The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision

Aso, Hiroshi; Yokota, Harumasa; Hanazaki, Hirotsugu; Yamagami, Satoru; Nagaoka, Taiji

doi:10.1038/s41598-021-87022-3

Cited by 4 publications

(5 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In kebab technique described by Aso et al, PFCL use was interpreted as a cause of extra cost. [3] We agree this interpretation in a cost-effective way of perspective but we still advocate a barrier between the lens material and retina is beneficial, as hydroxypropyl methylcellulose in our cases. Hydroxypropyl methylcellulose is cheaper than both PFCL and retina as in ophthalmic viscosurgical device versus vitreous.…”

Section: Discussionsupporting

confidence: 56%

“…Since microincision vitrectomy became preferred method over classical larger incision surgeries; alternative techniques to manage the dropped nucleus without using fragmatome are sought and reported. [2,3] It is essential to perform a complete vitrectomy with maximum effort to clean vitreous base where unnoticed small breaks or holes may cause consecutive retinal detachments.…”

Section: Espite Recent Advancements In Cataract Extractionmentioning

confidence: 99%

See 1 more Smart Citation

Harpoon technique for the management of dropped nucleus

Azarsiz¹

2023

Eur Eye Res

View full text Add to dashboard Cite

Cataract extraction has various complications but dropped lens material should be properly managed to prevent further complications and visual impairment. We describe a cost-effective technique to deal with dropped nucleus using 26G IV cannula as a harpoon to fixate the lens. After performing complete standard vitrectomy, 26G IV cannula is inserted into the lens material and elevated up to anterior chamber for safe removal with phacoemulsification. Out technique is cost-effective and provides the maximum preventive measures for possible retinal damage and safe removal of the lens material.

show abstract

Section: Discussionsupporting

confidence: 56%

Section: Espite Recent Advancements In Cataract Extractionmentioning

confidence: 99%

Harpoon technique for the management of dropped nucleus

Azarsiz¹

2023

Eur Eye Res

View full text Add to dashboard Cite

show abstract

“…After operation, a nephrostomy tube is usually retained for 7 days to drain urine and prevent allantoic cyst and urinary extravasation. And it was used for compression to stop bleeding or as a surgical passage for re-PCNL [ 16 ]. However, during the period of nephrostomy, most patients will have lumbar pain and urine extravasation, which will not only lead to inconvenient life, but bring about prolonged hospitalization [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Application of CTU-Assisted Doppler Ultrasound Puncture in Nontube Percutaneous Nephrolithotomy, Its Effect on Patients’ Complications, and Its Clinical Value

Liu

Jia

et al. 2022

BioMed Research International

View full text Add to dashboard Cite

Objective. To research the application of CTU-assisted Doppler ultrasound puncture in uncatheterized PCNL, its influence on patients’ complications, and its clinical value in a case-control study. Methods. One hundred and forty-four patients who went through percutaneous nephrolithotomy (PCNL) from March 2019 to June 2021 in our hospital were arbitrarily assigned into the CTU group ( n = 72 ) and CT plain scan group ( n = 72 ). CTA+CTU was adopted to determine the puncture passage in the CTU group, and CT scan was employed in the CT group. The intraoperative blood loss, postoperative blood loss, operation time, hospital stay, primary stone removal rate, and the incidence of intraoperative and postoperative complications were compared. The visual analogue score (VAS) was employed to assess the degree of postoperative wound pain. Results. The first-stage stone removal rate in the CTU group was 95.83% (69/72), which was remarkably higher compared to the CT plain scan group, which was 81.94% (59/72), and the difference was statistically significant ( P < 0.05 ). The overall rates of intraoperative complications were 6.94% (5/72) in the CTU group and 18.06% (13/72) in the CT plain scan group, respectively, which exhibited great differences ( P < 0.05 ). In addition, the overall rates of intraoperative complications were 2.78% (2/72) in the CTU and 13.89% (10/72) in the CT plain scan group, respectively, and the difference was statistically significant ( P < 0.05 ). The operation time and postoperative hospital stays in the CTU group were remarkably shorter compared to the CT group, and the difference was statistically significant ( P < 0.05 ). The intraoperative and postoperative blood loss of CTU group displayed obvious less than that of the CT group, and the difference was statistically significant ( P < 0.05 ). The VAS were compared 24 hours after surgery. After operation, the VAS of 24 hours after operation in the CTU group ( 0.92 ± 0.12 ) were remarkably lower compared to the CT group ( 1.22 ± 0.15 ), and the difference was statistically significant ( P < 0.05 ). Discussion. PCNL is constantly being optimized by CTU-assisted Doppler ultrasound puncture to improve stone clearance rates, reduce postoperative bleeding, be less painful, provide rapid recovery, and provide safe and feasible results. It is therefore worthwhile to standardize and then widely promote it in clinical practice.

show abstract

“…A bipolar pencil is also used to retrieve a DN and bring it more anteriorly for easier phacoemulsification. 9 A thorough vitrectomy should be performed first not to aspirate any vitreous fibrils during these procedures.…”

mentioning

confidence: 99%

Intravitreal Chopping of Dropped Nucleus With a Nitinol Intraocular Foreign Body Forceps: An Alternative Technique for the Management of Retained Nucleus Fragments

Acar

Celiker

2023

Retina

View full text Add to dashboard Cite

Purpose: To evaluate the efficiency and safety of using an intraocular foreign body forceps with two nitinol loops at its tip to capture and chop dropped nucleus (DN) during vitrectomy as an alternative method and to evaluate the outcomes and complications of this surgical technique.Methods: The eyes that underwent 23-gauge vitrectomy with removal of DN using nitinol forceps with a minimum follow-up time of 1 year are included in this study. The efficiency of surgical technique and anatomical and functional results with complications is recorded.Results: Nine patients with a mean age of 73.11 ± 2.15 years were included in this study. The mean time between DN and vitrectomy was 7.67 ± 3.74 (5-14) days. In all eyes, DN was easily chopped and removed with aspiration. Argon laser photocoagulation was performed in 4 eyes (44.44%) during surgery. All eyes were followed up for a mean time of 21.11 ± 12.36 (12-48) months. The mean preoperative best-corrected visual acuity increased significantly during the postoperative follow-up (P , 0.001). No complications related to the cataract surgery or DN removal were observed.Conclusion: Surgical removal of DN with the help of these forceps with nitinol loops is found to be safe and effective in this study. This method avoids ultrasonographic energy and enables 23-gauge vitrectomy without a fragmatome.

show abstract

The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision

Cited by 4 publications

References 18 publications

Harpoon technique for the management of dropped nucleus

Harpoon technique for the management of dropped nucleus

Application of CTU-Assisted Doppler Ultrasound Puncture in Nontube Percutaneous Nephrolithotomy, Its Effect on Patients’ Complications, and Its Clinical Value

Intravitreal Chopping of Dropped Nucleus With a Nitinol Intraocular Foreign Body Forceps: An Alternative Technique for the Management of Retained Nucleus Fragments

Contact Info

Product

Resources

About