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https://www.readbyqxmd.com/read/29040906/a-case-report-of-choledocholithiasis-33-years-after-cholecystectomy
#1
Xane Peters, Gannavarapu Bhargava, Antonio Gangemi
INTRODUCTION: Choledocholithiasis after cholecystectomy is rare and often attributed to surgical clip migration and subsequent nidus formation. PRESENTATION OF CASE: This case demonstrates choledocholithiasis following cholecystectomy with a latency period of 33 years. DISCUSSION: The patient presented with pain of the right upper quadrant (RUQ). Subsequent abdominal-pelvic CT imaging revealed dilation of the common bile duct. Further Endoscopic Retrograde Cholangiopancreatography was indicative of choledocholithiasis...
October 12, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29032217/preoperative-prediction-of-the-necessity-for-anterior-clinoidectomy-during-microsurgical-clipping-of-ruptured-posterior-communicating-artery-aneurysms
#2
Tomoya Kamide, Jan-Karl Burkhardt, Halima Tabani, Michael Safaee, Michael T Lawton
BACKGROUND: Although most posterior communicating artery (PCoA) aneurysms can be clipped easily with excellent results, some require anterior clinoidectomy for safe and complete clipping. OBJECTIVE: To review our microsurgical series of ruptured PCoA aneurysms and identify the preoperative predictors for anterior clinoidectomy during microsurgical clipping for PCoA aneurysms METHODS: Results from microsurgical clipping of 104 patients with ruptured PCoA aneurysms were retrospectively reviewed...
October 11, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29031127/patients-perceptions-and-experiences-of-living-with-a-surgical-wound-healing-by-secondary-intention-a-qualitative-study
#3
Dorothy McCaughan, Laura Sheard, Nicky Cullum, Jo Dumville, Ian Chetter
BACKGROUND: Most surgical wounds heal by primary intention, that is to say, the edges of the wound are brought together with sutures, staples, adhesive glue or clips. However, some wounds may be left open to heal (if there is a risk of infection, or if there has been significant tissue loss), and are known as 'surgical wounds healing by secondary intention'. They are estimated to comprise approximately 28% of all surgical wounds and are frequently complex to manage. However, they are under researched and little is known of their impact on patients' lives...
September 28, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29029292/minimizing-retraction-by-pia-arachnoidal-10-0-sutures-in-intrasulcal-dissection
#4
Kutluay Uluc, Ulas Cikla, Deniz B Morkan, Alperen Sirin, Azam S Ahmed, Kyle Swanson, Mustafa K Baskaya
BACKGROUND: In contemporary microneurosurgery reducing retraction-induced injury to the brain is essential. Self-retaining retractor systems are commonly used to improve visualization and decrease the repetitive microtrauma, but sometimes self-retaining retractor systems can be cumbersome and the force applied can cause focal ischemia or contusions. This may increase the morbidity and mortality. Here, we describe a technique of retraction using 10-0 sutures in the arachnoid. OBJECTIVE: To evaluate the imaging and clinical results in patients where 10-0 suture retraction was used to aid the surgical procedure...
September 19, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29027862/effect-of-body-mass-index-on-outcome-after-aneurysmal-subarachnoid-hemorrhage-treated-with-clipping-versus-coiling
#5
Lorenzo Rinaldo, Joshua D Hughes, Alejandro A Rabinstein, Giuseppe Lanzino
OBJECTIVE It has been suggested that increased body mass index (BMI) may confer a protective effect on patients who suffer from aneurysmal subarachnoid hemorrhage (aSAH). Whether the modality of aneurysm occlusion influences the effect of BMI on patient outcomes is not well understood. The authors aimed to compare the effect of BMI on outcomes for patients with aSAH treated with surgical clipping versus endovascular coiling. METHODS The authors retrospectively reviewed the outcomes for patients admitted to their institution for the management of aSAH treated with either clipping or coiling...
October 13, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29025963/sacral-dural-arteriovenous-fistulas-a-diagnostic-and-therapeutic-challenge-single-centre-experience-of-13-cases-and-review-of-the-literature
#6
Andrea Gioppo, Giuseppe Faragò, Caterina Giannitto, Luigi Caputi, Andrea Saladino, Francesco Acerbi, Elisa Ciceri
BACKGROUND: Sacral dural arteriovenous fistulas (DAVFs) are rare vascular abnormalities of the spine characterised by slowly progressive symptoms that can mimic different myelopathy disorders. OBJECT: To report our single Institution experience with sacral DAVFs. METHODS: We retrospectively reviewed the clinical records of patients admitted from 1 January 2006 to 31 December 2016 with a diagnosis of sacral DAVFs, treated by endovascular embolisation or surgical clipping...
October 12, 2017: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29017231/-long-term-follow-up-and-patient-satisfaction-after-tympanoplasty-with-titanium-clip-prothesis
#7
Guido Wolferts, Daniel Schicke, K-Wolfgang Delank
Aim of the present study is to evaluate the long term results of ossiculoplasty using titanium clip prosthesis. A retrospective analysis with prospective follow-up has been done including for all patients who had a Clip-PORP implanted between the years 2002-2013. Following this, audiometric hearing results were measured with clinical examination including otoscopy and quality of life evaluation using Glasgow benefit inventory. 48 patients (51 ears, 29 men, 19 women, average age 44.1 years) received followed up after an average duration of 6...
October 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/28991150/two-year-results-after-deep-sclerectomy-with-nonabsorbable-uveoscleral-implant-esnoper-clip-surgical-area-analysis-using-anterior-segment-optical-coherence-tomography
#8
Pau Romera-Romero, Jordi Loscos-Arenas, Aina Moll-Udina, Nevena Romanic-Bubalo, Jordi Castellvi-Manent, Xavier Valldeperas
PURPOSE: To report 2-year results of deep sclerectomy (DS) with mitomycin C and the uveoscleral implant Esnoper-Clip (AJL Ophthalmics, Álava, Spain), a nonabsorbable hema implant, and the morphologic analysis of the surgical area with anterior segment optical coherence tomography (AS-OCT). MATERIALS AND METHODS: In total, 41 eyes of 41 patients with medically uncontrolled open angle glaucoma who underwent DS with the uveoscleral implant were included in this prospective interventional study...
October 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28987838/contralateral-approach-to-middle-cerebral-artery-aneurysms-an-anatomical-clinical-analysis-to-improve-patient-selection
#9
Ali Tayebi Meybodi, Michael T Lawton, Roberto Rodriguez Rubio, Sonia Yousef, Arnau Benet
BACKGROUND: A contralateral approach to clip a middle cerebral artery (MCA) aneurysm in case of bilateral intracranial aneurysms reduces surgical time and cost. However, there is a lack of evidence for objective patient selection. In this study, we assessed the change in surgical freedom along the contralateral MCA to provide objective evidence for patient selection. METHODS: Sixteen cadaveric specimens were studied. Through a pterional approach, the surgical freedom was calculated moving distally along the contralateral MCA at 5-mm increments...
October 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28987836/successful-surgical-resection-of-spinal-artery-aneurysms-report-of-three-cases
#10
Yanming Ren, Min He, Chao You, Jin Li
BACKGROUND: Spinal artery aneurysms (SAAs) are extremely rare lesions that can occur in isolation or associated with vascular malformations. Herein, we present three unusual cases of SAAs, and discuss imaging, diagnosis and surgical management strategies. CASE DESCRIPTION: The first case was a 57-year-old woman who presented with sudden onset of severe headache. Spinal angiography demonstrated an isolated anterior spinal artery (ASA) aneurysm at the level of craniocervical junction...
October 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28983890/skin-closure-following-fractured-neck-of-femur-surgery-a-survey-of-orthopaedic-surgeons-practices
#11
Daniel S Hill, Matthew Freudmann, Jamie C Sergeant, Tim N Board
INTRODUCTION: Surgical intervention for patients presenting with a fractured neck of femur is common, however the best method of skin closure remains unclear. It has been suggested that the use of metallic skin clips in the closure of hip wounds may increase the rate of surgical site infections, however there are few high quality studies evaluating this. METHODS: We designed a survey to assess surgeons preferred skin closure method and their reasons for choosing it...
October 4, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28983720/symptomatic-and-silent-cerebral-infarction-following-surgical-clipping-of-unruptured-intracranial-aneurysms-incidence-risk-factors-and-clinical-outcome
#12
Maogui Li, Jun Wu, Xin Chen, Pengjun Jiang, Fan Yang, Yonggang Ma, Zhengsong Li, Yong Cao, Shuo Wang
Cerebral infarction (CI) associated with clipping of unruptured intracranial aneurysms (UIAs) has not been completely studied. The role of individual and operative characteristics is not known, and the risk of silent CI has not been well described. To determine the incidence, risk factors, and clinical outcome of postoperative CI, we retrospectively analyzed 388 consecutive patients undergoing clipping of UIAs between January 2012 and December 2015. We reviewed the pre- and postoperative computed tomography (CT) images of each patient...
October 5, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/28983652/what-the-radiologist-needs-to-know-about-gastrointestinal-endoscopic-surgical-procedures
#13
REVIEW
Chandana Lall, Anastasia A Cruz, Vlad Bura, Adam A Rudd, Thangavijayan Bosemani, Kenneth J Chang
Natural orifice transluminal endoscopic surgery (NOTES) is a novel surgical approach, currently performed for an array of conditions. Endoscopic procedures offer significant benefits, including lower cost, no surgical incisions, and shorter hospital stays. These advantages align with the current trends in health care, namely a push for "cost-effective care." There are a multitude of health issues which are now being addressed by the endoscopic surgical approach, including peroral endoscopic myotomy (POEM), which is a relatively new technique used in the treatment of achalasia...
October 5, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28982624/robotic-retrocaval-metastasectomy-after-an-ipsilateral-radical-nephrectomy
#14
Ryan J Nelson, Jeremy H Reese, Paurush Babbar, Jihad H Kaouk
OBJECTIVE: Robotic management of a retrocaval metastasis can be challenging because of prior surgery leading to scarring and obscure surgical planes around vital structures. We present our robotic approach and technique to manage a large retrocaval, biopsy-proven, metastatic mass after previous laparoscopic right radical nephrectomy with concomitant adrenalectomy 10 years ago. METHODS: We present a 62-year-old man who previously underwent a laparoscopic right radical nephrectomy for pT1bNxMx chromophobe renal cell carcinoma (RCC) in 2007...
September 2017: Urology
https://www.readbyqxmd.com/read/28981977/reduced-cbf-recovery-detected-by-longitudinal-3d-ssp-spect-analyses-predicts-outcome-of-postoperative-patients-after-subarachnoid-hemorrhage
#15
Tatsushi Mutoh, Tomoko Totsune, Shunsuke Takenaka, Yasuko Tatewaki, Manabu Nakagawa, Jose Ignacio Suarez, Yasuyuki Taki, Tatsuya Ishikawa
The aim of this study was to evaluate the impact of cerebral blood flow (CBF) recovery obtained from brain single-photon emission computed tomography (SPECT) images on postoperative outcome after aneurysmal subarachnoid hemorrhage (SAH). Twenty-nine patients who had undergone surgical clipping for ruptured anterior communicating artery aneurysms were analyzed prospectively. Routine measurements of CBF were performed using technetium-99m hexamethyl propyleneamine oxine SPECT on days 4 and 14 after SAH. Regional voxel data analyzed by three dimensional stereotactic surface projection (3D-SSP) were compared between patients and age-matched normal database (NDB)...
October 5, 2017: Clinical and Experimental Pharmacology & Physiology
https://www.readbyqxmd.com/read/28973685/microsurgery-simulator-of-cerebral-aneurysm-clipping-with-interactive-cerebral-deformation-featuring-a-virtual-arachnoid
#16
Naoyuki Shono, Taichi Kin, Seiji Nomura, Satoru Miyawaki, Toki Saito, Hideaki Imai, Hirofumi Nakatomi, Hiroshi Oyama, Nobuhito Saito
BACKGROUND: A virtual reality simulator for aneurysmal clipping surgery is an attractive research target for neurosurgeons. Brain deformation is one of the most important functionalities necessary for an accurate clipping simulator and is vastly affected by the status of the supporting tissue, such as the arachnoid membrane. However, no virtual reality simulator implementing the supporting tissue of the brain has yet been developed. OBJECTIVE: To develop a virtual reality clipping simulator possessing interactive brain deforming capability closely dependent on arachnoid dissection and apply it to clinical cases...
August 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28973649/dural-closure-in-confined-spaces-of-the-skull-base-with-nonpenetrating-titanium-clips
#17
Chad A Glenn, Cordell M Baker, Joshua D Burks, Andrew K Conner, Adam D Smitherman, Michael E Sughrue
BACKGROUND: Dural repair in areas with limited operative maneuverability has long been a challenge in skull base surgery. Without adequate dural closure, postoperative complications, including cerebrospinal fluid (CSF) leak and infection, can occur. METHODS: We reviewed 53 consecutive surgical patients in whom a dural repair technique utilizing titanium microclips was performed from 2013 to 2016 at our institution. The repairs primarily involved difficult-to-reach dural defects in which primary suturing was difficult or impractical...
July 25, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28973301/trapping-and-deflation-to-clip-a-posterior-communicating-artery-aneurysm-a-2-dimensional-surgical-video-illustration
#18
Rami James N Aoun, Mithun G Sattur, Matthew E Welz, Bernard R Bendok
No abstract text is available yet for this article.
June 10, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28973260/multivariable-and-bayesian-network-analysis-of-outcome-predictors-in-acute-aneurysmal-subarachnoid-hemorrhage-review-of-a-pure-surgical-series-in-the-postinternational-subarachnoid-aneurysm-trial-era
#19
Zsolt Zador, Wendy Huang, Matthew Sperrin, Michael T Lawton
BACKGROUND: Following the International Subarachnoid Aneurysm Trial (ISAT), evolving treatment modalities for acute aneurysmal subarachnoid hemorrhage (aSAH) has changed the case mix of patients undergoing urgent surgical clipping. OBJECTIVE: To update our knowledge on outcome predictors by analyzing admission parameters in a pure surgical series using variable importance ranking and machine learning. METHODS: We reviewed a single surgeon's case series of 226 patients suffering from aSAH treated with urgent surgical clipping...
July 31, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28966818/intraoperative-monitoring-for-spinal-radiculomedullary-artery-aneurysm-occlusion-treatment-what-when-and-how-long
#20
Federico Landriel, Matteo Baccanelli, Santiago Hem, Eduardo Vecchi, Mariana Bendersky, Claudio Yampolsky
BACKGROUND: Spinal radiculomedullary artery aneurysms are extremely rare. Treatment should be tailored to clinical presentation, distal aneurysm flow, and lesion anatomical features. When a surgical occlusion is planned, it is necessary to evaluate whether intraoperative monitoring (IOM) should be considered as an indispensable tool to prevent potential spinal cord ischemia. METHODS: We present a patient with symptoms and signs of spinal subarachnoid hemorrhage resulting from the rupture of a T4 anterior radiculomedullary aneurysm who underwent open surgical treatment under motor evoked potential (MEP) monitoring...
2017: Surgical Neurology International
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