The Experts below are selected from a list of 237 Experts worldwide ranked by ideXlab platform

Paolo Cappabianca - One of the best experts on this subject based on the ideXlab platform.

  • skull base reconstruction in the extended endoscopic transsphenoidal approach for suprasellar lesions
    Journal of Neurosurgery, 2007
    Co-Authors: Luigi Maria Cavallo, Andrea Messina, Felice Esposito, Oreste De Divitiis, Mateus Dal Fabbro, Enrico De Divitiis, Paolo Cappabianca
    Abstract:

    Object The extended transsphenoidal approach to the suprasellar region has the advantages of minimal invasiveness and brain manipulation in the surgical treatment of small to medium lesions. At the same time, however, it carries a higher risk of postoperative cerebrospinal fluid (CSF) leakage and related complications than those for the standard transsphenoidal approach. Effective reconstruction of large skull base defects is a major concern in such extended approaches and remains challenging. Methods Between January 2004 and April 2006, 21 patients affected by different suprasellar lesions underwent the extended endoscopic endonasal transtuberculum-transplanum approach. Three different techniques were used for the skull base reconstructions. In all cases, dehydrated human pericardium (Tutoplast) for dural reconstruction and a copolymer of l-lactic acid and glycolic acid (LactoSorb) as a bone substitute were used. Collagen sponges, fibrin glue, and an inflated Foley Balloon Catheter were also used to fill...

Andrew Weeks - One of the best experts on this subject based on the ideXlab platform.

  • induction of labour in pre eclamptic women a randomised trial comparing the Foley Balloon Catheter with oral misoprostol
    BMC Pregnancy and Childbirth, 2014
    Co-Authors: Hillary Bracken, Shuchita Mundle, Brian Faragher, Thomas R Easterling, Alan Haycox, Mark A Turner, Zarko Alfirevic, Beverly Winikoff, Andrew Weeks
    Abstract:

    Background Between 40,000 and 80,000 pregnant women die annually from pre-eclampsia and eclampsia. Although magnesium sulphate and anti-hypertensive therapies can reduce the morbidity and mortality associated with pre-eclampsia, the only cure comes with delivery. Prompt delivery of the baby, preferably by vaginal route, is vital in order to achieve good maternal and neonatal outcomes. Induction of labour is therefore a critical intervention in order to prevent morbidity to both mother and baby. Two low cost interventions – oral misoprostol tablets and transcervical Foley Catheterization – are already used by some in low resource settings, but their relative risks and benefits are not known. The trial will compare the risks, benefits, and trade-offs in efficacy, safety, acceptability and cost of misoprostol and Foley Catheter for induction in women with preeclampsia or uncontrolled hypertension.

  • Induction of labour in pre-eclamptic women: a randomised trial comparing the Foley Balloon Catheter with oral misoprostol
    BMC Pregnancy and Childbirth, 2014
    Co-Authors: Hillary Bracken, Shuchita Mundle, Brian Faragher, Alan Haycox, Zarko Alfirevic, Beverly Winikoff, Thomas Easterling, Mark Turner, Andrew Weeks
    Abstract:

    Background Between 40,000 and 80,000 pregnant women die annually from pre-eclampsia and eclampsia. Although magnesium sulphate and anti-hypertensive therapies can reduce the morbidity and mortality associated with pre-eclampsia, the only cure comes with delivery. Prompt delivery of the baby, preferably by vaginal route, is vital in order to achieve good maternal and neonatal outcomes. Induction of labour is therefore a critical intervention in order to prevent morbidity to both mother and baby. Two low cost interventions – oral misoprostol tablets and transcervical Foley Catheterization – are already used by some in low resource settings, but their relative risks and benefits are not known. The trial will compare the risks, benefits, and trade-offs in efficacy, safety, acceptability and cost of misoprostol and Foley Catheter for induction in women with preeclampsia or uncontrolled hypertension. Methods/Design A total of 602 women with an ongoing pregnancy with a live fetus requiring delivery because of pre-eclampsia or uncontrolled hypertension will be randomly assigned to labor induction with a transcervical Foley Catheter or oral misoprostol 25 micrograms. Women will be recruited at two hospitals in Nagpur, India. The misoprostol group will receive oral misoprostol 25 microgram every 2 hours for a maximum of 12 doses or until active labor commences. The Foley group will undergo induction using a Foley Catheter (silicone, size 18 F with 30 ml Balloon) which will remain until active labor starts, the Foley Catheter falls out, or 12 hours have elapsed. The primary outcome will be the attainment of vaginal delivery within 24 hours. Providers administering the treatment and those assessing the outcomes will not be blinded to group assignment. Trial registration NCT01801410 (ClinicalTrials.gov).

Luigi Maria Cavallo - One of the best experts on this subject based on the ideXlab platform.

  • skull base reconstruction in the extended endoscopic transsphenoidal approach for suprasellar lesions
    Journal of Neurosurgery, 2007
    Co-Authors: Luigi Maria Cavallo, Andrea Messina, Felice Esposito, Oreste De Divitiis, Mateus Dal Fabbro, Enrico De Divitiis, Paolo Cappabianca
    Abstract:

    Object The extended transsphenoidal approach to the suprasellar region has the advantages of minimal invasiveness and brain manipulation in the surgical treatment of small to medium lesions. At the same time, however, it carries a higher risk of postoperative cerebrospinal fluid (CSF) leakage and related complications than those for the standard transsphenoidal approach. Effective reconstruction of large skull base defects is a major concern in such extended approaches and remains challenging. Methods Between January 2004 and April 2006, 21 patients affected by different suprasellar lesions underwent the extended endoscopic endonasal transtuberculum-transplanum approach. Three different techniques were used for the skull base reconstructions. In all cases, dehydrated human pericardium (Tutoplast) for dural reconstruction and a copolymer of l-lactic acid and glycolic acid (LactoSorb) as a bone substitute were used. Collagen sponges, fibrin glue, and an inflated Foley Balloon Catheter were also used to fill...

William A Grobman - One of the best experts on this subject based on the ideXlab platform.

Oreste De Divitiis - One of the best experts on this subject based on the ideXlab platform.

  • skull base reconstruction in the extended endoscopic transsphenoidal approach for suprasellar lesions
    Journal of Neurosurgery, 2007
    Co-Authors: Luigi Maria Cavallo, Andrea Messina, Felice Esposito, Oreste De Divitiis, Mateus Dal Fabbro, Enrico De Divitiis, Paolo Cappabianca
    Abstract:

    Object The extended transsphenoidal approach to the suprasellar region has the advantages of minimal invasiveness and brain manipulation in the surgical treatment of small to medium lesions. At the same time, however, it carries a higher risk of postoperative cerebrospinal fluid (CSF) leakage and related complications than those for the standard transsphenoidal approach. Effective reconstruction of large skull base defects is a major concern in such extended approaches and remains challenging. Methods Between January 2004 and April 2006, 21 patients affected by different suprasellar lesions underwent the extended endoscopic endonasal transtuberculum-transplanum approach. Three different techniques were used for the skull base reconstructions. In all cases, dehydrated human pericardium (Tutoplast) for dural reconstruction and a copolymer of l-lactic acid and glycolic acid (LactoSorb) as a bone substitute were used. Collagen sponges, fibrin glue, and an inflated Foley Balloon Catheter were also used to fill...