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https://www.readbyqxmd.com/read/29908340/ureterolysis-for-laparoscopic-hysterectomy
#1
Haider Jan, Vishalli Ghai
STUDY OBJECTIVE: To demonstrate techniques of ureterolysis during complex laparoscopic hysterectomy. DESIGN: Technical video demonstrating different approaches to ureterolysis for complex benign pathology during laparoscopic hysterectomy. (Canadian Task force classification level III) SETTING: Benign gynaecology department at a University Hospital. INTERVENTION: We perform ureterolysis during laparoscopic hysterectomy for benign pathology...
June 13, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29907944/25-gauge-lens-sparing-vitrectomy-with-dissection-of-retrolental-adhesions-on-the-peripheral-retina-for-familial-exudative-vitreoretinopathy-in-infants
#2
Jin Ma, Yin Hu, Lin Lu, Xiaohu Ding
BACKGROUND: To evaluate the clinical outcome of 25-gauge lens-sparing vitrectomy with dissection of retrolental adhesions on the peripheral retina for familial exudative vitreoretinopathy in infants. METHODS: Fifty-one eyes of 39 infants with familial exudative vitreoretinopathy associated with retrolental adhesions on the peripheral retina, retinal fold with macular detachment, and partial lens opacity. A 25-gauge lens-sparing vitrectomy was performed, and retrolental adhesions between the peripheral retina and the posterior lens capsule were surgically dissected...
June 16, 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/29907461/vascular-anomalies
#3
REVIEW
Amir H Taghinia, Joseph Upton
Vascular anomalies encompass a wide variety of clinical conditions involving the vasculature. Over the past several decades, the terminology has changed as our understanding of these conditions has improved. A well-accepted classification scheme has evolved with constant additions, updates, and revisions. Imaging techniques have also advanced with greater resolution and a better understanding of the correlation between imaging, clinical behavior, and natural history. Meanwhile, the treatment of these conditions has also changed, with greater focus on minimally invasive techniques as opposed to radical surgery...
June 12, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29907220/validation-of-the-american-association-for-the-surgery-of-trauma-s-emergency-general-surgery-breast-infection-grading-system
#4
Brittany L Murphy, Matthew C Hernandez, Nimesh D Naik, Amy E Glasgow, Victor Y Kong, Damian L Clarke, Humza Y Saleem, Jennifer M Racz, Elizabeth B Habermann, Martin D Zielinski
BACKGROUND: The American Association for the Surgery of Trauma (AAST) developed emergency general surgery (EGS) grading systems for multiple diseases to standardize classification of disease severity. The grading system for breast infections has not been validated. We aimed to validate the AAST breast infection grading system. METHODS: Multi-institutional retrospective review of all adult patients with a breast infection diagnosis at Mayo Clinic Rochester 1/2015-10/2015 and Pietermaritzburg South African Hospital 1/2010-4/2016 was performed...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29907134/clinical-outcome-and-physical-activity-measured-with-stepwatch-3%C3%A2-activity-monitor-after-minimally-invasive-total-hip-arthroplasty
#5
Steffen Höll, Andreas Blum, Georg Gosheger, Ralf Dieckmann, Corinna Winter, Dieter Rosenbaum
BACKGROUND: Subjective data and physical examinations of patients after total hip arthroplasty are used to assess the outcome. But regarding the physical activity, no objective data can be delivered by existing scores. The level of activity can be measured objectively by counting gait cycles. The aim of this study was to measure activity levels of patients before and after total hip arthroplasty (THA). METHODS: Forty-six patients were included in this prospective study...
June 15, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29905640/imaging-investigation-of-thyroid-eye-disease
#6
Loizos C Siakallis, Jimmy M Uddin, Katherine A Miszkiel
INTRODUCTION: Thyroid eye disease (TED), is a term referring to the extrathyroidal manifestation of Grave's disease, a disorder which is currently the most common cause of hyperthyroidism and is characterised by underlying autoimmunity.The pathogenic course of the disease can be broadly classified into two stages, an early inflammatory and a late fibrotic stage. These stages are reflected in clinical severity and activity classifications, such as Clinical Activity Score and Class 0: No signs or symptoms, 1: Only signs, no symptoms (e...
June 13, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29904043/effect-of-neuro-orthopaedic-surgery-for-spastic-equinovarus-foot-after-stroke-a-prospective-longitudinal-study-based-on-a-goal-centered-approach
#7
Thierry Deltombe, Maxime Gilliaux, François Peret, Mie Leeuwerck, Delphine Wautier, Philippe Hanson, Thierry Gustin
BACKGROUND: Neuro-orthopaedic surgery is recognized as an effective treatment to improve walking capacity in case of spastic equinovarus foot. However, the effect of surgery on the 3 domains of the International Classification of Functioning, Disability and Health (ICF) has never been studied. AIM: To assess the efficacy of the neuro-orthopaedic surgery for spastic equinovarus foot after stroke based on a goal-centered approach and on the 3 domains of the International Classification of Functioning, Disability and Health (ICF)...
June 14, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29902846/-primary-research-of-early-oral-feeding-after-total-laryngectomy
#8
N Huang, Y M Zhu, C M An, Y Liu, Z G Xu, S Y Liu, Z M Zhang
Objective: To explore whether early oral feeding after total laryngectomy is safe and effective by evaluating the incidence of pharyngocutaneous fistula (PCF) and the hospital duration. Methods: A retrospective cohort study was conducted, including 52 patients underwent total laryngectomy, plus partial tongue base resection ( n =2), partial pharyngectomy ( n =1), or pedicle flap ( n =2) between January 2012 and October 2017. Patients who had a history of preoperative radiotherapy, chemotherapy or chemoradiotherapy, previous surgery for larynx or pharynx and who had severe complications were excluded...
June 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29902605/surgical-complications-in-intradural-extramedullary-spinal-cord-tumors-an-acs-nsqip-analysis-of-spinal-cord-level-and-malignancy
#9
Abhiraj D Bhimani, Ankit Indravadan Mehta
BACKGROUND: Intradural extramedullary (IDEM) spinal cord tumors account for two thirds of all intraspinal neoplasms. Surgery for IDEM tumors carries risk for many different complications, which to date have been poorly described and quantified. OBJECTIVE: To better characterize risk factors and complications for IDEM tumors, stratifying by spinal cord level and malignancy. METHODS: The ACS-NSQIP database was queried to determine 30-day outcomes following surgery for IDEM tumors between 2005 and 2016...
June 11, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29902603/endoscopic-endonasal-approach-to-the-gh-secreting-pituitary-adenomas-endocrinological-outcome-in-68-patients
#10
Mohammad Taghvaei, Seyed Mousa Sadrehosseini, Javad Behjati Ardakani, Manouchehr Nakhjavani, Mehdi Zeinalizadeh
PURPOSE: Endoscopic endonasal approach has recently become an acceptable option for resection of all pituitary adenomas. We assessed biochemical outcome of endoscopic endonasal surgery in growth hormone (GH) secreting adenomas including remission rate, predictors of remission and associated complications. METHODS: Sixty eight consecutive patients with acromegaly who underwent endoscopic endonasal surgery have been analyzed prospectively. Tumors were classified according to the size, Knosp score and Hardy-Wilson classifications...
June 11, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29902524/surgical-protocol-and-outcome-for-sigmoidovesical-fistula-secondary-to-diverticular-disease-of-the-left-colon-a-retrospective-cohort-study
#11
Hany M El-Haddad, Mohamed I Kassem, Ahmed A Sabry, Ahmed Abouelfotouh
BACKGROUND: Diverticular disease of sigmoid colon can rarely be complicated by a connective track to urinary bladder. Pneumaturia and fecaluria are the pathognomonic symptoms. Resection surgery is the preferred treatment to overcome the renal sequellae of the disease. The purpose of this study is to propose a guiding classification to help general surgeons during surgical management of diverticular disease complicated by sigmoidovesical fistula (SVF). PATIENTS AND METHODS: The data of 40 cases with colovesical fistula due to diverticular disease of sigmoid colon were retrospectively analyzed...
June 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29901431/a-study-into-perioperative-anaesthetic-adverse-events-in-thailand-paad-thai-an-analysis-of-suspected-emergence-delirium
#12
Tanyong Pipanmekaporn, Yodying Punjasawadwong, Manee Raksakietisak, Wimonrat Sriraj, Varinee Lekprasert, Thewarug Werawatganon
The purpose of this study is to demonstrate the characteristics, contributing factors and recommended policy changes associated with emergence delirium. Relevant data were extracted from the PAAd Thai database of 2,006 incident reports which were conducted from 1 January to 31 December 2015. Details pertinent to the patient, surgery, anaesthetic and systematic factors were reviewed independently. Seventeen incidents of emergence delirium were recorded. Emergence delirium was common in the following categories: male (70...
January 1, 2018: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29900522/comparision-of-percutaneous-nephrolithotomy-and-retrograde-intrarenal-surgery-for-the-treatment-of-multicalyceal-and-multiple-renal-stones
#13
Arif Demirbas, Veli Mert Yazar, Erim Ersoy, Demirhan Orsan Demir, Serkan Ozcan, Tolga Karakan, Omer Gokhan Doluoglu, Berkan Resorlu, Ahmet Metin Hascicek, Kadir Omur Gunseren
PURPOSE: Comparison of efficiency and reliability of percutaneous nephrolithotomy (PNL) and retrograde intrarenal surgery (RIRS) in treatment of multicalyceal and multiple renal stones in the same renal unit. MATERIALS AND METHODS: Between 2011 and 2015, records of patients who underwent surgery for renal stone were retrospectively reviewed. Patients who had multiple stones located in different calices in the same renal unit were included. The patients that underwent PNL and RIRS were defined as Group I and Group II, respectively...
June 14, 2018: Urology Journal
https://www.readbyqxmd.com/read/29899757/different-clinical-outcomes-in-crohn-s-disease-patients-with-esophagogastroduodenal-jejunal-and-proximal-ileal-disease-involvement-is-l4-truly-a-single-phenotype
#14
Ren Mao, Rui-Han Tang, Yun Qiu, Bai-Li Chen, Jing Guo, Sheng-Hong Zhang, Xue-Hua Li, Rui Feng, Yao He, Zi-Ping Li, Zhi-Rong Zeng, Rami Eliakim, Shomron Ben-Horin, Min-Hu Chen
Background: The Montreal classification defines L4 Crohn's disease (CD) as any disease location proximal to the terminal ileum, which anatomically includes L4-esophagogastroduodenal (EGD), L4-jejunal, and L4-proximal ileal involvement. L4-jejunal disease was established to be associated with poor prognosis. However, the outcome of patients with L4-proximal ileal disease or L4-EGD remains to be clarified. Our study aimed to investigate whether the outcome differs among CD patients with L4-EGD, L4-jejunal, and L4-proximal ileal disease...
2018: Therapeutic Advances in Gastroenterology
https://www.readbyqxmd.com/read/29898443/patient-s-skeletal-muscle-radiation-attenuation-and-sarcopenic-obesity-are-associated-with-postoperative-morbidity-after-neoadjuvant-chemoradiation-and-resection-for-rectal-cancer
#15
Annefleur E M Berkel, Joost M Klaase, Feike de Graaff, Marjolein G J Brusse-Keizer, Bart C Bongers, Nico L U van Meeteren
BACKGROUND/AIMS: To investigate the relation between skeletal muscle measurements (muscle mass, radiation attenuation, and sarcopenic obesity), postoperative morbidity, and survival after treatment of locally advanced rectal cancer. METHODS: This explorative retrospective study identified 99 consecutive patients who underwent neoadjuvant chemoradiation and surgery between January 2007 and May 2012. Skeletal muscle mass was measured as total psoas area and total abdominal muscle area (TAMA) at 3 anatomical levels using the patient's preoperative computed tomography scan...
June 13, 2018: Digestive Surgery
https://www.readbyqxmd.com/read/29898381/a-simplified-adult-acquired-buried-penis-repair-classification-system-with-an-analysis-of-perioperative-complications-and-urethral-stricture-disease-%C3%A2-%C3%A2-%C3%A2
#16
Joseph J Pariser, Omar E Soto-Aviles, Brandi Miller, Maha Husainat, Richard A Santucci
OBJECTIVES: To propose a simple classification system for buried penis repairs and present an analysis of perioperative data based on category. METHODS: Patients undergoing buried penis repair at a single institution were examined. Classification was as follows: Category I - Penile Unburying with Local Flap; II - Skin Graft; III - Scrotal Surgery; IV - Escutcheonectomy; V - Abdominal Panniculectomy. Complex repairs were Category III or above. Success was defined as an unburied penis without additional unburying surgery...
June 10, 2018: Urology
https://www.readbyqxmd.com/read/29897443/single-center-consecutive-series-cohort-study-of-minimally-invasive-versus-open-resection-for-cancer-in-the-esophagus-or-gastroesophageal-junction
#17
F Klevebro, C M Scandavini, S Kamiya, M Nilsson, L Lundell, I Rouvelas
Minimally invasive esophagectomy (MIE) has been introduced at many centers worldwide as evidence is accumulating that it reduces the risk of postoperative morbidity and mortality and decreases the length of hospital stay compared to conventional open esophagectomy. The study is a single institution cohort study of 366 consecutive patients treated with curative intent for cancer in the esophagus or gastroesophageal junction, comparing MIE to open surgery. The outcomes studied were peroperative bleeding, operation time, lymph node yield, complications, length of stay and overall survival...
April 20, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29895877/reliability-of-the-international-spinal-cord-injury-upper-extremity-basic-data-set
#18
S Tongprasert, A Namchandee, K Sotthipoka, P Kammuang-Lue
STUDY DESIGN: It is a psychometrics study. OBJECTIVE: To assess the inter-rater reliability of the International Spinal Cord Injury Upper Extremity Basic Data Set (ISCI-UE). SETTING: Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand. METHODS: Individuals with subacute and chronic cervical spinal cord injury (SCI) were recruited. One examiner rated five parts of the ISCI-UE, including the ability to reach and grasp, the shoulder function classification, utilization of adaptive devices used to enhance upper-extremity function, complications affecting upper-extremity function, and upper extremity/hand reconstructive surgery...
June 12, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29895098/urological-outcomes-following-pelvic-exenteration-for-advanced-pelvic-cancer-are-not-inferior-to-those-following-radical-cystectomy
#19
Edwin J Aslim, Min Hoe Chew, Ghee Kheng Chew, Lui Shiong Lee
BACKGROUND: Pelvic exenteration (PE) for locally advanced pelvic malignancy requires a multi-disciplinary approach and is associated with significant morbidity. Urinary reconstruction forms a major component of this procedure. The aim of the study is to review the urological outcomes following PE in a newly established pelvic oncology unit, to compare with those following radical cystectomy (RC) for bladder cancer. METHODS: Patients were identified from prospectively maintained PE and bladder cancer databases, inclusive of all cases performed between January 2012 and December 2016...
June 12, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29895090/-arthroscopically-assisted-minimally-invasive-fixation-of-a-type-d2c-scapular-fracture
#20
Patrick Kornherr, Christiane Konerding, Mark Kovacevic, Klaus Wenda
Fractures of the scapula are rare and have an incidence of 1% of all fractures. Publications highlight glenoid rim fractures. Classification by Ideberg and Euler and Rüdi are accepted. Euler and Rüdi describe three extra-articular and two intra-articular fracture patterns. The indications for surgery are displaced glenoid fractures, scapula tilt of more than 40° and injuries to the superior shoulder suspensory complex. We describe a case of a 22 year old man, who while cycling collided with a moving car due to wet roads...
June 12, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
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