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https://www.readbyqxmd.com/read/29457751/intra-and-inter-fraction-uncertainties-during-igrt-for-wilms-tumor
#1
Filipa Guerreiro, Enrica Seravalli, Geert O Janssens, Cees P van de Ven, Marry M van den Heuvel-Eibrink, Bas W Raaymakers
BACKGROUND AND PURPOSE: To assess intra- and inter-fraction motion uncertainties, due to displacements of the tumor bed (TB) and organs at risk (OAR), as well as intra- and inter-fraction patient set-up uncertainties, due to positioning variations, during image-guided radiation therapy (IGRT) in children with Wilms' tumor. MATERIAL AND METHODS: Four-dimensional computed tomography (4D-CT) and daily pre- and post-treatment cone-beam CT (CBCT)-scans of 15 patients (average 4, range 1-8 years) undergoing flank irradiation after nephrectomy were analyzed...
February 19, 2018: Acta Oncologica
https://www.readbyqxmd.com/read/29452631/the-evaluation-of-the-implementation-of-the-vascular-preventative-bundle-and-development-of-suggested-interventions-for-improvement-and-sustainability
#2
Jennifer Franklin, Kathleen Turner, John S Hudson, Kimberly Guest, Ellen D Dillavou
Postoperative infections can complicate patient care and increase health care costs. A vascular preventative bundle was implemented at a large teaching/research intensive hospital to decrease surgical site infections (SSIs) with vascular surgery patients. The aim of this study was to measure fidelity to the bundle and determine if implementation of the vascular SSI bundle reduced the rate of SSIs. Three periods of data were collected, and they are identified as preimplementation (period 1), early implementation (period 2), and postimplementation (period 3)...
March 2018: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
https://www.readbyqxmd.com/read/29446703/use-of-the-5-mm-endoscopic-stapler-for-ligation-of-fistula-in-laparoscopic-assisted-repair-of-anorectal-malformation
#3
Bethany J Slater, Saundra Kay, Steven S Rothenberg
OBJECTIVE: Laparoscopic anorectoplasty (LARRP) for the treatment of select anorectal malformations has gained popularity due to enhanced visualization of the fistula and the ability to place the rectum within the sphincter complex while minimizing division of muscles and the perineal incision. However, given the technical challenges and reported complications of ligation, a number of techniques have been described, including using clips, suture ligation, endoloops, or division without closure...
February 15, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29439905/three-dimensional-intracranial-middle-cerebral-artery-aneurysm-models-for-aneurysm-surgery-and-training
#4
Liang Wang, Xun Ye, Qiang Hao, Li Ma, Xiaolin Chen, Hao Wang, Yuanli Zhao
To develop a realistic model of middle cerebral artery (MCA) aneurysms using three-dimensional (3D) printing for surgical planning, research, and training of neurosurgical residents. This study included eight MCA aneurysm cases. The aneurysm together with the adjacent arteries and skull base were printed based on raw computed tomography angiography (CTA) data using a 3D printer with acrylonitrile-butadiene-styrene as the model material. The aneurysm models were used for surgical planning, and craniotomy and clipping practice by neurosurgical residents...
February 10, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29438551/coiling-versus-microsurgical-clipping-in-the-treatment-of-unruptured-middle-cerebral-artery-aneurysms-a-meta-analysis
#5
Meshal Alreshidi, David J Cote, Hormuzdiyar H Dasenbrock, Michael Acosta, Anil Can, Joanne Doucette, Thomas Simjian, M Maher Hulou, Lee A Wheeler, Kevin Huang, Hasan A Zaidi, Rose Du, M Ali Aziz-Sultan, Rania A Mekary, Timothy R Smith
BACKGROUND: Open microsurgical clipping of unruptured intracranial aneurysms has long been the gold standard, yet advancements in endovascular coiling techniques have begun to challenge the status quo. OBJECTIVE: To compare endovascular coiling with microsurgical clipping among adults with unruptured middle cerebral artery aneurysms (MCAA) by conducting a meta-analysis. METHODS: A systematic search was conducted from January 2011 to October 2015 to update a previous meta-analysis...
February 9, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29436207/alternative-surgical-methods-in-patients-with-recurrent-palmar-hyperhidrosis-and-compensatory-hyperhidrosis
#6
Hee Suk Jung, Doo Yun Lee, Joon Suk Park
Recurrent hyperhidrosis after thoracic sympathectomy is an uncomfortable condition, and compensatory hyperhidrosis (CH) is one of the most troublesome side effects. Here, we describe two patients with recurrent palmar hyperhidrosis (PH) and CH over the whole body simultaneously. They were treated with bilateral T4 sympathetic clipping and reconstruction of the sympathetic nerve from a T5 to T8 sympathetic nerve graft, which was transferred to the resected T3 sympathetic bed site. They reported improvements in sweating and were fully satisfied with the results...
March 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29432050/preventing-rescue-surgeries-by-endoscopic-clipping-a-valuable-resource-in-the-surgeon-toolbox
#7
Shanglei Liu, Garth R Jacobsen, Bryan J Sandler, Thomas J Savides, Syed Fehmi, Hans Fuchs, Ran B Luo, Jonathan C Delong, Alisa M Coker, Caitlin Houghton, Santiago Horgan
AIM: Over-the-scope-clip (OTSC) System is a relatively new endoluminal intervention for gastrointestinal (GI) leaks, fistulas, and bleeding. Here, we present a single center experience with the device over the course of 4 years. METHODS: Retrospective chart review was conducted for patients who received endoscopic OTSC treatment. Primary outcome is the resolution of the original indication for clip placement. Secondary outcomes are complications and time to resolution...
February 12, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29429259/-clinical-analysis-for-preset-double-j-tube-in-percutaneous-nephrolithotripsy
#8
F D Bai, H F Wu, J M Wen, N Zhang, Y C Zheng, J M Chen, C J Du
Objective: To evaluate the clinical application and effect of preseting Double-J ureteric stent in percutaneous nephrolithotripsy. Method: 74 cases of renal calculi treated with PCNL in our hospital during June 2014 to February 2017 were retrospectively analyzed. Of 74 cases, 54 was male, 20 was female. All cases were aged 27 to 78, the mean age was (49.5±12.3) years old. The diameter of the stone was 20 to 59 mm, and the mean diameter was of (29.4±4.3) mm.Our Surgical methods was first putingFr6 double J tube in abnormal ureteral in advance in lithotomy position, then indwellingthree-way Foley catheter and clipping drainage port, perfusingirrigation port with 3 000 ml saline from 60-80 cm height...
February 6, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29422847/intraoperative-rupture-of-unruptured-cerebral-aneurysm-during-craniotomy-a-case-report
#9
Kenji Yoshiki, Kouichi Misaki, Iku Nambu, Issei Fukui, Masanao Mohri, Naoyuki Uchiyama, Mitsutoshi Nakada
An unruptured aneurysm was incidentally found in the right middle cerebral artery in a 67-year-old woman. During an attempt to turn the temporalis muscle for surgical clipping, systolic blood pressure suddenly increased. After opening the dura mater, we found a subarachnoid hemorrhage and severe brain swelling. We promptly expanded the craniotomy area to reach the aneurysm while pulling part of the frontal lobe to apply a clip. We retrospectively analyzed the aneurysm using computational fluid dynamics. Our analysis suggests that the rupture of the aneurysm occurred at a location with very low wall shear stress...
September 2017: Case Reports in Neurology
https://www.readbyqxmd.com/read/29420398/sliding-sign-for-intra-abdominal-adhesion-prediction-before-repeat-cesarean-delivery
#10
Lior Drukker, Hen Y Sela, Orna Reichman, Ron Rabinowitz, Arnon Samueloff, Ori Shen
BACKGROUND: The sliding sign (the relative motion between the abdominal and uterine wall as assessed by ultrasonography) may help identify severe intra-abdominal adhesions before repeat cesarean delivery. METHODS: We conducted a prospective observational study of scheduled repeat cesarean deliveries. Using transabdominal ultrasonography, while the parturient breathed deeply, the ultrasonographer recorded a video clip in a sagittal plane lateral to the umbilicus...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29417290/secondary-coiling-after-incomplete-surgical-clipping-of-cerebral-aneurysms-a-rescue-strategy-or-a-treatment-option-for-complex-cases-institutional-series-and-systematic-review
#11
REVIEW
Giuseppe Maria Della Pepa, Federico Bianchi, Alba Scerrati, Alessio Albanese, Enrico Cotroneo, Alberto Delitala, Renato Gigli, Giuseppe La Rocca, Enrico Marchese, Alessandro Pedicelli, Alfredo Puca, Giovanni Sabatino, Alessando Olivi, Carmelo Lucio Sturiale
Residual and recurrent intracranial aneurysms after surgical clipping present a persistent risk of bleeding. Secondary coiling after incomplete clipping represents a strategy to occlude the residual sac: feasibility, bleeding risk and outcome were evaluated through a systematic review of literature along with the series of two tertiary referral neurovascular centres. Demographics, ruptured status, aneurysm morphology, topography, exclusion at surgery, timing of secondary coiling, complications, occlusion rate and outcome were analysed...
February 7, 2018: Neurosurgical Review
https://www.readbyqxmd.com/read/29416903/giant-vertebral-aneurysm-a-case-report-detailing-successful-treatment-with-combined-stenting-and-surgery
#12
Gabriele Capo, Maria C Vescovi, Giovanni Toniato, Benedetto Petralia, Vladimir Gavrilovic, Miran Skrap
Background: Giant aneurysms (>25 mm) arising from the vertebral artery (VA) often present with slow progression of symptoms and signs because of gradual brainstem and cranial nerve compression. The underlying pathophysiology is not well understood, and treatment, wherever possible, is tailored to each singular case. Endovascular management does not usually solve the problem of mass compression, whereas surgical treatment involves several complications. Case Description: A 58-year-old woman presented with a continuously growing giant right VA aneurysm, partially thrombosed, even after endovascular treatment (placement of two diversion flow stents)...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29416253/anesthetic-management-of-a-patient-with-takotsubo-cardiomyopathy-presenting-for-surgical-clipping-of-intracranial-aneurysm
#13
Nilima Rahael Muthachen, Manikandan Sethuraman
No abstract text is available yet for this article.
October 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29410300/median-supraorbital-keyhole-approach-for-clipping-ruptured-distal-anterior-cerebral-artery-aneurysm-a-technical-report-with-review-of-literature
#14
Sivashanmugam Dhandapani, Sushant Kumar Sahoo
BACKGROUND: Minimally invasive approach to distal anterior cerebral artery (DACA) aneurysms could not gain much acceptance due to the difficulties associated with conventional frontal paramedian approach. The more proximal basal interhemispheric approach however necessitated extensive dissection of soft tissues. We describe a minimally invasive median supraorbital keyhole craniotomy with basal interhemispheric approach for clipping a ruptured DACA aneurysm. METHODS: A 62-year-old patient presented with subarachnoid hemorrhage...
February 1, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29404261/microsurgical-resection-of-tuberculum-sellae-meningioma-through-left-cranio-orbital-approach
#15
Mirza Pojskić, Kenan I Arnautović
In this video clip, the authors present the resection of a tuberculum sellae meningioma with compression of the left optic nerve and a chiasm ( Fig. 1 ) through a standard cranial orbital (CO) skull base approach. 1 2 3 The key step in the tumor resection was microsurgical dissection of left and right A1 segments of the anterior cerebral artery and the anterior communicating artery and the separation of the tumor from these vascular structures. This was followed by careful separation of the meningioma from both optic nerves, the chiasm and the pituitary stalk...
February 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29398305/investigation-of-electron-boost-radiotherapy-in-patients-with-breast-cancer-is-a-direct-electron-field-optimal
#16
M Aghili, M Barzegartahamtan, A Alikhassi, R Mohammadpour
PURPOSE: Historically, electron boost dose mainly was delivered by a direct field in adjuvant radiotherapy of breast cancer. In this prospective study, we investigated direct electron field, in terms of optimal coverage of tumour bed volume following localization using ultrasound and surgical clips. MATERIAL AND METHODS: First, for all 24 patients, a breast sonographer drew perimeter of tumour bed on the breast skin. Then an electron boost field was outlined on the demarcated territory, and a lead wire marker compatible with CT scan was placed on the field borders by a 2cm margin...
February 2, 2018: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
https://www.readbyqxmd.com/read/29396066/successful-deep-brain-stimulation-for-central-post-stroke-pain-and-dystonia-in-a-single-operation
#17
Marshall T Holland, Mario Zanaty, Luyuan Li, Teri Thomsen, James H Beeghly, Jeremy D W Greenlee, Chandan G Reddy
BACKGROUND: Central post-stroke pain is known to be refractory to medications and difficult to manage. We present a case of central post-stroke pain associated with dystonia. Both conditions were successfully treated with a single deep brain stimulation (DBS) operation. CASE DESCRIPTION: A 60-year-old female suffered a right posterior cerebral artery stroke following emergent clipping of a ruptured posterior cerebral artery aneurysm resulting in central post-stroke pain...
January 26, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29390317/comparison-of-rigid-and-deformable-registration-through-the-respiratory-phases-of-four-dimensional-computed-tomography-image-data-sets-for-radiotherapy-after-breast-conserving-surgery
#18
Aiping Zhang, Jianbin Li, Heng Qiu, Wei Wang, Yanluan Guo
BACKGROUND: The aim of this study was to compare the geometric differences in gross tumor volume (GTV) and surgical clips propagated by rigid image registration (RIR) and deformable image registration (DIR) using a four-dimensional computed tomography (4DCT) image data set for patients treated with boost irradiation or accelerated partial breast irradiation after breast-conserving surgery (BCS). METHODS: The 4DCT data sets of 44 patients who had undergone BCS were acquired...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390310/recovery-of-akinetic-mutism-and-injured-prefronto-caudate-tract-following-shunt-operation-for-hydrocephalus-and-rehabilitation-a-case-report
#19
Sung Ho Jang, Chul Hoon Chang, Young Jin Jung, Han Do Lee
RATIONALE: A 76-year-old female patient was diagnosed with an aneurysmal subarachnoid hemorrhage following rupture of a right posterior communicating artery aneurysm. PATIENT CONCERNS: She was treated surgically with clipping of the aneurysmal neck. Six months after onset, when starting rehabilitation at our hospital, she showed no spontaneous movement or speech. DIAGNOSES:: aneurysmal subarachnoid hemorrhage following rupture of a right posterior communicating artery aneurysm...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390018/facial-esthetics-and-the-assignment-of-personality-traits-before-and-after-orthognathic-surgery-rated-on-video-clips
#20
Klaus Sinko, Reinhold Jagsch, Claudio Drog, Wilhelm Mosgoeller, Arno Wutzl, Gabriele Millesi, Clemens Klug
Typically, before and after surgical correction faces are assessed on still images by surgeons, orthodontists, the patients, and family members. We hypothesized that judgment of faces in motion and by naïve raters may closer reflect the impact on patients' real life, and the treatment impact on e.g. career chances. Therefore we assessed faces from dysgnathic patients (Class II, III and Laterognathia) on video clips. Class I faces served as anchor and controls. Each patient's face was assessed twice before and after treatment in changing sequence, by 155 naïve raters with similar age to the patients...
2018: PloS One
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