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Surgical Technology International

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https://www.readbyqxmd.com/read/30204928/favorable-management-of-low-colorectal-anastomotic-leakage-with-transanal-conventional-and-endoscopic-drainage-gelpoint%C3%A2-path-transanal-access-platform
#1
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
https://www.readbyqxmd.com/read/30204927/prevention-of-parastomal-hernia
#2
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
https://www.readbyqxmd.com/read/30204926/blended-learning-methods-for-surgical-education
#3
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
https://www.readbyqxmd.com/read/30204925/surgical-treatment-of-sacral-chordoma-en-bloc-resection-with-negative-margins-is-a-determinant-of-the-long-term-outcome
#4
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
https://www.readbyqxmd.com/read/30204922/intrauterine-pressure-during-hysteroscopic-morcellation-a-comparison-of-three-commercially-available-devices
#5
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
https://www.readbyqxmd.com/read/30204929/latest-advances-in-transcatheter-cardiac-valvular-treatment
#6
Luca Weltert, Ruggero De Paulis, Tiziana Salatino, Fabrizio Tomai
When the original monograph on valvular prostheses was published in Surgical Technology International, back in 1993, transcatheter technology had not yet been invented. These techniques have been gradually revealed in subsequent issues. When we first considered writing a paper that described both surgical and transcatheter prosthesis, we realized that such a combined paper would be impractically large. Therefore, we decided to split our survey into more than one paper. This paper seeks to address the paucity of information available regarding transcatheter aortic valve implantation (TAVI) and similar devices...
September 10, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30204924/backpack-forces-on-the-spine
#7
Kenneth K Hansraj, Jonathan A Hansraj, Marcia D Griffin-Hansraj, James Kiernan, Niro Subesan, Bogdan Firtat, Alaa Elsisi
OBJECT: Backpacks are standard load carriers for people of all ages, especially school children and the military. Previous studies have described the impact of the forces exerted by backpacks on load distribution, back pain, and gait. The objective of this study was to use finite element analysis (FEA) to assess the effects of incremental weights in a backpack on the spine. METHODS: To assess the forces experienced by the spine under the incremental addition of weight to a backpack, we performed a finite element simulation using commercially available 'BodyParts3D/Anatomography' data, which were imported into FEA software...
September 10, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30204923/ultrasound-guided-calcium-debridement-of-the-shoulder-joint-a-case-series
#8
Edward Milman, Todd P Pierce, Kimona Issa, Robert R Palacios, Anthony Festa, Anthony J Scillia, Vincent K McInerney
OBJECTIVE: Our purpose was to assess the outcomes of those who underwent an ultrasound-guided debridement of the deposits. Specifically, we analyzed: (1) function; (2) pain; (3) activity level; (4) patient satisfaction; and (5) complications. MATERIALS AND METHODS: A review of patients who underwent an ultrasound-guided debridement of calcific deposits about their shoulder joint between 2005 and 2015 was performed. Our final cohort consisted of 38 patients with a mean age of 53 years (range, 35 to 62 years)-11 men and 27 women-and a mean follow up of 32 months (range, 12 to 53 months)...
September 10, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117138/endometrial-ablation-past-present-and-future-part-ii
#9
Morris Wortman
Endometrial ablation (EA) is the most commonly performed surgical procedure for the management of abnormal uterine bleeding unresponsive to medical therapy. In well-selected subjects, EA provides a safe, inexpensive, and convenient alternative to hysterectomy with a rapid return to normal function. The first generation of EA techniques were introduced in 1886 by Professor Sneguireff of Moscow. He was the first to apply super-heated steam to the uterine cavity to vaporize the endometrial basalis. This method-known as atmocausis-was refined by Ludwig Pincus of Danzig in 1895, and he went on to perform over 800 procedures...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117137/a-retrospective-comparative-analysis-of-2d-versus-3d-laparoscopy-in-total-laparoscopic-hysterectomy-for-large-uteri-%C3%A2-500g
#10
Rakesh Sinha, Latika Chawla, Shweta Raje, Gayatri Rao
STUDY OBJECTIVE: To evaluate the outcomes of total laparoscopic hysterectomy using 3D vision in comparison with 2D vision in women with large uteri (≥500g). DESIGN: Retrospective analytical study Design Classification: Canadian Task Force II-1 Setting: Tertiary referral center for advanced gynecological surgery. PATIENTS: Five hundred forty six women who underwent total laparoscopic hysterectomy over a period of 13 years were studied: 301 under 2D vision and 245 under 3D vision...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117136/initial-experience-with-robotic-hernia-repairs-a-review-of-150-cases
#11
Ty Kirkpatrick, Bethany Zimmerman, Karl LeBlanc
BACKGROUND: Robotic-assisted surgery has proved to be a valuable modality in specialties such as urology and gynecology and has gained wide acceptance in those fields. Its value in general surgery, however, has had a slower acceptance rate among surgeons. This study reviews my first 150 cases using the robot for one of the most common general surgery operations-the repair of hernias. MATERIALS AND METHODS: All robotic hernia cases performed by a single surgeon were documented in an Excel� (Microsoft Corporation, Redmond, Washington) spreadsheet beginning in April, 2014...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117135/step-by-step-illustration-of-the-cranial-bifrontal-approach
#12
Marcelo Galarza
Based on experience with several hundreds of adult and pediatric patients in whom the cranial bifrontal approach was used to achieve different surgical objectives, this paper describes this approach in a step-by-step manner with illustrations. This is a basic approach to the anterior cranial fossa that enables the preservation of most bridging veins. The bifrontal approach, whether basal, interhemispheric, or both, allows a wider bilateral operative field with better orientation and views of important neural structures and perforating arteries, without needing to be combined with other approaches...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117134/mid-and-long-term-outcome-of-currently-available-endografts-for-the-treatment-of-infrarenal-abdominal-aortic-aneurysm
#13
Leonie T Jonker, Arne de Niet, Michel M P J Reijnen, Ignace F J Tielliu, Clark J Zeebregts
Currently, there is a wide range of commercially available endografts for infrarenal abdominal aortic aneurysm (AAA) repair. Results of long-term follow up after endovascular aneurysm repair (EVAR) are limited. Thereby, the durability of these endografts and the difference between manufacturers is not fully clear. In this review, studies with mid- and long-term results, with a minimum median follow up of 36 months per endograft, were included describing results with Cook Zenith� Flex� endograft (Cook Medical Inc...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117133/effects-of-coronal-limb-alignment-and-ligament-balance-on-pain-and-satisfaction-following-total-knee-arthroplasty-at-short-term-follow-up
#14
Ahmed Siddiqi, Peter B White, Lisa Kaplin, James V Bono, Carl T Talmo
INTRODUCTION: Few studies have evaluated the concomitant effect of both total knee arthroplasty (TKA) limb alignment and ligament laxity. Therefore, the primary aim of this study is to evaluate the impact of lower extremity alignment on the short-term outcome (one year) following TKA, including pain relief, function, and patient satisfaction. The secondary aim of the study is to evaluate the impact of ligament laxity and balance on early outcomes following TKA. MATERIALS AND METHODS: A prospective evaluation of mechanical alignment and ligament tension was performed for 110 consecutive TKAs using an identical surgical technique...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117132/intra-operative-ultrasound-tips-and-tricks-for-making-the-most-in-neurosurgery
#15
Roberto Altieri, Antonio Melcarne, Giuseppe Di Perna, Calamo Specchia, Chiara Fronda, Giuseppe La Rocca, Fabio Cofano, Giovanni Sabatino, Della Pepa, Alessandro Olivi, Alessandro Ducati, Diego Garbossa, Francesco Zenga
PURPOSE: Advances in intraoperative imaging and neuronavigation techniques have positively affected glioma surgery. The desire to reduce brain-shift-related problems while achieving the real-time identification of lesions and residual and anatomical relationships has strongly supported the introduction of intraoperative ultrasound (ioUS) in neuro-oncological surgery. This paper presents tips based on our experience with ioUS in neurosurgery. METHODS: We retrospectively analyzed 264 patients who underwent high-grade glioma (HGG) resection at the University of Turin and 60 patients who were treated at the University of Rome...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117131/extra-thoracic-video-assisted-thoracoscopic-surgery-rib-plating-and-intra-thoracic-vats-decortication-of-retained-hemothorax
#16
Natalie N Merchant, Osita Onugha
We report a patient who presented with multiple rib fractures after falling off a horse and was initially managed medically. Several weeks later, the patient returned to the hospital complaining of dyspnea on exertion. Physical exam revealed severe chest wall malformation and imaging revealed moderate hemothorax and complete collapse of the right lower lobe. Considering the likelihood that this patient's multiple ribs fractures contributed to the hemothorax and trapped lung, the patient underwent surgical evacuation of the hemothorax followed by rib fixation of ribs three through six...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30117130/conservative-management-of-chronic-anal-fissure-results-of-a-case-series-at-2-years-follow-up-and-proposition-of-a-new-classification
#17
Antonio Canero, Vincenzo Consalvo, Francesco Giglio, Francesca D'Auria, Carmela Rescigno, Salsano Vincenzo
BACKGROUND: Anal fissure is a common proctological condition that is usually defined as an anodermal ulcerative process starting from the posterior commissure to the dentate line. The objective of this study was to evaluate the resolution rate of anal fissure through the use of conservative management in patients grouped according to our newly proposed classification. A secondary purpose was to quantify the recurrence rates at 2-years follow-up in each group. METHODS: A retrospective analysis was carried out on patients in our general database...
August 14, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30029291/capsular-sparing-total-hip-replacement-technique-applied-with-a-dual-mobility-cup-to-reduce-dislocations
#18
H Morton Bertram, Megan E Bertram, Laura Scholl, Manoshi Bhowmik-Stoke, Michael T Manley
Regardless of the surgical approach used, dislocation remains a complication following total hip replacement. In recent years, newer technologies, such as the use of large femoral heads, have reduced the rate of postoperative dislocation. The combination of such technology, together with a soft tissue repair technique, may reduce the dislocation rate even further. A single surgeon performed 513 primary total hip replacements on 505 patients using a posterior approach utilizing a technique designed to spare the capsule...
July 20, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30029290/near-infrared-indocyanine-green-enhanced-fluorescence-and-minimally-invasive-colorectal-surgery-review-of-the-literature
#19
Alberto Mangano, Mario A Masrur, Roberto Bustos, Liaohai Leo Chen, Eduardo Fernandes, Pier Cristoforo Giulianotti
BACKGROUND: Leakage of the anastomosis after colonic/rectal surgery is a serious complication. One of the most important causes of anastomotic leakage is impaired vascularization. A microvascular tissue deficit is very often not intraoperatively de visu detectable under white light. Near-infrared indocyanine green (ICG)-enhanced fluorescence is a cutting-edge technology that may be useful for detecting microvascular impairment and potentially preventing anastomotic leakage. AIM: The aim of this narrative review was to evaluate the feasibility and the usefulness of intraoperative assessment of vascular anastomotic perfusion in colorectal surgery using an indocyanine green (ICG) fluorescent tracer...
July 20, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30029289/performance-on-a-virtual-reality-dhs-simulator-correlates-with-performance-in-the-operating-theatre
#20
Kalpesh R Vaghela, Joshua Lee, Kash Akhtar
INTRODUCTION: Dynamic Hip Screw (DHS) fixation of neck of femur fractures is one of the most commonly performed orthopaedic trauma operations. Changes in working practices have impacted surgical training and have resulted in fewer opportunities to perform this procedure. Virtual reality (VR) simulation has been shown to be a valid means of gaining competency, efficiently and safely, without compromising patient safety. OBJECTIVE: The aim of this study is to determine whether performance on a VR DHS simulator correlates with performance in the operating theatre...
July 20, 2018: Surgical Technology International
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