7 January 2009

NICE

Percutaneouos mitral valve leaflet repair for mitral regurgitation (interventional procedures consultation) (23rd December 2008)
Mitral regurgitation occurs when the mitral valve does not close properly, allowing blood to leak backwards. This can lead to shortness of breath and the heart may be unable to pump enough blood to the rest of the body. During percutaneous mitral valve leaflet repair, a catheter is inserted through the skin via a large vein in the groin or neck and passed through to the heart. The two leaflets of the mitral valve are partially clipped or sewn together to reduce the amount of blood leaking backwards. Closing date for comments is 27th January 2009.
Consultation

Ex-vivo hepatic resection and reimplantation for liver cancer (interventional procedures consultation) (23rd December 2008)
The liver may be affected by cancer, either spreading from other parts of the body or developing from within the organ. In some patients, the tumour may develop in parts of the liver that are dangerous or impossible to treat with surgery, for example, when the tumour is very close to major veins that connect to the liver. This procedure involves removing the liver from the body, cutting away the diseased tissue, and reimplanting the remaining tumour-free liver into the patient. Closing date for comments is 27th January 2009.
Consultation

Endoscopic mastectomy and endoscopic wide local excision for breast cancer (interventional procedures consultation) (23rd December 2008)
Treatment for early breast cancer usually involves surgery to remove all or part of the breast. In this keyhole procedure, part or all of the breast tissue is removed using special instruments inserted through small skin incisions. The skin envelope of the breast and nipple are left intact, ready for an implant that can be inserted during the same operation. Closing date for comments is 27th January 2009.

Consultation

Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD) (interventional procedures consultation) (23rd December 2008)
Children are sometimes born with defects of the hip joint and upper thigh bone, called proximal femoral focal deficiency, often abbreviated to PFFD. Surgical treatment, aiming to produce as functional a leg as possible, may be appropriate. This may also involve a corrective operation on the hip joint (sometimes referred to as the ‘superhip' procedure). The initial operation may be combined with other surgery to lengthen the leg and treat other problems such as poor knee function at the same time or at a later date. Closing date for comments is 27th January 2009.
Consultation

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