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The loop electrosurgical excision procedure (LEEP) is one of the most commonly used approaches to treat high grade cervical dysplasia (CIN II/III, HGSIL) and early stage cervical cancer discovered on colposcopic examination. In the UK, it is known as large loop excision of the transformation zone (LLETZ).
Development of the first commercial electrosurgical device is credited to William T. Bovie, who developed the first electrosurgical device while employed at Harvard University. [8] [18] The first use of an electrosurgical generator in an operating room occurred on October 1, 1926 at Peter Bent Brigham Hospital in Boston, Massachusetts.
Physical therapists can assist immobilized patients with effective cough techniques, secretion clearance, stretching of the thoracic wall, and suggest abdominal support belts when necessary. The amount of time a patient is immobilized may depend on the level of the spinal cord injury.
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Approximately 9–12% of people (632 million) have low back pain at any given point in time, [26] and nearly 25% report having it at some point over any one-month period. [7] [8] About 40% of people have low back pain at some point in their lives, [7] with estimates as high as 80% among people in the developed world. [27]
A later 2023 review confirmed this conclusion that there is limited high-quality evidence for the use of electromagnetic stimulation for pain relief. [4] A 2015 review found that the evidence for electrotherapy in pregnancy-related lower back pain is "very limited". [18]
He has worked in the field of chronic back pain and complex regional pain syndrome (CRPS). In 1982, he designed the Racz catheter , a flexible, spring-wound catheter with a small fluoroscopic probe. In 1989, he developed epidural lysis of adhesions , sometimes referred to as percutaneous adhesiolysis, [ 2 ] or simply the Racz procedure. [ 3 ]
These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time. The key element is the use of a laparoscope , a long fiber optic cable system that allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.
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