Removal of colonic medium size sessile polyps without diathermy.
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OBJECTIVE: To evaluate regeneration in cervical craters following large loop excision of the transformation zone (LLETZ) and to investigate possible differential healing patterns depending on the cone's size. STUDY DESIGN: A prospective study of 100 nulliparous women who underwent LLETZ. They underwent transvaginal scanning estimation of the cervical craters (diameter, depth) immediately post-operatively and at 3, 6 and 12 months. The crater dimensions of the women with the 25 largest cones were compared to those of the women with the 25 smallest cones in each of the above points of time. RESULTS: The mean crater size of all women at 12 months was significantly smaller from the crater size immediately post-operatively. Although, there was a statistically significant difference in mean crater dimensions between the two quartile groups immediately post-operatively, no difference was found at 6 and 12 months. CONCLUSION: There is a healing process of the cervical crater, which is almost completed by the sixth post-treatment month. The defect remaining in the cervix is similar whether a large or small excision was performed.
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BACKGROUND: Intumescent or hypermature cataracts sometimes mean a difficult capsulorhexis. High frequency capsulotomy represents a satisfying solution for this problem. PATIENTS AND METHODS: 26 patients with intumescent cataracts undergoing cataract surgery with high frequency capsulotomy were enclosed into this study. Clinical application of this technique was examined intraoperatively and postoperatively. RESULTS: Only in 4 patients out of 26 it was not possible to achieve a circular cut by capsulotomy. Residual bridges could be cut by scissors. CONCLUSIONS: High frequency capsulotomy means a convenient alternative to capsulorhexis, while correct technique intraoperatively is extremely important for satisfying clinical results.
Temperatures were measured with a newly designed bipolar electrode ("Cap-Stamp"). Since the results were satisfactory it was possible to introduce the new method in extracapsular cataract surgery on human. Initial clinical results are reported, the advantages of the new instrument are discussed and the "Cap-Stamp" is compared with conventional instruments.
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