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https://www.readbyqxmd.com/read/29691568/-treatment-of-48-cases-of-benign-lower-posterior-tumor-of-the-parotid-gland-with-c-shaped-small-incision
#1
Zhen-Ran Gao, Song-Bo Ma, Guo-Qin Zhang
PURPOSE: To summarize the feasibility and advantages of C-shaped small incision for the treatment of benign lower posterior tumor of the parotid gland. METHODS: Forty-eight cases of benign lower posterior tumor of the parotid gland were treated with C-shaped small incision. The treatment outcomes were recorded and analyzed. RESULTS: The wound healed primarily in all 48 cases. The follow-up period was 1-5 years, and there was no recurrence of tumor and the shape of parotid region recovered well...
December 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/29691079/the-scleroderma-hand-manifestations-of-disease-and-approach-to-management
#2
REVIEW
Ariel A Williams, Hannah M Carl, Scott D Lifchez
Scleroderma is a rare autoimmune connective tissue disorder that often affects the hands. Manifestations in the hands include calcium deposits within the soft tissues that cause pain and may ulcerate through the skin, digital ischemia resulting in chronic wounds and digital gangrene, and joint contracture. Because of the underlying disease, patients with scleroderma have poorly vascularized tissue and a deficient soft tissue envelope, which make surgery particularly challenging. However, when undertaken with care, surgical intervention is often the best option for addressing the disabling hand conditions that so often accompany this disease...
April 21, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29691041/application-of-pre-contoured-anatomic-locking-plate-for-treatment-of-humerus-split-type-greater-tuberosity-fractures-a-prospective-review-of-68-cases-with-an-average-follow-up-of-2-5-years
#3
Chuanzhen Hu, Kaihua Zhou, Fugen Pan, Qilin Zhai, Weifeng Wen, Xiaojian He
OBJECTIVES: Although various implants exist for 3- and 4-part proximal humerus fractures, few implants are appropriate for humerus split type greater tuberosity fractures. The goal of this study was to assess the efficacy of pre-contoured anatomic locking plate for humerus split type greater tuberosity fractures. METHODS: A retrospective review of 68 patients with humerus split type greater tuberosity fractures treated with open reduction and internal fixation using anatomic locking plates between January 2014 and October 2016...
April 18, 2018: Injury
https://www.readbyqxmd.com/read/29690894/uniportal-video-assisted-thoracoscopic-surgery-following-neoadjuvant-chemotherapy-for-locally-advanced-lung-cancer
#4
Zhiqiang Yang, Chunbo Zhai
BACKGROUND: Several retrospective studies have confirmed that video-assisted thoracoscopic surgery (VATS) following neoadjuvant chemotherapy is a safe and feasible treatment for advanced non-small cell lung cancer patients. As a minimally invasive technique, VATS usually leads to better clinical outcomes and better compliance with adjuvant treatment than conventional thoracotomy. Uniportal VATS (U-VATS) as an alternative option to conventional multi-port VATS has attracted much attention recently because reduced number and size of incisions may help to decrease inflammatory response and reduce postoperative pain for patients...
April 24, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29689236/is-esophagectomy-for-benign-conditions-benign
#5
Khalil Masabni, Pridvi Kandagatla, Andrew M Popoff, Ilan Rubinfeld, Zane Hammoud
BACKGROUND: Outcomes data on esophagectomy performed for benign conditions is scarce. Using the National Surgical Quality Improvement Program (NSQIP) database, we sought to analyze outcomes of esophagectomy performed for benign conditions. METHODS: The NSQIP database was queried for all esophagectomies performed from 2005 to 2015. Outcomes for benign conditions were analyzed and compared to those for malignant conditions. RESULTS: A total of 7,477 patients underwent esophagectomy during the study period...
April 21, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29688958/association-of-perioperative-glycemic-control-with-deep-postoperative-infection-after-shoulder-arthroplasty-in-patients-with-diabetes
#6
Jourdan M Cancienne, Stephen F Brockmeier, Brian C Werner
BACKGROUND: Although diabetes mellitus (DM) has been established as a risk factor for infection after lower extremity arthroplasty, no association has been reported with shoulder arthroplasty. METHODS: We queried a national database for patients with DM who underwent primary shoulder arthroplasty. We identified perioperative hemoglobin A1c (HbA1c) levels and assessed the incidence of wound complications within 6 months and deep infection that required surgical intervention within 1 year for each HbA1c level...
April 23, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29687381/decellularized-adipose-tissue-scaffolds-for-soft-tissue-regeneration-and-adipose-derived-stem-stromal-cell-delivery
#7
Pascal Morissette Martin, Arthi Shridhar, Claire Yu, Cody Brown, Lauren E Flynn
Surgically discarded adipose tissue is not only an abundant source of multipotent adipose-derived stem/stromal cells (ASCs) but can also be decellularized to obtain a biomimetic microenvironment for tissue engineering applications. The decellularization methods involve processing excised fat through a series of chemical, mechanical, and enzymatic treatment stages designed to extract cells, cellular components, and lipid from the tissues. This process yields a complex 3D bioscaffold enriched in collagens that mimics the biochemical and biomechanical properties of the native extracellular matrix (ECM)...
2018: Methods in Molecular Biology
https://www.readbyqxmd.com/read/29687153/the-use-of-broad-spectrum-antibiotics-reduces-the-incidence-of-surgical-site-infection-after-pancreatoduodenectomy
#8
Kimitaka Tanaka, Toru Nakamura, Shungo Imai, Hiroki Kushiya, Daisuke Miyasaka, Yoshitsugu Nakanishi, Toshimichi Asano, Takehiro Noji, Takahiro Tsuchikawa, Keisuke Okamura, Toshiaki Shichinohe, Satoshi Hirano
PURPOSE: The development of surgical site infection (SSI) after biliary reconstruction is highly influenced by the presence of preoperative bacteria in the bile juice. We selected vancomycin and piperacillin/tazobactam (VCM + PIPC/TAZ) as perioperative prophylactic antibiotics for patients undergoing pancreaticoduodenectomy. This study aimed to retrospectively analyze the effectiveness of VCM + PIPC/TAZ compared to cefmetazole. METHODS: Seventy-two patients who underwent pancreaticoduodenectomy between April 2015 and March 2017 at our department were evaluated...
April 23, 2018: Surgery Today
https://www.readbyqxmd.com/read/29686880/a-rare-manifestation-of-severe-critical-limb-ischemia-caused-by-solitary-aorto-iliac-occlusive-disease
#9
Daisuke Miyawaki, Tetsuya Nomura, Yu Sakaue, Daisuke Ueno, Yusuke Hori, Kenichi Yoshioka, Hiroshi Kubota, Masakazu Kikai, Natsuya Keira, Tetsuya Tatsumi
Currently, there are more opportunities to treat patients complicated with critical limb ischemia (CLI), which is a very dismal medical condition associated with a high risk of major amputation, disability and death. Because CLI is usually caused by multi-level occlusive atherosclerotic disease, the condition of CLI induced by aorto-iliac occlusive disease (AIOD) alone is thought to be a rare pathological entity. We encountered a patient with severe CLI caused by solitary AIOD. Three vascular access routes were established and stiff guidewires retrogradely passed the occluded arteries on both sides...
April 2018: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/29686547/comparison-of-a-standardized-negative-pressure-wound-therapy-protocol-after-midline-celiotomy-to-primary-skin-closure-and-traditional-open-wound-vacuum-assisted-closure-management
#10
Justin L Regner, Matthew J Forestiere, Yolanda Munoz-Maldonado, Richard Frazee, Travis S Isbell, Claire L Isbell, Randall W Smith, Stephen W Abernathy
A negative pressure wound therapy (NPWT) protocol using Hydrofera Blue® bacteriostatic foam wicks and silver-impregnated foam overlay to close midline skin incisions after emergency celiotomy was compared to primary skin closure only and traditional open wound vacuum-assisted closure management as part of a quality improvement initiative. This single-institution retrospective cohort study assessed all consecutive emergency celiotomies from July 2013 to June 2014 excluding clean wounds. Included variables were demographics, wound classification, NPWT days, and surgical site occurrences (SSOs)...
January 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29685718/distal-arch-aneurysm-repair-using-left-subclavian-artery-transposition-with-stented-elephant-trunk-in-the-hybrid-repair-era
#11
Rui-Dong Qi, Jun-Ming Zhu, Yong-Min Liu, Lei Chen, Cheng-Nan Li, Xiao-Yan Xing, Nan Zhang, Li-Zhong Sun
BACKGROUND: Hybrid aortic arch repair is an invasive approach to the surgical management of distal aortic arch aneurysm. The complications associated with hybrid aortic arch repair, such as stroke and endoleaks, are not uncommon and late reintervention is frequent. We retrospectively reviewed our experience of distal aortic arch aneurysm repair using the stented elephant trunk procedure with left subclavian artery (LSCA)-left common carotid artery (LCCA) transposition in the hybrid repair era...
March 27, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29685558/the-use-of-cryotherapy-for-the-prevention-of-wound-complications-in-the-treatment-of-calcaneal-fractures
#12
Sanfu Lin, Junjie Xie, Xuedong Yao, Zhangsheng Dai, Wenhua Wu
We analyzed the risk factors for skin infection and necrosis after calcaneal fracture surgery and evaluated the effect of cryotherapy in preventing postoperative skin infections and necrosis. We studied 129 calcaneal fracture patients (148 feet) who had undergone open reduction and internal fixation from January 2008 to December 2010. Three groups included were: control (44 patients; 49 feet), preoperative cryotherapy (43 patients; 48 feet), and perioperative cryotherapy (42 patients; 51 feet). The wound infection rate, Maryland foot score, and postoperative visual analog scale (VAS) score were compared...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29685051/sutureless-biplanar-closure-of-leaking-wounds-in-micro-incision-vitreous-surgery-a-novel-technique
#13
Nikoloz Labauri, Tekla Mamageishvili, Keti Tsomaia, Mikheil Omiadze
AIM: To describe a novel technique for sutureless hermetic closure of leaking scleral wounds in micro-incision vitreous surgery. METHODS: This study is a two-centre, non-comparative, interventional case series. We studied 1240 scleral incisions on 870 eyes using different gauges (20, 23, 25) to evaluate the effectiveness of a new technique to seal scleral wounds without sutures. If wounds were found leaking after removing the trocar, we used the same trocar (or microvitreoretinal) blade to make an adjacent trans-scleral entry in the same direction as the main incision to access its internal flap supporting it from inside...
April 1, 2018: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/29684306/does-sphenopalatine-ganglion-block-improve-pain-control-and-intraoperative-hemodynamics-in-children-undergoing-palatoplasty-a-randomized-controlled-trial
#14
Anantanarayanan Parameswaran, Muruganand V Ganeshmurthy, Yashoda Ashok, Manikandhan Ramanathan, Anthony F Markus, Hermann F Sailer
PURPOSE: Children undergoing cleft palate repair have pain, dysphagia, and wound irritation in the immediate postoperative phase that may compromise surgical outcomes. This trial evaluates the efficacy of the sphenopalatine ganglion block (SPGB) in optimizing intraoperative hemodynamics and postoperative analgesia in children undergoing primary palatoplasty. MATERIALS AND METHODS: The study was designed as a prospective, double-blind, randomized controlled trial comparing the use of SPGB with general anesthesia (GA) (study group) versus the use of only GA (control group)...
March 30, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29683361/human-recombinant-epidermal-growth-factor-in-skin-lesions-77-cases-in-epitelizando-project
#15
Jordi Esquirol-Caussa, Elisabeth Herrero-Vila
OBJECTIVE: To analyze compounded recombinant human Epidermal Growth Factor (rhEGF) effectiveness on skin lesions through a case series. DESIGN: Multicentric series of skin lesions treated with topical recombinant human Epidermal Growth Factor. SITE: Patients from 56 different health professionals, three different countries, two recruitment years. PARTICIPANTS: 77 patients with skin lesions, mean age 63.15 years (min = 18, max = 95); 53...
April 23, 2018: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/29683248/computer-guided-chin-harvest-a-novel-approach-for-autogenous-block-harvest-from-the-mandibular-symphesis
#16
Ahmed H Osman, Mohammed Atef
BACKGROUND: The introduction of CAD/CAM technology allowed clinicians to carry out complex procedures with a high level of precision and reproducibility and minimize the risk of injury during the procedure. PURPOSE: The aim of the present study is to evaluate the efficacy of the CAD/CAM surgical guide during chin harvesting procedures in reducing the risk of neurosensory damage and patient morbidity compared with the standard technique. MATERIALS AND METHODS: About 20 cases of autogenous block chin harvest were randomly into two groups...
April 23, 2018: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/29682257/therapeutic-efficiency-of-platelet-gel-for-the-treatment-of-oral-ulcers-related-to-chronic-graft-versus-host-disease-after-allogeneic-haematopoietic-stem-cell-transplantation
#17
A Picardi, A S Ferraro, M Miranda, F Meconi, A Lanti, G Adorno, W Arcese, P Bollero
Background: Platelet (PLT) gel has been successfully used in tissue regeneration of diabetic and surgical wounds through the releasing of growth factors such as basic fibroblast and PLT-derived growth factors. Based on this background, our previous clinical trial have assessed the feasibility and efficacy of PLT gel for the treatment of muco-cutaneous lesions related to graft versus host disease (GvHD) after allogeneic haematopoietic stem cell transplantion (HSCT). The promising results reported in a small series of 6 patients, of whom 1 with oral ulcers, represent the rationale of the present study...
October 2017: Oral & Implantology
https://www.readbyqxmd.com/read/29682105/when-are-endovascular-and-open-bypass-treatments-preferred-for-femoropopliteal-occlusive-disease
#18
REVIEW
Ali F AbuRahma
Several meta-analyses and multicenter trials have shown that chronic limb ischemia did not occur for up to 5 years in 50%-70% of patients who underwent saphenous vein grafts, with limb salvage and perioperative mortality rates of >80% and 3%, respectively. However, open surgical bypass can have limitations, including postoperative morbidity/wound complications of 10%-20% and prolonged length of hospital stay and outpatient care. Several studies have analyzed clinical outcomes for patients with critical limb ischemia treated with endovascular therapies, but they have been mainly retrospective with significant heterogeneity or were single center...
March 25, 2018: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29682032/analysis-of-factors-influencing-outcome-of-depressed-fracture-of-skull
#19
Ritesh S Satardey, Srikant Balasubramaniam, Jayashree S Pandya, Rajesh C Mahey
Context: The outcome of patients with depressed fracture varies and depends on multiple factors. There has been no previous study on the significance of these factors on the outcome of depressed fracture of the skull and hence this study. Aims: The primary aim of our study is to find the factors affecting the outcome in cases of depressed skull fracture (DSF). This will help us improve outcomes and give more accurate prediction of long-term outcomes. Settings and Design: Prospective observational study...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29682012/depressed-fractures-of-skull-an-institutional-series-of-453-patients-and-brief-review-of-literature
#20
Anand Prakash, Viraat Harsh, Utkarsh Gupta, Jayendra Kumar, Anil Kumar
Background: There has been a substantial increase in the number of cases with head injuries in the past two decades which has simultaneously led to increase in the annual incidence of depressed fractures of skull. Most of these skull fractures are associated with considerable morbidity and mortality of patients and an unavoidable financial burden on the family members. However, many changes have been undertaken directed toward improved management of patients with head injuries and skull fractures in the past 20 years...
April 2018: Asian Journal of Neurosurgery
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