keyword
https://read.qxmd.com/read/38527337/imageassist-a-novel-smartphone-application-for-standardized-clinical-photography-that-implements-and-automates-american-society-of-plastic-surgery-plastic-surgery-foundation-photographic-guidelines-with-background-deletion
#21
JOURNAL ARTICLE
Michael S Golinko, Odette Abou-Ghanem, Michael Simard, Mike Caudill, Matthew E Pontell, Nick O'Sick, Brandon Oglesby, Mark Arrieta
STATEMENT OF THE PROBLEM: Standardized medical photography of the face is a vital part of patient documentation, clinical evaluation, and scholarly dissemination. Because digital photography is a mainstay in clinical care, there is a critical need for an easy-to-use mobile device application that could assist users in taking a standardized clinical photograph. ImageAssist was developed to answer this need. The mobile application is integrated into the electronic medical record (EMR); it implements and automates American Society of Plastic Surgery/Plastic Surgery Research Foundation photographic guidelines with background deletion...
April 1, 2024: Annals of Plastic Surgery
https://read.qxmd.com/read/38526473/a-low-cost-diy-tourniquet-simulator-with-built-in-self-assessment-for-prehospital-providers-in-guatemala-city
#22
JOURNAL ARTICLE
Rashi Jhunjhunwala, Jose Monzon, Isabella Faria, Gabriel Escalona, Analia Zinco, Pablo Ottolino, Favio Reyna, Nakul Raykar, Sabrina Asturias
BACKGROUND: Hemorrhage is the leading cause of preventable death after trauma. In high-income countries first responders are trained in hemorrhage control techniques but this is not the case for developing countries like Guatemala. We present a low-cost training model for tourniquet application using a combination of virtual and physical components. METHODS: The training program includes a mobile application with didactic materials, videos and a gamified virtual reality environment for learning...
March 25, 2024: World Journal of Surgery
https://read.qxmd.com/read/38526009/enhancing-root-coverage-and-esthetic-outcomes-in-isolated-gingival-recession-using-orthodontic-intervention-and-lateral-closed-tunnel-technique-an-interdisciplinary-prospective-case-series
#23
Neelima Katti, Rimsha Kp, Ashish Kumar Barik, Surya Kanta Das, Srivani Peri, Devapratim Mohanty
BACKGROUND: Gingival recession (GR) in malposed tooth in association with bone dehiscence and/or fenestration poses a challenge for successful root coverage treatment. Lateral closed tunnel (LCT) technique is particularly useful in isolated GR in mandibular anterior region, where the shallow vestibular depth prevents tension-free coronal mobilization of tissues. METHODS: Twenty patients with GR associated with tooth malposition were treated using a combined orthodontic-periodontic approach with a torquing auxiliary spring followed by LCT technique...
March 25, 2024: Clinical Advances in Periodontics
https://read.qxmd.com/read/38525931/laparoscopic-or-open-abdominal-surgery-with-thoracotomy-for-patients-with-oesophageal-cancer-romio-randomized-clinical-trial
#24
RANDOMIZED CONTROLLED TRIAL
(no author information available yet)
OBJECTIVE: This study investigated if hybrid oesophagectomy with minimally invasive gastric mobilization and thoracotomy enabled faster recovery than open surgery. METHODS: In eight UK centres, this pragmatic RCT recruited patients for oesophagectomy to treat localized cancer. Participants were randomly allocated to hybrid or open surgery, stratified by centre and receipt of neoadjuvant treatment. Large dressings aimed to mask patients to their allocation for six days post-surgery...
March 2, 2024: British Journal of Surgery
https://read.qxmd.com/read/38524718/minimally-invasive-suture-technique-pull-out-to-repair-the-acute-flexor-tendons-in-zone-ii-of-the-hand
#25
JOURNAL ARTICLE
João Carlos Belloti, Luis Antonio Buendia, Marcel Jun Tamaoki, João Batista Gomes Dos Santos, Flávio Falopa, Heitor José Rizardo Ulson
Objective:  To evaluate the safety and effectiveness of a modified pull-out suture technique in patients undergoing primary repair surgery for injuries to the flexor tendons of the fingers with Total Active Motion (TAM) as the primary outcome. Method:  A total of 29 patients (38 fingers) were chosen from both sexes, aged between 18 and 65 years with clean acute tendon laceration occurring within 15 days, in the Verdan's zone II of flexor tendon in the hand, when only the deep flexor tendon was sutured, either associated or not with digital nerve injury...
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38524716/evaluation-of-the-surgical-treatment-of-patients-over-90-years-old-with-hip-fractures-and-their-morbidity-and-mortality
#26
JOURNAL ARTICLE
Daniela Burguêz, Rangel Menegatti, Felipe Odeh Susin, Lauro Manoel Etchepare Dornelles, Osvaldo André Serafini
Objective:  Hip fractures in older adults have the highest impact on the patient's health. These injuries result in many complications, reducing functional capability, quality of life, and life expectancy. This study aimed to provide more epidemiological data on the outcomes of these fractures in nonagenarians from a large city treated at a tertiary hospital. Methods:  This study consisted of medical record reviews and interviews. Results:  In this study, 76 patients underwent 82 surgeries...
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38523964/unveiling-the-surge-a-comprehensive-analysis-of-e-scooter-related-injuries-at-an-urban-level-1-trauma-center-in-vilnius-lithuania-2018-2021
#27
JOURNAL ARTICLE
Kristupas A Suslavičius, Simonas Utkus, Valentinas Uvarovas, Tomas Sveikata, Sigitas Ryliškis
Background The surge in electric scooter (e-scooter) adoption in 2019 fueled by sharing platforms has raised safety concerns, leading to an increased incidence of e-scooter-related injuries. Despite regulatory efforts, there has been a notable rise in accidents, prompting a comprehensive investigation. This study conducted at the Republican Vilnius University Hospital (RVUH), a level 1 trauma center, is one of the first in the Baltic States aiming to analyze the causes, severity, and frequency of e-scooter injuries from 2018 to 2021...
February 2024: Curēus
https://read.qxmd.com/read/38523239/a-two-year-comparison-of-reverse-total-shoulder-arthroplasty-mini-humeral-tray-and-augmented-mini-glenoid-baseplate-implants-vs-standard-implants
#28
JOURNAL ARTICLE
Ryan Krupp, Christopher O'Grady, Brian Werner, J Michael Wiater, John Nyland, Thomas Duquin
BACKGROUND: Patients who undergo reverse total shoulder arthroplasty (RTSA) are getting younger with greater function expectations. This retrospective, longitudinal study of prospectively collected data compared perceived shoulder function and strength, active shoulder mobility, radiographic evidence of scapular notching, and implant survival over the initial 2-years post-RTSA among patient groups who received either standard central fixation point liner and glenoid baseplate implants, or lower size profile mini-humeral tray with offset trunnion options and mini-augmented glenoid baseplate implants...
March 25, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38523134/american-association-for-the-surgery-of-trauma-american-college-of-surgeons-committee-on-trauma-clinical-protocol-for-post-discharge-venous-thromboembolism-prophylaxis-after-trauma
#29
JOURNAL ARTICLE
Allison E Berndtson, Alisa Cross, Brian K Yorkgitis, Ryan Kennedy, Matthew P Kochuba, Christopher Tignanelli, Gail T Tominaga, David G Jacobs, Dennis W Ashley, Eric J Ley, Lena Napolitano, Todd W Costantini
Trauma patients are at an elevated risk for developing venous thromboembolism (VTE), which includes pulmonary embolism and deep vein thrombosis. In the inpatient setting, prompt pharmacologic prophylaxis is utilized to prevent VTE. For patients with lower extremity fractures or limited mobility, VTE risk does not return to baseline levels post-discharge. Currently, there are limited data to guide post-discharge VTE prophylaxis in trauma patients. The goal of these post-discharge VTE prophylaxis guidelines are to identify patients at the highest risk of developing VTE after discharge and to offer pharmacologic prophylaxis strategies to limit this risk...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38522800/contemporary-isolated-bearing-exchange-for-the-management-of-hip-instability-following-primary-total-hip-arthroplasty
#30
JOURNAL ARTICLE
Ryan Cheng, Jason Blevins, Eytan M Debbi, Yu-Fen Chiu, Alejandro Gonzalez Della Valle, Gwo-Chin Lee
INTRODUCTION: Isolated ball and liner exchanges (IBLE) can be performed to increase hip joint stability, but historical results have been mixed due to a lack of head size options or dual mobility articulations. The purpose of this study was to evaluate the contemporary results of isolated ball and liner exchanges in patients who have instability following primary THA. METHODS: We retrospectively reviewed 65 primary THAs from 2016 to 2020 with hip instability undergoing isolated ball and liner exchange or conversion to dual mobility articulation...
March 22, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38521842/improving-the-latency-for-5g-b5g-based-smart-healthcare-connectivity-in-rural-area
#31
JOURNAL ARTICLE
Arun Kumar, Nishant Gaur, Aziz Nanthaamornphong
Smart hospitals are poised to greatly enhance life quality by offering persistent health monitoring capabilities. Remote healthcare and surgery, which are highly dependent on low latency, have seen a transformative improvement with the advent of 5G technology. This has facilitated a new breed of healthcare services, including monitoring and remote surgical procedures. The enhanced features of 5G, such as Enhanced Mobile Broadband (eMBB) and Ultra-Reliable Low Latency Communications (URLLC), have enabled the development of advanced healthcare systems...
March 23, 2024: Scientific Reports
https://read.qxmd.com/read/38521221/navigating-the-indeterminate-zone-surgeons-decision-making-factors-in-treating-vertebral-metastases-with-spinal-instability-scores-of-7-12
#32
JOURNAL ARTICLE
Federico Landriel, Kevin White, Alfredo Guiroy, Álvaro Silva, Charles Carazzo, Christiano Simões, Gustavo Giraldo, Juan Pablo Cabrera, Marcelo Molina, Marcelo Valacco, Nelson Astur, William Teixeira, Santiago Hem
BACKGROUND: The Spinal Instability Neoplastic Score (SINS) classification system, is a validated and the most widely accepted instrument for defining instability in vertebral metastasis (VM), in which lesions scoring between 7 - 12 are defined as indeterminate and the treatment is controversial. This study aimed to determine which variables more frequently are considered by spine surgeons for choosing between the conservative and the surgical treatment of VMs among patients with an indeterminate SINS...
March 21, 2024: World Neurosurgery
https://read.qxmd.com/read/38521156/peripheral-vision-in-patients-following-intraocular-lens-implantation-a-systematic-review-and-meta-analysis-peripheral-vision-in-patients-following-iol-implantation
#33
REVIEW
Pablo Artal, Maria Arvaniti, Panaghiota Dimou, Costas Stavrinos, Harilaos Ginis, Lucía Hervella, José Luis Güell
PURPOSE: To revise the literature on peripheral optics and vision following intraocular lens (IOLs) implantation. METHODS: We investigated how current IOLs influence peripheral visual function, peripheral optical quality, and visual perception and performance, in patients following cataract surgery. Peripheral vision is described as vision outside the central foveal region of the eye (beyond 4-5° of eccentricity). We systematically searched PubMed, Cochrane Central Register of Controlled Trials, Embase, and grey literature for relevant references...
March 21, 2024: American Journal of Ophthalmology
https://read.qxmd.com/read/38520548/improved-patient-reported-outcomes-with-the-direct-anterior-approach-versus-the-posterior-approach-for-total-hip-arthroplasty-in-the-early-post-operative-period
#34
JOURNAL ARTICLE
Omar Sarhan, Martinus Megalla, Nareena Imam, Anna N Ren, Roberta E Redfern, Gregg R Klein
BACKGROUND: Patients undergoing total hip arthroplasty (THA) with the direct anterior approach (DAA) may experience faster recovery but may also have better baseline health than those who undergo THA with the posterior approach (PA). This study aimed to compare patient-reported outcome measures (PROMs) between the DAA and PA while controlling for baseline factors. METHODS: This is a secondary data analysis from a prospective cohort study of patients utilizing a smartphone-based care management platform following THA...
March 23, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38520291/modified-graham-patch-repair-of-small-bowel-anastomotic-leak
#35
JOURNAL ARTICLE
Ashley Alden, Robert D Bennett
The modified Graham patch repair is a well-established technique for management of perforating foregut injuries, often learned by surgeons during general surgery training. There is, however, little to no data regarding the utilization of this technique for perforation of the distal midgut or in the re-operative field. We present two cases of midgut anastomotic complications successfully managed with modified graham patch repair at our institution. The first case is a 79-year-old female who underwent an emergent right hemicolectomy at an outside institution for management of an iatrogenic perforation during endoscopic polypectomy...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38520234/retrospective-comparative-study-between-duplay-and-koff-methods-in-repair-of-distal-hypospadias
#36
JOURNAL ARTICLE
Othmane Alaoui, Abdelhalim Mahmoudi, Khalid Khattala, Youssef Bouabdallah
BACKGROUND: Hypospadias repair is a complicated surgery even in the best of hands. To date, there is a lack of consensus on which surgical technique offers more favourable post-operative outcomes. AIMS AND OBJECTIVES: The present work was undertaken to evaluate and compare the outcomes and complications rates of two single-stage techniques widely used to repair primary anterior hypospadias, namely Thiersch-Duplay Tubularized Plate Urethroplasty and Koff Urethral Mobilisation and Advancement...
March 14, 2024: African Journal of Paediatric Surgery: AJPS
https://read.qxmd.com/read/38519945/association-of-adherence-to-the-enhanced-recovery-after-surgery-pathway-and-outcomes-after-laparoscopic-total-gastrectomy
#37
JOURNAL ARTICLE
Yiming Hao, Qingchuan Zhao, Kun Jiang, Xiangying Feng, Yumei Ma, Jianzhong Zhang, Xi'an Han, Gang Ji, Hailong Dong, Huang Nie
OBJECTIVE: The current study used a composite outcome to investigate whether applying the ERAS protocol would enhance the recovery of patients undergoing laparoscopic total gastrectomy (LTG). EXPOSURES: Laparoscopic total gastrectomy and perioperative interventions were the exposure. An ERAS clinical pathway consisting of 14 items was implemented and assessed. Patients were divided into either ERAS-compliant or non-ERAS-compliant group according the adherence above 9/14 or not...
March 22, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38519782/icg-enhanced-compression-anatomical-segment-7-segmentectomy-in-laparoscopic-and-robotic-approach
#38
JOURNAL ARTICLE
Fabio Procopio, Giulia Mauri, Flavio Milana, Bruno Braciforte, Jacopo Galvanin, Guido Costa, Camilla Pasetti, Guido Torzilli
BACKGROUND: Minimally invasive anatomical resection (AR) for posterosuperior lesions is technically challenging.1,2 The Glissonean approach or puncture technique is generally selected.3,4 The tumor-feeding portal pedicle compression AR (C-AR) is an established procedure in open surgery.5 This technique has benefited from the association with indocyanine green (ICG) fluorescence, used to enhance the anatomical area to be resected.6 Recently, C-AR via the minimal access approach has been reported...
March 22, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38519685/franz-alfred-1880-1962-and-georg-frederich-1921-2010-kantorowicz
#39
JOURNAL ARTICLE
Stanley Gelbier
George Kantorowicz was a senior lecturer/consultant in conservative dentistry at the Royal Dental Hospital who provided ground-breaking treatment for cleft palate children at Great Ormond Street Hospital. His father, Alfred, was a Jewish professor, dean at Bonn Dental School and a world-famous advocate of mobile dental surgeries and prevention for children's dental health, until the Nazis put him in a concentration camp. After important interventions, he became director of Istanbul Dental Institute.
March 2024: British Dental Journal
https://read.qxmd.com/read/38518920/a-retrospective-analysis-of-perioperative-complications-of-lateral-approach-lumbar-interbody-fusion-in-patients-with-prior-abdominal-surgery-or-a-history-of-colonic-inflammatory-disease
#40
JOURNAL ARTICLE
Michael D Shost, Edward Barksdale, Mina Huerta, Karrington Seals, Nicholas Rabah, Bilal Butt, Michael Steinmetz
BACKGROUND CONTEXT: Lateral approaches for lumbar interbody fusion (LIF) allow for access to the lumbar spine and disk space by passing through a retroperitoneal corridor either pre- or trans-psoas. A contraindication for this approach is the presence of retroperitoneal scarring that may occur from prior surgical intervention in the retroperitoneal space or from inflammatory conditions with fibrotic changes and pose challenges for the mobilization and visualization needed in this approach...
March 20, 2024: Spine Journal: Official Journal of the North American Spine Society
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