Irrigation Tube Research Articles

Development of Floating Wave Barriers for Cost-Effective Protection of Irrigation Pond Levees

The earth levees commonly used for irrigation reservoirs are subjected to significant embankment erosion due to wind-generated waves. Large seasonal fluctuations in water level make vegetative bank protection impractical, and other stabilization methods, such as the use of stone or discarded tires, are not acceptable due to ecological or economic concerns. Here, a floating wave barrier made of polyethylene irrigation tubing is designed through a laboratory model study and subjected to a short-term prototype-scale field test. Based on wave characteristics measured in an irrigation pond near Carlisle, Arkansas, a laboratory-scale wave generating flume was designed, constructed, and used to test multiple wave barrier configurations for regular waves in deep and transitional water depths. Wave transmission characteristics were investigated for the following breakwater arrangements: (1) fully restrained, (2) vertically restrained with a single mooring line, and (3) horizontally restrained with piles at both sides of the wave barrier. The test results show that cylindrical pipes can be used effectively and that wave transmission characteristics strongly depend on the draft and mooring configuration of the wave barrier. The use of multiple small cylinders to replace a single large one is validated. A composite design made of two sizes of cylinders joined at the top was chosen for field testing. In the prototype-scale field test, wave amplitudes were reduced by an average of approximately 50%, which translates into a 75% reduction in wave energy.

Spatial and temporal patterns of root distribution in developing stands of four woody crop species grown with drip irrigation and fertilization

In forest trees, roots mediate such significant carbon fluxes as primary production and soil CO2 efflux. Despite the central role of roots in these critical processes, information on root distribution during stand establishment is limited, yet must be described to accurately predict how various forest types, which are growing with a range of resource limitations, might respond to environmental change. This study reports root length density and biomass development in young stands of eastern cottonwood (Populus deltoidies Bartr.) and American sycamore (Platanus occidentalis L.) that have narrow, high resource site requirements, and compares them with sweetgum (Liquidambar styraciflua L.) and loblolly pine (Pinus taeda L.), which have more robust site requirements. Fine roots (<1 mm), medium roots (1 to 5 mm) and coarse roots (>5 mm) were sampled to determine spatial distribution in response to fertilizer and irrigation treatments delivered through drip irrigation tubes. Root length density and biomass were predominately controlled by stand development, depth and proximity to drip tubes. After accounting for this spatial and temporal variation, there was a significant increase in RLD with fertilization and irrigation for all genotypes. The response to fertilization was greater than that of irrigation. Both fine and coarse roots responded positively to resources delivered through the drip tube, indicating a whole-root-system response to resource enrichment and not just a feeder root response. The plastic response to drip tube water and nutrient enrichment demonstrate the capability of root systems to respond to supply heterogeneity by increasing acquisition surface. Fine-root biomass, root density and specific root length were greater for broadleaved species than pine. Roots of all genotypes explored the rooting volume within 2 years, but this occurred faster and to higher root length densities in broadleaved species, indicating they had greater initial opportunity for resource acquisition than pine. Sweetgum’s root characteristics and its response to resource availability were similar to the other broadleaved species, despite its functional resemblance to pine regarding robust site requirements. It was concluded that genotypes, irrigation and fertilization significantly influenced tree root system development, which varied spatially in response to resource-supply heterogeneity created by drip tubes. Knowledge of spatial and temporal patterns of root distribution in these stands will be used to interpret nutrient acquisition and soil respiration measurements.

Quai Branly in Process

Viewed from the Seine, through its glass palisade, the museum looks like a capsized container ship ... in dry dock. Hoisted on pillars, the exhibition plateau seems exposed and incongruous. Red, gray, yellow windowless boxes protrude. Seen from the rue de l'Universite, on the opposite side, the long, scored body seems already to be rusting. Three smaller buildings are yoked to one end; a domed restaurant perches on top. Underneath, a garden, or rather, a forest, is taking root. The trees are small, anchored by stakes and wires, accompanied by thousands of seedlings and grasses whose irrigation tubes and valves haven't yet been made to vanish. When the surrounding forest has grown up, the museum will, according to its architect, mysteriously dematerialize. The colored boxes will be glimpsed as if they were native huts poking through jungle foliage. Time will tell how the Musee du Quai Branly eventually looks and how its ambitious program is realized. Opened to great fanfare and widespread grumbling, it is a work in process dynamic, pretentious, and raw. As of fall 2006, the central exhibition space is largely complete (though like all permanent displays it will certainly be revised as tastes and times change). An impressive array of public events and research resources has been projected, and a first round of temporary exhibitions is under way. The guiding priorities and style of the new project are becoming clear, as are some of its contradictions and tensions.1 Quai Branly is clearly more than one thing, a coalition of different agendas that will, no doubt, be renegotiated. The founding vision and dramatic architecture create possibilities and impose limits. It will be interesting to track how those who animate this project curators, anthropologists, historians, bureaucrats, technicians,

Endoscopic transmural entry into pancreatic fluid collections using a dedicated aspiration needle without endoscopic ultrasound guidance: success and complication rates

Endoscopic drainage of pancreatic fluid collections (PFC) is performed with increasing frequency. A variety of techniques for performing transmural entry have been described. However, data are lacking on the technical success and safety of transmural entry using a single technique. The authors describe the largest experience in transmural entry of PFCs without endoscopic ultrasound (EUS) guidance using a dedicated aspiration needle. All patients who underwent endoscopic transmural drainage of PFC from October 1998 to May 2006 were identified from the endoscopy database. Data were abstracted from the endoscopic procedure report and the patient records then placed in a JMP drive. All drainages were performed without EUS guidance after visualization of an obvious intraluminal bulge using a dedicated large-bore aspiration needle. The transmural tract into the PFC was dilated using a balloon with a diameter of 6 to 20 mm followed by subsequent placement of one or two 10-Fr double pigtail stents with or without nasocystic irrigation tubes. Successful entry was defined as entry allowing for the placement of stents. No significant difference in the complication rates was observed when they were analyzed for the following variables: age, gender, balloon diameter, presence of endoscopic impression, drainage approach, and size and type of fluid collection. Endoscopic transmural drainage of pancreatic fluid collections can be performed safely and effectively via the Seldinger technique without endoscopic ultrasound guidance. The study data will allow sample size calculations to be made if direct comparisons with this technique and others are undertaken.

Design and development of a prototype endocavitary probe for high‐intensity focused ultrasound delivery with integrated magnetic resonance imaging

To integrate a high intensity focused ultrasound (HIFU) transducer with an MR receiver coil for endocavitary MR-guided thermal ablation of localized pelvic lesions. A hollow semicylindrical probe (diameter 3.2 cm) with a rectangular upper surface (7.2 cm x 3.2 cm) was designed to house a HIFU transducer and enable acoustic contact with an intraluminal wall. The probe was distally rounded to ease endocavitary insertion and was proximally tapered to a 1.5-cm diameter cylindrical handle through which the irrigation tubes (for transducer cooling) and electrical connections were passed. MR compatibility of piezoceramic and piezocomposite transducers was assessed using gradient-echo (GRE) sequences. The radiofrequency (RF) tuning of identical 6.5 cm x 2.5 cm rectangular receiver coils on the upper surface of the probe was adjusted to compensate for the presence of the conductive components of the HIFU transducers. A T1-weighted (T1-W) sliding window dual-echo GRE sequence monitored phase changes in the focal zone of each transducer. High-intensity (2400 W/cm(-2)), short duration (<1.5 seconds) exposures produced subtherapeutic temperature rises. For T1-W images, signal-to-noise ratio (SNR) improved by 40% as a result of quartering the conductive surface of the piezoceramic transducer. A piezocomposite transducer showed a further 28% improvement. SNRs for an endocavitary coil in the focal plane of the HIFU trans-ducer (4 cm from its face) were three times greater than from a phased body array coil. Local shimming improved uniformity of phase images. Phase changes were detected at subtherapeutic exposures. We combined a HIFU transducer with an MR receiver coil in an endocavitary probe. SNRs were improved by quartering the conductive surface of the piezoceramic. Further improvement was achieved with a piezocomposite transducer. A phase change was seen on MR images during both subtherapeutic and therapeutic HIFU exposures.

Rodent Management for Surface Drip Irrigation Tubing in Corn, Cotton, and Peanut

Surface drip (SD) irrigation of field crops has been gaining interest in the farming community. However, rodent damage is one of the major drawbacks for SD acceptance. This research documents the cost of repairing drip tubing and effectiveness of several rodent control methods. Four sites were used to identify cost of repairing tubing. Treatments included untreated drip tubing, tubing that was lightly buried, sprayed with an insecticide or animal repellent, and edible rodenticide placed next to the tubing. Once a leak was found, it took an average of 4 minutes to repair the hole. Each repair had an average cost of $0.67 for labor and repair materials. This repair cost does not include time or transportation cost to find the leak. Rodent damage was the same in the untreated versus any chemical treatment tested. At Site 4, the animal repellent, RopelH, did have less rodent damage (2392 holes/ha) compared with the untreated (6049 holes/ha) however, the damage was extensive enough that it was more economical to replace than to repair the tubing. There was less rodent damage to the thin-walled tubing compared with the thickerwalled tubing. Drip tubing that was slightly buried had the best rodent control (5 holes/ha) compared with all other treatments (1771 holes/ha). One disadvantage of burying the drip tubing is removal. Strip tillage along with burying the drip tubing showed excellent resistance to rodent damage and appears to be a cost effective management tool for SD.

Greenhouse heating and cooling using aquifer water

Abstract An aquifer coupled cavity flow heat exchanger system (ACCFHES) was designed using underground aquifer water for the heating as well as cooling of a composite climatic greenhouse. The performance of ACCFHES was experimentally evaluated for a full winter and a summer season. The ACCFHES makes use of constant temperature aquifer water (24 °C) available at an agricultural field through an irrigation tube well for heating in winter nights and cooling in summer days. The results showed that the average greenhouse room air temperature was maintained 7–9 °C above the outside air during extreme winter nights and 6–7 °C below the outside air in extreme summer days, and temperature fluctuations inside the greenhouse also decreased daily. The average relative humidity (RH) inside the greenhouse also decreased by 10–12% in the winter and increased by more than double in the extreme summer conditions as compared to the outside conditions. A comparison of economic feasibility of the ACCFHES coupled greenhouse was also conducted with conventional greenhouse and open field condition based on the yield of Capsicum annum. The ACCFHES was also compared economically with other existing heating/cooling technologies such as earth-to-air heat exchanger system (EAHES), ground air collector, evaporative cooling using foggers and fan & pad system in terms of net present worth (NPW) and pay back period. It was observed that the NPW of the ACCFHES coupled greenhouse was much higher as compared to the conventional greenhouse and open field condition. The payback period of the ACCFHES coupled greenhouse was the lowest among all other existing heating/cooling systems.

Changes in vitreous amino acid concentrations in a rabbit model of cataract surgery

We previously reported marked elevation of glutamate, gamma-aminobutyric acid (GABA) and alanine in the vitreous after combined cataract surgery and vitrectomy for macular disorder. Photo-stimulation by the operating microscope and increased intraocular pressure (IOP) are possible causes of postoperative increases in amino acids. An animal model was used to verify this hypothesis. Forty-five coloured rabbits were studied; stress was applied to simulate cataract surgery. Simultaneous photic and pressure stress, photic stress alone, or pressure stress alone were exerted for 20 mins. The vitreous was extracted at the end of the stress period, or 10 mins or 30 mins later. Levels of six amino acids (asparate, glutamate, glycine, taurine, alanine and GABA) in the vitreous were analysed quantitatively. Significant increases in vitreous glutamate concentrations in treated eyes were observed following simultaneous photic and pressure stress, as well as after pressure stress alone, whereas no difference was found after photic stress alone. The mean glutamate concentrations in treated eyes and fellow eyes, respectively, were 5.59 +/- 2.03 microM and 4.36 +/- 2.09 microM (p < or = 0.05) 10 mins after simultaneous photic and pressure stress, and 4.32 +/- 0.97 microM and 2.29 +/- 0.51 microM (p < 0.05) 10 mins after pressure stress alone. Taurine concentration was elevated by pressure stress alone at 0 min and at 10 mins post-stress. Alanine concentration was reduced by photic stress alone at 10 mins post-stress. In all protocols, no significant differences between treated and fellow eyes were observed at 30 mins after stress. Time-dependent changes were observed not only in the treated eyes, but also in untreated fellow eyes. Elevations of vitreous glutamate in cataract surgery may be caused by pressure stress due to irrigation. Photic stress caused by the operating microscope has little influence. Sympathetic response may be involved in amino acid changes due to stress in cataract surgery.

Thermal modeling of a greenhouse integrated to an aquifer coupled cavity flow heat exchanger system

A thermal model is developed for heating and cooling of an agricultural greenhouse integrated with an aquifer coupled cavity flow heat exchanger system (ACCFHES). The ACCFHES works on the principal of utilizing deep aquifer water available at the ground surface through an irrigation tube well already installed in every agricultural field at constant year-round temperature of 24 °C. The analysis is based on the energy balance equations for different components of the greenhouse. Using the derived analytical expressions, a computer program is developed in C ++ for computing the hourly greenhouse plant and room air temperature for various design and climatic parameters. Experimental validation of the developed model is carried out using the measured plant and room air temperature data of the greenhouse (in which capsicum is grown) for the winter and summer conditions of the year 2004–2005 at Chandigarh (31°N and 78°E), Punjab, India. It is observed that the predicted and measured values are in close agreement. Greenhouse room air and plant temperature is maintained 6–7 K and 5–6 K below ambient, respectively for an extreme summer day and 7–8 K and 5–6 K above ambient, respectively for an extreme winter night. Finally, parametric studies are conducted to observe the effect of various operating parameters such as mass of the plant, area of the plant, mass flow rate of the circulating air and area of the ACCFHES on the greenhouse room air and plant temperature.

Transmural Entry into Pancreatic Fluid Collections Using a Dedicated Aspiration Needle without Endoscopic Ultrasound Guidance

Purpose: Endoscopic drainage of pancreatic fluid collections (PFC) is increasingly being performed. A variety of techniques have been described to perform transmural entry, however, there is a lack of data on the technical success and safety of transmural entry using a single technique. We describe the largest experience in transmural entry of PFC's without EUS-guidance using a dedicated aspiration needle. Methods: All patients who underwent endoscopic transmural drainage of PFC from October 1998-May 2006 were identified from the endoscopy database. Data were abstracted from the endoscopic procedure report and the patient records and placed in a JMP drive. All drainages were performed without EUS guidance after visualization of an obvious intraluminal bulge using a dedicated large-bore aspiration needle (BAN-18, Cook Medical, Winston-Salem, NC). The transmural tract into the PFC was dilated using dilating balloons ranging from 6–20mm in diameter followed by subsequent placement of one-two 10-Fr double pigtail stents with or without nasocystic irrigation tubes. Successful entry was defined as entry allowing for placement of stents. Results: Table 1 summarizes the main results.Table 1: Results.1.No significant difference in the complication rate was observed when analyzed for the following variables: age, gender, balloon diameter, presence of endoscopic impression, drainage approach, size and type of fluid collection. Conclusions: Endoscopic transmural drainage of pancreatic fluid collections can be performed safely and effectively via the seldinger technique without endoscopic ultrasound guidance. This data will allow sample size calculations to be made if direct comparisons to this technique and others are undertaken.

Grasping forceps–assisted endoscopic mucosal resection of early gastric cancer with a novel 2-channel prelooped hood

Endoscopic mucosal resection with a cap-fitted panendoscope (EMRC) such as a soft prelooped hood is a useful, effective, and safe technique. One problem with this method is that the lesion cannot always be maintained in the center of the cap because the procedure is performed blindly after aspiration. We developed a 2-channel prelooped hood that facilitates EMRC while simultaneously allowing both grip of the center in the lesion and irrigation of the aspiration site and evaluated the usefulness of this end hood for early gastric cancer. Retrospective study. Between August 2003 and October 2004, patients underwent our novel EMR. Twelve cases of early gastric cancer. Two side holes were fabricated by drilling in the cap portion of a conventional soft prelooped hood, and then the irrigation tube and the accessory channel tube were glued to the exterior surface of the holes. We placed the fabricated transparent hood at the tip of the endoscope and performed grasping forceps-assisted endoscopic aspiration mucosectomy. Accurate aspiration and the rate of en bloc resection. We obtained a satisfactory field of view and accurate aspiration in the center of the tumor in all lesions. The rate of en bloc resection was 91.7% (11/12). Gastric intramucosal cancer. Grasping forceps-assisted endoscopic mucosal resection with a novel 2-channel prelooped hood is safe and useful for mucosal resection of intramucosal cancers less than 20 mm and may help center the lesion in the cap before resection.

Water use estimates for various rice production systems in Mississippi and Arkansas

Rice irrigation-water use was estimated in Mississippi (MS) and Arkansas (AR) in 2003 and 2004. Irrigation inputs were compared on naturally sloping (i.e. contour-levee system) and mechanically graded fields. In MS, rice production consumed, on average, 895 mm water, but irrigation inputs were greatly affected by production system. Contour-levee systems accounted for 35% of the production area and consumed 1,034 mm irrigation. Fields mechanically graded to a consistent slope of approximately 0.1% (i.e. straight-levee systems) consumed 856 mm irrigation and accounted for 60% of the production area. Fields devoid of slope (i.e. zero-grade system) accounted for 5% of the production area and consumed 382 mm irrigation. In AR, contour-levee rice production consumed 789 mm compared to 653 mm with a straight-levee system. Using low pressure, thin wall (9–10 mil) disposable irrigation tubing to deliver water to each paddy independently reduced irrigation inputs by 28% in MS and 11% in AR when compared to a single-point (levee-gate) distribution system.

EFFECT OF VIF ON METAM, CHLOROPICRIN, AND 1,3-DICHLOROPROPENE, ALONE AND IN COMBINATION ON NUTSEDGE POPULATIONS

Previous research has demonstrated stimulation of purple and yellow nutsedge (Cyperus rotundus and C. esculentus) with chloropicrin when applied at rates ranging from 100 to 150 lbs/acre (112 to 168 kg·ha–1) under low or high density polyethylene film mulch. This stimulatory effect has been exploited in research by developing a program of metam application 5 days after application of chloropicrin, thus placing metam in the soil once the tubers have begun to sprout and are most vulnerable. This project was expanded in 2004–05 to include the commercial emulsifiable concentrate formulation of 65% 1,3-dichloropropene and 35% chloropicrin (1,3-D + Pic) and virtually impermeable film mulch as well as high density polyethylene film. The test site was a commercial tomato farm in west central Florida with a heavy infestation of purple nutsedge. Chloropicrin was applied into raised beds through three gas knives, while 1,3-D + Pic and metam potassium were applied in 1 acre inch of water through 2 drip irrigation tubes spaced 10 inches apart and 5 inches from the bed center. Metam was applied 5 days after application of chloropicrin and 1,3-D + Pic. Treatments were applied under both standard high density polyethylene film (Hilex and Bromostop) VIF. Stimulation of nutsedge sprouting and emergence was about the same with either chloropicrin alone or combined with 1,3-D; however, there was some enhancement when applied under VIF. There was a slight improvement in efficacy of metam potassium when applied alone under VIF, contrary to previous results. Application of metam 5 days after application of chloropicrin or 1,3-D + Pic greatly improved nutsedge control over that observed without the subsequent application of metam and VIF improved results to some degree. Producers of drip irrigated crops in Florida can achieve acceptable to excellent nutsedge control using this sequential application technique combined with VIF; however, the addition of a second drip tube on the bed top increases expense by about $125/acre and is not compatible with crops grown with more than a single row on the bed.

OPESAVER-Super Irrigation System

OPESERVER reduces the surge phenomenon during ultrasonic phacoemulsification. It is composed of a Y-shaped joint (connecting the irrigation tube to the ultrasonic handpiece) to which a silicone tube (3.5 mm in internal diameter, 5 mm in outer diameter, and 2 m in length) is connected. The opposite end of the silicone tube is closed. Making use of the spontaneous compression and inflation, which take place to make the anterior chamber pressure equal to the air pressure within the silicon tube, OPESERVER instantaneously releases the irrigation fluid (entering the silicon tube) into the anterior chamber, thus allowing avoidance of surge and stabilization of the anterior chamber. If OPESERVER is used, stability of the anterior chamber is remarkably improved even when cataract surgery is performed with the irrigation fluid bottle set at a height 30 to 40 cm lower than usual, thus contributing to improving the safety of surgery and promoting postoperative patient recovery. Because the use of OPESERVER involves only a simple change in the pattern of the irrigation side, it can be used in combination with existing methods for manipulation on the aspiration side, and there is no restriction on the type of the apparatus used for aspiration.

Characterizing and Averting Cottontail Rabbit Damage in a Southern California Nursery

Cottontail rabbits are a serious problem in Southern California. Of particular concern is the damage they do to ornamental plant and tree nurseries. Rabbit browsing reduces plant quality, kills containerized plants, and damages irrigation systems. Although anticoagulant baiting for cottontail rabbits is legal in California, growers should also consider multiple integrated tactics for rabbit damage control. This project employed GPS mapping technology to locate the occurrence of rabbit damage and correlate it with irrigation type, container, planting density, canopy width, and canopy height. GPS was also used to monitor the impact of experimental strategies to reduce rabbit damage. Strategies to reduce rabbit damage included the use of protective covers on irrigation tubing, exclusionary fencing, and trapping. Radiotelemetry was used to confirm the location of suspected rabbit harborages within the nursery. GPS results indicate that 1.27 to 1.9-cm (½ to ¾-in)-diameter irrigation line covers were effective in reducing rabbit damage to the irrigation system. Exclusionary fencing using erosion-control silt fencing acted as an excellent temporary barrier to protect individual growing areas and groups of planting beds, but it was found to be impractical for many nursery situations. Rabbit catch rates increased when traps were used in conjunction with drift fences. General tactics recommended to container nurseries based on these study results include: protecting and modifying irrigation systems, use of exclusionary fencing, trapping in conjunction with drift fencing, and modifying known rabbit harborages where possible.

Rodent Management for Surface Drip Irrigation Tubing in Peanut

Surface drip irrigation of field crops has been gaining interest in the farming community. However, rodent damage is one of the major drawbacks for SD acceptance. This research documents the cost of repairing drip tubing and effective­ness of several rodent control methods. Four sites were used to identify cost of repairing tubing. Treatments included untreated drip tubing, tubing that was lightly buried, sprayed with an insecticide or animal repellent, and edible rodenticide placed next to the tubing. Once a leak was found, it took an average of 4 minutes to repair the hole. Each repair had an average cost of $0.67 for labor and repair materials. This does not include time or transportation cost to find the leak. Rodent damage was the same in the untreated versus any chemical management technique. At Site 4, the animal repellent, Ropel® did have less rodent damage (2,392 holes/ha) compared with the untreated (6,049 holes/ha); however, the damage was extensive enough that it was more economical to replace than to repair the tubing. The drip tubing that was slightly buried had the best rodent control (5 holes/ ha) compared with all other treatments (1,771 holes/ha). One disadvantage of burying the drip tubing is removal. Strip tillage along with burying the drip tubing showed excellent resistance to rodent damage and appears to be a cost effective management tool for surface drip irrigation

Origin of intraocular metallic foreign bodies during phacoemulsification

This is the first report of a case of intraocular metallic foreign bodies retained after phacoemulsification in which the source was identified as silver emanating from the brazing of the irrigation tube as it entered the handpiece shell on its inner diameter. Although silver is considered to be inert in the eye and nonmagnetic, manufacturers should evaluate alternate methods of phacoemulsification handpiece design.

ENDOSCOPIC PROCEDURE UNDER IRRIGATION

Background: Endoscopic therapy is often difficult to achieve particularly when the field of view of the lesion is poor due to contamination of mucus and blood. We developed five different types of end hoods that facilitate endoscopic procedures by simultaneously allowing various treatments and irrigation of the site.Methods: The end‐hood pieces were fabricated by drilling a side hole in the cap portion of conventional transparent hoods, then the irrigation tube was glued to the exterior surface of the hole. The fabricated transparent hood was placed at the tip of the endoscope.Results: Types 1 and 2 were useful for upper‐gastrointestinal (GI) hemorrhage, type 3 for lower‐GI hemorrhage, type 4 for endoscopic submucosal dissection and type 5 for endoscopic mucosal resection.Conclusions: With this method, endoscopic procedure is easy and economical, as therapeutic procedures can be performed under irrigation using a conventional endoscopy.

Combined cataract and glaucoma surgery: endoscope-controlled erbium:YAG-laser goniotomy versus trabeculectomy

To compare endoscopic infrared laser trabecular ablation and trabeculectomy (both combined with cataract surgery) regarding intraocular pressure (IOP), visual acuity, anti-glaucomatous drugs and complications. Seventeen eyes of 14 patients [age 74.7+/-11.7 years (arithmetic mean +/- standard deviation)]-13 with primary open-angle glaucoma (POAG) and four with pseudoexfoliation glaucoma (PEXG)-underwent standard cataract surgery. After lens implantation, a probe (1.1 mm external diameter) with optic and laser fibres and an irrigation tube was introduced through the cataract incision. To perforate Schlemm's canal, 15-17 single pulses (16 mJ, 160 micros) were applied using a photo-ablative infrared laser (Er:YAG, lambda=2.94 microm). All eyes except one received antiglaucoma treatment. The control group treated with cataract surgery and trabeculectomy consisted of 17 eyes (13 POAG, four PEXG) of 15 patients (age 75.0+/-5.6 years), each eye received antiglaucoma treatment. Mean follow-up was 3 years. The eyes treated with the endoscopic laser showed a mean preoperative IOP of 23.3+/-4.3 mmHg, which was reduced to 15.0+/-2.1 mmHg (mean IOP lowering 33.7%) after 3 years. Five eyes needed no medication for IOP-control after the procedure. Two eyes needed further surgery for IOP-control. In the control group, mean IOP was 24.5+/-2.6 mmHg in the beginning and 17.3+/-6.2 mmHg after 3 years, corresponding to a 33.3% lowering of IOP. Six eyes needed no medication, four eyes needed further surgery to lower IOP. After 3 years follow-up of a small pilot group, combined endoscopic infrared laser surgery with cataract surgery seems to be a safe and effective way to lower IOP. It shows the same ability to lower IOP as combined cataract surgery with trabeculectomy. In addition, there are markedly less complications with the endoscope-controlled photo-ablative laser procedure.

EMR of upper GI lesions when using a novel soft, irrigation, prelooped hood

Background EMR with a cap-fitted endoscope, including a soft, prelooped hood, is a useful, effective, and safe technique. One problem with this method, however, is that the lesion cannot always be kept in the center of the cap because the procedure is performed blindly after aspiration. A soft, prelooped hood with attached irrigation tube was developed. The usefulness of this device for EMR of upper-GI intramucosal cancers was evaluated. Methods The end-hood piece was fabricated by drilling a side hole in the cap portion of a conventional soft, prelooped hood and then attaching an irrigation tube with glue to the exterior surface of the hole. The fabricated transparent hood was placed at the tip of an endoscope, and aspiration mucosectomy under irrigation was performed in 15 patients with upper-GI intramucosal cancer. When the field of view at the aspiration site was obscured by oozing blood, the site was irrigated. Results A satisfactory view was obtained of all lesions. The mean diameter of specimens was 24.5 mm (interquartile range: 15-35). The proportion of en bloc resected lesions was 86.7% (13/15). Bleeding was the only complication (4/15; 26.7%) and was controlled by using endoscopic hemostatic techniques under irrigation. Conclusions EMR when using the soft, prelooped hood with irrigation tube is effective and safe for intramucosal cancers 20 mm or less in diameter.