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REVIEW
Ali Majlesara, Ehsan Aminizadeh, Ali Ramouz, Elias Khajeh, Mohammadamin Shahrbaf, Filipe Borges, Gil Goncalves, Carlos Carvalho, Mohammad Golriz, Arianeb Mehrabi
AIM: To evaluate the quantity and quality of randomized controlled trials (RCTs) in hepatobiliary surgery and for identifying gaps in current evidences. METHODS: A systematic search was conducted in MEDLINE (via PubMed), Web of Science, and Cochrane Controlled Register of Trials (CENTRAL) for RCTs of hepatobiliary surgery published from inception until the end of 2023. The quality of each study was assessed using the Cochrane risk-of-bias (RoB) tool. The associations between risk of bias and the region and publication date were also assessed...
April 16, 2024: European Journal of Clinical Investigation
#2
REVIEW
Nathan Sim, Hannah Lee, Neerav Goyal, John D Cramer
OBJECTIVE: To review current literature and guidelines on antiseptic surgical site preparations for preventing surgical site infections with consideration of contraindications specific to head and neck surgery. DATA SOURCES: PubMed/MEDLINE, clinicaltrials.gov, accessdata.fda.gov, Manufacturer websites. REVIEW METHODS: A scoping review on the literature and clinical studies comparing the efficacy of different surgical site preparations. Studies were included if they were a randomized controlled trial (RCT) comparing at least two commonly used and available antiseptic preparations...
April 3, 2024: American Journal of Otolaryngology
#3
JOURNAL ARTICLE
Juliet Blakeslee-Carter, Zdenek Novak, Jan O Jansen, Andres Schanzer, Matthew J Eagleton, Mark A Farber, Warren Gasper, W Anthony Lee, Gustavo S Oderich, Carlos H Timaran, Darren B Schneider, Matthew P Sweet, Adam W Beck
BACKGROUND: Endovascular techniques have transformed the management of thoracoabdominal aortic aneurysms (TAAAs). However, spinal cord ischemia (SCI) remains a prevalent and devastating complication. Prophylactic drainage of cerebrospinal fluid (CSF) is among the proposed strategies for prevention of SCI. Although prophylactic CSF drainage is widely used and conceptually attractive, prophylactic CSF drains have not been demonstrated to definitively prevent the occurrence nor mitigate the severity of SCI in endovascular TAAA repair...
April 6, 2024: Journal of Vascular Surgery
#4
JOURNAL ARTICLE
Svenja Sliwinski, Sara Fatima Faqar-Uz-Zaman, Jan Heil, Lisa Mohr, Charlotte Detemble, Julia Dreilich, Dora Zmuc, Wolf O Bechstein, Sven Becker, Felix Chun, Wojciech Derwich, Waldemar Schreiner, Christine Solbach, Johannes Fleckenstein, Natalie Filmann, Andreas A Schnitzbauer
BACKGROUND: A structured risk assessment of patients with validated and evidence-based tools can help to identify modifiable factors before major surgeries. The Protego Maxima trial investigated the value of a new digitized risk assessment tool that combines tools which can be easily used and implemented in the clinical workflow by doctors and qualified medical staff. The hypothesis was that the structured assessment and risk-grouping is predictive of short-term surgical quality reflected by complications and overall survival...
April 12, 2024: Patient Safety in Surgery
#5
JOURNAL ARTICLE
Thoracoscopic Left Atrial Appendage Occlusion with the AtriClip PRO2: An Experience of 144 Patients.
Edward Wang, Paul Sadleir, Vijay Sourinathan, Rukshen Weerasooriya, David Playford, Pragnesh Joshi
AIM: To report the clinical outcomes of thoracoscopic left atrial appendage occlusion (LAAO) with the AtriClip PRO2 device (Atricure Inc, Mason, OH, USA). Stroke risk reduction with LAAO in patients with atrial fibrillation is now well-established. Many surgical and percutaneous techniques have been used, with varying rates of success. The percutaneous devices have had issues with procedural complications and peridevice flow. Thoracoscopic AtriClip offers an epicardial linear closure of the appendage at its ostium...
April 10, 2024: Heart, Lung & Circulation
#6
JOURNAL ARTICLE
Laurens A van Walraven, M D Vitória Kalil, Daphne van der Veen, Michel J Bosiers, Koen Deloose, Suzanne Holewijn, Clark J Zeebregts, Michel M P J Reijnen
OBJECTIVE: In two randomized controlled trials, the outcomes of endovascular treatment of complex femoropopliteal arterial lesions were compared with bypass surgery and considered a valid alternative treatment. The aim of this study was to compare both endovascular treatment options with the hypothesis that implantation of heparin-bonded self-expanding covered stents (Viabahn, SECS) or drug-eluting stents (ZilverPTX, DES) are related to similar clinical outcomes at one-year follow-up...
April 9, 2024: Journal of Vascular Surgery
#7
REVIEW
Elena Palassini, Giacomo Giulio Baldi, Sara Sulfaro, Marta Barisella, Giuseppe Bianchi, Domenico Campanacci, Marco Fiore, Marco Gambarotti, Massimiliano Gennaro, Carlo Morosi, Federico Navarria, Emanuela Palmerini, Claudia Sangalli, Marta Sbaraglia, Annalisa Trama, Sebastian Asaftei, Giuseppe Badalamenti, Rossella Bertulli, Alexia Francesca Bertuzzi, Roberto Biagini, Angela Bonadonna, Antonella Brunello, Dario Callegaro, Ferdinando Cananzi, Marco Cianchetti, Paola Collini, Danila Comandini, Annalisa Curcio, Lorenzo D'Ambrosio, Tommaso De Pas, Angelo Paolo Dei Tos, Virginia Ferraresi, Andrea Ferrari, Alessandro Franchi, Anna Maria Frezza, Elena Fumagalli, Matteo Ghilli, Daniela Greto, Giovanni Grignani, Michele Guida, Toni Ibrahim, Marco Krengli, Roberto Luksch, Andrea Marrari, Marinella Mastore, Alessandra Merlini, Giuseppe Maria Milano, Piera Navarria, Maria Abbondanza Pantaleo, Antonina Parafioriti, Ilaria Pellegrini, Elisabetta Pennacchioli, Marco Rastrelli, Elisabetta Setola, Salvatore Tafuto, Salvatore Turano, Sergio Valeri, Bruno Vincenzi, Viviana Vitolo, Andrei Ivanescu, Fiammetta Paloschi, Paolo Giovanni Casali, Alessandro Gronchi, Silvia Stacchiotti
Angiosarcoma (AS) represents a rare and aggressive vascular sarcoma, posing distinct challenges in clinical management compared to other sarcomas. While the current European Society of Medical Oncology (ESMO) clinical practice guidelines for sarcoma treatment are applicable to AS, its unique aggressiveness and diverse tumor presentations necessitate dedicated and detailed clinical recommendations, which are currently lacking. Notably, considerations regarding surgical extent, radiation therapy (RT), and neoadjuvant/adjuvant chemotherapy vary significantly in localized disease, depending on each different site of onset...
March 30, 2024: Cancer Treatment Reviews
#8
JOURNAL ARTICLE
Kristen K Thomsen, Daniel I Sessler, Linda Krause, Phillip Hoppe, Benjamin Opitz, Till Kessler, Viorel Chindris, Alina Bergholz, Moritz Flick, Karim Kouz, Christian Zöllner, Leonie Schulte-Uentrop, Bernd Saugel
STUDY OBJECTIVE: Processed electroencephalography (pEEG) may help clinicians optimize depth of general anesthesia. Avoiding excessive depth of anesthesia may reduce intraoperative hypotension and the need for vasopressors. We tested the hypothesis that pEEG-guided - compared to non-pEEG-guided - general anesthesia reduces the amount of norepinephrine needed to keep intraoperative mean arterial pressure above 65 mmHg in patients having vascular surgery. DESIGN: Randomized controlled clinical trial...
April 9, 2024: Journal of Clinical Anesthesia
#9
JOURNAL ARTICLE
Paris Cai, Sean Pymer, Said Ibeggazene, Ali Raza, Louise Hitchman, Ian Chetter, George Smith
IMPORTANCE: Intermittent lower limb claudication limits function and quality of life. Supervised exercise programs are not readily available, and a noninvasive alternative is needed. OBJECTIVE: To assess extracorporeal corporeal shockwave therapy in improving quality of life in patients with claudication. DESIGN, SETTING, AND PARTICIPANTS: In this double-blind, placebo-controlled randomized clinical trial, patients in the outpatient setting at a single tertiary center for vascular surgery were randomized in a 1:1 ratio to extracorporeal shockwave therapy or placebo therapy with no shockwaves delivered...
April 10, 2024: JAMA Surgery
#10
JOURNAL ARTICLE
Miguel Angel Gaxiola-García, Joseph M Escandón, Oscar J Manrique, Kristin A Skinner, Beatriz Hatsue Kushida-Contreras
This is a retrospective review of surgical management for primary lymphedema. Data were extracted from 55 articles from PubMed MEDLINE, Web of Science, SCOPUS, and Cochrane Central Register of Controlled Trials between the database inception and December 2022 to evaluate the outcomes of lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT), and outcomes of soft tissue extirpative procedures such as suction-assisted lipectomy (SAL) and extensive soft tissue excision. Data from 485 patients were compiled; these were treated with LVA ( n = 177), VLNT ( n = 82), SAL ( n = 102), and excisional procedures ( n = 124)...
March 2024: Archives of Plastic Surgery
#11
REVIEW
Xiaojing Huang, Pengqiang Du, Haipan Jia, Aifeng Wang, Ying Hua, Xuelan Liu, Kaiyuan Wu, Bin Li, Hongwei Zhao
Patient blood management (PBM) guidelines for patients undergoing cardiac surgery under cardiopulmonary bypass (CPB) have increased during the past decade, and pharmacotherapy plays an important role in PBM. In the face of the undefined consistency in the methodologic quality and pharmacotherapy recommendations across multiple guidelines, this study exclusively evaluated methodologies of the related guideline development process, and compiled medication recommendations of PBM for cardiac surgery patients. PBM guidelines for cardiac surgery under CPB were searched through some mainstream literature and guideline databases from database establishment to May 15, 2023...
March 12, 2024: Journal of Cardiothoracic and Vascular Anesthesia
#12
JOURNAL ARTICLE
Yasmin Sadigh, Imen Mechri, Anamika Jain, Amata Thongphetsavong Gautam, Hadil Seh, Victor Volovici
INTRODUCTION: Thorough validation of novel microsurgical techniques is deemed essential before their integration into clinical practice. To achieve proper validation, the design of randomized controlled trials (RCTs) should be undertaken, accompanied by the execution of comprehensive statistical analyses, including confounder adjustment and power analysis. This systematic review aims to provide an encompassing overview of the validation methodologies employed in microsurgical studies, with a specific focus on innovative vessel anastomosis techniques...
April 9, 2024: Journal of Reconstructive Microsurgery
#13
JOURNAL ARTICLE
Willy Sutter, Jean-Marc Alsac, Iannis Ben Abdallah, Cassandre Michel, Pierre Julia, Jean-Philippe Empana, Salma El Batti
OBJECTIVES: To evaluate learning curve and midterm results of aorto-iliac occlusive disease (AIOD) revascularization by robot-assisted laparoscopic (RAL) surgery. DESIGN: A prospective single-center study was conducted. MATERIALS AND METHODS: Patients with AIOD in the vascular surgery department of Georges Pompidou European Hospital (Paris, France) treated by RAL from February 2014 to February 2019 were included. Demographic characteristics, past medical history, TASC (Trans-Atlantic Inter-Society Consensus) lesions classifications, mortality, primary and secondary patency, as well as complication rates were collected...
April 7, 2024: Annals of Vascular Surgery
#14
MULTICENTER STUDY
A M Eltweri, M Basamh, Y Y Ting, M Harris, G Garcea, L L Kuan
INTRODUCTION: Isolated splenic vein thrombosis (iSVT) is a common complication of pancreatic disease. Whilst patients remain asymptomatic, there is a risk of sinistral portal hypertension and subsequent bleeding from gastric varices if recanalisation does not occur. There is wide variation of iSVT treatment, even within single centres. We report outcomes of iSVT from tertiary referral hepatobiliary and pancreatic (HPB) units including the impact of anticoagulation on recanalisation rates and subsequent variceal bleeding risk...
April 9, 2024: Langenbeck's Archives of Surgery
#15
JOURNAL ARTICLE
Yann Gouëffic, Gabriele Piffaretti, Kashfa Iqbal, Bernhard Dorweiler, Alexander Hyhlik-Dürr
OBJECTIVES: Heparin-bonded expanded polytetrafluoroethylene (hb-ePTFE) synthetic grafts are an alternative to autologous vein grafts for surgical bypass interventions in lower limb peripheral arterial disease. However, the clinical benefits of hb-ePTFE grafts have not been reviewed systematically for patients undergoing below-knee surgical bypass. This study aimed to meta-analyze available data on the utility of hb-ePTFE in patients undergoing below-knee surgical bypass. METHODS: Medline, Embase, and Cochrane databases were searched, restricted to material in English with no date restriction...
April 4, 2024: Annals of Vascular Surgery
#16
JOURNAL ARTICLE
Thomas Creeden, Douglas W Jones
For patients with Chronic Limb Threatening Ischemia (CLTI), endovascular approaches to revascularization are often employed as a component of multimodality care aimed at limb preservation. However, patients with CLTI are also prone to treatment failure, particularly following balloon angioplasty alone. Drug-coated devices utilizing Paclitaxel were developed to decrease restenosis but have been primarily studied in patients presenting with claudication. In recent years, data have emerged which describe the efficacy of drug-coated devices in the treatment of patients with CLTI...
April 4, 2024: Annals of Vascular Surgery
#17
JOURNAL ARTICLE
Edward Tieng Chek Choke, Eilane Yi Ling Peh, Tjun Yip Tang, Shin Chuen Cheng, Jia Sheng Tay, Darius Kang Lie Aw, Kalpana Vijaykumar
OBJECTIVES: Sirolimus coated balloon (SCB) is a potential treatment option for peripheral arterial disease (PAD). There is currently no long term clinical data for this novel treatment for PAD. We present the 3 year results of the first-in-human study of MagicTouch PTA SCB for treatment of PAD for both femoropopliteal and below the knee arteries (BTK). METHODS: XTOSI pilot study is a prospective, single-arm, open-label, single centre trial evaluating MagicTouch PTA SCB for symptomatic PAD...
April 3, 2024: Annals of Vascular Surgery
#18
JOURNAL ARTICLE
Alexander Waddell, Francesca Denton, Richard Powell, David R Broom, Stefan T Birkett, Gordon McGregor, Amy E Harwood
OBJECTIVE: Supervised exercise training is recommended for people with peripheral artery disease (PAD), yet it remains underutilised. Home-based exercise programmes are a potential alternative. The aim of this study was to assess the feasibility of conducting a full scale trial of a 12-week home-based exercise programme (HBEP) for people living with symptomatic PAD. METHODS: In a randomised feasibility trial, patients with intermittent claudication (IC) were allocated to either a HBEP or a non-exercise control...
April 3, 2024: Annals of Vascular Surgery
#19
REVIEW
Eduardo Dias Ribeiro, Ilan Hudson Gomes de Santana, Mayara Rebeca Martins Viana, Julliana Cariry Palhano Freire, Osny Ferreira-Júnior, Eduardo Sant'Ana
OBJECTIVE: The aim of this study was to analyze the effectiveness of L-PRF as a healing agent in the postoperative period of third molar extraction surgeries, as well as to investigate secondary effects, such as the reduction of pain, edema and other discomforts after the surgical intervention. MATERIALS AND METHODS: The methodology adopted consisted of carrying out a systematic review of the literature, following the model outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)...
April 4, 2024: Clinical Oral Investigations
#20
JOURNAL ARTICLE
Midterm Results of Prospective Study for Aortic dissection with Gutter-Plugging Chimney Stent-Graft.
Chang Shu, Zicheng Wan, Mingyao Luo, Kun Fang, Jia Hu, Jian Zuo, Xiaoqiang Li, Quanming Li, Hao He, Xin Li
BACKGROUND: To access early and midterm outcomes of a gutter-plugging chimney stent-graft for treatment of Stanford type B aortic dissections (TBAD) in the clinical trial of Prospective Study for Aortic Arch Therapy with stENt-graft for Chimney technology (PATENCY). METHODS: Between October 2018 and March 2022, patients with TBAD were treated with the LonguetteTM chimney stent-graft in 26 vascular centers. The efficiency and the incidence of adverse event over 12 months were investigated...
April 3, 2024: European Journal of Cardio-thoracic Surgery
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