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Frontiers in Surgery

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https://www.readbyqxmd.com/read/27900320/the-golden-spiral-flap-a-new-flap-design-that-allows-for-closure-of-larger-wounds-under-reduced-tension-how-studying-nature-s-own-design-led-to-the-development-of-a-new-surgical-technique
#1
Sharad P Paul
This paper details the study of biodynamic excisional skin tension lines on the scalp and the development of a new flap technique for closure of scalp wounds. Recently, a study by this author, on pigskin, replicated whorls by placing tissue under rapid stretch using saline tissue expanders, by recreating rapid dermo-epidermal shear of skin - thereby concluding that the golden spiral pattern is nature's own pattern for rapid expansion. Given the relationship between tissue expansion and stretch has been shown to cause deformation gradients that have both elastic and growth factors, the author set out to test the hypothesis that a golden spiral pattern therefore would be more efficient at closing wounds under less tension when compared with standard semicircular rotational flap patterns...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27896269/cerebral-cavernous-malformations-review-of-the-genetic-and-protein-protein-interactions-resulting-in-disease-pathogenesis
#2
REVIEW
Jacob F Baranoski, M Yashar S Kalani, Colin J Przybylowski, Joseph M Zabramski
Mutations in the genes KRIT1, CCM2, and PDCD10 are known to result in the formation of cerebral cavernous malformations (CCMs). CCMs are intracranial lesions composed of aberrantly enlarged "cavernous" endothelial channels that can result in cerebral hemorrhage, seizures, and neurologic deficits. Although these genes have been known to be associated with CCMs since the 1990s, numerous discoveries have been made that better elucidate how they and their subsequent protein products are involved in CCM pathogenesis...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27891504/thoracic-aorta-aneurysm-repair-in-a-patient-with-a-solitary-kidney-hybrid-surgery-as-a-bailout-procedure
#3
Chris Bakoyiannis, Demetrios Moris, George Karaolanis, Nikolaos Patelis, Dimitrios Schizas, Sotirios Georgopoulos, Theodoros Liakakos
Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27878119/the-role-of-microrna-markers-in-the-diagnosis-treatment-and-outcome-prediction-of-spinal-cord-injury
#4
REVIEW
Nikolay L Martirosyan, Alessandro Carotenuto, Arpan A Patel, M Yashar S Kalani, Kaan Yagmurlu, G Michael Lemole, Mark C Preul, Nicholas Theodore
Spinal cord injury (SCI) is a devastating condition that affects many people worldwide. Treatment focuses on controlling secondary injury cascade and improving regeneration. It has recently been suggested that both the secondary injury cascade and the regenerative process are heavily regulated by microRNAs (miRNAs). The measurement of specific biomarkers could improve our understanding of the disease processes, and thereby provide clinicians with the opportunity to guide treatment and predict clinical outcomes after SCI...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27853733/pedagogic-approach-in-the-surgical-learning-the-first-period-of-assistant-surgeon-may-improve-the-learning-curve-for-laparoscopic-robotic-assisted-hysterectomy
#5
Angeline Favre, Stephanie Huberlant, Marie Carbonnel, Julie Goetgheluck, Aurelie Revaux, Jean Marc Ayoubi
BACKGROUND: Hysterectomy is the most frequent surgery done with robotic assistance in the world and has been widely studied since its emergence. The surgical outcomes of the robotic hysterectomy are similar to those obtained with other minimally invasive hysterectomy techniques (laparoscopic and vaginal) and appear as a promising surgical technique in gynecology surgery. The aim of this study was to observe the learning curve of robot-assisted hysterectomy in a French surgical center, and was to evaluate the impact of the surgical mentoring...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27826549/point-of-view-recording-devices-for-intraoperative-neurosurgical-video-capture
#6
Jose L Porras, Syed Khalid, Brandon K Root, Imad S Khan, Robert J Singer
INTRODUCTION: The ability to record and stream neurosurgery is an unprecedented opportunity to further research, medical education, and quality improvement. Here, we appraise the ease of implementation of existing point-of-view devices when capturing and sharing procedures from the neurosurgical operating room and detail their potential utility in this context. METHODS: Our neurosurgical team tested and critically evaluated features of the Google Glass and Panasonic HX-A500 cameras, including ergonomics, media quality, and media sharing in both the operating theater and the angiography suite...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27800481/intraoperative-fluorescence-imaging-for-personalized-brain-tumor-resection-current-state-and-future-directions
#7
REVIEW
Evgenii Belykh, Nikolay L Martirosyan, Kaan Yagmurlu, Eric J Miller, Jennifer M Eschbacher, Mohammadhassan Izadyyazdanabadi, Liudmila A Bardonova, Vadim A Byvaltsev, Peter Nakaji, Mark C Preul
INTRODUCTION: Fluorescence-guided surgery is one of the rapidly emerging methods of surgical "theranostics." In this review, we summarize current fluorescence techniques used in neurosurgical practice for brain tumor patients as well as future applications of recent laboratory and translational studies. METHODS: Review of the literature. RESULTS: A wide spectrum of fluorophores that have been tested for brain surgery is reviewed. Beginning with a fluorescein sodium application in 1948 by Moore, fluorescence-guided brain tumor surgery is either routinely applied in some centers or is under active study in clinical trials...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27730124/cancer-stem-cells-in-moderately-differentiated-buccal-mucosal-squamous-cell-carcinoma-express-components-of-the-renin-angiotensin-system
#8
Therese Featherston, Helen H Yu, Jonathan C Dunne, Alice M Chibnall, Helen D Brasch, Paul F Davis, Swee T Tan, Tinte Itinteang
AIM: We have recently identified and characterized cancer stem cell (CSC) subpopulations within moderately differentiated buccal mucosal squamous cell carcinoma (MDBMSCC). We hypothesized that these CSCs express components of the renin-angiotensin system (RAS). METHODS: 3,3'-Diaminobenzidine (DAB) immunohistochemical (IHC) staining was performed on formalin-fixed paraffin-embedded MDBMSCC samples to investigate the expression of the components of the RAS: (pro)renin receptor (PRR), angiotensin converting enzyme (ACE), angiotensin II receptor 1 (ATIIR1), and angiotensin II receptor 2 (ATIIR2)...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27730123/glioblastoma-multiforme-cancer-stem-cells-express-components-of-the-renin-angiotensin-system
#9
Amy Ruth Bradshaw, Agadha Crisantha Wickremesekera, Helen D Brasch, Alice M Chibnall, Paul F Davis, Swee T Tan, Tinte Itinteang
AIM: To investigate the expression of the renin-angiotensin system (RAS) in cancer stem cells (CSCs), we have previously characterized in glioblastoma multiforme (GBM). METHODS: 3,3-Diaminobenzidine (DAB) immunohistochemical (IHC) staining for the stem cell marker, SOX2, and components of the RAS: angiotensin converting enzyme (ACE), (pro)renin receptor (PRR), angiotensin II receptor 1 (ATIIR1), and angiotensin II receptor 2 (ATIIR2) on 4 μm-thick formalin-fixed paraffin-embedded sections of previously characterized GBM samples in six patients was undertaken...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27725931/prevention-of-incisional-hernias-with-biological-mesh-a-systematic-review-of-the-literature
#10
Filip E Muysoms, An Jairam, Manuel López-Cano, Maciej Śmietański, Guido Woeste, Iris Kyle-Leinhase, Stavros A Antoniou, Ferdinand Köckerling
BACKGROUND: Prophylactic mesh-augmented reinforcement during closure of abdominal wall incisions has been proposed in patients with increased risk for development of incisional hernias (IHs). As part of the BioMesh consensus project, a systematic literature review has been performed to detect those studies where MAR was performed with a non-permanent absorbable mesh (biological or biosynthetic). METHODS: A computerized search was performed within 12 databases (Embase, Medline, Web-of-Science, Scopus, Cochrane, CINAHL, Pubmed publisher, Lilacs, Scielo, ScienceDirect, ProQuest, Google Scholar) with appropriate search terms...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27713879/the-case-for-endothelial-preservation-via-pressure-regulated-distension-in-the-preparation-of-autologous-saphenous-vein-conduits-in-cardiac-and-peripheral-bypass-operations
#11
https://www.readbyqxmd.com/read/27695693/the-first-500-registrations-to-the-research-registry-%C3%A2-advancing-registration-of-under-registered-study-types
#12
Riaz Agha, Alexander J Fowler, Christopher Limb, Yasser Al Omran, Harkiran Sagoo, Kiron Koshy, Daniyal J Jafree, Mohammed Omer Anwar, Peter McCullogh, Dennis Paul Orgill
INTRODUCTION: The Declaration of Helsinki 2013 encourages the registration of all research studies involving human participants. However, emphasis has been placed on prospective clinical trials, and it is estimated that only 10% of observational studies are registered. In response, Research Registry(®) was launched in February 2015; a retrospectively curated registry that is free and easy to use. Research Registry(®) enables prospective or retrospective registration of studies, including those study types that cannot be registered on existing registries...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27656644/repair-of-perineal-hernia-following-abdominoperineal-excision-with-biological-mesh-a-systematic-review
#13
REVIEW
Sunil K Narang, Nasra N Alam, Ferdinand Köckerling, Ian R Daniels, Neil J Smart
INTRODUCTION: Perineal hernia (PerH) following abdominoperineal excision (APE) procedure is a recognized complication. PerH was considered an infrequent complication of APE procedure; however, PerH rates of up to 45% have been reported in recent publications following a laparoscopic APE procedure. Various methods of repair of PerH with the use of synthetic meshes or myocutaneous flap have been described, although there is no general agreement on an optimal strategy. The use of biological meshes for different operations is growing in popularity, and these have been promoted as being superior and safer when compared to synthetic meshes...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27617262/cancer-stem-cells-in-glioblastoma-multiforme
#14
Amy Bradshaw, Agadha Wickremesekera, Helen D Brasch, Alice M Chibnall, Paul F Davis, Swee T Tan, Tinte Itinteang
AIM: To identify and characterize cancer stem cells (CSC) in glioblastoma multiforme (GBM). METHODS: Four-micrometer thick formalin-fixed paraffin-embedded GBM samples from six patients underwent 3,3-diaminobenzidine (DAB) and immunofluorescent (IF) immunohistochemical (IHC) staining for the embryonic stem cell (ESC) markers NANOG, OCT4, SALL4, SOX2, and pSTAT3. IF IHC staining was performed to demonstrate co-expression of these markers with GFAP. The protein expression and the transcriptional activities of the genes encoding NANOG, OCT4, SOX2, SALL4, and STAT3 were investigated using Western blotting (WB) and NanoString gene expression analysis, respectively...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27556026/simulation-based-training-evaluation-of-the-course-concept-laparoscopic-surgery-curriculum-by-the-participants
#15
Ferdinand Köckerling, Michael Pass, Petra Brunner, Matthias Hafermalz, Stefan Grund, Joerg Sauer, Volker Lange, Wolfgang Schröder
INTRODUCTION: The learning curve in minimally invasive surgery is much longer than in open surgery. This is thought to be due to the higher demands made on the surgeon's skills. Therefore, the question raised at the outset of training in laparoscopic surgery is how such skills can be acquired by undergoing training outside the bounds of clinical activities to try to shorten the learning curve. Simulation-based training courses are one such model. METHODS: In 2011, the surgery societies of Germany adopted the "laparoscopic surgery curriculum" as a recommendation for the learning content of systematic training courses for laparoscopic surgery...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27532037/characterization-of-cancer-stem-cells-in-moderately-differentiated-buccal-mucosal-squamous-cell-carcinoma
#16
Helen H Yu, Therese Featherston, Swee T Tan, Alice M Chibnall, Helen D Brasch, Paul F Davis, Tinte Itinteang
AIM: To identify and characterize cancer stem cells (CSC) in moderately differentiated buccal mucosa squamous cell carcinoma (MDBMSCC). METHODS: Four micrometer-thick, formalin-fixed, paraffin-embedded MDBMSCC samples from six patients underwent 3,3-diaminobenzidine (DAB) immunohistochemical (IHC) staining for the embryonic stem cell (ESC) markers, NANOG, OCT4, SALL4, SOX2, and pSTAT3; cancer stem cell marker, CD44; squamous cell carcinoma (SCC) marker, EMA; and endothelial marker, CD34...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27532036/presurgical-rehearsals-for-patients-considering-awake-deep-brain-stimulation
#17
Ramsey A Falconer, Sean L Rogers, Cristie M Brewer, Franco Piscitani, Mahesh B Shenai
Simulated surgical environments are rapidly gaining adoption in training students, residents, and members of specialized surgical teams. However, minimal attention has been given to the use of simulated surgical environments to educate patients on surgical processes, particularly procedures that require the active participation of the patient. "Awake" neurosurgery provides a unique situation in which patients openly participate in their operation. We describe a case report, in which a 62-year-old male was referred for "awake" deep brain stimulation implantation, in relation to medically refractory Parkinson's disease...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27517036/advancing-treatment-of-pituitary-adenomas-through-targeted-molecular-therapies-the-acromegaly-and-cushing-disease-paradigms
#18
REVIEW
Michael A Mooney, Elias D Simon, Andrew S Little
The current treatment of pituitary adenomas requires a balance of conservative management, surgical resection, and in select tumor types, molecular therapy. Acromegaly treatment is an evolving field where our understanding of molecular targets and drug therapies has improved treatment options for patients with excess growth hormone levels. We highlight the use of molecular therapies in this disease process and advances in this field, which may represent a paradigm shift for the future of pituitary adenoma treatment...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27512692/the-split-second-effect-the-mechanism-of-how-equinus-can-damage-the-human-foot-and-ankle
#19
James Amis
We are currently in the process of discovering that many, if not the majority, of the non-traumatic acquired adult foot and ankle problems are caused by a singular etiology: non-neuromuscular equinus or the isolated gastrocnemius contracture. There is no question that this biomechanical association exists and in time much more will be uncovered. There are three basic questions that must be answered: why would our calves tighten as we normally age, how does a tight calf, or equinus, actually cause problems remotely in the foot and ankle, and how do the forces produced by equinus cause so many seemingly unrelated pathologies in the foot and ankle? The purpose of this paper is to address the second question: how does a tight calf mechanically cause problems remotely in the foot and ankle? There has been little evidence in the literature addressing the biomechanical mechanisms by which equinus creates damaging forces upon the foot and ankle, and as a result, a precise, convincing mechanism is still lacking...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27504449/biology-of-saccular-cerebral-aneurysms-a-review-of-current-understanding-and-future-directions
#20
REVIEW
Vernard S Fennell, M Yashar S Kalani, Gursant Atwal, Nikolay L Martirosyan, Robert F Spetzler
Understanding the biology of intracranial aneurysms is a clinical quandary. How these aneurysms form, progress, and rupture is poorly understood. Evidence indicates that well-established risk factors play a critical role, along with immunologic factors, in their development and clinical outcomes. Much of the expanding knowledge of the inception, progression, and rupture of intracranial aneurysms implicates inflammation as a critical mediator of aneurysm pathogenesis. Thus, therapeutic targets exploiting this arm of aneurysm pathogenesis have been implemented, often with promising outcomes...
2016: Frontiers in Surgery
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