keyword
https://read.qxmd.com/read/38537233/risk-factors-for-readmission-after-a-cholecystectomy-a-case-control-study
#1
JOURNAL ARTICLE
Daniel Garcia, Antonia Pastore, Javier Rodriguez, Fernando Crovari, Jaime Cerda, Patricia Rebolledo, Pablo Achurra, Eduardo Viñuela, Jorge Martinez, Martin Dib, Eduardo Briceño
OBJECTIVE: The aim of this study was to assess the risk factors associated with 30-day hospital readmissions after a cholecystectomy. METHODS: We conducted a case-control study, with data obtained from UC-Christus from Santiago, Chile. All patients who underwent a cholecystectomy between January 2015 and December 2019 were included in the study. We identified all patients readmitted after a cholecystectomy and compared them with a randomized control group. Univariate and multivariate analyses were conducted to identify risk factors...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38537227/presentation-of-wernicke-encephalopathy-in-patient-secondary-to-one-anastomosis-gastric-bypass-case-report-and-literature-review
#2
JOURNAL ARTICLE
Luis F Zorrilla-Núñez, Luis Tamez-Pedroza, Patricio Durán-Moreno, Gerardo E Muñoz-Maldonado
Wernicke encephalopathy, which is caused by a thiamine deficiency, occurs in 0.8-2% of the population. Only 16% present the typical triad of this disease: nystagmus, confusion and ataxia. We present the case of a postoperative patient with a one anastomosis gastric bypass with reoperation undergoing a Roux-en-Y gastric bypass that begins with confusion and nystagmus on her third postoperative day. The diagnosis of Wernicke encephalopathy is made by imaging, and vitamin B1 is administered with total improvement of nystagmus and altered state of consciousness (lethargy, bradypsychia, bradylalia)...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38535104/transferring-surgical-expertise-analyzing-the-learning-curve-of-robotic-cardiac-surgery-operative-time-reduction-when-surgeon-moves-from-one-experienced-center-to-another
#3
JOURNAL ARTICLE
Sherif M Khairallah, Mohamed Rahouma, Stephanie L Mick
BACKGROUND: Robotically assisted cardiac surgery is performed in a team setting and is well known to be associated with learning curves. Surgeon and operative team learning curves are distinct entities, with total operative time representing the entire operative team (surgery, anesthesia, nursing, and perfusion) and cross-clamp time representing mainly the surgical team. Little is known about how a team learning curve evolves when an experienced surgeon transitions from one surgical center to another...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38535094/mitral-valve-surgery-for-mitral-regurgitation-results-in-reduced-left-ventricular-ejection-fraction-in-barlow-s-disease-as-compared-with-fibro-elastic-deficiency
#4
JOURNAL ARTICLE
Lobke L Pype, Philippe B Bertrand, Philippe Debonnaire, Sebastiaan Dhont, Boukje Hoekman, Bernard P Paelinck, Dina De Bock, Hein Heidbuchel, Emeline M Van Craenenbroeck, Caroline M Van De Heyning
Surgical correction of severe mitral regurgitation (MR) can reverse left ventricular (LV) remodeling in patients with mitral valve prolapse (MVP). However, whether this process is similar to the case in Barlow's Disease (BD) and Fibro-elastic Deficiency (FED) is currently unknown. The aim of this study is to evaluate post-operative LV reverse remodeling and function in patients with BD versus FED. In this study, 100 MVP patients (BD = 37 and FED = 63) with severe MR who underwent mitral valve surgery at three Belgian centers were retrospectively included...
February 21, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38534918/extended-right-hepatectomy-following-clearance-of-the-left-liver-lobe-and-portal-vein-embolization-for-curatively-intended-treatment-of-extensive-bilobar-colorectal-liver-metastases-a-single-center-case-series
#5
JOURNAL ARTICLE
Sebastian Knitter, Linda Sauer, Karl-H Hillebrandt, Simon Moosburner, Uli Fehrenbach, Timo A Auer, Nathanael Raschzok, Georg Lurje, Felix Krenzien, Johann Pratschke, Wenzel Schöning
BACKGROUND: Two-staged hepatectomy (TSH) including portal vein embolization (PVE) may offer surgical treatment for extensive bilobar colorectal liver metastases (CRLM). This study aimed to investigate the feasibility and outcomes of extended right hepatectomy (ERH) within TSH including PVE for patients with extended CRLM. METHODS: We retrospectively collected data of patients who underwent TSH for extended CRLM between 2015 and 2021 at our institution. Clearance of the left liver lobe (clear-up, CU) associated with PVE was followed by ERH...
February 21, 2024: Current Oncology
https://read.qxmd.com/read/38534670/oral-antibiotics-alone-versus-oral-antibiotics-combined-with-mechanical-bowel-preparation-for-elective-colorectal-surgery-a-propensity-score-matching-re-analysis-of-the-icral-2-and-3-prospective-cohorts
#6
JOURNAL ARTICLE
Marco Catarci, Stefano Guadagni, Francesco Masedu, Massimo Sartelli, Leonardo Antonio Montemurro, Gian Luca Baiocchi, Giovanni Domenico Tebala, Felice Borghi, Pierluigi Marini, Marco Scatizzi, The Italian ColoRectal Anastomotic Leakage iCral Study Group
The evidence regarding the role of oral antibiotics alone (oA) or combined with mechanical bowel preparation (MoABP) for elective colorectal surgery remains controversial. A prospective database of 8359 colorectal resections gathered over a 32-month period from 78 Italian surgical units (the iCral 2 and 3 studies), reporting patient-, disease-, and procedure-related variables together with 60-day adverse events, was re-analyzed to identify a subgroup of 1013 cases (12.1%) that received either oA or MoABP. This dataset was analyzed using a 1:1 propensity score-matching model including 20 covariates...
March 3, 2024: Antibiotics
https://read.qxmd.com/read/38534054/successful-treatment-of-refractory-orbital-plasmacytoma-with-chimeric-antigen-receptor-t-cell-therapy-a-case-report-and-review-of-the-literature
#7
JOURNAL ARTICLE
Rebecca Z Lin, Tracy Lu, Natalie Homer, Clara J Men
Orbital plasmacytoma is a rare plasma cell tumor that may arise as an aggressive form of extramedullary multiple myeloma. Treatment modalities include surgical excision, radiation, and chemotherapy. Chimeric antigen receptor T cell therapy is currently reserved for refractory disease. The authors present a case of a 69-year-old woman with an extensive orbital plasmacytoma refractory to multimodal therapy who was treated with idecabtagene vicleucel chimeric antigen receptor T cell therapy. Four days after infusion, the patient exhibited grade 1 cytokine release syndrome, which resolved with tocilizumab...
March 21, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38533169/from-pansinusitis-to-cerebritis-due-to-eikenella-corrodens
#8
Adriana América Silva, Inês Zão, João A Louro, Eduarda Pereira, Elisabete Monteiro
Meningitis is a rare but possible complication of sinusitis. We present a case of a 21-year-old woman with a history of fever, headache and nasal obstruction who presented at the emergency department with psychomotor agitation. Orotracheal intubation and invasive mechanical ventilation were given to protect airway. Blood analysis showed leukocytosis and elevated C-reactive protein. Cerebral and maxillofacial computed tomography (CT) demonstrated pansinusitis with gas foci more prominent in the left frontal sinus with an area of ​​bone rarefaction on the posterior wall with possible communication with the cranial cavity...
February 2024: Curēus
https://read.qxmd.com/read/38533166/diagnostic-and-surgical-implications-of-non-occlusive-mesenteric-ischemic-ileus-associated-with-common-celiacomesenteric-trunk-a-case-report-and-literature-review
#9
Paul Joon Koo Choi, Jigyasha Pradhan, Sania Thite, Reshma Pydi, Gagan Sathya Prakash, Tiffany-Marie Golek, Sarah Moore, Ajay Shah, Hanasoge Girishkumar
The celiacomesenteric trunk (CMT), an exceedingly rare anatomic variant uniting the celiac artery and superior mesenteric artery (SMA), holds significant clinical and surgical implications. Despite its rarity, understanding these implications is crucial for effective management. This report outlines the case of a 99-year-old female presenting with septic shock and abdominal pain, with imaging revealing an incidental CMT. This paper aims to elucidate the surgical implications associated with CMT through a comprehensive case review and literature search...
February 2024: Curēus
https://read.qxmd.com/read/38533144/successful-fluid-management-in-respiratory-failure-due-to-clazosentan-following-a-cerebral-aneurysm-clipping-a-case-report
#10
Hirotaka Kinoshita, Kodai Kato, Yuma Yamazaki, Eiji Hashiba, Kazuyoshi Hirota
Clazosentan, a potent selective endothelin receptor subtype A antagonist, has been demonstrated to be effective in preventing cerebral vasospasms after subarachnoid hemorrhage. We report the successful management of respiratory failure due to pulmonary edema associated with clazosentan, with a hemodynamic monitoring system. A 49-year-old Japanese man underwent emergency clipping for a right internal carotid-posterior communicating artery aneurysm. The surgery and general anesthesia for the rupture proceeded with no complications...
February 2024: Curēus
https://read.qxmd.com/read/38532868/the-effects-of-drainage-tube-on-pain-and-functional-recovery-after-unicompartmental-knee-arthroplasty
#11
JOURNAL ARTICLE
Ting Fu, Shuzhen Ren, Yu Nie
OBJECTIVE: The objective of this study was to evaluate the impact of drainage tube placement on postoperative pain, recovery, and opioid consumption within a 72-hour period following unicompartmental knee arthroplasty (UKA). METHODS: Patients with medial knee osteoarthritis who underwent UKA from January 2019 to August 2020 were enrolled in the study and divided into two groups based on whether they received a drain postoperatively. RESULTS: The drainage group had significantly lower VAS scores on day 1, day 2, and day 3, in addition to significantly smaller changes in the circumference of the knee joint within 3 days postoperatively (P <0...
2024: Acta Ortopedica Brasileira
https://read.qxmd.com/read/38532859/uniportal-video-assisted-thoracoscopic-surgery-in-the-prone-position-for-esophageal-bronchogenic-cyst
#12
Yeon Soo Kim
Esophageal bronchogenic cysts are very rare. A bronchogenic cyst is a congenital malformation resulting from abnormal sprouting of primitive bronchi because of a foregut bronchopulmonary malformation. An 18-year-old patient with a cystic tumor in the left posterior mediastinum was identified. The mediastinal tumor was removed by uniportal video-assisted thoracoscopic surgery. The operation was performed in the prone position through a single 4-cm incision on the lateral scapular line in the left ninth intercostal space...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38532541/case-report-of-overlapping-pyloric-obstruction-due-to-dichlorvos-poisoning-and-cholelithiasis-with-choledocholithiasis
#13
JOURNAL ARTICLE
Jie Peng, Yalu Zhang, Qin Ling, Liang Zhu, Hanhui Yao
BACKGROUND Pyloric obstruction after dichlorvos poisoning causes repeated vomiting and inability to eat. Choledocholithiasis and cholelithiasis are the common digestive diseases, with high morbidity and relapse in elderly patients. However, the complex situation of these diseases' coexistence is a clinically intractable problem, and literature on selecting optimal surgical planning is scarce. CASE REPORT A thin 79-year-old woman took dichlorvos due to family conflicts. She improved after being urgently sent to local hospital for gastric lavage and detoxification...
March 27, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38532504/sub-coronary-aortic-root-replacement-post-aortic-valve-dehiscence-a-case-report
#14
JOURNAL ARTICLE
Aabha Divya, Tobin Mangel, Rakesh Seetharaman, John Fouad Taghavi
This is a case report of a 78-year-old male who underwent a sub-coronary aortic valve and root replacement due to valve dehiscence and aortic root pseudoaneurysm. The patient had complex anomalous coronary anatomy and had undergone a previous tissue aortic valve replacement in 2013. The patient made an uneventful recovery and was discharged from the hospital five days later. The authors suggest that the sub-coronary root replacement technique should be considered in elderly patients and patients with complex coronary anatomy...
March 26, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38532497/robotic-portal-resection-for-mediastinal-tumours-a-prospective-observational-study
#15
JOURNAL ARTICLE
Wei Gan, Mu-Zi Yang, Zi-Hui Tan, Chu-Long Xie, Tian-Yu Sun, Hao-Xian Yang
BACKGROUND: To demonstrate the effectiveness and feasibility of robotic portal resection (RPR) for mediastinal tumour using a prospectively collected database. METHODS: Data from 73 consecutive patients with mediastinal tumours who underwent RPRs were prospectively collected from August 2018 to April 2023. All patients underwent chest and abdominal enhanced computed tomography (CT) and preoperative multidisciplinary team (MDT) discussion. The patients were stratified into two groups based on tumour size: Group A (tumour size < 4 cm) and Group B (tumour size ≥ 4 cm)...
March 26, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38532254/clinical-outcomes-of-20-brachycephalic-dogs-with-thoracolumbar-spinal-deformities-causing-neurological-signs-treated-with-spinal-stabilization-using-3d-printed-patient-specific-drill-guides
#16
JOURNAL ARTICLE
Francesca Violini, James H Elford, Thomas J A Cardy, Bill Oxley, Andrew Craig, Sebastien Behr
OBJECTIVE: To describe the clinical outcomes for pugs and French bulldogs with congenital vertebral malformations, undergoing thoracolumbar spinal stabilization surgery using 3D-printed patient-specific drill guides. To evaluate the accuracy of pedicle screw placement in this group of dogs. STUDY DESIGN: Retrospective descriptive study. ANIMALS: Twenty dogs (12 pugs and eight French bulldogs). METHODS: Medical records searched between August 2018 and March 2021 for pugs and French bulldogs diagnosed with congenital vertebral abnormalities via magnetic resonance imaging (MRI) scan and computed tomography (CT) scan causing T3-L3 myelopathy signs that underwent spinal stabilization surgery using 3D-printed patient-specific drill guides followed by a postoperative CT scan...
March 26, 2024: Veterinary Surgery
https://read.qxmd.com/read/38531735/fluorescence-guided-thoracoscopic-surgery-for-postoperative-chylothorax-a-technical-note-with-video-vignette
#17
JOURNAL ARTICLE
Tzu-Wei Kuo, Shih-Kang Tseng, Pin-Li Chou, Chuan Cheng, Sung-Yu Chu, Yin-Kai Chao
TECHNIQUE: The surgical management for high-output postoperative chylothorax typically necessitates ligation of the thoracic duct (TD) above the leak site and/or sealing the leak with a clip. However, pinpointing these structures during subsequent surgeries can be challenging due to their variable course and the presence of traumatized tissues surrounding the leak area. In response to this, we have developed a novel, fluorescence-guided technique that significantly enhances intraoperative identification of the leak point and the TD...
March 25, 2024: Asian Journal of Surgery
https://read.qxmd.com/read/38531541/sustainability-of-an-enhanced-recovery-pathway-after-minimally-invasive-gynecologic-oncology-surgery
#18
JOURNAL ARTICLE
Anna McCracken, Rachel Soyoun Kim, Stephane Laframboise, Manjula Maganti, Marcus Q Bernardini, Sarah Ferguson, Liat Hogen, Taymaa May, Stuart A McCluskey, Geneviève Bouchard-Fortier
OBJECTIVE: Same day discharge is safe after minimally invasive gynecology oncology surgery. Our quality improvement peri-operative program based on enhanced recovery after surgery principles led to an increase in same day discharge from 30% to 75% over a 12 month period. Twelve months after program implementation, we assessed the sustainability of same day discharge rates, determined post-operative complication rates, and evaluated factors affecting same day discharge rates. METHODS: A retrospective chart review was conducted of 100 consecutive patients who underwent minimally invasive surgery at an academic cancer center from January to 2021 to December 2021...
March 26, 2024: International Journal of Gynecological Cancer
https://read.qxmd.com/read/38531475/-transforaminal-endoscopic-ventral-stenosis-decompression-in-calcified-lumbar-disc-herniation-a-long-term-outcome-in-79-patients
#19
JOURNAL ARTICLE
Ajay Krishnan, Chandhan Murugan, Mikeson Panthackel, Abhijith Anil, Devanand Degulmadi, Shivanand Mayi, Ravi Ranjan Rai, Mirant Dave, Mrugank Narvekar, Rohan Killekar, Preety Ajay Krishnan, Bharat Dave
BACKGROUND: Calcified lumbar disc herniations(CLDH) causing calcified ventral stenosis CVS) pose a therapeutic challenge to the treating surgeon due to their neural adhesions, location, and hardness. METHODS: This retrospective study analyzed all the cases of CLDH/CVS managed by transforaminal endoscopic lumbar discectomy(TELD) with a minimum follow-up of 24 months. The pre-operative images were analyzed for the level, migration; and grade(Lee's migration zones), and location(MSU classification)...
March 24, 2024: World Neurosurgery
https://read.qxmd.com/read/38531292/synchronous-nasal-rhinosporidiosis-and-inverted-papilloma-in-a-paediatric-patient-in-dodoma-tanzania-case-report
#20
Zephania Saitabau Abraham, Francis Zerd, Benard John Mnguruta, Chrispin Dickson Mgute, Aveline Aloyce Kahinga
INTRODUCTION: Nasal rhinosporidiosis refers to a rare chronic granulomatous disease caused by Rhinosporidium seeberi. It affects the mucous membrane of sites such as nasopharynx, conjunctiva and palate. Inverted papillomas are relatively rare and are benign epithelial tumors of the nasal cavity that are locally aggressive, exhibit recurrence tendency and malignant transformation. Both entities are very rare in our setting and this is perhaps the first documented case in Tanzania. CASE PRESENTATION: The patient was a 7-year old boy with a 1-year history of left-sided nasal obstruction and intermittent epistaxis for 6 months...
March 23, 2024: International Journal of Surgery Case Reports
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