214 results on '"Protogerou V"'
Search Results
2. Anatomical variations of human vertebral and basilar arteries: A current review of the literature
- Author
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Tsantili, A.R., Karampelias, V., Samolis, A., Chrysikos, D., Antonopoulos, I., Spanidis, Y., Protogerou, V., and Troupis, T.
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- 2023
- Full Text
- View/download PDF
3. Incorporation of team-based learning in the cadaveric anatomy laboratory: An overview
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Chytas, D., Noussios, G., Paraskevas, G., Demesticha, T., Protogerou, V., and Salmas, M.
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- 2023
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4. Anatomical variations of the pelvis during abdominal hysterectomy for benign conditions
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Matsas, A., primary, Vavilis, T., additional, Chrysikos, D., additional, Komninos, G., additional, Protogerou, V., additional, and Troupis, T., additional
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- 2023
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5. Do virtual dissection tables add benefit to cadaver-based anatomy education? An evaluation
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Chytas, D., primary, Salmas, M., additional, Noussios, G., additional, Paraskevas, G., additional, Protogerou, V., additional, Demesticha, T., additional, and Vassiou, A., additional
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- 2023
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6. Anatomical variations of the vascular supply of the cutaneous component of the serratus anterior myocutaneous flap: a systematic review
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Gakis, C., primary, Chrysikos, D., additional, Samolis, A., additional, Protogerou, V., additional, Tsourouflis, G., additional, and Troupis, T., additional
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- 2022
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- View/download PDF
7. Incorporation of team-based learning in the cadaveric anatomy laboratory: An overview
- Author
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Chytas, D., primary, Noussios, G., additional, Paraskevas, G., additional, Demesticha, T., additional, Protogerou, V., additional, and Salmas, M., additional
- Published
- 2022
- Full Text
- View/download PDF
8. Considerations for the use of virtual dissection tables in anatomy education: Reply
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Chytas, D., primary, Salmas, M., additional, Noussios, G., additional, Paraskevas, G., additional, Protogerou, V., additional, Demesticha, T., additional, and Vassiou, A., additional
- Published
- 2022
- Full Text
- View/download PDF
9. Anatomical variations of human vertebral and basilar arteries: A current review of the literature
- Author
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Tsantili, A.R., primary, Karampelias, V., additional, Samolis, A., additional, Chrysikos, D., additional, Antonopoulos, I., additional, Spanidis, Y., additional, Protogerou, V., additional, and Troupis, T., additional
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- 2022
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10. Syndromic Craniosynostosis: A Comprehensive Review.
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Katouni K, Nikolaou A, Mariolis T, Protogerou V, Chrysikos D, Theofilopoulou S, and Filippou D
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Craniosynostosis is a fetal skull condition that occurs when one or multiple sutures merge prematurely. This leads to limited growth perpendicular to the fused suture, which results in compensatory growth of cranial bones parallel to it. Syndromic craniosynostosis ensues when the cranial deformity is accompanied by respiratory, neurological, cardiac, musculoskeletal, and audio-visual abnormalities. The most common syndromes are Apert, Crouzon, Pfeiffer, Muenke, and Saethre-Chotzen syndromes and craniofrontonasal syndrome. Each of these syndromes has distinct genetic mutations that contribute to their development. Mutations in genes such as FGFR, TWIST, and EFNB1 have been identified as playing a role in the development of these syndromes. Familiarity with the genetic basis of each syndrome is not only essential for identifying them but also advantageous for current pharmacological investigations. Surgical treatment is often necessary for syndromic craniosynostosis to correct the cranial deformities. Advances have been made in surgical techniques for each specific syndrome, but further research is needed to develop personalized approaches that address the unique symptoms and complications of individual patients, particularly those related to neurological and respiratory issues. This group of syndromes included in cranial synostosis presents significant educational and clinical interest due to the wide range of symptoms and the variable course of the disease, especially in the last decades when crucial advances in diagnosis and treatment have been achieved, altering the prognosis as well as the quality of life of these patients. In summary, this article provides a comprehensive overview of syndromic craniosynostosis, including the genetic mutations associated with each syndrome and the surgical treatment options available., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Katouni et al.)
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- 2023
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11. Duplicated gallbladder: an incidental anatomical variation in a patient with symptomatic cholelithiasis.
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Baltaga L, Chrysikos D, Delis S, Triantopoulou C, Filippou D, Protogerou V, and Troupis T
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- Humans, Adult, Gallbladder diagnostic imaging, Gallbladder surgery, Gallbladder abnormalities, Cystic Duct abnormalities, Liver, Cholelithiasis complications, Cholelithiasis diagnostic imaging, Cholelithiasis surgery, Cholecystectomy, Laparoscopic
- Abstract
Congenital malformations of the biliary tract represent a relatively rare entity with which surgeons, radiologists and clinicians are not adequately familiarized. We present a rare case of gallbladder duplication in a 40-year-old female, with the accessory cystic duct entering the left hepatic duct, which depicts the fifth reported case in the international bibliography. Our case illustrates the importance of detailed knowledge of anatomical malformations of the biliary tree, serving the purpose of a preoperative diagnosis of symptomatic cholelithiasis. It is also of paramount importance to take under consideration biliary tract malformations to avoid inadvertent complications such as biliary duct injuries in case of laparoscopic cholecystectomy., (This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2023
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12. Do virtual dissection tables add benefit to cadaver-based anatomy education? An evaluation [Les tables de dissection virtuelles ajoutent-elles des avantages à l’éducation à l'anatomie basée sur le cadavre? une évaluation]
- Author
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Chytas, D. Salmas, M. Noussios, G. Paraskevas, G. Protogerou, V. Demesticha, T. Vassiou, A.
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education - Abstract
Purpose: The anatomy education literature suggests blended-learning approaches as more effective. We performed a literature review to answer the question if virtual dissection tables can play a significant role as supplements to traditional cadaver-based anatomy education methods. Methods: PubMed, SCOPUS, ERIC and Cochrane databases were searched for articles with purpose to explore the outcomes of the use of virtual dissection tables in conjunction with cadaver-based anatomy education. Results: Six articles were included. Three articles were comparative and comprised evaluation of participants’ anatomy examinations results. Three articles were non-comparative and comprised only evaluation of participants’ opinions about the educational intervention. In all studies, the participants expressed satisfaction about the educational value of this intervention, while the data about anatomy examinations’ results suggest that virtual dissection tables may also enhance students’ academic performance, when they are used in conjunction with cadavers. Conclusion: Virtual dissection tables seem to do have a role in modern blended-learning anatomy curricula and could essentially supplement the educational power of cadaver-based methods. Our findings may stimulate further implementation of virtual dissection tables as supplementary tools to cadaver-based anatomy education. © 2022 Elsevier Masson SAS
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- 2022
13. Considerations for exploring the most appropriate method for residents' learning anatomy of CHD.
- Author
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Chytas D, Noussios G, Paraskevas G, Demesticha T, Protogerou V, and Salmas M
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- 2023
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14. Considerations for the use of virtual dissection tables in anatomy education: Reply.
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Chytas D, Salmas M, Noussios G, Paraskevas G, Protogerou V, Demesticha T, and Vassiou A
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- Humans, Dissection, Curriculum, Cadaver, Anatomy education, Education, Medical, Undergraduate
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- 2023
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15. In Reference to Mixed Reality Enhanced Otolaryngology Case-Based Learning: A Randomized Educational Study.
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Chytas D, Salmas M, Demesticha T, Protogerou V, Tsikouris G, and Troupis T
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- Humans, Educational Status, Educational Measurement, Augmented Reality, Otolaryngology education, Computer-Assisted Instruction
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- 2023
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16. The Brachiocephalic Trunk Variant Origin and High-Riding Course: Two Cadaveric Cases.
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Tsakotos G, Demesticha T, Karampelias V, Natsis K, Protogerou V, Schizas D, Chatziandreou I, Kostare G, and Piagkou M
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- Humans, Aged, Subclavian Artery, Carotid Artery, Common, Cadaver, Brachiocephalic Trunk surgery, Aorta, Thoracic
- Abstract
Objective: The current report describes two rare cadaveric findings of a left sided brachiocephalic trunk (BCT) in relation to the trachea, and its high-riding course above the suprasternal notch (SN)., Cases Description: In two elderly body donors dissected after death, a left-sided BCT was identified with a high-riding course (0.5 and 0.8 cm above the SN). The BCT originated from the aortic arch, in common with the left common carotid artery, more distally than the typical left-side location and crossed in front of the trachea. In the 1st case, the ascending and descending aortae, and the left subclavian artery had aneurysmal dilatation. In both cases, the trachea was displaced to the right side and had a stenosis due to the chronic compression., Conclusion: A high-riding BCT is of paramount clinical importance, as it may complicate tracheotomy, thyroid surgery and mediastinoscopy, leading to fatal complications. BCT injury leads to a massive bleeding during neck dissection (level VI), when the vessel crosses the anterior tracheal wall., (Copyright © 2023 Tsakotos et al. This article is available under a Creative Commons License (Attribution 4.0 International).)
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- 2023
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17. In Response to Utility of 3D Printed Models Versus Cadaveric Pathology for Learning: Challenging Stated Preferences.
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Chytas D, Noussios G, Demesticha T, Protogerou V, and Salmas M
- Abstract
Competing Interests: Conflict of InterestThe authors declare no competing interests.
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- 2023
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18. Correlation between Bovine Arch and Thoracic Aortic Disease: A Literature Review.
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Bountou O, Protogerou V, Ananikas K, Tsikouris G, Angelis S, and Troupis T
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- Humans, Retrospective Studies, Prevalence, Aorta, Thoracic, Aortic Diseases
- Abstract
The bovine artery is considered the most frequent aortic arch branching variation. Despite being considered a normal variation of the aortic arch branching, still it has been linked with various issues regarding the thoracic aorta. The aim of this study is to highlight the prevalence of bovine artery among specific vascular pathologies throughout the literature and to provide information to clinicians about the importance of identifying this variation. For this specific review, we acquired potentially relevant studies for inclusion from the electronic database of PubMed. We limited our investigation to papers published within the last decade (from 2011 to 2021). Single case reports, papers with language restrictions, letters to the editor, conference abstracts, studies that were non-human centered and studies with unextractable and incomplete data were not included. Searching the PubMed database, it was evident that there is a close relationship between bovine arch and thoracic aortic arch pathology. In the defined period 2011-2021 that our research was focused, we selected eight studies tackling this issue. The majority of the studies in this review (except one) provided concerning data about the prevalence of this aortic arch variant among patients with aortic aneurysmal dilatation and aortic dissection. Following our results, we strongly believe that bovine arch should no longer being considered as a normal variation with no clinical significance, but rather as a potential risk factor for thoracic aortic arch morbidities.
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- 2023
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19. Detection of Chlamydia trachomatis inside spermatozoa using flow cytometry: Effects of antibiotic treatment (before and after) on sperm count parameters.
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Makarounis K, Leventopoulos M, Georgoulias G, Nikolopoulos D, Zeginiadou T, Xountasi M, Kotrotsos P, Nosi E, Gennimata V, Venieratos D, Protogerou V, and Tsilivakos V
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- Male, Humans, Chlamydia trachomatis, Semen, Sperm Count, Flow Cytometry, Spermatozoa, Anti-Bacterial Agents pharmacology, Anti-Bacterial Agents therapeutic use, Infertility, Male drug therapy, Infertility, Male complications, Chlamydia Infections
- Abstract
There is increasing evidence that Chlamydia trachomatis (CT) infection can directly affect male fertility. However, only few have investigated the effects of CT on semen parameters, and mostly with inconclusive results. The main aims of this study were to identify CT inside spermatozoa, and the possible pre and post antibiotic treatment effects on the overall semen parameters. We developed a flow cytometric method for the detection of CT inside spermatozoa (SPI™). Briefly, sperm cells were fixed, membrane permeabilized and DNA was loosened using DNAse. Sperm cells were incubated with a primary monoclonal antibody against CT and with a secondary fluorescent antibody (vs primary), and analysed using a flow cytometer. Of 2415 infertile individuals, 48.61% were found positive for CT. 170 CT+ samples were included in the CT antibiotic treatment study. 78.82% (134/170) of the CT+ showed a significant reduction in the percentage of the iCT infected spermatozoa after the antibiotic treatment; 59.70% (80/134) decreased to non-detectable levels. Spermcount data were also recorded. Spermatozoa morphology (normal and teratozoospermia index, TZI) and motility (fast progressive and non-progressive spermatozoa) were statistically significant altered in CT+ pre-treatment vs control group. CT antibiotic treatment showed statistically significant effects on normal spermatozoa morphology, mid-piece and tail defects, and TZI. The study demonstrated that semen flow cytometric analysis of semen could be a valuable tool for faster and accurate identification of individuals with asymptomatic CT infection. It also identified a positive effect of antibiotic therapy on semen parameters, that could help males with infertility., Competing Interests: Declaration of Competing Interest The authors report no conflicts of interest relevant to this article., (Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.)
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- 2022
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20. Paraesophageal Hernia in a Newborn Mimicking Esophageal Atresia.
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Lamprinou Z, Chrysikos D, Tsakotos G, Protogerou V, and Troupis T
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A defect of the esophageal hiatus can lead to herniation of the stomach or other abdominal organs into the thoracic cavity, a condition called hiatal hernia. They constitute a rare clinical entity during infancy and childhood and their symptoms can be non-specific or subtle, making the diagnosis difficult even for experienced clinicians. In all cases, surgical treatment of the defect is necessary because of life-threatening complications. We present a rare case of a newborn with congenital paraesophageal hernia (CPEH) and microgastria, who was initially referred to our center with the diagnosis of esophageal atresia due to the inability to pass an orogastric tube beyond 15 cm from the gum margin. A contrast study revealed the CPEH. The patient underwent emergent surgery and has had no signs of recurrence until now. Although the diagnosis can be very tricky and mimic other conditions, a high level of suspicion should exist especially in patients with persistent symptoms of gastroesophageal reflux or recurrent respiratory infections. In neonates, signs and symptoms can be indicative of esophageal obstruction which should be ruled out with an upper gastrointestinal (GI) study., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Lamprinou et al.)
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- 2022
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21. Partial Superficial Parotidectomy Versus Extracapsular Anatomical Dissection for the Treatment of Benign Parotid Tumors.
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Laskaris S, Chrysikos D, Koutrafouris I, Piagkou M, Protogerou V, Karampelias V, Bekos F, Kotzias D, and Troupis T
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- Humans, Parotid Gland pathology, Parotid Gland surgery, Retrospective Studies, Neoplasm Recurrence, Local pathology, Salivary Glands pathology, Postoperative Complications, Parotid Neoplasms pathology, Parotid Neoplasms surgery
- Abstract
Objectives: Superficial benign parotid tumors are a common neoplasm of the salivary glands. Different surgical procedures have been applied for partial superficial parotidectomy (PSP) and extracapsular dissection (ECD), which are the two predominant surgical techniques. Our study aimed to evaluate PSP versus ECD for benign parotid tumors, in relation to post-operative complications and recurrence rates., Materials and Methods: 266 patients who underwent parotidectomies of benign superficial parotid tumors were evaluated retrospectively. The first group (PSP group) was composed of 143 patients who underwent PSP, and the second group (ECD group) was composed of 123 patients who underwent ECD., Results: In the ECD group the rate of patients presenting with total postoperative permanent facial nerve paralysis, House-Brackmann grade III, was 0.8%, whereas in the PSP group it was 1.4%. Frey's syndrome was only reported in the PSP group. Salivary fistula occurred in both groups at similar rates. Sensation dysfunction due to greater auricular nerve division occurred in 72% patients in the PSP group and 10.6% in the ECD group. No statistical difference regarding recurrence rates was found between the two groups., Conclusions: Both ECD and PSP procedures are safe surgical options for superficial parotidectomy in the treatment of benign tumors, with similar recurrence rates and post-surgical complications, apart from sensation abnormalities due to more extensive auricular nerve division., (Copyright © 2022 by Academy of Sciences and Arts of Bosnia and Herzegovina.)
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- 2022
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22. Anatomical Variations of the Iliohypogastric Nerve: A Systematic Review of the Literature.
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Manolakos K, Zygogiannis K, Mousa C, Demesticha T, Protogerou V, and Troupis T
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Several anatomical variations of the iliohypogastric nerve branches have been observed in earlier studies. Knowledge of these variations is useful for the improvement of peripheral nerve blocks and avoidance of iatrogenic nerve injuries during surgeries. The purpose of this study was to perform a systematic review of the literature about the anatomical topography and variations of the iliohypogastric nerve. An extensive search on PubMed, Scopus, and Web of Science electronic databases was conducted by the first author in November 2021, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Anatomical or cadaveric studies about the origin, the course, and the distribution of the iliohypogastric nerve were included in this review. Thirty cadaveric studies were included for qualitative analysis. Several anatomical variations of the iliohypogastric nerve were depicted including its general properties, its origin, its branching patterns, its course, its relation to anatomical landmarks, and its termination. Among them, the absence of the iliohypogastric nerve ranged from 0 to 34%, its origin from L1 ranged from 62.5 to 96.5%, and its isolated emergence from psoas major ranged from 47 to 94.5%. Numerous anatomical variations of the iliohypogastric nerve exist but are not commonly cited in classic anatomical textbooks. The branches of the iliohypogastric nerve may be damaged during spinal anesthesia and surgical procedures in the lower abdominal region. Therefore, a better understanding of the regional anatomy and its variations is of vital importance for the prevention of iliohypogastric nerve injuries., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Manolakos et al.)
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- 2022
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23. Denonvilliers' Fascia: The Prostate Border to the Outside World.
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Tzelves L, Protogerou V, and Varkarakis I
- Abstract
The fascial structure around the prostate has been a controversial issue for several decades, but its role in radical prostatectomy is crucial to achieving successful nerve-sparing surgery. One of the fasciae surrounding the prostate is Denonvilliers' fascia, forming its posterior border with the rectum and enclosing along its layers several fibers of the neurovascular bundle. This review focuses on embryological and anatomical points of Denonvilliers' fascia, aiming to provide a summary for the operating general surgeons and urologists of this area.
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- 2022
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24. Clinical efficacy of intracavernous injection of platelet lysate for erectile dysfunction.
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Chang, Yi-Kai, Chiang, I-Ni, Chang, Hong-Chiang, Chen, Yi-Hui, and Chueh, Shih-Chieh Jeff
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DOPPLER ultrasonography ,PLATELET-rich plasma ,INSTITUTIONAL review boards ,INJECTIONS ,THERAPEUTICS - Abstract
Background: Among the emerging treatments for erectile dysfunction (ED), platelet-rich plasma (PRP), known for its ability to enhance tissue repair and regeneration, stands out as a promising therapeutic approach. In this innovative study, we aimed to assess the efficacy of intracavernous injections of platelet lysate (PL), a derivative of PRP, in improving erectile function among ED patients. Methods: We enrolled twenty-six patients, aged between 35 and 70 years (mean age 51.6 ± 11.3 years), who had been experiencing ED for over six months and had an International Index of Erectile Function-5 (IIEF-5) score of 21 or less. Participants received autologous PL injections intracavernously every two weeks for a total of five administrations. We assessed Erection Hardness Score (EHS) and International Index of Erectile Function-5 (IIEF-5) bi-weekly for 16 weeks and conducted penile Doppler ultrasounds pre- and post-treatment to record peak systolic velocity (PSV) and resistance index (RI). Results: Before treatment, the mean EHS was 2.15 ± 0.88 and IIEF-5 was 10.92 ± 5.28. Remarkable improvements were observed post-treatment, with the EHS significantly increasing to 3.15 ± 0.83 (p < 0.05) and IIEF-5 to 17.23 ± 5.26 (p < 0.05). Penile Doppler ultrasound exhibited an increase in both PSV and RI post-treatment, with the rise in RI being statistically significant. Conclusions: Our findings indicate that intracavernous injections of PL substantially enhance erectile function, as evidenced by improvements in EHS, IIEF-5, and the RI of penile Doppler ultrasound, without hemorrhagic events or other adverse reactions apart from temporary pain at the injection site during the 16-week follow-up period. These encouraging results suggest that PL injections are a safe and effective treatment modality for patients with moderate ED, potentially providing a less invasive and more physiologically friendly alternative to current ED management strategies. Trial registration: The study received approval from the Institutional Review Board of National Taiwan University Hospital (IRB Number 202008061RIPC, date of registration 08/28/2020). [ABSTRACT FROM AUTHOR]
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- 2024
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25. Robotic assisted simple prostatectomy mitigates perioperative morbidity compared to open simple prostatectomy - a single institution report.
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Larsen, Magnus, Giske, Anneli, Roaldsen, Marius, Gullan, Dag, and Aarsaether, Erling
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MINIMALLY invasive procedures ,BENIGN prostatic hyperplasia ,BODY mass index ,PROSTATECTOMY ,SURGICAL complications ,TRANSURETHRAL prostatectomy - Abstract
Background: According to the guidelines of the European Association of Urology, open simple prostatectomy should be offered to men with a prostate size exceeding 80 mL suffering from moderate to severe LUTS in the absence of a transurethral enucleation technique. However, open simple prostatectomy is associated with complications such as bleeding, blood transfusions and increased length of stay compared to minimally invasive procedures. The aim of the study was to compare perioperative data from the first cases of robotic assisted simple prostatectomy (RASP) to that of patients subjected to open simple prostatectomy (OSP) at our department. Methods: The patients were identified by a search for the respective procedure codes. In the OSP group enucleation of the adenoma was performed through the prostatic capsule (Millin procedure), while access to the adenoma was gained through the bladder in the RASP group. Complications were scored according to the Clavien-Dindo classification system. Results: 27 patients who underwent OSP were retrospectively identified and compared to the first 26 patients who were subjected to RASP. The groups were similar with respect to age, body mass index and ASA score. Operative time was significantly shorter in the OSP group compared to the RASP group. Bleeding volume, drop in postoperative hemoglobin and the number of blood transfusions were all significantly higher in the OSP group compared to the RASP group. Average length of stay was 5.5 (2–18) days in the OSP group compared to 1.6 (1–5) days in the RASP group (p < 0.001). The number of postoperative complications, Clavien-Dindo ≥ 2, were significantly higher in the OSP group (11) compared to the RASP group (none, p < 0.001). Conclusions: The introduction of robotic assisted simple prostatectomy reduced perioperative morbidity at our department. [ABSTRACT FROM AUTHOR]
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- 2024
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26. Wind Instruments and Oral Health: Challenges Faced by Professional Wind Musicians.
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Czech, Nils P. and Alt, Kurt W.
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WIND instruments ,PREVENTIVE health services ,LITERATURE reviews ,TEMPOROMANDIBULAR joint ,MEDICAL databases - Abstract
Background: Recent studies have shown an association between playing wind instruments and their impact on the orofacial system. However, they have not fully evaluated all aspects of the topic, leaving a gap in the overall understanding. Methods: A thorough search of the National Library of Medicine database was conducted using our research strategy, resulting in the identification of relevant studies. An expert perspective was obtained by conducting two in-depth expert interviews with a professor of horn-playing and a specialised dentist. Results: Thirty-seven relevant publications were included in the traditional literature review. The most common diseases among professional wind instrumentalists include the lip area, temporomandibular joint, oral mucosa, respiratory system, oral allergic reactions, and orofacial trauma. Special measures, preventive measures, and expert opinions were utilised to address and overcome the associated orofacial problems. Conclusions: Wind instruments affect the oral health and tooth movement of professional instrumentalists, and dentists should consider the impact of dental changes on embouchure and performance. Dental impressions and three-dimensional intra-oral scans are important for reconstruction. This research highlights the need for specialised dental care for professional wind instrumentalists, and further studies are necessary to fully explore this topic. [ABSTRACT FROM AUTHOR]
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- 2024
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27. Do virtual dissection tables add benefit to cadaver-based anatomy education? An evaluation
- Author
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Chytas, D., Salmas, M., Noussios, G., Paraskevas, G., Protogerou, V., Demesticha, T., and Vassiou, A.
- Abstract
•The use of virtual dissection tables in conjunction with cadaver-based anatomy education modalities has in total been perceived as favorable, while this use may also lead to enhancement of anatomical knowledge.•These findings may stimulate further implementation of virtual dissection tables as supplementary tools to cadaver-based anatomy education.
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- 2022
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28. Observational Study to Compare Two Prostate Laser Enucleation Techniques in Terms of Urinary Incontinence (ENUPLASMHO)
- Published
- 2024
29. Indocyanine Green for Assessment of Ureteral Vascularity Can Reduce the Rate of Ureteral Complications in Patients Undergoing Extended Hysterectomy.
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Mrugała, Maja, Fiutowski, Marek, Nowak, Krzysztof, Borowiec, Zofia, Kasperski, Mariusz, Bek, Wiktor, Machnicka-Rusek, Aneta, and Milnerowicz-Nabzdyk, Ewa
- Subjects
INDOCYANINE green ,HYSTERECTOMY ,ENDOMETRIOSIS ,URETERS ,COHORT analysis - Abstract
Objectives: This study aimed to evaluate the effectiveness of using indocyanine green (ICG) for assessing ureteral vascularity to reduce ureteral complications in patients undergoing extended hysterectomy for deep endometriosis or oncological indications. Methods: A retrospective-prospective cohort study was conducted at the Centre of Gynecology in Opole, Poland, involving 555 patients who underwent hysterectomy from 2020 to 2023. Patients were categorized based on the Querleu–Morrow classification. ICG was used intraoperatively for vascular assessment in patients with deep endometriosis undergoing wide ureter dissection typical of Type C hysterectomy. Results: Ureteral complications occurred in 12 (2.2%) patients, with a significantly lower complication rate in those who underwent ICG testing (1.7%) compared to those who did not (22.7%, p = 0.001). Prophylactic double-J stenting further reduced the risk of complications. Conclusions: The use of ICG for intraoperative assessment of ureteral vascularity significantly reduces the risk of ureteral complications in complex hysterectomies. Further studies are needed to confirm these findings. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Anatomical and Histological Analyses of Rare Pancake Kidney.
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Koper, Lindsey, Quarles, Rachell L., Ziermann-Canabarro, Janine M., Bridgett, Tashanti, Correa-Alfonzo, Paola, and Rahmat, Sulman J.
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KIDNEY tubules ,FOCAL segmental glomerulosclerosis ,LITERATURE reviews ,ABDOMINAL aorta ,EXTRACELLULAR fluid ,KIDNEYS - Abstract
During anatomical dissection of a female body donor at the Howard University College of Medicine, a rare renal anomaly was discovered. Detailed anatomical and histological analyses on this anomaly were compared to a normal kidney from another donor and previously published reports from a comprehensive literature review. Anatomical assessment confirmed the condition of pancake kidney, a rare form of completely fused, ectopic kidneys without an isthmus. Due to the lack of symptoms in patients with this condition and the limited number of published case reports, very little information is available regarding the anatomy, development, and histology of pancake kidneys, making it difficult to determine an accurate estimate of the number of individuals who are affected. In the case presented here, a single kidney was located in the pelvis, below the bifurcation of the abdominal aorta into the common iliac arteries. The histological analysis of the pancake kidney revealed focal segmental glomerulosclerosis, dilated renal tubules, and increased interstitial fluid, all common characteristics of renal disease and not present in the normal kidney of the other donor. Future studies are needed to compare the histology of pancake kidneys and typical kidneys in order to help determine potential pathologies. [ABSTRACT FROM AUTHOR]
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- 2024
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31. Development and psychometric testing of an instrument for team-based learning assessment.
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Mojtahedzadeh, Rita, Mohammadi, Aeen, Kolahdooz, Sima, Parmelee, Dean X., and Hassanzadeh, Gholamreza
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- 2024
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32. نتایج جراحی باز رادیکال رتروپوبیک پروستاتکتومی با استفاده از روش آزادسازی قدامی فوقانی فاسیای لواتور.
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کمال الدین حسن زا, حورا حسن زاده, هانیه صالحی پورم, and ابوالفضل عباسپو&
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FASCIAE surgery ,RISK assessment ,CROSS-sectional method ,URINARY incontinence ,PROSTATE-specific antigen ,T-test (Statistics) ,RADICAL prostatectomy ,HOSPITAL care ,PROSTATE tumors ,TREATMENT effectiveness ,SURGICAL therapeutics ,SURGICAL blood loss ,DESCRIPTIVE statistics ,TUMOR grading ,CHI-squared test ,SURGICAL complications ,IMPOTENCE ,RESEARCH methodology ,RESEARCH ,ANALYSIS of variance ,DATA analysis software ,DISEASE risk factors - Abstract
Background. One of the common treatments for prostate cancer is radical prostatectomy, which is performed in different ways. One of the advantages of the nerve bundle preservation method is better exposure, decrease in rectal damage the lower rectum. In addition, the possibility of a positive margin is less. Therefore, this study aimed to examine the results of using the high anterior release (HAR) technique in radical open prostatectomy surgery. Methods. In this cross-sectional study, after examining patients and their entry into the study and obtaining their medical records, questions were asked to assess erectile function and urinary incontinence. The prostate-specific antigen level was checked before and after the operation. In addition, the average surgical time, blood loss, and hospitalization time were evaluated. Finally, the data were analyzed using the SPSS statistical analysis program, version 19. Results. In this study, 102 patients underwent radical prostatectomy, with an average age of 62.33 years. About 56.9% of patients had stage t2b. During the 6-month follow-up after surgery, 70.5% of patients had complete urinary continence. Data analysis demonstrated that there is a direct relationship between urinary incontinence, with a history of radiotherapy (P<0.001), and the stage of the disease (P=0.019). After surgery, 61.8% of patients were satisfied with the erection function . Conclusion. The results of this study revealed that urinary incontinence and erectile dysfunction are relatively common complications of this surgery. However, compared to other similar studies, the incidence of these two complications is lower. Practical Implications. Urinary incontinence and erectile dysfunction are relatively prevalent complications of radical prostatectomy surgery using the HAR technique. Nonetheless, the incidence of these two complications is lower compared to other similar studies. [ABSTRACT FROM AUTHOR]
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- 2024
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33. Cadaveric analysis of surgical techniques and working space for retroperitoneal tumors as model for improving resection of neuroblastoma.
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Cernaianu, Grigore, Franke, Greta, Kühne, Nora Elena, Meurer, Miriam, Trobs, Ralf-Bodo, Eifinger, Frank, Dübbers, Martin, Scaal, Martin, and Vahdad, Reza
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HEPATIC artery ,RENAL artery ,RETROPERITONEUM ,TUMORS in children ,NEUROBLASTOMA ,OPERATIVE surgery - Abstract
Purpose: Neuroblastoma, the most common extracranial solid tumor in children under 5 years, often surrounds visceral arteries. This study aimed to analyze the working space provided by standardized surgical techniques at key arterial landmarks in adult cadavers. Methods: We assessed in eight adult cadavers the mobilization of the left colon, spleen and pancreas, right colon, duodenum and mesenteric root, access to the bursa omentalis. The average working space score (AWSS) was evaluated at the left and right renal artery, left and right side of the coeliac trunk, superior mesenteric and common hepatic artery. The score was defined as: (0) vessel not visible, (1) working space at the vessel ≤ 1x diameter of the aorta, (2) < 3x the diameter of the aorta, (3) ≥ 3x diameter of the aorta. Results: The maximum AWSS of 3 was achieved at key vascular landmarks through specific mobilization techniques. Conclusion: Additional mobilization of spleen, pancreas and mesenteric root and access to the bursa omentalis increase surgical working space at major visceral arteries. The results of our investigation provide surgeons with a useful guide to prepare for abdominal neuroblastoma resection. [ABSTRACT FROM AUTHOR]
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- 2024
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34. Zinner Syndrome Versus Herlyn-Werner-Wunderlich Syndrome; Rare Congenital Genitourinary Malformations and Literature Review.
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Türkoğlu, Saim, Göya, Cemil, and Demir, Murat
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LITERATURE reviews ,HUMAN abnormalities ,INTERSTITIAL cystitis ,PELVIC pain ,DIGITAL rectal examination ,MAGNETIC resonance imaging ,SYNDROMES - Abstract
Zinner Syndrome (ZS) and Herlyn-Werner-Wunderlich Syndrome (HWWS) are congenital genitourinary anomalies accompanied by ipsilateral renal agenesis. These syndromes, which can cause symptoms such as infertility, pelvic pain, and bladder irritation, can be diagnosed by digital rectal examination, transrectal and abdominal ultrasonography (US), Computer Tomography (CT) and more ideally Magnetic resonance imaging (MRI). Similar physiopathological processes are observed in both syndromes and urogenital malformations accompany renal agenesis. We aimed to discuss the three cases of ZS in men and two HWWS cases in women, which are rarely observed in the literature. [ABSTRACT FROM AUTHOR]
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- 2024
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35. Anatomy of the Prostate Gland: Modalities and Techniques for Its Assessment.
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Mahadevan, Gowtham S., Arunachalam, Venkatesh Kasi, Rajasekaran, Sriman, Kashyap, Ravindar, Gunasekaran, Kannan, and Thirumoorthi, Suruthi
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PROSTATE tumors treatment ,ANATOMY ,PROSTATE tumors ,MAGNETIC resonance imaging ,PROSTATE ,BENIGN prostatic hyperplasia ,STROMAL cells - Abstract
Prostate imaging is indispensable for the diagnosis and management of prostatic carcinoma and other prostate lesions. Understanding imaging anatomy is the basis for accurate diagnosis and standardized reporting of the prostatic lesions. In this article, we will discuss about general anatomy of the prostate, zonal anatomy, imaging techniques for its assessment, modality specific appearance of different zones of the prostate in detail. [ABSTRACT FROM AUTHOR]
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- 2024
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36. Clinical and Genetic Correlation in Neurocristopathies: Bridging a Precision Medicine Gap.
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Chatzi, Despoina, Kyriakoudi, Stella Aikaterini, Dermitzakis, Iasonas, Manthou, Maria Eleni, Meditskou, Soultana, and Theotokis, Paschalis
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INDIVIDUALIZED medicine ,GENETIC correlations ,HYPOVENTILATION ,HEREDITY ,DIGEORGE syndrome ,GENETIC regulation ,VAGAL tone - Abstract
Neurocristopathies (NCPs) encompass a spectrum of disorders arising from issues during the formation and migration of neural crest cells (NCCs). NCCs undergo epithelial–mesenchymal transition (EMT) and upon key developmental gene deregulation, fetuses and neonates are prone to exhibit diverse manifestations depending on the affected area. These conditions are generally rare and often have a genetic basis, with many following Mendelian inheritance patterns, thus making them perfect candidates for precision medicine. Examples include cranial NCPs, like Goldenhar syndrome and Axenfeld–Rieger syndrome; cardiac–vagal NCPs, such as DiGeorge syndrome; truncal NCPs, like congenital central hypoventilation syndrome and Waardenburg syndrome; and enteric NCPs, such as Hirschsprung disease. Additionally, NCCs' migratory and differentiating nature makes their derivatives prone to tumors, with various cancer types categorized based on their NCC origin. Representative examples include schwannomas and pheochromocytomas. This review summarizes current knowledge of diseases arising from defects in NCCs' specification and highlights the potential of precision medicine to remedy a clinical phenotype by targeting the genotype, particularly important given that those affected are primarily infants and young children. [ABSTRACT FROM AUTHOR]
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- 2024
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37. A narrative literature review on new technologies for teaching anatomy.
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Bankar, Maithili N., Bankar, Nandkishor J., Gajbe, Ujwal, Singh, Brijraj, Mishra, Vaishnavi H., Bahadure, Sweta, Bandre, Gulshan R., Bankar, Swati N., and Shelke, Yogendra P.
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The study examines the integration of emerging technologies into anatomy education and focuses on the impact on learning results and student involvement. It uses a comprehensive literature search to identify technologies such as virtual reality, three-dimensional printing of anatomical models, augmented reality, artificial intelligence, virtual dissection, online resources, interactive software, haptic technology, anatomy software, simulation technology, gamification, mobile applications, and social media. The findings reveal that these technologies offer advantages such as enhanced interactive learning experiences, realistic simulations, and adaptability to various learning styles. However, challenges such as cost, ethical concerns, and specialized training accompany their implementation. The study concludes that the integration of advanced technologies in anatomy education has the potential to revolutionize the learning experience, fostering increased accessibility and engagement. The following core competencies are addressed in this article: Medical knowledge, Systems-based practice. [ABSTRACT FROM AUTHOR]
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- 2024
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38. Supine percutaneous nephrolithotomy in horseshoe kidney.
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Proietti, Silvia, Di Pietro, Salvatore, Mon Mon Oo, Gisone, Stefano, Scalia, Riccardo, Gaboardi, Franco, and Giust, Guido
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URINARY calculi ,PATIENT positioning ,COMPUTED tomography ,PERCUTANEOUS nephrolithotomy ,KIDNEY stones ,KIDNEYS ,NEPHROSTOMY - Abstract
Introduction Historically, percutaneous nephrolithotomy (PCNL) in horseshoe kidney (HSK) patients has been performed in the prone position. Nevertheless, thanks to the spread of the supine PCNL technique for patients with urinary stones and normal renal anatomy, some retrospective studies have already reported on supine PCNL and HSK, showing the effectiveness and safety of the procedure. Herein we report our experience with supine PCNL in a subset of patients with urolithiasis. Material and methods Prospective data were collected for all HSK patients who underwent supine PCNL at our institution from June 2016 to June 2023. Stone volume was reported as the volume of a single stone or the sum of the volumes of multiple stones on computed tomography (CT) images. Patients were reported to be stone-free if there were no stones on postoperative non-contrast CT (NCCT) exam. Peri-/postoperative complications were reported according to the Clavien-Dindo classification system. The primary endpoint of the study was stone-free rate (SFR) and the secondary endpoints were Clavien-Dindo complications Grade I or higher. Results A total of 35 patients met the inclusion criteria and were enrolled in the study. Forty-eight procedures were analyzed. SFR was 72.9% at 1-month follow-up. In 11 out of 48 procedures (22.9%) Clavien-Dindo Grade I-II complications were recorded. In one case Clavien-Dindo Grade IIIa complication was observed. Conclusions In this prospective study of 35 HSK patients who underwent 48 procedures, supine PCNL was safe and effective, with minimal morbidity. [ABSTRACT FROM AUTHOR]
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- 2024
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39. Radiological evaluation of Renal Developmental Anomalies - A Cross Sectional Study in A Tertiary Care Hospital in Southern India.
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Peer, S. Ahmed, Sailaja, G., Vanisree, S. K., Narayana, P. Surya Venkata, Rao, T. Ankamma, and Rani, S. Teresa
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TERTIARY care ,COMPUTED tomography ,KIDNEY failure ,KIDNEYS ,CONGENITAL disorders - Abstract
Background: Renal Anomalies are relatively common. Problems with congenital anomalies of kidney are important as they may cause renal failure. Failure in Ascent of kidney can result in a pelvic kidney alternatively, the kidneys may fuse together at their caudal poles produces Horseshoe kidney. Objectives: The present study is to evaluate renal developmental anomalies Radiologically. Material and Methods: The present study was a Cross Sectional study in Tertiary Care Hospital who were referred to radiology department for CT abdomens. 3500 abdominal CT scans were observed for a period of 6 months. Among those male CT abdominal scans are 2060 and female CT abdominal scans are 1440, from Tertiary care hospital in Andhra Pradesh and observed for renal malformations. Results: 3500 abdominal C. T scans were studied for a period of 6 months. Out of the 3500 ct's males are 2060 and females are 1440. Conclusion: Renal Anomalies all though asymptomatic and accidental finding in most of the cases thorough evaluation of the patient is utmost important to rule out serious pathological conditions prior to the arrival of symptoms. [ABSTRACT FROM AUTHOR]
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- 2024
40. Urodynamic Parameters and Continence Outcomes in Asymptomatic Patients with Ileal Orthotopic Neobladder: A Systematic Review and Metanalysis.
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Asimakopoulos, Anastasios D., Finazzi Agrò, Enrico, Piechaud, Thierry, Gakis, Georgios, Gaston, Richard, and Rosato, Eleonora
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ILEUM surgery ,MEDICAL information storage & retrieval systems ,NEUROGENIC bladder ,URINARY incontinence ,URODYNAMICS ,TREATMENT effectiveness ,META-analysis ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,MEDLINE ,URINARY diversion ,MEDICAL databases ,ONLINE information services ,CONFIDENCE intervals - Abstract
Simple Summary: Among the various options for urinary diversion following radical cystectomy, the orthotopic neobladder most closely resembles the original bladder both in location and function. However, a significant number of patients with these reservoirs have dysfunctional voiding. Our objective here is to provide the first systematic review focusing on the urodynamic and continence outcomes of ileal orthotopic neobladders. By summarising these important outcomes, the current paper may represent the reference manuscript for outcome comparison in future papers. The manuscript also describes the methodology of the urodynamic evaluation of the neobladders, highlighting the frequent lack of precise indications, accurate guidelines (at the state of the art, the same parameters used for the native bladder are also used for the ileal neobladders), standardised definitions, and standard values for outcome comparison. By underlining these gaps, our systematic review may aid future studies in having more adequate designs and will allow for a more accurate functional evaluation of the patients harbouring an ileal neobladder. Introduction: The orthotopic neobladder is the type of urinary diversion (UD) that most closely resembles the original bladder. However, in the literature the urodynamic aspects are scarcely analysed. Objective: To provide the first systematic review (SR) on the urodynamic (UDS) outcomes of the ileal orthotopic neobladders (ONB). Continence outcomes are also presented. Methods: A PubMed, Embase and Cochrane CENTRAL search for peer-reviewed studies on ONB published between January 2001–December 2022 was performed according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Results and Conclusion: Fifty-nine manuscripts were eligible for inclusion in this SR. A great heterogeneity of data was encountered. Concerning UDS parameters, the pooled mean was 406.2 mL (95% CI: 378.9–433.4 mL) for maximal (entero)cystometric capacity (MCC) and 21.4 cmH
2 O (95% CI: 17.5–25.4 cmH2 O) for Pressure ONB at MCC. Postvoid-residual ranged between 4.9 and 101.6 mL. The 12-mo rates of day and night-time continence were 84.2% (95% CI: 78.7–89.1%) and 61.7% (95% CI: 51.9–71.1%), respectively.Despite data heterogeneity, the ileal ONB seems to guarantee UDS parameters that resemble those of the native bladder. Although acceptable rates of daytime continence are reported the issue of high rates of night-time incontinence remains unsolved. Adequately designed prospective trials adopting standardised postoperative care, terminology and methods of outcome evaluation as well as of conduction of the UDS in the setting of ONB are necessary to obtain homogeneous follow-up data and to establish UDS guidelines for this setting. [ABSTRACT FROM AUTHOR]- Published
- 2024
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41. Systematic review of the feasibility of sparing the rectoprostatic fascia in male patients undergoing total mesorectal excision for rectal cancer.
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Nikolouzakis TK, Gouvas N, Athanasakis E, Mariolis-Sapsakos T, Chrysos E, and Tsiaoussis J
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- Humans, Male, Cadaver, Prostate surgery, Middle Aged, Aged, Adult, Postoperative Complications etiology, Rectal Neoplasms surgery, Feasibility Studies, Fascia, Rectum surgery, Proctectomy methods, Proctectomy adverse effects, Organ Sparing Treatments methods
- Abstract
Background: The main purpose of this study was to determine the feasibility of sparing the rectoprostatic fascia (RPF) in adult male cadavers and in adult male patients who underwent total mesorectal excision (TME) for rectal cancer. A secondary objective was to evaluate urogenital function following rectal cancer surgery, pathologic, and oncologic outcomes., Methods: In accordance with PRISMA guidelines, we performed a systematic review with an a priori design to identify relevant studies via MESH terms and keywords. Research was conducted from March 1st to July 31st 2023 and was updated between September 30th to October 10th 2024 in MEDLINE, SCOPUS, the Web of Science, Google Scholar, and reference lists. Disagreements between individual judgments were resolved by referral to a third researcher., Results: In total, 3693 studies were identified, 22 of which were relevant to the main research question. Overall, 785 living individuals and 25 cadavers were included in whom RPF was identified and spared (498/785 patients or 63.44%). The quality of the surgical specimen was considered good in all cases. Urogenital integrity at 6 months after RPF-TME and the classic TME were compromised in 27.9% and 41% of patients, respectively. One study revealed that at 3 years, local/systemic recurrence was similar between the two groups., Conclusions: Despite the fact that the current practice of rectal cancer surgery requires the TME to extend anteriorly to the RPF, RPF-sparing TME is not only a feasible and safe option but also important for preserving fair male urogenital function, especially for young patients whose erectile function is a priority., Trial Registration: CRD42020171188., Competing Interests: Declarations. Conflict of interest: The authors declare no competing interests. Ethical approval: This was a systematic review study. The University Hospital of Heraklion ethics committee confirmed that no ethical approval was needed. Consent to participate’ and/or ‘Consent to publish: This is a systematic review. No human participants were involved, and no consent was needed., (© 2024. Springer Nature Switzerland AG.)
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- 2024
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42. The lingual and facial arteries' common origin: a systematic review with meta-analysis and a computed tomography angiography study.
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Triantafyllou G, Vassiou K, Duparc F, Vlychou M, Paschopoulos I, Tsakotos G, Tudose RC, Rusu MC, and Piagkou M
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- Humans, Face blood supply, Face diagnostic imaging, Tongue blood supply, Tongue diagnostic imaging, Arteries diagnostic imaging, Arteries anatomy & histology, Computed Tomography Angiography, Anatomic Variation
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Purpose: The present evidence-based systematic review with meta-analysis aimed to investigate the fusion morphology of the lingual artery and facial artery (in the form of the linguofacial trunk-LFT) pooled prevalence and morphometry. After carefully investigating the data literature, a retrospective computed tomography angiography (CTA) study was performed to investigate a few parameters that were not well-studied., Materials: An evidence-based systematic review retrieved 41 studies that met our inclusion criteria to identify the LFT pooled prevalence. The literature search was performed using PubMed, Google Scholar, Scopus, and Web of Sciences databases. Then, a meta-analysis of the literature was performed using the open-source R programming language and the RStudio software. Moreover, two hundred CTAs were randomly selected and retrospectively studied to identify LFT topography, morphology, and morphometry., Results: The LFT pooled prevalence was calculated at 16.41%. The subgroup analyses for nationality, type of study, laterality, and gender retrieved no statistically significant association. The unilateral appearance was estimated at 15.92%, compared to the bilateral at 3.28% (p < 0.001). Concerning the findings of our original study, 50 LFTs were identified (12.5%) unilaterally in 34 patients and bilaterally in 8 patients. A significant correlation was observed between the distance LFT origin from the carotid bifurcation (CCB) (p < 0.001) and the distances LA and FA origin from the CCB (p = 0.004)., Conclusions: A systematic review with meta-analysis of the LFT were presented, along with an original imaging retrospective study investigating detailed parameters of LFT topography, morphology and morphometry. Knowledge of LFT presence is essential for interventionists in the head and neck region., Competing Interests: Declarations. Ethical approval and consent to participate: The research was conducted ethically following The Code of Ethics of the World Medical Association (Declaration of Helsinki). The Ethics Committee of the University Hospital of Larissa approved the study. Competing interests: The authors declare no competing interests., (© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
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- 2024
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43. Adipose-derived stem cells: an upcoming novel therapeutic in the management of Erectile dysfunction post radical prostatectomy in prostate cancer patients.
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Digholkar G, Varghese R, Pal K, and Sharma R
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Competing Interests: Competing interests: The authors declare no competing interests.
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- 2024
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44. The anatomy of the common iliac artery: a meta-analysis based on 5785 cases.
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Koziej M, Toppich J, Wilk J, Plutecki D, Ostrowski P, Rams D, Fijałkowska M, Ghosh SK, Mazur M, Pacholczak-Madej R, Walocha J, and Bonczar M
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The common iliac arteries (CIA) are the main finals branches of the abdominal aorta. The aim of the present meta-analysis was to demonstrate the most up-to-date and evidence-based data regarding the general anatomy of the CIAs, including their length, take-off angles, and diameters. PubMed, Scopus, Embase, Web of Science, Cochrane Library, and Google Scholar were searched to find all studies considering the anatomy of the CIA. Eligibility assessment and data extraction stages were performed. The results of the measurements in a total of 5785 patients were evaluated and included in the statistical analysis. The prevalence of the origin variations of the CIA has been evaluated. CIA was found to most commonly originate at the level of L4 vertebrae with a pooled prevalence of 59.49% (95% CI 48.00-70.50%). The overall mean length of the CIA was 5.59 mm (SE: 0.13), and the mean diameter of the CIA was 10.52 mm (SE: 0.85). The knowledge of the anatomy and variations of the CIA is crucial in lumbar spine surgery, especially when performing the anterolateral approach to L4 and L5 vertebrae. Furthermore, the level of the aortic bifurcation has significant implications related to vascular surgery in this region. We performed the present meta-analysis to standardize the extensive information on the anatomy of the CIAs., Competing Interests: Declarations. Conflict of interest: The author(s) declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© 2024. The Author(s).)
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- 2024
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45. Open simple prostatectomy in the last three decades: results of a meta-analysis.
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Titus RS, Bhatia A, Porto JG, Shah K, Lopategui DM, Herrmann TRW, Marcovich R, and Shah HN
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- Humans, Male, Postoperative Complications epidemiology, Postoperative Complications etiology, Time Factors, Treatment Outcome, Prostatectomy adverse effects, Prostatectomy methods, Prostatic Hyperplasia surgery
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Purpose: Open simple prostatectomy (OSP) has been a cornerstone in treating large prostate volumes (> 80 ml) in benign prostatic hyperplasia (BPH). With evolving minimally invasive procedures like minimally invasive simple prostatectomy (MISP) and laser enucleation, the role of OSP needs contemporary evaluation. This way, we assessed the efficacy and safety of OSP to understand its current standing in the treatment of BPH, especially in comparison with newer surgical modalities., Methods: A comprehensive search of MEDLINE, Cochrane and EMBASE was conducted to include randomized controlled trials (RCTs) comparing OSP with other treatments for BPH from 1993 to 2023. A total of 10 RCTs were included in the meta-analysis. Data on various outcomes including IPSS, Qmax, PVR, quality of life, perioperative factors, and postoperative complications were analysed., Results: Our meta-analysis, covering 557 patients, confirms OSP's significant improvement in voiding symptoms and objective voiding metrics. However, it also reveals a higher incidence of postoperative complications, such as bleeding and transfusion requirements. The study found moderate to high heterogeneity in perioperative outcomes, indicating variations in surgical techniques and postoperative care. OSP remains a reliable option with an easily accessible and effective approach for managing large prostates, despite advancements in minimally invasive surgeries., Conclusion: OSP continues to be a relevant surgical option for BPH in large prostates, offering significant symptom relief. However, the associated higher morbidity warrants careful patient selection and highlights the need for continued research into optimizing surgical techniques and improving outcomes., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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- 2024
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46. Surgical Problems and Results in Horseshoe Kidney.
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Karaaslan, Birgül
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CHRONIC kidney failure ,FOLLOW-up studies (Medicine) ,URINARY tract infections ,PRENATAL care ,SURGICAL complications - Abstract
Copyright of Bagcilar Medical Bulletin / Bağcılar Tıp Bülteni is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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47. Facilitating active learning of sectional anatomy with technology-enhanced small-group tasks: Assessment of knowledge gains, technology usability, and students' perceptions.
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Fonseca GRBC, Tipoe GL, and Ganotice FA Jr
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- Humans, Male, Female, Young Adult, Anatomy, Cross-Sectional education, Computer-Assisted Instruction methods, Educational Measurement, Anatomy education, Students, Medical psychology, Education, Medical, Undergraduate methods, Problem-Based Learning
- Abstract
Learning 2D sectional anatomy facilitates the comprehension of 3D anatomical structures, anatomical relationships, and radiological anatomy. However, the efficacy of technology-enhanced collaborative instructional activities in sectional anatomy remains unclear, especially if theoretical frameworks, namely the Cognitive Theory of Multimedia Learning (CTML), are applied in instructional design. Thus, this study compared the educational impact of distinct 45-min-long technology-enhanced collaborative learning tasks in sectional anatomy. A sample of 115 first-year medical students was randomly divided into three experimental groups that used different supporting technologies to learn the sectional anatomy of the chest: IMAIOS e-learning platform and Microsoft Surface Hub (n = 37); anatomage table (n = 38); anatomage table with CTML-based presets (n = 40). Prelearning and postlearning tests revealed that significant knowledge gains in sectional anatomy were obtained by all groups even though no inter-group differences were found. Moreover, a five-point Likert scale questionnaire showed that the learning session was highly valued by all participants and that users of the anatomage with CTML-based presets reported higher enjoyment than users of the IMAIOS system (mean difference = 0.400; p = 0.037). In addition, students using the IMAIOS system and the anatomage with CTML-based presets provided System Usability Scale (SUS) scores of 67.64 and 67.69, respectively, reaching the benchmark of usability. By contrast, students using the anatomage table without presets awarded a SUS score of 64.14. These results suggest that the integration of multimedia technologies in anatomy teaching and learning should be grounded on CTML principles of instructional design. Otherwise, students' perceptions of ed-tech usability are potentially hindered., (© 2024 The Author(s). Clinical Anatomy published by Wiley Periodicals LLC on behalf of American Association of Clinical Anatomists and British Association of Clinical Anatomists.)
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- 2024
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48. The Diversity of the Linguofacial Trunk.
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Dumitru, Cătălin Constantin, Vrapciu, Alexandra Diana, and Rusu, Mugurel Constantin
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CAROTID artery ,ARTERIES ,HYOID bone ,MORPHOLOGY - Abstract
Background and Objectives: Typically, the external carotid artery (ECA) sends off separate anterior branches: the superior thyroid, lingual, and facial arteries. These could, however, form common trunks: thyrolinguofacial, linguofacial (LFT), or thyrolingual. Although known, the LFT variant was poorly detailed previously, and most authors just counted the variant. We aimed to demonstrate the individual anatomical possibilities of the LFT on a case-by-case basis. Materials and Methods: 150 archived angioCT files were used. After applying inclusion and exclusion criteria, 147 files of 86 males and 61 females were kept for this study. Results: In 34/147 cases, LFTs were found (23.12%). Bilateral LFTs were found in 13/34 cases (38.24%) and unilateral LFTs in 21/34 (61.76%) cases. Forty-seven LFTs were thus identified and further studied for different variables. Regarding the vertical topography of LFT origin, type 1a (suprahyoid and infragonial) was found in 28 LFTs (59.57%), type 1b (suprahyoid and gonial) was found in eight LFTs (17.02%), type 3 (suprahyoid and supragonial) was found in two LFTs (4.25%), type 2 (hyoid level of origin) in eight LFTs (17.02%), and type 3 (infrahyoid origin) in just one LFT (2.12%). Types of the initial course of the LFT were determined: type I, ascending, was found in 22/47 LFTs; type II, descending, in 12/47 LFTs; and type III, transverse, in 13/47 LFTs. Regarding the orientation of the first loop of the LFT, 23/47 LFTs had no loop, 4/47 had anterior loops, 1/47 had a posterior loop, 5/47 had superior loops, 5/47 had inferior loops, and 9/47 had medial loops. The position of the LFT relative to the ECA was classified as medial, anterior, or antero-medial. An amount of 12/47 LFTs were anterior to the ECA, 22/47 were antero-medial, 10/47 were medial, 2/47 were inferior, and 1/47 was lateral. Regarding their general morphology, 23/47 LFTs had a rectilinear course, 22/47 had loops, and 2/47 were coiled. A case-by-case presentation of results further demonstrated the diversity of the LFT. Conclusions: In conclusion, the morphology and topography of the LFT are individually specific and unpredictable. It can be anticipated case-by-case by surgeons on CT or MR angiograms. [ABSTRACT FROM AUTHOR]
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- 2024
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49. The role of innovation technology in teaching and learning strategies in anatomy curricula in dental hygiene school.
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Gerardi, Davide, Bernardi, Sara, Meta, Eada, Bianchi, Serena, and Macchiarelli, Guido
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DENTAL hygiene ,SCHOOL hygiene ,LEARNING strategies ,DENTAL schools ,INSTRUCTIONAL innovations ,EDUCATIONAL technology ,ANATOMY - Abstract
Purpose. This research aims to assess the diversification of pedagogical and learning methodologies, leveraging advanced technological tools within a dental hygiene educational framework. Methods. Students enrolled in the dental hygiene program were considered as population sample, divided in two groups: The test group (N=16) subjected to the investigation of the virtual dissection table (VDT) and the control group (n=17) who attended lectures using traditional teaching method. The control group’s performance was assessed through a 40-item multiple-choice questionnaire and an open-ended question; the test group was evaluated via a final test consisting of a presentation on an anatomical topic and a 40-item multiple-choice questionnaire. The final grade derived from the mean score of the final tests, and it was assigned on a scale of 30/30. Additionally, the test group’s perceptions toward the use of the VDT were gauged through an evaluative questionnaire comprising 7 questions. Results. The study found a statistically significant difference in failure rates between the control group and the test group. However, the average exam scores did not show a statistically significant difference between the two groups, despite the test group showing some improvement. The evaluation survey results indicated high levels of satisfaction with the use of the VDT, with the quality of the virtual images, anatomical resources, and the user-friendly interface. Additionally, students strongly supported integrating traditional lectures with VDT laboratory sessions, with no negative feedback reported. Conclusions. The VDT represents an innovative anatomy teaching tool, warmly welcomed by healthcare profession students, whose performances were positively affected. [ABSTRACT FROM AUTHOR]
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- 2024
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50. A Giant Scrotal Neurofibroma in a Child Masquerading as Filariasis: Uncommon Presentation of a Common Disease.
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Singh, Anurag, Singh, Gyanendra, Verma, Anuragani, and Verma, Yogendra Narayan
- Published
- 2024
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