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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration01:25

Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration

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Hemoperfusion and hemofiltration are critical techniques in medical treatments to eliminate accumulated drugs, metabolites, and electrolytes from the bloodstream. These methods are particularly vital in cases of accidental poisoning and drug overdose.Hemoperfusion involves passing blood through an adsorbent material to remove unwanted substances. The main adsorbents used in hemoperfusion include activated charcoal and Amberlite resins. Activated charcoal can adsorb both polar and nonpolar...
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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

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Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
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Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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Overview of Microscopy Techniques01:22

Overview of Microscopy Techniques

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The early pioneers of microscopy opened a window into the invisible world of microorganisms. In 1830, Joseph Jackson Lister created an essentially modern light microscope. The 20th century saw the development of microscopes that leveraged nonvisible light, such as fluorescence microscopy that uses an ultraviolet light source and electron microscopy that uses short-wavelength electron beams. These advances significantly improved magnification, image resolution, and contrast. By comparison, the...
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Brick Cutting Techniques01:08

Brick Cutting Techniques

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Brick-cutting techniques involve various tools and methods to shape bricks for construction. A mason's hammer with a chisel-pointed end is used for basic shaping through sharp, precise strikes. For more complex shapes requiring higher precision, a power saw with a water-cooled diamond blade is used.
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Related Experiment Video

Updated: Feb 12, 2026

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations
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A novel implant removal technique by endoscopy.

Chang Heng Liu1,2, Wen Lin Yeh1,2,3,4, Ping Jui Tsai1,2

  • 1Department of Orthopaedic surgery, Chang Gung Memorial Hospital, Linkou Medical Center, #5, Fusing Street, Gueishan Township, Taoyuan County, 33305, Taiwan, Republic of China.

Journal of Orthopaedic Surgery and Research
|April 8, 2018
PubMed
Summary

Endoscopic implant removal offers a minimally invasive approach for hardware removal after fracture healing. This technique addresses complications like impingement and aids in treating intra-articular issues concurrently.

Keywords:
ArthroscopyEndoscopyImplant removalMinimally invasiveSurgical technique

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Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Techniques

Background:

  • Implant removal after fracture healing is debated.
  • Indications include joint impingement, scar adhesion, and malposition.
  • Endoscopic approach is proposed for challenging cases, especially with poor soft tissue.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic techniques for orthopedic implant removal.
  • To assess the suitability of endoscopy in patients with compromised soft tissue.

Main Methods:

  • Retrospective analysis of consecutive endoscopic implant removal surgeries (2005-2016).
  • Single experienced arthroscopic surgeon performed all procedures.
  • Inclusion criteria focused on eligible patients from an initial cohort of 73.

Main Results:

  • 29 patients (32 surgical sites) were included, with removal of 24 plates and 166 screws.
  • Five complications occurred: 1 broken screw, 1 persistent knee contracture, 3 wound dehiscence.
  • No infections or neurovascular injuries were reported.

Conclusions:

  • Endoscopic implant removal is a minimally invasive alternative to open surgery.
  • The technique preserves screw axis integrity and allows concurrent intra-articular treatment.
  • Suitable for specific indications, particularly when traditional methods pose higher risks.