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https://www.readbyqxmd.com/read/30513097/ultrasonography-and-clinical-outcomes-following-anti-incontinence-procedures-monarc-vs-miniarc-a-3-year-post-operative-review
#1
Tsia-Shu Lo, Sandy Chua, Yiap Loong Tan, Ma Clarissa Patrimonio, Leng Boi Pue
OBJECTIVE: To compare the ultrasonographic positional changes of mid-urethral sling(MUS) tape in relation to symphysis pubis, and the different clinical outcomes among women who underwent MUS insertion with MiniArcTM or MonarcTM for the treatment of stress urinary incontinence 3 years after. MATERIALS AND METHODS: A retrospective follow-up study on patients with clinically confirmed stress urodynamic incontinence and urodynamic stress incontinence who had undergone MiniArc or Monarc surgery...
2018: PloS One
https://www.readbyqxmd.com/read/30512251/intestinal-microbiota-and-colorectal-cancer-a-new-aspect-of-research
#2
Ioannis Koliarakis, Anna Psaroulaki, Taxiarchis Konstantinos Nikolouzakis, Markos N Sgantzos, George Goulielmos, Vasilis P Androutsopoulos, John Tsiaoussis
Colon holds a complex microbial community, which is crucial for maintaining homeostasis and regulating metabolic functions, supporting the intestinal barrier and controlling immune responses. Previous studies have supported a link between intestinal microbiota and colorectal cancer (CRC). Based on these fndings, the present review analyzed the numerous interactions that occur between microbiota and CRC, starting from the role of intestinal microbiota in colonic homoeostasis. Intestinal microbiota is a cause of CRC and involves various mechanisms such as chronic inflammation, the production of genotoxins causing DNA impairment and/or the biosynthesis of toxic compounds...
September 2018: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/30511036/pharmacokinetics-of-glucocorticoid-replacement-before-and-after-bariatric-surgery-in-patients-with-adrenal-insufficiency
#3
Loek J M de Heide, Hannah H R de Boer, Marcel van Borren, Marloes Emous, Edo Aarts, Hans de Boer
Adequate glucocorticoid replacement in patients with primary or secondary adrenal insufficiency is essential to maintain general well-being. Little is known about the effects of bariatric surgery on glucocorticoid absorption. This study evaluates glucocorticoid absorption before and after bariatric surgery, with assessment of plasma cortisol profiles in five patients receiving glucocorticoid replacement therapy for primary (n = 1) or secondary (n = 4) adrenal insufficiency. One patient underwent sleeve gastrectomy (SG), one a one-anastomosis gastric bypass (mini-GB), and three a Roux-en-Y gastric bypass (RYGB)...
December 1, 2018: Journal of the Endocrine Society
https://www.readbyqxmd.com/read/30509749/diversity-and-inclusion-in-a-surgical-society-a-longitudinal-investigation
#4
Lindsay E Kuo, Sareh Parangi, Nancy L Cho
BACKGROUND: Although the presence of women and minorities is increasing in academic surgery, inclusion at the highest levels appears to continue to lag in many aspects of leadership and participation. Participation in medical societies is an opportunity in career development but may also propagate disparities. We investigated the presence of women and minorities within one subspecialty society, the American Association of Endocrine Surgeons, to better understand the presence of these groups in the leadership of this society...
November 30, 2018: Surgery
https://www.readbyqxmd.com/read/30509221/procedures-performed-by-general-practitioners-and-general-internal-medicine-physicians-a-comparison-based-on-routine-data-from-northern-germany
#5
C Strumann, K Flägel, T Emcke, J Steinhäuser
BACKGROUND: In response to a rising shortage of general practitioners (GPs), physicians in general internal medicine (GIM) have become part of the German primary care physician workforce. Previous studies have shown substantial differences in practice patterns between both specialties. The aim of this study was to analyse and compare the application of procedures by German GPs and GIM physicians based on routine data. METHODS: The Association of Statutory Health Insurance Physicians in the federal state Schleswig-Holstein (Northern Germany) provided invoicing data of the first quarters of 2013 and 2015...
December 3, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/30505581/morbidity-and-mortality-of-synchronous-hepatectomy-with-cytoreductive-surgery-hyperthermic-intraperitoneal-chemotherapy-crs-hipec
#6
Tyler J Mouw, Jennifer Lu, Meghan Woody-Fowler, John Ashcraft, Joseph Valentino, Peter DiPasco, Joshua Mammen, Mazin Al-Kasspooles
Background: Liver resection in conjunction with partial colectomy for colon cancer is considered acceptable treatment for isolated metastasis to the liver. This method is unstudied in patients undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for carcinomatosis due to colon cancer and high grade appendiceal cancer. Methods: A retrospective chart review included patients from 2005 to 2016 undergoing CRS/HIPEC. Cancers other than colorectal adenocarcinoma and high grade appendiceal carcinoma were excluded...
October 2018: Journal of Gastrointestinal Oncology
https://www.readbyqxmd.com/read/30505552/uniportal-video-assisted-thoracic-surgery-roman-experience-a-report-of-the-first-16-month-roman-experience
#7
Dania Nachira, Elisa Meacci, Leonardo Petracca Ciavarella, Marco Chiappetta, Giulia De Santis, Gian Maria Ferretti, Maria Giovanna Mastromarino, Venanzio Porziella, Maria Letizia Vita, Maria Teresa Congedo, Alfredo Cesario, Mahmoud Ismail, Diego Gonzalez-Rivas, Stefano Margaritora
Background: The acceptance of uniportal video-assisted thoracic surgery (U-VATS) for thoracic procedures has been growing worldwide. This study reports one of the widest Italian U-VATS experiences. Methods: The prospectively collected data of 237 patients underwent a U-VATS procedure, between May 2016 and September 2017, were retrospectively reviewed. A wide range of procedures, like major and minor lung resections, esophageal surgery, pleural and mediastinal one, was performed...
November 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/30505549/uniportal-video-assisted-thoracoscopy-major-lung-resections-after-neoadjuvant-chemotherapy
#8
Mahmoud Ismail, Dania Nachira, Marc Swierzy, Gian Maria Ferretti, Julianna Paulina Englisch, Ramin Raul Ossami Saidy, Feng Li, Harun Badakhshi, Jens C Rueckert
Background: The combination of neoadjuvant chemotherapy and surgery in lung cancer therapy is well established. The role of uniportal video assisted thoracoscopy (VATS) is still not described in literature. This study presents the preliminary short-term results of uniportal VATS after neoadjuvant therapy in our series. Methods: The prospectively collected data of 154 patients after uniportal VATS anatomical lung resection (18 patients after neoadjuvant chemotherapy and 136 surgeries alone) were retrospectively reviewed...
November 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/30505532/surgery-for-parasitic-lung-infestations-roles-in-diagnosis-and-treatment
#9
REVIEW
Bibhusal Thapa, Ranjan Sapkota, Michelle Kim, Stephen Arthur Barnett, Prakash Sayami
Pulmonary parasitic infestations are a worldwide problem associated with significant morbidity and socioeconomic impact. They are known to have varied clinical presentations and radiological appearances. Prevention of parasite transmission and medical treatment of cases form the two pillars of control of these diseases. The role of surgery is limited to the diagnosis and definitive treatment of the minority of pulmonary parasitic afflictions, most notably hydatidosis. Despite surgery being established as the treatment of choice in pulmonary hydatid cysts (PHCs) for over half a century, variations and unresolved controversies persist regarding the best surgical technique...
October 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/30503725/combined-synovectomy-and-extensor-carpi-radialis-longus-transfer-to-realign-and-stabilise-the-rheumatoid-wrist
#10
Julien Berhouet, Steven Roulet, Emilie Marteau, Guillaume Bacle, Nadhir Meghrani, Jacky Laulan
BACKGROUND: In patients with rheumatoid arthritis, the surgical treatment of wrist lesions relies on synovectomy combined with stabilisation and realignment of the carpal bones. The objective of this study was to evaluate the outcomes and define the indications of extensor carpi radialis longus (ECRL) transfer to the extensor carpi ulnaris (ECU) as described by Clayton and Ferlic. HYPOTHESIS: ECRL-to-ECU transfer combined with synovectomy can prevent the development and/or progression of rheumatoid deformities at the wrist...
November 29, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/30502007/laparoscopic-appendectomy-outcomes-of-senior-trainees-operating-without-supervision-versus-experienced-pediatric-surgeons
#11
Heron D Baumgarten, Erin G Brown, Kathryn W Russell, N Scott Adzick, Pablo Laje
AIM OF THE STUDY: Pediatric surgery trainees at our program are allowed to perform unsupervised laparoscopic appendectomies during their last year of training to promote independent operative decision-making skills. We reviewed the outcomes of laparoscopic appendectomies done by senior trainees without supervision and compared them to experienced pediatric surgeons. METHODS: We reviewed 500 laparoscopic appendectomies performed without supervision by the last 10 pediatric surgery trainees during their last year of training (first 50 cases of each trainee)...
November 7, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/30500658/successful-endovascular-treatment-of-a-ruptured-type-i-thoracoabdominal-aneurysm%C3%A2-twice
#12
Joel Sousa, Ana-Teresa Vilares, Armando Mansilha
INTRODUCTION: Only a minority of vascular surgeons have personal experience on thoracoabdominal aneurysm (TAA) repair, and even less have performed surgery on these formidable lesions for rupture. Unsurprisingly, when open surgery was the only treatment option available, these impressive pathologies were frequently deemed inoperable and managed conservatively. Endovascular techniques brought new hope in these scenarios, but despite current advances, morbidity and mortality remains high, even in experienced centres...
November 27, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/30499225/changes-in-the-clinical-and-histological-characteristics-of-chinese-chronic-rhinosinusitis-with-nasal-polyps-over-11-years
#13
Weiqing Wang, Yali Gao, Zhenzhen Zhu, Yang Zha, Xiaowei Wang, Fang Qi, Liangrui Zhou, Junyi Pang, Zhiqiang Gao, Wei Lv
BACKGROUND: Traditionally, it was believed that chronic rhinosinusitis with nasal polyps (CRSwNP) demonstrated less eosinophilic and more neutrophilic inflammation in China compared to North America and Europe. However, inflammatory patterns may change over time. The study aimed to analyze the changing trends in the clinical and histological characteristics of CRSwNP over time in China. METHODS: A total of 115 consecutive CRSwNP patients from 2003 to 2005 and 114 consecutive CRSwNP patients from 2014 to 2016 were enrolled in this retrospective study...
November 29, 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/30498416/is-axillary-sentinel-lymph-node-biopsy-required-in-patients-who-undergo-primary-breast-surgery
#14
REVIEW
Toralf Reimer, Jutta Engel, Marcus Schmidt, Birgitte Vrou Offersen, Marjolein L Smidt, Oreste David Gentilini
Local treatment of the axilla in clinically node-negative (cN0) early breast cancer patients with routine sentinel lymph node biopsy (SLNB) is debated for various reasons: i) pN staging information may not be necessary for the postoperative treatment decision regarding adjuvant systemic therapy in the great majority of patients; ii) the SLNB-positive rate is declining below 20% in specialized breast centers; iii) albeit being a minimally invasive procedure, SLNB causes a significant reduction in quality of life in 23% of patients; and iv) previous randomized trials from the pre-SLNB era did not show a disadvantage for patients without axillary surgery with regard to overall survival...
October 2018: Breast Care
https://www.readbyqxmd.com/read/30497914/local-safety-of-immediate-reconstruction-during-primary-treatment-of-breast-cancer-direct-to-implant-versus-expander-based-surgery
#15
Egidio Riggio, Elisa Toffoli, Caterina Tartaglione, Giuseppe Marano, Elia Biganzoli
INTRODUCTION: After mastectomy, immediate breast reconstruction is paramount. With the growing number of nipple-sparing mastectomies, the chances of successful one-stage reconstruction with implants are also increasing. Local safety is one of the main issues. This study investigated the factors that could lead to major or minor complications after expander-based versus direct-to-implant (DTI) reconstruction. METHODS: The studied factors were age, body mass index (BMI), hypertension, smoking, diabetes, type of mastectomy (nipple-sparing/total), implant size, neoadjuvant/adjuvant chemotherapy, and radiotherapy...
November 2, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/30497806/hypoesthesia-after-anterior-cruciate-ligament-reconstruction-the-relationship-between-proprioception-and-vibration-perception-deficits-in-individuals-greater-than-one-year-post-surgery
#16
Carol A Courtney, Pranoti Atre, Kharma C Foucher, Ali M Alsouhibani
BACKGROUND: While surgical reconstruction restores mechanical stability following anterior cruciate ligament (ACL) rupture, many experience early-onset osteoarthritis despite surgery. Neurophysiological changes are hypothesized to contribute to knee osteoarthritis progression. Proprioceptive deficits have been reported following ACL injury/reconstruction; however, vibration perception threshold (VPT) has been less studied. This study explored relationships between pain, VPT, proprioception, function, and strength following ACL-reconstruction...
November 26, 2018: Knee
https://www.readbyqxmd.com/read/30489452/extracochlear-stimulation-of-electrically-evoked-auditory-brainstem-responses-eabrs-remains-the-preferred-pre-implant-auditory-nerve-function-test-in-an-assessor-blinded-comparison
#17
Andrew Causon, Martin O'Driscoll, Emma Stapleton, Simon Lloyd, Simon Freeman, Kevin J Munro
OBJECTIVE: Electrically evoked auditory brainstem responses (eABRs) can be recorded before cochlear implant (CI) surgery to verify auditory nerve function, and is particularly helpful in to assess the function of the auditory nerve in cases of auditory nerve hypoplasia. This is the first study to compare three preimplant eABRs recording techniques: 1) standard extracochlear, 2) novel intracochlear, and 3) conventional intracochlear with the CI. STUDY DESIGN: A within-participants design was used where eABRs were sequentially measured during CI surgery using three methods with stimulation from: 1) an extracochlear electrode placed at the round window niche, 2) two different electrodes on a recently developed Intracochlear Test Array (ITA), and 3) two different electrodes on a CI electrode array...
November 27, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/30482600/rural-and-urban-differences-in-orthognathic-surgical-patients-in-the-north-east-of-scotland
#18
S J W Kent, R Morrison
We have previously identified differences in the presentation and treatment of cancer between patients who live in rural compared with urban areas, but have not yet seen differences in those treated by orthognathic surgery. We hypothesised that patients from areas further away from the hospital face higher costs to attend and may not present with minor problems as often as those who live nearby. We therefore retrospectively reviewed all those (n=216) who had presented for orthognathic surgery over a six-year period (May 2011 to May 2017)...
October 25, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30482542/ileal-pouch-anal-anastomosis-in-pediatric-nsqip-does-a-laparoscopic-approach-reduce-complications-and-length-of-stay
#19
Nicholas P McKenna, Donald D Potter, Katherine A Bews, Amy E Glasgow, Kellie L Mathis, Elizabeth B Habermann
PURPOSE: The purpose of this study was to determine if a laparoscopic approach reduces complications and length of stay (LOS) after total proctocolectomy with ileal pouch-anal anastomosis (TPC-IPAA) in pediatric patients using a multicenter prospective database. METHODS: The American College of Surgeons National Surgical Quality Improvement Project Pediatric database from 2012 to 2015 was used to identify patients with a diagnosis of chronic ulcerative colitis (CUC) or familial adenomatous polyposis (FAP) undergoing TPC-IPAA...
October 5, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/30481999/hemadsorption-during-cardiopulmonary-bypass-reduces-interleukin-8-and-tumor-necrosis-factor-%C3%AE-serum-levels-in-cardiac-surgery-a-randomized-controlled-trial
#20
Ingo Garau, Alexander März, Susanne Sehner, Daniel A Reuter, Hermann Reichenspurner, Christian Zöllner, Jens C Kubitz
BACKGROUND: Surgical trauma and cardiopulmonary bypass (CPB) are associated with the liberation of pro inflammatory cytokines. With hemadsorption (Cytosorb®) during CPB, pro-inflammatory cytokines may be reduced and the inflammatory response may be decreased. METHODS: In this prospective, randomized single centre study, serum cytokine levels of interleukin 8 (Il-8), interleukin 6 (Il-6) and tumor-necrosis-factor α (TNFα) were assessed in elective on-pump cardiac surgery patients with hemadsorption on CPB (study-group (SG), n=20) and without (control-group (CG), n=20)...
November 22, 2018: Minerva Anestesiologica
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