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Surgical Removal

Lawrence Tsai, Preston A Milburn, Charles L Cecil, Patrick S Lowry, Michael R Hermans
OBJECTIVES: To determine if recurrence rates and complication rates differ between three different techniques for treatment of idiopathic hydrocele: Jaboulay bottleneck, Hydrocelectomy, or Lord's technique. METHODS: All surgeries for idiopathic hydrocele in the health system were reviewed from 2000 - 2011. Recurrence rate, complication rate, and other surgical data were collected and analyzed. RESULTS: 276 surgeries were performed using the following techniques: 70 (26%) Jaboulay repair, 127 (46%) hydrocelectomy, and 79 (28%) Lord's repair...
December 12, 2018: Urology
Juliana Bertoldi Franco, Loreto José Maureira Pena, Fabiana Martins E Martins, Marcio Augusto de Oliveira, Karem L Ortega
BACKGROUND: Kaposi's sarcoma (KS) is the most prevalent malignant neoplasia in human immunodeficiency virus positive (HIV+) patients for which the primary mode of management was chemotherapy. METHODS: We have presented the case of a newly diagnosed HIV+ male patient who was diagnosed with a pedunculated nodule in the anterior region of the hard palate, measuring 3.5 cm in diameter and with 2 months of evolution. RESULTS: Histopathological examination confirmed the clinical hypothesis of KS...
December 15, 2018: Head & Neck
Cali E Johnson, Joyce Peralta, Lindsey Lawrence, Alice Issai, Fred A Weaver, Sung W Ham
PURPOSE: System-based practice with an emphasis on quality improvement (QI) is a recent initiative for the American College of Surgeons and a core-competency for surgical trainees. Few surgical training programs have a curriculum for hospital-based QI. METHODS: Our vascular surgery service implemented several QI initiatives focused on decreasing length of stay (LOS) by targeting resident education and engagement. Residents were educated on terminology and processes impacting hospital and CMS QI metrics such as Medicare geometric mean LOS (CMS GMLOS) and diagnostic-related groups (DRG) with complication or comorbidity (CC/MCC) coding...
December 12, 2018: Journal of Surgical Education
Jonathan Clavell-Hernández, Samuel G Aly, Run Wang, Hossein Sadeghi-Nejad
BACKGROUND: Removal of the penile prosthesis reservoir can be technically challenging because of its difficult locations either deep in the pelvis or high in the abdominal wall. AIM: To describe a detailed surgical technique for reservoir removal through a penoscrotal approach. METHODS: We describe our preferred method for removal of prosthetic reservoir and present a retrospective review of patient outcomes after reservoir removal. MAIN OUTCOME MEASURE: Primary outcomes included immediate or late complications...
December 11, 2018: Journal of Sexual Medicine
Luke A Poore, Neil Duncan, June Williams
A non-ossified unilateral subcutaneous fibroma was diagnosed in the distal femoral region of a 5-year-old Nooitgedacht mare. Histopathological examination of the excised mass revealed long interweaving bundles of semi-mature monotonous collagenous connective tissue with fusiform nuclei without mitotic figures. The mare made an uneventful recovery following surgical removal of the neoplasm. Subcutaneous fibromas should be considered in the differential diagnosis of skin swellings associated with the limbs of horses...
December 5, 2018: Journal of the South African Veterinary Association
Raphael S Werner, René Prêtre, Francesco Maisano, Markus J Wilhelm
Transcatheter atrial septal defect (ASD) device closure has gained increasing popularity over the past decades due to shorter hospital stay and the absence of skin scars. However, concern about the seriousness of device-related complications is accumulating. We report a case of device fracture in a young asymptomatic woman almost 4 years after percutaneous secundum ASD closure, resulting in mitral valve perforation. Subsequently, elective surgical removal of the device and mitral valve reconstruction was performed...
December 11, 2018: Annals of Thoracic Surgery
Anais Malpica, Elizabeth D Euscher, Jonathan L Hecht, Rouba Ali-Fehmi, Charles M Quick, Naveena Singh, Lars-Christian Horn, Isabel Alvarado-Cabrero, Xavier Matias-Guiu, Lynn Hirschowitz, Máire Duggan, Jaume Ordi, Vinita Parkash, Yoshiki Mikami, M Ruhul Quddus, Richard Zaino, Annette Staebler, Charles Zaloudek, W Glenn McCluggage, Esther Oliva
Endometrial cancer is the most common gynecologic neoplasm in developed countries; however, updated universal guidelines are currently not available to handle specimens obtained during the surgical treatment of patients affected by this disease. This article presents recommendations on how to gross and submit sections for microscopic examination of hysterectomy specimens and other tissues removed during the surgical management of endometrial cancer such as salpingo-oophorectomy, omentectomy, and lymph node dissection-including sentinel lymph nodes...
January 2019: International Journal of Gynecological Pathology
Till D Lerch, Eduardo N Novais, Florian Schmaranzer, Kai Ziebarth, Simon D Steppacher, Moritz Tannast, Klaus A Siebenrock
BACKGROUND: Prophylactic pinning of the asymptomatic and normal-appearing contralateral hip in patients with unilateral slipped capital femoral epiphysis (SCFE) remains controversial. Understanding the minimal 10-year clinical, functional, and radiographic outcomes of the contralateral asymptomatic hip in unilateral SCFE may be helpful in the decision regarding whether the benefits associated with potentially preventing a SCFE are outweighed by the risk of additional surgery. QUESTIONS/PURPOSES: Among patients with SCFE treated with prophylactic pinning of the asymptomatic and contralateral hip, we sought (1) to determine the complications and reoperations; (2) to evaluate the development of cam deformities and the frequency and severity of osteoarthritis progression; and (3) to characterize hip pain and function as measured by the Harris hip score (HHS) and the Hip Disability and Osteoarthritis Outcome Score (HOOS) at minimal 10-year followup...
December 13, 2018: Clinical Orthopaedics and related Research
Y Mao, Y J Chang, X L Zhang, F F Xu, S Q Yu, Z W Ji
Objective: To evaluate the effect of the application of functional parotid surgery for removal of benign parotid tumors and the prevention of Frey syndrome. Method: One hundred and fifty-six cases with benign tumor were underwent functional regional parotidectomy. All tumors were smaller than 4 cm in diameter. The safe surgical margin was 5 mm when the tumors were less than 2 cm in diameter, while the safety margin was 1 cm for the tumors diameter between 2-4 cm. 156 cases were assigned to two groups(A and B)...
December 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
X M Wang, H Li, D S Chen, Z Y Lu, M J Zhang, L Z Zhou, Y F Han, W Z Wang, S Y Ma
Objective: To find proper the surgical approval and evaluate clinical efficacy to treat the tumor of upper parapharyngeal space involving the base of skull and intracranial skull. Method: The data of 9 cases from June 2013 and June 2018 were analyzed retrospectively including schwannoma in 6 cases, pleomorphic adenoma in 2 cases and hemangioma in 1 case. All cases received preoperative high resolution CT and MRI, some cases also did the DSA examination. Tumor invaded top of nasopharyngeal in 4 cases, the base of skull in 3 cases, and intraskull in 2 cases...
December 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
G J Chai, Y D Meng, Y Liu, M Zhao
Summary External auditory canal HIV-associated Kaposi sarcoma is rare. A 47-year-old male patient found a lump locked in the right external auditory canal gradually enlarging during the 4 months. Preoperative examination suggested that the patient had infected with HIV. After surgical removal of the mass, the result of histopathological examination is Kaposi sarcoma. Postoperatively, the patient take tenofovir, lamivudine and efavirenz regularly. After follow-up for 2 years, no local recurrence or metastasis could be found after excision...
December 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Q L Xiong, X F Jiao, L S Wu, X Zhang, Y Q Tian, D H Huang
Summary Two patients both complained of one year history of hoarseness and the clinical manifestations and imageology among 2 patients were lack of specificity. The pathological tissue was successfully eradicated by surgical removal. Histopathology established laryngeal malignant melanoma as the diagnosis. The clinical manifestations and imageology were lack specificity between laryngeal malignant melanoma, laryngeal cancer and other malignant tumor, the diagnosis is difficult, often confirmed by postoperative pathology, the treatment is often by surgery and have a poor prognosis...
December 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Fernando López, Carlos Suárez, Vincent Vander Poorten, Antti Mäkitie, Iain J Nixon, Primož Strojan, Ehab Y Hanna, Juan Pablo Rodrigo, Remco de Bree, Miquel Quer, Robert P Takes, Carol R Bradford, Ashok R Shaha, Alvaro Sanabria, Alessandra Rinaldo, Alfio Ferlito
The parapharyngeal space is a complex anatomical area. Primary parapharyngeal tumors are rare tumors and 80% of them are benign. A variety of tumor types can develop in this location; most common are salivary gland neoplasm and neurogenic tumors. The management of these tumors has improved greatly owing to the developments in imaging techniques, surgery, and radiotherapy. Most tumors can be removed with a low rate of complications and recurrence. The transcervical approach is the most frequently used. In some cases, minimally invasive approaches may be used alone or in combination with a limited transcervical route, allowing large tumors to be removed by reducing morbidity of expanded approaches...
December 14, 2018: Head & Neck
Sanja Nabergoj, Irena Mlinarič-Raščan, Žiga Jakopin
In the last decade, cancer immunotherapy has emerged as an effective alternative to traditional therapies such as chemotherapy and radiation. In contrast to the latter, cancer immunotherapy has the potential to distinguish between cancer and healthy cells, and thus to avoid severe and intolerable side-effects, since the cancer cells are effectively eliminated by stimulated immune cells. The cytosolic nucleotide-binding oligomerization domains 1 and 2 receptors (NOD1 and NOD2) are important components of the innate immune system and constitute interesting targets in terms of strengthening the immune response against cancer cells...
December 13, 2018: Medicinal Research Reviews
Damiano Bracchitta, Pedro Costa, Johann Ménard, Pierre-Emannuel Bryckaert, Éric Mandron
INTRODUCTION: Stress urinary incontinence (SUI) mainly affects women as a result of pregnancies with laborious delivery, obesity, and pelvic floor dysfunctions. The first therapeutic approach includes life-style interventions, pelvic floor muscle or bladder training. The second-line treatment usually is surgical. In cases of recurrent SUI after first surgical treatment or when clear intrinsic sphincter insufficiency (ISD) is present, an implantation of an artificial urinary sphincter (AUS) is recommended...
December 11, 2018: BJU International
Simone Albisinni, Fouad Aoun, Romain Diamand, Walid Al-Hajj Obeid, Francesco Porpiglia, Thierry Roumeguere, Cosimo De Nunzio
INTRODUCTION: Cytreductive prostatectomy is an experimental surgical approach to metastatic prostate cancer (mPCa), with the scope of improving local symptoms and potentially ameliorate oncologic outcomes. Aim of the current systematic review is to analyze available evidence to support this approach and explore published data a future trial on cytoreductive prostatectomy. EVIDENCE ACQUISITION: A systematic review was conducted searching all relevant studies published in PubMed, EMBASE, Cochrane Library, CINAHL, Google Scholar and Ovid database until August 1, 2018...
December 14, 2018: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Stefano Puliatti, Ahmed Elsherbiny, Ahmed Eissa, Giacomo Pirola, Elena Morini, Denise Squecco, Raffaele Inzillo, Ahmed Zoeir, Andrea Iseppi, Maria Chiara Sighinolfi, Salvatore Micali, Bernardo Rocco, Giampaolo Bianchi
BACKGROUND: Prostate cancer represents a serious health problem worldwide. Radical prostatectomy is the gold standard for management of localized prostate cancer. Urinary incontinence is among the most common complications affecting RALP patients' post-operative quality of life. Several surgical modifications were introduced to overcome this problem including the puboprostatic ligament reconstruction. In this study, we discuss our technique of anterior reconstruction of the puboprostatic ligament during RALP and its effect on the continence outcome postoperatively...
December 14, 2018: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Bardia Bidarmaghz, Roderick Cyril Borrowdale, Kasra Raufian
BACKGROUND: Femoral hernia accounts for 3% of all the hernias, and in 0.5-5% of cases, the appendix can migrate through the femoral hernia and is called de Garengeot hernia. It is a very rare condition, and the incidence of appendicitis in this type of hernia is as low as 0.08-0.13%. CASE PRESENTATION: We bring into discussion a case of a 47-year-old female who presented to the emergency department with a painful right-sided groin lump for the past 2 days. After initial resuscitation, a CT scan was requested which showed the presence of inflamed appendix inside the femoral canal...
December 13, 2018: Surgical Case Reports
Vanida Ann Serna, Takeshi Kurita
Uterine leiomyoma (UL) or fibroid is a benign smooth muscle tumor of the myometrium with a lifetime incidence of approximately 70%. ULs often require medical intervention due to severe symptoms such as heavy menstrual bleeding and abdominal pain. Although the most common and effective management of ULs is surgical removal, the invasive surgical procedure imposes physical and psychological burdens on the patients. Moreover, the economic burden of UL on health care system is enormous due to the high cost of surgeries...
2018: Journal of Biological Methods
Susumu Matsukuma, Kiyohaya Obara, Yoshitaka Utsumi, Kosuke Miyai, Hiroaki Takeo, Yoshiro Oshika, Koji Sensaki
Cytokeratin 5/6 (CK5/6), p63, and p40 are commonly used as immunohistochemical markers for squamous cell carcinoma (SqCC) of the lung. To elucidate their positivity in primary pulmonary choriocarcinoma (PPC), the present study examined 4 PPCs, including 1 surgically removed PPC and 3 postmortem PPCs. All PPCs consisted of nested cytotrophoblastic tumor cells and occasional syncytiotrophoblastic tumor cells although 1 surgically removed PPC was markedly affected by pre-operative therapy-associated necrosis and 3 postmortem PPCs coexisted with adenocarcinoma...
December 2018: Oncology Letters
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