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Full-thickness Resection

Julian J L Leow, Jason J F Fleming, Richard R O Oakley
Few studies examine techniques of surgical resection for scalp malignancies to ensure clear margins. We present a case series utilizing outer cortex removal in patients without evidence of bony or pericranial invasion. A retrospective casenote review is presented of three cases treated in a tertiary Head and Neck Cancer Centre. An outer table removal approach was utilized based on the absence of bony involvement either on pre-operative imaging or from intra-operative findings. All cases underwent an outer table drilldown procedure...
December 2018: Journal of Surgical Case Reports
Yoshishiro Hiramatsu, Hiroya Takeuchi, Osamu Goto, Hirotoshi Kikuchi, Yuko Kitagawa
BACKGROUND: Recently, minimally invasive approaches such as endoscopic treatment or laparoscopic gastrectomy for early gastric cancer have made rapid progress. However, the extent of gastrectomy and lymphadenectomy in laparoscopic surgery is radical, similar to that of open gastrectomy for patients with early gastric cancer diagnosed as not indicated for endoscopic treatment. Since it is well known that lymph node metastasis is an important prognostic factor, the standard procedure of gastrectomy with radical lymph node dissection has been performed for the purpose of curative resection...
December 14, 2018: Digestion
Pardeep Maheshwari, Muhammad Farman, Senthil Kumar Palaniappan, Brendan Doyle, Stephen Patchett, Danny Cheriyan
No abstract text is available yet for this article.
December 14, 2018: Endoscopy
Chen-Hui Ni, Huan Li, Chuan-Bao Xia, Yang-Tian Chen
RATIONALE: The case of parasternal diaphragmatic hernia is relatively rare in adults. The best way for the treatment of diaphragmatic hernia is to receive operation, yet which surgical method is the best remains unclear. PATIENT CONCERNS: An elderly woman in the hospital was complaining about upper abdominal pain that was complicated by the parasternal diaphragmatic hernia. Such state was found accidentally in a car accident and diagnosed by a computed tomography (CT) scan...
December 2018: Medicine (Baltimore)
Tomica Milosavljevic, Dusan Popovic, Simon Zec, Miodrag Krstic, Dragana Mijac
Superficial neoplastic lesions of the digestive tract are usually asymptomatic, and often represent incidental findings on endoscopy. The Paris Classification was developed for the systematic evaluation of superficial lesions of the oesophagus, stomach and colon. The significance of this classification in clinical practice is that it allows the depth of invasion to be estimated. Chromoendoscopy is used to improve the visualization of gastrointestinal lesions. There are 2 types of chromoendoscopy: dye and virtual chromoendoscopy...
December 12, 2018: Digestive Diseases
Javier F Magrina, Tatiana Cuesta Guardiola, Paul M Magtibay, Heidi E Kosiorek, Paul M Magtibay
STUDY OBJECTIVE: To estimate pulmonary complications and diaphragm recurrence after resection of diaphragm metastases by minimally invasive surgery (MIS) for epithelial ovarian cancer (EOC). DESIGN: Retrospective analysis. DESIGN CLASSIFICATION: III. SETTING: Mayo Clinic in Scottsdale, Arizona, from January 1, 2004, through January 31, 2014. PATIENTS AND INTERVENTIONS: Selected cohort of 29 patients undergoing diaphragm resection by MIS (robotics, n=21; laparoscopy, n=8) for EOC...
December 7, 2018: Journal of Minimally Invasive Gynecology
Bryan P Kline, Kathleen M Schieffer, Christine S Choi, Tara Connelly, Jeffrey Chen, Leonard Harris, Sue Deiling, Gregory S Yochum, Walter A Koltun
BACKGROUND: The management of diverticulitis is compromised by difficulty in identifying patients who require surgery for recurrent or persistent disease. Here, we introduce the concept of multifocal diverticulitis (MFD), characterized by multiple episodes of diverticulitis occurring at different locations within the colon. AIMS: To compare clinical characteristics, success of surgical management, and colonic transcriptomes of MFD patients to patients with conventional unifocal diverticulitis (UFD)...
December 3, 2018: Digestive Diseases and Sciences
V Luca-Pozner, F Boissiere, T Rodriguez, A Karra, C Herlin, B Chaput
BACKGROUND: Extensive full thickness abdominopelvic defects pose a difficult challenge to surgeons. Autologous tissues are versatile and can provide a satisfying reconstructive option for this type of defects. The tensor fascia latae (TFL) and superficial circumflex iliac perforator (SCIP) flaps provide a large area of vascularized tissue and their use in reconstructive surgery is well-known. In this report, the authors present the experience of using combined TFL and propeller SCIP flaps for covering large abdominal and pelvic defects...
December 3, 2018: Microsurgery
M W Jack, K R Crosse, T F Odom, V J Poirier
OBJECTIVES: To assess healing of the canine lower eyelid without anatomical reconstruction. MATERIALS AND METHODS: The study is a retrospective case series, three client-owned dogs with lower eyelid defects. Dogs that underwent debridement of lower eyelid wounds that were left to heal by secondary intention were assessed for anatomical, functional and aesthetic outcomes. RESULTS: Two of the cases had previously undergone tumour resection with a lip-to-lid reconstruction and, following flap failure, developed a full thickness defect...
November 26, 2018: Journal of Small Animal Practice
Bing Li, Tao Chen, Zhi-Peng Qi, Li-Qing Yao, Mei-Dong Xu, Qiang Shi, Shi-Lun Cai, Di Sun, Ping-Hong Zhou, Yun-Shi Zhong
BACKGROUND: Gastric small submucosal tumors (SMTs) are becoming increasingly common. However, the fundus of stomach is regarded as a difficult area for endoscopic resection (ER). In this study, we investigated the efficacy, safety, and long-term outcomes of ER for small SMTs of the gastric fundus in a large series of patients, research that was previously lacking. METHODS: 537 consecutive patients with SMTs no more than 20 mm in diameter, occurring in the gastric fundus and originating from the muscularis propria layer, which were treated with endoscopic submucosal excavation or endoscopic full-thickness resection (EFTR) were included in this retrospective study at Zhongshan Hospital of Fudan University from January 2013 to September 2016...
November 26, 2018: Surgical Endoscopy
Meng Jiang, Chang-Li Li, Guo-Qin Cao, Shao-Tao Tang
BACKGROUND: Reoperations in Hirschsprung disease (HD) may be required due to pathological problems. We conducted this retrospective study to determine the incidence and outcomes of innervation disorders among HD patients following pull-through operation. MATERIALS AND METHODS: We retrospectively reviewed the data of patients who underwent pull-through procedure from 2005 to 2017. Only patients who underwent reoperation due to histological disorders were analyzed...
November 21, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Jun Li, Yuting Meng, Shufang Ye, Peng Wang, Feng Liu
BACKGROUND: Endoscopic full-thickness resection (EFTR) has shown great prospects in treating gastric submucosal tumors (SMTs) from the muscularis propria. However, it is very difficult sometimes to ideally expose the tumor and gain adequate visualization for the dissection site. In the present study, we applied the thread-traction (TT) method to assist EFTR in treating gastric SMTs and investigated the feasibility and effectiveness of this strategy. METHODS: A total of 28 patients were involved in the study...
November 19, 2018: Surgical Endoscopy
Nehal Mahabbat, Nawaf Alohaideb, Faris Aldaghri, Feras Alshomer, Mohamed Amir Murad
Introduction: Facial giant congenital melanocytic nevus represents a major cosmetic deformity for the child and parents and is a challenge for the plastic surgeons to achieve best cosmetic results. Herein, we present a case of single-stage surgical reconstruction using partial-thickness scalp skin graft aided with Matriderm dermal substitute for a facial giant congenital melanocytic nevus. Methods: An 8-year-old boy presented with a facial giant congenital melanocytic nevus without leptomeningeal involvement...
2018: Eplasty
Marco J Tomassi, Janos Taller, Robert Yuhan, Joseph Ruan, Daniel Klaristenfeld
BACKGROUND: Given the significant perioperative risks and costs of total mesorectal excision, minimally invasive transanal surgical approaches have grown in popularity for early rectal cancer and rectal polyps. This article discusses a transanal robotic surgery technique to perform full-thickness resections of benign and malignant rectal neoplasms. OBJECTIVE: The purpose of this study was to describe an initial experience with robotic transanal minimally invasive surgery...
November 15, 2018: Diseases of the Colon and Rectum
Rausei Stefano, Pappalardo Vincenzo, Boni Luigi, Dionigi Gianlorenzo
BACKGROUND: Gastrointestinal tract involvements of metastatic melanoma are rare; 7% of gastrointestinal tract metastases of melanoma concerns the stomach [1]. Actually, bleeding from gastric melanoma metastasis is very rare. For the first time in Literature, this video shows a laparoscopic intragastric resection [2] of a cardial lesion of melanoma. A 64-year old patient with history of a skin melanoma resection with lung and liver metastatic disease confirmed by FDG PET, stable after repeated cycles of Pembrolizumab, presented anemia with gastrointestinal bleeding signs...
December 2018: Surgical Oncology
Eri Ishikawa, Yasuhiro Takahashi, Hirohiko Kakizaki
The Lazy-T procedure is used to correct moderate-to-severe punctal ectropion in the lower eyelid. It includes full-thickness wedge resection of the medial lower eyelid and horizontal tarso-conjunctival diamond excision inferior to the lower punctum. However, the skin wound vertical to the relaxed skin tension lines is often conspicuous and horizontal excision of a part of the tarsus may impair function of the meibomian gland. In this study, the authors developed a modified Lazy-T procedure, which includes subciliary incision, pentagonal tarso-conjunctival resection, and medial spindle excision for submerging the vertical wound after suturing the pentagonal tarso-conjunctival resection under the skin flap and minimizing damage to the tarsus...
November 15, 2018: Journal of Craniofacial Surgery
Hong-Cheng Lin, Hua-Xian Chen, Liang Huang, Ya-Xi Zhu, Qian Zhou, Juan Li, Yu-Jie Xu, Dong-Lin Ren, Jian-Ping Wang
Objective: The present study was designed to evaluate the functional outcome of stapled transanal rectal resection (STARR) and to examine the relationship between the population density of the interstitial cells of Cajal (ICC) and the efficacy of the STARR operation in the management of obstructed defecation syndrome (ODS) patients. Methods: Full-thickness rectal samples were obtained from 50 ODS patients who underwent STARR. Samples were analysed using ICC immunohistochemistry...
November 2018: Gastroenterology Report
Diogo T H de Moura, Amit H Sachdev, Christopher C Thompson
PURPOSE OF REVIEW: Gastrointestinal transmural defects are defined as total rupture of the gastrointestinal wall and can be divided into three main categories: perforations, leaks, and fistulas. Due to an increase in the number of therapeutic endoscopic procedures including full-thickness resections and the increase incidence of complications related to bariatric surgeries, there has been an increase in the number of transmural defects seen in clinical practice and the number of non-invasive endoscopic treatment procedures used to treat these defects...
December 2018: Current Treatment Options in Gastroenterology
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...
December 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
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