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Robotic surgery in urology:Recent advances

Asian Journal of Urology 2023年第4期10卷 385-387,I0001页

作者： Riccardo Autorino senthil nathan Department of Urology Rush University Medical CenterChicagoILUSA Department of Urology University College Hospital LondonLondonUK

The adoption of robotic-assisted surgery has determined a paradigm shift in delivery of urological surgery in the last two *** has been a privilege for us to serve as guest editors for this special issue of the Asian ... 详细信息

关键词： surgery field advances

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Rotator cuff tears: An evidence based approach

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World Journal of Orthopedics 2015年第11期6卷 902-918页

作者： senthil nathan Sambandam Vishesh Khanna Arif Gul Varatharaj Mounasamy Joint Reconstruction Center Department of OrthopaedicsK.G. Hospital and Postgraduate Medical Institute DNB Orthopaedics Department of Ortho- paedicsK.G. Hospital and Postgraduate Medical Institute Princess Alexandra Hospital VCU Medical Center Ambulatory Care Center

Lesions of the rotator cuff(RC) are a common occurrence affecting millions of people across all parts of the globe. RC tears are also rampantly prevalent with an agedependent increase in numbers. Other associated factors include a history of trauma, limb dominance, contralateral shoulder, smoking-status, hypercholesterolemia, posture and occupational dispositions. The challenge lies in early diagnosis since a high proportion of patients are asymptomatic. Pain and decreasing shoulder power and function should alert the heedful practitioner in recognizing promptly the onset or aggravation of existing RC tears. Partial-thickness tears(PTT) can be bursalsided or articular-sided tears. Over the course of time, PTT enlarge and propagate into full-thickness tears(FTT) and develop distinct chronic pathological changes due to muscle retraction, fatty infiltration and muscle atrophy. These lead to a reduction in tendon elasticity and viability. Eventually, the glenohumeral joint experiences a series of degenerative alterations- cuff tear arthropathy. To avert this, a vigilant clinician must utilize and corroborate clinical skill and radiological findings to identify tear progression. Modern radio-diagnostic means of ultrasonography and magnetic resonance imaging provide excellent visualization of structural details and are crucial in determining further course of action for these patients. Physical therapy along with activity modifications, antiinflammatory and analgesic medications form the pillars of nonoperative treatment. Elderly patients with minimal functional demands can be managed conservatively and reassessed at frequent intervals. Regular monitoring helps in isolating patients who require surgical interventions. Early surgery should be considered in younger, active and symptomatic, healthy patients. In addition to being costeffective, this helps in providing a functional shoulder witha stable cuff. An easily reproducible technique of maximal strength and sturdiness

关键词： Rotator cuff tears Partial thickness tears Full thickness tear Natural history Ultrasonography Magnetic resonance imaging Single row repair Double row repair Healing

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Stem cells:An eventual treatment option for heart diseases

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World Journal of Stem Cells 2015年第8期7卷 1118-1126页

作者： Joseph C Bilgimol Subbareddy Ragupathi Lakshmanan Vengadassalapathy nathan S senthil Kali-muthu Selvakumar M Ganesan Sadananda Rao Manjunath Micro Therapeutic Research Labs Private Limited KMS Health Centre Private Limited Chettinad Hospital Thermo Fisher Scientific India Private Limited

Stem cells are of global excitement for various diseases including heart diseases. It is worth to understand the mechanism or role of stem cells in the treatment of heart failure. Bone marrow derived stem cells are commonly practiced with an aim to improve the function of the heart. The majority of studies have been conducted with acute myocardial infarction and a few has been investigated with the use of stem cells for treating chronic or dilated cardiomyopathy. Heterogeneity in the treated group using stem cells has greatly emerged. Ever increasing demand for any alternative made is of at most priority for cardiomyopathy. Stem cells are of top priority with the current impact that has generated among physicians. However,meticulous selection of proper source is required since redundancy is clearly evident with the present survey. This review focuses on the methods adopted using stem cells for heart diseases and outcomes that are generated so far with an idea to determine the best therapeutic possibility in order to fulfill the present demand.

关键词： Bone marrow stem cells Mesenchymal stem cells Indu

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促进机器人辅助前列腺癌根治术术后早期尿控恢复的手术技巧(“大家泌尿网”观看手术视频)

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现代泌尿外科杂志 2021年第8期26卷 627-631页

作者：古迪王铭吴祥坤 SRIDHAR Ashwin N RAJAN Prabhakar SOORIAKUMARAN Prasanna SHAW Greg nathan senthil KELLY John D BRIGGS Tim P 广州医科大学附属第一医院泌尿外科广东广州510120 University College London Hospital London NW12BU

机器人辅助前列腺癌根治术(RARP)目前已经成为局限性有临床意义前列腺癌的根治性治疗的新的金标准。本文介绍了既往研究中通过RAND/UCLA改良法确认和研讨的16项促进RARP术后早期尿控恢复的手术技巧,并对各手术技巧进行了介绍。

关键词：机器人辅助前列腺癌根治术尿控手术技巧

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