Articles: surgery.
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Zhonghua Zheng Xing Wai Ke Za Zhi · Jul 2012
[Application of conscious sedation with midazolam, propofol and sufentanil for patients in plastic surgery].
To observe the effectiveness of conscious sedation with midazolam, propofol and sufentanil for patients in plastic surgery. ⋯ Conscious sedation with midazolam, propofol and sufentanil is an effective anesthetic technique for patients in plastic surgery.
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Pelvic reconstructive surgeons in the fields of urology, gynecology and urogynecology have continually adapted new techniques in pelvic organ prolapse (POP) repair in order to improve both anatomic and subjective outcomes. In the last 5 years, robotic surgery has gained a strong foothold in urologic oncology, gynecologic oncology, cardiothoracic surgery and now in female pelvic medicine. Robotic surgery has made its way into the armamentarium of POP treatment and has allowed pelvic surgeons to adapt the 'gold standard' technique of abdominal sacrocolpopexy to a minimally invasive approach with improved intraoperative morbidity and decreased convalescence. This review article aims to discuss the techniques of robotic prolapse repair as well as morbidity, cost and clinical outcomes. ⋯ Robotic-assisted pelvic floor surgery has become an important component of the pelvic surgeon's armamentarium in the treatment of symptomatic POP. Those pelvic surgeons without significant expertise in laparoscopy required for sacral dissection and intracorporeal suturing can readily learn the necessary techniques required for robotic surgery.