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Concurrent surgery

Kaven Baessler, Corina Christmann-Schmid, Christopher Maher, Nir Haya, Tineke J Crawford, Julie Brown
BACKGROUND: Pelvic organ prolapse (POP) is common in women and is frequently associated with stress urinary incontinence (SUI). In many cases however, SUI is present only with the prolapse reduced (occult SUI) or may develop after surgical treatment for prolapse (de novo SUI). OBJECTIVES: To determine the impact on postoperative bladder function of surgery for symptomatic pelvic organ prolapse with or without concomitant or delayed two-stage continence procedures to treat or prevent stress urinary incontinence...
August 19, 2018: Cochrane Database of Systematic Reviews
Christopher P Chung, NhuChi T Dao, Mark T Wakabayashi, Thanh H Dellinger, Stephen J Lee, Ernest S Han
INTRODUCTION AND HYPOTHESIS: We present our experience in performing concurrent prolpase repair at the time of gynecologic cancer surgery. METHODS: The uterosacral ligaments are tagged before performing hysterectomy and pelvic dissection. The uterosacral ligament suspensory sutures are then placed laparoscopically after completion of pelvic cancer surgery. The remainder of the prolapse surgery is performed through a transvaginal approach. RESULTS: Many of our patients who undergo concurrent prolapse repair and gynecolgical cancer surgery receive chemotherapy and pelivc radiation...
August 18, 2018: International Urogynecology Journal
Shai Shrot, Bruno P Soares, Matthew T Whitehead
OBJECTIVES: Chiari II malformation is a congenital abnormality characterized by a small posterior fossa with downward displacement of the hindbrain into the foramen magnum. Diffusion-weighted imaging (DWI) can be used to quantitatively characterize brain injury and physiological maturation. We aim to evaluate DWI parameters of the infra- and supratentorial brain in fetuses with Chiari II malformation. METHODS: MRI and US studies of 26 fetuses with Chiari II malformation and 15 controls were evaluated for the presence/severity of hydrocephalus, myelomeningocele level, and brain apparent diffusion coefficient (ADC) values...
August 17, 2018: Fetal Diagnosis and Therapy
Hui Lu, LiFeng Chen, Shuai Jiang, Hui Shen
BACKGROUND: Intraneural ganglion cysts usually arise from the articular branch of the nerve. The relationship between intraneural ganglion cysts and trauma is not clear. CASE PRESENTATION: We report a case of a 62-year-old female with a rapidly progressive foot drop caused by a posttraumatic intraneural ganglion cyst of the deep peroneal nerve. We excised the ganglion cyst and performed nerve decompression. After the surgery, the patient had a functional recovery...
August 18, 2018: BMC Musculoskeletal Disorders
Halil Onder, Onur Ergun, Mehmet Kaygisiz, I Samet Daltaban
The association between idiopathic intracranial hypertension (IIH) and obstructive sleep apnea syndrome (OSAS) constitutes an interesting point of discussion regarding clinical approaches as well as the underlying pathophysiological mechanisms. Here, the case of a 42-year-old female with malignant IIH and OSAS is illustrated. Initially, the patient was treated with lumboperitoneal shunt surgery. However, OSAS surgery provided total recovery from the recurrent symptoms developing secondary to lumboperitoneal shunt malfunction...
August 17, 2018: Journal of Neurosurgery
Scott Nathan Loewenstein, Stephen P Duquette, Joshua M Adkinson
BACKGROUND: Hand surgery dogma suggests that simultaneous surgical treatment of carpal tunnel syndrome (CTS) and Dupuytren's contracture (DC) results in an increased incidence of Complex Regional Pain Syndrome (CRPS). As a result, many surgeons do not perform surgery for the two conditions concurrently. Our goal was to determine the extent of this association. METHODS: We identified all patients undergoing surgical treatment for CTS, DC, or both between April 1982 and March 2017 using the Indiana Network for Patient Care (INPC), a large, multi-institutional, statewide information exchange...
August 11, 2018: Plastic and Reconstructive Surgery
Aysegul Erman, Lisa Masucci, Murray D Krahn, Dean S Elterman
OBJECTIVE: To evaluate the cost-effectiveness of using a surgery such as transurethral resection of the prostate (TURP) or photoselective vaporization of the prostate using greenlight laser (GL-PVP) as initial treatment for men with moderate-to-severe benign prostate hyperplasia (BPH) compared to the standard practice of using pharmacotherapy as initial treatment followed by surgery if symptoms do not resolve. PATIENTS AND METHODS: We compared a combination of eight strategies involving upfront pharmacotherapy (i...
August 16, 2018: BJU International
D Yap, M Ng, N Mbakada
Small bowel obstruction is the most common surgical emergency after a patient has had abdominal surgery. However, Boerhaave syndrome secondary to an ileostomy obstruction has not been reported in current literature. We present a rare case of two concurrent surgical emergencies in a patient with Boerhaave syndrome and small bowel obstruction. A 38-year-old woman presented with sudden onset severe central chest pain associated with breathlessness. She had a history of Crohn's disease, which had been treated with pancolectomy and ileostomy...
August 16, 2018: Annals of the Royal College of Surgeons of England
Jun Hashimoto, Ken Kato, Yoshinori Ito, Takashi Kojima, Tetsuo Akimoto, Hiroyuki Daiko, Yasuo Hamamoto, Hisayuki Matsushita, Susumu Katano, Hiroki Hara, Yoichi Tanaka, Yoshihiro Saito, Kengo Nagashima, Hiroyasu Igaki
BACKGROUND: Preoperative chemoradiotherapy (CRT) is a standard treatment for stage II/III esophageal cancer. Preoperative chemotherapy is also considered a standard treatment for stage II/III esophageal squamous cell carcinoma (ESCC) in patients who undergo radical lymph node dissection. We conducted a feasibility study of preoperative CRT with cisplatin plus 5-fluorouracil (CF) and elective lymph node irradiation followed by esophagectomy with radical lymph node dissection in patients with stage II/III ESCC...
August 14, 2018: International Journal of Clinical Oncology
Yiwen Chen, Chengxiang Guo, Qi Zhang, Yinan Shen, Yuwei Li, Xiang Li, Xueli Bai, Tingbo Liang
BACKGROUND: Pancreatic cystic neoplasms (PCNs) are a spectrum of neoplasms that can be benign or malignant. The accuracy of diagnosis is critical for this disease since different types of PCNs are treated differently using various modalities. The use of a multidisciplinary team (MDT) has been shown to improve the management and outcomes of various diseases. We aimed to determine the performance of MDT in the management of PCNs. METHODS: We retrospectively reviewed 167 pathologically-proven PCN patients and divided them among three groups according to their surgical data and treatment modalities: 1) historical control group (HC group); 2) concurrent control group (CC group); and 3) MDT group...
July 31, 2018: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
Matthew L Carlson, James B Smadbeck, Michael J Link, Eric W Klee, George Vasmatzis, Lisa A Schimmenti
OBJECTIVES: 1) Describe the genetic alterations discovered in a series of sporadic vestibular schwannomas (VS). 2) Identify if more clinically aggressive variants possess different genetic alterations compared to more indolent-behaving VS. METHODS: Fresh frozen tumor and matched peripheral blood leukocytes from 23 individuals with sporadic VS were analyzed using whole-exome sequencing, tumor whole transcriptome expression profiling (mRNA-Seq), and tumor mate-pair analysis...
August 13, 2018: Otology & Neurotology
Thomas Hendrix Beckham, Paul Bernard Romesser, Andries Hijlke Groen, Christopher Sabol, Ashok R Shaha, Mona Sabra, Thomas Brinkman, Daniel J Spielsinger, Sean McBride, Jillian Tsai, Nadeem Riaz, R Michael Tuttle, James A Fagin, Eric J Sherman, Richard J Wong, Nancy Y Lee
BACKGROUND: Differentiated thyroid cancer typically has an indolent clinical course but can cause significant morbidity by local progression. Surgery can be difficult due to the proximity to critical normal structures in the neck. Our objective was to review the safety, feasibility, and outcomes of definitive-intent intensity modulated radiation therapy (IMRT) and to analyze whether patients receiving concurrent chemotherapy (CC-IMRT) had higher rates of disease control and survival over IMRT alone in patients with unresectable or gross residual disease (GRD)...
August 14, 2018: Thyroid: Official Journal of the American Thyroid Association
Izumi Nagayama, Tetsu Akimoto, Yuko Ono, Yoshihiko Ueda, Daisuke Nagata
Nephrotic syndrome (NS) is a pivotal manifestation of glomerular injury associated with various types of neoplasms. It may either precede or act as the presenting feature of the disease, whereas membranous nephropathy (MN) is a major phenotype of paraneoplastic glomerulopathies. However, there is a lack of information regarding the remission from paraneoplastic NS due to MN in patients who achieve favorable long-term survival after the successful removal of malignant tissue. We, herein, describe a case of biopsy-proven MN in a 65-year-old male patient with bronchogenic carcinoma, which was found during the systemic workup for concurrent NS...
2018: International Medical Case Reports Journal
Huijuan Shi, Hongshi Huang, Yuanyuan Yu, Zixuan Liang, Si Zhang, Bing Yu, Hui Liu, Yingfang Ao
Individuals who received anterior cruciate ligament (ACL) reconstruction surgeries demonstrated lower extremity movement asymmetries. The purpose of this study was to determine if psychological impairment was a contributor to lower extremity movement asymmetries in walking for individuals who received ACL reconstruction surgeries. Three-dimensional videographic and force plate data were collected for 25 males after unilateral ACL reconstruction performing walking without (single-task condition) and with the concurrent cognitive task (dual-task condition)...
August 13, 2018: Scientific Reports
Jae H Choi, Jessica G Y Luc, Ester Moncho Escrivá, Kevin Phan, Syed S A Rizvi, Sinal Patel, John W Entwistle, Rohinton J Morris, H T Massey, Vakhtang Tchantchaleishvili
The aim of this systematic review and meta-analysis was to evaluate the outcomes of concomitant mitral valve surgery for significant preexisting mitral regurgitation (MR) in patients undergoing continuous-flow left ventricular assist device (CF-LVAD) implantation. Electronic search was performed to identify all studies in the English literature examining concurrent mitral valve surgery in patients with CF-LVAD implantation. Identified articles were systematically assessed for inclusion and exclusion criteria...
August 12, 2018: Artificial Organs
Matthew E Eagles, Farshad Nassiri, Jetan H Badhiwala, Suganth Suppiah, Saleh A Almenawer, Gelareh Zadeh, Kenneth D Aldape
Glioblastoma (GBM) is the most common and fatal primary adult brain tumor. To date, various promising chemotherapeutic regimens have been trialed for use in GBM; however, temozolomide (TMZ) therapy remains the only US Food and Drug Administration-approved first-line chemotherapeutic option for newly diagnosed GBM. Despite maximal therapy with surgery and combined concurrent chemoradiation and adjuvant TMZ therapy, the median overall survival remains approximately 14 months. Given the failure of conventional chemotherapeutic strategies in GBM, there has been renewed interest in the role of immunotherapy in GBM...
2018: Therapeutics and Clinical Risk Management
Kenneth Pihl, Aleksandra Turkiewicz, Martin Englund, L Stefan Lohmander, Uffe Jørgensen, Nis Nissen, Jeppe Schjerning, Jonas B Thorlund
OBJECTIVES: We explored associations between specific meniscal pathologies and other concurrent structural knee pathologies with presence of self-reported mechanical symptoms in patients undergoing meniscal surgery. DESIGN: Cross-sectional study. METHODS: We included patients undergoing surgery for a meniscal tear from Knee Arthroscopy Cohort Southern Denmark (KACS). Pre-surgery, patients completed online questionnaires including self-reported presence of mechanical symptoms...
July 31, 2018: Journal of Science and Medicine in Sport
Hani Oweira, Omar Abdel-Rahman, Anwar Giryes, Meinrad Mannhart, Michael Decker
BACKGROUND: Time to start adjuvant therapy has been shown to be an important determinant of survival following curative resection of colorectal cancer. Time to start systemic therapy following diagnosis of metastatic colorectal cancer (mCRC) needs to be additionally studied and assessed. METHODS: This is a pooled analysis of the raw data of the comparator arms of two randomized studies (NCT00272051; NCT00305188). Univariate and Multivariate analysis of predictors of overall and progression-free survival was conducted through Cox regression analysis...
August 11, 2018: Expert Review of Gastroenterology & Hepatology
A Eskander, M K Krzyzanowska, H D Fischer, N Liu, P C Austin, J C Irish, D J Enepekides, J Lee, E Gutierrez, E Lockhart, M Raphael, S Singh
BACKGROUND: Mucosal head and neck squamous cell cancers are often managed with multimodality treatment which can be associated with significant toxicity. The objective of this study was to assess emergency department visits and unplanned hospitalizations for these patients during and immediately after their treatment. METHODS: A cohort of patients treated for head and neck squamous cell carcinoma was developed using administrative data. Emergency department visits and hospitalizations in the 90-day post-treatment period was determined...
August 2018: Oral Oncology
Marcelo Magaldi Oliveira, Leonardo Welhinger, Jose Augusto Malheiros, Arthur Nicolato, Andre Prosdocimi, Luiza Guerra, Pollyana Hv Costa, Carlos Eduardo Ferrarez, Mauro Tostes Ferreira, Eric Sauvageau, Ricardo Hanel
BACKGROUND: Intracranial-intracranial (IC) bypass surgery involves the use of significant technical bimanual skills. Indications for this procedure are limited, so training in a simulator with brain vessels similarity could maintain micro-surgical dexterity. Our goal is to describe the human placenta vascular anatomy to guide IC-IC bypasses apprenticeship. METHODS: Human placenta vascular anatomy was reported and validated with comparison to brain main vessels after studying the vascular tree of 100 placentas...
August 8, 2018: World Neurosurgery
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