Theodoros Kapetanakis

• MD, PhD, FACOG
• Board Certified Minimally Invasive Gynecologic and Endometriosis Surgeon at Mount Auburn Hospital

Study Objective To illustrate a systematic approach to laparoscopic endometriosis lesion mapping and radical wide field excision. Significant variation exists regarding the optimal approach to surgical management of endometriosis with attempts for standardization being fairly recent. We hereby contribute to these efforts by presenting our approach...

There is mounting experimental evidence that hypercapnic acidosis protects against lung injury. However, it is unclear if acidosis per se rather than hypercapnia is responsible for this beneficial effect. Therefore, we sought to evaluate the effects of hypercapnic (respiratory) versus normocapnic (metabolic) acidosis in an ex vivo model of ventilat...

We aimed to determine whether a standard P504S, 34betaE12 and p63 immunostaining of prostate core needle biopsy specimens can optimize diagnostic accuracy of conventional staining methods. The staining properties of all three antibodies were evaluated on 250 prostate biopsies formerly diagnosed as benign. Lack of basal cell staining in more than th...

Despite being formally included in the assessment of patients presenting with lower urinary tract symptoms (LUTS), transrectal ultrasonography (TRUS) is not routinely offered to these patients. This tactic however might not be optimum since data exist on the superiority of TRUS over transabdominal ultrasound in accurately predicting prostate volume...

Mechanical ventilation and administration of a high oxygen concentration are simultaneously used in the management of respiratory failure. We conducted this study to evaluate the effect of a high inspired oxygen concentration on ventilator-induced lung injury. Forty sets of isolated/perfused rabbit lungs were randomized for 60 min of pressure-contr...

Obstructive uropathy is argued to involve an ischemia-type tissue injury. Further, hypoxia-inducible factor 1 alpha (HIF-1 alpha) constitutes a nuclear transcription factor normally upregulated under hypoxic conditions. We hypothesized that HIF-1 alpha is expressed in the hydronephrotic renal pelvis, as a result of tissue hypoxia. Renal pelvis tiss...

There are only a few reports on laparoscopic pyeloplasty in kidney abnormalities and only one case for laparoscopic pyeloplasty in a duplicated system. Increasing experience in laparoscopic techniques allows proper treatment of such anomalies. However, its feasibility in difficult cases with altered kidney anatomy such as that of duplicated renal p...

Urinary diversion after radical cystectomy is commonly performed via an ileal conduit using the Bricker method. However, 4-8% of these cases are complicated with stricture formation at the ureterointestinal junction. Thus, this could eventually lead to hydronephrosis and kidney loss in neglected patients. Few data exist concerning the outcomes of p...

General and spinal anesthesia are currently in widespread use during transurethral bladder tumor resection. However, local anesthetic methods are claimed to provide sufficient intra-operative analgesia and satisfactory post-operative pain management. We evaluated whether local levobupivacaine infiltration of the tumor would result in outcomes, in t...

Short bowel syndrome is a chronic malabsorptive state usually resulting from extensive small bowel resections. A combination of diarrhea, nutrient malabsorption, dysmotility, and bowel dilatation may constitute the clinical symptomatology of this syndrome. The remaining bowel undergoes a process called adaptation, which may replace lost intestinal...

J Clin Gastroenterol. 2007 Jan;41(1):5-18. Short bowel syndrome: current medical and surgical trends. Misiakos EP1, Macheras A, Kapetanakis T, Liakakos T. Author information 3rd Department of Surgery, University of Athens School of Medicine, Attikon University Hospital, Athens, Greece. misiakos@med.uoa.gr Abstract Short bowel syndrome is a ch...