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Surgery (General)

Uwe Wahl, Ingmar Kaden, Andreas Köhler, Tobias Hirsch
Hypothenar or thenar hammer syndrome (HHS) and hand-arm vibration syndrome (HAVS) are diseases caused by acute or chronic trauma to the upper extremities. Since both diseases are generally related to occupation and are recognised as occupational diseases in most countries, vascular physicians need to be able to distinguish between the two entities and differentiate them from other diagnoses. A total of 867 articles were identified as part of an Internet search on PubMed and in non-listed occupational journals...
October 16, 2018: VASA. Zeitschrift Für Gefässkrankheiten
M R Orchard, J Hooper, J A Wright, K McCarthy
INTRODUCTION: McKittrick-Wheelock syndrome describes the condition of extreme electrolyte and fluid depletion caused by large distal colorectal tumours, usually the benign villous adenoma. Patients generally present critically unwell with severe hyponatraemia, hypokalaemia and/or acute kidney injury. METHODS: A structured literature review was undertaken to discover what is known about this condition, which is almost universally described as rare. Important features of the syndrome were identified, including common presenting symptoms, blood results, tumour location and size...
October 16, 2018: Annals of the Royal College of Surgeons of England
D Zanotti, C Fiorani, A Botha
BACKGROUND: Diaphragmatic and hiatus hernias can cause mild chronic symptoms or have an acute presentation with gastric volvulus and obstruction. Elective or emergency surgery is indicated in symptomatic patients and nowadays is generally performed laparoscopically. METHODS: We report four different types of hernias: a giant hiatus hernia following a gastric pull-up for recurrent congenital diaphragmatic hernia; a Bochdalek hernia in a pregnant young woman; concomitant hiatus and Morgagni hernias; and a giant hiatus hernia occupying the right chest...
October 16, 2018: Annals of the Royal College of Surgeons of England
Anthony D'Oro, Zorica Buser, Darrel Scott Brodke, Jong-Beom Park, Sangwook Tim Yoon, Jim Aimen Youssef, Hans-Joerg Meisel, Kristen Emmanuel Radcliff, Patrick Hsieh, Jeffrey Chun Wang
Study Design: Retrospective review. Purpose: To identify the trends in stimulator use, pair those trends with various grafting materials, and determine the influence of stimulators on the risk of revision surgery. Overview of Literature: A large number of studies has reported beneficial effects of electromagnetic energy in healing long bone fractures. However, there are few clinical studies regarding the use of electrical stimulators in spinal fusion...
October 16, 2018: Asian Spine Journal
Morteza Dehnokhalaji, Mohammad Reza Golbakhsh, Babak Siavashi, Parham Talebian, Sina Javidmehr, Mohammadreza Bozorgmanesh
Study Design: Retrospective study. Purpose: Lumbar intervertebral disc degeneration is an important cause of low back pain. Overview of Literature: Spinal fusion is often reported to have a good course for adolescent idiopathic scoliosis (AIS). However, many studies have reported that adjacent segment degeneration is accelerated after lumbar spinal fusion. Radiography is a simple method used to evaluate the orientation of the vertebral column...
October 16, 2018: Asian Spine Journal
Margarita Minou Báez-Martín, Lilia Maria Morales-Chacón, Iván García-Maeso, Bárbara Estupiñán-Díaz, María Eugenia García-Navarro, Yamila Pérez Téllez, Lourdes Lorigados-Pedre, Nelson Quintanal-Cordero, Ricardo Valdés-Llerena, Judith González González, Randis Garbey-Fernández, Ivette Cabrera-Abreu, Celia Alarcón-Calaña, Juan E Bender Del Busto, Rafael Rodríguez Rojas, Karla Batista García-Ramó, Reinaldo Galvizu Sánchez
Auditory and visual pathways may be affected as a consequence of temporal lobe epilepsy surgery because of their anatomical relationships with this structure. The purpose of this paper is to correlate the results of the auditory and visual evoked responses with the parameters of tractography of the visual pathway, and with the state of connectivity between respective thalamic nuclei and primary cortices in both systems after the surgical resection of the epileptogenic zone in drug-resistant epileptic patients...
October 12, 2018: Behavioral Sciences
Veronica Roberts, Lyndon W Mason, E Harrison, Andrew P Molloy, Jitendra Mangwani
BACKGROUND: The aim of our study was to assess the adequacy of reduction and internal fixation of ankle fractures and the long-term functional outcomes of patients treated in two university teaching hospitals by general orthopaedic surgeons. METHOD: We performed a retrospective study involving two large trauma units in the UK, reviewing all operatively treated unstable ankle fractures performed in one centre between 1st October 2006 and 31st December 2007 and another centre between 1st January 2009 and 31st December 2009...
May 8, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Winston Shang Rong Lim, Ming Han Lincoln Liow, Inderjeet Singh Rikhraj, Graham Seow-Hng Goh, Kevin Koo
BACKGROUND: Males and females who undergo hallux valgus (HV) surgery have different expectations. METHODS: Data from 439 patients, with 26 males, were prospectively collected between 2007-2015. Propensity score matching (PSM) of one male to two females was performed using logistic regression of six variables to minimize selection bias. Hallux visual analogue scale (VAS) scores, AOFAS scores, SF-36, satisfaction and expectation scores were analysed at two years. RESULTS: There were no significant differences in patient demographics after PSM...
August 13, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Tomasz L Nosewicz, Siem A Dingemans, Manouk Backes, Jan S K Luitse, J Carel Goslings, Tim Schepers
BACKGROUND: The optimal surgical approach for displaced intra-articular calcaneal fractures (DIACF) is subject of debate. The primary aim of this systematic review and meta-analysis was to assess wound-healing complications following the sinus tarsi approach (STA) compared to the extended lateral approach (ELA). Secondary aims were to assess time to surgery, operative time, calcaneal anatomy restoration, functional outcome, implant removal and injury to the peroneal tendons and sural nerve...
August 28, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Alisson R Teles, Spencer Montgomery, Kenneth C Thomas
BACKGROUND: Necrotizing fasciitis (NF) is a surgical diagnosis characterized by a rapidly progressive soft tissue infection, widespread tissue necrosis, and associated systemic illness. Friability of the superficial fascia, dishwater-gray exudate, and absence of pus are surgical characteristics of this diagnosis. Due to the rapid progression of the infection, early recognition and aggressive surgical debridement are crucial to reduce mortality. Despite being commonly seen by general, plastic, and orthopedic surgeons, NF is an extremely rare spine surgery emergency...
October 12, 2018: World Neurosurgery
Rienk Dekker, Yoanna V Hristova, Juha M Hijmans, Jan H B Geertzen
BACKGROUND: Major lower-limb amputation (LLA) predisposes patients post-operatively to a significant decline in daily-life functioning. The physical condition of amputee patients prior to surgery is significantly deteriorated due to chronic peripheral vascular disease (PVD) and diabetes, which accounts for the majority of LLAs in the adult population. A common strategy called pre-rehabilitation has been used in multiple patient populations to prepare the patient for undergoing a surgical event and to improve post-operative patient outcomes...
2018: PloS One
Konstantin Kogan, Rafi Panizel, Yael Perlman
We explore how reliance on part-time medical staff affects operational and medical outcome performance in two general surgery departments Whereas prior research has indicated that operational performance is positively associated with medical performance, we find that heavier reliance on part-time practice may deteriorate operational performance but not necessarily medical-outcome performance. For so-called "complex" patients, reliance on part-time practice may even override the effect of patients' characteristics on medical-outcome performance...
October 15, 2018: Health Marketing Quarterly
Jeong Soo Lee, Do-Hyeong Kim, Seung Ho Choi, Sang Hee Ha, Sijin Kim, Min-Soo Kim
BACKGROUND: Age-related changes in upper airway anatomy may affect the overall performance of supraglottic airways significantly. The clinical performance of the i-gel and the self-pressurized air-Q intubating laryngeal airways with noninflatable cuffs for elderly populations remains unknown, unlike in children. Thus, we performed a prospective, randomized comparison of these 2 supraglottic airways in elderly patients undergoing general anesthesia. METHODS: We recruited 100 patients, 65-90 years of age, who were scheduled for elective surgery under general anesthesia with muscle relaxation...
October 12, 2018: Anesthesia and Analgesia
M Ahmed, S Lutze, M Tembulatow, G Daeschlein, M Jünger, A Arnold
BACKGROUND: Chronic venous disease (CVD) is extremely common worldwide. The prevalence is increasing with age and is associated with a reduced quality of life, particularly in relation to pain, physical function and mobility. Symptomatic chronic venous insufficiency (CVI) with venous ulcer at its' endpoint, indicates interventional surgery to cure venous reflux therewith promoting wound healing and preventing recurrence. To our knowledge up to now no coherent study has been undertaken in patients with CVI who underwent an open venous surgery concerning complications, venous hemodynamics and perioperative symptomology in one study population...
October 11, 2018: Journal of Neuromuscular Diseases
Joana Ribeiro da Silva, Luísa Proença, Adélia Rodrigues, Rolando Pinho, Ana Ponte, Jaime Rodrigues, Mafalda Sousa, Rita Almeida, João Carvalho
Background: Obesity is an increasing worldwide problem associated with a vast number of comorbidities. Decreasing body weight by only 5-10% has been shown to slow and even prevent the onset of obesity-related comorbidities. Between pharmacological therapy and bariatric surgery a great variety of endoscopic techniques are available, the most common being intragastric balloon (IGB). The purpose of this study was to assess the safety, tolerance, and kinetics of IGBs in weight loss. The kinetics of weight loss were evaluated in 2 different contexts and phases: after the IGB's removal and after follow-up that varied between 6 and 12 months...
September 2018: GE Portuguese Journal of Gastroenterology
Hesameddin Modir, Bijan Yazdi, Esmail Moshiri, Abolfazl Mohammadbeigi, Samira Afshari
The study aims to compare the efficacy of dexmedetomidine (DEX) vs . remifentanil (REM) to blunt the hemodynamic response to laryngoscopy and orotracheal intubation. Enrolled in a double-blind clinical trial, 124 patients undergoing elective surgery under general anesthesia at Amirkabir Hospital (Arak, Iran), were assigned into four groups equally (31 patients in each group), DEX, REM, DEX-REM, and normal saline (NS), who received intravenous DEX (1 µg/kg), REM (1 µg/kg), their equal mixture (each 0.5 µg/kg, 1 minute before tracheal intubation), and NS, respectively...
July 2018: Medical Gas Research
Paolo Macor, Sara Capolla, Francesco Tedesco
Deposits of complement components have been documented in several human tumors suggesting a potential involvement of the complement system in tumor immune surveillance. In vitro and in vivo studies have revealed a double role played by this system in tumor progression. Complement activation in the cancer microenvironment has been shown to promote cancer growth through the release of the chemotactic peptide C5a recruiting myeloid suppressor cells. There is also evidence that tumor progression can be controlled by complement activated on the surface of cancer cells through one of the three pathways of complement activation...
2018: Frontiers in Immunology
Eva Lorenz, Maria Blettner, Björn Lange, Marcus Schmidt, Astrid Schneider, Lukas Schwentner, Daniel Wollschläger, Hiltrud Merzenich
Background: Advances in oncological therapy have significantly improved breast cancer survival; therefore comorbid conditions are becoming more relevant. We investigated the prevalence of prior cardiovascular diseases and risk factors in patients with breast cancer compared to those in the general female population in Germany. Methods: The PASSOS heart study is a retrospective multicenter cohort study on cardiac late effects in breast cancer patients treated between 1998 and 2008...
August 2018: Breast Care
Dilyara S Ismailova, Irina M Belovalova, Yaroslav O Grusha, Natalya Y Sviridenko
Orbital decompression is a surgical procedure aimed at increasing the orbital volume and/or decreasing the volume of the orbital fat. The indications for orbital decompression are determined in the course of thorough eye examination. An important objective of examination of a patient with thyroid eye disease (TED) is determination of inflammation activity and severity. Orbital decompression is a surgical procedure that can be performed in both the active and nonactive stages of the disease. However, the indications for the surgery in these cases are different...
2018: International Medical Case Reports Journal
Ram Rattan Negi, Satya Vati Rana, Rajesh Gupta, Vikas Gupta, Vijayta D Chadha, Devinder K Dhawan
Colorectal cancer is a major cause of cancer-related death in many countries. Inflammatory pathway is considered to play a major role in colorectal carcinogenesis. Nuclear factor kappa B (NF-κB) pathway is a link between inflammation and cancer. NF-κB is a transcription factor which belongs to the Rel family. Activation of NF-κB has been shown to play a role in cell proliferation, apoptosis, cytokine production, and oncogenesis. The aim of the present study was to evaluate the expression levels of NF-κB/RelA in colorectal carcinoma using Real-time PCR...
October 2018: Indian Journal of Clinical Biochemistry: IJCB
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