative day. Ninety-four patients remained asymptomatic after a mean follow-up of six months: four patients required additional surgical excision, and two required rubber band Ligations for persistent bleeding. On follow-up, there was no report of incontinence to gas or feces, fecal impaction, or persistent pain. Our experience indicates that Doppler-guided hemorrhoidal Artery Ligation is safe and effective and can be performed as an outpatient procedure with local or regional anesthesia and with minimal postoperative pain and early recovery.
R Farouk - One of the best experts on this subject based on the ideXlab platform.
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doppler guided hemorrhoid Artery Ligation reduces the need for conventional hemorrhoid surgery in patients who fail rubber band Ligation treatment
Diseases of The Colon & Rectum, 2009Co-Authors: Philip Conaghan, R FaroukAbstract:PURPOSE:This study was designed to assess whether Doppler-guided hemorrhoid Artery Ligation can prevent patients from needing conventional surgery when rubber band Ligation of their hemorrhoids has failed to achieve symptomatic relief.METHODS:All patients who underwent treatment for hemorrhoids in t
