keyword
https://read.qxmd.com/read/38537228/intestinal-intussusception-as-a-postoperative-complication-of-gastric-bypass
#1
JOURNAL ARTICLE
Perla X López-Almanza, Daniel González-Hermosillo-Cornejo, Gerardo A Montalvo-Domínguez, Enrique Reyes-Rodríguez, Pablo Andrade-Martínez-Garza
The gold standard for bariatric surgery is the laparoscopic gastric bypass, which consists in forming a small gastric pouch and a Roux-en-Y anastomosis. We present the case of a 41-year-old female who underwent a laparoscopic gastric bypass 8 years prior to her admission to the emergency room, where she arrived complaining of severe and colicky epigastric abdominal pain. The abdominal computed tomography showed a jejuno-jejunal intussusception, for which the patient underwent urgent exploratory laparotomy with intussusception reduction...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38532429/continuous-training-based-on-the-needs-of-operating-room-nurses-using-web-application-a-new-approach-to-improve-their-knowledge
#2
JOURNAL ARTICLE
R Khorammakan, S H Roudbari, A Omid, V S Anoosheh, A N Arabkhazaei, A Z Arabkhazaei, J Khalili, H Belyad Chaldashti, A Ghadami
INTRODUCTION: Since university education and intensive and limited pre-service training do not provide an acceptable level of performing the duties of operating room nurses, and considering the limitations of traditional training methods in the field of operating room; This study was conducted with the aim of determining the effect of using the electronic education approach based on web application, leveled, personalized and based on the needs of nurses on their level of knowledge and satisfaction...
March 26, 2024: BMC Medical Education
https://read.qxmd.com/read/38532330/advancing-laparoscopy-in-resource-limited-settings
#3
JOURNAL ARTICLE
Surafel Mulatu Djote, Daniel Ahmed Muhie, Getachew Desta Alemayehu
Although laparoscopic surgery has made remarkable progress and become the standard approach for various surgical procedures worldwide over the past 30 years, its establishment in low-resource settings, particularly in public hospitals, has been challenging. The lack of equipment and trained expertise has hindered its widespread adoption in these settings. Cholecystectomy is one of the most commonly performed procedures using laparoscopy world wide AIM: The aim of the study is to determine whether laparoscopic cholecystectomy is feasible in a resource challenged setting METHODS: The research focused on individuals who underwent laparoscopic or open cholecystectomies at Yekatit 12 Hospital in Addis Ababa, Ethiopia, over a one-year period...
March 26, 2024: BMC Surgery
https://read.qxmd.com/read/38532126/utilizing-an-antibiotic-eluting-articulated-cemented-spacer-in-the-two-stage-management-of-infected-total-hip-arthroplasty-a-technical-note
#4
JOURNAL ARTICLE
Aditya L Kekatpure, Aashay L Kekatpure, Jae Youn Yoon, Pil Whan Yoon, Jun-Ki Moon
Two-stage revision is generally preferred to eradicate chronic periprosthetic infections after total hip arthroplasty (THA) because of its good infection control and promising results. During two-stage revision, a temporary antibiotic-impregnated cement spacer was initially used for the local delivery of antibiotics, thereby reducing the risk of infection recurrence. Many researchers have reported various techniques for fabricating cemented spacers; however, there is no established standard technique. We share our cost-effective and easily reproducible technique for creating an articulated cemented spacer for managing infected THA...
March 26, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38530384/posterior-cerebral-artery-pca-accessory-pca-hyperplastic-anterior-choroidal-artery-anastomosis-detected-on-magnetic-resonance-angiography
#5
JOURNAL ARTICLE
Akira Uchino, Kazuo Tokushige
PURPOSE: To describe a case of posterior cerebral artery (PCA)-accessory PCA (hyperplastic anterior choroidal artery) anastomosis detected on magnetic resonance angiography. METHODS: A 76-year-old man with a history of cerebral infarction underwent cranial magnetic resonance (MR) imaging and MR angiography of the intracranial region for the evaluation of brain and vascular lesions. The MR machine was a 3-Tesla scanner. MR angiography was performed using a standard three-dimensional time-of-flight technique...
March 26, 2024: Surgical and Radiologic Anatomy: SRA
https://read.qxmd.com/read/38529576/life-expectancy-of-patients-undergoing-total-knee-arthroplasty-comparison-with-general-population
#6
JOURNAL ARTICLE
Sanghyo Kim, Samuel Jaeyoon Won, Na-Kyoung Lee, Chong Bum Chang
BACKGROUND: This study aimed to analyze the life expectancy and cause of death in osteoarthritis (OA) patients who underwent total knee arthroplasty (TKA) and to identify risk factors that affect long-term mortality rate after TKA. METHODS: Among 601 patients, who underwent primary TKA due to OA by a single surgeon from July 2005 to December 2011, we identified patients who died after the operation using data obtained from the National Statistical Office of Korea...
March 25, 2024: Journal of Korean Medical Science
https://read.qxmd.com/read/38527944/major-low-energy-trauma-results-in-non-specific-immunoglobulin-generation-without-evidence-for-specific-autoantibody-production-a-prospective-cohort-study
#7
JOURNAL ARTICLE
Henrik Eckardt, Nicolas Bless, Ingmar Heijnen, Mario Morgenstern, Josephine Nehring, Andrea Kieninger-Gräfitsch, Martine Bouchenaki, Vanessa Durandin, Silke Purschke, Ina Schmidt, Loraine Pascale Kouba, Marten Trendelenburg, Eliska Potlukova
Cellular debris resulting from large trauma might overwhelm the scavenger mechanisms and lead to autoimmune reactions. We analysed whether a major well-defined trauma in humans induces laboratory signs of transient autoimmunity in the months after the insult. We included 50 patients with pertrochanteric femur fracture undergoing intramedullary nail osteosynthesis in a prospective cohort study and followed them at 3-4 days, 6 weeks, 12 weeks and 12 months postoperatively. By standard techniques, we assessed levels of total immunoglobulins, anti-nuclear antibodies (ANA), anti-cardiolipin antibodies, anti-dsDNA antibodies and anti-C1q antibodies, as well as antibodies against cytomegalovirus (CMV) as a control...
March 25, 2024: Scandinavian Journal of Immunology
https://read.qxmd.com/read/38526696/a-sice-societ%C3%A3-italiana-di-chirurgia-endoscopica-e-nuove-tecnologie-observational-prospective-multicenter-study-on-anatomical-variants-of-the-superior-mesenteric-artery-intraoperative-analysis-during-laparoscopic-right-hemicolectomy-codig-2-database-colondx
#8
JOURNAL ARTICLE
G Anania, A Campagnaro, M Chiozza, J Randolph, G Resta, S Marino, S Pedon, A Agrusa, D Cuccurullo, R Cirocchi
Colorectal cancer, the third most common cancer worldwide, affects 40-45% of patients on the right side. Surgery, especially minimally invasive methods such as laparoscopic and robotic procedures, is the preferred treatment. However, these techniques present technical complications. The anatomical complexity and variations in vessel branching patterns pose challenges, particularly for less experienced surgeons. The CoDIG 2 is a nationwide observational study involving 76 specialized Italian general surgery departments focused on colorectal surgery...
March 25, 2024: Updates in Surgery
https://read.qxmd.com/read/38526497/navigator-nurse-implementation-within-a-fast-track-program-of-liver-resections-how-to-improve-the-healthcare-service-and-perioperative-results
#9
JOURNAL ARTICLE
Francesca Fermi, Francesca Ratti, Perthshanush Stepanyan, Diletta Corallino, Sara Ingallinella, Raffaella Reineke, Luigi Beretta, Luca Aldrighetti
BACKGROUND: The introduction into the clinical practice of the navigator nurse (NaNu) to address the task of counseling and short term follow-up help the effective implementation of the fast track protocol. The aim of the present study was to investigate the impact of the standardization of the NaNu's role in patients undergoing liver surgery. METHODS: Patients undergoing elective liver surgery for all diagnosis and approach, from 2015, received counseling and postoperative follow-up by NaNu and constituted the study group (n = 890)...
January 2024: World Journal of Surgery
https://read.qxmd.com/read/38525491/first-phase-development-of-a-patient-reported-outcome-measure-for-midface-oncology
#10
JOURNAL ARTICLE
Amanda E Yung, Jason Luong, Gareth Crouch, Angela M Hong, Arjuna Ananda, Simon Taylor, Ilias Kotronakis, Tsu-Hui Hubert Low, Michael S Elliott, Kate McBride, Claudia Rutherford, Jonathan R Clark, Sydney Ch'ng
BACKGROUND: Facial cancer surgery involving the midface (comprising the lower eyelids, nose, cheeks, and upper lip) can have debilitating life-changing functional, social, and psychological impacts on the patient. Midface symptoms are inadequately captured by existing patient-reported outcome measures (PROMs). PROMs are increasingly used for individual patient care, quality improvement, and standardized reporting of treatment outcomes. This study aimed to present our findings from the first phase of the development of a midface, specifically periocular and nasal, PROM...
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38524680/a-rare-complication-in-percutaneous-nephrolithotomy-clinical-case-and-implications
#11
Saleh Abdelkerim Nedjim, Hissein Hagguir Berdé, Adil Kbirou, Amine Moataz, Mohamed Dakir, Adil Debbagh, Rachid Aboutaieb
Percutaneous nephrolithotomy has become the standard procedure for the management of large kidney stones. Compared with other endo-urological techniques, it has a better fragmentation rate in a single session for kidney stones over 20 mm. It is therefore the recommended first-line treatment modality for large kidney stones. Bleeding is a well-known complication of this procedure, often requiring transfusion. In 0.8% of cases, bleeding can be severe, requiring surgical intervention to control hemostasis...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38524064/nebulized-versus-intravenously-administered-dexmedetomidine-for-obtunding-hemodynamic-responses-to-laryngoscopy-and-tracheal-intubation-a-randomized-double-blind-comparative-study
#12
JOURNAL ARTICLE
Akshita Singla, Rajkumar K Saraswat, Avnish Bharadwaj, Sapna Singh
Introduction Intravenous dexmedetomidine is known to cause major adverse effects such as bradycardia, hypotension, cardiac arrhythmias, and heart block when used as premedication for attenuation of the laryngoscopy and intubation response, limiting its routine use. Thus, it is important to study other routes of administration of dexmedetomidine. Objectives To compare the hemodynamic response and sedation score between intravenous and nebulized dexmedetomidine as premedication for the attenuation of the laryngoscopy and intubation response...
February 2024: Curēus
https://read.qxmd.com/read/38523583/a-focus-on-melorheostosis-disease-a-literature-review-and-case-report-of-femoral-acetabular-impingement-due-to-melorheostosis-treated-with-surgical-hip-osteoplasty
#13
JOURNAL ARTICLE
M Ruggiero, A Conforti, A Culcasi, C Mazzanti, G Sibahi, N Rani, S Sartini
OBJECTIVE: Melorheostosis is a rare, non-hereditary, benign bone disease characterized by abnormal bone growth. Generally, melorheostosis develops during childhood or adolescence and progresses gradually over time. This disease represents a true challenge to the physician because of its variability due to location, extension of the affected bone, and involvement of associated soft tissue. Pain management, physical therapy, and surgery may be recommended, depending on the individual case...
March 22, 2024: Reumatismo
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
#14
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/38523121/surgical-resident-education-and-performance-in-extended-focused-abdominal-sonography-for-trauma
#15
JOURNAL ARTICLE
Hannah Tan, Cassidy L Pham, Ramsey N Regen, Noah R Rutherford, Landon R Armstrong, Lou M Smith, Robert E Heidel
Extended focused assessment with sonography for trauma (eFAST) is a rapid triage tool aiding the detection of life-threatening injuries. In academic settings, residents perform most eFAST; however, the ACGME has no recommendations for eFAST training standards. We surveyed general surgery programs (GSPs) regarding eFAST training and established a baseline for sensitivity, specificity, and positive and negative predictive values for resident-performed eFAST. US GSP eFAST surveys were conducted by email and phone...
March 24, 2024: American Surgeon
https://read.qxmd.com/read/38522977/one-year-results-of-minimally-invasive-sutured-fixation-of-the-slipped-ribs-in-the-pediatric-population
#16
JOURNAL ARTICLE
Andreas Polycarpou, Trevor C Chopko, Amy E Glasgow, Sarah R McCarthy, Daniel R Hilliker, Robert T Wilder, Denise B Klinkner
PURPOSE: Costal cartilage resection with or without rib resection is the gold standard surgery for slipping rib syndrome. Minimally invasive restoration of normal anatomy via nonabsorbable sutures has been described in the adult population with encouraging results. We sought to assess the efficacy of minimally invasive sutured fixation of the hypermobile rib in the pediatric population. METHODS: A retrospective review was performed at Mayo Clinic involving 31 pediatric patients diagnosed with slipped rib syndrome...
February 29, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38521960/diagnostic-and-therapeutic-approach-to-abdominal-masses-in-a-country-with-limited-resources
#17
JOURNAL ARTICLE
Saïdou Adama, Mohamed Lamine Abani Aichatou Balaraba, Zabeirou Oudou Aliou, Bako Inoussa Daouda, Ide Kadi, Younssa Hama, James Didier Lassey, Sani Rachid
OBJECTIVE: To report the diagnostic and therapeutic approach for the management of abdominal masses in the General Surgery department of the Niamey General Reference Hospital (HGR). MATERIALS AND METHODS: This were a retrospective and preliminary study of 2 years and 3 months on patients operated for abdominal masses in the General Surgery department of the HGR. A palpable mass and/or its size on imaging (40 mm) were the inclusion criteria. RESULTS: Abdominal masses accounted for 6...
March 23, 2024: BMC Surgery
https://read.qxmd.com/read/38521948/anastomosis-selection-in-liver-transplantation-for-recipients-with-unusable-recipient-hepatic-arteries-a-bayesian-network-meta-analysis
#18
Warsinggih, Citra Aryanti, Julianus Aboyaman Uwuratuw, Erwin Syarifuddin, Ronald Erasio Lusikooy, Muhammad Faruk
BACKGROUND: The anastomosis of donor and recipient hepatic arteries is standard in liver transplantations. For transplant recipients with unusable hepatic arteries, appropriate artery selection should be conducted using evidence-based considerations; therefore, this network meta-analysis (NMA) aimed to analyze the most suitable alternative recipient artery for anastomosis during liver transplantations. METHODS: Comprehensive searches of the Scopus, Cochrane Library, and MEDLINE databases were conducted to analyze observational studies containing non-standard anastomoses in liver transplantations that used the splenic artery, aorta, celiac, or branches of the gastric artery...
March 23, 2024: BMC Surgery
https://read.qxmd.com/read/38521683/prolonged-interval-to-surgery-following-neoadjuvant-chemoradiotherapy-in-locally-advanced-rectal-cancer-a-meta-analysis-of-randomized-controlled-trials
#19
JOURNAL ARTICLE
P W Owens, M Saeed, N McCawley, P Loughlin, D E Kearney, J P Burke, D A McNamara, S M Sahebally
BACKGROUND: Long-course neoadjuvant chemoradiotherapy (NCRT), followed by surgery after an interval of 6-8 weeks, represents standard of care for patients with locally advanced rectal cancer (LARC). Increasing this interval may improve rates of complete pathological response (pCR) and tumour downstaging. We performed a meta-analysis comparing standard (SI, within 8 weeks) versus longer (LI, after 8 weeks) interval from NCRT to surgery. METHODS: PubMed, Embase, and Cochrane databases were searched up to 31 August 2022...
March 22, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38521628/preoperative-difficulty-assessment-of-interval-laparoscopic-cholecystectomy-for-gallstones
#20
JOURNAL ARTICLE
Masahiro Shiihara, Yasuhiro Sudo, Norimasa Matsushita, Takeshi Kubota, Yasuhiro Hibi, Harushi Osugi, Tatsuo Inoue
BACKGROUND: Laparoscopic cholecystectomy is the gold standard treatment for benign gallbladder disease. However, few studies have reported the difficulty of interval cholecystectomy after cholecystitis because early cholecystectomy is recommended for acute cholecystitis. In this study, we evaluated the difficulties associated with interval cholecystectomy for cholecystitis with gallstones. METHODS: We retrospectively analyzed patients with gallstones who underwent interval laparoscopic cholecystectomy for cholecystitis at our institution between January 2012 and December 2021...
March 22, 2024: Surgery
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