To my knowledge, this is the first time all the Board of Trustee of SUMROC moved to Conference Auditorium at IRCAD/AITES Chang-Bing Show Chwan Memorial Hospital at LuGang, ChangHua for our regular Board meeting held on 3/7/2009. So I have the good chance to broaden the vision on this gorgeous 5 star operating theaters dedicated for trianing on endoscopic sugery. We took the HSR at 12:42 pm from Taipei, and arrived at Taichung around 1: 30pm. When the tour bus picked up all the attendee, then we moved the meeting site. Warm welcome with delicacies, fresh fruits, tea, coffee, or desserts, then briefing, orientation, and going around in this brand new Hospital and visited museum, and Lobby where atmosphere of patient-oriented, and patient priority service were introduced. The receptionists claimed that no need for any patient to line up waiting for prescription drug pick-up, in stead, they were entertained with hospitality of tea or coffee sitting at the table and ready for bringing back their own medicine. What a complimentary encounters!
Then the real impact is seeing is believing, all the facilities used in the training center are highly intelligent, high-tech, and superb. You know the French made is equal to fansy and delicate.
The hardware is world class should be filled with specilalists with brain, experience, and expertise in every subspecial fields. Hopefully this is new start to revolutionize Endoscopic surgical techniques in Asian regions . As one of the members in Taiwan, we are pround of this achievement . All these credits for sure go to a Giant who is energetically dedicated to initiate and make this dream come true. A 70-yera old key person- MH Huang, MD who is also prisiding this board meeting on the day.
2009年3月8日 星期日
2009年3月5日 星期四
New viewpoints on urological injuries in pelvic surgery
After an exposure to a telecommunication meeting, discussing about the laparoscopic repair on ureteral injury, I was suprisingly inspired regarding the alternative method on managing ureteral injuries during pelvic surgery.
We can face these tough problems more optimistically, or even do the repair by ourselves, because the end-to-end reanastomosis using 4-0 vicryl, 4 stiches, getting a over 65% successful primary repair rate. The key point results in the success lies in early detection of the injury, the use and passage of the ureteral catheter or uteroscopic guide wire or tubing, and delicate suture technique. Above all, the essential trick is using Pyridium oral intake on day before operation to have urine encolored with darken brownish hue and make it stand out different to ordinary light yellow-colored urine. Make a easy identification on ureteral jets which come from non-injuried upper urinary tracts, if cystoscopy check is a routine after any pelvic surgery procedures. If any block in the injuried site occurred, accordingly, the ureteral jet flush will not be seen over the same side that got into troubles. Put on the stiches over trimmed or spatulated ends without using Loupe, not difficult,right? Then we have good stuff -- double J ureteral stents to put in the lumen to keep it patent and waiting for healing. Draumatic good end results for this small series of cases, that for sure will have a marvellous impact on the desire to copy all these expertise to our present day practice in open pelvic sugery.
We can face these tough problems more optimistically, or even do the repair by ourselves, because the end-to-end reanastomosis using 4-0 vicryl, 4 stiches, getting a over 65% successful primary repair rate. The key point results in the success lies in early detection of the injury, the use and passage of the ureteral catheter or uteroscopic guide wire or tubing, and delicate suture technique. Above all, the essential trick is using Pyridium oral intake on day before operation to have urine encolored with darken brownish hue and make it stand out different to ordinary light yellow-colored urine. Make a easy identification on ureteral jets which come from non-injuried upper urinary tracts, if cystoscopy check is a routine after any pelvic surgery procedures. If any block in the injuried site occurred, accordingly, the ureteral jet flush will not be seen over the same side that got into troubles. Put on the stiches over trimmed or spatulated ends without using Loupe, not difficult,right? Then we have good stuff -- double J ureteral stents to put in the lumen to keep it patent and waiting for healing. Draumatic good end results for this small series of cases, that for sure will have a marvellous impact on the desire to copy all these expertise to our present day practice in open pelvic sugery.
2009年3月4日 星期三
First trial and virgin journey
This is a brand new start for personal trial on chronicle record on interesting stuff felt by myself, and keep it open and share it with whom is interesting on the related mention or probably sort of scenario that ever occurred to you.
Go go and go. Hopefully be lucky enough and always have memorable encounters when on exploring.
Go go and go. Hopefully be lucky enough and always have memorable encounters when on exploring.
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