keyword
https://read.qxmd.com/read/38524053/mid-term-results-following-reverse-shoulder-arthroplasty-and-the-role-of-navigation-in-the-management-of-glenoid-bone-loss
#21
JOURNAL ARTICLE
Georgios Saraglis, Hamdip Singh, Zain Charfare, Gbemisola Jones Olujinmi, Gertrud Devecseri, Adeniyi Agbaje, Joby George Malal
Background Inaccurate positioning of the glenoid component has been well described as the most common cause of early failure following a reverse shoulder arthroplasty (RSA). Among the latest developments in operative technique, three-dimensional preoperative planning and navigation intraoperative systems have been developed to improve the accuracy of the baseplate positioning during RSA. The primary purpose of this retrospective analysis was to investigate the mid-term results of patients who underwent an elective RSA or for acute highly comminuted proximal humerus fractures...
February 2024: Curēus
https://read.qxmd.com/read/38524011/the-role-of-bone-mineral-density-in-a-successful-lumbar-interbody-fusion-a-narrative-review
#22
REVIEW
Kyriakos N Bekas, Christos Zafeiris
BACKGROUND: The incidence of osteoporosis is a prime concern, especially in parts of the world where the population is aging, such as Europe or the US. Many new therapy strategies have been described to enhance bone healing. Lumbar interbody fusion (LIF) is a surgical procedure that aims to stabilize the lumbar spine by fusing two or more vertebrae using an interbody cage. LIF is a standard treatment for various spinal conditions, such as degenerative disc disease, spinal stenosis, and spondylolisthesis...
February 2024: Curēus
https://read.qxmd.com/read/38523873/feasibility-of-augmented-reality-for-pediatric-giant-supratentorial-tumors-a-report-of-three-cases
#23
Yilong Wu, Jonis M Esguerra, Sai Liang, Sharon Yy Low
Giant supratentorial brain tumors (GSBTs) in children are uncommon and extremely challenging entities unique to pediatric neurosurgery. Factors such as young patient age, need for urgent intervention, intraoperative blood loss, and ongoing raised intracranial pressure symptoms are examples of difficulties faced. Recently, there has been a growing body of literature on augmented reality (AR) in adult neurosurgery. In contrast, the use of AR in pediatric neurosurgery is comparatively less. Nonetheless, we postulate that AR systems will be helpful for understanding spatial relationships of complex GSBT anatomy for preoperative planning in a timely fashion...
March 2024: Curēus
https://read.qxmd.com/read/38522054/a-guide-to-selecting-upper-thoracic-versus-lower-thoracic-uppermost-instrumented-vertebra-in-adult-spinal-deformity-correction
#24
REVIEW
Rohit Prem Kumar, Samuel Adida, Raj Swaroop Lavadi, Rida Mitha, Andrew D Legarreta, Joseph S Hudson, Manan Shah, Bassel Diebo, Daryl P Fields, Thomas J Buell, D Kojo Hamilton, Alan H Daniels, Nitin Agarwal
PURPOSE: Operative treatment of adult spinal deformity (ASD) has been shown to improve patient health-related quality of life (HRQOL). Selection of the uppermost instrumented vertebra (UIV) in either the upper thoracic (UT) or lower thoracic (LT) spine is a pivotal decision with effects on operative and postoperative outcomes. This review overviews the multifaceted decision-making process for UIV selection in ASD correction. METHODS: PubMed was queried for articles using the keywords "uppermost instrumented vertebra", "upper thoracic", "lower thoracic", and "adult spinal deformity"...
March 24, 2024: European Spine Journal
https://read.qxmd.com/read/38521627/consensus-of-the-brazilian-association-of-hematology-hemotherapy-and-cellular-therapy-on-patient-blood-management-preoperative-clinical-and-laboratory-assessment-of-the-patient
#25
JOURNAL ARTICLE
Roberto Luiz da Silva, Bruno Deltreggia Benites, Flavia Leite, Selma Soriano, Susankerle de Oliveira Costa Alves, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior
The preoperative clinical and laboratory evaluations of the patient is an essential step to ensure the safety and success of any surgical procedure. This assessment aims to identify any underlying medical conditions and risk factors and determine suitability for surgery. With this step, the medical team can adapt the care plan to meet each patient's specific needs, increasing the chances of a successful procedure. Good clinical assessment and comprehensive laboratory testing, when integrated into a Patient Blood Management approach, are invaluable in promoting safety of care, reducing transfusion risks, improving surgical outcomes, and optimizing resource utilization...
March 13, 2024: Hematology, Transfusion and Cell Therapy
https://read.qxmd.com/read/38521233/preoperative-free-access-to-water-compared-to-fasting-for-planned-cesarean-under-spinal-anesthesia-a-randomized-controlled-trial
#26
JOURNAL ARTICLE
Yee Ling Ng, Sabeetha Segaran, Carolyn Chue Wai Yim, Boon Kiong Lim, Mukhri Hamdan, Farah Gan, Peng Chiong Tan
BACKGROUND: Contemporary guidance for preoperative feeding allows solids up to six hours and clear fluid up to two hours before anesthesia. Clinical trial evidence to support this approach for cesarean section is lacking. Many medical practitioners continue to follow conservative policies of no intake from midnight to the time of surgery, especially in pregnant women. OBJECTIVE: To evaluate the pragmatic approach of permitting free access to water to the point when the operating theater call to dispatch the woman compared to fasting from midnight in preoperative oral intake restriction for planned cesarean under spinal anesthesia on perioperative vomiting and maternal satisfaction...
March 21, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38520420/effectiveness-of-wearing-glasses-with-green-lenses-on-dental-anxiety-for-third-molar-surgery-a-randomized-clinical-trial
#27
JOURNAL ARTICLE
Gökhan Gürses, Fulya İdil Ömeroğlu Akkoç, Ahmet Aktı, Muslu Kazım Körez
BACKGROUND: Dental anxiety is a common problem for oral surgeries. This study investigated the effectiveness of wearing glasses with green lenses in reducing dental anxiety, blood pressure, heart rate, and intraoperative pain in patients undergoing first-time third-molar surgery. METHODS: The authors planned this study as a randomized and parallel-group clinical trial. Patients' dental anxiety was measured with the use of a visual analog scale and a State-Trait Anxiety Inventory for baseline measurement purposes...
March 21, 2024: Journal of the American Dental Association
https://read.qxmd.com/read/38519449/risk-factors-for-complicated-perioperative-recovery-in-dogs-undergoing-staphylectomy-or-folded-flap-palatoplasty-seventy-six-cases-2018-2022
#28
JOURNAL ARTICLE
Agnieszka B Fracka, Min K Song, Trey L Dejong, Boel A Fransson
OBJECTIVE: To analyze risk factors for complicated perioperative recovery of dogs undergoing either staphylectomy or folded flap palatoplasty. STUDY DESIGN: Retrospective study. ANIMALS: Seventy-six client-owned dogs. METHODS: Medical records of dogs that underwent either staphylectomy or folded flap palatoplasty were reviewed for signalment, brachycephalic risk (BRisk) score, history of gastrointestinal signs, laryngeal collapse grade, presence of preoperative aspiration pneumonia, intraoperative respiratory and cardiovascular complications, length of general anesthesia, number of corrected brachycephalic obstructive airway syndrome (BOAS) components, and gastrointestinal and respiratory postoperative complications...
March 22, 2024: Veterinary Surgery
https://read.qxmd.com/read/38518468/surgical-management-of-idiopathic-acute-cervical-kyphosis-a-case-based-review-of-an-extremely-rare-entity
#29
Seyed Amir H Javadi, Mohammad Mirahmadi Eraghi, Arad Iranmehr, Zahid Hussain Khan, Abolfazl Rahimizadeh
INTRODUCTION AND IMPORTANCE: Acute idiopathic cervical kyphosis (AICK) represents a rare entity, and its management remains controversial. Preoperative surgical planning and individual decision-making seem necessary. To date, there is a lack of sufficient evidence and clear guidelines. CASE PRESENTATION: A 21-year-old male was referred with a progressive cervical deformity detected 3 months earlier. The patient suffered from severe progressive myelopathy and represented neither neck trauma nor a familial history of similar expected conditions...
March 8, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38516423/bilateral-inverted-v-shaped-high-tibial-osteotomy-a-case-report
#30
Aboubacar Lawan Abdou, Taha El Aissaoui, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi
The article describes the case of a young patient with bilateral genu varum deformity, limiting her mobility. The therapeutic decision was a staged reverse V-shaped tibial osteotomy on both knees at a six-month interval. The surgery faced infectious complications on the left side, requiring additional treatment. Despite this, the patient achieved successful correction, with wound healing and bone consolidation. Preoperative planning was crucial, determining specific correction angles for each knee. The reverse V-shaped osteotomy demonstrated satisfactory functional outcomes compared to other techniques...
February 2024: Curēus
https://read.qxmd.com/read/38516058/minimally-invasive-chevron-akin-osteotomy-preoperative-planning-using-the-radiographic-first-ray-squeeze-test
#31
JOURNAL ARTICLE
Gustavo Araujo Nunes, Gabrie Ferraz Ferreira, Miguel Viana Pereira Filho, Kepler Alencar Mendes de Carvalho, Thomas Lorchan Lewis, Jorge Castellini, Robbie Ray, Joel Vernois
BACKGROUND: Recognizing preoperative first-ray hypermobility is important to planning hallux valgus (HV) surgery. A recent study showed the minimally invasive chevron Akin (MICA) osteotomy increased varus displacement of the proximal fragment of the first metatarsal osteotomy. The present study aims to evaluate the ability of the radiographic first-ray squeeze test to predict the varus displacement of the proximal fragment of the first metatarsal osteotomy when performing the MICA procedure...
January 2024: Foot & ankle orthopaedics
https://read.qxmd.com/read/38516003/fractional-flow-reserve-and-instantaneous-wave-free-ratio-in-coronary-artery-bypass-grafting-a-meta-analysis-and-practice-review
#32
REVIEW
R G Abbasciano, G R Layton, S Torre, N Abbaker, A Copperwheat, C Lucarelli, S Bhandari, S Nijjer, G Mikhail, R Casula, M Zakkar, A Viviano
OBJECTIVE: Fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) are invasive methods to assess the functional significance of intermediate severity coronary lesions. Both indexes have been extensively validated in clinical trials in guiding revascularisation in patients with stable ischaemic heart disease undergoing percutaneous coronary intervention (PCI) with improved clinical outcomes. However, the role of these tools in coronary artery bypass grafting (CABG) is less clear...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38514125/-hypervascular-tumors-such-as-hemangioblastoma
#33
JOURNAL ARTICLE
Hiroki Yoshida, Hirofumi Nakatomi
Hemangioblastomas are richly vascular tumors. Therefore, visualizing the vascular anatomy of their feeders and drainers is important for planning surgical excision. Preoperative three-dimensional computer graphic(3DCG)images are useful for determining the number, location, and course of their feeders and drainers.
March 2024: No Shinkei Geka. Neurological Surgery
https://read.qxmd.com/read/38514124/-preoperative-simulation-of-endoscopic-endonasal-approach-for-craniopharyngiomas-or-tuberculum-sellae-meningiomas
#34
JOURNAL ARTICLE
Hiroyoshi Akutsu, Takeshi Hongo
Preoperative simulation for endoscopic endonasal approach(EEA)using computed tomography and magnetic resonance imaging evaluates tumor extension and the relationship between adjacent structure(the pituitary stalk, major vessels, and cranial nerves); therefore, preoperative planning of nasal procedure, skull base bony removal, and cranial base reconstruction are possible. Additionally, three-dimensional(3D)fusion image aids surgeons to visualize intraoperative 3D findings. These preoperative simulations are critical to avoid complications and predict pitfalls perioperatively...
March 2024: No Shinkei Geka. Neurological Surgery
https://read.qxmd.com/read/38514121/-usefulness-of-preoperative-simulation-skull-base-approach
#35
JOURNAL ARTICLE
Masahiko Wanibuchi, Toru Hirano, Toshihiro Takami, Shinji Kawabata, Motomasa Furuse, Naosuke Nonoguchi, Masahiro Kameda, Ryo Hiramatsu, Ryokichi Yagi, Gen Futamura, Masao Fukumura, Takuya Kosaka, Yusuke Fukuo, Katsuya Komatsu, Nobuhiro Mikuni
Preoperative simulation images creates an accurate visualization of a surgical field. The anatomical relationship of the cranial nerves, arteries, brainstem, and related bony protrusions is important in skull base surgery. However, an operator's intention is unclear for a less experienced neurosurgeon. Three-dimensional(3D)fusion images of computed tomography and magnetic resonance imaging created using a workstation aids precise surgical planning and safety management. Since the simulation images allows to perform virtual surgery, a déjà vu effect for the surgeon can be obtained...
March 2024: No Shinkei Geka. Neurological Surgery
https://read.qxmd.com/read/38514120/-a-new-preoperative-simulation-using-magnetic-resonance-imaging-bone-like-imaging-with-zero-echo-time-sequence
#36
JOURNAL ARTICLE
Akihiro Inoue, Yasuhiro Shiraishi, Taichi Furumochi, Takeharu Kunieda
This study aimed to evaluate the clinical usefulness of zero-echo time(ZTE)-based magnetic resonance imaging(MRI)in planning an optimal surgical approach and applying ZTE for anatomical guidance during transcranial surgery. P atients who underwent transcranial surgery and carotid endarterectomy and for whom ZTE-based MRI and magnetic resonance angiography(MRA)data were obtained, were analyzed by creating ZTE/MRA fusion images and 3D-ZTE-based MRI models. We examined whether these images and models could be substituted for computed tomography imaging during neurosurgical procedures...
March 2024: No Shinkei Geka. Neurological Surgery
https://read.qxmd.com/read/38514007/utility-of-superior-augments-in-reverse-shoulder-arthroplasty-exactech-equinoxe-gps-without-significant-glenoid-deformity
#37
JOURNAL ARTICLE
Jay M Levin, Eoghan Hurley, Christopher A Colasanti, Christopher P Roche, Peter N Chalmers, Joseph D Zuckerman, Thomas Wright, Pierre-Henri Flurin, Oke Anakwenze, Christopher S Klifto
INTRODUCTION: Superior augment use may help avoid superior tilt while minimizing removal of inferior glenoid bone. Therefore, our goal is to compare superior augments versus no augment baseplates in RSA for patients with rotator cuff dysfunction and no significant superior glenoid erosion. METHODS: A multicenter retrospective analysis of 145 patients who underwent RSA with intraoperative navigation (Exactech, Equinoxe GPS) and three-year follow-up (mean 32-month follow-up, range 20 to 61 months) who had preoperative superior inclination less than 10 degrees and retroversion less than 15 degrees...
March 19, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38513343/quantifying-nasal-deformities-using-a-novel-mathematical-method-to-complement-preoperative-assessment-in-rhinoplasty-patients
#38
JOURNAL ARTICLE
Utkarsh Raj, Abhishek Garg, Madhubari Vathulya, Akshat Kandwal
BACKGROUND: Rhinoplasty enhances facial symmetry and functionality. However, the accurate and reliable quantification of nasal defects pre-surgery remains an ongoing challenge. AIM: This study introduces a novel approach for defect quantification using 2D images and artificial intelligence, providing a tool for better preoperative planning and improved surgical outcomes. MATERIALS AND METHODS: A pre-trained AI model for facial landmark detection was utilised on a dataset of 250 images of male patients aged 18 to 24 who underwent rhinoplasty for cosmetic nasal deformity correction...
March 5, 2024: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/38511987/successful-anesthesia-management-of-pediatric-living-donor-liver-transplant-with-mild-bilateral-pulmonary-artery-stenosis-due-to-alagille-syndrome-a-case-report
#39
Nedim Çekmen, Ahmed Uslu, Adnan Torgay, Coşkun Araz, Emre Karakaya, Sedat Yildirim, Kürşad Tokel, Mehmet Haberal
Alagille syndrome is an autosomal-dominantinherited disease characterized by intrahepatic bile duct involvement, congenital heart disease, eye anomalies, skeletal and central nervous system involvement, kidney anomalies, and facial appearance. Liver transplant is the only treatment option for patients with end-stage liver disease and Alagille syndrome. Bilateral peripheral pulmonary artery stenosis is a contraindication for liver transplant due to high mortality, and the decision for liver transplant in patients with bilateral peripheral pulmonary artery stenosis is extremely challenging for anesthesiologists andtransplant surgeons...
February 2024: Experimental and Clinical Transplantation
https://read.qxmd.com/read/38511475/virtual-reality-and-mixed-reality-assisted-endoscopic-dcr-in-extremely-complex-lacrimal-obstructions
#40
JOURNAL ARTICLE
Rafal Nowak, Izabela Nowak-Gospodarowicz, Marek Rękas, Mohammad J Ali
OBJECTIVE: To report the techniques and outcomes of virtual reality (VR) and mixed reality (MR)-assisted powered endoscopic dacryocystorhinostomy (DCR) in extremely complex lacrimal drainage obstructions. METHODS: A prospective, non-randomized clinical study was performed in complex syndromic congenital nasolacrimal duct obstruction (CNLDO) and post-traumatic secondary acquired lacrimal duct obstruction (SALDO) in the setting of Le Fort fractures. All patients underwent preoperative planning in VR and intraoperative planning with a step ahead with MR assistance during the surgery...
March 21, 2024: Laryngoscope
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