Current state of laparoscopic and robotic surgery

Minimally invasive surgical innovation has exploded in recent times. Currently, conventional laparoscopy is most widely adopted as the costs are relatively low. However, robotics and single port surgery are leading a revolution in surgery for wealthy health-care systems. We explore the historical and contemporary areas of this evolution

Retropubic, laparoscopic and mini-laparoscopic radical prostatectomy : a prospective assessment of patient scar satisfaction

Published online: 26 October 2014PURPOSE: To compare patient scar satisfaction after retropubic, standard laparoscopic, mini-laparoscopic (ML) and open radical prostatectomy (RP). METHODS: Patients undergoing RP for a diagnosis of localized prostate cancer at a single academic hospital between September 2012 and December 2013 were enrolled in this prospective nonrandomized study. The patients were included in three study arms: open surgery, VLP and ML. A skin stapler was used for surgical wound closure in all cases. Demographic and main surgical outcomes, including perioperative complications, were analyzed. Surgical scar satisfaction was measured using the Patient and Observer Scar Assessment Questionnaire (POSAS) and the two Body Image Questionnaire (BIQ) scales, respectively, recorded at skin clips removal and either at 6 months after surgery. RESULTS: Overall, 32 patients were enrolled and completed the 6 month of follow-up. At clips removal, laparoscopic approaches offered better scar result than open surgery according to the POSAS. However, at 6 months, no differences were detected between VLP and open, whereas ML was still associated with a better scar outcome (p = 0.001). This finding was also confirmed by both BIQ scales, including the body image score (ML 9.8 ± 1.69, open 15.73 ± 3.47, VLP 13.27 ± 3.64; p = 0.001) and the cosmetic score (ML 16.6 ± 4.12, open 10 ± 1.9, LP 12.91 ± 3.59; p = 0.001). Small sample size and lack of randomization represent the main limitations of this study. CONCLUSIONS: ML RP offers a better cosmetic outcome when compared to both open and standard laparoscopic RP, representing a step toward minimal surgical scar. The impact of scar outcome on RP patients' quality of life remains to be determined

A hybrid approach to conjunctive partial evaluation of logic programs

Conjunctive partial deduction is a well-known technique for the partial evaluation of logic programs. The original formulation follows the so called online approach where all termination decisions are taken on-the-fly. In contrast, offline partial evaluators first analyze the source program and produce an annotated version so that the partial evaluation phase should only follow these annotations to ensure the termination of the process. In this work, we introduce a lightweight approach to conjunctive partial deduction that combines some of the advantages of both online and offline styles of partial evaluation. © 2011 Springer-Verlag.This work has been partially supported by the Spanish Ministerio de Ciencia e Innovación under grant TIN2008-06622-C03-02 and by the Generalitat Valenciana under grant ACOMP/2010/042.Vidal Oriola, GF. (2011). A hybrid approach to conjunctive partial evaluation of logic programs. En Logic-Based Program Synthesis and Transformation. Springer Verlag (Germany). 6564:200-214. https://doi.org/10.1007/978-3-642-20551-4_13S2002146564Ben-Amram, A., Codish, M.: A SAT-Based Approach to Size Change Termination with Global Ranking Functions. In: Ramakrishnan, C.R., Rehof, J. (eds.) TACAS 2008. LNCS, vol. 4963, pp. 218–232. Springer, Heidelberg (2007)Bruynooghe, M., De Schreye, D., Martens, B.: A General Criterion for Avoiding Infinite Unfolding during Partial Deduction of Logic Programs. In: Saraswat, V., Ueda, K. (eds.) Proc. 1991 Int’l Symp. on Logic Programming, pp. 117–131 (1991)Christensen, N.H., Glück, R.: Offline Partial Evaluation Can Be as Accurate as Online Partial Evaluation. ACM Transactions on Programming Languages and Systems 26(1), 191–220 (2004)Codish, M., Taboch, C.: A Semantic Basis for the Termination Analysis of Logic Programs. Journal of Logic Programming 41(1), 103–123 (1999)De Schreye, D., Glück, R., Jørgensen, J., Leuschel, M., Martens, B., Sørensen, M.H.: Conjunctive Partial Deduction: Foundations, Control, Algorihtms, and Experiments. Journal of Logic Programming 41(2&3), 231–277 (1999)Hruza, J., Stepánek, P.: Speedup of logic programs by binarization and partial deduction. TPLP 4(3), 355–380 (2004)Jones, N.D., Gomard, C.K., Sestoft, P.: Partial Evaluation and Automatic Program Generation. Prentice-Hall, Englewood Cliffs (1993)Leuschel, M.: Homeomorphic Embedding for Online Termination of Symbolic Methods. In: Mogensen, T.Æ., Schmidt, D.A., Sudborough, I.H. (eds.) The Essence of Computation. LNCS, vol. 2566, pp. 379–403. Springer, Heidelberg (2002)Leuschel, M.: The DPPD (Dozens of Problems for Partial Deduction) Library of Benchmarks (2007), http://www.ecs.soton.ac.uk/~mal/systems/dppd.htmlLeuschel, M., Elphick, D., Varea, M., Craig, S., Fontaine, M.: The Ecce and Logen Partial Evaluators and Their Web Interfaces. In: Proc. of PEPM 2006, pp. 88–94. IBM Press (2006)Leuschel, M., Vidal, G.: Fast Offline Partial Evaluation of Large Logic Programs. In: Hanus, M. (ed.) LOPSTR 2008. LNCS, vol. 5438, pp. 119–134. Springer, Heidelberg (2009)Lloyd, J.W., Shepherdson, J.C.: Partial Evaluation in Logic Programming. Journal of Logic Programming 11, 217–242 (1991)Somogyi, Z.: A System of Precise Modes for Logic Programs. In: Shapiro, E.Y. (ed.) Proc. of Third Int’l Conf. on Logic Programming, pp. 769–787. The MIT Press, Cambridge (1986

Cold and COVID: Recurrent Pernio during the COVID-19 Pandemic

Pernio is a commonly reported cutaneous manifestation of SARS-CoV-2 infection.(1) Our international registry of COVID-19 dermatologic manifestations has collected 1,176 total cases of COVID-19 skin manifestations, including 619 cases of pernio in suspected or confirmed COVID-19 patients.(1) Most patients with new-onset pernio were entered into the registry after the first pandemic wave (79% in March-May 2020). Starting in September 2020, the registry received reports of a subset of these patients who developed recurrent pernio in the following months

International collaboration and rapid harmonization across dermatologic COVID-19 registries

To the Editor: Across specialties, coronavirus disease-2019 (COVID-19) has ushered in an unprecedented time for international collaboration. As COVID-19 has spread around the world, there has been a movement among dermatologists to better understand the effects of the virus on their patients as well as potential dermatologic  manifestations of the disease. During March and April 2020, 8 dermatologic registries focused on COVID-19 were launched worldwide to address these issues (Table I). We developed a rapid consensus among registry leaders to foster collaboration and data harmonization

Learning from disease registries during a pandemic: Moving toward an international federation of patient registries

High-quality dermatology patient registries often require considerable time to develop and produce meaningful data. Development time is influenced by registry complexity and regulatory hurdles that vary significantly nationally and institutionally. The rapid emergence of the coronavirus disease 2019 (COVID-19) global pandemic has challenged health services in an unprecedented manner. Mobilization of the dermatology community in response has included rapid development and deployment of multiple, partially harmonized, international patient registries, reinventing established patient registry timelines. Partnership with patient organizations has demonstrated the critical nature of inclusive patient involvement. This global effort has demonstrated the value, capacity, and necessity for the dermatology community to adopt a more cohesive approach to patient registry development and data sharing that can lead to myriad benefits. These include improved utilization of limited resources, increased data interoperability, improved ability to rapidly collect meaningful data, and shortened response times to generate real-world evidence. We call on the global dermatology community to support the development of an international federation of patient registries to consolidate and operationalize the lessons learned during this pandemic. This will provide an enduring means of applying this knowledge to the maintenance and development of sustainable, coherent, and impactful patient registries of benefit now and in the future