Hydrodissection - Practical applications in ultrasound-guided breast interventions

Bhatt, Asha A; Woodard, Genevieve A; Lee, Christine

doi:10.1016/j.clinimag.2020.11.013

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…This technique does not improve structure identification but it does help to keep structures out of the way and thus protects them from damage. 22 Thus, technique modifications introduced during the study and suggested here may completely prevent iatrogenic damage in vivo. Future studies are required to validate this hypothesis.…”

Section: Discussionmentioning

confidence: 93%

“…The authors believe that hydrodissection would be beneficial in vivo but ex vivo was not used as the lateral neurovascular bundle could not be accurately identified with ultrasound. This technique does not improve structure identification but it does help to keep structures out of the way and thus protects them from damage 22 . Thus, technique modifications introduced during the study and suggested here may completely prevent iatrogenic damage in vivo.…”

Section: Discussionmentioning

confidence: 98%

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Minimally invasive ultrasound‐assisted cutting thread tenotomy of the deep digital flexor tendon in horses: An ex vivo study

Lalanne,

Bonilla

2023

Veterinary Surgery

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ObjectiveTo evaluate the feasibility and limitations associated with a minimally invasive ultrasound‐assisted cutting thread technique for tenotomy of the deep digital flexor tendon (DDFT) in horses.Study designEx vivo study.Sample populationTwenty cadaveric forelimbs.MethodsForelimbs were placed on a jig to mimic a standing semiflexed position and the midmetacarpal region was prepared to perform tenotomy of the DDFT using a percutaneous technique with a cutting thread. For that purpose, the thread was placed percutaneously around the DDFT (first dorsally and then palmarly) with the aid of a curved 20 gauge spinal needle. Tendon palpation/manipulation and ultrasonographic assessment assisted thread placement. Procedure time and skin puncture size were recorded. Limbs were then dissected to evaluate the degree of DDFT transection and the presence of any iatrogenic lesions.ResultsThe DDFT was completely transected in all cases. Minor lesions of the superficial digital flexor tendon were found in 11/20 limbs and considered clinically irrelevant. However, the neurovascular bundle was damaged in 6/20 limbs (four limbs had nerve damage and two limbs had a nerve and either a palmar artery or vein damaged). The skin puncture hole sizes ranged from undetectable to 5 mm long. The average duration of the procedure was 7 min and 38 s (range: 4 min 56 s to 10 min 19 s).ConclusionA DDFT tenotomy can be performed reliably with a percutaneous cutting thread technique. However, refinement of the technique is required to minimize iatrogenic damage.Clinical significanceThe reported technique allows a DDFT tenotomy to be performed in a minimally invasive manner and has the potential to be clinically applicable.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 98%

Minimally invasive ultrasound‐assisted cutting thread tenotomy of the deep digital flexor tendon in horses: An ex vivo study

Lalanne,

Bonilla

2023

Veterinary Surgery

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“…Hydrodissection is a minimally invasive procedure that involves injecting liquid into an anatomical space to facilitate dissection during surgery [ 7 ]. The use of this technique in many surgical specialties, such as thoracic surgery [ 8 ], cardiac surgery [ 9 , 10 ], urology [ 11 ], orthopedics [ 12 ], general surgery [ 13 , 14 ], otorhinolaryngology [ 15 ], and ophthalmology [ 16 , 17 ], has been reported.…”

Section: Introductionmentioning

confidence: 99%

Hydrodissection to create conjunctival flaps in dogs with corneal ulcers

Galeno,

Lopes,

da Silva Júnior

et al. 2023

Vet World

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Background and Aim: Hydrodissection is a liquid injection technique that is rarely used in animal ophthalmic procedures. The use of this technique in the creation of conjunctival flaps for the treatment of corneal ulcers in dogs can improve the outcome, task, and comfort for patients. This study aimed to evaluate the use of hydrodissection in the creation of conjunctival flaps in dogs with corneal ulcers. Materials and Methods: This study focused on a surgical procedure for creating conjunctival flaps in the eyes of 17 dogs with deep corneal ulcers. We divided the patients into two groups: Hydrodissection was performed in the first group (G1) and conventional divulsion without hydrodissection in the second group (G2). In G1, the conjunctival flap was created by subconjunctival injection of 1 mL of 0.9% sodium chloride, followed by flap construction. The flap was constructed through conventional divulsion using iris scissors in the G2. The operative time, degree of bleeding, and ease of conjunctival divulsion were evaluated during the procedure. Blepharospasm, hyperemia, edema, and scarring of the conjunctiva were evaluated during the post-operative period. Post-operative complications, notably suture dehiscence, were recorded in each group. Results: Hydrodissection is an easy-to-perform maneuver that optimizes the construction of conjunctival flaps. There were no statistical differences in the parameters used to evaluate the trans- and post-operative period between the groups. The volume of sodium chloride administered in the conjunctiva ranged from 0.5 mL to 1 mL in G1. Dehiscence of the flap sutures was observed in four patients (two in G1 and two in G2), with no significant difference between the groups. Conclusion: Hydrodissection facilitates the construction of conjunctival flaps in dogs with corneal ulcers, affording greater comfort to patients and proving to be an excellent option for ophthalmologists. Keywords: conjunctival hydrodissection, corneal ulcer, divulsion.

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The Challenging Image-Guided Preoperative Breast Localization: A Modality-Based Approach

Guirguis

Adrada

Scoggins

et al. 2022

American Journal of Roentgenology

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Hydrodissection - Practical applications in ultrasound-guided breast interventions

Cited by 4 publications

References 18 publications

Minimally invasive ultrasound‐assisted cutting thread tenotomy of the deep digital flexor tendon in horses: An ex vivo study

Minimally invasive ultrasound‐assisted cutting thread tenotomy of the deep digital flexor tendon in horses: An ex vivo study

Hydrodissection to create conjunctival flaps in dogs with corneal ulcers

The Challenging Image-Guided Preoperative Breast Localization: A Modality-Based Approach

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