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Frontiers in Surgery

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https://www.readbyqxmd.com/read/29109950/paget-s-breast-disease-a-case-report-and-review-of-the-literature
#1
S Dubar, M Boukrid, Jean Bouquet de Joliniere, L Guillou, Quoc Duy Vo, A Major, N Ben Ali, F Khomsi, A Feki
Paget's disease of the breast is a rare cancer. This typical clinical case illustrates the different epidemiological, clinical, histological, therapeutic, and evolving aspects of the disease. We report a case of Paget's disease in a 43-year-old woman who presented eczema of the nipple. Mammography and ultrasounds did reveal a lesion in situ. The patient was scheduled for mastectomy and sentinel node biopsy. She had chosen a radical bilateral surgery. The histological diagnosis was Paget's disease of the breast with a carcinoma in situ...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29090213/consider-the-risk-of-vesicouterine-fistula-in-the-event-of-intermittent-fluid-vaginal-discharge-after-a-cesarean-section
#2
Pascal Talla, Maria Ekotomati, Yves Brünisholz, Jean Bouquet de la Jolinière, Bernice Fagan, Anis Feki, Nordine Ben Ali
Though the number of Vesicouterine Fistulas is steadily increasing in association with the increasing number of cesarean sections, clinical presentation can be subtle and not easily identified. In this case study, we will review the presenting symptoms of this complication and suggest an updated management protocol.
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29075632/open-maximal-mucosa-sparing-functional-total-laryngectomy
#3
Pavel Dulguerov, Naif H Alotaibi, Stephanie Lambert, Nicolas Dulguerov, Minerva Becker
BACKGROUND: Total laryngectomy after (chemo)radiotherapy is associated with a high incidence of fistula and therefore flaps are advocated. The description of a transoral robotic total laryngectomy prompted us to develop similar minimally invasive open approaches for functional total laryngectomy. METHODS: A retrospective study of consecutive unselected patients with a dysfunctional larynx after (chemo)radiation that underwent open maximal mucosal-sparing functional total laryngectomy (MMSTL) between 2014 and 2016 is presented...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29075631/commentary-evidence-for-replacement-of-an-infected-synthetic-by-a-biological-mesh-in-abdominal-wall-hernia-repair
#4
COMMENT
Ekaterini Christina Tampaki, Athanasios Tampakis, Konstantinos Kontzoglou, Gregory Kouraklis
No abstract text is available yet for this article.
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29075630/laparoscopic-adnexectomy-for-ovarian-torsion-during-late-pregnancy-case-report-of-a-non-conservative-treatment-and-literature-analysis
#5
Jean Bouquet de Joliniere, J B Dubuisson, F Khomsi, A Fadhlaoui, G Grant, N Ben Ali, A Major, A Feki
Diagnosis of adnexial torsion is difficult during pregancy (1). The time of decision and laparoscopy is that of the risk of necrosis of the adnexa and, therefore, of the ovarian prognosis. The loss of an ovary can compromise the following fertility. Even if concerns related to laparoscopy in pregnant patients include a limited surgical field, with a risk of uterine injury and negative fetal effects of CO2 insufflation. Evidence base suggests that minimally invasive surgery can be safe and better than laparotomy for management of adnexal masses during late pregnancy with good postoperative and obstetric outcomes...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29067287/holmium-laser-lithotripsy-in-the-new-stone-age-dust-or-bust
#6
REVIEW
Ali H Aldoukhi, William W Roberts, Timothy L Hall, Khurshid R Ghani
Modern day holmium laser systems for ureteroscopy (URS) provide users with a range of settings, namely pulse energy (PE), pulse frequency (Fr), and pulse width (PW). These variables allow the surgeon to choose different combinations that have specific effects on stone fragmentation during URS lithotripsy. Contact laser lithotripsy can be performed using fragmentation or dusting settings. Fragmentation employs settings of low Fr and high PE to break stones that are then extracted with retrieval devices. Dusting is the utilization of high Fr and low PE settings to break stones into submillimeter fragments for spontaneous passage without the need for basket retrieval...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29034244/contemporary-strategies-in-the-management-of-civilian-neck-zone-ii-vascular-trauma
#7
REVIEW
Georgios Karaolanis, Konstantinos Maltezos, Chris Bakoyiannis, Sotiris Georgopoulos
Neck trauma is the leading cause of death mainly in younger persons posing to surgeons the dilemma whether to proceed with reconstruction of vascular injuries either in the presence of coma or in severe neurological deficit. Vascular injuries in zone II predominate over the other injuries located in zones I/III of the neck. Conventional open repair of carotid injuries with primary closure or interposition grafting is always recommended due to the effective long-term results for penetrating injuries or for patients unfit for endovascular intervention...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29034243/improving-surgical-outcome-using-diffusion-tensor-imaging-techniques-in-deep-brain-stimulation
#8
REVIEW
Angela An Qi See, Nicolas Kon Kam King
INTRODUCTION: Recent advances in surgical imaging include the use of diffusion tensor imaging (DTI) in deep brain stimulation (DBS) and provide a detailed view of the white matter tracts and their connections which are not seen with conventional magnetic resonance imaging. Given that the efficacy of DBS depends on the precise and accurate targeting of these circuits, better surgical planning using information obtained from DTI may lead to improved surgical outcome. We aim to review the available literature to evaluate the efficacy of such a strategy...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29018804/editorial-the-developments-of-hybrid-surgical-strategies-for-congenital-heart-disease
#9
EDITORIAL
Filippo Rapetto, Damien Kenny, Massimo Caputo
No abstract text is available yet for this article.
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29018803/etiology-of-inguinal-hernias-a-comprehensive-review
#10
REVIEW
Stina Öberg, Kristoffer Andresen, Jacob Rosenberg
BACKGROUND: The etiology of inguinal hernias remains uncertain even though the lifetime risk of developing an inguinal hernia is 27% for men and 3% for women. The aim was to summarize the evidence on hernia etiology, with focus on differences between lateral and medial hernias. RESULTS: Lateral and medial hernias seem to have common as well as different etiologies. A patent processus vaginalis and increased cumulative mechanical exposure are risk factors for lateral hernias...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28932738/commentary-conservative-management-of-a-scar-abscess-formed-in-a-cesarean-induced-isthmocele
#11
COMMENT
Ekaterini Christina Tampaki, Athanasios Tampakis, Konstantinos Kontzoglou, Gregory Kouraklis
No abstract text is available yet for this article.
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28932737/technical-intraoperative-maneuvers-for-the-management-of-inferior-vena-cava-thrombus-in-renal-cell-carcinoma
#12
Dionysios Dellaportas, Nikolaos Arkadopoulos, Ioannis Tzanoglou, Evgenios Bairamidis, George Gemenetzis, Pantelis Xanthakos, Constantinos Nastos, Georgia Kostopanagiotou, Ioannis Vassiliou, Vassilios Smyrniotis
INTRODUCTION: Renal vein or inferior vena cava (IVC) invasion by neoplastic thrombus in patients with renal cell carcinoma (RCC) is not an obstacle for radical oncological treatment. The aim of this study is to present our technical maneuvers for complete removal of the intracaval thrombus without compromising hemodymanic stability of the patient. MATERIALS AND METHODS: Between 2000 and 2014, 15 RCC patients with IVC involvement of levels I-III were treated with curative intent and were prospectively studied...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28929100/advents-in-the-diagnosis-and-management-of-ischemic-colitis
#13
REVIEW
Evangelos P Misiakos, Dimitrios Tsapralis, Theodore Karatzas, Irene Lidoriki, Dimitrios Schizas, George S Sfyroeras, Konstantinos G Moulakakis, Chrysostomos Konstantos, Anastasios Machairas
BACKGROUND: Ischemic colitis (IC) is a common type of ischemic insult, resulting from decreased arterial blood flow to the colon. This disease can be caused from either atherosclerotic occlusive vascular disease or non-occlusive disease. The aim of this study is to present the diagnostic methodology and management of this severe disease based on current literature. METHODS: A literature search has been done including articles referring to modern diagnosis and management of IC...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28884115/management-of-peripheral-and-truncal-venous-injuries
#14
REVIEW
Triantafillos G Giannakopoulos, Efthymios D Avgerinos
Civilian injuries are increasing according to the World Health Organization, and this is attributed mainly to road traffic accidents and urban interpersonal violence. Vascular injuries are common in these scenarios and are associated with high morbidity and mortality rates. Associated peripheral venous trauma is less likely to lead to death and controversy remains whether ligation or repair should be the primary approach. Conversely, non-compressible truncal venous insult can be lethal due to exsanguination, thus a high index of suspicion is crucial...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28848736/late-sac-rupture-due-to-a-type-iv-endoleak-after-previous-endovascular-aortic-aneurysm-repair-a-case-report
#15
Konstantinos Filis, Constantinos Zarmakoupis, Georgios Karantzikos, Frangiska Sigala, Gerasimos Bazigos, George Galyfos
Type IV endoleaks have been identified as endoleaks of low flow, and rupture risk has been estimated to be minimal in literature. Therefore, conservative treatment has been recommended in most cases. We are presenting a rare case of late rupture due to type IV endoleak that was treated with open repair applying a novel surgical technique.
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28848735/differences-in-recurrence-rate-and-de-novo-incontinence-after-endoscopic-treatment-of-vesicourethral-stenosis-and-bladder-neck-stenosis
#16
Jennifer Kranz, Philipp C Reiss, Georg Salomon, Joachim Steffens, Margit Fisch, Clemens M Rosenbaum
OBJECTIVES: The objective of this study was to compare the recurrence rate and de novo incontinence after endoscopic treatment of vesicourethral stenosis (VUS) after radical prostatectomy (RP) and for bladder neck stenosis (BNS) after transurethral resection of the prostate (TURP). METHODS: Retrospective analysis of patients treated endoscopically for VUS after RP or for BNS after TURP at three German tertiary care centers between March 2009 and June 2016. Investigated endpoints were recurrence rate and de novo incontinence...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28824919/contemporary-role-of-embolization-of-solid-organ-and-pelvic-injuries-in-polytrauma-patients
#17
REVIEW
Nikolaos D Ptohis, Georgios Charalampopoulos, Adham N Abou Ali, Efthymios D Avgerinos, Iliana Mousogianni, Dimitrios Filippiadis, George Karydas, Miltiadis Gravanis, Stamatina Pagoni
Abdominopelvic trauma (APT) remains a leading cause of morbidity and mortality in the 15- to 44-year-old age group in the Western World. It can be life-threatening as abdominopelvic organs, specifically those in the retroperitoneal space, can bleed profusely. APT is divided into blunt and penetrating types. While surgery is notably considered as a definitive solution for bleeding control, it is not always the optimum treatment for the stabilization of a polytrauma patient. Over the past decades, there has been a shift toward more sophisticated strategies, such as non-operative management of abdominopelvic vascular trauma for haemodynamically stable patients...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28824918/gastric-adenocarcinoma-a-multimodal-approach
#18
REVIEW
Humair S Quadri, Brandon G Smaglo, Shannon J Morales, Anna Chloe Phillips, Aimee D Martin, Walid M Chalhoub, Nadim G Haddad, Keith R Unger, Angela D Levy, Waddah B Al-Refaie
Despite its declining incidence, gastric cancer (GC) remains a leading cause of cancer-related deaths worldwide. A multimodal approach to GC is critical to ensure optimal patient outcomes. Pretherapy fine resolution contrast-enhanced cross-sectional imaging, endoscopic ultrasound and staging laparoscopy play an important role in patients with newly diagnosed ostensibly operable GC to avoid unnecessary non-therapeutic laparotomies. Currently, margin negative gastrectomy and adequate lymphadenectomy performed at high volume hospitals remain the backbone of GC treatment...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28791295/fertility-preservation-in-endometriosis-patients-anti-m%C3%A3-llerian-hormone-is-a-reliable-marker-of-the-ovarian-follicle-density
#19
Elisabetta Garavaglia, Cinzia Sala, Gianluca Taccagni, Michela Traglia, Caterina Barbieri, Stefano Ferrari, Massimo Candiani, Paola Panina-Bordignon, Daniela Toniolo
OBJECTIVE: To analyze the ovarian reserve via measurement of follicular density and anti-Müllerian hormone (AMH) in endometriosis patients participating to a clinical program of cortical ovarian cryopreservation. DESIGN: Retrospective analysis of serum AMH levels and prospective investigation of ovarian follicle number. SETTING: University Hospital. PATIENTS: Two hundred and two women with endometriosis and 400 controls...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28791294/the-use-of-cone-beam-computed-tomography-in-assessing-the-insertion-of-bone-conduction-hearing-implants
#20
Tim George Ate Calon, Martin Lars Johansson, Elske Larissa van den Burg, Anna Maria Louisa Janssen, Marc van Hoof, Robert Jan Stokroos
OBJECTIVE: This study aimed to compare postoperative cone beam CT (CBCT) imaging to implant stability quotient (ISQ) measurement and direct caliper measurements as a suitable technique to assess bone conduction hearing implant (BCHI) seating and insertion depth. METHODS: In vitro, BCHIs were completely (n = 9) and partially inserted (n = 9) in bone blocks of different densities and subsequently scanned. Scans were processed using 3DSlicer 4.3.1 and Mathematica 10...
2017: Frontiers in Surgery
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