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Full-thickness Resection

Jie Wang, Jian-Xiong Ma, Shao-Wen Zhu, Hao-Bo Jia, Xin-Long Ma
BACKGROUND: Acromioclavicular joint arthritis is a common, painful, and often missed diagnosis, and it often accompanies other shoulder conditions such as rotator cuff disease. Whether distal clavicle resection is important to perform in patients undergoing surgery for rotator cuff tears and concomitant acromioclavicular joint arthritis is controversial. QUESTIONS/PURPOSES: The purpose of this study was to perform a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the effect of distal clavicle resection on (1) outcome scores; (2) shoulder ROM, joint pain or tenderness, and joint instability; and (3) risk of reoperation among patients treated surgically for rotator cuff tears who had concomitant acromioclavicular joint arthritis...
October 16, 2018: Clinical Orthopaedics and related Research
H Hara, M Mihara
The purpose of this paper is to report on the relationship between lymphoscintigraphic findings and the operative results of lymphaticovenous anastomosis (LVA) as well as the resection of genital acquired lymphangiectasia (GAL). Seventeen patients with GAL who underwent lymphoscintigraphy between April 2012 and June 2016 were included in this retrospective study. LVA and GAL resections were performed for 14 patients. The GALs were resected in a spindle shape to the full thickness of the genital skin, and the wounds were closed primarily...
November 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Marc Schurr, Thomas Gottwald
No abstract text is available yet for this article.
October 2018: Endoscopy International Open
Xavier Serra-Aracil, Neus Ruiz-Edo, Alex Casalots-Casado, Laura Mora-López, Anna Pallisera-Lloveras, Sheila Serra-Pla, Vanlentí Puig-Diví, Salvador Navarro-Soto
BACKGROUND: Polypectomy is the gold standard for treating colorectal adenomas up to 2 cm in size. For larger lesions, various procedures ranging from endoscopy to transanal surgery can be performed and achieve varying results for en bloc resection and recurrence. There are no clear guidelines for dealing with involved resection margins. We assess the recurrence of rectal adenomas operated using TEM with full-thickness wall excision with or without free resection margins and define optimal endoscopic follow-up...
October 10, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Bas van der Spek, Krijn Haasnoot, Christof Meischl, Dmitri Heine
Background and study aims  Endoscopic full-thickness resection (eFTR) allows en-bloc and transmural resection of colorectal lesions for which other advanced endoscopic techniques are unsuitable. We present our experience with a novel "clip first, cut later" eFTR-device and evaluate its indications, efficacy and safety. Patients and methods  From July 2015 through October 2017, 51 eFTR-procedures were performed in 48 patients. Technical success and R0-resection rates were prospectively recorded and retrospectively analyzed...
October 2018: Endoscopy International Open
Faisal Inayat, Aysha Aslam, Mathew D Grunwald, Qulsoom Hussain, Abu Hurairah, Shahzad Iqbal
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract, primarily arising from the stomach. With the widespread utilization of and technical advancements in endoscopy, gastric GISTs are being increasingly detected at an early stage, enabling complete endoscopic resection. Endoscopic full-thickness resection (EFTR) is an advanced technique that has been recognized as a treatment tool for neoplasms in the digestive tract in selected patients. Although a number of methods are available, closing large iatrogenic defects after EFTR can be a concern in clinical practice...
October 5, 2018: Clinical Endoscopy
Anne-Marie Dufresne, Rebecca Withers, Jonathan Ramkumar, Shawn Mackenzie, George Melich, Elena Vikis
INTRODUCTION: Transanal minimally invasive surgery (TAMIS) is a valuable surgical option for removal of rectal polyps and early rectal cancers. A potential complication of this technique is abdominal entry if the lesion is located above the peritoneal reflection. We present the first case series describing the use of a laparoscopic stapling device to remove a sessile lesion, and seal the resulting defect simultaneously with full thickness excision of the rectal lesion, avoiding abdominal entry...
September 29, 2018: International Journal of Surgery Case Reports
C Gonzalez, J-M Kwak, F Davrieux, R Watanabe, J Marescaux, L L Swanström
Flexible endoscopy has evolved to the point that it includes many endoluminal procedures that once required open or laparoscopic surgery, for instance, antireflux surgery, pyloromyotomy, mucosal and submucosal tumor resections, and even full-thickness resection. However, these procedures remain technically demanding due to flexible technology issues: difficult imaging, limited energy devices, lack of staplers, unsatisfactory suturing abilities, and so on. Transgastric laparoscopy or hybrid laparoscopy/flex endoscopy has been described for almost two decades as an alternative to a pure endoluminal approach, mainly for pancreatic pseudocyst drainage and full-thickness and mucosal resection of various lesions...
October 8, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
M Flores-Terry, G Romero-Aguilera, C Mendoza, M Franco, P Cortina, M Garcia-Arpa, L Gonzalez-Ruiz, J A Garrido
BACKGROUND AND OBJECTIVES: Amputation is the conventional treatment for malignant subungual tumors (MSUTs), namely, subungual squamous cell carcinoma (SUSCC) and subungual melanoma (SUM). Functional surgery consisting of wide local excision (WLE) of the nail unit can preserve function without modifying prognosis in such cases. We present a series of MSUTs treated with WLE of the nail unit, describe the technique, and review its indications. MATERIAL AND METHODS: Retrospective observational study of MSUTs treated with WLE of the nail unit between 2008 and 2017...
October 2018: Actas Dermo-sifiliográficas
Sara Nasser, Konstantinos Lathouras, Katherine Nixon, Jeremy Campbell, Gary Stocks, Long Jiao, Christina Fotopoulou
OBJECTIVE: Evaluate postoperative hepatic-function in patients with advanced ovarian cancer (OC) who underwent extensive right upper-quadrant (RUQ) cytoreduction in primary, relapsed or interval settings. METHODS: We retrospectively reviewed all patients with OC who underwent liver resection, mobilization and/or diaphragmatic-stripping between 01/2013 and 12/2016. Postoperative liver enzyme function (LFTs), assessed by alanine transaminase (ALT), alkaline phosphatase (ALP) and bilirubin (Bil), was correlated with postoperative complications...
September 29, 2018: Gynecologic Oncology
K C Sasse, J-H Lambin, J Gevorkian, C Elliott, R Afshar, A Gardner, A Mehta, R Lambin, L Peraza
BACKGROUND: Complex ventral incisional hernia repair represents a challenging clinical condition in which biologically derived graft reinforcement is often utilized, but little long-term data inform that decision. Urinary bladder matrix (UBM) has shown effectiveness in diverse clinical settings as durable reinforcement graft material, but it has not been studied over a long term in ventral incisional hernia repair. This study evaluates the clinical, radiographic, and histological outcome of complex incisional hernia repair using UBM reinforcement with 12-70 months of follow-up...
October 1, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Juliana Yang, Anthony N Kalloo, Eduardo Gonzalez-Velez, Saowanee Ngamruengphong
No abstract text is available yet for this article.
October 2018: VideoGIE: an official video journal of the American Society for Gastrointestinal Endoscopy
Shusaku Maeda, Hisashi Motomura, Takaharu Hatano, Ayaka Deguchi
The resection of malignant tumors in medial canthal region may lead to full-thickness defects including medial canthal ligament and lacrimal duct. There had been reports on various reconstructive methods, but none of those methods succeeded in lacrimal reconstruction with functional lacrimal excretory system. We experienced a case of conjunctival malignant melanoma at the lacrimal caruncle and performed new method of the reconstruction for full-thickness defects of the medial canthal region with the maintenance of the lacrimal drainage function...
June 2018: Plastic and Reconstructive Surgery. Global Open
Shuai Wang, Zeliang Zhang, Zhongfei Xu, Weiyi Duan
BACKGROUND: For reconstructive surgeons, massive midface defects, including large, full-thickness wounds on the upper lip, can be very challenging. Although there are many methods for reconstruction of upper lip defects, it is difficult to obtain satisfactory restoration of oral functions and good cosmetic results. CASE PRESENTATION: This case report presents a man with massive midface defects, including upper lip, left nose, and cheek defects. Over the previous 2 years, the patient had three reconstructions with sequential free flaps for the resection of recurrent tumors, the first of which was in March of 2016; this resulted in the patient having massive midface defects, including an upper lip defect, a defect on the left side of the nose, and one on the left cheek...
September 28, 2018: World Journal of Surgical Oncology
Mattie Arseneaux, Donald Yarbrough, Toshio Nagamoto
Complete R0 resection of gastrointestinal stromal tumors (GIST) of the stomach without signs of metastasis is highly reported, and the techniques for tumor resection have been evolving. Previously, laparoscopy was suggested to be safe only for GIST tumors < 2 cm. More recent reports demonstrate safety of resecting gastric GIST tumors laparoscopically > 5 cm even in unfavorable locations defined as GE junction, lesser curvature of gastric body, posterior wall of gastric body, and antrum. The most common resection method for gastric GIST resection is wedge resection, regardless if the surgery is completed open, laparoscopic, or robotically...
September 26, 2018: Journal of Robotic Surgery
Edward Ram, Aviad Hoffman, Yuri Goldes, Danny Rosin, Nir Horesh, Mordechai Gutman, Yair Edden
BACKGROUND: Full-thickness rectal prolapse has a significant negative impact on quality of life. The therapeutic options, specifically in elderly patients, are imperfect. Perineal stapled rectal prolapse resection is a novel operation for treating external rectal prolapse. Long-term follow-up following this procedure is lacking. In our study, we report a long-term follow-up of 30 patients, analyzing the long-term recurrence rate, morbidity, and functional outcome. OBJECTIVE: This study aimed to examine the long-term results of perineal stapled rectal resection in a population unfit for prolonged general anesthesia...
November 2018: Diseases of the Colon and Rectum
Nina Jovanovic, Admira Dizdarevic, Nedzad Dizdarevic, Amir Haracic, Lamija Gafurovic
Introduction: Eye lid reconstruction followed by severe, extensive body and facial burns represents a surgical challenge due to difficulties to obtain proper, healthy skin graft, tissue ischemia and necrosis. Presentation of case: We present a reconstructive lid surgery of cicatricial bilateral lower eyelid ectropion in a case of 31-year-old man who sustained thermal injuries, affecting more than 60% of total body surface area, causing severe, deep dermal burns...
October 2018: Annals of Medicine and Surgery
Markus Bauder, Arthur Schmidt, Karel Caca
Background: Endoscopic resections in the duodenum harbor a significant risk of complications. The full-thickness resection device (FTRD) has shown favorable results concerning efficacy and safety in the resection of colorectal lesions. Data of its use in the duodenum are limited to a single, small case series ( n  = 4). Methods: Data of all consecutive patients scheduled for endoscopic full-thickness resection (EFTR) of duodenal lesions by FTRD in our institution were collected and analyzed retrospectively...
August 2018: United European Gastroenterology Journal
Maxime E S Bronzwaer, Barbara A J Bastiaansen, Lianne Koens, Evelien Dekker, Paul Fockens
Background and study aims  Colorectal polyps involving the appendiceal orifice (AO) are difficult to resect with conventional polypectomy techniques and therefore often require surgical intervention. These appendiceal polyps could potentially be removed with endoscopic full-thickness resection (eFTR) performed with a full-thickness resection device (FTRD). The aim of this prospective observational case study was to evaluate feasibility, technical success and safety of eFTR procedures involving the AO. Patients and methods  This study was performed between November 2016 and December 2017 in a tertiary referral center by two experienced endoscopists...
September 2018: Endoscopy International Open
Toshikatsu Nitta, Jun Kataoka, Masato Ohta, Kensuke Fujii, Yuko Takashima, Yoshihiro Inoue, Takashi Ishibashi
Purpose: This paper presents an overview of the surgical strategy for patients with suspected gallbladder carcinoma (GBC), including incidental GBC cases, preoperatively or intraoperatively, as well as their outcomes. Methods: Between April 2009 and December 2017, 529 patients underwent cholecystectomy for gallbladder disease at our hospital. Both intraoperative and postoperative histological examinations of the excised gallbladder facilitated the diagnosis of GBC...
September 2018: Annals of Medicine and Surgery
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