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pre-op evaluation

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https://www.readbyqxmd.com/read/30502272/non-home-discharge-and-prolonged-length-of-stay-after-cytoreductive-surgery-and-hipec
#1
Daniel Burguete, Ali A Mokdad, Mathew M Augustine, Rebecca Minter, John C Mansour, Michael A Choti, Patricio M Polanco
BACKGROUND: Predictive models for nonhome discharge (NHD) have been proposed in major surgical specialties. The rates and risk factors associated with NHD and prolonged length of stay (PLOS) after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) have not been evaluated. The aim of this study is to identify risk factors for NHD and PLOS after CRS/HIPEC in a national cohort of patients. MATERIALS AND METHODS: CRS/HIPEC cases were identified from the National Surgical Quality Improvement Program 2011-2012 data set...
January 2019: Journal of Surgical Research
https://www.readbyqxmd.com/read/30483942/the-relationship-between-endoscopic-and-radiologic-findings-and-olfactory-status-of-patients-with-chronic-rhinosinusitis-with-nasal-polyps-before-and-after-the-endoscopic-sinus-surgery
#2
Mohammadhossein Dadgarnia, Abbasali Rahmani, Mohammadhossein Baradaranfar, Saeid Atighechi, Vahid Zand, Mojtaba Meybodian, Mohammad Mandegari, Sedighe Vaziribozorg
INTRODUCTION: This study was attempted to investigate the relationship between radiologic and endoscopic findings and pre- and post-operative olfactory scores in chronic rhinosinusitis with nasal polyps. MATERIALS AND METHODS: In this study, 40 patients aged 19-64 years with chronic rhinosinusitis with nasal polyps (CRSwNP) undergoing endoscopic sinus surgery were involved. The patients' olfactory status was evaluated using Smell Identification Test (Iran SIT) before and 3 months after the surgery...
November 27, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/30478653/minimum-of-10-year-follow-up-of-v-rod-technique-in-lumbar-spondylolysis
#3
Daniela Linhares, Pedro Cacho Rodrigues, Manuel Ribeiro da Silva, Rui Matos, Vitorino Veludo, Rui Pinto, Nuno Neves
PURPOSE: To describe and analyze the use of the V-rod technique described by Gillet to repair spondylolysis in both early and late postoperative periods. METHODS: Patients submitted to surgical correction of lumbar spondylolysis with a V-rod system were selected upon exclusion of adjacent disk degenerative changes and high-grade spondylolisthesis. A preoperative clinical (ODI and VAS) and radiological evaluation was performed, along with assessments on the early (clinical evaluation-up to 1 year) and late (clinical and radiological-at least 10 years) postoperative periods...
November 26, 2018: European Spine Journal
https://www.readbyqxmd.com/read/30477091/soft-tissue-contour-impression-with-analogic-or-digital-work-flow-a-case-report
#4
Luigi Canullo, Andrea Di Domenico, Fabio Marinotti, Maria Menini, Paolo Pesce
PURPOSE: Transferring precise information to the dental laboratory is one of the key factors to achieving clinical success. The aim of the present study was to describe classical and digital work-flows used to rehabilitate an implant with a convergent collar in the aesthetic zone following the BOPT (biologically oriented preparation technique) approach and to report the three years follow-up outcomes of two patients rehabilitated following such procedures. MATERIALS AND METHODS: Two central incisors of two different patients were rehabilitated with a tissue-level implant with a convergent collar and, after a provisional and healing phase, one implant was "impressed" using a classical workflow and one using a digital one...
November 23, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/30423197/hospital-associated-complications-of-older-people-a-proposed-multicomponent-outcome-for-acute-care
#5
Alison M Mudge, Prue McRae, Ruth E Hubbard, Nancye M Peel, Wen Kwang Lim, Adrian G Barnett, Sharon K Inouye
OBJECTIVES: To propose a new multicomponent measure of hospital-associated complications of older people (HAC-OP) and evaluate its validity in a large hospital sample. DESIGN: Observational study using baseline (pre-intervention) data from the Collaboration for Hospitalised Elders Reducing the Impact of Stays in Hospital cluster randomized controlled trial. SETTING: Acute medical and surgical wards in 4 hospitals in Queensland, Australia. PARTICIPANTS: Individuals aged 65 and older (mean age 76, 48% female) with a hospital stay of 72 hours or longer (N=434)...
November 13, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30415673/treatment-of-pathologic-fractures-of-the-proximal-femur
#6
Andrea Angelini, Giulia Trovarelli, Antonio Berizzi, Elisa Pala, Anna Breda, Marco Maraldi, Pietro Ruggieri
BACKGROUND: Metastatic lesions to the proximal femur occur frequently and require special consideration due to the high risk of pathologic fractures. Type of surgery might influence patient survival considering the growing concept of oligometastases. In fact, the use of modular tumor megaprosthesis is increasing in the last decades compared to intramedullary nailing. Aim of this study was to evaluate oncological and functional results of treatment in patients with pathologic or impending fracture of the proximal femur, with patient survival being the primary, complications the secondary, and functional results the tertiary endpoint...
November 2018: Injury
https://www.readbyqxmd.com/read/30415576/functional-outcome-of-total-hip-arthroplasty-after-a-previous-hip-arthroscopy-a-retrospective-comparative-cohort-study
#7
Mikhil V Jain, Venkatesan Sampath Kumar, Debbie Shaw, Majeed Al Najjar, Navjit K Kalsi, Mounir Hakimi, Veenesh Selvaratnam, Richard Jackson, Tim N Board
BACKGROUND: Despite patients demonstrating significant short-term clinical improvement from a hip arthroscopy (HA), a number of patients progress to significant osteoarthritis of the hip requiring total hip arthroplasty (THA). This study aims to evaluate if there is any difference in the functional outcome of patients undergoing THA after a previous hip arthroscopy compared to patients undergoing THA for primary osteoarthritis of the hip. METHODS: Between 2010 and 2013, in a group of 414 patients who underwent hip arthroscopy, we identified 18 patients who underwent a subsequent uncemented THA...
November 11, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30399076/the-effectiveness-of-a-private-orthopaedic-practice-based-osteoporosis-management-service-to-reduce-the-risk-of-subsequent-fractures
#8
Debra L Sietsema, Andre B Araujo, Li Wang, Natalie N Boytsov, Shivani A Pandya, Virginia S Haynes, Douglas E Faries, Kathleen A Taylor, Onur Baser, Clifford B Jones
BACKGROUND: Osteoporosis is prevalent in the United States, with an increasing need for management. In this study, we evaluated the effectiveness of a private orthopaedic practice-based osteoporosis management service (OP MS) in reducing subsequent fracture risk and improving other aspects of osteoporosis management of patients who had sustained fractures. METHODS: This was a retrospective cohort study using the 100% Medicare data set for Michigan residents with any vertebral; hip, pelvic or femoral; or other nonvertebral fracture during the period of April 1, 2010 to September 30, 2014...
November 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/30391604/cost-effectiveness-of-a-radio-frequency-hemostatic-sealer-rfhs-in-adult-spinal-deformity-surgery
#9
Gurpreet S Gandhoke, Kenneth J Smith, Yash K Pandya, Nima Alan, Adam S Kanter, David O Okonkwo
BACKGROUND: Patients undergoing posterior spinal fusion surgery can lose substantial amount of blood. This can prolong operative time and require transfusion of allogeneic blood components which increases the infection risk and can be the harbinger of serious complications. Does a saline-irrigated radiofrequency bipolar hemostatic sealer (RFHS), help reduce transfusion requirements? METHODS: In an observational cohort study, we compared transfusion requirements in 30 patients undergoing surgery for adult spinal deformity utilizing the RFHS to that of a historical control group of 30 patients in which traditional hemostasis was obtained with bipolar electrocautery and matched them for blood loss related variables...
October 31, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/30323669/prognostic-value-of-pre-and-post-operative-circulating-tumor-cells-detection-in-colorectal-cancer-patients-treated-with-curative-resection-a-prospective-cohort-study-based-on-iset-device
#10
Chaogang Yang, Dongdong Shi, Shuyi Wang, Chen Wei, Chunxiao Zhang, Bin Xiong
Background: Circulating tumor cells (CTCs) have been regarded as a promising biomarker for colorectal cancer (CRC); however, the prognostic value of post-operative (op) CTCs is still unclear. This study aimed to compare the recurrence prediction value of pre- and post-op CTCs in CRC patients treated with curative resection. Patients and methods: Consecutive CRC patients treated with curative resection from January 2014 to March 2015 were identified. CTCs from 2...
2018: Cancer Management and Research
https://www.readbyqxmd.com/read/30288691/surgical-management-of-gastroesophageal-reflux-disease-in-patients-with-severe-esophageal-dysmotility
#11
Priscila R Armijo, Dietric Hennings, Melissa Leon, Akshay Pratap, Austin Wheeler, Dmitry Oleynikov
BACKGROUND: Gastroesophageal reflux disease (GERD) and esophageal dysmotility are often disqualifying criteria for fundoplication due to dysphagia complications. A tailored partial fundoplication may improve GERD in patients with severe esophageal motility disorders. We evaluate this approach on GERD improvement in non-achalasia esophageal dysmotility patients. METHODS: A single-institution prospective database was reviewed (2007-2016), with inclusion criteria of GERD, previous diagnosis of non-achalasia esophageal motility disorder, and laparoscopic partial fundoplication...
October 4, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30269170/modern-tka-implants-are-equivalent-to-traditional-tka-implants-in-functional-and-patellofemoral-joint-related-outcomes
#12
Jia Long Chua, Graham Seow-Hng Goh, Ming Han Lincoln Liow, Darren Keng-Jin Tay, Ngai-Nung Lo, Seng-Jin Yeo
PURPOSE: To compare patient-reported outcomes measures, health-related quality of life and satisfaction rates between a new Modern TKA system (M-TKA) and an existing Traditional TKA system (T-TKA). METHODS: Prospectively collected registry data of 65 patients who underwent T-TKA and 65 patients who underwent M-TKA at a single institution from 2014 to 2015 was reviewed. The range of motion, Knee Society Knee Score (KSKS), Function Score (KSFS), Oxford Knee Score (OKS), SF-36, satisfaction and expectation fulfilment were compared at Pre-op, 6 months and 2 years...
September 29, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/30261330/longitudinal-evaluation-of-quality-of-life-in-laryngeal-cancer-patients-treated-with-surgery
#13
Anh The Bui, Keven Seung Yong Ji, Canh Tuan Pham, Ky Minh Le, Thang Xuan Tong, Walter Tsong Lee
BACKGROUND: There is insufficient prospective data on quality of life outcomes for laryngeal cancer patients undergoing surgery, especially in low- and middle-income countries. This limits clinical and patient decision-making, and survivorship expectations. This research aimed to define longitudinal changes in quality of life in patients with laryngeal cancer from the pre-operative to post-operative period. MATERIALS AND METHODS: A prospective cohort with primary laryngeal cancer treated with standard-of-care surgery who have completed a minimum follow-up of 1 year were evaluated...
October 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/30220556/benefits-and-risks-of-unilateral-and-bilateral-ventral-intermediate-nucleus-deep-brain-stimulation-for-axial-essential-tremor-symptoms
#14
Kyle T Mitchell, Paul Larson, Philip A Starr, Michael S Okun, Robert E Wharen, Ryan J Uitti, Barton L Guthrie, DeLea Peichel, Rajesh Pahwa, Harrison C Walker, Kelly Foote, Frederick J Marshall, Joseph Jankovic, Richard Simpson, Fenna Phibbs, Joseph S Neimat, R Malcolm Stewart, Khashayar Dashtipour, Jill L Ostrem
INTRODUCTION: Many experts assume bilateral deep brain stimulation (DBS) is necessary to improve axial tremor in essential tremor (ET). In the largest clinical trial of DBS for ET to date evaluating a non-directional, constant current device, we studied the effects of unilateral and staged bilateral DBS on axial tremor. METHODS: We included all participants from the original trial with unilateral ventral intermediate nucleus (VIM) DBS and 90-day follow up at minimum...
September 6, 2018: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/30218251/optimal-surgical-intervention-for-achalasia-laparoscopic-or-robotic-approach
#15
Samuel S Kim, Jose Guillen-Rodriguez, Alex G Little
Laparoscopic esophageal myotomy is the standard surgical intervention for achalasia. Compared to standard laparoscopic techniques, use of the robot has theoretical advantages of improved visualization and dexterity. We evaluated the University of Arizona's experience with the two alternatives to compare outcomes. Patients who underwent either laparoscopic or robot-assisted myotomy were identified from a retrospective database from 1/1/2006 to 12/31/2015. Patient demographics, prior treatment, intra-operative complications, operative time, post-operative length of stay and complications, and long-term results were compared between the two groups...
September 14, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/30217846/poisoning-with-soman-an-organophosphorus-nerve-agent-alters-fecal-bacterial-biota-and-urine-metabolites-a-case-for-novel-signatures-for-asymptomatic-nerve-agent-exposure
#16
Derese Getnet, Aarti Gautam, Raina Kumar, Allison Hoke, Amrita K Cheema, Franco Rossetti, Caroline R Schultz, Rasha Hammamieh, Lucille A Lumley, Marti Jett
The experimental pathophysiology of organophosphorus (OP) chemical exposure has been extensively reported. Here, we describe an altered fecal bacterial biota and urine metabolome that follows intoxication with soman, a lipophilic G class chemical warfare nerve agent. Non-anaesthetized Sprague-Dawley male rats were subcutaneously administered soman at 0.8 (sub-seizurogenic) or 1.0 (seizurogenic) of the median lethal dose (LD50 ) and evaluated for signs of toxicity. Animals were stratified based on seizing activity to evaluate effects of soman exposure on fecal bacterial biota and urine metabolites...
September 14, 2018: Applied and Environmental Microbiology
https://www.readbyqxmd.com/read/30217708/outcomes-following-lower-extremity-revascularization-for-treatment-of-critical-limb-ischemia-with-tissue-loss-in-patients-with-chronic-immune-mediated-inflammatory-disease
#17
Monica S O'Brien-Irr, Maciej L Dryjski, H Hasan Dosluoglu, Sherif Shalaby, Gregory Cherr, Mariel Rivero, Dimitrios Kuoduomas, Linda M Harris
OBJECTIVE: To evaluate outcomes following lower extremity revascularization for critical limb ischemia with tissue loss in patients with chronic immune mediated inflammatory disease. METHODS: A retrospective medical record review of all lower extremity revascularization for critical limb ischemia with tissue loss at a University affiliated hospital over a 3 year period was completed for demographics, co-morbidities, lower extremity revascularization indication, angiogram results, complications, mortality, limb salvage and re-intervention...
September 11, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/30199502/a-polymer-based-extended-release-system-for-stable-long-term-intracochlear-drug-delivery
#18
Erik Pierstorff, Shanshan Chen, Maria Paola Chaparro, John M Cortez, Yen-Jung Chen, Su Young Ryu, Sherry M Tsai, Marc M Baum, Wan Wan Yang, Federico Kalinec, Thomas Smith, Stacey Ludwig, William H Slattery
OBJECTIVE: Investigate a new polymer-based drug coating suitability for safe intracochlear delivery and ability to maintain long-term physiologically active levels of the corticosteroid fluticasone propionate. STUDY DESIGN: In vitro dissolution study to evaluate release profiles of polymer-coated drug particles and in vivo studies using a guinea pig model to measure perilymph drug concentrations at specific time points after implantation with polymer-coated drug particles and evaluate their effect on hearing function...
October 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/30198925/elevated-presepsin-is-associated-with-perioperative-major-adverse-cardiovascular-and-cerebrovascular-complications-in-elevated-risk-patients-undergoing-noncardiac-surgery-the-leukocytes-and-cardiovascular-perioperative-events-study
#19
Jessica Handke, Anna S Scholz, Hans-Jörg Gillmann, Henrike Janssen, Sarah Dehne, Christoph Arens, Laura Kummer, Florian Uhle, Markus A Weigand, Johann Motsch, Jan Larmann
BACKGROUND: Perioperative major adverse cardiovascular and cerebrovascular events (MACCEs) are incompletely understood, and risk prediction is imprecise. Atherogenic leukocytes are crucial in cardiovascular events. However, it is unclear if surgical interventions affect leukocyte counts or activation status. Therefore, we investigated whether noncardiac surgery in patients with elevated cardiovascular risk is associated with changes in atherogenic leukocyte subsets and if these changes are related to perioperative MACCEs...
September 5, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30197714/treatment-of-type-two-slap-lesion-with-anatomic-suture-anchor-repair-without-biceps-tenotomy-or-tenodesis
#20
Chadwick C Prodromos, Susan Finkle, Alexander Dawes, Ji Young Baik
Background: Poor results after repair of type 2 SLAP tears are relatively common and some have reported better results after biceps tenodesis or tenotomy than repair. In addition, some believe that the long head of the biceps is expendable. Therefore, many now favor biceps tenotomy or tenodesis over biceps anchor repair either in all patients or in older patients, reserving SLAP lesion repair only for young athletes. Hypothesis: We hypothesized that repair of the biceps anchor of the labrum would be effective in all patients regardless of age provided that care was taken not to overtighten the labrum and that rotator cuff pain as the primary pain generator had been ruled out...
2018: Open Orthopaedics Journal
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