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c section in surgeons

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, OARSI joint space narrowing radiographic grade (0-4), and surgeons' characteristics...
July 11, 2018: Osteoarthritis and Cartilage
Hamza Al Atassi, Michael C Shapiro, Sowmya 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...
June 29, 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...
June 26, 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
Kara Fitzgerald, Paul J Sanchirico, David C Pfeiffer
We describe a case of a 57-year-old man referred to an oral maxillofacial surgeon for a nontender, large intramuscular tongue mass. A computed tomography scan with contrast showed a homogenous right tongue intramuscular fatty mass measuring 3.8 cm × 2.8 cm in the axial dimension and 2.2 cm in the craniocaudal dimension. Histologic examination revealed multiple lobulated sections of mature adipocytes and occasional entrapped skeletal muscle fibers. The final pathologic diagnosis was intramuscular lipoma...
April 2018: Radiology Case Reports
Caryn A Turner, Jean A Orman, Zsolt T Stockinger, Steven J Hudak
Introduction: Genitourinary surgery constitutes approximately 1.15% of procedures performed for combat injuries. During forward deployment, surgeons usually deploy without urology support. To better understand the training and skills maintenance needs for genitourinary procedures by describing in detail the genitourinary surgical workload during 15 years of combat operations and compare our findings with those from previously published articles. Material and Methods: A retrospective analysis of the Department of Defense Trauma Registry (DoDTR) was performed for all Roles 2 and 3 medical treatment facilities in Iraq and Afghanistan, from January 2002 to May 2016...
June 13, 2018: Military Medicine
S D Couto Netto, F Teixeira, C A M Menegozzo, H M Leão-Filho, A Albertini, F O Ferreira, E H Akaishi, E M Utiyama
BACKGROUND: Desmoid-type fibromatosis is a benign mesenchymal neoplastic process. It exhibits an uncertain growth pattern and high recurrence rate. Previously radical surgical resection was the mainstay of treatment, but recently more surgeons are opting for conservative management with observation ("wait and see" policy). The authors intend to evaluate different therapeutic modalities and oncological outcomes for abdominal wall desmoid tumors. METHODS: We performed a retrospective study of patients who underwent surgical, hormonal or chemotherapy treatment for abdominal wall desmoid tumors between 1982 to 2014 at two institutions affiliated with the University of São Paulo, Brazil...
June 7, 2018: BMC Surgery
Nina N Harke, Philipp Mandel, Jorn H Witt, Christian Wagner, Andrej Panic, Anselm Boy, Alexander Roosen, Burkhard Ubrig, Andreas Schneller, Frank Schiefelbein, Nina Wagener, Patrick Honeck, Georg Schoen, Boris Hadaschik, Maurice S Michel, Maximilian C Kriegmair
BACKGROUND: To compare the outcomes of robot-assisted (RAPN) and open partial nephrectomy (OPN) for completely endophytic renal tumors. METHODS: Consecutive patients undergoing OPN or RAPN for entirely endophytic tumors in four high-volume centers between 2008 and 2016 were identified. Endophytic masses were identified based on sectional imaging. Patient characteristics and surgical outcome were compared using Mann-Whitney-U-test and chi-squared-tests. Uni- and multivariate analyses were performed to identify predictors of TRIFECTA achievement and excisional volume loss...
June 7, 2018: Journal of Surgical Oncology
Carlos Varela, Sven Young, Reinou Groen, Leonard Banza, Nyengo C Mkandawire, Asgaut Viste
Background: Noncommunicable diseases, such as surgical conditions have received little attention from public health planners in low income countries (LIC) like Malawi. Though increasingly recognised as a growing global health problem, the burden of surgical pathologies and access to surgical care has not been adequately identified in many LIC. Information on the spectrum and burden of surgical disease in Malawi is important to uncover the unmet need for surgery and for planning of the National Health Service...
September 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
E Sierra-Diaz, E Gaxiola-Perez, C Beas-Ruiz Velasco, I Sedano-Portillo, C A Gonzalez-Gonzalez, M Adel-Dominguez, F Davila-Radilla
The use of radioactive emanations has been of great importance for the performance of endourology procedures, such as percutaneous nephrolithotomy (NLP). The damage to health caused by radiation has been a sensitive issue. The objective of this work was to determine the dose received by the surgeon during NLP and the total dose generated by the fluoroscope. A cross-sectional study was conducted with data from a cohort study with a duration of 18 months that included 101 patients. Radiation was measured with dosimeter during the last 6 months...
April 2018: Dose-response: a Publication of International Hormesis Society
John P Morgan, Moses Isyagi, Joseph Ntaganira, Agnes Gatarayiha, Sarah E Pagni, Tamar C Roomian, Matthew Finkelman, Jane E M Steffensen, Jane R Barrow, Chrispinus H Mumena, Donna M Hackley
BACKGROUND: Oral health affects quality of life and is linked to overall health. Enhanced oral health research is needed in low- and middle-income countries to develop strategies that reduce the burden of oral disease, improve oral health and inform oral health workforce and infrastructure development decisions. OBJECTIVE: To implement the first National Oral Health Survey of Rwanda to assess the oral disease burden and inform oral health promotion strategies. METHODS: In this cross-sectional study, sample size and site selection were based on the World Health Organization (WHO) Oral Health Surveys Pathfinder stratified cluster methodologies...
2018: Global Health Action
Brendan M Patterson, Nathan D Orvets, Alexander W Aleem, Jay D Keener, Ryan P Calfee, Devon C Nixon, Aaron M Chamberlain
BACKGROUND: The Patient-Reported Outcomes Measurement Information System (PROMIS) is being used to assess outcomes in many patient populations despite limited validation. The purpose of this study was to investigate the relationship between American Shoulder and Elbow Surgeons (ASES) and Simple Shoulder Test (SST) scores and PROMIS Physical Function (PF) and Upper Extremity (UE) function scores collected preoperatively in patients undergoing rotator cuff repair. METHODS: This cross-sectional study analyzed 164 consecutive patients undergoing arthroscopic rotator cuff repair...
June 2018: Journal of Shoulder and Elbow Surgery
Gillian C Pet, Ryan M McAdams, Lilah Melzer, Assaf P Oron, Simon P Horslen, Adam Goldin, Patrick J Javid
OBJECTIVES: To assess providers' recommendations as to comfort care versus medical and surgical management in clinical scenarios of newborns with severe bowel loss and to assess how a variety of factors influence providers' decision making. STUDY DESIGN: We conducted a survey of pediatric surgeons and neonatologists via the American Pediatric Surgical Association and American Academy of Pediatrics Section of Neonatal-Perinatal Medicine. We examined how respondents' recommendations were affected by a variety of patient and provider factors...
May 10, 2018: Journal of Pediatrics
Michael C Dewan, Abbas Rattani, Ronnie E Baticulon, Serena Faruque, Walter D Johnson, Robert J Dempsey, Michael M Haglund, Blake C Alkire, Kee B Park, Benjamin C Warf, Mark G Shrime
OBJECTIVE The global magnitude of neurosurgical disease is unknown. The authors sought to estimate the surgical and consultative proportion of diseases commonly encountered by neurosurgeons, as well as surgeon case volume and perceived workload. METHODS An electronic survey was sent to 193 neurosurgeons previously identified via a global surgeon mapping initiative. The survey consisted of three sections aimed at quantifying surgical incidence of neurological disease, consultation incidence, and surgeon demographic data...
May 11, 2018: Journal of Neurosurgery
Rosaline S Zhang, Lawrence O Lin, Ian C Hoppe, Ari M Wes, Jordan W Swanson, Scott P Bartlett, Jesse A Taylor
PURPOSE: There is a paucity of literature on how limitations of distraction osteogenesis (DO) are perceived by physicians and parents of pediatric patients. Specifically understanding which features of DO are most concerning to these two groups may better inform parent education, as well as direct improvements in distraction protocols and devices. METHOD: Parents/guardians of patients (between January 2016 and October 2017) being treated with craniofacial distraction were recruited to complete a survey regarding level of stress (1 = not stressful, 9 = maximally stressful) associated with eight features of DO...
May 11, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
S Michelle Renwick, Alasdair I Renwick, David C Brodbelt, John Ferguson, Humberto Abreu
OBJECTIVE: To determine the effects of low-level laser therapy (LLLT) on clinical outcomes in dogs with cranial cruciate ligament disease treated with tibial plateau leveling osteotomy (TPLO). STUDY DESIGN: Randomized, placebo-controlled clinical trial. Owners and surgeons (care providers and assessors) were masked. ANIMALS: Ninety-five dogs were admitted for TPLO and assigned to 1 of 2 groups, laser group (LG; n = 51) or placebo group (PG; n = 44)...
May 2018: Veterinary Surgery: VS
Ali Safari-Moradabadi, Azin Alavi, Asiyeh Pormehr-Yabandeh, Tasnim Eghbal Eftekhaari, Sakineh Dadipoor
BACKGROUND: Mortality and disability rates were reported to be respectively 2-3 and 5-10 times higher in C-sections compared to Vaginal delivery. OBJECTIVES: This study was aimed to explore the factors involved in selecting the birth type among primiparous women. METHODS: The present cross-sectional research was conducted on 220 primiparous women, who visited the health-care centers of Bandar Abbas. They were recruited in their first trimester of pregnancy with a simple randomized clustering method...
2018: Journal of Education and Health Promotion
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