keyword
https://read.qxmd.com/read/38389777/procedural-selection-strategy-and-clinical-outcomes-in-mitral-valve-surgery-with-concomitant-aortic-valve-replacement-in-elderly-patients
#21
JOURNAL ARTICLE
Kazuma Handa, Toshihiro Ohata, Naosumi Sekiya, Teruya Nakamura, Toru Kuratani, Takafumi Masai
INTRODUCTION: In the context of double-valve surgery for elderly high-risk patients involving both the aortic and mitral valves, a clinically significant problem has been that no clear criteria or surgical strategies have been reported for the selection of mitral valve plasty (MVP) or mitral valve replacement (MVR) for mitral valve disease management during surgical aortic valve replacement (SAVR) to achieve better clinical outcomes. This study investigated valve durability and survival using our surgical strategy for mitral valve disease with concomitant SAVR in elderly patients...
March 2024: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38378462/paraperitoneal-inguinal-hernia-of-ureter
#22
JOURNAL ARTICLE
L Drab, J Barla, J Vaško, T Muszka, I Minčík
INTRODUCTION: The ureter is present in surgical field during inguinal hernia repair in 0.5-4% of cases. It typically occurs in obese patients, in men and patients after kidney transplants. Right-sided and indirect location of ureteral herniation prevails. The clinical picture is mostly asymptomatic, but possible manifestations include increased frequency of urination with urgency, nocturia, recurrent pyelonephritis, urosepsis, feeling of incomplete emptying of the bladder, signs of GIT obstruction...
2024: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/38378370/tranexamic-acid-decreases-transfusion-requirements-during-the-modified-pi-plasty-procedure-for-sagittal-craniosynostosis
#23
JOURNAL ARTICLE
Francisco Caneira, Maria Manuel Santos, Cláudia C Faria, José Miguéns, Idalina Rodrigues, Marian Beristain, José Guimarães-Ferreira
The aim of our study was to evaluate the effectiveness of intraoperative tranexamic acid (TXA) administration in decreasing transfusion needs in patients undergoing modified pi-plasty. A retrospective study was performed using a population of 59 patients who underwent modified pi-plasty, wherein patients who received TXA during surgery (study group, n = 26) were compared with patients who did not receive TXA (control group, n = 33). The primary study endpoints were intraoperative red blood cell substitution (%), postoperative red blood cell substitution (%), total red blood cell substitution (%), and hematocrit variation...
February 13, 2024: Journal of Cranio-maxillo-facial Surgery
https://read.qxmd.com/read/38372604/-elimination-of-defects-in-the-schneiderian-membrane-during-sinus-lift-operations
#24
JOURNAL ARTICLE
S S Ivanov, A A Muraev, R F Muhametshin, S Ju Ivanov, S A Sudiev, D Gahri, N F Jamurkova
PURPOSE: Evaluation of the effectiveness of a new method of plasty of an extensive defect in the mucous membrane of the Schneiderian membrane, which occurs during the sinus lift operation, using an artificial collagen membrane and a developed method for fixing it. MATERIAL AND METHODS: A total of 188 patients took part in the study, all of these patients underwent an open sinus lift operation with simultaneous or delayed implantation. Operations were performed under balanced anesthesia...
2024: Stomatologii︠a︡
https://read.qxmd.com/read/38347705/validating-the-modified-small-double-opposing-z-plasty-for-palatal-lengthening-in-primary-palatoplasty
#25
JOURNAL ARTICLE
Rafael Denadai, Chi-Chin Lo, Hyung Joon Seo, Nobuhiro Sato, Dax Carlo Go Pascasio, Srinisha Murali, Junior Chun-Yu Tu, Pang-Yung Chou, Lun-Jou Lo
OBJECTIVE: To appraise the degree of intraoperative palatal lengthening with the modified Furlow small double-opposing Z-plasty (sDOZ). DESIGN: Retrospective single-surgeon (R.D.) study. PATIENTS: Nonsyndromic children (n = 167) with Veau types I to IV cleft palates who underwent primary sDOZ palatoplasty. INTERVENTIONS: Intraoperative measurements of palatal lengths and widths were collected using calipers, paper rulers, and metal rulers before the administration of local anesthetic solution and before the removal of the mouth gag (initial and final palatal dimensions, respectively)...
February 12, 2024: Cleft Palate-craniofacial Journal
https://read.qxmd.com/read/38331640/evaluation-of-postoperative-outcomes-in-palatoplasty-with-three-soft-palate-cleft-repairs
#26
JOURNAL ARTICLE
K A Sakran, H Huang, E Al-Moraissi, S A Elayah, H Younis, Y Li, B Shi
The aim of this study was to compare the postoperative clinical and functional outcomes of palatoplasty with three soft palate cleft repairs and analyse the factors potentially impacting these outcomes. A retrospective analysis was conducted on a consecutive series of 337 patients who underwent primary cleft palate repair by palatoplasty modified with either Furlow Z-plasty (P-FZP, n = 77), intravelar veloplasty (P-IVV, n = 110), or combined intravelar veloplasty-Furlow Z-plasty (P-IVV-FZP, n = 150)...
February 7, 2024: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38327971/management-of-aberrant-frenum-by-z-plasty-procedure-a-case-report
#27
Pavan Bajaj, Unnati Shirbhate, Chitrika Subhadaresanee, Shivani Thakre
During or after the orthodontic closure, persistent diastemas are frequently the result of a high frenum attachment. A labial frenectomy is a complete removal of the frenum attachment, which typically attaches to the space between the upper two anterior teeth and the centre of the upper lip. It might be required if there is space between the teeth due to a frenulum positioned too high on the gums. Many surgical technique modifications, including Miller's technique, Z-plasty, and V-Y-plasty, have been established since the conventional classical frenectomy procedure was initially presented to cope with the difficulties associated with an aberrant labial frenum...
January 2024: Curēus
https://read.qxmd.com/read/38304213/management-of-checkrein-deformity
#28
REVIEW
Min Gyu Kyung, Yun Jae Cho, Dong Yeon Lee
Checkrein deformity is characterized by the dynamic status of the hallux, in which flexion deformity is aggravated by ankle dorsiflexion and relieved by ankle plantarflexion. In most cases, a checkrein deformity occurs secondary to trauma or following surgery. It has been suggested that the flexor hallucis longus tendon tethers or entraps scar tissue or fracture sites. Improvement with conservative treatment is difficult once the deformity has already become entrenched, and surgical management is usually required in severe cases...
February 2024: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38296238/-clinical-repair-strategy-for-ischial-tuberosity-pressure-ulcers-based-on-the-sinus-tract-condition-and-range-of-skin-and-soft-tissue-defects
#29
JOURNAL ARTICLE
R F Deng, L Y Long, Y W Chen, Z Y Jiang, L Jiang, L J Zou, Y L Zhang
Objective: To investigate the clinical repair strategy for ischial tuberosity pressure ulcers based on the sinus tract condition and range of skin and soft tissue defects. Methods: The study was a retrospective observational study. From July 2017 to March 2023, 21 patients with stage Ⅲ or Ⅳ ischial tuberosity pressure ulcers who met the inclusion criteria were admitted to the First Affiliated Hospital of Nanchang University, including 13 males and 8 females, aged 14-84 years. There were 31 ischial tuberosity pressure ulcers, with an area of 1...
January 20, 2024: Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi
https://read.qxmd.com/read/38278742/enhancing-the-vermilion-in-adult-secondary-cleft-lip-repair-with-a-continuous-v-plasty-without-closure-of-the-donor-defect-a-case-series
#30
JOURNAL ARTICLE
Gurjinderpal Pahal, Marc Swan, Norman Hay, Brijesh Patel, Guy Thorburn, Loshan Kangesu
The aim of this paper was to describe a modification to an old method to enhance the vermillion in adult cleft patients. We present ten consecutive patients who requested enhancement of the upper lip vermillion. The technique involves a continuous V plasty within the non-visible mucosa to elevate the vermillion. Each V incision is of a different size to match the defect. Then the V flaps are sutured to one another but the donor defect is left open to epithelialise. Adjunctive procedures are possible at the same time...
December 1, 2023: Journal of Cranio-maxillo-facial Surgery
https://read.qxmd.com/read/38262616/low-strip-unifying-hybrid-rhinoseptoplasty-luhrs-a-novel-classification-in-dorsal-preservation-surgery
#31
JOURNAL ARTICLE
Salvatore Taglialatela Scafati, Mario Rasulo, Abdülkadir Göksel
BACKGROUND: Preservation rhinoplasty techniques continue to evolve. Suture tip-plasty with minimal resection and grafting, lateral crural tensioning, minimal excision from the lateral crura, dorsal preservation, subperichondral dissection, and preservation of the ligaments have become the milestones of modern rhino-surgery. However, every time the dorsal frame is modified by means of rasping, shaving, or osteotomy or the nasal tip is structured using grafts, we are essentially applying structural concepts to our technique...
January 23, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38262220/late-management-of-amniotic-bands-syndrome-with-incomplete-syndactyly-a-case-report-of-4-year-old-child
#32
M Almekdad Estanbouli, Abdulrazak Anadani, Hala Albobah, Tala Dakkak, Raneem Mokresh, Aladdin Etr
INTRODUCTION: Amniotic band syndrome is a fetal entrapment in strands of amniotic tissue. This condition causes multiple deformities ranging from simple constricting bands to lymphedema, autoamputation, syndactyly and other congenital anomalies. Reconstructive surgery is the main treatment for ABS. PRESENTATION OF CASE: A 4-year-old male presented with multiple constricting bands affecting both hands in addition to an incomplete syndactyly between the third and fourth left digits...
January 19, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38259862/the-ideal-technique-nasal-tip-surgery-for-asians-understanding-best-technique-and-post-operative-improvement-systematic-review-meta-analysis
#33
REVIEW
Trimartani Koento, Dwi Juliana Dewi
INTRODUCTION: Asian nose is characterized by thick skin, abundant soft tissue, and weak cartilage framework, resulting in under-projection of the nasal dorsum and tip. Anatomical knowledge consideration is needed to achieve an ideal and natural-looking Asian nasal tip. Various nasal tip surgery techniques for Asian nose have been introduced recently. However, a comparison of techniques and postsurgical results has not yet been undertaken. OBJECTIVE: This systematic review aims to highlight the basic understanding of nasal tip dynamics aesthetic Asian nose and analyze related studies in search for the best technique and post-operative improvement for Asian tip-plasty...
March 2024: JPRAS Open
https://read.qxmd.com/read/38247240/bacterial-cellulose-as-a-promising-material-for-pulmonary-valve-prostheses-in-vivo-study-in-a-sheep-model
#34
JOURNAL ARTICLE
Piotr Siondalski, Magdalena Kołaczkowska, Michał Bieńkowski, Rafał Pęksa, Maciej M Kowalik, Kinga Dawidowska, Katrien Vandendriessche, Bart Meuris
OBJECTIVES: Currently, no consensus exists regarding the most durable prosthesis for pulmonary valve replacement. Bacterial cellulose is a resistant, nonbiodegradable, nonpyrogenic bioimplant with low hemolysis and clotting properties. We hypothesized that bacterial cellulose heart valve prostheses could be an attractive alternative for pulmonary valve replacement. METHODS: We conducted a large animal model experiment in three adult sheep. The animals underwent open-heart surgery and cardiopulmonary bypass for bacterial cellulose conduit implantation in the pulmonary position...
January 2024: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://read.qxmd.com/read/38244378/bifocal-rupture-of-the-patellar-tendon-in-tka-case-report-and-review-of-the-literature
#35
F Lamnaouar, A Rajaallah, N Nkeshimana, A Lahjouji, M Rahmi, M Rafai
INTRODUCTION AND IMPORTANCE: Rupture of the extensor apparatus is a serious complication that can occur in a prosthetic knee. Bifocal extensor ruptures are rare and even more uncommon in adults. CASE PRESENTATION: We report the case of an obese, diabetic, and hypertensive patient who underwent total knee arthroplasty two weeks previously and was admitted following a fall from her height for a rupture of the patellar tendon with release of the sutures. An investigation revealed bifocal avulsion of the patellar tendon from its patellar and tibial insertion...
January 10, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38238568/application-of-fixation-of-orbicularis-oculi-muscle-and-orbital-septal-tissue-flap-at-the-upper-edge-of-incision-in-double-eyelid-plasty
#36
JOURNAL ARTICLE
Tianhua Ma, Hong Chen, Ziying Dong
PURPOSE: In order to make the postoperative effect of open double eyelid more close to the physiological and anatomical structure of double eyelid, we improved the traditional open double eyelid operation according to the anatomical characteristics of the upper eyelid. We fixed part of the orbicularis oculi muscle above the incisal margin with the orbital septum flap to make the double eyelid formed after surgery more natural and beautiful. MATERIALS AND METHODS: A total of 76 patients who received open double blepharoplasty in department of plastic surgery from February 2019 to May 2022 were selected as this study objects, all of whom were female...
January 18, 2024: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38238185/functional-assessment-of-septo-rhino-plasty-revision-surgery
#37
JOURNAL ARTICLE
J Maubras, S Bonigen, M Kerimian, A Alharbi, L de Gabory
INTRODUCTION: Functional septo(rhino)plasty incurs a 17-25% rate of revision for persistent symptoms. OBJECTIVES: The main study objective was to assess functional results before and after surgical revision. The secondary objective was to describe the shortcomings or excesses of the prior surgeries, with a-posteriori comparison of efficacy for the surgical techniques requiring revision. MATERIAL AND METHODS: A single-center retrospective study included functional salvage septo(rhino)plasties...
January 17, 2024: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://read.qxmd.com/read/38227106/upper-partial-sternal-split-for-pediatric-cardiac-surgery
#38
JOURNAL ARTICLE
Fumiaki Shikata, Jay Shah, Supreet Marathe, Jessica Suna, Nelson Alphonso, Prem Venugopal
OBJECTIVES: We introduced the use of an upper partial sternal split for pediatric cardiac surgical procedures in our unit in 2016. We report the outcomes of our experience in 51 patients using this approach. METHODS: From February 2016 to September 2022, 51 patients underwent congenital cardiac surgical procedures using an upper partial sternal split including vascular ring repair (n = 20), subaortic membrane (n = 12), ventricular septal defect closure with aortic valve resuspension (n = 9), aortic arch repair (n = 4), pulmonary artery band (n = 2), pulmonary artery sling (n = 1), supravalvular aortic stenosis (n = 1), aortic valve replacement (n = 1), and pulmonary artery plasty (n = 1)...
January 16, 2024: General Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38224694/nasal-obstruction-overview-of-pathophysiology-and-presentation-of-a-clinically-relevant-preoperative-plan-for-rhino-septo-plasty
#39
JOURNAL ARTICLE
Simon Snoeks, Enrique Velasco, Karel Talavera, Peter W Hellings
Impairment of nasal breathing is a highly prevalent and bothersome symptom that affects daily functioning and/or sleep quality. Those surgeons dealing with patients seeking rhinoplasty need to carefully analyze the preoperative nasal breathing capacity and predict the positive or even negative impact of rhino(septo)plasty on nasal breathing. Given the lack of correlation between the subjective feeling of suboptimal nasal breathing and the objective measurements of nasal flow and nasal resistance, a critical and mainly clinical evaluation of all anatomical, mucosal, and sensory mechanisms involved in nasal obstruction is mandatory...
January 15, 2024: Facial Plastic Surgery: FPS
https://read.qxmd.com/read/38215882/secondary-complications-in-wassel-ii-iv-thumb-duplication-a-comprehensive-review-of-preventive-measures
#40
REVIEW
Ophélie Doucet, Pharel Njessi, Charlotte Jaloux, Emilie Bougie
OBJECTIVES: Thumb duplication is one of the most challenging pediatric reconstructive hand surgeries. Wassel types II and IV are the most frequent, but also the most complex reconstructions as the duplication arises at the joint level. Ablation and reconstruction, the most widely used technique, aims at achieving a stable, well-aligned, mobile and esthetically acceptable thumb. The paucity of reliable surgical guidelines leads to high rates of suboptimal surgical outcomes. This review evaluated the various reconstruction techniques detailed in the literature and highlighted useful methods to prevent common secondary complications...
January 10, 2024: Hand Surgery and Rehabilitation
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