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Military surgery

Zheng Li, Zhengqing Lei, Yong Xia, Jun Li, Kui Wang, Han Zhang, Xuying Wan, Tian Yang, Weiping Zhou, Mengchao Wu, Timothy M Pawlik, Wan Yee Lau, Feng Shen
Importance: A reduced incidence of microvascular invasion (MVI) in hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC) may be associated with a decreased risk of early tumor recurrence and better survival after partial hepatectomy. Objective: To examine the association of preoperative antiviral treatment (AVT) with the incidences of MVI and posthepatectomy early tumor recurrence in HBV-related HCC. Design, Setting, and Participants: Data on a cohort of 2362 patients who underwent R0 resection for HBV-related HCC between January 2008 and April 2010 at the Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China, were reviewed...
August 1, 2018: JAMA Surgery
Daniele Fabbri, Riccardo Orsini, Antonio Moroni
Stress fractures of the proximal femur are described in athletes and military personnel. In most cases, they are not treated surgically, except when they are at the top of the femoral neck and with cortical involvement. The return to sports is not recommended in patients with hip replacement, especially for the high rate of revision of implants in the younger patients. One of the major complications of hip resurfacing (HR) is the medial fracture of the femoral neck, which usually occurs within 9 weeks after surgery...
June 2018: Joints
Vanna Rocchi, Bennett Shapiro, M Robson Fraser
CASE: When a 31-year-old man with no prior medical history underwent diagnostic arthroscopy for posttraumatic knee pain, ochronotic arthropathy was identified. Subsequent blood tests led to the diagnosis of alkaptonuria. After a discussion regarding his future military career and prognosis, he elected to proceed with osteochondral allograft transplantation surgery (OATS). He was able to return to active-duty service with minimal knee pain. At the 32-month postoperative visit, he had functional, pain-free motion and an excellent Hospital for Special Surgery (HSS) knee score...
July 25, 2018: JBJS Case Connector
Muhammad Junaid, Mamoon Ahmed, Mamoon Ur Rashid
Objective: This study was conducted to assess outcomes in patients with hydrocephalus who underwent ventriculoperitoneal shunting at Keen's point. Methods: This retrospective study was conducted in Combined Military Hospital (CMH) Peshawar. Time frame was four years from January 2011 to January 2015. The presenting complaints, clinical findings, investigations, treatment plans and surgical outcomes were noted. Ventriculo-Peritoneal (VP) shunting was done at Keen's point...
May 2018: Pakistan Journal of Medical Sciences Quarterly
Derek Clewley, Daniel I Rhon, Timothy Flynn, Charles D Sissel, Chad Cook
Study Design Observational cohort. Background The influence of prior patterns of healthcare utilization on future healthcare utilization has had minimal investigation in populations with musculoskeletal disorders. Objective The purpose of this study was to explore the relationship between pre-surgical healthcare utilization and post-surgical healthcare utilization in a population of patients undergoing hip surgery in the United States Military Health System. Methods Person-level data were captured for patients undergoing hip arthroscopy in the Military Health System were collected from 2003 to 2015, capturing all encounters 12 months before and 24 months after surgery for every individual...
July 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
Douglas M Bowley, N Davis, M Ballard, L Orr, J Eddleston
UK Defence Medical Services' personnel have experienced an intense exposure to patients injured during war over the last decade and a half. As some bitter lessons of war surgery were relearned and innovative practices introduced, outcomes for patients impr oved consistently as experience accumulated. The repository of many of the enduring lessons learnt at the Role 4 echelon of care remain at the Queen Elizabeth Hospital Birmingham (QEHB), with the National Health Service and Defence Medical Services personnel who treated the returning casualties...
July 16, 2018: Journal of the Royal Army Medical Corps
Jennifer E Baker, Michael D Goodman, Amy T Makley, Sabre M Stevens-Topie, Rosalie A Veile, Eric J Mahoney, Judy R Heyl, Daniel B Cox, Timothy A Pritts, Krishna P Athota
Introduction: Acute hemorrhage remains the leading cause of death in potentially survivable injuries. The use of topical hemostatic agents has increased over the last two decades with the evolution of damage control surgery. By 2008, the military widely adopted Combat Gauze as the hemostatic dressing of choice for compressible hemorrhage. The goal of this study was to compare the performance of a novel fibrin sealant patch to Combat Gauze in two clinically relevant models of hemorrhage...
July 11, 2018: Military Medicine
Liam McLoughlin
Philip Harker Newman an orthopaedic surgeon and a major in the Royal Army Medical Corps was left behind to man a casualty clearing station during the evacuation of Dunkrik in 1940. Newman was made a Prisoner of War and studied the adverse psychological effects of incarceration on his fellow officers. He escaped from Germany eventually returning to Europe for its liberation in 1944. He was awarded the Distinguished Service Order and Military Cross for his bravery. In 1946, Philip Newman was appointed consultant orthopaedic surgeon to The Middlesex Hospital and The Royal National orthopaedic Hospital, London...
January 1, 2018: Journal of Medical Biography
Q M Zhai, B Li, Z W Wang, L Liu, Y Jin, F Jin
Objective: To investigate the effect of endoplasmic reticulum (ER)-mitochondria coupling and the expression of mitofusion 2 (Mfn2) in periodontal ligament stem cells (PDLSC), so as to provide a theoretical basis and therapeutic target for promoting periodontal regeneration in treatment of periodontitis. Methods: The periodontal ligament tissue was scraped from extracted intact human teeth and teeth with periodontitis collected in the Department of Oral and Maxillofacial Surgery, the Fourth Military Medical University...
July 9, 2018: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Janelle Downing, Kerith Conron, Jody L Herman, John R Blosnich
Transgender people have been able to serve openly in the military since June 2016. However, the administration of President Donald Trump has signaled its interest in reinstating a ban on transgender military service. In March 2018 President Trump issued a revised memorandum that stated, in part, that people with a "history or diagnosis of gender dysphoria" who "may require substantial medical treatment, including medications and surgery-are disqualified from military service except under certain limited circumstances...
July 2018: Health Affairs
K Aaron Shaw, Edward Mottern, Stephen A Parada, Robert Burks, Guillaume Dumont, Brian R Waterman, Shane J Nho
Introduction: Femoral head avascular necrosis (AVN) is a debilitating disease with core decompression commonly performed for early stage disease. However, the ability to return to high-activity levels following treatment is largely unknown. Materials and Methods: Active military patients undergoing core decompression for femoral head AVN were reviewed. Demographic variables were identified and visual analog pain data was collected at a minimum of 2-year post-surgery or prior to total hip arthroplasty (THA)...
July 3, 2018: Military Medicine
Matthew J Bradley, Angela T Kindvall, Ashley E Humphries, Elliot M Jessie, John S Oh, Debra M Malone, Jeffrey A Bailey, Philip W Perdue, Eric A Elster, Carlos J Rodriguez
Background: The Joint Trauma System has demonstrated improved outcomes through coordinated research and process improvement programs. With fewer combat trauma patients, our military American College of Surgeons level 2 trauma center's ability to maintain a strong trauma Process Improvement (PI) program has become difficult. As emergency general surgery (EGS) patients are similar to trauma patients, our Trauma and Acute Care Surgery (TACS) service developed an EGS PI program analogous to what is done in trauma...
2018: Patient Safety in Surgery
Soner Guven, A H Durukan
INTRODUCTION: Sniper shot ocular injuries (SSOI) are rare and result in poor ocular outcomes due to high energy transfer both to the eye and the adjacent brain. To our knowledge, no reports of such injuries in terms of outcomes have been previously described in the literature. The aim of this case series was to describe the treatment performed and ocular outcomes of such injuries. METHODS: Five cases of terroristic SSOIs referred to Gulhane Military Medical Academy Department of Ophthalmology between 22 July 2015 and 30 January 2017 were reviewed...
July 4, 2018: Journal of the Royal Army Medical Corps
D Y Ma, Y Guo, J Cao, C Y Pang, W K Zhang, M P Cheng
Nine patients with maxillofacial fracture that received intraoperative CT examination in Lanzhou General Hospital of Lanzhou Military Command from January 2017 to March 2017 were retrospectively studied. The procedure of intraoperative CT was introduced. The value of this technique was preliminarily discussed in order to provide a new method for the accurate implementation of maxillofacial fracture surgery.
November 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Zhao-Wen Zong, Si-Xu Chen, Hao Qin, Hua-Ping Liang, Lei Yang, Yu-Feng Zhao
The characteristics and treatment of pelvic fractures vary between general conditions and modern war. An expert consensus has been reached based on pelvic injury epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. According to this consensus, first aid, emergency treatment and early treatment of pelvic fractures are introduced in three separate levels. In Level I facilities, simple triage and rapid treatment following the principles of advanced trauma life support are recommended to evaluate combat casualties during the first-aid stage...
June 30, 2018: Military Medical Research
Joseph Bozzay, Matthew Bradley, Angela Kindvall, Ashley Humphries, Elliot Jessie, Judy Logeman, Jeffrey Bailey, Eric Elster, Carlos Rodriguez
INTRODUCTION: Decreasing combat-based admissions to our military facility have made it difficult to maintain a robust trauma process improvement (PI) program. Since emergency general surgery (EGS) and trauma patients share similarities, we merged the care of our EGS and trauma patients into one acute care surgery (ACS) team. An EGS PI program was developed based on trauma PI principles to facilitate continued identification of opportunities for improvement despite our decline in trauma admissions...
July 2, 2018: Surgical Endoscopy
Nicholas Theodore, Paul M Arnold, Ankit I Mehta
In his 1920 science fiction play R.U.R., Czech writer Karel Capek introduced the word "robot" to the English language. The play tells the story of a factory that produces roboti, which are living creatures that resemble humans and have the capacity for individual thought. While at first the roboti seem content to work for their human masters, they later rebel, ultimately leading to the extinction of the human race. 1 This play and similar depictions of robots in literature and film are probably responsible for the slightly negative reputation of robots in general...
July 2018: Neurosurgical Focus
Michael R Davis, Todd E Rasmussen, Barbara R Holcomb
This issue of the Journal of Trauma and Acute Care Surgery features topics from the 2017 Military Health System Research Symposium and starts a second decade of partnership between the Combat Casualty Care Research Program (CCCRP) and the journal. This publication comes at a time of significant change for the CCCRP, as it responds to military planning for the future multidomain battlefield (MDB). The projected MDB portends markedly different operational scenarios than those conducted over the past 17 years...
July 2018: Journal of Trauma and Acute Care Surgery
Raynald Liu, Yuhan Liu, Wei Liu, Xujun Liu, Jian Gong, Chunde Li, Yongji Tian
INTRODUCTION: Gunshot penetrating brain injury is common in military conflict area and in urban violence area, but similar incident in pediatric population is rarely reported. CASE REPORT: We reported three cases of gunshot penetrating brain injury in children. Two patients had a good recovery after surgery and no significant deficit on his neurologic function, the other patient was not having surgery due to the severity of the condition. CONCLUSIONS: We suggest surgery should be performed immediately to prevent further injury and refractory brain edema due to the injury, in any case of penetrating brain injury; a good prognosis can be achieved from early surgery and with appropriate post-operative treatment...
August 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
(no author information available yet)
Following are corrections to this abstract supplement.
June 8, 2018: World Journal of Surgery
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