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Diabetic neuropathy surgery

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https://www.readbyqxmd.com/read/27861415/decompressive-surgery-for-diabetic-neuropathy-waiting-for-incontrovertible-proof
#1
Martijn R Tannemaat, Mirjam Datema, J Gert van Dijk, Rajiv Midha, Martijn J A Malessy
: : Triple decompression surgery has been advocated as a treatment for diabetic peripheral neuropathy (DPN). A practice advisory published in 2006 by the American Academy of Neurology concluded that "this treatment alternative should be considered unproven." Since then, multiple cohort studies involving several thousands of patients and 1 nonblind, randomized, controlled trial have been published, suggesting that surgical treatment of DPN has become commonplace in many centers globally...
December 2016: Neurosurgery
https://www.readbyqxmd.com/read/27771327/in-vivo-confocal-microscopy-of-corneal-nerves-in-health-and-disease
#2
Andrea Cruzat, Yureeda Qazi, Pedram Hamrah
In vivo confocal microscopy (IVCM) is becoming an indispensable tool for studying corneal physiology and disease. Enabling the dissection of corneal architecture at a cellular level, this technique offers fast and noninvasive in vivo imaging of the cornea with images comparable to that of ex vivo histochemical techniques. Corneal nerves bear substantial relevance to clinicians and scientists alike, given their pivotal roles in regulation of corneal sensation, maintenance of epithelial integrity, and proliferation and promotion of wound healing...
October 19, 2016: Ocular Surface
https://www.readbyqxmd.com/read/27764706/management-of-postoperative-pain-after-lumbar-surgery-pregabalin-for-one-day-and-14-days-a-randomized-triple-blinded-placebo-controlled-study
#3
Mohammad Zarei, Arvin Najafi, Pejman Mansouri, Sadaf Sadeghi-Yazdankhah, Houshang Saberi, Mehran Moradi, Mahmoud Farzan
OBJECTIVES: Despite the progress in understanding acute pain physiology during recent decade, eighty percent of patients still suffer from post-operative discomfort. Pregabalin is an anticonvulsant agent that is approved for painful neuropathies in diabetic patients and post herpetic neuralgia. The main objective of the present study was to compare the improvement in post-operative pain management and patient lifestyle in 3 groups, as first group received placebo, second who received Pregabalin for one day and the last group those who received it for 14 days...
October 17, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27676715/bladder-rupture-secondary-to-emphysematous-bladder-a-diabetic-patient-report
#4
Astrid Balança
OBJECTIVE: We report an emphysematous cystitis in a diabetic patient complicated by peritonitis. OBSERVATIONS: A 66-year-old male presented to the emergency with septic shock. Patient's history: poorly controlled diabetes and prostate adenoma. Clinical examination revealed a surgical abdomen and signs of shock. Blood sugar was 6g/L. CRP 274mg/L. The abdomino-pelvic CT scan showed a perforated bladder with emphysema of the bladder wall and endoluminal air bubbles...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27635626/eye-disorders-associated-with-obstructive-sleep-apnoea
#5
Sophie D West, Chris Turnbull
PURPOSE OF REVIEW: Obstructive sleep apnoea (OSA) is increasing in prevalence due to rising obesity. Public awareness is also growing. Although OSA is a disorder primarily of the upper airway during sleep, its physiological impact on other parts of the body is now well recognized. There is increasing interest in the association of OSA with various eye disorders. Work in this field has been directed predominantly to OSA prevalence and association studies, but some authors have tried to elucidate the effect of OSA therapies on eye diseases, including continuous positive airway pressure, upper airway surgery or bariatric surgery...
November 2016: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/27600489/pain-relief-and-health-related-quality-of-life-improvement-after-microsurgical-decompression-of-entrapped-peripheral-nerves-in-patients-with-painful-diabetic-peripheral-neuropathy
#6
Wenqiang Yang, Zhuangli Guo, Yanbing Yu, Jun Xu, Li Zhang
Surgery had been shown to be effective for superimposed peripheral nerve entrapment syndrome in patients with diabetic peripheral neuropathy (DPN), with pain relief and sensation restored. Few studies, however, have reported the quality-of-life outcomes of surgery for the treatment of painful DPN (PDPN). The objective of the present study was to evaluate the effects of microsurgical decompression of multiple entrapped peripheral nerves on pain and health-related quality of life in patients with refractory PDPN of the lower limbs...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27590190/presentations-of-major-peripheral-arterial-disease-and-risk-of-major-outcomes-in-patients-with-type-2-diabetes-results-from-the-advance-on-study
#7
Kamel Mohammedi, Mark Woodward, Yoichiro Hirakawa, Sophia Zoungas, Stephen Colagiuri, Pavel Hamet, Stephen Harrap, Neil Poulter, David R Matthews, Michel Marre, John Chalmers
BACKGROUND: Peripheral arterial disease (PAD) is known to be associated with high cardiovascular risk, but the individual impact of PAD presentations on risk of macrovascular and microvascular events has not been reliably compared in patients with type 2 diabetes. We aimed to evaluate the impact of major PAD, and its different presentations, on the 10-year risk of death, major macrovascular events, and major clinical microvascular events in these patients. METHODS: Participants in the action in diabetes and vascular disease: PreterAx and DiamicroN modified-release controlled evaluation (ADVANCE) trial and the ADVANCE-ON post-trial study were followed for a median of 5...
2016: Cardiovascular Diabetology
https://www.readbyqxmd.com/read/27524708/neuropathic-minimally-invasive-surgeries-nemesis-percutaneous-diabetic-foot-surgery-and-reconstruction
#8
REVIEW
Roslyn J Miller
Patients with peripheral neuropathy associated with ulceration are the nemesis of the orthopedic foot and ankle surgeon. Diabetic foot syndrome is the leading cause of peripheral neuropathy, and its prevalence continues to increase at an alarming rate. Poor wound healing, nonunion, infection, and risk of amputation contribute to the understandable caution toward this patient group. Significant metalwork is required to hold these technically challenging deformities. Neuropathic Minimally Invasive Surgeries is an addition to the toolbox of management of the diabetic foot...
September 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27512611/glioblastoma-multiforme-of-the-optic-chiasm-a-rare-case-of-common-pathology
#9
Kirill A Lyapichev, Amade Bregy, Adrienne Cassel, Chelsea Handfield, Jose Velazquez-Vega, Matthew D Kay, Gregory Basil, Ricardo J Komotar
BACKGROUND: Malignant optic and chiasmatic gliomas are extremely rare, and are classified pathologically as anaplastic astrocytoma or glioblastoma multiforme (GBM). Approximately 40 cases of optic GBM in adults have been reported in the literature, and only five of them were described to originate from the optic chiasm. CASE DESCRIPTION: An 82-year-old male patient with a past medical history of diabetes mellitus type 2, melanoma, and bladder cancer presented with gradual vision loss of the left eye in a period of 1 month...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27469295/high-osteoprotegerin-is-associated-with-development-of-foot-ulcer-in-type-1-diabetes
#10
Emilie H Zobel, Bernt J von Scholten, Maria Lajer, Anders Jorsal, Lise Tarnow, Lars M Rasmussen, Per Holstein, Hans-Henrik Parving, T W Hansen, P Rossing
BACKGROUND AND AIM: The bone-related peptide osteoprotegerin has been linked to vascular calcification and peripheral vascular disease. We investigated the association between osteoprotegerin and development of foot complications in persons with type 1 diabetes. MATERIALS AND METHODS: Prospective observational study of 573 persons with type 1 diabetes, 225 women; age [mean±SD] 42.3±10.3years. Plasma osteoprotegerin was measured by ELISA. RESULTS: Median (IQR) osteoprotegerin was 2...
November 2016: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/27467092/outcome-after-carpal-tunnel-release-impact-of-factors-related-to-metabolic-syndrome
#11
Malin Zimmerman, Erik Dahlin, Niels O B Thomsen, Gert S Andersson, Anders Björkman, Lars B Dahlin
OBJECTIVE: The standard surgical treatment of carpal tunnel syndrome (CTS), with an open carpal tunnel release, is reported to relieve symptoms in most patients. In a retrospective observational study, outcome after open carpal tunnel release was evaluated, focusing on factors related to the metabolic syndrome: diabetes, hypertension, obesity (BMI ≥30) and statin treatment. METHODS: Results from 493 out of 962 patients (531/1044 hands) operated for CTS during 18 months that had filled in QuickDASH questionnaires before and 1-year after surgery were included in the study...
July 28, 2016: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27402439/severe-pain-and-edema-due-to-a-widespread-lymphangioma-disappearance-of-symptoms-and-reduction-of-lesion-with-spinal-cord-stimulation
#12
Ivano Dones, Luca Zanin, Ines Marongiu, Vincenzo Levi, Luisa Chiapparini, Michele Rizzi
BACKGROUND: The efficacy of epidural spinal cord stimulation on chronic neuropathic pain due to failed back surgery syndrome or nerve root lesions is well reported. There is even literature reporting the effects of spinal cord stimulation in controlling peripheral vascular lesions as in peripheral arteriopathies or diabetic neuropathies and in complex regional pain syndrome type II. This is probably due to an effect of epidural spinal cord stimulation, mainly on the parasympathetic nervous system...
September 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27301727/analysis-of-risk-factors-for-failure-of-arthroscopic-ankle-fusion-in-a-series-of-52-ankles
#13
Sumit Kumar Jain, David Tiernan, Stephen R Kearns
BACKGROUND: The purpose of this retrospective study is to analyze the effect of different variables on union rate and functional outcome in patients who underwent arthroscopic ankle fusion for end-stage arthritis of ankle. METHODS: Clinical records and radiographs were reviewed to evaluate the variables that could predispose patients to non-union and poor functional outcome. Union and functional outcomes were correlated with different variables. RESULTS: Fifty patients had arthroscopic ankle fusion on 52 ankles...
June 2016: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27274409/perioperative-visual-loss-following-prone-spinal-surgery-a-review
#14
Nancy E Epstein
BACKGROUND: Postoperative visual loss (POVL) following prone spine surgery occurs in from 0.013% to 1% of cases and is variously attributed to ischemic optic neuropathy (ION: anterior ION or posterior ION [reported in 1.9/10,000 cases: constitutes 89% of all POVL cases], central retinal artery occlusion [CRAO], central retinal vein occlusion [CRVO], cortical blindness [CB], direct compression [horseshoe, prone pillows, and eye protectors Dupaco Opti-Gard]), and acute angle closure glaucoma (AACG)...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27274406/how-to-avoid-perioperative-visual-loss-following-prone-spinal-surgery
#15
Nancy E Epstein
BACKGROUND: In a prior article, "Perioperative visual loss (POVL) following prone spinal surgery: A review," Epstein documented that postoperative visual loss (POVL) occurs in from 0.013% to 0.2% of spine procedures performed in the prone position. POVL is largely attributed to ischemic optic neuropathy (ION), central retinal artery occlusion (CRAO), cortical blindness (CB), direct compression (prone pillows/horseshoe, eye protectors), and rarely, acute angle closure glaucoma. METHODS: Risk factors for ION include prolonged surgery, extensive fusions, anemia, hypotension, hypovolemia, diabetes, obesity, use of the Wilson frame, male sex, and microvascular pathology...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27271192/long-term-microvascular-disease-outcomes-in-patients-with-type-2-diabetes-after-bariatric-surgery-evidence-for-the-legacy-effect-of-surgery
#16
Karen J Coleman, Sebastien Haneuse, Eric Johnson, Andy Bogart, David Fisher, Patrick J O'Connor, Nancy E Sherwood, Steve Sidney, Mary Kay Theis, Jane Anau, Emily B Schroeder, Rebecca O'Brien, David Arterburn
OBJECTIVE: To identify and quantify any legacy effect of bariatric surgery on risk of incident microvascular disease in patients with type 2 diabetes. RESEARCH DESIGN AND METHODS: We conducted a retrospective observational cohort study (n = 4,683; 40% racial/ethnic minority) of patients with type 2 diabetes who underwent bariatric surgery from 2001 through 2011. The primary outcome measure was incident microvascular disease defined as a composite indicator of the first occurrence of retinopathy, neuropathy, and/or nephropathy...
August 2016: Diabetes Care
https://www.readbyqxmd.com/read/27253968/long-term-follow-up-of-a-case-of-gold-shunt-surgery-for-refractory-silicone-oil-induced-glaucoma
#17
Ryan Le, Alan R Berger, Neeru Gupta
PURPOSE: To report the first case of gold shunt surgery for treatment of silicone oil-induced refractory glaucoma in a tertiary care academic center, with 5-year follow-up. DESIGN: The study design is a case report. PARTICIPANTS: The participant was a patient who underwent gold shunt surgery. METHODS: Institutional Research Ethics Board approval for the study was obtained. A diabetic patient was referred for refractory glaucoma with a history of proliferative diabetic retinal detachment, and surgery with silicone oil...
August 2016: Journal of Glaucoma
https://www.readbyqxmd.com/read/27252982/sagittal-balance-is-more-than-just-alignment-why-pjk-remains-an-unresolved-problem
#18
Steven D Glassman, Mark P Coseo, Leah Y Carreon
BACKGROUND: The durability of adult spinal deformity surgery remains problematic. Revision rates above 20 % have been reported, with a range of causes including wound infection, nonunion and adjacent level pathology. While some of these complications have been amenable to changes in patient selection or surgical technique, Proximal Junctional Kyphosis (PJK) remains an unresolved challenge. This study examines the contributions of non-mechanical factors to the incidence of postoperative sagittal imbalance and PJK after adult deformity surgery...
2016: Scoliosis and Spinal Disorders
https://www.readbyqxmd.com/read/27213916/the-descending-branch-of-the-lateral-circumflex-femoral-artery-as-an-alternative-conduit-for-coronary-artery-bypass-grafting-experience-from-an-anatomical-radiological-and-histological-study
#19
Petr Loskot, Zbynek Tonar, Jan Baxa, Jiri Valenta
The descending branch of the lateral circumflex femoral artery (DBLCFA) has been suggested as an option for use in coronary artery bypass grafting (CABG). Our aim was to combine radiological examination, surgical and anatomical preparation, and histological assessment of the DBLCFA to map its variability and to assess the benefits of this conduit in cardiac surgery. The pelvic and femoral arteries were examined by CT angiography (CTA) in 100 patients (aged 68.3 ± 9.3 years) to assess the variability of the DBLCFA...
September 2016: Clinical Anatomy
https://www.readbyqxmd.com/read/27175839/glaucoma
#20
Divakar Gupta, Philip P Chen
Glaucoma is a set of irreversible, progressive optic neuropathies that can lead to severe visual field loss and blindness. The two most common forms of glaucoma, primary open-angle glaucoma and primary angle-closure glaucoma, affect more than 2 million Americans and are increasing in prevalence. Many patients with glaucoma are asymptomatic and do not know they have the disease. Risk factors for primary open-angle glaucoma include older age, black race, Hispanic origin, family history of glaucoma, and diabetes mellitus...
April 15, 2016: American Family Physician
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