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c section in surgeons

N Golse, C Cosse, M-A Allard, A Laurenzi, M Tedeschi, N Guglielmo, E Fernandez-Sevilla, M Robert, B Tréchot, D Pietrasz, G Pittau, O Ciacio, A Sa Cunha, D Castaing, D Cherqui, R Adam, D Samuel, M Sebagh, E Vibert
BACKGROUND: Liver macrosteatosis (MS) is a major predictor of graft dysfunction after transplantation. However, frozen section techniques to quantify steatosis are often unavailable in the context of procurements, and the findings of preoperative imaging techniques correlate poorly with those of permanent sections, so that the surgeon is ultimately responsible for the decision. Our aim was to assess the accuracy of a non-invasive pocket spectrometer (PSM) for the extemporaneous estimation of MS...
November 3, 2018: Journal of Hepatology
N E Marshall, R A Keller, J Dines, C Bush-Joseph, O Limpisvasti
PURPOSE: Advances in anterior cruciate ligament (ACL) reconstruction have allowed for many progressions in postoperative management. However, there is no standardized protocol for immediate postoperative management or return to play. Our objective was to evaluate current trends in immediate postoperative and return to sport practices after ACL reconstruction. LEVEL OF EVIDENCE: Cross sectional study, Level IV. METHODS: Surveys were obtained from four large sports fellowship alumni networks...
October 25, 2018: Musculoskeletal Surgery
Megan C Turner, Julia D O'Brien, Rachel M Kahn, Christopher R Mantyh, John Migaly, Dan Ariely
BACKGROUND: Surgeons present patients with complex information at the perioperative appointment. Emotions likely play a role in surgical decision-making, and disgust is an emotion of revulsion at a stimulus that can lead to avoidance. OBJECTIVE: The purpose of this study was to determine the impact of disgust on intention to undergo surgical resection for colorectal cancer and recall of perioperative instructions. DESIGN: This was a cross-sectional observational study conducted online using hypothetical scenarios with nonpatient subjects...
December 2018: Diseases of the Colon and Rectum
C Emi Bretschneider, David Sheyn, Robert Pollard, Cecile A Ferrando
OBJECTIVE: To describe the rate and 30-day outcomes after gender affirmation surgery in transgender men. METHODS: We conducted a cross-sectional population-based study. Patients with male gender who underwent hysterectomy for benign indications between 2013 and 2016 in the American College of Surgeons' National Surgical Quality Improvement database were identified. Propensity score matching was performed to ameliorate selection bias. Student t test and Mann-Whitney tests were used to compare continuous variables between two groups where appropriate...
October 5, 2018: Obstetrics and Gynecology
Ramsey I Cutress, Stuart A McIntosh, Shelley Potter, Amit Goyal, Cliona C Kirwan, James Harvey, Adele Francis, Amtul R Carmichael, Raghavan Vidya, Jayant S Vaidya, Patricia Fairbrother, John R Benson, Malcolm W R Reed
The 2013 Breast Cancer Campaign gap analysis established breast cancer research priorities without a specific focus on surgical research or the role of surgeons on breast cancer research. This Review aims to identify opportunities and priorities for research in breast surgery to complement the 2013 gap analysis. To identify these goals, research-active breast surgeons met and identified areas for breast surgery research that mapped to the patient pathway. Areas included diagnosis, neoadjuvant treatment, surgery, adjuvant therapy, and attention to special groups (eg, those receiving risk-reducing surgery)...
October 2018: Lancet Oncology
Howard C Jen, Mehul V Raval, Max R Langham, Casey M Calkins, Roshni Dasgupta, Sohail R Shah, Shawn D Stafford, Ira H Bernstein, Li Ern Chen
Health care consumers are burdened with rising out-of-pocket medical expenses. Surgical specialists' experience and attitude towards patients' out-of-pocket costs and the influence of these factors on healthcare utilization are unknown. Our aim was to define the pediatric surgeons' experience with the financial concerns of their patients. Members from the American Academy of Pediatrics Sections on Plastic Surgery, Surgery and Urology were surveyed. Analysis of variance was used to investigate practice differences...
September 1, 2018: American Surgeon
Matthew D Alvin, Daniel Lubelski, Ridwan Alam, Seth K Williams, Nancy A Obuchowski, Michael P Steinmetz, Jeffrey C Wang, Alfred J Melillo, Amit Pahwa, Edward C Benzel, Michael T Modic, Robert Quencer, Thomas E Mroz
Study Design: Cross-sectional analysis. Objectives: Given the lack of strong evidence/guidelines on appropriate treatment for lumbar spine disease, substantial variability exists among surgical treatments utilized, which is associated with differences in costs to treat a given pathology. Our goal was to investigate the variability in costs among spine surgeons nationally for the same pathology in similar patients. Methods: Four hundred forty-five spine surgeons completed a survey of clinical and radiographic case scenarios on patients with recurrent lumbar disc herniation, low back pain, and spondylolisthesis...
August 2018: Global Spine Journal
Peter A Pellionisz, Nikan K Namiri, Gregory Suematsu, Yong Hu, Ameet Braganza, Khuzaima Rangwalla, Daniel J Denson, Karam Badran, Nathan C Francis, Ashkan Maccabi, George Saddik, Zachary Taylor, Maie A St John, Warren S Grundfest
Oral and head and neck squamous cell carcinoma (OSCC) is the sixth most common cancer worldwide. The primary management of OSCC relies on complete surgical resection of the tumor. Margin-free resection, however, is difficult given the devastating effects of aggressive surgery. Currently, surgeons determine where cuts are made by palpating edges of the tumor. Accuracy varies based on the surgeon's experience, the location and type of tumor, and the risk of damage to adjacent structures limiting resection margins...
September 2018: Yale Journal of Biology and Medicine
S Cashman, S Biers, T Greenwell, C Harding, R Morley, S Fowler, N Thiruchelvam
OBJECTIVES: To analyse the results of the British Association of Urological Surgeons' stress urinary incontinence audit, and present the contemporary management of stress urinary incontinence by UK urologists. PATIENTS AND METHODS: The BAUS audit tool is an online resource, to which all UK urologists performing procedures for stress urinary incontinence (SUI) are invited to submit data. The data entries for procedures performed 2014-2016 were collated and analysed...
September 17, 2018: BJU International
Johnny Di Pierdomenico, Rebecca Scholz, F Javier Valiente-Soriano, Maria C Sánchez-Migallón, Manuel Vidal-Sanz, Thomas Langmann, Marta Agudo-Barriuso, Diego García-Ayuso, María Paz Villegas-Pérez
Purpose: The purpose of this study was to study the effect of minocycline and several neurotrophic factors, alone or in combination, on photoreceptor survival and macro/microglial reactivity in two rat models of retinal degeneration. Methods: P23H-1 (rhodopsin mutation), Royal College of Surgeon (RCS, pigment epithelium malfunction), and age-matched control rats (Sprague-Dawley and Pievald Viro Glaxo, respectively) were divided into three groups that received at P10 for P23H-1 rats or P33 for RCS rats: (1) one intravitreal injection (IVI) of one of the following neurotrophic factors: ciliary neurotrophic factor (CNTF), pigment epithelium-derived factor (PEDF), or basic fibroblast growth factor (FGF2); (2) daily intraperitoneal administration of minocycline; or (3) a combination of IVI of FGF2 and intraperitoneal minocycline...
September 4, 2018: Investigative Ophthalmology & Visual Science
Arif Musa, Jeffrey C Wang, Frank L Acosta, Rana Movahedi, Adana Melkonian, Alan Shahbazi, David Safani, Gligor Gucev
STUDY DESIGN: This is a cross-sectional study. OBJECTIVE: To investigate spine surgeons' attitudes regarding preoperative anxiety measurement, management, and responsibility. SUMMARY OF BACKGROUND DATA: The vast majority of patients scheduled for spine surgery experience preoperative anxiety. However, there are currently no consensus guidelines for measure or management of preoperative anxiety in spinal operations. MATERIALS AND METHODS: An anonymous questionnaire was sent online to spine surgeons of AO Spine North America to capture their views regarding preoperative anxiety...
August 24, 2018: Clinical Spine Surgery
Giri Krishnan, Jack Mintz, Andrew Foreman, J C Hodge, Suren Krishnan
Transoral robotic surgery (TORS) provides improved access to head and neck subsites resulting in well-validated functional and oncological outcomes, but access to and cost of robotic platforms can limit their use. Evidence suggests TORS is increasingly being adopted globally, but there is a paucity of data on the adoption and diffusion of TORS in Australia and New Zealand. A cross-sectional analysis was performed. An online survey was distributed to otolaryngologists and head and neck surgeons through three different Australian and New Zealand specialty membership databases...
August 20, 2018: Journal of Robotic Surgery
Karin Frank-Raue, Matthias Schott, Friedhelm Raue
Medullary thyroid cancer (MTC) arises from parafollicular C cells of the thyroid gland and is characterized by a calcitonin secretion. Basal calcitonin correlates with the tumor mass and is used as highly sensitive and specific tumor marker for MTC. Based on former assays, unspecific calcitonin increase has frequently been seen in Hashimoto's thyroiditis, kidney insufficiency, proton pump inhibitors etc. This phenomenon is now less often seen with modern assays. The consequent use of calcitonin measurement in nodular goiter helps to identify the rare MTC at an early stage...
August 2018: Deutsche Medizinische Wochenschrift
C Huynh, D Puyraimond-Zemmour, J F Maillefert, P G Conaghan, A M Davis, K-P Gunther, G Hawker, M C Hochberg, M Kloppenburg, K Lim, L S Lohmander, N N Mahomed, L March, K Pavelka, L Punzi, E M Roos, L Sanchez-Riera, J A Singh, M E Suarez-Almazor, M Dougados, L Gossec
OBJECTIVE: To determine factors associated with orthopaedic surgeons' decision to recommend total joint replacement (TJR) in people with knee and hip osteoarthritis (OA). DESIGN: Cross-sectional study in eleven countries. For consecutive outpatients with definite hip or knee OA consulting an orthopaedic surgeon, the surgeon's indication of TJR was collected, as well as patients' characteristics including comorbidities and social situation, OA symptom duration, pain, stiffness and function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC]), joint-specific quality of life, Osteoarthritis Research Society International (OARSI) joint space narrowing (JSN) radiographic grade (0-4), and surgeons' characteristics...
October 2018: Osteoarthritis and Cartilage
Hamza Al Atassi, Michael C Shapiro, Sowmya R Rao, Jason Dean, Andrew Salama
PURPOSE: Anxiety is prevalent among medical residents and is associated with fatigue, psychological dysfunction, and burnout. A low personal achievement level is a characteristic of burnout, which-if unaddressed-may lead to medical error and decrease the quality of patient care. This study aimed to assess both personal achievement levels and anxiety levels in current oral and maxillofacial surgery (OMS) residents and to discern a relationship between anxiety severity and perceived personal achievement level among residents...
June 22, 2018: Journal of Oral and Maxillofacial Surgery
I Wolff, S Lebentrau, A Miernik, T Ecke, C Gilfrich, B Hoschke, M Schostak, M May
Within the BUSTER trial, we analyzed the surgeon's amount of experience and other parameters associated with URS procedures regarding the stone-free rate, complication rate, and operative time. Patient characteristics and surgical details on 307 URS procedures were prospectively documented according to a standardized study protocol at 14 German centers 01-04/2015. Surgeon's experience was correlated to clinical characteristics, and its impact on the stone-free rate, complication rate, and operative time subjected to multivariate analysis...
July 4, 2018: Urolithiasis
Olivier C Dams, Inge van den Akker-Scheek, Ron L Diercks, Klaus W Wendt, Johannes Zwerver, Inge H F Reininga
PURPOSE: This study aimed to describe and analyse usual care of Achilles tendon ruptures (ATRs) by orthopaedic surgeons and trauma surgeons in the Netherlands. METHODS: A nationwide online survey of ATR management was sent to all consultant orthopaedic and trauma surgeons in the Netherlands, requesting participation of those involved in ATR management. Data on individual characteristics and the entire ATR management (from diagnosis to rehabilitation) were gathered...
July 3, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Arif Pendi, Jeffrey C Wang, Stacey Samuel Bederman, Saifal-Deen Farhan, Nitin N Bhatia, Yu-Po Lee, Jahanzeb Ashraf, Frank L Acosta
STUDY DESIGN: This was a cross-sectional study. OBJECTIVE: The objective of this study was to determine spine surgeons' preferences for the intraoperative and postoperative management of intraoperative durotomy (IDT) in decompression and spinal fusion surgeries. SUMMARY OF BACKGROUND DATA: Management guidelines for IDT remain elusive. Traditionally, management consists of intraoperative suturing and postoperative bed rest. However, preferences of North American spine surgeons may vary, particularly according to type of surgery...
October 2018: Clinical Spine Surgery
Robert L Ferris, Yuri Nikiforov, Davis Terris, Raja R Seethala, J Andrew Ridge, Peter Angelos, Quan-Yang Duh, Richard Wong, Mona M Sabra, James A Fagin, Bryan McIver, Victor J Bernet, R Mack Harrell, Naifa Busaidy, Edmund S Cibas, William C Faquin, Peter Sadow, Zubair Baloch, Maisie Shindo, Lisa Orloff, Louise Davies, Gregory W Randolph
The newly introduced pathologic diagnosis of noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) will result in less bilateral thyroid surgery as well as deescalation in T4 suppressive and radioactive iodine treatment. Although, NIFTP is a nonmalignant lesion that has nuclear features of some papillary malignancies, the challenge for the surgeon is to identify a lesion as possibly NIFTP before the pathologic diagnosis. NIFTP, due to its reduction of overall rates of malignancy, will result in the initial surgical pendulum swinging toward lobectomy instead of initial total thyroidectomy...
September 2018: Head & Neck
Yun Yang, Min Yi, Chang Zou, Zhao-Kui Yan, Xin-An Yan, Yue Fang
PURPOSE: The primary goal of this study is to create a frequency map of a series of the quadrilateral plate fractures, explore the characteristics of fracture map and to further propose a new classification. METHODS: We used a consecutive series of 238 quadrilateral plate fractures to create 3-dimensional reconstruction images, which were superimposed and oriented to fit a model hemipelvis template by aligning specific pelvis landmarks. Fracture lines were identified and traced to create a quadrilateral plate fracture map...
May 31, 2018: Injury
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