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Surgical Technology International

Sumeet Sandhu, Jayson D Zadzilka, Emmanuel Nageeb, Marcelo Siqueira, Alison K Klika, Robert M Molloy, Carlos A Higuera
BACKGROUND: Total knee arthroplasty (TKA) results in significant postoperative pain and a demanding postoperative path for recovery. This study was conducted to determine whether a femoral nerve block (FNB) or a periarticular injection of liposomal bupivacaine with an adductor canal block (LB+ACB) is superior for pain management. MATERIALS AND METHODS: A total of 557 consecutive primary TKA cases performed at a single hospital between 2010-2014 were retrospectively reviewed...
November 3, 2018: Surgical Technology International
Pablo González Isaza
Vulvo-vaginal atrophy as a main symptom of the Genito Urinary Syndrome of Menopause (GSM) is a consequence of aging, particularly after menopause as a result of follicular ovarian follicle depletion and consequently low estrogen levels. Anatomical structures derived from the urogenital sinus, such as the distal urethra trigone and vestibule, are the most affected areas because of the high concentrations of alfa- and beta-estrogen receptors. The most common symptoms associated with vulvo-vaginal atrophy are dyspareunia, vaginal dryness, irritation, recurrent urinary tract infection and urinary incontinence, which negatively affect the patient's quality of life and sexuality...
November 3, 2018: Surgical Technology International
Olivia J Bono, Mehran S Aghazadeh, James V Bono
Successful joint replacement surgery requires precise preoperative planning and intraoperative placement of implants such that the function of the joint is optimized biomechanically and biologically. The five-step "pelvic tilt algorithm" will enhance the outcome of hip replacement surgery as a result of improved acetabular component alignment. It will solve the problem of pelvic tilt as an unknown variable during hip replacement surgery, and will allow for more consistent and accurate acetabular component placement...
November 3, 2018: Surgical Technology International
James Butch Rosser, Brett C Parker, Vudatha Vignesh
INTRODUCTION: Rapid progress has been made with unmanned aerial systems (UAS), which are now used in a wide variety of different fields, including media, agriculture, wildlife, and infrastructure. However, the application of UAS for medical purposes, and in particular disaster relief efforts, has been slower to develop. This paper will review and present pertinent studies in the literature. METHODOLOGY: Studies related to drones and medical applications for disaster relief were identified as part of a larger search regarding the civilian application of drones...
November 1, 2018: Surgical Technology International
Jerra Sullivan, Kevin Woo
Maintaining skin integrity is benchmarked for patient safety and quality of care. The purpose of this quality improvement project was to evaluate the incidence of pressure ulcers in high-risk, seriously ill patients from critical care areas comparing the number of hospital-acquired pressure injuries (HAPIs) after implementation of a new silicone multi-layer foam dressing with the number of HAPIs developed during a period in the previous year within which other silicone multi-layer foam dressings were used for prevention...
October 16, 2018: Surgical Technology International
Steven D McCarus
The advancement of surgical innovation for both devices and techniques has directly impacted the number of hysterectomy options available to patients. These advancements have led to an expansion of options that has been exceptionally impactful for minimally invasive surgery. For individuals who are diagnosed with a health condition or disease that requires a hysterectomy, these advances allow the surgeon to consider an expanded variety of procedures that may improve patients' outcomes and accommodate patient preferences...
October 16, 2018: Surgical Technology International
Anne-Marie Salisbury, Kevin Woo, Sandip Sarkar, Greg Schultz, Matthew Malone, Dieter O Mayer, Steven L Percival
A biofilm is a community of microorganisms that adhere to each other and to surfaces and secrete extracellular polymeric substances (EPS) encasing themselves in a matrix. Biofilms are a major healthcare concern, as they can form on medical devices leading to infection. Additionally, there is growing evidence to show their ability to form in chronic wounds, which leads to delayed wound healing and inflammation. Due to a number of reasons, such as formation of the EPS resulting in sub-inhibitory concentrations of antimicrobials reaching the bacterial cells, slow growth rate of bacterial cells rendering some antibiotics ineffective, and the presence of persister cells, biofilms show increased tolerance to many antimicrobials and antibiotics...
October 16, 2018: Surgical Technology International
Manoshi Bhowmik-Stoker, Laura Scholl, Anton Khlopas, Assem A Sultan, Nipun Sodhi, Joseph T Moskal, Michael A Mont, Steven M Teeny
BACKGROUND: Preoperative templating of total knee arthroplasty (TKA) components can help in choosing appropriate implant size prior to surgery. While long limb radiographs have been shown to be beneficial in assessing alignment, disease state, and previous pathology or trauma, their accuracy for size prediction has not been proven. In an attempt to improve templating precision, surgeons have looked to develop other predictive models for component size determination utilizing patient characteristics...
October 16, 2018: Surgical Technology International
Sergio M Navarro, Christopher Frey, Terri Blackwell, Sarah B Voges, H Del Schutte
PURPOSE: To determine if low-level intraoperative fluoroscopy usage is associated with increased complications during an initial series for an experienced surgeon transitioning to direct anterior approach (DAA) for total hip arthroplasty (THA). MATERIALS AND METHODS: Subjects who underwent DAA were eligible for analysis. Inclusion criteria included the first 50 subjects who underwent DA hip arthroplasty by a single surgeon (January 2013 to December 2014). Total operating room (OR) time, fluoroscopy absorbed dose, flouoroscopy time, procedure time, and complications were collected and analyzed...
October 1, 2018: Surgical Technology International
Simona Macina, Mikaela Imperator, Cosimo Feleppa, Francesco Sucameli, Giuseppina Talamo, Stefano Berti
PURPOSE: The aim of this study was to examine whether intracorporeal anastomosis (IA) after laparoscopic right hemicolectomy (LRH) is a safe procedure in both emergency and elective settings. METHODS: A retrospective review of all consecutive adult patients (age > 17 years) who underwent LRH from November 2014 to May 2018 at S. Andrea Hospital, La Spezia, was performed. The primary and secondary outcomes were the anastomotic leak rate and the operative time, respectively...
October 1, 2018: Surgical Technology International
Philip Wrotslavsky
Postoperative pain management for surgery in the lower extremities has historically been managed mechanically through the use of elevation, ice, compression and drains. Pharmacological management includes the use of nerve blocks and analgesics. Due to the current opioid crisis, new methods are being sought to reduce post-operative pain so that patients are at lower risk for opioid addiction. Postoperative edema control is vital to reduce tension on the incision, since increased incisional tension may cause an increase in pain at the surgical site...
October 1, 2018: Surgical Technology International
Sala Abdalla, Tayo Oke
A common post-operative complication of many operations is seroma formation, which, while generally considered to be relatively minor, can be problematic for patients and a drain on healthcare resources due to the need for frequent outpatient reviews and repeated aspirations. Several mechanisms have been implicated in the development of seromas, and drains have traditionally been used as a preventative strategy. However, drains are falling out of favour, not least because the evidence to support their use is limited and conflicting...
October 1, 2018: Surgical Technology International
Yusuke Otani, Takehiro Okabayashi, Yuichi Shibuya, Tatsuaki Sumiyoshi, Kenta Sui, Jun Iwata, Sojiro Morita, Yasuhiro Shimada
The treatment option for inferior mesenteric arteriovenous malformations is under debate because of the number of cases. We, herein, report about a 35-year-old man with congenital inferior mesenteric artery malformation (AVM) presenting with mucous stool and severe abdominal pain. The radical operation, after building the diverting stoma, minimized the extent of the resection. This is the first reported case where surgical management was used to control severe symptoms induced by inferior mesenteric AVM.
October 1, 2018: Surgical Technology International
Nipun Sodhi, Anton Khlopas, Assem A Sultan, Jared M Newman, Charles Jaggard, Michael A Mont, Frank Kolisek
INTRODUCTION: To help limit wear, newer polyethylene liners, such as the highly cross-linked polyethylene (HXLPE) liners, have been developed. These newer liners undergo an alternating irradiation process, resulting in a stronger, longer-lasting liner. The purpose of this study was to analyze the wear rates of patients who underwent THA and received a newer generation HXLPE acetabular insert. Specifically, we compared: 1) linear vector wear amount and 2) linear vector wear rates in patients as an overall cohort and by gender...
October 1, 2018: Surgical Technology International
Veronika Anissimova, Megan Brittain, Deborah Anne Loundes, Kevin Woo
INTRODUCTION: There are different levels of wound education which exist amongst healthcare providers treating wounds. It is unknown if advanced wound training can lead to improved clinical outcomes. PURPOSE: To review and summarize existing literature focused on the impact of different healthcare professionals with advanced wound care training and the associated effect of clinical outcomes. MATERIALS AND METHODS: The methods used to conduct this scoping review are based on the methodological framework developed by Arksey and O'Malley...
October 1, 2018: Surgical Technology International
Claudio Lazzara, Giuseppe Currò, Iman Komaei, Adalberto Barbera, Giuseppe Navarra
OBJECTIVE: We describe our experience with transanal-laparoscopic treatment of anastomotic leakage. SUMMARY OF BACKGROUND DATA: Anastomotic leakage leads to high mortality rates, morbidity, a complicated post-operative course and increased cost. The management of low anastomotic leakage after anterior resection of rectal cancer is not standardized. METHODS: This was a retrospective cohort study based on prospectively collected data. Among patients who underwent anterior resection for rectal cancer in our division between January 2014 and October 2017, 14 developed colorectal or colo-anal anastomotic leakage and underwent reoperation with a transanal approach...
September 11, 2018: Surgical Technology International
Ian T MacQueen, Philipp Kirchhoff, David C Chen
Parastomal hernia (PSH), defined as an incisional hernia at the abdominal wall defect resulting from stoma formation, is a frequent complication of enterostomy (ileostomy and jejunostomy), colostomy, and urostomy. A growing body of evidence supports the use of prophylactic mesh at the time of stoma creation to prevent the development of PSH. In particular, the use of permanent mesh has been supported in the creation of an end colostomy, and prophylactic mesh has been studied for use in other types of stoma...
September 11, 2018: Surgical Technology International
Roger Smith, Danielle Julian, Alyssa Tanaka
The emergence and maturation of the concept of blended learning in public and military education may prove equally valuable in CME surgical education and training. Creating a learner-centric environment in which multiple modes of education are encouraged, available, integrated, and accredited can increase the level of competence achieved in CME courses. This paper defines a framework for blended surgical training using principles developed for the military and it is applied in courses at a major post-graduate surgical education center...
September 11, 2018: Surgical Technology International
Simone Colangeli, Francesco Muratori, Leonardo Bettini, Filippo Frenos, Francesca Totti, Antonio D'Arienzo, Francesco Rosario Campo, Guido Scoccianti, Giovanni Beltrami, Domenico Andrea Campanacci, Rodolfo Capanna
STUDY DESIGN: Retrospective case series. OBJECTIVE: To report the outcome of a series of patients with sacral chordoma who were surgically treated at a single center. SUMMARY: Chordomas are low-grade malignant tumors that arise from remnants of the notochord. They are most often found in the sacrum, spine and skull-base. These tumors have a slow clinical evolution and may eventually metastasize, even after adequate treatment. Rarely, they can dedifferentiate into high-grade sarcomas...
September 11, 2018: Surgical Technology International
Erica Stockwell, David L Howard
STUDY OBJECTIVE: Our objective was to compare intrauterine pressures during resection and aspiration modes among three types of commercially-available hysteroscopic morcellators. DESIGN: This was a benchtop study (Canadian Task Force level II-1). This study cannot feasibly and ethically be done in-vivo, so an ex-vivo study design was chosen. SETTING: A silicone uterine model was attached to a manometer via tubing, with the tip inside the cavity to allow for intracavity pressure measurements...
September 11, 2018: Surgical Technology International
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