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Surgical Technology International

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https://www.readbyqxmd.com/read/29689593/transcatheter-technologies-for-valvular-replacement-an-update
#1
Antonio Nenna, Sanjeet Singh Avtaar Singh, Simone Morganti, Laura Mazzocchi, Ferdinando Auricchio, Massimo Chello, Francesco Nappi
This report provides a brief overview of the basic principles, recent advances, and recommendations for the treatment of severe aortic stenosis with transcatheter aortic valve replacement (TAVR) in adults. Approaches that avoid neurological, cardiac and peripheral vascular complications have been developed. In addition, TAVR can be performed in intermediate- and low-risk patients. However, these procedures require specialized training and may not allow for complete resolution of the underlying issue. Even if cardiologists learn to perform the procedure and despite advancements in device technology, TAVR is still susceptible to structural valve degeneration, thrombosis and late cerebral embolization...
April 23, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29689592/successful-treatment-of-endometriosis-related-hemorrhagic-ascites-a-report-of-three-cases
#2
Sofia Mendes, Catarina Carvalho, GonÇalo Rodrigues, Sónia Barata, Carlos Calhaz-Jorge, Filipa Osório
Endometriosis-related ascites is rare and is frequently confused with an ovarian malignancy. Since it affects women in reproductive age, its diagnosis and therapy are even more challenging. These patients usually present with abdominal distension, pelvic pain, and weight loss, but a careful questioning usually reveals the typical endometriosis symptoms-such as dysmenorrhea and dyspareunia. We present three cases of endometriosis-related ascites, one of them with pleural effusion. All cases were associated with extensive disease and required laborious laparoscopic surgery, medical therapy with gonadotropin releasing hormone analogs, and long-term follow-up...
April 23, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29689591/translational-study-to-standardize-the-safe-use-of-bipolar-forceps-ligasure%C3%A2-sonicision%C3%A2-and-plasmablade%C3%A2-around-the-recurrent-laryngeal-nerve-in-thyroid-surgery
#3
Yishen Zhao, Changlin Li, Tie Wang, Le Zhou, Xiaoli Liu, Jingwei Xin, Shijie Li, Hui Sun, Gianlorenzo Dionigi
PURPOSE: We investigated the function of the recurrent laryngeal nerve (RLN) in a live porcine model during adjacent activation with bipolar forceps (BF), LigaSure™ small jaw (LSJ), Sonicision™ and PlasmaBlade™ (PB) devices. METHODS: Each of the energy-based devices (EBD) was activated for 3 seconds at different power settings at 5, 3, 2, and 1 mm from the RLN. Nerve root function and thermal spread were measured by continuous intraoperative neuromonitoring and infrared thermal imaging...
April 23, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29689590/endometrial-ablation-past-present-and-future-part-i
#4
Morris Wortman
Endometrial ablation (EA) is a commonly performed minimally invasive technique to manage intractable uterine bleeding that is unresponsive to medical therapy. It originated in ancient times when chemical astringents were used to control uterine hemorrhage associated with childbirth and a variety of other gynecologic conditions. In the late 19th century, the use of astringents and chemical cauterants gave way to the application of a variety of thermal energy technologies to cause selective destruction of the endometrium...
April 23, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29689589/ten-year-clinical-and-radiological-outcomes-of-100-total-hip-arthroplasty-cases-with-a-modern-cementless-dual-mobility-cup
#5
Loïc Laurendon, Rémi Philippot, Thomas Neri, Bertrand Boyer, Frédéric Farizon
INTRODUCTION: The original cementless Sunfit® dual mobility cup (SERF, Décines, France) exhibited limited osseointegration due to its hydroxyapatite and alumina coating. We hypothesized that replacement of the alumina with plasma-sprayed titanium + hydroxyapatite and improvement of the external geometry (Sunfit TH®) would not increase the risk of aseptic loosening. The primary goal of this study was to determine the survivorship and clinical and radiological outcomes among patients with the Sunfit TH® implant...
April 23, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29689588/virtual-reality-simulator-systems-in-robotic-surgical-training
#6
Alberto Mangano, Federico Gheza, Pier Cristoforo Giulianotti
The number of robotic surgical procedures has been increasing worldwide. It is important to maximize the cost-effectiveness of robotic surgical training and safely reduce the time needed for trainees to reach proficiency. The use of preliminary lab training in robotic skills is a good strategy for the rapid acquisition of further, standardized robotic skills. Such training can be done either by using a simulator or by exercises in a dry or wet lab. While the use of an actual robotic surgical system for training may be problematic (high cost, lack of availability), virtual reality (VR) simulators can overcome many of these obstacles...
April 23, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29669161/latest-advances-in-cardiac-valvular-replacement
#7
Ruggero De Paulis, Salvatore D'Aleo, Ilaria Chirichilli, Luca Paolo Weltert
The original monograph on valvular prostheses in Surgical Technology International was published in 1993. It represents a milestone and a reference point for critically organizing information on a complex and rapidly evolving topic. The last update was published in 2010. Since then, there have been significant developments regarding both "traditional" surgical prosthesis and valves for transcatheter implantation. Both bioprostheses and mechanical prostheses continue to evolve with respect to both their design and materials to further optimize hemodynamics and prevent a patient-prosthesis mismatch...
April 18, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29611159/perioperative-outcomes-and-short-term-complications-following-total-knee-arthroplasty-in-chronically-immunosuppressed-patients
#8
Gannon L Curtis, Morad Chughtai, Anton Khlopas, Jared M Newman, Assem A Sultan, Nipun Sodhi, Wael K Barsoum, Carlos A Higuera, Michael A Mont
BACKGROUND: Although there are studies regarding immunosuppressed patients undergoing total knee arthroplasty (TKA) for inflammatory arthritis or osteonecrosis, there is a paucity of studies evaluating immunosuppressed patients undergoing TKA for diagnoses other than these. MATERIALS AND METHODS: We identified all patients undergoing primary TKA for osteoarthritis from 2008-2014 in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29611158/decreased-time-to-return-to-work-using-robotic-assisted-unicompartmental-knee-arthroplasty-compared-to-conventional-techniques
#9
Alexander H Jinnah, Marco A Augart, Daniel L Lara, Riyaz H Jinnah, Gary G Poehling, Chukwuweike U Gwam, Johannes F Plate
INTRODUCTION: Unicompartmental knee arthroplasty (UKA) is a commonly used procedure for patients suffering from debilitating unicompartmental knee arthritis. For UKA recipients, robotic-assisted surgery has served as an aid in improving surgical accuracy and precision. While studies exist detailing outcomes of robotic UKA, to our knowledge, there are no studies assessing time to return to work using robotic-assisted UKA. Thus, the purpose of this study was to prospectively assess the time to return to work and to achieve the level of work activity following robotic-assisted UKA to create recommendations for patients preoperatively...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29611157/robotic-assisted-and-computer-navigated-unicompartmental-knee-arthroplasties-a-systematic-review
#10
Qais Naziri, Patrick J Mixa, Daniel P Murray, Roby Abraham, Bashir A Zikria, Akhilesh Sastry, Preetesh D Patel
INTRODUCTION: Unicompartmental knee arthroplasty (UKA) effectively improves pain and function associated with isolated compartmental knee arthritis. The developments of computer-navigated and robotic-assisted UKA are among the most significant changes that have improved patient outcomes. This study aimed to systematically review the literature to identify differences between computer-navigated and robotic-assisted UKAs. MATERIALS AND METHODS: Twenty total articles were identified...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29611156/practical-application-of-granulocyte-macrophage-colony-stimulating-factor-gm-csf-in-patients-with-wounds
#11
Harold Brem, Raelina Howell, Theresa Criscitelli, Ayelet Senderowicz, Nicolle Siegart, Scott Gorenstein, Brian Gillette
Rapidly evolving advances in wound-care technologies and treatment modalities, including locally injectable granulocyte-macrophage colony-stimulating factor (GM-CSF), are increasingly being used. Based on its role in the stimulation and recruitment of key contributors to wound healing, such as keratinocytes, macrophages, and fibroblasts, GM-CSF is considered to play an essential role in the wound-healing cascade. Synthetic GM-CSF has been shown to have a positive effect on the healing of chronic wounds when given as a local injection in a small number of patients...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29611155/managing-the-diabetic-foot-ulcer-how-best-practices-fit-the-real-2018-united-states
#12
Nicole Ilonzo, Munir Patel, John C Lantis
Diabetes Mellitus is a serious systemic illness that has an epidemic-like increasing prevalence in the United States, as well as the rest of the world. With the increasing number of people with diabetes comes the higher incidence of diabetes-related complications. One of these known complications, diabetic foot ulcers (DFU), has an estimated lifetime incidence of 15% in diabetics. Having a DFU increases the risk of infection, amputation, and even death, which is why prompt treatment and surveillance of such ulcers is imperative...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29611154/intracorporeal-ileocolic-anastomosis-in-laparoscopic-right-colectomy-a-new-way-to-make-it-simple
#13
Roberto Rossini, Giorgio Lisi, Irene Gentile, Giuliano Barugola, Giacomo Ruffo
Although there has been a recent increase in the use of laparoscopy in colorectal surgery, the percentage of patients who undergo surgery using entirely minimally invasive techniques is still quite low, and there are substantial differences among centers. It has been argued that the limiting factor in the use of laparoscopic procedures is not the tumor or patient characteristics, but rather the number of surgeons with adequate skills to perform an entirely laparoscopic colectomy. To address this issue, we report here our totally laparoscopic right colectomy technique, with particular focus on a new way to perform the enterotomy closure, which may simplify ileocolic anastomosis...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29611153/indocyanine-green-icg-enhanced-fluorescence-for-intraoperative-assessment-of-bowel-microperfusion-during-laparoscopic-and-robotic-colorectal-surgery-the-quest-for-evidence-based-results
#14
Alberto Mangano, Federico Gheza, Liaohai Leo Chen, Eleonora Maddalena Minerva, Pier Cristoforo Giulianotti
Anastomotic leakage is a severe complication after colonic/rectal surgery. One of the most important causes of anastomotic leakage is poor vascular supply. However, microvascular impairment at the anastomotic site is very often not detected intraoperatively by observation under white light. Indocyanine green (ICG)-enhanced fluorescence is a technology that may be useful for detecting microvascular alterations and potentially preventing anastomotic leakage. The aim of this Editorial-Minireview is to briefly and critically assess the literature evidence regarding the feasibility of using an ICG ?uorescent tracer for detecting microvascular changes in the perianastomotic tissue and its potential role in preventing anastomotic leakage...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29566423/a-prospective-clinical-and-instrumental-study-on-the-effects-of-a-transcutaneous-cosmeceutical-gel-that-is-claimed-to-produce-co2
#15
Gustavo H Leibaschoff, Luis Coll, Wendy E Roberts
Carboxytherapy is the therapeutic use of carbon dioxide (CO2) in its gaseous state. Since 1933, carboxytherapy has referred to either the subcutaneous injection of CO2 or percutaneous application in a warm bath. The present clinical study was performed to determine if there were any changes in the dermis after the application of a transcutaneous gel, which is claimed to produce CO2, and, if so, how these changes compared to those with CO2 injection. Ten patients received transcutaneous treatment with the gel on one side of the face and the other side without any product was used as a control...
March 22, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29566422/clinical-prospective-study-on-the-use-of-subcutaneous-carboxytherapy-in-the-treatment-of-diabetic-foot-ulcer
#16
Lynda Khiat, Gustavo H Leibaschoff
Diabetic footfoot ulcer (DFU) is a serious complication of diabetes mellitus, and possibly the major morbidity of the diabetic foot. It is the most common foot injury in diabetic patients and can lead to lower-extremity amputation. Management of DFU requires a systematic knowledge of the major risk factors for amputation, frequent routine evaluation, scrupulous preventive maintenance, and correction of peripheral arterial insufficiency. Carboxytherapy refers to the subcutaneous injection of CO2 to improve the microcirculation and promote wound-healing by stimulating the microcirculation...
March 22, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29566421/the-role-of-virtual-rehabilitation-in-total-knee-and-hip-arthroplasty
#17
Morad Chughtai, Jared M Newman, Assem A Sultan, Anton Khlopas, Sergio M Navarro, Anil Bhave, Michael A Mont
Virtual rehabilitation therapies have been developed to focus on improving care for those suffering from various musculoskeletal disorders. There has been evidence suggesting that real-time virtual rehabilitation may be equivalent to conventional methods for adherence, improvement of function, and relief of pain seen in these conditions. This study specifically evaluated the use of a virtual physical therapy/rehabilitation platform for use during the postoperative period after total hip arthroplasty (THA) and total knee arthroplasty (TKA)...
March 22, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29549667/hip-osteoarthritis-patients-demonstrated-marked-dynamic-changes-and-variability-in-pelvic-tilt-obliquity-and-rotation-a-comparative-gait-analysis-study
#18
Assem A Sultan, Anton Khlopas, Inyang Udo-Inyang, Morad Chughtai, Nipun Sodhi, Suela Lamaj, Roland Starr, Nicolas S Piuzzi, Anil Bhave, Michael A Mont
INTRODUCTION: Changes in pelvic position has been shown to affect acetabular coverage of the femoral head in total hip arthroplasty (THA) and may contribute to complications such as impingement, dislocation, or early wear. Understanding the kinematic changes of these positions during functional activities may help surgeons reach a consensus regarding stable hip mechanics and ideal implant positioning in THA. Therefore, in this study, we aimed to evaluate the following in patients who had unilateral hip OA: 1) dynamic changes; and 2) variability; in the following pelvic position parameters: A) tilt; B) obliquity; and C) rotation standing position to walking...
March 16, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29529706/using-multi-layer-foam-dressing-to-prevent-pressure-injury-in-a-long-term-care-setting
#19
Kevin Woo
Maintaining skin integrity is espoused by several international authorities as a benchmark for patient safety and quality of care. National guidelines advocate the use of prophylactic multi-layer foam dressings over bony prominences for the prevention of pressure ulcers or injuries. The purpose of this study was to evaluate the implementation of best practice guidelines including the use of multi-layer foam dressings for the prevention of pressure injuries. The analysis involved data from a total number of 62 unique patients...
March 12, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29529705/video-assisted-subcutaneous-destruction-of-the-sinus-tract-with-vessel-loop-drainage-as-minimally-invasive-surgical-treatment-for-pilonidal-sinus-disease
#20
Michael Korenkov
The video-assisted subcutaneous destruction of the sinus tract (VADST) is a novel, minimally-invasive technique for the treatment of pilonidal sinus disease (PSD). This is an advancement of the previously described subcutaneous destruction of the sinus tract and the removal of hairs as well as the long-term vessel-loop drainage of the wound channel (DST). Although the first results of this operation seemed to be promising, some of my colleagues felt that the blind approach to this procedure could be its potential "weak point"...
March 12, 2018: Surgical Technology International
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