Clampless non descent vaginal hysterectomy: “A novel art”

Background: Objective of this study was to assess feasibility and safety of clampless non descent vaginal hysterectomy of uterus up to 16 weeks size and identifying factors that determine success of surgery.Methods: Study was conducted in 50 women with non-prolapsed uteri, with clear cut indication of hysterectomy for a benign cause, without suspected adnexal pathology. Operating time, estimated blood loss, surgical techniques, difficulties encountered during operation, operative and post-operative complications and conversion to laparotomy when needed were recorded.Results: Vaginal hysterectomy was successful in 47 cases. Bisection was required in 60% cases, myomectomy in 24% cases and morcellation in 16% cases. Amount of blood loss and operating time was proportional to size of uterus.Conclusions: Clampless non descent vaginal hysterectomy is a safe and effective procedure and for success not only size of the uterus but its all dimensions and location of fibroid should be taken into consideration.

Long-term follow-up of device-assisted clampless off-pump coronary artery bypass grafting compared with conventional on-pump technique

Study objective: To evaluate the long-term outcomes of clampless off-pump coronary artery bypass grafting (C-OPCAB) compared with conventional on-pump double clamping coronary artery bypass grafting (C-CABG). Methods: From October 2006 to December 2011, 366 patients underwent isolated coronary artery bypass grafting. After propensity score matching of preoperative variables, 143 pairs were selected who received C-OPCAB with the use of device-assisted PAS-Port proximal venous graft anastomoses or C-CABG, performed by the same surgeon experienced in both techniques. Data of the two groups of patients were retrospectively analyzed up to 14 years of follow-up. Results: As compared with C-OPCAB, in the C-CABG patients, the performed number of grafts per patient was higher (2.9 +/- 0.5 vs. 2.6 +/- 0.6, p-value 0.0001). At 14 years, overall survival, including in-hospital death, was 64 +/- 4.7% for the C-OPCAB vs. 55 +/- 5.5% for the C-CABG, freedom from overall MACCEs 51 +/- 6.2% vs. 41 +/- 7.7%, and from late cardiac death 94 +/- 2.4% vs. 96 +/- 2.2% (p-value not significant, for all comparisons). No significant statistical differences were observed in the actual rates of adverse events during follow-up. Independent predictors of survival were advanced age at operation (p-value 0.001) and a lower mean value of preoperative left ventricular ejection fraction (p-value 0.015). Conclusions: Our single-center study analysis suggests that clampless OPCAB using device-assisted proximal anastomoses proved to be not inferior to double-clamping CABG in the long-term follow-up, provided that involved surgeons are familiar with both techniques. These conclusions are supported by a large and long-term follow-up period, eliminating potential bias, i.e., by means of the propensity score matching and analyzing single-surgeon experience

A Clamp-bearing Fungus Using Stalked Adhesive Young Chlamydospores in Capturing Amoebae

Volume: 1

3D renal model for surgical planning of partial nephrectomy: A way to improve surgical outcomes

to evaluate the impact of 3D model for a comprehensive assessment of surgical planning and quality of partial nephrectomy (PN)

Preliminary morphologic and molecular study of teh Entoloma rusticoides group (Agaricales - Basidiomycota)

Es presenta un estudi sobre el grup rusticoides del gènere Entoloma subgènere Claudopus a la Península Ibérica. L'anàlisi filogenètica, sobre la base de 48 seqüències d'ITS i 45 seqüències de LSU, entre les quals, les dels tipus de 8 dels tàxons analitzats, mostra una marcada diversitat genètica que concorda amb la notable variabilitat observada en aquest grup. D'acord amb aquest fet, es descriuen els següents nous tàxons: E. almeriense, E. graphitipes f. cystidiatum, E. halophilum, E. muscoalpinum i E. phaeocarpum. A més, es tipifiquen E. phaeocyathus i E. rusticoides. S'inclouen claus provisionals d'identificació. S'aporten descripcions macro i microscòpiques, dibuixos i fotografies de la majoria dels tàxons estudiats.A study of the Entoloma rusticoides-group (subgenus Claudopus) in the Iberian peninsula is presented. Phylogenetic inference, based on 48 nrITS and 45 28S nrLSU sequences, including those of 8 type specimens, revealed a high genetic diversity, in accordance with the observed morphological variability in this group. In addition new taxa are proposed to accomodate independent lineages (E. almeriense, E. graphitipes f. cystidiatum, E. halophilum, E. muscoalpinum and E. phaeocarpum) and the typification of E. phaeocyathus and E. rusticoides is proposed. Preliminary taxonomic keys are included to help identification. For most species macro and microscopic descriptions, drawings and photographs are presented

New record of Phaeocollybia jennyae in Spain

Phaeocollybia jennyae (Cortinariaceae, Basidiomycetes) fue encontrada en Cataluña en un bosque de Pagos sylvatica. La especie es conocida en distintas localidades de Europa pero no había sido registrada en la Península lberica. Se presenta una descripción e ilustraciones de la recolección catalana. También se incluyen observaciones del estudio microscópico efectuado sobre el ejemplar tipo procedente de Finlandia, así como de dos muestras recolectadas por P. Karsten.Phaeocollybia jennyae (Cortinariaceae, Basidiomycetes) was found in Spain growing in a Fagus sylvatica forest in Catalonia. The species is known to inhabit northern Europe, but it don't had been recorded fi-om Spain yet. A description and illustrations of the catalan material is presented. The type collection from Finnland, as well as two samples collected by P. Karsten, were also studied. The microscopic observations on these collections are included

On Craterocolla and Ditangium (Sebacinales, Basidiomycota)

In the present paper, we select a neotype for Tremella cerasi and prove that it is conspecific with Ditangium insigne (the genus type of Ditangium). We argue that Ditangium should be restored as a correct genus for T. cerasi, while the currently used generic name Craterocolla is to be treated as its younger synonym. Morphological, ecological and genetic variability of Ditangium cerasi is discussed, and two other Ditangium species are described—D. altaicum, sp. nov. and D. incarnatum, comb. nov. In addition, Exidia fulva is combined in Globulisebacina.Peer reviewe

New record of Phaeocollybia jennyae in Spain

Phaeocollybia jennyae (Cortinariaceae, Basidiomycetes) was found in Spain growing in a Fagus sylvatica forest in Catalonia. The species is known to inhabit northern Europe, but it don't had been recorded fi-om Spain yet. A description and illustrations of the catalan material is presented. The type collection from Finnland, as well as two samples collected by P. Karsten, were also studied. The microscopic observations on these collections are included.Phaeocollybia jennyae (Cortinariaceae, Basidiomycetes) fue encontrada en Cataluña en un bosque de Pagos sylvatica. La especie es conocida en distintas localidades de Europa pero no había sido registrada en la Península lberica. Se presenta una descripción e ilustraciones de la recolección catalana. También se incluyen observaciones del estudio microscópico efectuado sobre el ejemplar tipo procedente de Finlandia, así como de dos muestras recolectadas por P. Karsten