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Frontiers in Surgery

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https://www.readbyqxmd.com/read/30234126/meckel-s-diverticulum-in-adults-surgical-concerns
#1
REVIEW
Konstantinos Blouhos, Konstantinos A Boulas, Konstantinos Tsalis, Nikolaos Barettas, Aikaterini Paraskeva, Ioannis Kariotis, Christodoulos Keskinis, Anestis Hatzigeorgiadis
Since Meckel's diverticulum (MD) is rarely diagnosed in adults, there is no consensus on what type of procedure to be performed for symptomatic MD and whether to resect or not an accidentally discovered MD. Treatment of symptomatic MD is definitive surgery, including diverticulectomy, wedge, and segmental resection. The type of procedure depends on: (a) the integrity of diverticulum base and adjacent ileum; (b) the presence and location of ectopic tissue within MD. The presence of ectopic tissue cannot be accurately predicted intraoperatively by palpation and macroscopic appearance...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/30234125/robotic-approach-to-ureteral-endometriosis-surgical-features-and-perioperative-outcomes
#2
Andrea Giannini, Silvia Pisaneschi, Elisa Malacarne, Vito Cela, Franca Melfi, Alessandra Perutelli, Tommaso Simoncini
Introduction: Surgical treatment of ureteral endometriosis is necessary to relieve urinary symptoms of obstruction and to preserve renal function. Which surgical approach to ureteral endometriosis should be considered the most appropriate is debated, due to the lack of scientific evidence. The aim of the present study is to assess the feasibility and to describe the perioperative outcomes of minimally invasive treatment of deep ureteral endometriosis using robotic assistance, highlighting the technical benefits and the limits of this approach...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/30177970/expression-and-localization-of-cathepsins-b-d-and-g-in-cancer-stem-cells-in-liver-metastasis-from-colon-adenocarcinoma
#3
Shreeja Mehrotra, Susrutha K Wickremesekera, Helen D Brasch, Bede Van Schaijik, Reginald W Marsh, Swee T Tan, Tinte Itinteang
Aim: We have previously identified and characterized cancer stem cell (CSC) subpopulations in liver metastasis from colon adenocarcinoma (LMCA). In this study we investigated the expression and localization of cathepsins B, D and G, in relation to these CSCs. Methods: 3,3-Diaminobenzidine (DAB) immunohistochemical (IHC) staining for cathepsins B, D and G was performed on 4μm-thick formalin-fixed paraffin-embedded LMCA sections from nine patients. Immunofluorescence (IF) IHC staining was performed on three representative samples of LMCA from the original cohort of nine patients, to determine the localization of these cathepsins in relation to the CSC subpopulations...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/30151365/what-is-the-current-knowledge-about-sublay-retro-rectus-repair-of-incisional-hernias
#4
Ferdinand Köckerling, Christine Schug-Pass, Hubert Scheuerlein
Introduction: There continues to be very little agreement among experts on the precise treatment strategy for incisional hernias. That is the conclusion drawn from the very limited scientific evidence available on the repair of incisional hernias. The present review now aims to critically assess the data available on the sublay/retro-rectus technique for repair of incisional hernia. Materials and Methods: A systematic search of the literature was performed in May 2018 using Medline, PubMed, and the Cochrane Library...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/30105227/are-endovascular-interventions-for-central-vein-obstructions-due-to-cardiac-implanted-electronic-devices-effective
#5
Charalampos Sotiriadis, Stephanie Volpi, Pauline Douek, Amine Chouiter, Olivier Muller, Salah D Qanadli
Objective: One of the late-onset complications of cardiac implanted electronic devices (CIEDs) is central venous obstruction (CVO). The aim of this study was to investigate the feasibility, efficacy, and safety of endovascular treatment of CIED-related CVOs. Methods: Eighteen patients who underwent endovascular management of their device-related CVO were reviewed. Patients were classified into three groups: Group I patients were asymptomatic and needed lead replacement; Group II patients presented with symptomatic CVO without lead dysfunction, and Group III patients were referred with both symptomatic CVO and lead dysfunction...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/30094236/surgical-approaches-and-their-outcomes-in-the-treatment-of-cubital-tunnel-syndrome
#6
REVIEW
Adam Carlton, Syed I Khalid
Purpose: This review was undertaken in order to provide an updated summary of the current literature on outcomes for various surgical treatments for cubital tunnel syndrome. Methods: Studies reporting outcomes for surgical treatment of cubital tunnel syndrome were collected through the PubMed database. Study structure, number of participants/procedures, mean follow-up times, scoring scales, and outcomes were collected according to the type of surgery: open decompression, endoscopic decompression, minimal incision, subcutaneous transposition, intramuscular transposition, and submuscular transposition...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/30073168/editorial-incisional-and-stomal-hernia-prevention
#7
EDITORIAL
Gabriel Sandblom
No abstract text is available yet for this article.
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/30035112/the-vienna-statement-an-update-on-the-surgical-treatment-of-sportsman-s-groin-in-2017
#8
Aali J Sheen, J James Pilkington, Moshe Dudai, Joachim K Conze
No abstract text is available yet for this article.
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29988320/editorial-clinical-and-hemodynamic-performance-of-aortic-endografts
#9
EDITORIAL
Efstratios Georgakarakos
No abstract text is available yet for this article.
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29942804/editorial-contemporary-strategies-in-the-management-of-civilian-vascular-trauma
#10
EDITORIAL
Efthymios D Avgerinos, Emmanouil Pikoulis
No abstract text is available yet for this article.
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29930941/favoring-d-2-lymphadenectomy-in-gastric-cancer
#11
Ioannis Karavokyros, Adamantios Michalinos
The role of extended lymphadenectomy in the surgical treatment of gastric cancer has been debated for many years. So far six prospective randomized trials and a number of meta-analyses comparing D1 - to D2 -lymphadenectomy in open surgery have been published with contradicting results. The possible oncologic benefit of radical lymphadenectomy has been blurred by a number of reasons. In most of the trials the strategies under comparison were made similar after protocol violations. Imperfect design of the trials could not exclude the influence of cofounding factors...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29904636/is-accurate-n-staging-for-gastric-cancer-possible
#12
Chrysovalantis Vergadis, Dimitrios Schizas
Node stage (N stage) is of paramount importance for gastric cancer staging. Radiologically node status implies detection and characterization of suspect malignant lymph nodes. Clinically it might determine survival and alter therapeutic plans. A number of modalities, including computerized tomography, MRI, PET and endoscopic ultrasound are currently available. Using a multimodality strategy, accuracy ranges between 50-90% across various studies. Specificity and sensitivity varies with respect to method, number of positive lymph nodes, their location and other characteristics...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29904635/successful-treatment-of-holmes-tremor-with-deep-brain-stimulation-of-the-prelemniscal-radiations
#13
Vicente Martinez, Shu-Ching Hu, Thomas J Foutz, Andew Ko
Holmes tremor (HT) is a rare movement disorder that is typically associated with cerebellar, thalamic or brainstem lesions following a delay. Treatment of HT with deep brain stimulation (DBS) has yielded positive results however; it is unclear which deep brain targets provide optimal therapeutic effects. Here we describe a case report in which a 34 year old man with HT treated successfully with DBS. The ventrointermediate nucleus (VIM) of the thalamus was considered as the initial target. Following electrode placement we determined that the ventral-most electrode contacts were located in the prelemniscal radiations (Raprl)...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29892600/treatment-of-large-incisional-hernias-in-sandwich-technique-a-review-of-the-literature
#14
Ferdinand Köckerling, Hubert Scheuerlein, Christine Schug-Pass
Introduction: In a systematic review of the surgical treatment of large incisional hernia sublay repair, the sandwich technique and aponeuroplasty with intraperitoneal mesh displayed the best results. In this systematic review only the sandwich technique, which used the hernia sac as an extension of the posterior and anterior rectus sheath and placement of a non-absorbable mesh in the sublay position, was included. Other modifications of the sandwich technique are published in the literature and were also analyzed in this literature review...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29876355/abdominal-wall-closure-in-elective-midline-laparotomy-the-current-recommendations
#15
René H Fortelny
Introduction: The risk of developing an incisional hernia after primary elective median laparotomy is reported in the literature as being between 5 and 20 percent. The goal of this systematic review was to evaluate different closure techniques for midline laparotomies and the use of additional prophylactic mesh augmentation for midline closure in high risk patients. Method: A systematic literature search was performed until September 2017. The quality of the RCTs was evaluated and analysed...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29868604/contemporary-management-of-benign-and-malignant-parotid-tumors
#16
Jovanna Thielker, Maria Grosheva, Stephan Ihrler, Andrea Wittig, Orlando Guntinas-Lichius
To report the standard of care, interesting new findings and controversies about the treatment of parotid tumors. Relevant and actual studies were searched in PubMed and reviewed for diagnostics, treatment and outcome of both benign and malignant tumors. Prospective trials are lacking due to rarity of the disease and high variety of tumor subtypes. The establishment of reliable non-invasive diagnostics tools for the differentiation between benign and malignant tumors is desirable. Prospective studies clarifying the association between different surgical techniques for benign parotid tumors and morbidity are needed...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29868603/impaired-neurobehavioural-performance-in-untreated-obstructive-sleep-apnea-patients-using-a-novel-standardised-test-battery
#17
Angela L D'Rozario, Clarice J Field, Camilla M Hoyos, Sharon L Naismith, George C Dungan, Keith K H Wong, Ronald R Grunstein, Delwyn J Bartlett
Objective/Background: Although polysomnography (PSG) is the gold-standard measure for assessing disease severity in obstructive sleep apnea (OSA), it has limited value in identifying individuals experiencing significant neurobehavioural dysfunction. This study used a brief and novel computerised test battery to examine neurobehavioural function in adults with and without OSA. Patients/Methods: 204 patients with untreated OSA [age 49.3 (12.5) years; body mass index, [BMI] 33...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29868602/mycophenolic-acid-for-topical-immunosuppression-in-vascularized-composite-allotransplantation-optimizing-formulation-and-preliminary-evaluation-of-bioavailability-and-pharmacokinetics
#18
Firuz G Feturi, Matthias Weinstock, Wenchen Zhao, Wei Zhang, Jonas T Schnider, Vasil E Erbas, Sinan Oksuz, Jan A Plock, Lisa Rohan, Alexander M Spiess, Lydia M Ferreira, Mario G Solari, Raman Venkataramanan, Vijay S Gorantla
Mycophenolic acid (MPA), is the active form of the ester prodrug mycophenolate mofetil (MMF). MMF is an FDA approved immunosuppressive drug that has been successfully used in systemic therapy in combination with other agents for the prevention of acute rejection (AR) following solid organ transplantation (SOT) as well as in vascularized composite allotransplantation (VCA). Systemic use of MMF is associated with gastrointestinal adverse effects. Topical delivery of the prodrug could thus provide graft-targeted immunosuppression while minimizing systemic drug exposure...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29761106/current-strategies-and-future-directions-to-optimize-acl-reconstruction-in-adolescent-patients
#19
Dustin Jon Richter, Roger Lyon, Scott Van Valin, Xue-Cheng Liu
The incidence of anterior cruciate ligament (ACL) injuries in the pediatric population has risen in recent years. These injuries have historically presented a management dilemma in skeletally immature patients with open physes and significant growth remaining at time of injury. While those nearing skeletal maturity may be treated with traditional, transphyseal adult techniques, these same procedures risk iatrogenic damage to the growth plates and resultant growth disturbances in younger patients with open physes...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29740589/cervical-hyperostosis-leading-to-dyspnea-aspiration-and-dysphagia-strategies-to-improve-patient-management
#20
Georgios Psychogios, Monika Jering, Johannes Zenk
Diffuse idiopathic skeletal hyperostosis (DISH) is a rare but well known cause of dysphagia. In very few cases aspiration and dyspnea are described as a clinical manifestation. An 82-year-old man presented himself in our clinic with severe dyspnea, aspiration, and pneumonia. After performing a microlaryngoscopy an emergency tracheotomy became necessary. In laryngoscopy a severe bulging of the posterior oropharyngeal and hypopharyngeal wall was detected. The glottis area was not observable and immobilisation of the right vocal cord could be detected...
2018: Frontiers in Surgery
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