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The failure of the procedure, called transoral gastroplasty, pushes back the availability of any incision-less procedure to millions of obese Americans for several years, a disappointment to companies trying to find the next best thing to major surgery.
Women with LUCP and 'fixed' urethra, are at significantly increased risk of failure of the procedure.
According to Paley and Maar's, bone results were excellent in 14 patients, good in one patient and poor in the patient who had failure of the procedure.
The patient who did not complete treatment with bone transport was not included in this final functional assessment and was considered as a failure of the procedure.
According to Paley and Maar's scoring system, bone results for all 16 patients were excellent in 14 patients, good in one patient and poor in the patient who had failure of the procedure.
A diagnostic failure of the procedure was defined as a substantial clinical worsening of a missed injury (drainage of a missed haemo-/pneumothorax, urgent embolization of a fractured pelvis, unpredicted thoracic or pelvic surgery).
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Detailed work was undertaken to minimise the possibility of contamination between intervention and usual care groups, although any failure of the procedures put in place would reduce the size of effect observed.
25 Technical failures of the procedure could be attributable to errors in lymphoscintigraphy, sentinel lymphadenectomy, or histologic evaluation.
This paper first confirms that this represents the main reason for the failure of this procedure, showing that satisfactory correction is generally obtained when the number of equations is greater than the number of unknowns.
Late loosening, which is the major problem and the principal cause of failure of this procedure, is related to wear of the prosthetic components.
The failure of the original procedure in the presented case seems multifactorial (Fig. 8).
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