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  1. Laser-Driven Dissection Achieves Earlier Continence Recovery Than Blunt Dissection During Holmium Laser Enucleation of the Prostate
    Harraz AM, Aldousari S, Eltafahny AI, Almoumen A, Thahir A, Ajrawi F, et al.
    Low Urin Tract Symptoms, 2025 Jan;17(1):e70006.
    PMID: 39788152 DOI: 10.1111/luts.70006
    OBJECTIVES: During holmium laser enucleation of the prostate (HOLEP), blunt dissection (BD) by pushing the tip of the scope may exert mechanical force on the sphincter that could be avoided by adopting laser dissection (LD). This study evaluates the continence recovery in consecutive patients who underwent BD and LD.

    METHODS: A prospective cohort of patients who underwent LD was compared with a retrospective control that underwent BD. In both groups, early apical release was performed, and the adenoma was split at 12 O'clock after complete enucleation. In LD, a trans-capsular plane was sharply created by LD and is guided by the circular capsular fibers. A mechanical push with the resectoscope tip was used to create and maintain the ideal surgical plane in the BD group while the laser energy was used to achieve timely hemostasis. The primary outcome was stress urinary incontinence (SUI), defined as the need to use any number of pads, immediately after catheter removal, at 1 week and 1 month postoperatively.

    RESULTS: Consecutive 51 (48.6%) and 54 (51.4%) patients underwent BD and LD, respectively. The LD group tends to be older while other demographics were comparable. Both groups were comparable regarding the estimated prostate volume, enucleation time, and postoperative resolution of symptoms. Continence recovery was in favor of the LD group immediately after removing the catheter (77.8% vs. 43.1%; p 

    Matched MeSH terms: Dissection/adverse effects
  2. External laryngeal nerve in thyroid surgery: recognition and surgical implications
    Aina EN, Hisham AN
    ANZ J Surg, 2001 Apr;71(4):212-4.
    PMID: 11355727
    Injury to the external laryngeal branch of the superior laryngeal nerve during thyroid surgery is not uncommon. Most surgeons tend to avoid rather than expose and identify the external laryngeal nerve (ELN). The aim of the present study was to analyse the frequency and types of ELN crossing the avascular space in relationship to the structures to the upper pole of the thyroid and related thyroid pathology.
    Matched MeSH terms: Dissection/adverse effects*
  3. Fulltext Surgical and embryological perspective of a big loop of internal carotid artery extending laterally beyond internal jugular vein
    Nayak SB, Shetty SD
    Surg Radiol Anat, 2021 Mar;43(3):413-416.
    PMID: 33231750 DOI: 10.1007/s00276-020-02619-z
    Knowledge of variations of the internal carotid artery is significant to surgeons and radiologists. The internal carotid artery normally runs a straight course in the neck. Its anomalies can lead to its iatrogenic injuries. We report a case of a large loop of the internal carotid artery in a male cadaver aged about 75 years. The common carotid artery terminated by dividing it into the external carotid artery and internal carotid arteries at the level of the upper border of the thyroid cartilage. From the level of origin, the internal carotid artery coursed upwards, backwards and laterally, and formed a large loop behind the internal jugular vein. The variation was found on the left side of the neck and was unilateral. The uncommon looping of the internal carotid artery might result in altered blood flow to the brain and may lead to misperceptions in surgical, imaging, and invasive procedures.
    Matched MeSH terms: Neck Dissection/adverse effects
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