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https://www.readbyqxmd.com/read/29355785/efficacy-safety-and-economics-of-bracing-after-spine-surgery-a-systematic-review-of-the-literature
#1
Mary P Zhu, Lindsay A Tetreault, Fatimah Sorefan-Mangou, Philip Garwood, Jefferson R Wilson
BACKGROUND CONTEXT: Bracing is often used after spinal surgery to immobilize the spine, improve fusion, and relieve pain. However, controversy exists regarding the efficacy, necessity and safety of various bracing techniques in the post-surgical setting. PURPOSE: In this systematic review, we aimed to compare the effectiveness, safety and cost-effectiveness of postoperative bracing versus no postoperative bracing following spinal surgery in patients with several common operative spinal pathologies...
January 17, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29355697/anti-nociceptive-effects-of-bupivacaine-encapsulated-plga-nanoparticles-applied-to-the-compressed-dorsal-root-ganglion-in-mice
#2
Tao Wang, Olivia Hurwitz, Steven G Shimada, Daofeng Tian, Feng Dai, Jiangbing Zhou, Chao Ma, Robert H LaMotte
Bupivacaine is a commonly used local anesthetic in postoperative pain management. We evaluated the effects of a prolonged, local delivery of bupivacaine on pain behavior accompanying a chronic compression of the dorsal root ganglion (CCD) - an animal model of radicular pain. Poly(lactide-coglycolide) (PLGA) nanoparticles encapsulating bupivacaine were injected unilaterally into the L3 and L4 DRGs of mice just before producing CCD by implanting a stainless-steel rod in the intervertebral foramen of each ganglion...
January 17, 2018: Neuroscience Letters
https://www.readbyqxmd.com/read/29355162/effects-of-low-dose-intravenous-dexamethasone-combined-with-caudal-analgesia-on-post-herniotomy-pain
#3
Omotayo Felicia Salami, Simbo Daisy Amanor-Boadu, Olayinka Ranti Eyelade, Simeon Olugbade Olateju
BACKGROUND: Caudal analgesia for postoperative pain relief in paediatric day-case surgery has been found to be of short duration, hence the need for addition of adjuncts to prolong the analgesia. OBJECTIVE: The objective of the study was to compare the analgesic effects of caudal block with or without low-dose intravenous dexamethasone in children undergoing day-case herniotomy. PATIENTS AND METHODS: This was a prospective randomised controlled study conducted in male patients, aged between 1 and 7 years scheduled for herniotomy...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29354758/gibbus-deformity-after-non-tuberculosis-osteomyelitis
#4
Akop Seksenyan, Darian R Esfahani, Kimberly Hu, Ankit I Mehta
Gibbus deformities are characterized by anterior collapse of one or more vertebral bodies resulting in kyphosis. These deformities usually arise from spinal infections, and are traditionally associated with tuberculosis; other pathogens are rarely reported in the literature. In this case report, the authors describe a patient with a sharp, angulated Gibbus deformity presenting with back pain and myelopathy. The patient was placed on antibiotics, underwent T11-T12 corpectomy, placement of an expandable cage, and T8-L3 fusion with improvement of symptoms...
December 2017: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29354756/multifocal-intradural-extramedullary-anaplastic-ependymoma-of-the-spine
#5
Ananya Chakravorty, Ellen Frydenberg, Tint Tint Shein, John Ly, Peter Earls, Timothy Steel
Ependymomas are neuroectodermal tumours arising from the ependymal lining of the ventricles and central canal of the spinal cord. Intradural extramedullary (IDEM) ependymomas which are multifocal, and/or anaplastic (WHO grade III) at presentation are exceedingly rare. We present the second case of multifocal anaplastic IDEM ependymoma in the literature. A 47-year old female presented with left gluteal and thigh pain radiating to the groin associated with paraesthesiae. She had a normal neurological examination...
December 2017: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29354619/a-study-on-laparoscopic-sacral-colpopexy-for-uterine-prolapse
#6
Eun A Cho, Mi Jung Um, Suk Jin Kim, Hyuk Jung
Objectives: We sought to describe the perioperative and postoperative adverse events associated with sacral colpopexy and evaluate the surgical outcome, complications, and benefits of laparoscopic sacral fixation for patients with pelvic prolapse. Methods: Ninety-two women with uterine prolapse underwent sacral colpopexy between January 2011 and September 2016 at Chosun University Hospital. Patients' electronic medical records were investigated for demographic, intraoperative, and postoperative data...
December 2017: Journal of Menopausal Medicine
https://www.readbyqxmd.com/read/29354605/which-one-is-better-comparison-of-the-acute-inflammatory-response-raja-isteri-pengiran-anak-saleha-appendicitis-and-alvarado-scoring-systems
#7
Mohammad Yasin Karami, Hadi Niakan, Navid Zadebagheri, Parviz Mardani, Zahra Shayan, Iman Deilami
Purpose: Acute appendicitis (AA) is one of the most common causes of an acute abdomen. The accuracies of the Alvarado and the acute inflammatory response (AIR) scores in the diagnosis of appendicitis is very low in Asian populations, so a new scoring system, the Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) system, was designed recently. We applied and compared the Alvarado, AIR, and RIPASA scores in the diagnoses of appendicitis in the Iranian population. Methods: We prospectively compared the RIPASA, Alvarado, and AIR systems by applying them to 100 patients...
December 2017: Annals of Coloproctology
https://www.readbyqxmd.com/read/29354434/acl-reconstruction-basics-quadruple-4-strand-hamstring-autograft-harvest
#8
Rachel M Frank, Jason T Hamamoto, Eamon Bernardoni, Gregory Cvetanovich, Bernard R Bach, Nikhil N Verma, Charles A Bush-Joseph
Hamstring tendon autograft remains a popular graft choice for anterior cruciate ligament (ACL) reconstruction. Although there are a variety of autograft and allograft options available for ACL reconstruction, advantages of hamstring tendon autografts include decreased postoperative knee pain and an overall easier surgical recovery compared with bone patellar tendon bone autograft. In addition, 4-stranded (quadruple) hamstring grafts are among the strongest grafts biomechanically (at time equals zero). Although the technique of hamstring autograft harvest is relatively straightforward, it is critical to pay attention to several technical steps to avoid iatrogenic neurovascular damage as well as to avoid premature amputation of the graft while using a tendon stripper...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354416/anterior-cruciate-ligament-reconstruction-basics-bone-patellar-tendon-bone-autograft-harvest
#9
Rachel M Frank, John Higgins, Eamon Bernardoni, Gregory Cvetanovich, Charles A Bush-Joseph, Nikhil N Verma, Bernard R Bach
Anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft has long been considered the graft preference for young, active patients with anterior cruciate ligament injuries. The central-third of the native patellar tendon is a reliable graft and is the preferred option for competitive athletes given its excellent track record with high return-to-play rates and low failure rates. Disadvantages to using this graft include donor site morbidity and associated postoperative anterior knee pain, the risk of patellar fracture or patellar tendon tear, and the potential for graft-construct mismatch...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354409/video-assisted-thoracoscopic-surgery-for-drainage-of-dorsal-paravertebral-abscess
#10
Raju Vaishya, Vipul Vijay, Amit K Agarwal
Tuberculosis of the spine is the second most common extrapulmonary presentation of the disease and is associated with significant morbidity. The drainage of the abscess may be needed in patients who fail to respond to medical treatment and present with a significant or deteriorating neurologic status. The dorsal spine gives a unique opportunity for decompression alone as it is supported by the rib cage, decreasing the chances of collapse. Drainage of the abscess in the dorsal spine usually needs an open thoracotomy...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354337/delayed-postoperative-spinal-epidural-hematoma-after-cervical-laminoplasty
#11
Masato Tomii, Junichi Mizuno, Ken Kazama, Tadao Matsushima, Kazuo Watanabe
A 56-year-old man underwent cervical laminoplasty for cervical spondylosis. On the 7th postoperative day, he suddenly felt severe neck pain, and tetraplegia developed rapidly over 1.5 hrs. Computed tomography demonstrated a huge hematoma compressing the cervical spinal cord. Clot was evacuated 3 hrs after the onset of symptoms. The patient's postoperative course was uneventful. His blood pressure could not be properly controlled in the perioperative period. Surgeons should keep in mind that delayed postoperative spinal epidural hematoma (DPSEH) can occur more than a week after surgery, and meticulous blood pressure control is important for more than a week after a spinal operation...
January 2018: NMC Case Report Journal
https://www.readbyqxmd.com/read/29354176/outcome-of-surgical-embolectomy-in-patients-with-massive-pulmonary-embolism-with-and-without-cardiopulmonary-resuscitation
#12
Reza Hajizadeh, Samad Ghaffari, Afshin Habibzadeh, Naser Safaei, Kamran Mohammadi, Abdolmohammad Ranjbar, Sahar Ghodratizadeh
Introduction: Pulmonary embolism is a challenging critical cardiovascular disease with high morbidity and mortality. Surgical embolectomy has favorable results in patients with massive pulmonary embolism. Aim: To study the outcome of embolectomy in patients with massive pulmonary embolism. Material and methods: In this single-center, retrospective study, 36 patients including 14 male and 22 female patients with a mean age of 50.80 ±18.89 years with acute pulmonary embolism who underwent surgical pulmonary embolectomy from January 2011 to January 2016 were included...
December 2017: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/29353846/-a-case-of-adult-gastric-volvulus-treated-using-upper-gastrointestinal-series
#13
Jun Kataoka, Toshikatsu Nitta, Masato Ota, Masahiro Matsui, Tomo Tominaga, Yoshihiro Inoue, Hiroshi Kawasaki, Hiroki Sanda, Isao Takasaka, Takashi Ishibashi
Here, we report a case of adult gastric volvulus that was treated using an upper gastrointestinal series and provide a review of relevant reports. A 55-year-old woman presented with upper abdominal pain. Abdominal computed tomography revealed mesenteroaxial gastric volvulus. We performed an upper gastrointestinal series after the placement of a nasogastric tube. We successfully performed detorsion by repositioning. There was no recurrence of gastric volvulus after the detorsion. However, considering the risk of recurrence, we also performed laparoscopic gastropexy...
2018: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/29353638/submucosal-surgery-novel-interventions-in-the-third-space
#14
REVIEW
Ezra N Teitelbaum, Lee L Swanstrom
Traditional surgeries involve accessing body cavities, such as the abdomen and thorax, via incisions that divide skin and muscle. These operations result in postoperative pain and convalescence, and a risk of complications such as wound infection and hernia. The development of flexible endoscopy allowed diseases as varied as gastrointestinal bleeding and colon adenomas to be treated without incisions, but this technique is restricted by its endoluminal nature. A novel category of surgical endoscopic procedures has recently been developed that uses flexible endoscopic techniques to enter and access the submucosa of the gastrointestinal tract...
February 2018: Lancet. Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29353523/acromioclavicular-joint-disruptions-a-comparison-of-two-surgical-approaches-hook-and-rope
#15
M S Athar, Neil Ashwood, Georgios Arealis, Mark Hamlet, Emma Salt
INTRODUCTION: Acromioclavicular joint injuries are common shoulder girdle injuries most commonly resulting from a direct blow to the acromion with the arm adducted. Type-I or type-II acromioclavicular joint injuries can be managed with sling immobilization, early shoulder motion, and physiotherapy. The management of type-III injuries remains controversial and is individualized. Type IV and V injuries should be treated surgically. A myriad of surgical techniques for the management of acromioclavicular joint injuries have been reported...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29353515/use-of-a-non-crosslinked-porcine-dermal-matrix-in-repair-of-the-achilles-and-other-tendons-of-the-foot
#16
Ali A Anaim
BACKGROUND: Ankle tendon augmentation with biological matrixes has been shown to be beneficial, especially for Achilles tendon rupture as it adds to the integrity of the repair. Biologic matrix augmentation has been used increasingly in chronic and complex injuries where reinforcement is required. The objective of this study was to present outcomes of a series of patients who underwent tendon repair augmented with a new biologic matrix. METHODS: Sixteen patients underwent ankle tendon repair, augmented with Proformix biologic tissue matrix...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29353464/laparoscopic-2port-varicocelectomy-with-scarless-periumblical-mini-incision-initial-experience-in-approach-and-outcomes
#17
Won Ik Seo, Jong Kyou Kwon, Pil Moon Kang, Wansuk Kim, Jang Ho Yoon, Taek Sang Kim, Jae Seung Chung, Cheol Kyu Oh
PURPOSE: As with other areas, there have been many efforts for minimally invasive surgery in varicocelectomy. We present our initial experience with laparoscopic varicocelectomy with a two-port scarless periumbilical mini-incision. MATERIALS AND METHODS: The study enrolled 18 patients who underwent laparoscopic varicocelectomy with a twoportscarless periumbilical mini-incision from February 2012 to April 2013. The laparoscopic varicocelectomy was performed using two 5-mm ports at periumbilical sites in skin creases...
January 21, 2018: Urology Journal
https://www.readbyqxmd.com/read/29353426/is-dipyrone-effective-as-a-preemptive-analgesic-in-third-molar-surgery-a-pilot-study
#18
Vinícius Tatsumoto Favarini, Carlos Alysson Aragão Lima, Rogério Almeida da Silva, Fábio Ricardo Loureiro Sato
PURPOSE: Studies on preemptive analgesia in maxillofacial surgery have shown several controversial clinical results, mainly due to the absence of a methodological standard, besides a wide variety of studied drugs. This study intended to answer the following hypothesis: Is the administration of dipyrone preemptively capable of decreasing trans- and postoperative pain in the third molar surgical extraction? METHODS: A pilot prospective double-blind placebo-controlled study was carried out with 25 patients submitted to the third molar surgical extraction at two moments, one side in each intervention...
January 20, 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29353339/chronic-pain-discomfort-quality-of-life-and-impact-on-sex-life-after-open-inguinal-hernia-mesh-repair-an-expertise-based-randomized-clinical-trial-comparing-lightweight-and-heavyweight-mesh
#19
M Rutegård, R Gümüsçü, G Stylianidis, P Nordin, E Nilsson, M M Haapamäki
PURPOSE: There is a paucity of high-quality evidence concerning mesh choice in open inguinal hernia repair. Using an expertise-based randomized clinical trial design, we aimed to evaluate the postoperative impact of two different mesh types on pain and discomfort, quality of life and sex life. METHODS: In two regional hospitals, male patients with primary inguinal hernia were randomized to one of two groups of surgeons that performed the Lichtenstein operation. One group of surgeons used a heavyweight polypropylene mesh (90 g/m2, Bard™ Flatmesh, Davol) while the second group employed a lightweight mesh (28 g/m2, ULTRAPRO™, Ethicon)...
January 20, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29352992/endobronchial-granular-tumor-excision-with-bronchial-resection-inclusive-of-second-carinoplasty
#20
Hironori Ishibashi, Shunichi Baba, Yasuhiro Nakashima, Chihiro Takasaki, Masashi Kobayashi, Kenichi Okubo
Bronchial granular cell tumor is a rare tumor. A 39-year-old non-smoker woman was admitted to our hospital with back pain. Chest CT and bronchoscopy scan revealed a 10mm endobronchial tumor arising from the membrane near the second carina. The tumor was excised inclusive of the right second carina containing the extraluminally invaded endobronchial mass and was diagnosed as a granular cell tumor. The postoperative course was uneventful and the patient was well without signs of recurrence for 3 year follow-up...
January 15, 2018: Annals of Thoracic Surgery
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