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Surgery Review

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https://www.readbyqxmd.com/read/28829911/chemoradiotherapy-versus-chemoradiotherapy-plus-surgery-for-esophageal-cancer
#1
REVIEW
Balamurugan A Vellayappan, Yu Yang Soon, Geoffrey Y Ku, Cheng Nang Leong, Jiade J Lu, Jeremy Cs Tey
BACKGROUND: Please see Appendix 4 for a glossary of terms.The outcome of patients with esophageal cancer is generally poor. Although multimodal therapy is standard, there is conflicting evidence regarding the addition of esophagectomy to chemoradiotherapy. OBJECTIVES: To compare the effectiveness and safety of chemoradiotherapy plus surgery with that of chemoradiotherapy alone in people with nonmetastatic esophageal carcinoma. SEARCH METHODS: We performed a computerized search for relevant studies, up to Feburary 2017, on the CENTRAL, MEDLINE, and Embase databases using MeSH headings and keywords...
August 22, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28829367/past-present-and-future-of-surgical-meshes-a-review
#2
REVIEW
Karen Baylón, Perla Rodríguez-Camarillo, Alex Elías-Zúñiga, Jose Antonio Díaz-Elizondo, Robert Gilkerson, Karen Lozano
Surgical meshes, in particular those used to repair hernias, have been in use since 1891. Since then, research in the area has expanded, given the vast number of post-surgery complications such as infection, fibrosis, adhesions, mesh rejection, and hernia recurrence. Researchers have focused on the analysis and implementation of a wide range of materials: meshes with different fiber size and porosity, a variety of manufacturing methods, and certainly a variety of surgical and implantation procedures. Currently, surface modification methods and development of nanofiber based systems are actively being explored as areas of opportunity to retain material strength and increase biocompatibility of available meshes...
August 22, 2017: Membranes
https://www.readbyqxmd.com/read/28829224/the-mmpi-2-mmpi-2-rf-symptom-validity-scale-fbs-fbs-r-is-not-a-measure-of-litigation-response-syndrome-commentary-on-nichols-and-gass-2015
#3
Glenn J Larrabee, Kevin J Bianchini, Kyle B Boone, Martin L Rohling
OBJECTIVES: To address (1) Whether there is empirical evidence for the contention of Nichols and Gass that the MMPI-2/MMPI-2-RF FBS/FBS-r Symptom Validity Scale is a measure of Litigation Response Syndrome (LRS), representing a credible set of responses and reactions of claimants to the experience of being in litigation, rather than a measure of non-credible symptom report, as the scale is typically used; and (2) to address their stated concerns about the validity of FBS/FBS-r meta-analytic results, and the risk of false positive elevations in persons with bona-fide medical conditions...
August 22, 2017: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/28829221/enhanced-recovery-after-surgery-in-laparoscopic-surgery
#4
Kay B Leissner, Jessica L Shanahan, Peter L Bekker, Houman Amirfarzan
BACKGROUND: As part of an effort to maximize value in the perioperative setting, a paradigm shift is underway in the way that patients are cared for preoperatively, on the day of surgery, and postoperatively-a setting collectively known as the perioperative care. Enhanced Recovery After Surgery (ERAS(®)) is an evidence-based, patient-centered team approach to delivering high-quality perioperative care to surgical patients. METHODS: This review focuses on anesthesiologists, with their unique purview of perioperative setting, who are important drivers of change in the delivery of valuable perioperative care...
August 22, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28828922/preoperative-counseling-in-salvage-total-laryngectomy-content-analysis-of-electronic-medical-records
#5
Nikhila Raol, Elizabeth Lilley, Zara Cooper, Jayme Dowdall, Megan A Morris
Objective To study preoperative counseling in patients undergoing salvage total laryngectomy (STL). Study Design Case series with chart review. Setting Tertiary care academic hospital. Subjects and Methods We reviewed charts of patients ≥18 years undergoing STL between 2005 and 2015. Fifty-eight patients were identified. Notes written within 2 months prior to surgery by head and neck surgical oncologists, radiation oncologists, medical oncologists, speech-language pathologists, social workers, and nurse practitioners were extracted and coded into 4 categories...
August 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28828920/data-quality-in-the-swedish-quality-register-of-gynecologic-cancer-a-swedish-gynecologic-cancer-group-swegcg-study
#6
Per Rosenberg, Preben Kjølhede, Christian Staf, Maria Bjurberg, Christer Borgfeldt, Pernilla Dahm-Kähler, Kristina Hellman, Elisabet Hjerpe, Erik Holmberg, Karin Stålberg, Bengt Tholander, Elisabeth Åvall Lundqvist, Thomas Högberg
AIM: The aim of this study is to evaluate the quality of data on endometrial (EC) and ovarian, fallopian tube, peritoneal, abdominal or pelvic cancers (OC) registered in the Swedish Quality Register of Gynecologic Cancer (SQRGC). METHOD: A random sample of 500 patients was identified in the SQRGC and their medical charts were reviewed for re-abstraction of 31 selected core variables by an independent validator. The data in the SQRGC and the re-abstracted data were compared...
August 22, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28828917/the-scratch-collapse-test-in-the-diagnosis-of-compression-of-the-median-nerve-in-the-proximal-forearm
#7
Isidro Jiménez, Pedro J Delgado
Our purpose was to review the clinical usefulness of the scratch collapse test (SCT) in the diagnosis of proximal entrapment of the median nerve in the forearm. Eighteen consecutive cases were reviewed. The diagnosis was based on the patient's symptoms and signs. The SCT was positive in the affected forearm in all clinical assessments before surgery and it was negative in all after median nerve release. An anatomical reason for nerve compression was identified in all cases at operation. The SCT is a useful tool for the diagnosis of the proximal entrapment of the median nerve...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28828911/cost-effectiveness-of-gene-expression-classifier-testing-of-indeterminate-thyroid-nodules-utilizing-a-real-cohort-comparator
#8
Scott Shapiro, Majed Pharaon, Brian Kellermeyer
Objective To predict the cost-effectiveness of implementing routine gene expression classifier testing for thyroid nodules with indeterminate fine-needle aspiration cytology, by utilizing a real cohort of patients as a comparator. Study Design Cost-effectiveness analysis of a retrospective cohort compared with a simulated cohort. Setting Tertiary academic medical center. Subjects and Methods We reviewed the records of all patients who underwent ultrasound-guided fine-needle aspiration from 2010 to 2014 at a tertiary academic medical center...
August 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28828761/coblation-versus-other-surgical-techniques-for-tonsillectomy
#9
REVIEW
Melissa Pynnonen, Jennifer V Brinkmeier, Marc C Thorne, Lee Yee Chong, Martin J Burton
BACKGROUND: Tonsillectomy is a very common operation and is performed using various surgical methods. Coblation is a popular method because it purportedly causes less pain than other surgical methods. However, the superiority of coblation is unproven. OBJECTIVES: To compare the effects of coblation tonsillectomy for chronic tonsillitis or tonsillar hypertrophy with other surgical techniques, both hot and cold, on intraoperative morbidity, postoperative morbidity and procedural cost...
August 22, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28828758/open-versus-closed-surgical-exposure-of-canine-teeth-that-are-displaced-in-the-roof-of-the-mouth
#10
REVIEW
Nicola Parkin, Philip E Benson, Bikram Thind, Anwar Shah, Ismail Khalil, Saiba Ghafoor
BACKGROUND: Palatally displaced canines or PDCs are upper permanent canines, commonly known as 'eye' teeth, that are displaced in the roof of the mouth. This can leave unsightly gaps, cause damage to the surrounding roots (which can be so severe that neighbouring teeth are lost or have to be removed) and, occasionally, result in the development of cysts. PDCs are a frequent dental anomaly, present in 2% to 3% of young people.Management of this problem is both time consuming and expensive...
August 21, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28828746/clinical-safety-of-renaming-encapsulated-follicular-variant-of-papillary-thyroid-carcinoma-is-niftp-truly-benign
#11
David N Parente, Wouter P Kluijfhout, Pim J Bongers, Raoul Verzijl, Karen M Devon, Lorne E Rotstein, David P Goldstein, Sylvia L Asa, Ozgur Mete, Jesse D Pasternak
BACKGROUND: Renaming encapsulated follicular variant of papillary thyroid carcinoma (EFVPTC) to noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) was recently suggested to prevent the overtreatment, cost and stigma associated with this low-risk entity. The purpose of this study is to document the incidence and further assess the clinical outcomes of reclassifying EFVPTC to NIFTP. METHODS: We searched synoptic pathologic reports from a high-volume academic endocrine surgery hospital from 2004 to 2013...
August 21, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28828722/the-changing-sella-internal-carotid-artery-shift-during-transsphenoidal-pituitary-surgery
#12
Carlo Serra, Nicolai Maldaner, Giovanni Muscas, Victor Staartjes, Athina Pangalu, David Holzmann, Michael Soyka, Christoph Schmid, Luca Regli
PURPOSE: Injuries to the internal carotid artery (ICA) are potentially lethal complications in transsphenoidal surgery (TSS) for pituitary lesions. The intercarotid distance (ICD) is thus a major parameter, determining the width of the surgical corridor in TSS. The purpose of the study is to investigate changes in ICD at different levels of the ICA during and after TSS using high definition intraoperative MRI (3T-iMRI). METHODS: Pre-, intra- and 3 months postoperative MRI images of 85 TSS patients were reviewed...
August 21, 2017: Pituitary
https://www.readbyqxmd.com/read/28828690/kidney-autotransplantation-long-term-outcomes-and-complications-experience-in-a-tertiary-hospital-and-literature-review
#13
Mercedes Ruiz, Vital Hevia, Jose-Javier Fabuel, Alvaro-Amancio Fernández, Victoria Gómez, Francisco-Javier Burgos
OBJECTIVE: To analyze indications, surgical technique, complications and long-term outcomes of kidney autotransplantation (KAT) after 26-year experience at a single institution. MATERIALS AND METHODS: A retrospective observational study of patients who underwent KAT at our institution (January 1990-December 2016) was carried out. Data collected included indications, surgical technique, complications (Clavien-Dindo), hospital stay and long-term outcomes. Literature review was performed through MEDLINE and ClinicalKey databases including "kidney," "renal," "autotransplantation" and "autograft...
August 21, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28828583/incorporation-of-treatment-response-tumor-grade-and-receptor-status-improves-staging-quality-in-breast-cancer-patients-treated-with-neoadjuvant-chemotherapy
#14
John R Bergquist, Brittany L Murphy, Curtis B Storlie, Elizabeth B Habermann, Judy C Boughey
BACKGROUND: Improved staging systems that better predict survival for breast cancer patients who receive neoadjuvant chemotherapy (NAC) by accounting for clinical pathological stage plus estrogen receptor (ER) and grade (CPS+EG) and ERBB2 status (Neo-Bioscore) have been proposed. We sought to evaluate the generalizability and performance of these staging systems in a national cohort. METHODS: The National Cancer Database (2006-2012) was reviewed for patients with breast cancer who received NAC and survived ≥90 days after surgery...
August 21, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28828569/a-review-of-recent-advances-in-data-analytics-for-post-operative-patient-deterioration-detection
#15
REVIEW
Clemence Petit, Rick Bezemer, Louis Atallah
Most deaths occurring due to a surgical intervention happen postoperatively rather than during surgery. The current standard of care in many hospitals cannot fully cope with detecting and addressing post-surgical deterioration in time. For millions of patients, this deterioration is left unnoticed, leading to increased mortality and morbidity. Postoperative deterioration detection currently relies on general scores that are not fully able to cater for the complex post-operative physiology of surgical patients...
August 21, 2017: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/28828527/pancreaticoduodenectomy-with-venous-resection-and-reconstruction-current-surgical-techniques-and-associated-postoperative-imaging-findings
#16
Ammar A Javed, Karen Bleich, Fabio Bagante, Jin He, Matthew J Weiss, Christopher L Wolfgang, Elliot K Fishman
PURPOSE: Introduction of effective neoadjuvant therapy for pancreas cancer has resulted in complex and aggressive operations involving vasculature resection. This results in complicated postoperative CT appearance of vasculature, which in addition to high rate of recurrence makes interpretation of imaging difficult. The aim of this study was to identify patterns of postoperative appearance of portal vein-superior mesenteric vein complex (PV-SMV). METHODS: A retrospective study was conducted on patients undergoing pancreaticoduodenectomy with PV-SMV resection and reconstruction (PVR) between 2004 and 2014...
August 21, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28828341/a-review-of-salivary-biomarker-a-tool-for-early-oral-cancer-diagnosis
#17
REVIEW
Shikha Saxena, Bharat Sankhla, Krishna Sireesha Sundaragiri, Akshay Bhargava
The oral squamous cell carcinoma (OSCC) is one of the most common epithelial malignancies with significant morbidity and mortality. Recent observations indicate that the clinical and histological appearance of oral mucosa may not truly depict the damage occurring at the genetic level. This phenotypic and genotypic disparity may account in part for the failure to establish effective screening and surveillance protocols, based on the traditional clinical and microscopic examination. The tumor markers are playing an increasingly important role in cancer detection and management...
2017: Advanced Biomedical Research
https://www.readbyqxmd.com/read/28828299/immunomodulatory-effects-of-anesthetics-in-obese-patients
#18
REVIEW
Luciana Boavista Barros Heil, Pedro Leme Silva, Paolo Pelosi, Patricia Rieken Macedo Rocco
Anesthesia and surgery have an impact on inflammatory responses, which influences perioperative homeostasis. Inhalational and intravenous anesthesia can alter immune-system homeostasis through multiple processes that include activation of immune cells (such as monocytes, neutrophils, and specific tissue macrophages) with release of pro- or anti-inflammatory interleukins, upregulation of cell adhesion molecules, and overproduction of oxidative radicals. The response depends on the timing of anesthesia, anesthetic agents used, and mechanisms involved in the development of inflammation or immunosuppression...
August 4, 2017: World Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28828180/multi-level-spine-endoscopy-a-review-of-available-evidence-and-case-report
#19
Scott D Middleton, Ralf Wagner, J N Alastair Gibson
In the last ten years, there has been an exponential increase in endoscopic spinal surgery practice.With improvements in equipment quality and the availability of high definition camera systems, cervical endoscopic disc resection is now a viable alternative to anterior cervical decompression and fusion (ACDF) or disc arthroplasty for the treatment of disc prolapse and low grade stenosis.Based on the current literature, there is now strong evidence to support the use of transforaminal endoscopic approaches for the treatment of thoracic disc prolapse...
July 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28828162/the-application-of-diode-laser-in-the-treatment-of-oral-soft-tissues-lesions-a-literature-review
#20
REVIEW
Daniel Ortega-Concepción, Jorge A Cano-Durán, Juan-Francisco Peña-Cardelles, Víctor-Manuel Paredes-Rodríguez, José González-Serrano, Juan López-Quiles
BACKGROUND: Since its appearance in the dental area, the laser has become a treatment of choice in the removal of lesions in the oral soft tissues, due to the numerous advantages they offer, being one of the most used currently the diode laser. The aim of this review was to determine the efficacy and predictability of diode laser as a treatment of soft tissue injuries compared to other surgical methods. MATERIAL AND METHODS: A literature review of articles published in PubMed/MEDLINE, Scopus and the Cochrane Library databases between 2007 and 2017 was performed...
July 2017: Journal of Clinical and Experimental Dentistry
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