Results: One hundred and four consecutive patients (150 lesions) were enrolled. The mean age was 66.9 +/- 11.1 years. Complex lesions (ACC/AHA B2/C) occurred in 26.9%. Stents used: Cypher Select (54.1%), Xience V (30.6%), and Taxus Liberte (15.3%). The minimal stent diameter increased significantly with the duration of
stent inflation: 2.60 +/- 0.51, 2.76 +/- 0.51, and 2.82 +/- 0.52 mm at 5, 15, and 25 sec (P < 0.0001). Similarly, maximal stent diameter increased with the duration of stent inflation: 3.21 +/- 0.51, 3.32 +/- 0.52, and 3.36 +/- 0.54 mm (P < 0.0001). The average stent diameter also increased with longer stent inflation (P < 0.0001). NSC 617989 HCl Using MUSIC criteria 24.0, 53.3, and 68.0% of stents were appropriately expanded at 5, 15, and 25 sec (P < 0.0001).Conclusions: The duration of stent balloon inflation has a significant impact on stent expansion. Stent deployment for >25 sec is recommended. (c) 2012 Wiley Periodicals, Inc.”
“This study aimed to explore and evaluate the feasibility and safety of laparoscopic adnexal surgery using a two-port technique with a multichannel port, using a wound retractor,
as previously reported. A series of patients undergoing two-port laparoscopy for a benign pelvic click here mass were enrolled in this study. To perform two-port laparoscopic surgery, the ancillary 5-mm trocar was inserted at the left iliac fossa under laparoscopic view after umbilical trocar insertion. The inserted umbilical trocar was removed and the skin incision was extended about 1.5 cm with index-finger-passable width. An Alexis (R) wound retractor XS (Applied Medical, Santa Rancha Margarita, CA) was inserted through the umbilical wound. Two trocars were inserted into two fingers of a no. 6 surgical rubber glove and ligated with rubber bands. The wrist portion of the rubber glove covered the wound retractor, and the edge of the wound retractor was clamped with three Babcock clamps to prevent carbondioxide
gas leakage. Both a 10-mm laparoscope and atraumatic forceps were inserted through the umbilical multichannel port. Laparoscopic adnexal surgery was performed in the usual manner. A total of 19 patients were enrolled. The operative procedures were adnexectomy (n = 8), myomectomy (n = 1), and ovarian cystectomy and/or salpingectomy (n = 10). There were no operative complications, conversion to laparotomy, P505-15 inhibitor or additional trocar insertions. The mean operation time was 81.3 +/- 28.7 min. The pathologic diagnosis were mature cystic teratoma (n = 6), benign cyst (n = 4), endometrial cyst (n = 3), serous cystadenoma (n = 3), mucinous cystadenoma (n = 1), leiomyoma (n = 1), and tubo-ovarian abscess (n = 1). The mean postoperative hospital stay was 4.0 +/- 1.3 days. This two-port method seems to be safe and needs no additional cost from the use of the conventional laparoscopic instruments. It is also cosmetically effective and highly appreciated by patients, leaving minimal abdominal scarring.