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https://www.readbyqxmd.com/read/30341471/laparoscopic-hepatectomy-versus-open-hepatectomy-for-the-management-of-hepatocellular-carcinoma-a-comparative-study-using-a-propensity-score-matching
#1
Xavier Untereiner, Audrey Cagniet, Riccardo Memeo, Zineb Cherkaoui, Tullio Piardi, François Severac, Didier Mutter, Reza Kianmanesh, Taiga Wakabayashi, Daniele Sommacale, Patrick Pessaux
OBJECTIVES: The aim of this study was to compare the results between laparoscopic hepatectomy and open hepatectomy in two French university hospitals, for the management of hepatocellular carcinoma (HCC) using a propensity score matching. MATERIALS AND METHODS: A patient in the laparoscopic surgery group (LA) was randomly matched with another patient in the open approach group (OA) using a 1:1 allocated ratio with the nearest estimated propensity score. Matching criteria included age, presence of comorbidities, American Society of Anesthesiologists score, and resection type (major or minor)...
October 19, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/30340710/correction-of-lower-eyelid-retraction-with-hard-palate-graft-in-the-anophthalmic-socket
#2
Jingwen Ding, Xuan Ma, Yue Xin, Dongmei Li
OBJECTIVE: Lower eyelid retraction is a common and challenging complication of the anophthalmic socket. The underlying pathophysiology includes contraction of the posterior lamellae of the eyelid, shortening of the inferior fornix, and lateral canthal tendon laxity. This study aimed to evaluate the surgical efficacy of hard palate mucosa as a posterior spacer graft in the lower eyelid retraction repair in the anophthalmic socket. METHODS: The surgical technique involved hard palate grafting combined with recession of inferior retractors and lateral tarsal strip suspension to lengthen the posterior lamellar and strengthen the support of the lower eyelid...
October 2018: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/30339263/progression-to-surgery-for-patients-with-idiopathic-epiretinal-membranes-and-good-vision
#3
Xuejing Chen, Kendra A Klein, Chirag P Shah, Jeffery S Heier
BACKROUND AND OBJECTIVE: Patients with idiopathic epiretinal membranes (ERMs) and visual acuity of 20/40 or better are often monitored until vision or associated symptoms worsen to affect everyday living. This study looks at the rate of progression to surgery and the characteristics associated with progression. PATIENTS AND METHODS: This study was a retrospective, consecutive case series of patients with newly diagnosed idiopathic ERMs who were referred to the Retina Service at the Ophthalmic Consultants of Boston between January 2009 and May 2015 with 20/40 or better visual acuity...
October 15, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
https://www.readbyqxmd.com/read/30338480/high-prevalence-of-adrenal-insufficiency-at-diagnosis-and-headache-recovery-in-surgically-resected-rathke-s-cleft-cysts-a-large-retrospective-single-center-study
#4
Fabienne Langlois, Anamaria Manea, Dawn Shao Ting Lim, Shirley McCartney, Christine G Yedinak, Justin S Cetas, Maria Fleseriu
BACKGROUND: Rathke's cleft cysts (RCC) are lesions that arise from Rathke's pouch. Though frequently incidental, resulting symptoms in a minority of cases are indicators for surgical resection, which may prove beneficial. OBJECTIVE: To characterize a cohort of surgically-resected RCC cases at Oregon Health & Science University; tabulate associated hormonal imbalances and symptoms, possible symptom reversal with surgery, determine recurrence risk; identify predictors of recurrence and headache improvement...
October 18, 2018: Endocrine
https://www.readbyqxmd.com/read/30337979/intralesional-neodymium-yag-laser-to-treat-complications-of-polymethylmethacrylate
#5
Alberto Goldman, Uwe Wollina
BACKGROUND: Dermal fillers are widely used for facial and body contouring. Polymethylmethacrylate (PMMA) is a permanent biphasic filler for soft tissue augmentation. In case of unwanted side effects, drug therapy and surgical excision have been commonly used with mixed results. AIM: We report on a series of patients with adverse events to PMMA and an innovative minor invasive procedure to reduce disfigurement by nodules and lumps. METHODS: We employed a subdermal, intralesional 1,064 nm neodymium-doped yttrium aluminium garnet (Nd: YAG) laser in combination with suction using a blunt liposuction cannula of 2...
September 25, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/30337136/-trans-vocal-cord-prostheses-preliminary-experience-treating-benign-laryngotracheal-stenosis-in-adults
#6
V Bourinet, K Thiam, J Guinde, S Laroumagne, H Dutau, P Astoul
INTRODUCTION: Benign laryngotracheal stenosis is a rare pathology with multiple etiologies, the management of which is complex. This is because of the configuration and proximity of the larynx and the difficulty with surgical approaches, which are potentially mutilating, especially for the management of a benign disease. When surgery is challenging, iterative dilatations of the stricture or the fashioning of a definitive tracheotomy are therapeutic alternatives. Advances in rigid bronchoscopy and the evolution of prosthetic silicone material allow a new approach in the management of benign laryngotracheal stenosis, by placing flexible silicone prostheses which cover all the stenosis from the arytenoids to the trachea...
October 15, 2018: Revue des Maladies Respiratoires
https://www.readbyqxmd.com/read/30334756/assessment-of-mechanical-properties-of-tissue-in-breast-cancer-related-lymphedema-using-ultrasound-elastography
#7
Hoda S Hashemi, Stefanie Fallone, Mathieu Boily, Anna Towers, Robert D Kilgour, Hassan Rivaz
Breast cancer-related lymphedema (BCRL) is a consequence of a malfunctioning lymphatic drainage system resulting from surgery or some other form of treatment. In the initial stages, minor and reversible increases in fluid volume of the arm are evident. As the stages progress over time, the underlying pathophysiology dramatically changes with an irreversible increase in arm volume most likely due to a chronic local inflammation leading to adipose tissue hypertrophy and fibrosis. Clinicians have subjective ways to stage the degree and severity such as the pitting test which entails manually comparing the elasticity of the affected and unaffected arms...
October 15, 2018: IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control
https://www.readbyqxmd.com/read/30333464/a-three-year-experience-with-medial-pedicle-based-breast-reduction-for-different-mammary-hypertrophy
#8
Michele Pio Grieco, Nicolò Bertozzi, Eugenio Grignaffini, Edoardo Raposio
BACKGROUND AND AIM: The aim of breast reduction is to reduce excessive breast volume, ensuring an adequate vascular supply and sensitivity of the nipple-areola complex, as well as to produce an aesthetically pleasing final shape. The authors report on their experience with medial-pedicle-based breast reduction combined with both vertical and inverted-T skin resection patterns for different types of breast hypertrophy. METHODS: From January 2012 to June 2015, 27 female patients (mean age: 49 years) underwent reduction mammoplasty with the medial pedicle technique...
October 8, 2018: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/30327982/a-preliminary-study-on-plasma-concentration-achieved-following-intrapterygomandibular-space-injection-of-dexamethasone-as-a-route-of-drug-delivery-with-lignocaine-inferior-alveolar-nerve-block-correlation-of-clinical-effects
#9
Darpan Bhargava, Rajkumar Ahirwal, Ganesh Koneru, Balaji R Srikanth, Sivakumar Beena
PURPOSE: To determine the quantity of dexamethasone plasma concentration achieved following intrapterygomandibular space injection of dexamethasone when co-administered with inferior alveolar nerve block correlating with the clinical effects in the postoperative phase. OBJECTIVE: A preliminary prospective study to evaluate the dexamethasone plasma concentration achieved following intrapterygomandibular space injection of dexamethasone with 2% lignocaine inferior alveolar nerve block to achieve hemi-mandibular anesthesia for minor oral surgical procedures and derive clinical correlations...
October 16, 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30327923/quantitative-analysis-of-individual-cell-free-dna-concentration-before-and-after-penetrating-trauma
#10
Katrin Brodbeck, Stefanie Kern, Sylvia Schick, Arnd Steinbrück, Michael Schwerer, Birgit Bayer, Katja Anslinger, Steffen Peldschus
INTRODUCTION: Cell-free DNA (cfDNA) elevations were remarked in the blood of trauma patients. Published increases refer to comparative values of a healthy control group, ignoring thereby inter- and intra-individual differences under normal conditions. The aim of this study was to quantify cfDNA in patients in the time course of a planned orthopedic surgery, which constitutes the advantage of obtaining individual pre- and post-trauma values for each patient. By this approach, a basis should be established for the potential future application of cfDNA as biomarker for the detection of mild injuries related to volunteer experiments in forensic biomechanics...
October 16, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/30327746/successfully-treated-traumatic-dislocation-of-a-thoracic-vertebra-caused-by-minor-trauma-in-a-patient-with-neurofibromatosis-type-i-a-case-report-and-literature-review
#11
Homare Nakamura, Tadashi Kudo, Hiroo Kobayashi, Yoshio Taguchi
The authors reported a rare case of young women with neurofibromatosis type I (NF-I) who were successfully treated from the traumatic dislocation of a thoracic vertebra caused by a simple fall, and the relevant literature was reviewed. Due to various spinal dystrophic changes, the conventional posterior spinal fusion surgery was modified for the treatment. Spinal deformity is a common feature of NF-1, and a dystrophic lesion, like dural ectasia, provokes weakness in spinal structural. Unexpectedly, only seven similar cases were found...
October 2018: NMC Case Report Journal
https://www.readbyqxmd.com/read/30326589/fatty-acid-composition-in-various-types-of-cardiac-adipose-tissues-and-its-relation-to-the-fatty-acid-content-of-atrial-tissue
#12
Katrin Hjelmgaard, Rikke B Eschen, Erik B Schmidt, Jan J Andreasen, Søren Lundbye-Christensen
Diet, with its content of various types of fatty acids (FAs), is of great importance for cellular function. Adipose tissue (AT) serves as a storage for dietary FAs, but after appropriate activation it may also offer important biological properties, e.g., by releasing adipokines and cytokines to the surrounding milieu. Such effects may depend on the diet and type of FA involved. Similarly, the composition of FAs in the heart is also likely to be important for cardiac function. We investigated samples of epicardial adipose tissue (EAT), pericardial adipose tissue (PAT), subcutaneous adipose tissue (SCAT), and tissue from the right atrial appendage to compare the FA compositions in patients undergoing elective cardiac surgery...
October 15, 2018: Nutrients
https://www.readbyqxmd.com/read/30324149/significant-variability-in-surgeons-preferred-correction-maneuvers-and-instrumentation-strategies-when-planning-adolescent-idiopathic-scoliosis-surgery
#13
Franck Le Navéaux, A Noelle Larson, Hubert Labelle, Carl-Eric Aubin
Background: Increased implant number is thought to provide better control on the scoliotic spine, but there is limited scientific evidence of improved deformity correction and surgical outcomes with high-density constructs. The objective is to assess key anchor points used by experienced spinal deformity surgeons and to evaluate the effect of implant density pattern on correction techniques. Methods: Seventeen experienced spine surgeons reviewed five Lenke 1 adolescent idiopathic scoliosis cases and provided their preferred posterior correction technique (implant pattern, correction maneuvers, and implants used for their execution) and an alternative technique with the minimal implant density they felt would be acceptable (170 surgical plans total)...
2018: Scoliosis and Spinal Disorders
https://www.readbyqxmd.com/read/30324059/burn-in-an-irradiated-prepectoral-breast-reconstruction-a-cautionary-tale
#14
Lauren C Nigro, Michael J Feldman, Nadia P Blanchet
Burns to breast reconstructions, both autologous and implant-based, are well described in the plastic surgery literature. The mechanism has often been contact; however, burns secondary to sun exposure have also been reported. With the increasing number of prepectoral breast reconstructions, including irradiated prepectoral reconstructions, we would like to highlight the increased susceptibility of these reconstructions to thermal and ultraviolet injury. We present the case of a patient who underwent prepectoral implant-based breast reconstruction years after irradiation, who subsequently developed full-thickness injury to her mastectomy flap after minor sun exposure...
August 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/30323607/index-c-reactive-protein-predicts-increased-severity-in-acute-sigmoid-diverticulitis
#15
Aristotelis Kechagias, Anastasios Sofianidis, Georgios Zografos, Emmanouel Leandros, Nicholas Alexakis, Christos Dervenis
Purpose: Conservative management is successful in unperforated (Hinchey Ia) acute diverticulitis (AD) and also generally in local perforation or small abscesses (Hinchey Ib). A higher degree of radiological severity (Hinchey >Ib), ie, a larger abscess (>3-4 cm) or peritonitis, commonly requires percutaneous drainage or surgery. Retrospective studies show that high levels of C-reactive protein (CRP) distinguish Hinchey Ia from all cases of minor and major perforations (Hinchey >Ia)...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/30322286/beyond-belsey-complex-laparoscopic-hiatus-and-diaphragmatic-hernia-repair
#16
D Zanotti, C Fiorani, A Botha
BACKGROUND: Diaphragmatic and hiatus hernias can cause mild chronic symptoms or have an acute presentation with gastric volvulus and obstruction. Elective or emergency surgery is indicated in symptomatic patients and nowadays is generally performed laparoscopically. METHODS: We report four different types of hernias: a giant hiatus hernia following a gastric pull-up for recurrent congenital diaphragmatic hernia; a Bochdalek hernia in a pregnant young woman; concomitant hiatus and Morgagni hernias; and a giant hiatus hernia occupying the right chest...
October 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30321911/vascular-surgery-trends-in-australia-2001-2015-less-open-surgery-less-limb-loss-and-more-endovascular-intervention
#17
Melissa Anne Wright, Daniel Steffens, Ravi Lee Huilgol
BACKGROUND: The prevalence of peripheral arterial disease (PAD) in Australia is currently poorly characterized. The risk factor profile for PAD is changing with the population ageing, diabetes increasing and smoking rates declining. The management of PAD is also evolving, with advances in medical management and endovascular technique. The trends in PAD prevalence and surgical management have implications for preventative medicine, the Australian health system and vascular surgery. We report and analyse trends in PAD surgical intervention performed between 2001 and 2015...
October 15, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/30321526/menopausal-symptoms-and-surgical-complications-after-opportunistic-bilateral-salpingectomy-a-register-based-cohort-study
#18
Elin Collins, Annika Strandell, Gabriel Granåsen, Annika Idahl
BACKGROUND: In recent years, the fallopian tubes have been found to play a critical role in the pathogenesis of ovarian cancer. Therefore, bilateral salpingectomy at the time of hysterectomy has been proposed as a preventive procedure, but with scarce scientific evidence to support the efficiency and safety. OBJECTIVE: Our primary objective was to evaluate the risk of surgical complications and menopausal symptoms performing bilateral salpingectomy in addition to benign hysterectomy...
October 12, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30320143/a-characterization-of-sensory-and-motor-neural-dysfunction-in-patients-undergoing-hip-arthroscopic-surgery-traction-and-portal-placement-related-nerve-injuries
#19
Dominic S Carreira, Matthew C Kruchten, Brendan R Emmons, Ashley N Startzman, RobRoy L Martin
Background: There is a paucity of prospectively collected data as they relate to nerve injuries after hip arthroscopic surgery. Studies describing the relationship of neurological injuries to portal placement and the duration and magnitude of traction force with regular and standardized patient follow-up protocols are limited. Purpose/Hypothesis: The purpose of this study was to characterize nerve deficits in a series of patients undergoing hip arthroscopic surgery as these deficits relate to axial traction and portal placement...
September 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/30315504/does-no-touch-technique-better-than-conventional-or-intermediate-saphenous-vein-harvest-techniques-for-coronary-artery-bypass-graft-surgery-a-systematic-review-and-meta-analysis
#20
Abdelrahman Elshafay, Ahmed Hesham Bendary, Huan Thanh Vuong, Ahmed Reda Ahmed, Mohamed Ashraf Mokhtar, Ali Lotfy Soliman, Nguyen Lam Vuong, Israa Atia El Bestawi, Nirmeen Atef Abdallah, Vi Tuong Vu, Kenji Hirayama, Nguyen Tien Huy
Saphenous vein (SV) is a common graft being used in coronary artery bypass grafting (CABG). Conventional (CON), intermediate (I), and no-touch (NT) are the most common harvesting techniques of SV for CABG. The aim of this study is to systematically review the NT versus CON and I techniques in harvesting SV for CABG. Twelve databases were searched for randomized controlled trials comparing the CON, I, and NT techniques in harvesting SV for CABG. Twelve reports of six RCTs were included. Our meta-analysis showed that with NT technique, patency rate was significantly higher when compared to I technique up to 18-month follow-up duration...
October 12, 2018: Journal of Cardiovascular Translational Research
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