keyword
https://read.qxmd.com/read/38531756/prostatic-artery-embolisation-versus-transurethral-resection-of-the-prostate-for-benign-prostatic-obstruction-5-year-outcomes-of-a-randomised-open-label-noninferiority-trial
#21
JOURNAL ARTICLE
Gautier Müllhaupt, Lukas Hechelhammer, Nicole Graf, Livio Mordasini, Hans-Peter Schmid, Daniel S Engeler, Dominik Abt
BACKGROUND AND OBJECTIVE: Prostatic artery embolisation (PAE) and transurethral resection of the prostate (TURP) are two of the surgical options for treatment of lower urinary tract symptoms/benign prostatic obstruction (LUTS/BPO). Our aim was to compare the efficacy and safety of PAE and TURP for LUTS/BPO treatment at long-term follow-up. METHODS: We conducted a randomised, open-label, single-centre trial at a Swiss tertiary care centre. The main outcome was the change in International Prostate Symptom Score (IPSS) after PAE versus TURP...
March 25, 2024: European Urology Focus
https://read.qxmd.com/read/38531750/teaching-cultural-dexterity-in-surgical-care-as-essential-to-a-surgeon-s-skill-set-as-tying-a-knot
#22
EDITORIAL
Gezzer Ortega, Brittany M Dacier, Jorge Zárate Rodriguez, Maria B J Chun, N Rhea Udyavar, Benjamin G Allar, Alexander R Green, Adil H Haider, Douglas S Smink
No abstract text is available yet for this article.
March 11, 2024: American Journal of Surgery
https://read.qxmd.com/read/38531745/long-term-effects-of-exercise-therapy-versus-arthroscopic-partial-meniscectomy-for-degenerative-meniscal-tear-a-meta-analysis-of-randomized-controlled-trials
#23
JOURNAL ARTICLE
Jiahao Meng, Hang Tang, Yifan Xiao, Weijie Liu, Yumei Wu, Yilin Xiong, Shuguang Gao
BACKGROUND: Degenerative meniscal tear (DMT) is common in the elderly population. However, there has been controversy over the treatment of DMT regarding whether to adopt arthroscopic partial meniscectomy (APM) or exercise therapy (ET). In order to compare the long-term outcomes between the two treatment methods, we conducted a meta-analysis of randomized controlled trials (RCTs) with long-term follow-up. METHODS: PubMed, Cochrane Library, Embase, and Web of Science were last searched on 16 April 2023 for studies on DMT that compared the clinical outcomes between APM and ET...
March 25, 2024: Asian Journal of Surgery
https://read.qxmd.com/read/38530985/chemical-peels-for-melasma-a-systematic-review
#24
JOURNAL ARTICLE
Rashmi Sarkar, Ridhima Lakhani
BACKGROUND: Melasma is a common chronic, relapsing pigmentary disorder that causes psychological impact. Chemical peels are a well-known therapeutic modality used for accelerating the treatment of melasma. OBJECTIVE: To review the published evidence on the efficacy and safety of chemical peels in the treatment of melasma. METHODS: A systematic review was done. A meta-analysis could not be done due to the heterogeneity of data. RESULT: The authors conducted a PubMed search and included prospective case series of more than 10 cases and randomized controlled trials (RCTs) that have studied the safety and/or efficacy of chemical peel in melasma...
March 26, 2024: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://read.qxmd.com/read/38530980/intraoperative-immunohistochemistry-during-mohs-micrographic-surgery-and-staged-excision-decreases-local-recurrence-rates-for-invasive-cutaneous-melanoma-a-systematic-review-and-meta-analysis
#25
JOURNAL ARTICLE
Keegan O'Hern, Olivia M Crum, Addison M Demer, Jerry D Brewer
BACKGROUND: Mohs micrographic surgery (MMS) is increasingly used to treat cutaneous melanoma. However, it is unclear whether intraoperative immunohistochemistry (IHC) improves surgical outcomes. OBJECTIVE: To determine whether intraoperative IHC during MMS and staged excision is associated with a decreased risk of poor surgical outcomes. MATERIALS AND METHODS: Search of 6 databases identified comparative and noncomparative studies that reported local recurrence after MMS or staged excision with or without IHC for melanoma...
March 26, 2024: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://read.qxmd.com/read/38530971/thorax-support-vest-to-prevent-sternal-wound-infections-in-cardiac-surgery-patients-a-systematic-review-and-meta-analysis
#26
JOURNAL ARTICLE
Tulio Caldonazo, Michele Dell'Aquila, Gianmarco Cancelli, Lamia Harik, Giovanni Soletti, Johannes Fischer, Hristo Kirov, Mohamed Rahouma, Mudathir Ibrahim, Michelle Demetres, Kevin R An, Leonard Girardi, Torsten Doenst, Mario Gaudino
OBJECTIVES: Midline sternotomy is the main surgical access for cardiac surgeries. The most prominent complication of sternotomy is sternal wound infection (SWI). The use of a thorax support vest (TSV) that limits thorax movement and ensures sternal stability has been suggested to prevent postoperative SWI. We performed a meta-analysis to evaluate differences in clinical outcomes with and without the use of TSV after cardiac surgery in randomized trials. METHODS: The primary outcome was deep SWI (DSWI)...
March 26, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38530529/impact-of-the-covid-19-pandemic-on-the-outcomes-of-patients-undergoing-oncological-surgeries-coronal-study
#27
JOURNAL ARTICLE
Felipe Souza Lima Vianna, Laura Leonardi Neves, Renato Testa, Antônio Paulo Nassar, João Henrique Ferdinando Peres, Rafael Ávila Justino da Silva, Fernanda de Paula Sales, Dante Raglione, Bruno Del Bianco Madureira, Luiz Dalfior, Luiz Marcelo Sá Malbouisson, Ulysses Ribeiro, João Manoel da Silva
BACKGROUND: The impact of coronavirus disease 2019 (COVID-19) on postoperative recovery from oncology surgeries should be understood for the clinical decision-making. Therefore, this study was designed to evaluate the postoperative cumulative 28-day mortality and the morbidity of surgical oncology patients during the COVID-19 pandemic. METHODS: This retrospective cohort study included patients consecutively admitted to intensive care units (ICU) of three centres for postoperative care of oncologic surgeries between March to June 2019 (first phase) and March to June 2020 (second phase)...
March 26, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38530527/influence-of-neoadjuvant-immunotherapy-chemotherapy-on-perioperative-outcomes-in-locally-advanced-esophageal-adenocarcinoma
#28
JOURNAL ARTICLE
Yehonatan Nevo, James Tankel, Hedi Zhao, Jaime Ramirez, Jonathan Cools-Lartigue, Carmen Muller, Thierry Alcindor, Lorenzo Ferri
BACKGROUND: This study evaluated the perioperative outcomes for patients who had locally advanced esophageal adenocarcinoma (EAC) treated with neoadjuvant immunotherapy (IO) and chemotherapy versus a matched cohort of patients who received neoadjuvant chemotherapy (NAC) alone. METHODS: A single-center non-randomized phase 2 trial was undertaken with locally advanced (cT3-4 and/or N+) EAC, and 49 patients completed neoadjuvant avelumab + docetaxel, cisplatin, 5FU (DCF) and esophagectomy between February 2018 and February 2020...
March 26, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38530401/long-term-mesh-exposure-5-years-following-minimally-invasive-total-hysterectomy-and-sacrocolpopexy
#29
JOURNAL ARTICLE
C Emi Bretschneider, Erinn R Myers, Elizabeth J Geller, Kimberly S Kenton, Barbara R Henley, Catherine A Matthews
INTRODUCTION AND HYPOTHESIS: The objective was to assess long-term mesh complications following total hysterectomy and sacrocolpopexy. METHODS: In this second extension study, women from a multicenter randomized trial were followed for more than 36 months after surgery. Owing to COVID-19, participants were assessed through either in-person visits or telephone questionnaires. The primary outcome was the incidence of permanent suture or mesh exposure. Secondary outcomes included surgical success and late adverse outcomes...
March 26, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38530360/microdrill-versus-diode-laser-in-endoscopic-stapedotomy-a-comparative-study
#30
JOURNAL ARTICLE
Dan Wang, Fan Peng, Nina Lin, Wuqing Wang
BACKGROUND: Microdrill and diode laser are two different methods used in endoscopic stapedotomy for otosclerosis. These two methods have not been compared in endoscopic stapedotomy. AIMS/OBJECTIVES: To analyze the differences between microdrill and diode laser in endoscopic stapedotomy for otosclerosis. MATERIALS AND METHODS: This is a randomized clinical trial; patients with otosclerosis were randomly divided into microdrill group (group A: n = 69) and diode laser group (group B: n = 62)...
March 26, 2024: Otology & Neurotology
https://read.qxmd.com/read/38530261/effect-of-early-vs-late-inguinal-hernia-repair-on-serious-adverse-event-rates-in-preterm-infants-a-randomized-clinical-trial
#31
JOURNAL ARTICLE
Martin L Blakely, Andrea Krzyzaniak, Melvin S Dassinger, Claudia Pedroza, Jorn-Hendrik Weitkamp, Ankush Gosain, Michael Cotten, Susan R Hintz, Henry Rice, Sherry E Courtney, Kevin P Lally, Namasivayam Ambalavanan, Catherine M Bendel, Kim Chi T Bui, Casey Calkins, Nicole M Chandler, Roshni Dasgupta, Jonathan M Davis, Katherine Deans, Daniel A DeUgarte, Jeffrey Gander, Carl-Christian A Jackson, Martin Keszler, Karen Kling, Stephen J Fenton, Kimberley A Fisher, Tyler Hartman, Eunice Y Huang, Saleem Islam, Frances Koch, Shabnam Lainwala, Aaron Lesher, Monica Lopez, Meghna Misra, Jamie Overbey, Brenda Poindexter, Robert Russell, Steven Stylianos, Douglas Y Tamura, Bradley A Yoder, Donald Lucas, Donald Shaul, P Ben Ham, Colleen Fitzpatrick, Kara Calkins, Aaron Garrison, Diomel de la Cruz, Shahab Abdessalam, Charlotte Kvasnovsky, Bradley J Segura, Joel Shilyansky, Lynne M Smith, Jon E Tyson
IMPORTANCE: Inguinal hernia repair in preterm infants is common and is associated with considerable morbidity. Whether the inguinal hernia should be repaired prior to or after discharge from the neonatal intensive care unit is controversial. OBJECTIVE: To evaluate the safety of early vs late surgical repair for preterm infants with an inguinal hernia. DESIGN, SETTING, AND PARTICIPANTS: A multicenter randomized clinical trial including preterm infants with inguinal hernia diagnosed during initial hospitalization was conducted between September 2013 and April 2021 at 39 US hospitals...
March 26, 2024: JAMA
https://read.qxmd.com/read/38530232/patient-preferences-and-their-effects-on-rehabilitation-outcomes-a-secondary-analysis-of-a-randomized-controlled-trial
#32
JOURNAL ARTICLE
Nikolaj Agger, Jim Nørgaard Bøjstrup, David Høyrup Christiansen
OBJECTIVE: To assess the effect of aligning patients' preferences with specific rehabilitation delivery modes on rehabilitation outcomes. DESIGN: A secondary analysis of a randomized controlled trial (RCT). METHODS: The study cohort comprised 208 patients referred for physiotherapy rehabilitation after non-surgical or surgical interventions for rotator cuff injury, shoulder impingement, or acromioclavicular osteoarthritis. Participants were randomly assigned to one of three rehabilitation modalities: 1) group-based exercise, 2) individual exercise, or 3) home exercise...
March 26, 2024: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/38529814/stroke-prevention-strategies-for-cardiac-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#33
REVIEW
Khi Yung Fong, Selvie Yeo, Haidong Luo, Theodoros Kofidis, Kristine L K Teoh, Giap Swee Kang
BACKGROUND: Stroke is a much-feared complication of cardiac surgery, but existing literature on preventive strategies is fragmented. Hence, a systematic review and meta-analysis of stroke prevention strategies for cardiac surgery was conducted. METHODS: An electronic literature search was conducted to retrieve randomized controlled trials (RCTs) investigating perioperative interventions for cardiac surgery, with stroke as an outcome. Random-effects meta-analyses were conducted to generate risk ratios (RRs), 95% confidence intervals (95% CI), and forest plots...
March 26, 2024: ANZ Journal of Surgery
https://read.qxmd.com/read/38529664/strategies-for-co-2-laser-use-in-laryngeal-microsurgery-a-systematic-review
#34
REVIEW
Vivianne Landry, Ève Sedillot-Daniel, Tareck Ayad, Andrée-Anne Leclerc
OBJECTIVE: We aim to systematically review the literature addressing perioperative practices for optimal use of the CO2 laser in laryngeal transoral laser microsurgery (TOLMS), with a focus on safety. DATA SOURCES: A systematic review of publications indexed in Medline, Embase, and EBM reviews-Cochrane Central Register of Controlled Trials which evaluated perioperative strategies for the use of CO2 laser in laryngeal TOLMS was conducted. REVIEW METHODS: Records obtained from the search strategy were assessed for eligibility in a 2-step process by 2 independent researchers using the Covidence software...
March 26, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38529422/advancements-in-mitraclip-intervention-for-mitral-regurgitation-a-comprehensive-review-and-comparative-analysis-of-clinical-trials
#35
REVIEW
Shitij Shrivastava, Shashwat Shrivastava, Sai Vishnu Vardhan Allu, Patrik Schmidt, Moiud Mohyeldin, Abeer Qasim
This comprehensive review explores the evolution and clinical impact of MitraClip intervention in the management of mitral regurgitation. Mitral regurgitation results from dysfunction in the mitral valve (MV) apparatus. The MitraClip Clip Delivery System was approved by the Food and Drug Administration (FDA) in 2013. The discussion delves into the procedural foundation of MitraClip intervention, primarily based on Alfieri's technique of edge-to-edge leaflet approximation. As highlighted by key clinical trials, including Endovascular Valve Edge-to-Edge Repair (EVEREST) II Trial, Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients with Functional Mitral Regurgitation (COAPT) Trial, and Percutaneous Repair with the MitraClip Device for Severe Functional/Secondary Mitral Regurgitation (MITRA-FR) trial, the efficacy and safety of MitraClip were evaluated in comparison to surgical interventions and guideline-directed medical therapy...
February 2024: Curēus
https://read.qxmd.com/read/38528847/hyperbaric-oxygen-therapy-for-diabetic-foot-ulcers-based-on-wagner-grading-a-systematic-review-and-meta-analysis
#36
JOURNAL ARTICLE
Mendy Hatibie Oley, Maximillian Christian Oley, Billy Johnson Kepel, Muhammad Faruk, Angelica Maurene Joicetine Wagiu, Irawan Sukarno, Marcella Tirsa Tulong, Vania Sukarno
BACKGROUND: Diabetic foot ulcers (DFUs) are common complications of uncontrolled diabetes mellitus that can result in infection and amputation of the lower extremities. This study compared the benefits and risks of hyperbaric oxygen therapy with those of other DFU treatments, based on the Wagner grading system. METHODS: Systematic searches for randomly controlled trials using hyperbaric oxygen therapy for DFUs were performed using PubMed, the Cochrane Library, and Embase...
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38528520/cost-utility-analysis-of-tavi-compared-with-surgery-in-patients-with-severe-aortic-stenosis-at-low-risk-of-surgical-mortality-in-the-netherlands
#37
JOURNAL ARTICLE
Rob Eerdekens, Suzanne Kats, Janneke Pc Grutters, Michelle Green, Judith Shore, Pascal Candolfi, Wija Oortwijn, Pim Van Der Harst, Pim Tonino
BACKGROUND: There is growing evidence to support the benefits of transcatheter aortic valve implantation (TAVI) over surgical aortic valve replacement (SAVR) in patients with symptomatic severe aortic stenosis (sSAS) who are at high- or intermediate-risk of surgical mortality. The PARTNER 3 trial showed clinical benefits with SAPIEN 3 TAVI compared with SAVR in patients at low risk of surgical mortality. Whether TAVI is also cost-effective compared with SAVR for low-risk patients in the Dutch healthcare system remains uncertain...
March 26, 2024: Cost Effectiveness and Resource Allocation: C/E
https://read.qxmd.com/read/38528474/reproductive-factors-and-subsequent-pregnancy-outcomes-in-patients-with-prior-pregnancy-loss
#38
JOURNAL ARTICLE
Xin Yang, Fangxiang Mu, Jian Zhang, Liwei Yuan, Wei Zhang, Yanting Yang, Fang Wang
BACKGROUND: At present, individualized interventions can be given to patients with a clear etiology of pregnancy loss to improve the subsequent pregnancy outcomes, but the current reproductive status of the patient cannot be changed. The aim of this study was to investigate the association between female reproductive status and subsequence pregnancy outcome in patients with prior pregnancy loss (PL). METHODS: A prospective, dynamic population cohort study was carried out at the Second Hospital of Lanzhou University...
March 25, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38528264/two-lung-ventilation-with-artificial-pneumothorax-on-cerebral-desaturation-and-early-postoperative-cognitive-outcome-a-randomized-controlled-trial
#39
JOURNAL ARTICLE
Lihua Lei, Yanlin Wu, Wencong Chen, Min Chen, Qiaoping Liu, Wenshu Chen, Qun Lin
BACKGROUND: The effect of two lung ventilation (TLV) with carbon dioxide artificial pneumothorax on cerebral desaturation and postoperative neurocognitive changes in elderly patients undergoing elective minimally invasive esophagectomy (MIE) is unclear. OBJECTIVES: The first aim of this study was to compare the effect of TLV and one lung ventilation (OLV) on cerebral desaturation. The second aim was to assess changes in early postoperative cognitive outcomes of two ventilation methods...
March 25, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38528261/the-evidence-behind-robot-assisted-abdominopelvic-surgery-a-meta-analysis-of-randomized-controlled-trials
#40
REVIEW
Jae Hwan Choi, Abdul-Rahman Diab, Katherine Tsay, Davis Kuruvilla, Samer Ganam, Adham Saad, Salvatore Docimo, Joseph A Sujka, Christopher G DuCoin
BACKGROUND: Despite recent advancements, the advantage of robotic surgery over other traditional modalities still harbors academic inquiries. We seek to take a recently published high-profile narrative systematic review regarding robotic surgery and add meta-analytic tools to identify further benefits of robotic surgery. METHODS: Data from the published systematic review were extracted and meta-analysis were performed. A fixed-effect model was used when heterogeneity was not significant (Chi2 p ≥ 0...
March 25, 2024: Surgical Endoscopy
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