Introduction: Anterior pelvic exenteration remains a main option for urologic and gynecologic cancers. Although classically performed through an open morbid approach, minimally invasive techniques have been arising. However, due to technical difficulties in this multistage complex procedure, it is still not widely performed when robotics is not available. Thus, we aim to demonstrate that our step-by-step and st...
Introduction: Nivolumab is approved in Portugal for non-small cell metastatic lung cancer, as one of the indications, after progressing on chemotherapy. As an immune checkpoint inhibitor (ICI) immune-related adverse events (irAE) are possible reactions. Case report: A 64-year-old man with stage III lung adenocarcinoma who progressed after chemoradiotherapy and first line metastatic chemotherapy started nivoluma...
Radical prostatectomy is a highly successful treatment for prostate cancer, among the most prevalent manifestations of the illness. Damage of the cavernous nerve (CN) during prostatectomy is the main cause of postoperative erectile dysfunction (ED). In this study, the capability of a personalized bioactive fibrous membrane to regenerate injured CN was investigated. The fibrous membrane bioactivity is conferred ...
Radical prostatectomy is a highly successful treatment for prostate cancer, among the most prevalent manifestations of the illness. Damage of the cavernous nerve (CN) during prostatectomy is the main cause of postoperative erectile dysfunction (ED). In this study, the capability of a personalized bioactive fibrous membrane to regenerate injured CN was investigated. The fibrous membrane bioactivity is conferred ...
Introduction And Objective Prostate cancer is a frequent disease and the radical prostatectomy one of the most used treatment when the cancer is localized. This procedure commonly causes erectile dysfunction (ED) by injure the cavernous nerve (CN) during the surgery.With this research we investigate the ability of a bioactive fibrous membrane (FM) to regenerate the damaged CN in a rat model of CN injury. Method...
Renal ultrasound imaging is the primary imaging modality for the assessment of the kidney’s condition and is essential for diagnosis, treatment and surgical intervention planning, and follow-up. In this regard, kidney delineation in three-dimensional ultrasound images represents a relevant and challenging task in clinical practice. In this paper, a novel framework is proposed to accurately segment the kidney in...
Renal ultrasound imaging is the primary imaging modality for the assessment of the kidney’s condition and is essential for diagnosis, treatment and surgical intervention planning, and follow-up. In this regard, kidney delineation in three-dimensional ultrasound images represents a relevant and challenging task in clinical practice. In this paper, a novel framework is proposed to accurately segment the kidney in...
Introduction: Although the risk of urethral trauma while treating bladder stones is worrisome, evidence about the best treatment approach is scarce. The aim of this study is to compare the safety and efficacy of transurethral cystolithotomy and percutaneous suprapubic cystolithotomy in adults´ bladder lithiasis treatment. Methods: We retrospectively evaluated 120 patients (January 2012 to December 2017) who wer...
Introduction: Hemostasis is a central issue in laparoscopic surgery. There are no clear guidelines when it comes to the choice of what energy scissor to use. This study compares the efficiency and security between EnSeal® and LigasureTM in the sealing of arteries and veins in an ex-vivo porcine model. Methods: The instruments were compared with each other with respect to cutting speed and burst pressure (BP) af...
Introduction: The characterization of renal masses by biopsy before a surgical procedure is currently an option. Without this prior characterization, patients with benign renal masses may be likely to undergo unnecessary surgeries. The purpose was to determine the diagnostic accuracy and safety of renal mass biopsy. Material and Methods: Prospective uni-institutional study of 38 patients submitted to renal mass...