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Concurrent surgery

Guangxian Yang, Xicheng Deng, Yifeng Yang, Ni Yin, Jinhua Wang, Pingbo Liu
OBJECTIVES: The aim of this study is to describe an effective surgical strategy for the treatment of children with pectus excavatum (PE) and concurrent congenital heart defect (CHD). METHODS: We retrospectively reviewed the medical records of all children (n = 16) who underwent simultaneous repair of PE with concurrent CHD at the Hunan Children's Hospital from July 2007 to December 2017. Among them, 7 patients had a simple atrial septal defect (ASD); 4 patients had a simple ventricular septal defect (VSD); 3 patients had both VSD and ASD; 1 patient had VSD, ASD and patent ductus arteriosus; and 1 patient had VSD complicated by pulmonary hypertension...
December 11, 2018: Interactive Cardiovascular and Thoracic Surgery
Qingguo Chen, Hanqi Chu, Ting Tong, Yanling Tao, Liangqiang Zhou, Jin Chen, Yun Liu, Liyan Peng
PURPOSE: To investigate predictive risk factors for complications associated with migrating fish bones in the surrounding tissue of upper gastrointestinal tract. METHODS: A retrospective analysis over 12 years was conducted of 45 cases of buried fish bones in the surrounding tissue of upper gastrointestinal tract with complications. Meanwhile, a control group, including 39 cases of prolonged buried fish bones in the surrounding tissue of upper gastrointestinal tract without complications, was set...
December 11, 2018: European Archives of Oto-rhino-laryngology
Sejin Ha, Sujin Park, Hyunji Kim, Heounjeong Go, Seung Hun Lee, Ji Yoon Choi, Jung Yong Hong, Jin-Sook Ryu
Diagnosing tumor-induced osteomalacia is often challenging because conventional imaging modalities may fail to locate the responsible tumor. This report describes the ability of 68 Ga-DOTATOC PET/CT to successfully distinguish between the responsible phosphaturic mesenchymal tumor and concurrent lymphoma lesions. A 52-year-old man with bone pain for several years was diagnosed with a vitamin D-resistant hypophosphatemic osteomalacia. Whole body 18 F-FDG PET/CT revealed multiple enlarged hypermetabolic lymph nodes in his bilateral cervical, axillary, mediastinal, abdominal, pelvic, and inguinal regions...
December 2018: Nuclear Medicine and Molecular Imaging
Ming-Lun Han, Wei-Jei Lee, Jung-Chien Chen, Kong-Han Ser, Shu-Chun Chen, Yi-Chih Lee
BACKGROUND: Hepatitis C virus (HCV) is an important cause of liver cirrhosis and its complications. The safety and efficacy of bariatric surgery in patients with HCV infection is not clear. METHODS: Charts were reviewed to identify patients with HCV infection before bariatric surgery. Bariatric surgical patients with non-alcoholic steatohepatitis (NASH) and without NASH (non-NASH) were recruited as comparative groups. Demographic variables, perioperative data, follow-up, and HCV-related parameters were extracted and compared...
December 8, 2018: Obesity Surgery
Arnulfo Cornejo-Suarez, Maria Estela Chavez-Delgado, Ramon Perez-Ramirez, Isaac Montoya-Hernandez, Jose Regino Montoya-Valdez, Carlos Silvino Rosales-Orozco, Luis Humberto Govea-Camacho
PURPOSE: To present a modified method of local infiltration (MMLI) for endoscopic stapes surgery to reduce surgical time, bleeding and complications. MATERIALS AND METHODS: This study involved 70 patients who underwent stapes surgery for otosclerosis by endoscopic and microscopic approaches. The MMLI was applied as follows: local infiltration was performed with one hand while the other hand inserted the endoscope into the ear canal to observe vasoconstriction signs on the monitor; the single site of infiltration was located at the center of the anterior conchal cartilage...
December 10, 2018: European Archives of Oto-rhino-laryngology
Stephanie V Koebele, Justin M Palmer, Bryanna Hadder, Ryan Melikian, Carly Fox, Isabel M Strouse, Dale DeNardo, Christina George, Emily Daunis, Adrianna Nimer, Loretta P Mayer, Cheryl A Dyer, Heather A Bimonte-Nelson
Approximately one-third of women experience hysterectomy, or the surgical removal of the uterus, by age 60, with most surgeries occurring prior to the onset of natural menopause. The ovaries are retained in about half of these surgeries while, for the other half, hysterectomy occurs concurrently with oophorectomy. The dogma is that the non-pregnant uterus is dormant. There have been no preclinical assessments of surgical variations in menopause including hysterectomy, with and without ovarian conservation, on endocrine and cognitive changes...
December 6, 2018: Endocrinology
Philippe F D Bowles, Satish Agrawal, Mahmoud A Salam
BACKGROUND: Prospective study investigating the incidence of concurrent Eustachian Tube dysfunction (ETD) in patients with CRS refractory to medical therapy, and the effect of Endoscopic Sinus Surgery (ESS) on ETD in this patient group. METHODS: Prospective study of 57 CRS patients. Outcome measures were SNOT-22 and ETDQ-7 questionnaires, tympanometry and Valsalva manoeuvre recorded pre-operatively and at 3 and 9 months post ESS. RESULTS: There was a moderate positive correlation between pre-operative ETDQ-7 and SNOT 22 scores (r equals 0...
December 11, 2018: Rhinology
Joshua T Bram, Nakul S Talathi, Neeraj M Patel, Christopher J DeFrancesco, Brendan M Striano, Theodore J Ganley
OBJECTIVE: To identify associations between race or insurance status and preoperative, intraoperative, and postoperative findings in a large cohort of pediatric anterior cruciate ligament (ACL) reconstructions. DESIGN: Retrospective cohort study. SETTING: Division of Orthopaedics at an urban tertiary care children's hospital. PATIENTS: 915 pediatric (<21) patients undergoing primary ACL reconstruction between January 2009 and May 2016...
November 28, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Soraya L Voigt, Muath Bishawi, David Ranney, Babatunde Yerokun, Richard L McCann, G Chad Hughes
BACKGROUND: Subclavian artery revascularization is frequently performed in the setting of thoracic endovascular aortic repair (TEVAR). However, there is little information on the short- and long-term outcomes of patients undergoing carotid to subclavian artery bypass in this clinical setting. As such, this study sought to define the early and late outcomes associated with this procedure. METHODS: Patients undergoing carotid-subclavian bypass in conjunction with TEVAR between June 2005 and September 2016 were retrospectively identified from a prospectively maintained, single-center aortic surgery database...
October 24, 2018: Journal of Vascular Surgery
David I Shalowitz, Alexandra Goodwin, Nicholas Schoenbachler
Patients with atypical endometrial hyperplasia (AEH) in the United States are commonly referred to a gynecologic oncologist given a moderate risk of concurrent carcinoma. However, selective referral of patients to non-oncologic gynecologic surgeons for surgical treatment of AEH may offer increased access to care without compromising clinical outcomes. Non-oncologic surgeons who consider providing surgical treatment for AEH must be able to offer minimally invasive surgery when appropriate and have sufficient surgical volume to deliver optimal clinical outcomes...
December 7, 2018: American Journal of Obstetrics and Gynecology
Yea-Jen Hsu, Andrzej S Kosinski, Amelia S Wallace, Paramita Saha-Chaudhuri, Bickey H Chang, Kathleen Speck, Michael A Rosen, Ayse P Gurses, Anping Xie, Shu Huang, Duke E Cameron, David A Thompson, Jill A Marsteller
AIM: To assess the utility of using external databases for quality improvement (QI) evaluations in the context of an innovative QI collaborative aimed to reduce three infections and improve patient safety across the cardiac surgery service line. METHODS: We compared changes in each outcome between 15 intervention hospitals (infection reduction protocols plus safety culture intervention) and 52 propensity score-matched hospitals (feedback only). RESULTS: Improvement trends in several outcomes among the intervention hospitals were not statistically different from those in comparison hospitals...
December 11, 2018: Journal of Comparative Effectiveness Research
Ali Yeginsu, Mustafa Vayvada, Burcin C Karademir, Atakan Erkılınç, Ahmet Erdal Tasci, Fuat Buyukbayrak, Emre Gurcu, Cemal Asım Kutlu
INTRODUCTION: Optimal surgical approach for the treatment of resectable lung cancer accompanied by coronary artery disease (CAD) remains a contentious issue. In this study, we present our cases that were operated simultaneously for concurrent lung cancer and CAD. METHODS: Simultaneous off-pump coronary artery bypass surgery (OPCABG) and lung resection were performed on 10 patients in our clinic due to lung cancer accompanied by CAD. Demographic features of patients, operation data and postoperative results were evaluated retrospectively...
September 2018: Brazilian Journal of Cardiovascular Surgery
John Chung-Han Wu, Hsin-Yu Chen, Chien-Hung Liao, Shang-Yu Wang, Chih-Yuan Fu, Chih-Hao Chen, Chien-Tzung Chen
OBJECTIVE: Maxillofacial fractures with concomitant laryngeal injuries put both the quality and maintenance of life in jeopardy. Because of its low incidence, it is often overlooked in the clinical setting. The purpose of this study is to review the incidence, clinical presentations, managements, and outcomes of these patients. METHODS: A retrospective analysis of medical records from 2008 to 2015 was conducted at a single institute. A case series (n = 12, which contributed 22...
December 3, 2018: Annals of Plastic Surgery
Sala Abdalla, Rosaria Scarpinata
The optimal timing of loop ileostomy reversal remains largely unknown, but evidence that delayed ileostomy closure may increase postoperative complication rates is increasing. PURPOSE: Retrospective research was conducted to compare outcomes between patients who had early (<6 months) or late (>6 months) loop ileostomy closure. METHODS: Records of patients >18 years of age who underwent circumstomal reversal of a loop ileostomy over a period of 5 years in 1 hospital's colorectal unit were abstracted and analyzed...
December 2018: Ostomy/wound Management
Yasushi Shintani, Kazuo Shimamura, Soichiro Funaki, Kenji Kimura, Keiwa Kin, Toru Kuratani, Yoshiki Sawa
Surgery for aortic arch involvement in lung cancer cases is challenging, and generally requires extracorporeal circulation with circulatory arrest or a cerebral protection technique. To reduce morbidity, we developed a novel surgical technique for total aortic arch replacement for lung cancer with aortic arch involvement that features total rerouting of supra-arch vessels under a beating heart condition. A 56-year-old male was diagnosed with lung cancer and aortic arch invasion was suspected. Following concurrent chemoradiotherapy, a left upper lobectomy with total arch replacement was performed using our new technique...
December 1, 2018: Annals of Thoracic Surgery
Qian Chen, Lu Liu, Jingjing Zhang, Sai Han, Baoxia Cui, Youzhong Zhang, Beihua Kong
OBJECTIVE: To analyze the clinical features and prognosis of cervical adenocarcinoma (AC) and adenosquamous carcinoma of cervix (ASC). METHODS: The clinical data of 237 patients, including 201 cases of AC and 36 cases of ASC (FIGO stage ⅠB1-ⅡA), who underwent surgery in Qilu Hospital between September 2007 and September 2016 were reviewed. Clinical features of two groups were compared, and Kaplan-Meier survival analysis was performed to evaluate the prognosis...
February 25, 2018: Zhejiang da Xue Xue Bao. Yi Xue Ban, Journal of Zhejiang University. Medical Sciences
A Tzivanakis, S P Dayal, S J Arnold, F Mohamed, T D Cecil, A K Venkatasubramaniam, B J Moran
Background: Patients with peritoneal malignancy often have multiple laparotomies before referral for cytoreductive surgery (CRS). Some have substantial abdominal wall herniation and tumour infiltration of abdominal incisions. CRS involves complete macroscopic tumour removal and hyperthermic intraperitoneal chemotherapy (HIPEC). Abdominal wall reconstruction is problematic in these patients. The aim of this study was to establish immediate and long-term outcomes of abdominal wall reconstruction with biological mesh in a single centre...
December 2018: BJS open
Patrick J Bradley, Liangfa Liu
PURPOSE OF REVIEW: To appraise the practice and role of open-neck organ preserving surgery for hypopharyngeal squamous cell carcinoma and to update the current indications, techniques, limits, and outcomes. RECENT FINDINGS: The role of primary surgery for hypopharyngeal carcinoma has shifted over the past two decades to primary nonsurgical management with the use of induction or concurrent chemoradiotherapy. The preferred and most suitable tumours for open-neck surgery are the small-volume T stage diseases, with small to medium-volume neck metastases, however such patients are exceedingly rare...
November 16, 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
Oliver Grauer, Mohammed Jaber, Katharina Hess, Matthias Weckesser, Wolfram Schwindt, Stephan Maring, Johannes Wölfer, Walter Stummer
BACKGROUND: There is an increasing interest in local tumor ablative treatment modalities that induce immunogenic cell death and the generation of antitumor immune responses. METHODS: We report six recurrent glioblastoma patients who were treated with intracavitary thermotherapy after coating the resection cavity wall with superparamagnetic iron oxide nanoparticles ("NanoPaste" technique). Patients underwent six 1-h hyperthermia sessions in an alternating magnetic field and, if possible, received concurrent fractionated radiotherapy at a dose of 39...
December 1, 2018: Journal of Neuro-oncology
Takahiro Kurosu, Satoshi Tanabe, Rikiya Hasegawa, Takafumi Yano, Takuya Wada, Kenji Ishido, Mizutomo Azuma, Chikatoshi Katada, Wasaburo Koizumi, Hiromitsu Moriya, Keishi Yamashita
A gastric bezoar is a mass that forms in the stomach. A giant gastric bezoar is particularly difficult to treat medically, and surgical therapy is selected. We describe our experience with a patient who had a giant gastric trichobezoar that was extracted by laparoscopic and endoscopic cooperative surgery (LECS) in accordance with the principles of LECS. The patient was a 32-year-old woman who presented at our hospital because of abdominal pain. Upper gastrointestinal endoscopy confirmed the presence of a giant gastric trichobezoar extending from the gastric cardia to the gastric angle...
December 2018: Endoscopy International Open
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