keyword
https://read.qxmd.com/read/38535862/surgical-outcomes-of-laminectomy-durotomy-and-a-non-synthetic-dura-substitute-application-in-ten-dogs-with-a-spinal-subarachnoid-diverticulum
#1
JOURNAL ARTICLE
Michał Mól, Ricardo Fernandes, Simon Wheeler, Massimo Mariscoli
This retrospective study aimed to report the surgical treatment and outcomes of laminectomies followed by durotomy and the application of a non-synthetic collagen matrix dura substitute (DurepairTM ) in ten dogs with a spinal subarachnoid diverticulum (SAD). The medical records of these ten client-owned dogs with SAD diagnosed by magnetic resonance imaging (MRI) were reviewed. All patients had chronic and progressive deficits. At presentation, common neurological signs were proprioceptive ataxia, ambulatory spastic paraparesis or tetraparesis, and faecal incontinence...
March 14, 2024: Veterinary Sciences
https://read.qxmd.com/read/38534477/carotid-artery-bypass-surgery-of-in-body-tissue-architecture-induced-small-diameter-biotube-in-a-goat-model-a-pilot-study
#2
JOURNAL ARTICLE
Tadashi Umeno, Kazuki Mori, Ryosuke Iwai, Takayuki Kawashima, Takashi Shuto, Yumiko Nakashima, Tsutomu Tajikawa, Yasuhide Nakayama, Shinji Miyamoto
Biotubes are autologous tubular tissues developed within a patient's body through in-body tissue architecture, and they demonstrate high potential for early clinical application as a vascular replacement. In this pilot study, we used large animals to perform implantation experiments in preparation for preclinical testing of Biotube. The biological response after Biotube implantation was histologically evaluated. The designed Biotubes (length: 50 cm, internal diameter: 4 mm, and wall thickness: 0.85 mm) were obtained by embedding molds on the backs of six goats for a predetermined period (1-5 months)...
February 21, 2024: Bioengineering
https://read.qxmd.com/read/38532882/bioglass-ceria-nanoparticle-hybrids-for-the-treatment-of-seroma-a-comparative-long-term-study-in-rats
#3
JOURNAL ARTICLE
Michael-Alexander Pais, Athanasios Papanikolaou, Isabel Arenas Hoyos, Robert Nißler, Simone De Brot, Alexander Gogos, Robert Rieben, Mihai A Constantinescu, Martin T Matter, Inge K Herrmann, Ioana Lese
Background: Seroma formation is a common postoperative complication. Fibrin-based glues are typically employed in an attempt to seal the cavity. Recently, the first nanoparticle (NP)-based treatment approaches have emerged. Nanoparticle dispersions can be used as tissue glues, capitalizing on a phenomenon known as 'nanobridging'. In this process, macromolecules such as proteins physically adsorb onto the NP surface, leading to macroscopic adhesion. Although significant early seroma reduction has been shown, little is known about long-term efficacy of NPs...
2024: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/38532497/robotic-portal-resection-for-mediastinal-tumours-a-prospective-observational-study
#4
JOURNAL ARTICLE
Wei Gan, Mu-Zi Yang, Zi-Hui Tan, Chu-Long Xie, Tian-Yu Sun, Hao-Xian Yang
BACKGROUND: To demonstrate the effectiveness and feasibility of robotic portal resection (RPR) for mediastinal tumour using a prospectively collected database. METHODS: Data from 73 consecutive patients with mediastinal tumours who underwent RPRs were prospectively collected from August 2018 to April 2023. All patients underwent chest and abdominal enhanced computed tomography (CT) and preoperative multidisciplinary team (MDT) discussion. The patients were stratified into two groups based on tumour size: Group A (tumour size < 4 cm) and Group B (tumour size ≥ 4 cm)...
March 26, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38532170/the-effect-of-lobar-shifting-following-right-upper-lobectomy-on-postoperative-pulmonary-function
#5
JOURNAL ARTICLE
Sanae Kuroda, Kenji Miura, Nahoko Shimizu, Yoshitaka Kitamura, Wataru Nishio
OBJECTIVES: Lobes occasionally displace after lobectomy, referred to as "lobar shifting". However, the benefits, especially in postoperative pulmonary function, remain controversial. This study aimed to measure the effect of lobar shifting on postoperative pulmonary function especially in the right upper lobe. METHODS: This retrospective study includes 273 right upper lobectomy patients (lobectomy group) and 24 right upper segmentectomy patients (segmentectomy group) from 2012 to 2021...
March 26, 2024: General Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38529560/janus-adhesive-microneedle-patch-loaded-with-exosomes-for-intrauterine-adhesion-treatment
#6
JOURNAL ARTICLE
Huihui Wang, Weijia Chen, Yuanhua Liu, Yuanchao Zhu, Yinan Huang, Zongxuan Lu
Intrauterine adhesions (IUAs) are common sequelae of cervical mucosa damage caused by uterine curettage. Establishing an anti-adhesion barrier between the damaged endometrium with a sustained-release drug capability and hence promoting endogenous regeneration of the endometrium is an available treatment for IUA. However, current therapy lacks long-term intracavitary residence, drug-delivery permeability, and tissue anti-adhesion to the endometrium. Here, we report the design of a Janus microneedle patch consisting of two layers: an adhesive inner layer with an exosomes-loaded microneedle, which endows the patch with a tissue adhesive capability as well as transdermal drug-delivery capability; and an anti-adhesion outer layer, which prevents the intrauterine membrane from postoperative adhesion...
March 26, 2024: Journal of Materials Chemistry. B, Materials for Biology and Medicine
https://read.qxmd.com/read/38526478/development-of-a-multivariable-prediction-model-for-prolonged-air-leak-after-lung-resection
#7
JOURNAL ARTICLE
Akiisa Omura, Ryu Kanzaki, Hirokazu Watari, Sachi Kawagishi, Ryo Tanaka, Tomohiro Maniwa, Makoto Fujii, Jiro Okami
OBJECTIVES: Prolonged air leak (PAL) is a common complication of lung resection. Research on predictors of PAL using a digital drainage system (DDS) remains insufficient. In this study, we investigated the predictive factors of PAL to establish a novel early postoperative prediction model for PAL. METHODS: A retrospective cohort study and validation study were conducted. We examined patients who underwent lung resection with DDS at our institute. The relationship between the clinical factors and measurements of the DDS, including the difference between the set and measured intrapleural pressure (named: additional negative pressure [ANP]) at postoperative hour (POH) 3, with PAL was analyzed...
January 2024: World Journal of Surgery
https://read.qxmd.com/read/38526158/a-graphene-composite-film-based-wearable-far-infrared-therapy-apparatus-graft-for-effective-prevention-of-postoperative-peritoneal-adhesion
#8
JOURNAL ARTICLE
Xiaohuan Lu, Luming Xu, Yu Song, Xiangnan Yu, Qilin Li, Feng Liu, Xiaoqiong Li, Jiangbo Xi, Shuai Wang, Lin Wang, Zheng Wang
Postoperative peritoneal adhesion (PPA) is the most frequent complication after abdominal surgery. Current anti-adhesion strategies largely rely on the use of physical separating barriers creating an interface blocking peritoneal adhesion, which cannot reduce inflammation and suffers from limited anti-adhesion efficacy with unwanted side effects. Here, by exploiting the alternative activated macrophages to alleviate inflammation in adhesion development, a flexible graphene-composite-film (F-GCF) generating far-infrared (FIR) irradiation that effectively modulates the macrophage phenotype toward the anti-inflammatory M2 type, resulting in reduced PPA formation, is designed...
March 25, 2024: Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
https://read.qxmd.com/read/38524650/coexistence-of-ovarian-cancer-and-peritoneal-tuberculosis-a-case-report
#9
JOURNAL ARTICLE
Akitoshi Yamamura, Kentaro Sekiyama, Miki Otsuki, Akiko Abe, Yuki Kashihara, Yuki Kozono, Akiko Okuda, Yumiko Yoshioka, Toshihiro Higuchi
Peritoneal tuberculosis (TB) is known to mimic advanced ovarian cancer. In this case report, we describe a unique case of ovarian cancer (endometrioid carcinoma grade 3) at the International Federation of Gynecology and Obstetrics (FIGO) stage IC1 with pulmonary and peritoneal TB, which was suspected preoperatively to be a coexistence of advanced ovarian cancer and pulmonary TB. A 68-year-old woman presented with a prominent abdominal mass and fever. Laboratory investigations, imaging, and sputum analysis indicated a probable diagnosis of ovarian cancer at FIGO stage IIIC, characterized by peritoneal dissemination and para-aortic lymph node metastasis, which was further complicated by coexisting pulmonary TB...
April 2024: International cancer conference journal
https://read.qxmd.com/read/38523949/thoracoscopic-direct-suture-closure-for-a-large-bulla-with-severe-adhesion-under-local-anesthesia-a-case-report
#10
Naoya Kitamura, Tomohiko Takahashi, Jun Kawamukai, Hideki Shinno, Tomoshi Tsuchiya
Although the usefulness of thoracoscopic surgery under local anesthesia for pneumothorax has been reported, there are some cases of failure. Therefore, it is important to share the various techniques and potential challenges associated with procedures performed under local anesthesia. A 79-year-old male, under monitoring for a left chronic pneumothorax, was newly diagnosed with a right pneumothorax. Chest computed tomography taken after thoracic drainage showed a poorly expanded right lung with severe adhesions and multiple bullae in the right lung, in addition to identifying a left pneumothorax...
February 2024: Curēus
https://read.qxmd.com/read/38523933/septoplasty-and-nasal-packs-from-otolaryngologists-perspectives-a-cross-sectional-survey
#11
JOURNAL ARTICLE
Balqees Alghanem, Nawaf Almotairi, Ahmad Alrasheedi
Introduction Septoplasty is a commonly performed surgery by otolaryngologists. This study examines the routine use of non-absorbable nasal packs in the postoperative period in Kuwait. Our aim is to assess the views of otolaryngologists in Kuwait regarding the routine use of non-absorbable nasal packing after septoplasty with or without turbinoplasty. Materials and methods A cross-sectional study, an anonymous survey, consisting of 10 questions, using Google Forms was conducted. It was distributed via WhatsApp and in person hard copies to otolaryngologists - head and neck surgeons in Kuwait...
February 2024: Curēus
https://read.qxmd.com/read/38521652/the-impact-of-middle-meatal-steroid-eluting-implants-on-the-postoperative-outcomes-of-chronic-rhinosinusitis-a-systematic-review-and-meta-analysis
#12
JOURNAL ARTICLE
A M Zamaili, Y C Kueh, S Mohamad, B Abdullah
Endoscopic sinus surgery (ESS) has become an established surgical option in refractory chronic rhinosinusitis (CRS). The goal of this review is to assess the impact of steroid-eluting middle meatal implants after ESS. Cochrane Central Register of Controlled Trials (CENTRAL), SCOPUS, PUBMED, and GOOGLE SCHOLAR were searched from inception to November 2022. All randomised controlled trials (RCTs) involving adult patients receiving ESS for CRS utilising a steroid-eluting middle meatal implants were eligible. The primary outcome was adhesion or synechiae...
March 22, 2024: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://read.qxmd.com/read/38520291/modified-graham-patch-repair-of-small-bowel-anastomotic-leak
#13
JOURNAL ARTICLE
Ashley Alden, Robert D Bennett
The modified Graham patch repair is a well-established technique for management of perforating foregut injuries, often learned by surgeons during general surgery training. There is, however, little to no data regarding the utilization of this technique for perforation of the distal midgut or in the re-operative field. We present two cases of midgut anastomotic complications successfully managed with modified graham patch repair at our institution. The first case is a 79-year-old female who underwent an emergent right hemicolectomy at an outside institution for management of an iatrogenic perforation during endoscopic polypectomy...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38518992/analysis-of-factors-affecting-the-prognosis-of-patients-with-intrauterine-adhesions-after-transcervical-resection-of-adhesions
#14
JOURNAL ARTICLE
Jiantong Zhang, Cong Shi, Jianhua Sun, Jumin Niu
OBJECTIVES: To study the factors affecting the prognosis of patients with intrauterine adhesions (IUAs) after transcervical resection of adhesions (TCRA), analyze the reproductive outcome, and guide prognostic improvements. DESIGN: Prospective study. SUBJECTS: Our study included 292 patients diagnosed with intrauterine adhesions who underwent follow-up office hysteroscopy at Shenyang Women's and Children's Hospital between June 2018 and June 2022...
March 20, 2024: Fertility and Sterility
https://read.qxmd.com/read/38513418/case-report-jejunal-diverticulosis-with-chronic-interstitial-and-mesenteric-adhesions-chronic-mesenteric-volvulus-and-decompensated-small-bowel-obstruction
#15
Sarlote Agate Vanka, Janis Rudzitis, Ingus Skadins, Juta Kroica, Sintija Miluna-Meldere, Janis Dreijers
INTRODUCTION: Jejunal diverticulosis has not gained significant attention because of its rarity and typically asymptomatic course as well as the relative diagnostic inaccessibility of the jejunum. This report presents a rare case of jejunal diverticulosis complicated with chronic interstitial and mesenteric adhesions, chronic mesenteric volvulus, and decompensated small-bowel obstruction. PRESENTATION OF CASE: An 84-year-old man was admitted to the emergency room with a 24-h history of acute colicky abdominal pain...
March 19, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38505334/revisional-surgery-for-persistent-dysphagia-plus-roux-y-gastric-bypass-robot-assisted-in-a-patient-with-obesity-about-a-case
#16
Santiago A Muñoz-Palomeque, Máximo V Torres Guaicha, Glenda Y Herrera Cevallos, Tábata Lissette Tinoco Ortiz, Amílcar O Herrera Cevallos
This case study presents a female patient with progressive dysphagia for solids, heartburn, and obesity that proved refractory to clinical management. Imagenological diagnosis revealed esophageal stenosis and achalasia. Furthermore, metabolic syndrome was established. We proposed intervention through esophagogastric reconstruction due to stenosis, revision of cardiomyotomy and robotic gastric bypass revealing scar tissue and fibrosis on the anterior aspect of the stomach resulting from prior fundoplication surgery...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38504124/performance-of-self-cured-versus-light-cured-universal-adhesive-in-patients-with-non-carious-cervical-lesions-18-month-randomized-clinical-trial
#17
JOURNAL ARTICLE
Aya Gamal Ashour, Rawda Hesham Abd ElAziz, Asmaa Ali Yassen
OBJECTIVE: To evaluate the clinical performance of self versus light-cured universal adhesive in non-carious cervical lesions (NCCLs) after 18 months. MATERIALS AND METHODS: Sixty-eight NCCLs in 28 patients were divided into two equal groups; G1: self-cured universal adhesive (Palfique,Tokuyama,Japan) and G2: light-cured universal adhesive (Single Bond Universal,3 M ESPE,USA). Nanohybrid resin composite (Z350XT, 3 M ESPE, USA) was used as a final restoration...
March 19, 2024: BDJ Open
https://read.qxmd.com/read/38501549/single-port-robotic-subcostal-major-pulmonary-resection-using-the-single-port-robotic-system
#18
JOURNAL ARTICLE
Jun Hee Lee, Jeong In Hong, Hyun Koo Kim
BACKGROUND: The da Vinci single-port system (SPS) (Intuitive Surgical, Sunnyvale, CA, USA) was designed for single-port (SP) surgery. Although we have reported our clinical outcomes using the SPS for a simple procedure in general thoracic surgery, major pulmonary resection had been performed only in cadaveric experiments to date. This study evaluated the feasibility of SP subcostal robotic major pulmonary resection using the SPS. Here, we present our initial clinical experience of SP subcostal robotic major pulmonary resection at our institution...
March 2024: World Journal of Surgery
https://read.qxmd.com/read/38500926/diagnosis-and-management-of-the-largest-documented-appendicolith-in-literature-a-case-report
#19
Juliane Hennenberg, Tobias Zott, Vanessa Berger-Kulemann, Ana-Iris Schiefer, Ivan Kristo
This case report depicts the diagnosis and management of the largest documented appendicolith found in the medical literature so far, measuring 4.5 cm. A 44-year-old male patient presented with a distended abdomen, right lower quadrant (RLQ) pain, constipation, and the inability to consume solid food. Laboratory tests revealed leukocytosis and elevated C-reactive protein (CRP) levels. Abdominal X-rays showed a densely calcified structure in the right lower quadrant, and further imaging confirmed the diagnosis of appendicolithiasis...
February 2024: Curēus
https://read.qxmd.com/read/38498843/contemporary-assessment-of-adhesiolysis-and-resection-for-adhesive-small-bowel-obstruction-in-the-state-of-new-york
#20
JOURNAL ARTICLE
Matthew M Symer, Xinyan Zheng, Bradley B Pua, Art Sedrakyan, Jeffrey W Milsom
BACKGROUND: Adhesive small bowel obstruction (aSBO) is a common surgical problem, with some advocating for a more aggressive operative approach to avoid recurrence. Contemporary outcomes in a real-world setting were examined. STUDY DESIGN: A retrospective cohort study was performed using the New York Statewide Planning and Research Cooperative database to identify adults admitted with aSBO, 2016-2020. Patients were stratified by the presence of inflammatory bowel disease (IBD) and cancer history...
March 18, 2024: Surgical Innovation
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