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Minor surgery

Jörn A Karhausen, Wenjing Qi, Alan M Smeltz, Yi-Ju Li, Svati H Shah, William E Kraus, Joseph P Mathew, Mihai V Podgoreanu, Miklos D Kertai
INTRODUCTION:  Thrombocytopenia after cardiac surgery independently predicts stroke, acute kidney injury and death. To understand the underlying risks and mechanisms, we analysed genetic variations associated with thrombocytopenia in patients undergoing coronary artery bypass grafting (CABG) surgery. MATERIALS AND METHODS:  Study subjects underwent isolated on-pump CABG surgery at Duke University Medical Center. Post-operative thrombocytopenia was defined as platelet count < 100 × 109 /L...
August 13, 2018: Thrombosis and Haemostasis
Andrea B Burke, Kristie L Cheng, Jesse T Han, Jasjit K Dillon, Thomas B Dodson, Srinivas M Susarla
PURPOSE: Several studies of surgical specialties have shown disparities in measures of research productivity and academic rank between female and male surgeons. The purpose of this work was to measure the role of surgeon gender in academic success in oral and maxillofacial surgery. MATERIALS AND METHODS: We performed a cross-sectional study of full-time academic oral and maxillofacial surgeons (OMSs) in the United States as of June 2017. The primary study variable was surgeon gender (male or female)...
July 19, 2018: Journal of Oral and Maxillofacial Surgery
Zhonghua Wu, Ao-Fei Liu, Ji Zhou, Yiqun Zhang, Kai Wang, Chen Li, Hancheng Qiu, Wei-Jian Jiang
OBJECTIVE: To investigate the safety of triple antiplatelet therapy (TAT) with cilostazol in patients undergoing stenting for extracranial and/or intracranial artery stenosis. METHODS: A prospectively collected database was reviewed to identify patients who underwent stenting for extracranial and/or intracranial artery stenosis and showed resistance to aspirin and/or clopidogrel as assessed by pre-stenting thromboelastography (TEG) testing. Patients were assigned to a TAT group and a dual antiplatelet therapy (DAT) group...
August 12, 2018: Journal of Neurointerventional Surgery
G J Regev, R Lador, K Salame, L Mangel, A Cohen, Z Lidar
BACKGROUND: Prior studies have documented an increased complication rate in diabetic patients undergoing spinal surgery. However, the impact of diabetes on the risk of postoperative complications and clinical outcome following minimally invasive spinal (MIS) decompression is not well understood. OBJECTIVES: To compare complication rates and outcomes of MIS decompression in diabetic patients with a cohort of non-diabetic patients undergoing similar procedures. METHODS: Medical records of 48 patients with diabetes and 151 control patients that underwent minimally invasive lumbar decompression between April 2009 and July 2014 at our institute were reviewed and compared...
August 11, 2018: European Spine Journal
Thomas A Pane
Background: Buttock augmentation with fat transfer has become increasingly popular, with many patients seek high-volume augmentations. There is a lack of consensus as to the safe upper-limit of fat that can be transferred. Concern for risks such as fat necrosis and fat embolism may lead surgeons to limit the amount of fat to place. However, it is unclear if volume alone is associated with these complications. The authors examined their experience to evaluate the outcomes of high-volume fat transfer...
August 7, 2018: Aesthetic Surgery Journal
Niyazi Tug, Mehmet Akif Sargin, Murat Yassa
OBJECTIVE: To investigate the clinical results and prognostic factors of multiple dose methotrexate (Mtx) treatment of ectopic pregnancy patients with high initial serum (human chorionic gonadotropin [hCG]). DESIGN: Retrospective cohort study. PATIENTS: Twenty-six ectopic pregnancy patients with serum (βhCG) > 5,000 mIU/mL who received multiple doses of Mtx (1 mg/kg) with folinic acid rescue on the alternating days. RESULTS: Success rate was 88...
August 10, 2018: Gynecologic and Obstetric Investigation
Djordje Radak, Nenad Djukic, Mihailo Neskovic
In the past two decades, varicose veins surgery went through a great turbulence and various innovations. A number of new techniques have been introduced with a goal to increase the success rate, reduce the periprocedural complications and, overall, to improve patients' quality of life. The latest of them, named cyanoacrylate embolization (CAE) technique threatens to shake the glory of the currently well-established endovenous methods. We have analyzed all previous studies by searching MEDLINE base using PubMed...
August 9, 2018: Annals of Vascular Surgery
J Lützner, T Lange, J Schmitt, C Kopkow, M Aringer, E Böhle, H Bork, K Dreinhöfer, N Friederich, S Gravius, K-D Heller, R Hube, E Gromnica-Ihle, S Kirschner, B Kladny, M Kremer, M Linke, J Malzahn, R Sabatowski, H-P Scharf, J Stöve, R Wagner, K-P Günther
Total knee arthroplasty (TKA) is one of the most frequent surgical procedures in orthopaedic surgery. Until now there have not been any standardized indication criteria, which might contribute to the large geographical differences in the frequency of TKA. This guideline aims to consent minimal requirements (main criteria), additional important aspects (minor criteria), as well as relative and absolute contraindications for TKA. The following main criteria have been consented: knee pain, radiological confirmation of osteoarthritis or osteonecrosis, inadequate response to conservative treatment, adverse impact of knee disease on the patient's quality of life and the burden of suffering due to the knee disease...
August 10, 2018: Der Orthopäde
Jane Farmer, Christine Bigby, Hilary Davis, Karen Carlisle, Amanda Kenny, Richard Huysmans
BACKGROUND: Involving consumers in producing health services is mandated in many countries. Evidence indicates consumer partnerships lead to improved service design, quality and innovation. Involving participants from minority groups is crucial because poor understanding of distinctive needs affects individuals' service experiences and outcomes. Few studies consider service compliance with consumer partnering requirements or inclusion of minority group participants. METHODS: An online survey structured by domains of the Australian National Safety and Quality in Health Service Standards (NSQHS, 2013), was conducted...
August 10, 2018: BMC Health Services Research
Lena F Carstensen, Morten Jenstrup, Jørgen Lund, Jørgen Tranum-Jensen
BACKGROUND AND OBJECTIVES: The popularization of ultrasound-guided nerve blocks in cosmetic and reconstructive breast surgery calls for better anatomical understanding of chest wall innervation. When inserting subpectoral implants, pain from pocket dissection, stretching of muscle, and release of costal attachments may be relieved by blocking the pectoral nerves in the interpectoral (IP) space.We describe the variable anatomy of the pectoral nerves in the IP space in order to define the area to be covered for sufficient blockade, based on cadaver dissections...
August 8, 2018: Regional Anesthesia and Pain Medicine
Andreea Seicean, Prateek Kumar, Sinziana Seicean, Duncan Neuhauser, Robert J Weil
OBJECTIVE The goal of this study was to compare outcomes of carotid endarterectomy performed by neurological, general, and vascular surgeons. METHODS The authors identified 80,475 patients who underwent carotid endarterectomy between 2006 and 2015 in the National Surgical Quality Improvement Program, a prospectively collected, national clinical database with established reproducibility and validity. Nine hundred forty-three patients were operated on by a neurosurgeon; 75,649 by a vascular surgeon; and 3734 by a general surgeon...
August 10, 2018: Journal of Neurosurgery
Wen Hui Tan, Sara Feaman, Laurel Milam, Valerie Garber, Jared McAllister, Jeffrey A Blatnik, L Michael Brunt
BACKGROUND: In 2014, hydrocodone was moved from Schedule III to II, thus it could no longer be "called in" to a pharmacy. We analyzed current postoperative opioid prescribing patterns and the impact of the schedule change on the type and amount prescribed. METHODS: Opioid prescriptions for common surgeries at 1 medical center from 2013 to 2016 were analyzed retrospectively. Milligram morphine equivalents prescribed before and after the schedule change were compared by t tests, and interrupted time series models and drug frequencies were compared by χ2 and Fisher exact tests...
August 6, 2018: Surgery
Khalid Al-Otaibi
Objectives: The aim of this study is to review the complications of laparoscopic urological procedures performed using a single surgeon during a 12-year period. Materials and Methods: From June 2004 to May 2017, a total of 411 abdominal urological procedures were performed using the author. They included 250 varicocele ligations, 94 nephrectomies (simple, partial, radical, and nephroureterectomy), 34 adrenalectomies, 22 renal cyst ablation, and 11 pelvic lymph node dissections...
July 2018: Urology Annals
Ivan Ignjatovic, Dragoslav Basic, Milan Potic, Ljubomir Dinic, Aleksandar Skakic
INTRODUCTION: Distal urogenital fistulas (DUF) are usually iatrogenic and are uncommon in Europe. They occur in the urethra or near the bladder neck, and can be caused by vaginal hysterectomy, para-urethral cyst surgery, or erosion of the bladder or urethra from tension-free slings or meshes. The psychological and physical health consequences of DUF are devastating because most patients consider themselves "healthy" before surgery. Incontinence can appear after successful DUF closure due to previously occult incontinence or urethral incompetence...
August 1, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Sthela Maria Murad-Regadas, Francisco Sergio P Regadas Filho, Erico de Carvalho Holanda, Lara Burlamaqui Veras, Adjra da Silva Vilarinho, Manoel S Lopes
BACKGROUND: There is no a clear knowledge concerning the division of any part of the anal sphincter complex and the effect of this procedure on the function of the anal canal during the treatment of perianal fistula. OBJECTIVE: To evaluate the usefulness of 3D anorectal ultrasound in the assessment of anal fistula, quantifying the length of the sphincter muscle to be transected, selecting patients for different approaches and identifying healing, failure or recurrence after the surgical treatment...
August 6, 2018: Arquivos de Gastroenterologia
Edward Ram, Gil N Bachar, Yuri Goldes, Samia Joubran, Lea Rath-Wolfson
Background: Hemorrhoids are a common anorectal condition with a major medical and socioeconomic impact. Owing to the high incidence of symptomatic hemorrhoids in the adult population together with the risk of complications of traditional surgery, researchers are seeking less invasive methods of hemorrhoidal treatment.The aim of this study was to present our experience with the mini-invasive Doppler guided hemorrhoidal laser procedure (HeLP) in symptomatic 2nd and 3rd degree hemorrhoids with absent or minimal mucosal prolapse...
June 30, 2018: Laser Therapy
Jonathan S Abelson, Natalie Z Wong, Matthew Symer, Gregory Eckenrode, Anthony Watkins, Heather L Yeo
BACKGROUND: Racial/ethnic diversity remains poor in academic surgery. However, no study has quantified differences in the rates of retention and promotion of underrepresented minority (URM) academic surgeons. METHODS: The American Association of Medical Colleges Faculty Roster was used to track all first-time assistant and associate professors appointed between 1/1/2003 and 12/31/2006. Primary endpoints were percent promotion and retention at ten-year follow-up...
July 19, 2018: American Journal of Surgery
Domenico Galetta, Lorenzo Spaggiari
BACKGROUND:  Postpneumonectomy empyema (PPE) is a serious complication even when it is not associated with bronchopleural fistula (BPF). Besides irrigation, an aggressive treatment is usually applied for removing infected material. However, a minimally invasive approach might achieve satisfactory results in selected patients. METHODS:  We retrospectively identified 18 patients presenting with PPE receiving video-thoracoscopic approach. Of these 18 patients, pneumonectomy was performed for nonsmall cell lung cancer in 15 cases, for mesothelioma in 2, and for trauma in 1 case...
August 7, 2018: Thoracic and Cardiovascular Surgeon
Leslie R Lamb, Manisha Bahl, Michelle C Specht, Helen Anne D'Alessandro, Constance D Lehman
OBJECTIVE: The purpose of this study is to evaluate the feasibility and effectiveness of a nonradioactive magnetic marker wireless localization technique. MATERIALS AND METHODS: A retrospective review was performed of consecutive patients who underwent image-guided needle localization with nonradioactive magnetic markers and subsequent surgical excision from March to August 2017. Indications for marker placement, lesion type, imaging guidance used for marker placement, postprocedure mammographic imaging and reports, surgical reports, and surgical margin status were reviewed...
August 7, 2018: AJR. American Journal of Roentgenology
Gouri H Pantvaidya, Sheetal Raina, Arindam Mondal, Anuja Deshmukh, Deepa Nair, Prathamesh Pai, Pankaj Chaturvedi, Anil D'Cruz
BACKGROUND: Total laryngectomy (TL) is a well-established procedure for laryngeal and hypopharyngeal cancers. There is an increasing number of TLs done after organ preservation strategies. AIM: The aim of this study was to report 30-day morbidity and survival outcomes in patients undergoing TL at a tertiary referral center. SETTING AND DESIGN: This was a retrospective review of a prospective database of TL patients operated during 2012-2013...
October 2017: Indian Journal of Cancer
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