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Biomedical subjects

P Super

Publications and source records attributed to P Super.

6 recordsLinked to original sources

Laparoscopic sigmoid colectomy: total laparoscopic approach.

Laparoscopic surgery seems set to make a significant impact on the practice of colorectal surgery. However, to date, the majority of surgeons have used a technique of laparoscopic assistance whereby initial laparoscopic mobilization of the bowel is followed by extracorporeal mesenteric and bowel division and subsequent restoration of bowel continuity. This report describes a technique of totally laparoscopic left-sided colonic resection, transanal specimen delivery, and intracorporeal colorectal anastomosis. The technique employed is described in detail and the indications and controversies surrounding such an approach are discussed.

Anastomosis, Surgical↗

Relation between distance heterophoria and tonic vergence.

The distance heterophoria was measured using both the von Graefe and Maddox rod clinic procedures under standard reduced illumination conditions and in total darkness. Tonic vergence was measured in total darkness. The phoria measures were more divergent than tonic vergence, with the von Graefe being the more divergent of the two measures. The difference between the phoria and tonic vergence position is believed to be due to accommodative divergence derived from the decrease of accommodation, relative to the tonic level, required to focus the distance phoria target. Equations were derived to predict tonic vergence from the phoria value.

Adult↗

Stability of tonic vergence.

Tonic vergence was monitored at 30 min intervals over a 10 hr period of a single day and at intervals of approximately 14 days over a period of 19 weeks. Measurements were also made during a continuous 112 min period in total darkness. Tonic vergence showed neither significant systematic variation nor large random fluctuations during the course of either a day or weeks, demonstrating stability under naturally occurring viewing conditions. During the period in total darkness, however, tonic vergence exhibited a significant decreasing trend, ie, eye position became less convergent with time. Stability was therefore poorer in the absence of visual stimuli.

Adult↗