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Surgery
Published in Michael Stolberg, Gabrielle Falloppia, 1522/23–1562, 2023
Cauterization, the deliberate creation of an ulcer by means of heat or caustic substances, was a commonly applied method in the borderland between surgery and internal medicine. Student notes on a lecture by Falloppia on this subject were first published under the title De cauteriis in 1570, as an appendix to his lectures De compositione medicamentorum.36 Since his remarks on the topic were quite brief, Falloppia probably dealt with the topic in the context of another lecture, and more precisely in the context of ulcers: Seidel published Falloppia’s detailed discussion of cauterization as a part of his 1577 edition of his notes on Falloppia’s lecture on De ulceribus.37 He also promised his students that he would teach them the application of the cauter on actual cases.38
Qi 氣
Published in Vivienne Lo, Michael Stanley-Baker, Dolly Yang, Routledge Handbook of Chinese Medicine, 2022
Huang Di asked Qi Bo: Now, the qi of the four seasons, they all differ in their physical appearance. The emergence of each disease is linked to a certain location where it develops. As for the way of cauterisation and piercing, what specifications exist?
Tumor Angiogenesis
Published in Hans-Inge Peterson, Tumor Blood Circulation: Angiogenesis, Vascular Morphology and Blood Flow of Experimental and Human Tumors, 2020
Sholley et al.80 also examined the effects of leukocyte depletion on corneal vascularization in adult rats. Combined treatment of radiation (800 rd) and repeated injections of antineutrophil serum resulted in a reduction of the vascular ingrowth following cauterization with silver nitrate. There was a reduction of vascular length to 67% of control at 3 days and 33% at 4 days after cauterization. In their animals despite the absence of neutrophils, neovascularization occurred in all corneas. These authors con-cede, however, that complete inhibition of neutrophilic infiltration significantly reduces corneal neovascularization. The relationship of the various cells and their products to the induction of angiogenesis is currently under investigation. If polymorph leukocytes and their products are directly involved in the angiogenesis associated with inflammation, then this has a great bearing on tumor angiogenesis, since there is usu-ally a low-grade inflammation in the lag period from implantation to initial vascularization. Hypersensitivity reactions could help induce angiogenesis by way of the inflammatory response and the immigration of leukocytes into the area.
Cauterization’s history in the Persian medicine school
Published in Acta Chirurgica Belgica, 2023
Azam Khosravi, Robrecht Van Hee, Mohammad Hossein Asadi, Saeed Changizi-Ashtiyani, Saeed Amini
Based on documents of ancient Persian medical reports, cauterization was carried out in the following nine different ways:Cauterization with a hot red metal (cauterium actuate): cauterization with molten metal in the fire, which involves using heated iron, gold, copper, or silver [4].Cauterization with drugs (cauterium potentiale): cauterization with caustic or hot medicines, which was done by placing or pouring caustic material on the wound site or the patient’s limb. These drugs burned and dried the skin. The skin burned so much as if the burn was caused by fire. This method prevented bleeding. The burn site was called a ‘dry root’ (Khoshk Risheh). These drugs were also used to stop arterial bleeding and similar conditions. The applied drugs can be classified into two classes:
Do techniques of surgical management of ovarian endometrioma affect ovarian reserve? A narrative review
Published in Journal of Obstetrics and Gynaecology, 2022
Konstantinos Samartzis, Nikolaos Kathopoulis, Dimitris Loutradis, Athanasios Protopapas
Bipolar coagulation, suturing, or intra-ovarian haemostatic sealant agents may be used to achieve hemostasis after endometrioma excision. It is important to avoid damaging the major blood supply at the hilum coming in from the ovarian and infundibulopelvic ligaments (Dunselman et al. 2014). Careful identification of cleavage plane and precise spot bipolar coagulation is the key to achieve hemostasis, while preventing unnecessary damage to healthy tissue and avoiding blind or excessive usage of diathermy. Nevertheless, the use of bipolar cauterisation seems to harm ovarian reserve more than the use of sutures or haemostatic sealants (Ata et al. 2015). Cauterisation not only causes thermal damage but also impairs vascularisation of ovarian tissue surrounding the cyst bed. Therefore, its use should be limited and even avoided when possible. Declining AMH levels as soon as one month after surgery can be attributed to thermal damage whilst progressive decline observed later (i.e. between one and six months after surgery) could be attributed to impaired vascularisation (Ata et al. 2015).
Ovulation induction with clomiphene citrate or letrozole following laparoscopy in infertile women with minimal to mild endometriosis: a prospective randomised controlled trial
Published in Journal of Obstetrics and Gynaecology, 2022
Lu Zhou, Jing Fu, Dong Liu, Qiuyi Wang, Hengxi Chen, Shiyuan Yang, Wei Huang
All participants underwent operative laparoscopy under general anaesthesia. During the procedure, the ectopic lesions were excised or cauterised by monopolar or bipolar electro cauterisation. Pelvic adhesions were lysed to restore normal pelvic anatomy; hydrotubation with methylene blue was performed to confirm patency of the fallopian tube and finally 2000 ml 0.9% saline thoroughly washed the pelvis. All participants were randomised to three groups. Control: with no ovulation induction; LTZ: 5 mg of Letrozole daily for 5 days starting at day 3 of menses; CC: 50 mg of CC daily for 5 days starting at day 3 of menses. All of the three groups monitored basal body temperature in menstrual cycle and were submitted to daily ultrasound scan from day 10 of menses. Ovulation induction for each group continued up to 3 cycles until pregnancy.