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Andrea Agostinelli, Davide Carino, Bruno Borrello, Carla Marcato, Annalisa Volpi, Tiziano Gherli, Francesco Nicolini
OBJECTIVES: Blunt thoracic aortic injury can be treated with thoracic endovascular aortic repair (TEVAR) with excellent short and mid-term outcomes. However, few data are available about the long-term results. Our goal was to report our single-centre, 20-year experience using TEVAR to treat blunt thoracic aortic injury. METHODS: We retrospectively reviewed our institutional database to identify all patients treated with TEVAR for traumatic lesions of the aortic isthmus...
July 10, 2018: Interactive Cardiovascular and Thoracic Surgery
Dong Chen, Chonghe Jiang, Xiongfa Liang, Fangling Zhong, Jian Huang, Yongping Lin, Zhijian Zhao, Xiaolu Duan, Guohua Zeng, Wenqi Wu
OBJECTIVES: To obtain more accurate and rapid predictors for postoperative infections following percutaneous nephrolithotomy (PCNL) in complex kidney stone patients, and provide evidence for early prevention and treatment of postoperative infections. MATERIALS AND METHODS: A total of 802 complex kidney stone patients undergone PCNL from September 2016 to September 2017 were recruited. Urine tests, urine cultures and stone cultures were performed, the perioperative data were prospectively recorded...
July 14, 2018: BJU International
Shuqiu Chen, Guiya Jiang, Ning Liu, Hua Jiang, Lijie Zhang, Chao Sun, Bin Xu, Xiaowen Zhang, Yu Yang, Jing Liu, Weidong Zhu, Ming Chen
PURPOSE: We discuss the safety and perioperative outcomes of a 2-week interval between prostate biopsy and laparoscopic radical prostatectomy (LRP). MATERIALS AND METHODS: We retrospectively reviewed the medical records of 182 patients with prostate cancer (PCa) who underwent transperitoneal LRP 2 weeks after prostate biopsy between 2012 and 2015. We evaluated the following perioperative outcomes: operative time, estimated blood loss (EBL), infection, conversion to open surgery, positive surgery margins (PSM), and complications...
July 14, 2018: Urology Journal
Adam J Kingeter, Karthik Raghunathan, Sibyl H Munson, David K Hayashida, Xuan Zhang, Sloka Iyengar, Martin Bunke, Andrew D Shaw
PURPOSE: Albumin is widely used during and after on-pump cardiac surgery, although it is unclear whether this therapy improves clinical outcomes. METHODS: This observational study utilized the Cerner Health Facts® database (a large HIPAA-compliant clinical-administrative database maintained by Cerner Inc., USA) to identify a cohort of 6,188 adults that underwent on-pump cardiac surgery for valve and/or coronary artery procedures between January 2001 and March 2013...
July 13, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Gabriel Ogaya-Pinies, Estefania Linares-Espinos, Eduardo Hernandez-Cardona, Cathy Jenson, Xavier Cathelineau, Rafael Sanchez-Salas, Vipul Patel
INTRODUCTION: While no consensus on the optimal salvage treatment exists, only 3% of these patients will get salvage radical prostatectomies due to the assumed technical challenges of this procedure. OBJECTIVES: Our goal is to analyze the perioperative, oncologic and functional outcomes of patients undergoing salvage robotic-assisted radical prostatectomy (sRARP) after primary treatment failure. MATERIALS AND METHODS: Data were prospectively collected and retrospectively reviewed from a combined database of more than 14,800 patients who had undergone RARP...
July 13, 2018: World Journal of Urology
Katherine M Richards, Rebecca A Spicer, Elizabeth Craig, Sean E Kennedy
BACKGROUND: Blood transfusion after kidney transplant carries a risk of sensitization to the graft as well as blood borne infections. The aim of this study was to describe the prevalence of blood transfusions in pediatric recipients of kidney transplants and to determine the factors associated with transfusions during the perioperative period. Additionally, to describe the changes in hemoglobin levels during the first 12 months following transplant. METHOD: A retrospective, single center analysis using data collected prospectively between 2010 and 2017...
July 13, 2018: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Al B Benson, Alan P Venook, Mahmoud M Al-Hawary, Lynette Cederquist, Yi-Jen Chen, Kristen K Ciombor, Stacey Cohen, Harry S Cooper, Dustin Deming, Paul F Engstrom, Jean L Grem, Axel Grothey, Howard S Hochster, Sarah Hoffe, Steven Hunt, Ahmed Kamel, Natalie Kirilcuk, Smitha Krishnamurthi, Wells A Messersmith, Jeffrey Meyerhardt, Mary F Mulcahy, James D Murphy, Steven Nurkin, Leonard Saltz, Sunil Sharma, David Shibata, John M Skibber, Constantinos T Sofocleous, Elena M Stoffel, Eden Stotsky-Himelfarb, Christopher G Willett, Evan Wuthrick, Kristina M Gregory, Lisa Gurski, Deborah A Freedman-Cass
The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Rectal Cancer address diagnosis, staging, surgical management, perioperative treatment, management of recurrent and metastatic disease, disease surveillance, and survivorship in patients with rectal cancer. This portion of the guidelines focuses on the management of localized disease, which involves careful patient selection for curative-intent treatment options that sequence multimodality therapy usually comprised of chemotherapy, radiation, and surgical resection...
July 2018: Journal of the National Comprehensive Cancer Network: JNCCN
Robert K Eastlack, Justin B Ledesma, Stacie Tran, Amrit Khalsa, Paul Park, Praveen V Mummaneni, Dean Chou, Adam S Kanter, Neel Anand, Pierce Nunley, Frank La Marca, Richard G Fessler, Juan S Uribe, Gregory M Mundis
INTRODUCTION: MIS correction for ASD may reduce the need the need for postoperative skilled nursing (SNF) or rehabilitation facility placement following surgery. The likelihood of requiring placement in a facility, rather than home disposition, may be influenced by a variety of factors. Additionally, the association of discharge location on outcomes and complication rates has not been elucidated in these patients. In this study, we aimed to define factors predicting disposition to SNF/rehab, and the rates of complications occurring in patients sent home vs...
July 10, 2018: World Neurosurgery
Claire Goumard, Y Nancy You, Masayuki Okuno, Onur Kutlu, Hsiang-Chun Chen, Eve Simoneau, Eduardo A Vega, Yun-Shin Chun, C David Tzeng, Cathy Eng, Jean-Nicolas Vauthey, Claudius Conrad
BACKGROUND: In patients with stage IV colorectal cancer (CRC), minimally invasive surgery (MIS) may offer optimal oncologic outcome with low morbidity. However, the relative benefit of MIS compared to open surgery in patients requiring multistage resections has not been evaluated. METHODS: Patients who underwent totally minimally invasive (TMI) or totally open (TO) resections of CRC primary and liver metastases (CLM) in 2009-2016 were analyzed. Inverse probability of weighted adjustment by propensity score was performed before analyzing risk factors for complications and survival...
July 10, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Ann M Borzecki, Qi Chen, William O'Brien, Michael Shwartz, Peter A Najjar, Kamal M F Itani, Amy K Rosen
BACKGROUND: Studies disagree whether surveillance bias is associated with perioperative venous thromboembolism (VTE) performance measures. A prior VA study used a chart-based outcome; no studies have used the fully specified administrative data-based AHRQ Patient Safety Indicator, PSI-12, as their primary outcome. If surveillance bias were present, we hypothesized that inpatient surveillance rates would be associated with higher PSI-12 rates, but with lower post-discharge VTE rates. METHODS: Using VA data, we examined Pearson correlations between hospital-level VTE imaging rates and risk-adjusted PSI-12 rates and post-discharge VTE rates...
July 4, 2018: American Journal of Surgery
Cornelius Jacobs, Milena Maria Ploeger, Sebastian Scheidt, Philip Peter Rößler, Rahel Bornemann, Collin Jacobs, Christof Burger, Dieter Christian Wirtz, Fridjof Trommer, Frank Alexander Schildberg
BACKGROUND: Three-dimensional (3-D) endoscopic optics use 2 cameras to simulate the different perspectives of the right and left eye, creating the illusion of spatial depth. Optimised orientation as well as improved hand-eye coordination compared to 2-D-optics could be proven in standardised test setups (black box) and in laparoscopic use. This retrospective study examines whether these results can also be applied to thoracoscopic vertebral body replacement at the thoracolumbar junction...
July 13, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
Diogo Sobreira-Fernandes, Laetitia Teixeira, Tiago S Lemos, Liliana Costa, Manuela Pereira, António C Costa, Paula S Couto
STUDY OBJECTIVE: To determine the incidence, risk factors, and predictors of survival of perioperative cardiac arrests (PCAs) occurring in patients who underwent non-cardiac and non-obstetric surgery from January 2008 to May 2015 at a tertiary hospital; determine the incidence and risk factors of anesthesia-related PCA. DESIGN: Retrospective observational study. SETTING: Operating room and postoperative recovery area. PATIENTS: Sixty-two PCA cases from an anesthesia database of 122,289 anesthetics...
July 10, 2018: Journal of Clinical Anesthesia
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No abstract text is available yet for this article.
July 10, 2018: Journal of Clinical Anesthesia
Fei Xu, Qian Wang, Sipeng Chen, Hushan Ao, Jun Ma
STUDY OBJECTIVE: Dexmedetomidine is widely used during surgery. Recent studies have demonstrated that dexmedetomidine administered perioperatively is associated with lower postoperative mortality and complications in patients undergoing cardiac surgery. DESIGN: This study was designed to investigate the effects of dexmedetomidine during cardiac surgery in Chinese patients. PATIENTS/INTERVENTIONS: We conducted a retrospective review of 1477 consecutive patients who underwent cardiac surgery at our institution...
July 10, 2018: Journal of Clinical Anesthesia
Koji Tamai, Christopher Wang, Patrick Heindel, Permsak Pahpolak, Zorica Buser, Jeffrey C Wang
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To demonstrate the relationship between perioperative use of catheters and the incidence of surgical site infection (SSI) after cervical spine surgery, after adjusting for patient's age, severity of comorbidity, surgical approach, and use of instrumentation. SUMMARY OF BACKGROUND DATA: Although the association between SSI and the use of arterial catheters (ACs) or central venous catheters (CVCs) is established in cardiac surgery, the relation in the cervical spine was not well elucidated...
July 12, 2018: Spine
Aaron J Buckland, John Y Moon, Randal R Betz, Baron S Lonner, Peter O Newton, Harry L Shufflebarger, Thomas J Errico
STUDY DESIGN: Observational cohort study of prospective database registry. OBJECTIVE: To determine the incidence of neurological complications in AIS patients undergoing surgical treatment with PO. SUMMARY OF BACKGROUND DATA: Despite the widespread use of Ponte Osteotomies (PO) in adolescent idiopathic scoliosis (AIS) correction, outcomes and complications in patients treated with this technique have not been well characterized. METHODS: A multicenter prospective registry of patients undergoing surgical correction of AIS was queried at 2-year follow up for patient demographics, surgical data, deformity characteristics and peri-operative complications...
July 12, 2018: Spine
Daniel J Snyder, Sean N Neifert, Jonathan S Gal, Brian C Deutsch, Robert Rothrock, Samuel Hunter, John M Caridi
STUDY DESIGN: A retrospective study was performed including all patients that underwent posterior cervical decompression and fusion (PCDF) by an orthopedic or neurological surgeon at a single institution between January 1, 2006 and November 30, 2016, and all patients that underwent PCDF by a spine surgeon in the NSQIP database between 2007 and 2015. In-hospital complications were compared between surgical specialties. OBJECTIVE: The goal of this study was to determine if in-hospital complication rates differ significantly between surgical services for PCDF patients...
July 12, 2018: Spine
Michael J Barrington, Yoshiaki Uda
PURPOSE OF REVIEW: Ultrasound guidance has become the accepted standard of practice for peripheral regional anesthesia. Despite evidence supporting the efficacy of ultrasound-guided regional anesthesia, its impact on patient safety has been less clear. RECENT FINDINGS: Evidence has been consistent that ultrasound guidance reduces the incidence of vascular injury, local anesthetic systemic toxicity, pneumothorax and phrenic nerve block. Within the limited global scope of the epidemiology and etiologic complexity of perioperative (including block-related) peripheral nerve injury, there has not been consistent evidence that ultrasound guidance is associated with a reduced incidence of nerve injury...
July 12, 2018: Current Opinion in Anaesthesiology
Geertrui Dewinter, Steve Coppens, Marc Van de Velde, André D'Hoore, Albert Wolthuis, Eva Cuypers, Steffen Rex
OBJECTIVE: To investigate the comparative analgesic efficacy of systemic lidocaine and quadratus lumborum (QL) block in laparoscopic colorectal surgery. BACKGROUND: Although epidural analgesia is the standard to control pain in patients undergoing open colorectal surgery, optimal analgesic management in laparoscopic surgery is less well-defined. There is need for effective and efficient alternatives to epidural analgesia for pain management in patients undergoing laparoscopic colorectal surgery...
July 12, 2018: Annals of Surgery
Ann Y Chung, Richard Thompson, D Wayne Overby, Meredith C Duke, Timothy M Farrell
The vertical sleeve gastrectomy is a bariatric procedure that was originally described as the initial step in the biliopancreatic diversion. It demonstrated effectiveness in weight loss as a single procedure, and the laparoscopic vertical sleeve gastrectomy, as a stand-alone procedure, is now the most commonly performed bariatric surgery worldwide. Due to its relative technical ease and long-term data that have established its durability in treating obesity and its related comorbid conditions, the sleeve gastrectomy has grown in popularity among patients and surgeons...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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