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R D Fanelli

Publications and source records attributed to R D Fanelli.

4 recordsLinked to original sources

A simple method for creating subcutaneous tunnels.

A trocar chest tube is an excellent tunneling device. It is readily available in a variety of sizes in all hospitals. It requires no special ordering and is inexpensive. The trocar chest tube glides through subcutaneous tissues easily, resulting in less trauma to the tissue compared with the forceful passage of poorly suited, large, blunt-tipped instruments. Operating room personnel are more likely to be familiar with the location of common trocar chest tubes than infrequently used commercial tunnelers. The option of creating curved tunnels when necessary broadens the applications of this disposable, easy to use instrument.

Adipose Tissue

A simplified technique for percutaneous endoscopic gastrostomy.

Percutaneous endoscopic gastrostomy (PEG) is the preferred method of establishing long-term enteral access for feeding. Many patients requiring PEG are elderly and at risk for complications. Expeditious placement of the gastrostomy tube will minimize complications, but distorted esophageal anatomy can significantly lengthen the procedure. Some endoscopists abandon conventional repeat gastroscopy in difficult cases to accelerate the procedure. The authors describe a reliable method for quick reinsertion of the endoscope which shortens time required for PEG, and may reduce complications.

Enteral Nutrition