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  • SAGE Publications  (2)
  • 1
    In: Surgical Innovation, SAGE Publications, Vol. 18, No. 3 ( 2011-09), p. 294-306
    Abstract: Objective: Opportunities for developing procedural skills are progressively rare. Therefore, sophisticated educational tools are highly warranted. Methods: This study compared stereolithography and 3-dimensional printing for simulating cerebral aneurysm surgery. The latter jets multiple materials simultaneously and thus has the ability to print assemblies of multiple materials with different features. The authors created the solid skull and the cerebral vessels in different materials to simulate the real aneurysm when clipped. Results: Precise plastic replicas of complex anatomical data provide intuitive tactile views that can be scrutinized from any perspective. Hollowed out vessel sections allow serial clipping efforts, evaluation of different clips, and clip positions. The models can be used for accurate prediction of vascular anatomy, for optimization of teaching surgical skills, for advanced procedural competency training, and for patient counseling. Conclusion: Simultaneous 3-dimensional printing is the most promising rapid prototyping technique to produce biomodels that meet the high demands of neurovascular surgery.
    Type of Medium: Online Resource
    ISSN: 1553-3506 , 1553-3514
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
    detail.hit.zdb_id: 2233576-6
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2018
    In:  Therapeutic Advances in Gastroenterology Vol. 11 ( 2018-01-01), p. 175628481875892-
    In: Therapeutic Advances in Gastroenterology, SAGE Publications, Vol. 11 ( 2018-01-01), p. 175628481875892-
    Abstract: Video capsule endoscopy (VCE) is a noninvasive method enabling excellent visualization of the small bowel (SB) mucosa. The aim of this study was to examine the impact and safety of VCE performed in children and adolescents with suspected or established Crohn’s disease (CD). Methods A total of 180 VCE examinations in 169 consecutive patients conducted in 2003–14 in a single center were retrospectively analyzed. The median age was 13 years (range 3–17 years) and indications for VCE were suspected (125 cases, 69%) and established (55 cases, 31%) CD. VCE was performed with a PillCam SB (Given Imaging, Yokneam, Israel) VCE system with 8–12 h of registration without bowel preparation. Results A total of 154 of 180 (86%) patients swallowed the capsule and 26 (14%) had the capsule endoscopically placed in the duodenum. Patency capsule examination was performed in 71 cases prior to VCE to exclude SB obstruction. VCE detected findings consistent with SB CD in 71 (40%) examinations and 17 (9%) procedures showed minor changes not diagnostic for CD. A total of 92 (51%) examinations displayed normal SB mucosa. The capsule did not reach the colon within the recording time in 30 (17%) procedures and were defined as incomplete examinations. A change in diagnosis or therapy was recommended in 56 (31%) patients based on VCE results. Capsule retention occurred in one patient. Conclusions VCE is a safe method in children with suspected or established CD. VCE often leads to a definitive diagnosis and has a significant impact on the clinical management of pediatric patients with CD.
    Type of Medium: Online Resource
    ISSN: 1756-2848 , 1756-2848
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2440710-0
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