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Andrea L Axtell, Elbert E Heng, Amy G Fiedler, Serguei Melnitchouk, David A D'Alessandro, George Tolis, Todd Astor, Adam A Dalia, Gaston Cudemus, Mauricio A Villavicencio
OBJECTIVE: Thoracic epidural analgesia provides effective pain control after lung transplantation; however, the optimal timing of placement is controversial. We sought to compare pain control and pulmonary and epidural morbidity between patients receiving preoperative versus postoperative epidurals. METHODS: Institutional records were reviewed for patients undergoing a bilateral lung transplant via a bilateral anterior thoracotomy with transverse sternotomy incision between January 2014 - January 2017...
November 9, 2018: Clinical Transplantation
Wenshan Xing, Yue Wang, Jin Qian, Bingqing Wang, Xu Zhou, Tun Liu, YongBiao Zhang, Qingguo Zhang
BACKGROUND: Auricular reconstruction in patients with congenital microtia permits craniofacial balance and harmony, especially in patients with bilateral microtia. However, published techniques usually require skin grafting, which can lead to color mismatch and visible scarring. Some surgeons prefer to reconstruct the auricle of each side separately, which prolongs the complete cycle of surgery and increases suffering of the patient. In this study, we introduce a modified technique using single expanded flaps without skin grafting to achieve simultaneous bilateral auricular reconstruction...
December 2018: Annals of Plastic Surgery
He Jin, Miao He, Wei Wang, Hongshan Liu, Xiaoying Zhong, Liangping Liu, Hui Ding, Xingwu Zhong
BACKGROUND: In our previous study, both allogeneic and xenogeneic small-incision femtosecond laser-assisted intrastromal keratoplasty were demonstrated to be safe and effective surgeries. Glycerol-dehydrated corneal lamellae could serve as alternative xenogeneic inlay grafts. However, these xenogeneic lamellae have not been explored in lamellar keratoplasty (LK). The immunoreactivity differences between corneal intrastromal xenotransplantation and xenogeneic LK have not been assessed...
November 9, 2018: Current Molecular Medicine
Alessandro Geminiani, Konstantinos Chochlidakis, Sherif Hosney, Giacomo Corsentino, Carlo Ercoli
OBJECTIVE: This study investigated the effect of framework design and modification of porcelain firing cycle on the occurrence of fractures of metal-ceramic and bilayered zirconia crowns after cyclic loading. METHOD AND MATERIALS: Twenty-four zirconia crowns with two different apicocoronal incisal veneering porcelain lengths (ZS = 2.0 mm and ZL = 4.0 mm) were fabricated. Twenty-four metal-ceramic crowns with the same apicocoronal incisal veneering porcelain lengths (MS = 2...
November 8, 2018: Quintessence International
Jonathon O Russell, Christopher R Razavi, Mai G Al Khadem, Michael Lopez, Sejal Saraf, Jason D Prescott, Heather M Starmer, Jeremy D Richmon, Ralph P Tufano
Objectives: The robotic retroauricular approach and transoral endoscopic thyroidectomy vestibular approach (TOETVA) have been employed to avoid anterior neck scarring in thyroidectomy with good success. However, outcomes have yet to be compared between techniques. We compare our initial clinical experience with these approaches for thyroid lobectomy at our institution. Methods: A review of initial consecutive patients who underwent robotic facelift thyroidectomy (RFT) (August 2011-August 2016) at our institution was conducted...
October 2018: Laryngoscope Investigative Otolaryngology
Maciej Janeczek, Jacek Świderski, Albert Czerski, Bogusława Żywicka, Jolanta Bujok, Maria Szymonowicz, Ewa Bilewicz, Maciej Dobrzyński, Mariusz Korczyński, Aleksander Chrószcz, Zbigniew Rybak
Partial liver resection is a treatment of choice for liver tumors; the range of parenchyma excision varies from a small part of the tissue surrounding the neoplasm up to 70% of the organ. One of the major concerns during liver resection is blood loss. Thulium lasers which are characterized by the length of emission wave corresponding to a peak absorption of water create a new possibility of cutting tissues efficiently with minimal thermal damage and concurrently providing a good hemostasis control. The aim of our study was to evaluate an impact of liver transection with thulium doped fiber laser on an intraoperative bleeding and histopathological changes during postoperative period in swine model...
2018: BioMed Research International
Nilton Di Chiacchio, Leandro Fonseca Noriega, Cristina Diniz Borges Figueira de Mello, Nilton Gioia Di Chiacchio, Jorge Ocampo-Garza
No abstract text is available yet for this article.
October 2018: Skin Appendage Disorders
Mizuho Asada, Masashi Nagata, Tomohiro Mizuno, Tokujiro Uchida, Naoki Kurashima, Hiromitsu Takahashi, Koshi Makita, Hirokuni Arai, Hirotoshi Echizen, Masato Yasuhara
The aim of the study was to evaluate the disposition of plasma unbound cefazolin in patients undergoing cardiothoracic surgery with cardiopulmonary bypass (CPB). Adult patients undergoing cardiothoracic surgery with CPB were enrolled in the study. Cefazolin sodium was given intravenously before skin incision (1 g) and at the beginning of CPB (2 g). Thereafter, an additional dose (1 g) was given every 4 hours. Seven to ten blood samples were collected before and during surgery. Plasma total and unbound (ultrafiltrated) cefazolin concentrations were analyzed using an HPLC-UV method...
December 2018: Pharmacology Research & Perspectives
Akane Takamatsu, Yasuaki Tagashira, Kaori Ishii, Yasuhiro Morita, Yasuharu Tokuda, Hitoshi Honda
Background: The optimal timing of preoperative surgical antimicrobial prophylaxis (SAP) remains uncertain. This study aimed to evaluate the impact of changing the timing of SAP on the incidence of surgical site infection (SSI) in laparoscopic surgery. Methods: We performed a before-after study from August 2014 through June 2017 to assess the impact of changes in the timing of SAP on the incidence of SSI at a 790-bed tertiary care center in Japan. The intervention was the administration of SAP immediately after the study patients entered the operating room for laparoscopic surgery...
2018: Antimicrobial Resistance and Infection Control
Adrian DaSilva-DeAbreu, Brian Hsi
No abstract text is available yet for this article.
July 2018: Methodist DeBakey Cardiovascular Journal
P Ramirez Galleymore, V Viera
Surgical wound infection is one of the main complications of patients undergoing surgery and has significant clinical and economical consequences, especially when it affects prosthetic implants or is caused by multidrug resistant bacteria. Cutaneous preparation is one of the main preventive measures. Clinical practice guidelines recommend not to remove the hair from the surgery site unless it interferes with the operation, and that if removal proves necessary, it should be done with a single-use cutter, as close as possible to the time of surgery...
November 5, 2018: Medicina Intensiva
Marco Aurélio A Pereira, Lucas A Gonçalves, Marina C Evangelista, Rosana S Thurler, Karina D Campos, Maira R Formenton, Geni C F Patricio, Julia M Matera, Aline M Ambrósio, Denise T Fantoni
BACKGROUND: Surgical sterilization of cats is one of the most commonly performed procedures in veterinary practice and it can be accomplished by two different techniques: ovariohysterectomy (OVH) or ovariectomy (OVE). Although there is an apparent preference for OVH in United States and Canada, OVE seems to be the standard of care in many European countries due to its advantages, such as a smaller surgical incision and potentially less complications associated with surgical manipulation of the uterus...
November 8, 2018: BMC Veterinary Research
Nozomu Motono, Masahito Kawaguchi, Norio Kawahara, Hidetaka Uramoto
BACKGROUND: Neurofibromatosis type 1 (NF-1) is often associated with various orthopedic disorders, especially scoliosis. Spinal deformity in patients with NF-1 can be induced by localized neurofibromas. CASE PRESENTATION: Scoliosis can be induced by a localized neurofibroma. A 12-year-old boy diagnosed with neurofibromatosis type 1 had severe scoliosis caused by a neurofibroma located in the posterior mediastinum. We performed two-stage procedure involving the extirpation of the neurofibroma in the lateral position, and posterior spinal fusion with segmental spinal instrumentation for the scoliosis in the prone position...
November 1, 2018: International Journal of Surgery Case Reports
Yin Li, Ahmed Daoud, Yan Zheng, Zongfei Wang, Jiangjun Qin, Jiangen Li
Vagal-sparing esophagectomy allows for curative tumor resection with better functional outcome and reduced postoperative morbidity, and minimally invasive esophagectomy has the advantage of avoiding the morbidities associated with big thoracoabdominal incisions. The video tutorial demonstrates our technique of preserving both vagus nerves and their celiac and hepatic branches in the abdomen during the thoracoscopic and laparoscopic phases of minimally invasive esophagectomy, with 2-field lymphadenectomy, for esophageal carcinoma...
November 5, 2018: Multimedia Manual of Cardiothoracic Surgery: MMCTS
Naoki Shingai, Satoshi Kaito, Yuta Yamada, Tatsuya Konishi, Akihito Nagata, Shuhei Kurosawa, Kyoko Watakabe-Inamoto, Aiko Igarashi, Yuho Najima, Hideharu Muto, Takeshi Kobayashi, Noriko Doki, Kazuhiko Kakihana, Hisashi Sakamaki, Kazuteru Ohashi
Dealing with the recent series of allogeneic hematopoietic stem cell transplantation (allo-SCT) performed this decade, we reassessed the clinical impact of pretransplant surgical procedures (SP) for pulmonary lesions of invasive fungal disease (IFD) on subsequent transplant outcome. We focused on the clinical outcomes of seven patients with pulmonary IFD who underwent segmentectomy (n=4), lobectomy (n=2) or abscess incision with drainage only (n=1), and compared results to those of 21 patients carrying pulmonary IFD who never underwent invasive SP before allo-SCT...
November 8, 2018: Transplant Infectious Disease: An Official Journal of the Transplantation Society
Minhao Wu, Shiyi Yao, Yuanlong Xie, Feifei Yan, Zhouming Deng, Jun Lei, Lin Cai
The vast majority of giant-cell tumors occur around the knee and characteristically affect the subchondral bone. Thermal damage to the articular cartilage arising from the application of polymethylmethacrylate (PMMA) or extensive intralesional curettage presents a challenging problem to orthopedic surgeons and patients due to compliance issues. For this reason, we developed a new subchondral bone-grafting procedure to restore massive bone defects and reduce degenerative changes in the knee.The aim of this study was to describe the novel subchondral bone-grafting procedure and evaluate clinical outcomes in patients with giant-cell tumors around the knee...
November 2018: Medicine (Baltimore)
Dong Hoon Lee, Tae Mi Yoon, Joon Kyoo Lee, Sang Chul Lim
RATIONALE: Nasal dermoid cysts are rare congenital lesions and may present as a midline nasal swelling. Nasal dermoid cysts usually present at birth and are commonly diagnosed by 3 years of age. An incidentally detected nasal dermoid cyst in an adult patient is extremely rare. PATIENT CONCERN: We report an unusual case of an adult patient with an incidentally diagnosed dermoid cyst of the nasal septum, which presented as a longstanding discharging pit in the nasal columella since childhood...
November 2018: Medicine (Baltimore)
Hong-Tao Rong, Yue-Shan Fan, Si-Peng Li, Zheng-Shan Zhang, Hui Liu, Tong Liu, Tao Zhu, Jian-Ning Zhang
This study investigated the surgical results of a single-stage posterolateral approach with arc incision, unilateral laminectomy, and costotransversectomy for the management of dumbbell tumors and paraspinal tumors of the thoracic spine. From January 2010 to March 2017, 14 patients with dumbbell tumors or paraspinal tumors of the thoracic spine who underwent resection with single-stage posterolateral approach were followed up and analyzed retrospectively. The operations were performed using a single-stage posterolateral approach with arc incision, unilateral laminectomy, and costotransversectomy without any instrumentation...
November 8, 2018: Orthopaedic Surgery
T Hasegawa, S Hayashida, E Kondo, Y Takeda, H Miyamoto, Y Kawaoka, N Ueda, E Iwata, H Nakahara, M Kobayashi, S Soutome, S I Yamada, I Tojyo, Y Kojima, M Umeda, S Fujita, H Kurita, Y Shibuya, T Kirita, T Komori
Root amputation, immunosuppressive therapy, mandibular tooth extraction, pre-existing inflammation, and longer duration of treatment with bone-modifying agents were significantly associated with an increased risk of medication-related osteonecrosis of the jaw. Hopeless teeth should be extracted without drug holiday before the development of inflammation in cancer patients receiving high-dose bone-modifying agents. INTRODUCTION: No studies have comprehensively analyzed the influence of pre-existing inflammation, surgical procedure-related factors such as primary wound closure, demographic factors, and drug holiday on the incidence of medication-related osteonecrosis of the jaw (MRONJ)...
November 7, 2018: Osteoporosis International
Lorenzo Marini, Mariana Andrea Rojas, Philipp Sahrmann, Rustam Aghazada, Andrea Pilloni
Purpose: Numerous indices have been proposed to analyse wound healing in oral soft tissues, but each has specific shortcomings. A new method of analysis, the Early Wound Healing Score (EHS), was evaluated in the present study. The aim was to assess more accurately early healing by primary intention of surgical incisions in periodontal soft tissues. Methods: Twenty-one patients were treated with different surgical procedures comprising 1 or 2 vertical releasing incisions as part of a surgical access flap...
October 2018: Journal of Periodontal & Implant Science
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