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Jennifer E Baker, Michael D Goodman, Amy T Makley, Sabre M Stevens-Topie, Rosalie A Veile, Eric J Mahoney, Judy R Heyl, Daniel B Cox, Timothy A Pritts, Krishna P Athota
Introduction: Acute hemorrhage remains the leading cause of death in potentially survivable injuries. The use of topical hemostatic agents has increased over the last two decades with the evolution of damage control surgery. By 2008, the military widely adopted Combat Gauze as the hemostatic dressing of choice for compressible hemorrhage. The goal of this study was to compare the performance of a novel fibrin sealant patch to Combat Gauze in two clinically relevant models of hemorrhage...
July 11, 2018: Military Medicine
Nick Esmonde, Aaron Heston, Elie Ramly, Breanna Jedrezsweski, Alvin Annen, Jess Guerriero, Juliana Hansen, Jens Berli
Background: The majority of transgender research focuses on patients who fall within the gender binary of either trans-male or trans-female. This largely omits understanding of the "non-binary" gender identity, as it pertains to surgical care. Objective: To describe a single-institution experience performing chest affirming procedures in non-binary patients, including patient characteristics, surgical techniques, practice pearls, and outcomes. Methods: This is an observational study of non-binary patients undergoing a "chest affirming surgery" from 2012 to 2017...
July 10, 2018: Aesthetic Surgery Journal
Anne Barmettler, Jessie Wang, Moonseong Heo, Geoffrey J Gladstone
Background: In some upper eyelid blepharoplasties, maximal skin removal may not result in desired outcomes and raising crease height can be considered. Currently, there is no method to determine the amount of skin to be excised and/or crease elevation required to achieve a specific outcome. Objective: This study extrapolates an equation to determine amount of skin excision and/or lid crease elevation needed to achieve a specific eyelid margin to fold distance (MFD)...
July 10, 2018: Aesthetic Surgery Journal
Han-Yu Deng, Gang Li, Jun Luo, Guha Alai
A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was: Can definitive chemoradiotherapy (CRT) be an alternative to surgery for early-stage oesophageal cancer? A total of 622 papers were found using the reported search, of which 5 cohort studies represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated...
July 10, 2018: Interactive Cardiovascular and Thoracic Surgery
Amira Elmadahm, Sarah J Lord, H Malcolm Hudson, Chee K Lee, Luke Buizen, Gelareh Farshid, Val J Gebski, P Grantley Gill
BACKGROUND: Sentinel lymph-node biopsy has reduced the need for extensive axillary surgery for staging. It still exposes women to associated morbidity. Risk models that use clinical and pathology information of the primary tumour to predict sentinel lymph-node metastasis may allow further improvements in care. This study assessed the performance of four published risk models for predicting sentinel lymph-node metastasis in Australian women with early breast cancer; including one model developed in an Australian population...
June 26, 2018: Breast: Official Journal of the European Society of Mastology
Juan Ignacio Arraras, Ana Manterola, Jose Juan Illarramendi, Gemma Asin, Susana de la Cruz, Berta Ibañez, Arkaitz Galbete, Esteban Salgado, Uxue Zarandona, Ruth Vera, Miguel Angel Dominguez, Enrique Martinez
PURPOSE: This paper studies the Quality of Life (QL) of elderly early-stage breast cancer survivors. The aims are to compare the QL scores of these patients after follow-up with their scores before the start of radiotherapy (RT) and compare QL among different axillary treatment groups. METHODS: Of 173 patients over 65 who began treatment and completed the EORTC QLQ-C30 and QLQ-BR23 and the Interview for Deterioration in Daily Living Activities in Dementia (IDDD) before RT, 138 also completed these questionnaires three years after RT...
June 22, 2018: Breast: Official Journal of the European Society of Mastology
Mohamed Abdel Wahab, Ahmed Shehta, Reham Adly, Mohamed Elshoubary, Tarek Salah, Amr M Yassen, Mohamed Elmorshedi, Moataz M Emara, Mostafa Abdelkhalek, Mahmoud Elsedeiq, Usama Shiha, Ahmed N Elghawalby, Mohamed Eldesoky, Ahmed Monier, Rami Said
INTRODUCTION: Biliary reconstruction is a cornerstone of living-donor liver transplantation (LDLT). The routine uses of trans-anastomotic biliary catheters in biliary reconstruction had been a controversial issue. We describe a rare complication related to the use of trans-anastomotic biliary catheter after LDLT. In this case, intestinal obstruction occurred early after LDLT due to internal herniation of the small bowel around trans-anastomotic biliary catheter. PRESENTATION: A 42 years male patient with end stage liver disease underwent LDLT utilizing a right hemi-liver graft...
June 28, 2018: International Journal of Surgery Case Reports
Hiroto Shimajiri, Hiroyuki Egi, Masateru Yamamoto, Masatoshi Kochi, Shoichiro Mukai, Hideki Ohdan
INTRODUCTION: Postoperative chylous ascites is a rare complication of colorectal surgery. Conservative management is usually effective in most cases of the postoperative chylous ascites. However, surgical intervention is performed for refractory cases. PRESENTATION OF CASE: A 31-year-old man with neuroendocrine carcinoma developed chylous ascites after laparoscopic descending colectomy with D3 lymphadenectomy. Conservative treatment including total parenteral nutrition and somatostatin analogue failed and surgical intervention via laparoscopy was performed for the refractory chylous ascites...
June 23, 2018: International Journal of Surgery Case Reports
Esther Gil-Barrionuevo, José Maria Balibrea, Enric Caubet, Oscar Gonzalez, Ramón Vilallonga, José Manuel Fort, Andrea Ciudin, Manel Armengol
INTRODUCTION: Pheochromocytomas are infrequent tumors arised from the chromaphine cells of the adrenal sympathetic system. The excess of circulating catecholamines may lead to different cardiovascular disorders from silent alterations of the myocardial conduction to different forms of cardiomyopathy. The onset as cardiogenic shock is exceptional. PRESENTATION OF CASE: A 35-year-old male, with a known history of acute myopericarditis of unknown origin which debuted as acute pulmonary edema, was admitted with dyspnea in the context of a new heart failure episode with pulmonary edema...
June 27, 2018: International Journal of Surgery Case Reports
G J Waring, S Shawer, K Hinshaw
O-ring retractors (Alexis/Mobius) have been shown to reduce the risk of Surgical site infection (SSI) following general abdominal surgery. The benefit at caesarean section (CS) remains to be established given the relatively high cost. OBJECTIVES: To assess the efficacy of O-ring retractors when used at CS. STUDY DESIGN: Systematic review and meta-analysis. Electronic databases were searched from inception of each database until January 2018. No language restrictions were applied...
June 25, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Sara Lukmanji, K Chelsea Altura, Bertil Rydenhag, Kristina Malmgren, Samuel Wiebe, Nathalie Jetté
OBJECTIVE: The Canadian Appropriateness of Epilepsy Surgery (CASES) tool was developed to help physicians identify patients who should be referred for an epilepsy surgery evaluation. The aim of this study was to determine the accuracy of this tool using a population-based cohort registry (the Swedish National Epilepsy Surgery Register) of patients who underwent epilepsy surgery between 1990 and 2012. METHODS: Overall, 1044 patients met eligibility criteria for the study and were deemed to be surgical candidates by epilepsy experts...
June 28, 2018: Epilepsy Research
Laura Avanzino, Giovanna Lagravinese, Giovanni Abbruzzese, Elisa Pelosin
BACKGROUND: Disturbance of gait is a key feature of Parkinson's disease (PD) and has a negative impact on quality of life. Deficits in cognition and sensorimotor processing impair the ability of people with PD to walk quickly, efficiently and safely. Recent evidence suggests that emotional disturbances may also affect gait in PD. RESEARCH QUESTION: We explored if there were relationships between walking ability, emotion and cognitive impairment in people with PD...
June 28, 2018: Gait & Posture
Ying Zhang, Xiangbo An, Qiuyue Lin, Jie Bai, Feng Wang, Jiawei Liao
BACKGROUND: For a long time, our major understanding of the spleen is to function as a blood filter for the removal of aged erythrocytes and circulating microorganisms. Splenectomy, therefore, has been widely performed in case of trauma and a variety of hematologic disorders. Although some studies have indicated an increased rate of developing hyperlipidemia and atherosclerotic cardiovascular diseases in splenectomized patients, our recognition of the splenic regulation on lipid metabolism and atherogenesis is still lacking...
June 23, 2018: Cardiovascular Pathology: the Official Journal of the Society for Cardiovascular Pathology
Franka Messner, Claudia Bösmüller, Rupert Oberhuber, Manuel Maglione, Benno Cardini, Thomas Resch, Stefan Scheidl, Dietmar Öfner, Stefan Schneeberger, Christian Margreiter
In response to a number of late, repetitive bleeding episodes from the site of the enteric anastomosis, we herein analyze the clinical courses and etiologies of 379 consecutively performed pancreas transplants between January 2000 and December 2016. Duodenojejunostomies for enteric drainage were performed at the upper jejunum in a side to side, double layer fashion. Five patients (1.3%) developed recurrent late hemorrhagic episodes originating from the graft duodenal anastomosis. Bleeding from the anastomotic site was associated with hematochezia, hemodynamic instability and decrease of serum hemoglobin...
July 14, 2018: Clinical Transplantation
Shannon Reid, Mercedes Espada, Chuan Lu, George Condous
INTRODUCTION: The study aim was to evaluate the transvaginal sonography (TVS) "sliding sign" alone, direct visualization of the bowel with TVS, and the combination of both methods (i.e. "sliding sign" and direct visualization of the bowel), to determine the optimal TVS method for the prediction of rectal/rectosigmoid deep endometriosis (DE). MATERIAL AND METHODS: Multicentre prospective observational study (January 2009- February 2017). All women underwent TVS to determine whether the "sliding sign" was positive/negative and whether rectal/rectosigmoid DE was present, followed by laparoscopic surgery...
July 14, 2018: Acta Obstetricia et Gynecologica Scandinavica
Antonio Zanghì, Maria Di Vita, Antonio Borzì, Andrea Cavallaro, Francesco Cardì, Alessia Giaquinta, Emanuele Lo Menzo, Alessandro Cappellani
INTRODUCTION: Some factors may affect the conversion to open of the laparoscopic treatment of incisional hernia. Their presence can help to choose the most appropriate technique identifying patients at high risk conversion. METHODS: A retrospective study has been performed on a cohort of 306 patients, selected among those undergone to elective laparoscopic surgery for post incisional hernia between 2005 and 2015. Only symptomatic patients with single site wall defect, diameter between 5 and 10 cm, ASA ≤3, have been included...
April 28, 2018: Annali Italiani di Chirurgia
Mohammad Hossein Moghimi, Seyed Nejat Hosseini, Vahid Salehi, Kourosh Kamali
Background Pregabalin is a gamma-aminobutyric acid analog which seems to be effective in different neuropathic pains, as well as in incisional and inflammatory injuries. This study evaluated the effectiveness and safety of pregabalin on pain relief post herniorrhaphy. Methods In this randomized clinical trial, 60 men were chosen for unilateral inguinal herniorrhaphy under spinal anesthesia. The participants were randomly divided into two groups. The investigation (pregabalin) group received 300 mg of oral pregabalin 2 h before and 150 mg of pregabalin 12 and 24 h after surgery in addition to routine postoperative medication and 1 mg/kg of pethidine as needed...
July 26, 2018: Journal of Basic and Clinical Physiology and Pharmacology
Sila Cagri Isler, Nihal Eraydin, Habibe Akkale, Burcu Ozdemir
BACKGROUND: Flurbiprofen which is a non-steroidal anti-inflammatory drug (NSAID), has been safely used for the control of postoperative patient's morbidity after periodontal plastic surgeries requiring palatal graft harvesting, but there is little information on the efficacy of topical use. The aim of the study was to evaluate whether patient pain perception was reduced and patient morbidity was improved by using oral spray of flurbiprofen after palatal graft harvesting. METHODS: Fortyeight patients (21 males and 27 females), scheduled for subepithelial connective tissue graft (SCTG) and free gingival graft (FGG) requiring periodontal plastic surgeries were selected...
July 14, 2018: Journal of Periodontology
Leandro Chambrone, Giovan Paolo Pini Prato
The demand for cosmetic medical treatments has increased markedly over the past few years. In Periodontology, the treatment of gingival recessions (GR), especially on anterior teeth, is being requested more and more frequently, and patient expectations are very high. This article is protected by copyright. All rights reserved.
July 14, 2018: Journal of Periodontology
Jordan T Glicksman, Arjun K Parasher, Laurel Doghramji, David Brauer, Jeremy Waldram, Kristen Walters, Jeff Bulva, James N Palmer, Nithin D Adappa, Andrew A White, John V Bosso
BACKGROUND: Aspirin-exacerbated respiratory disease (AERD) is characterized by chronic eosinophilic rhinosinusitis, nasal polyps, asthma, and respiratory sensitivity to aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs). In addition to sensitivity to aspirin and NSAIDs, the majority of patients with AERD have been reported to have respiratory intolerance associated with the consumption of alcohol. METHODS: A multicenter prospective cohort study was performed...
July 10, 2018: International Forum of Allergy & Rhinology
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