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https://www.readbyqxmd.com/read/27798067/radiolucent-triangle-as-a-positioning-tool-to-simplify-prone-ankle-fracture-surgery-technical-tip
#1
Kamran S Hamid, Travis J Dekker, Peter W White, Samuel B Adams
: Prone positioning affords significant benefits for the fixation of trimalleolar ankle fractures and has been the long-time standard for treatment of these injuries. However, 2 primary disadvantages hamper its utility. First, access to the medial ankle is impeded by the contralateral limb and inability to rotate the operative leg to the extent that is possible in other positions. Second, lateral fluoroscopic imaging of the ankle can be cumbersome and often necessitates physically elevating the ankle for a radiograph then placing it back on the operative table...
October 25, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27502880/lower-limbs-deformities-in-patients-with-mccune-albright-syndrome-tomography-and-treatment
#2
Ali Al Kaissi, Vladimir Kenis, Farid Ben Chehida, Jochen Hofstaetter, Franz Grill, Rudolf Ganger
BACKGROUND: The skeletal changes in McCune-Albright disease are usually severe because of the polyostotic form of the disease. Trendelenberg gait and limited mobility are the most common presenting features. The constellation of Café-au lait spots and polyostotic bone involvement is commonly referred to as McCune-Albright's syndrome (MAS). MATERIALS AND METHODS: One boy and 4 girls (7-16 years) were sought in our departments from 1998 to 2012. Limb length discrepancy was the main clinical presentation...
July 2016: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/27000914/robotic-assisted-resection-of-isolated-paraaortic-lymph-node-recurrence-with-right-lateral-decubitus-position
#3
Hye Sook Chon, William D Bush, Chang Won Kang, Mitchel Hoffman
In this report we describe transperitoneal robotic-assisted paraaortic lymphadenectomy via the right lateral decubitus position to treat solitary recurrence in a patient with cervical carcinoma. This is, to our knowledge, the first report utilizing the right lateral decubitus position rather than the traditional approach with the Trendelenberg position. This approach adds another option for surgical approaches to the paraaortic lymph nodes, particularly in subgroups of patients who have significant cardiopulmonary cormobidities and are unable to tolerate the steep Trendelenburg position...
June 2013: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/26712973/effect-of-pneumoperitoneum-and-trendelenberg-position-on-oropharyngeal-sealing-pressure-of-i-gel%C3%A2-and-proseal-lma%C3%A2-in-laparoscopic-gynecological-surgery-a-randomized-controlled-trial
#4
Sandeep Kumar Mishra, B Sivaraman, Hemavathy Balachander, Mahesh Naggappa, Satyen Parida, Ravindra R Bhat, Kotteeswaran Yuvaraj
BACKGROUND: A sustained and effective oropharyngeal sealing with supraglottic airway (SGA) is required to maintain the ventilation during laparoscopic gynecological surgery in the Trendelenburg position. This study was conducted with I-gel™ and ProSeal LMA™, two prototype SGA devices with a gastric access. MATERIALS AND METHODS: We enrolled 60 American Society of Anesthesiologists physical status I and II patients and randomized to either I-gel or ProSeal LMA (PLMA) group...
September 2015: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26425592/late-onset-of-csf-rhinorrhea-in-a-postoperative-transsphenoidal-surgery-patient-following-robotic-assisted-abdominal-hysterectomy
#5
Justin T Dowdy, Marcus W Moody, Christopher P Cifarelli
Cerebrospinal fluid (CSF) leak is the most commonly encountered perioperative complication in transsphenoidal surgery for pituitary lesions. Direct closure with a combination of autologous fat, local bone, and/or synthetic grafts remains the standard of care for leaks encountered at the time of surgery as well as postoperatively. The development of the vascularized nasoseptal flap as a closure technique has increased the surgeon's capacity to correct even larger openings in the dura of the sella as well as widely exposed anterior skull base defects...
January 2014: Journal of Investigative Medicine High Impact Case Reports
https://www.readbyqxmd.com/read/26379954/effects-of-dexmedetomidine-on-anesthesia-recovery-period-and-postoperative-cognitive-function-of-patients-after-robot-assisted-laparoscopic-radical-cystectomy
#6
Lingling Ding, Hong Zhang, Weidong Mi, Tao Wang, Yan He, Xu Zhang, Xin Ma, Hongzhao Li
OBJECTIVE: The purpose of the study was to evaluate the neuroprotective effect of dexmedetomidine on anesthesia recovery period and postoperative cognitive function of patients after robot-assisted laparoscopic radical cystectomy and ileal conduit diversion. METHODS: A total of 40 elective patients who would undergo robot-assisted laparoscopic radical cystectomy and ileal conduit diversion. They were randomly divided into two groups in a double-blind manner. After pneumoperitoneum established, all patients adopted 40° trendelenberg position...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/26018268/-effects-of-carbon-dioxide-pneumoperitoneum-and-steep-trendelenburg-positioning-on-cerebral-blood-backflow-during-robotic-radical-prostatectomy
#7
Lingling Ding, Hong Zhang, Weidong Mi, Li Sun, Xu Zhang, Xin Ma, Hongzhao Li
OBJECTIVE: To observe the effect of carbon dioxide pneumoperitoneum and Trendelenburg position on cerebral blood backflow during robot-assisted radical prostatectomy in elderly patients. METHODS: Fifty elderly patients (65-80 years) and 50 middle-aged patients (45-64 years) undergoing elective robot-assisted prostatectomy were enrolled in this study. For all the patients, jugular bulb and arterial blood gas was monitored and recorded before pneumoperitoneum (0), 10 min after pneumoperitoneum was achieved (T₁), 10 min (T₂) and 60 min (3) after Trendelenberg position, and 10 min in supine position after termination of pneumoperitoneum (4)...
May 2015: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/25769330/-effects-of-dexmedetomidine-on-recovery-period-of-anesthesia-and-postoperative-cognitive-function-after-robot-assisted-laparoscopicradical-prostatectomy-in-the-elderly-people
#8
Lingling Ding, Hong Zhang, Weidong Mi, Yan He, Xu Zhang, Xin Ma, Hongzhao Li
OBJECTIVE: To evaluate the neuroprotective effect of dexmedetomidine on recovery period of anesthesia and postoperative cognitive function after robot assisted laparoscopicradical prostatectomy in the elderly people. METHODS: A total of 100 elderly patients who underwent robotic laparoscopic radical prostatectomy were divided into 2 groups: A dexmedetomidine group (n=50) and a control group (n=50). Patients in the dexmedetomidine group were given a loading dosage of dexmedetomidine [0...
February 2015: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/25735032/spontaneous-intracranial-hypotension-trendelenberg-just-may-be-the-answer
#9
Krista K Koch, Thomas J Moran
Spontaneous intracranial hypotension may share some characteristics with the more common causes of headaches such as migraines or tension headaches, but its diagnosis and treatment is much more laborious and invasive. Here, the case of a 31-year-old man with multiple weeks of positional headaches is described. This symptom persisted following multiple blood patches, and progressed to worsening mental status, encephalopathy, and eventually obtundation with Glascow Coma Score less than 8. Surgery was required; however, small improvement was seen on imaging or in the patient's status...
March 2015: Military Medicine
https://www.readbyqxmd.com/read/25245664/endovascular-management-of-an-intracardiac-bullet
#10
Mahyar Ghanaat, Charles Goldenberg, James Walsh, Salvatore J Sclafani
Intravascular bullets may cause diagnostic and management difficulties. We describe a bullet overlying the cardiac silhouette on X-ray which was identified to be at the cavoatrial junction on cavography. The bullet was removed via endovascular techniques utilizing occlusion balloon and reverse trendelenberg position.
January 2015: Injury
https://www.readbyqxmd.com/read/25193906/anesthetic-management-of-laparoscopic-dual-renal-transplantation
#11
Prachi Kadam, Bina Butala, Veena Shah
Since the first laparoscopic nephrectomy was reported in 1991, this technique has evolved rapidly and laparoscopic donor nephrectomy has emerged as a standard of care in many institutions. However, recipient renal transplantation is still performed by the traditional open approach. There is only one case report of laparoscopic kidney transplantation (LKT) from Spain in 2009. LKT is a technically demanding surgery for a urologist and equally challenging for an anesthesiologist as he has to be vigilant because of the major perturbations in the cardiorespiratory system due to steep trendelenberg position and pneumoperitoneum; additionally, the pneumoperitoneum can have deleterious effects on blood flow and function of the transplanted kidney...
September 2014: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/24902881/identification-of-the-optimum-vagal-manoeuvre-technique-for-maximising-vagal-tone
#12
RANDOMIZED CONTROLLED TRIAL
Gavin Smith, Alicia Broek, David McD Taylor, Amee Morgans, Peter Cameron
OBJECTIVES: This study sought to determine the most effective technique for Valsalva Manoeuvre (VM) and Human Dive Reflex Manoeuvre (HDR) generation of vagal tone. METHODS: We conducted a repeated-measures trial of healthy adult volunteers from a university campus, aged 18-56 years, in sinus rhythm. Participants were randomised to VM (in supine or Trendelenberg postures) and HDR (supine or sitting postures) sequentially. Participants performed three trials of each technique, in random order, with a continuous ECG recording...
January 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/24500661/increase-in-intraocular-pressure-is-less-with-propofol-than-with-sevoflurane-during-laparoscopic-surgery-in-the-steep-trendelenburg-position
#13
RANDOMIZED CONTROLLED TRIAL
Young-Chul Yoo, Seokyung Shin, Eun Kyeong Choi, Chan Yun Kim, Young Deuk Choi, Sun-Joon Bai
BACKGROUND: Intraocular pressure is increased during laparoscopic surgeries performed in a steep Trendelenburg position. This study compared the effects of propofol with those of sevoflurane on intraocular pressure in patients undergoing robot-assisted laparoscopic radical prostatectomy in a 30° Trendelenburg position. METHODS: Sixty-six patients were randomly allocated to a maintenance anesthetic consisting of remifentanil and sevoflurane (Sevoflurane Group) or remifentanil and propofol (Propofol Group)...
April 2014: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/24428586/positioning-related-complications-of-minimally-invasive-radical-prostatectomies
#14
Timothy Wen, Christopher M Deibert, Frank S Siringo, Benjamin A Spencer
BACKGROUND AND PURPOSE: Because of recent advances in minimally invasive surgical techniques, robot-assisted radical prostatectomy (RARP) has become the primary treatment option in prostate cancer. RARP, however, necessitates patients to be placed in a steep Trendelenberg position, which presents multiple opportunities for complications relating to the positioning of the patient. Our study aims to study the prevalence and demographic predictors of these positioning complications and assess their impacts on length of stay (LOS) and total cost...
June 2014: Journal of Endourology
https://www.readbyqxmd.com/read/24186678/vastus-lateralis-transfer-for-severe-hip-abductor-deficiency-a-salvage-procedure
#15
Kemble Wang, Stacey Cole, Dean C White, Michael S Armstrong
INTRODUCTION: Abductor muscle deficiency can be a debilitating problem following hip arthroplasty surgery. We report outcomes of a novel method of abductor muscle function reconstruction surgery in patients with chronic, irreparable gluteus medius and minimus defects. PATIENTS AND METHODS: Four consecutive patients who underwent our method of abductor reconstruction surgery were retrospectively reviewed. All patients had severe pain and positive Trendelenberg gait before surgery...
March 2014: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/23983422/trendelenberg-position-in-subclavian-vein-cannulation-in-patients-with-pleural-effusion-a-necessary-evil
#16
Arushi Gupta, Neerja Banerjee
No abstract text is available yet for this article.
March 2013: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/23878457/massive-lingual-swelling-following-cleft-palate-repair
#17
Mc Rajesh, Saji Kuriakose, Jayanth Sukumar, Ek Ramdas
We report two cases of massive tongue edema in routine palatoplasty. All patients had uneventful recovery. We postulated that the macroglossia was secondary to ischemia and venous congestion after prolonged use of Killner Dott mouth gag with slotted tongue blade exaggerated by hyperextension of neck and Trendelenberg position.
April 2013: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/23808512/prediction-of-fluid-responsiveness-using-dynamic-preload-indices-in-patients-undergoing-robot-assisted-surgery-with-pneumoperitoneum-in-the-trendelenburg-position
#18
J H Chin, E H Lee, G S Hwang, W J Choi
We investigated the abilities of pulse pressure variation (PPV) and stroke volume variation (SVV) to predict fluid responsiveness during robot-assisted laparoscopic prostatectomy, requiring pneumoperitoneum and the Trendelenburg position. In 42 patients without cardiopulmonary disease, PPV and SVV were measured before and after administration of 500 ml colloid under pneumoperitoneum combined with the steep Trendelenburg position (35°). Fluid responsiveness was defined as a ≥15% increase in stroke volume after the fluid loading measured using transoesophageal echocardiography...
July 2013: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/23579538/postoperative-vision-loss-after-colorectal-laparoscopic-surgery
#19
Gautam Kumar, Prasad Vyakarnam
Postoperative loss of vision is a serious but under-appreciated complication after surgery. Although more commonly seen with cardiac and spinal surgery, we report a rare case where ischemic optic neuropathy is associated with laparoscopic surgery. An ASA-2 middle-aged man with hypertension and obesity underwent a laparoscopic resection of rectosigmoidal adenocarcinoma. Intraoperatively, no surgical complications were noted with minimal blood loss encountered. He was positioned in a steep Trendelenberg position for 5 continuous hours, and had a mean blood pressure of at least 75 mm Hg throughout...
April 2013: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/23450067/chiropractic-management-of-low-back-pain-in-a-patient-with-a-transfemoral-amputation
#20
Jennifer D Illes, Chad J Maola
OBJECTIVE: The purpose of this case report is to describe the chiropractic management of a patient with a unilateral transfemoral amputation and low back pain (LBP). CLINICAL FEATURES: A 20-year-old woman with right transfemoral amputation and a right upper extremity amputation due to amniotic band syndrome had approximately 40 different prosthetic lower extremities in the prior 20 years. She presented for chiropractic care for LBP (5/10 numeric pain scale) that she experienced after receiving a new right prosthetic leg...
September 2012: Journal of Chiropractic Medicine
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