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https://www.readbyqxmd.com/read/28434811/predicting-and-planning-for-siea-flap-utilisation-in-breast-reconstruction-an-algorithm-combining-pre-operative-computed-tomography-analysis-and-intra-operative-angiosome-assessment
#1
Francis P Henry, Daniel P Butler, Simon H Wood, Navid Jallali
BACKGROUND: Low flap complication rates and excellent aesthetic outcomes are now commonplace in breast reconstruction. As a result, attention is now being focussed on minimising donor site morbidity. Despite its potential donor site advantages, the superficial inferior epigastric artery (SIEA) flap is often discounted, given concerns about the high flap failure rates. In this study, we present our experience of using the SIEA flap in breast reconstruction and provide an algorithm based on pre-operative computed tomography angiography (CTA) to aid pre-operative planning...
April 8, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28429083/intravenous-treprostinil-infusion-via-a-fully-implantable-pump-for-pulmonary-arterial-hypertension
#2
Ralf Ewert, Manuel J Richter, Regina Steringer-Mascherbauer, Ekkehard Grünig, Tobias J Lange, Christian F Opitz, Christian Warnke, Hossein-Ardeschir Ghofrani
OBJECTIVES: Parenteral prostanoids infused via external pumps are well-established pulmonary arterial hypertension (PAH) treatments. However, local side-effects and systemic infections restrict their use. The purpose of this study was to investigate the safety of a fully implantable treprostinil infusion pump (LENUS Pro(®)) in patients with PAH. METHODS: Thirty patients with PAH undergoing pump implantation (with stable PAH therapy for ≥3 weeks pre-implantation) were included in this prospective, multicenter, observational study (NCT01979822)...
April 20, 2017: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://www.readbyqxmd.com/read/28422830/management-of-the-extensive-thoracic-defects-after-deep-sternal-wound-infection-with-the-rectus-abdominis-myocutaneous-flap-a-retrospective-case-series
#3
Yue-Hua Li, Zhao Zheng, Jiaomei Yang, Lin-Lin Su, Yang Liu, Fu Han, Jia-Qi Liu, Da-Hai Hu
Deep sternal wound infection is a severe complication after open heart surgery. According to the different severity and dimensions of the deep sternal wound infection, the treatment method is different. In this study, we aimed to describe our experience with the rectus abdominis myocutaneous flap for large sternal wound management, especially when 1 or 2 internal mammary arteries were absent.Between October 2010 and January 2016, a retrospective review of 9 patients who suffered from the extensive thoracic defects after deep sternal wound infection was conducted...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28414995/case-report-of-an-intracaval-leiomyomatosis-10-months-after-complete-hysterectomy
#4
Hannah Maria Schäfer, Andrej Isaak, Lorenz Gürke
INTRODUCTION: Intravenous leiomyomatosis (IVL) is a rare smooth muscle tumor, usually found in women with tumors of the reproductive organs, such as uterus myomatosous. Surgically, this case belies the call for sternotomy and two-stage surgery in caval IVL extending to the right atrium: we suggest one-stage median laparotomy as a minimal procedure with maximal benefit. PRESENTATION OF CASE: We present the case of a 60-year-old postmenopausal woman with suspected intravenous leiomyomatosis of the right internal iliac vein...
March 31, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28410984/a-systematic-review-of-complications-associated-with-direct-implants-vs-tissue-expanders-following-wise-pattern-skin-sparing-mastectomy
#5
REVIEW
Jason Corban, Hani Shash, Tyler Safran, Nicolas Sheppard-Jones, Omar Fouda-Neel
INTRODUCTION: With proven oncological safety and improved aesthetic outcomes, the Type IV or "Wise pattern" skin-sparing mastectomy (SSM) is a procedure that is being performed with increasing frequency. Unfortunately, it is also associated with an increased risk of complications. The purpose of this investigation was to determine the complications associated with direct-to-implant and two-step tissue-expander breast reconstruction following Wise pattern SSM. METHODS: Systematic electronic searches were performed using PubMed, MEDLINE, and Embase databases...
March 14, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28409277/a-modified-chevrel-technique-for-ventral-hernia-repair-long-term-results-of-a-single-centre-cohort
#6
E H H Mommers, B J M Leenders, W K G Leclercq, T S de Vries Reilingh, J A Charbon
PURPOSE: To evaluate the short- and long-term results after a modified Chevrel technique for midline incisional hernia repair, regarding surgical technique, hospital stay, wound complications, recurrence rate, and postoperative quality of life. These results will be compared to the literature derived reference values regarding the original and modified Chevrel techniques. METHODS: In this large retrospective, single surgeon, single centre cohort all modified Chevrel hernia repairs between 2000 and 2012 were identified...
April 13, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28409276/a-systematic-review-and-meta-analysis-of-the-post-operative-adverse-effects-associated-with-mosquito-net-mesh-in-comparison-to-commercial-hernia-mesh-for-inguinal-hernia-repair-in-low-income-countries
#7
REVIEW
T Patterson, P Currie, S Patterson, P Patterson, C Meek, R McMaster
PURPOSE: Abdominal wall hernia is a common surgical condition, with more than 20 million estimated to be repaired each year. Mesh repair is the standard for most repairs; however, the mesh material itself may be a barrier to care, the cost prohibitively high for some populations and healthcare systems. The aim of this systematic review and meta-analysis was to produce a pooled comparison between the adverse event rate associated with mosquito net mesh and commercial hernia mesh. METHODS: A systematic review was carried out in accordance with PRISMA guidelines...
April 13, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28409262/radioguided-occult-lesion-localization-for-locally-recurrent-thyroid-carcinoma
#8
Mehmet Ali Gulcelik, Niyazi Karaman, Lutfi Dogan, Ilgın Sahiner, Gokhan Giray Akgul, Yavuz Selim Kahraman, Gulin Ucmak Vural
The aim of this study was to present our experiences with patients operated on for the recurrence of papillary thyroid cancer with the combined use of preoperative ultrasonographic mapping and radioguided occult lesion localization (ROLL). Twenty patients who had already undergone total thyroidectomy and central/lateral neck dissection for papillary thyroid carcinoma were reoperated on due to locoregional metastasis. The patients with proven recurrences and high Tg wash-out levels in cytopathologic aspirates were operated on...
April 13, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28408310/patient-satisfaction-regarding-outpatient-mastectomy-in-saint-nazaire-hospital-center
#9
M Simoni, F-X Laurent, S Evrard, L Bruneau, N Allio, M Randet
OBJECTIVES: To assess patient satisfaction with outpatient mastectomy and their postoperative quality of life. MATERIALS AND METHODS: A retrospective descriptive study was conducted of patients who had a mastectomy as outpatients at the hospital of Saint-Nazaire between January 2013 and May 2015. Patients were contacted by phone to answer a survey assessing their satisfaction. RESULTS: Out of 16 eligible patients for an outpatient mastectomy, 11 patients were included in our study (4 [25%] had to remain hospitalized after their intervention and one patient could not be contacted)...
February 22, 2017: J Gynecol Obstet Hum Reprod
https://www.readbyqxmd.com/read/28405750/efficacy-and-safety-of-scarpa-fascia-preservation-during-abdominoplasty-a-systematic-review-and-meta-analysis
#10
Xiangyang Xiao, Limin Ye
INTRODUCTION: Scarpa fascia preservation might be a promising approach to reduce seroma and other complications after abdominoplasty. However, the results remained controversial. We conducted a systematic review and meta-analysis to evaluate the efficacy and safety of scarpa fascia preservation in patients with abdominoplasty. METHODS: PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systematically searched. Randomized controlled trials and clinical controlled trials assessing the effect of scarpa fascia preservation versus control (without scarpa fascia) during abdominoplasty were included...
January 27, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28403815/gamma-probe-and-ultrasound-guided-fine-needle-aspiration-cytology-of-the-sentinel-node-gulf-trial-overview-of-the-literature-pilot-and-study-protocol
#11
Charlotte M C Oude Ophuis, Lisa Linetta B Koppert, Cécile de Monyé, Carolien H M van Deurzen, Senada Koljenović, Alexander C J van Akkooi, Cornelis Kees Verhoef, Dirk J Grünhagen
BACKGROUND: Sentinel node (SN) biopsy (SNB) detects clinically occult metastases of breast cancer and melanoma in 20-30%. Wound infections, seroma and lymph edema occur in up to 10%. Targeted ultrasound (US) of the SN, (with fine needle aspiration cytology (FNAC) if appropriate) has been investigated as a minimally invasive alternative, but reported sensitivity rates are too low to replace SNB. Our hypothesis is that the use of a handheld gamma probe concomitant with US may improve sensitivity...
April 12, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28402746/single-incision-gasless-endoscopic-trans-axillary-total-thyroidectomy-a-feasible-and-oncologic-safe-surgery-in-patients-with-papillary-thyroid-carcinoma
#12
Eun Young Kim, Kwan Ho Lee, Yong Lai Park, Chan Heun Park, Cho Rok Lee, Jong Ju Jeong, Kee-Hyun Nam, Woong Youn Chung, Ji-Sup Yun
BACKGROUND: The aim of this study is to compare the feasibility and oncologic safety of Single-incision, gasless, Endoscopic trans-axillary bilateral Total thyroidectomy (SET) with open cervical total thyroidectomy in patients with papillary thyroid carcinoma (PTC). MATERIALS AND METHODS: From March 2008 to December 2012, PTC patients underwent bilateral total thyroidectomy. Conventional, open surgery was performed on 538 patients (Group O) and endoscopic surgery was performed on 200 patients (Group E)...
April 12, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28402493/cd30-t-cells-in-late-seroma-may-not-be-diagnostic-of-breast-implant-associated-anaplastic-large-cell-lymphoma
#13
Marshall E Kadin, John Morgan, Haiying Xu, Caroline A Glicksman
HASH(0x461aa08)
April 11, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28402426/commentary-on-cd30-t-cells-in-late-seroma-may-not-be-diagnostic-of-breast-implant-associated-anaplastic-large-cell-lymphoma
#14
Mark W Clemens, Roberto N Miranda
No abstract text is available yet for this article.
April 11, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28402407/commentary-on-cd30-t-cells-in-late-seroma-may-not-be-diagnostic-of-breast-implant-associated-anaplastic-large-cell-lymphoma
#15
Anand K Deva
No abstract text is available yet for this article.
April 11, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28400815/delayed-treatment-of-secondary-degeneration-following-acute-optic-nerve-transection-using-a-combination-of-ion-channel-inhibitors
#16
Nathanael J Yates, Marcus K Giacci, Ryan L O'Hare Doig, Wissam Chiha, Bethany E Ashworth, Jade Kenna, Carole A Bartlett, Melinda Fitzgerald
Studies have shown that a combined application of several ion channel inhibitors immediately after central nervous system injury can inhibit secondary degeneration. However, for clinical use, it is necessary to determine how long after injury the combined treatment of several ion channel inhibitors can be delayed and efficacy maintained. In this study, we delivered Ca(2+) entry-inhibiting P2X7 receptor antagonist oxidized-ATP and AMPA receptor antagonist YM872 to the optic nerve injury site via an iPRECIO(@) pump immediately, 6 hours, 24 hours and 7 days after partial optic nerve transection surgery...
February 2017: Neural Regeneration Research
https://www.readbyqxmd.com/read/28383451/karydakis-flap-with-compressing-tie-over-interrupted-sutures-without-drain-versus-standard-karydakis-for-treatment-of-sacrococcygeal-pilonidal-sinus-disease
#17
RANDOMIZED CONTROLLED TRIAL
Alaa M Sewefy, Aymen Hassanen, Ahmed M Atyia, Saleh K Saleh
BACKGROUND: Sacroccygeal pilonidal sinus disease is a worldwide health problem, affecting young adults, mainly males, with a tendency for recurrence. Various modalities have been used for treating this condition. The Karydakis procedure is one of most commonly used asymmetric flaps for treating this condition. OBJECTIVE: The study aimed to evaluate the Karydakis procedure with tie-over compressing sutures instead of the routine use of a drain in the treatment pilonidal sinus...
May 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28378079/primary-fascial-closure-during-laparoscopic-ventral-hernia-repair-does-not-reduce-30-day-wound-complications
#18
Christina M Papageorge, Luke M Funk, Benjamin K Poulose, Sharon Phillips, Michael J Rosen, Jacob A Greenberg
BACKGROUND: Laparoscopic ventral hernia repair (LVHR) is associated with decreased wound morbidity compared to open repair. It remains unclear whether primary fascial closure (PFC) offers any benefit in reducing postoperative seroma compared to bridged repair. We hypothesized that PFC would have no effect on seroma formation following LVHR. METHODS: A retrospective cohort study was performed using data from the prospectively maintained Americas Hernia Society Quality Collaborative...
April 4, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28376030/reply-to-comments-on-seroma-in-prosthetic-breast-reconstruction
#19
Sumanas W Jordan, John Ys Kim
No abstract text is available yet for this article.
April 1, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28376029/comments-on-seroma-in-prosthetic-breast-reconstruction
#20
Kun Hwang
No abstract text is available yet for this article.
April 1, 2017: Plastic and Reconstructive Surgery
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