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https://www.readbyqxmd.com/read/29691997/mortality-after-endophthalmitis-following-contemporary-phacoemulsification-cataract-surgery
#1
Philip J Polkinghorne, Niall Crosby, Bia Kim, Charles McGhee, Sarah Welch, Andrew Riley, Philip J Polkinghorne
IMPORTANCE: To determine if endophthamitis following cataract surgery is linked to increased mortality. BACKGROUND: Increased mortality has been linked to patients with cataract and cataract surgery. We tested the hypothesis that post-cataract endophthalitis has a greater risk of death than pseudo-phakes who don't develop this complication. DESIGN: Case control study conducted in a tertiary public hospital. PARTICIPANTS: The study group comprised of 50 consecutive patients with post-cataract endophthalmitis and these were matched selected controls...
April 24, 2018: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/29691987/accuracy-of-the-match-between-cone-beam-computed-tomography-and-model-scan-data-in-template-guided-implant-planning-a-prospective-controlled-clinical-study
#2
Sigmar Schnutenhaus, Sebastian Gröller, Ralph G Luthardt, Heike Rudolph
BACKGROUND: Template-guided implant placement is a method for optimal implant positioning from a prosthetic and surgical viewpoint. The treatment planning is based on three-dimensional X-ray data and model scan data, as well as on prosthetic planning (set-up). These data are matched (superimposed) with the aid of an X-ray template or by manual matching without special referencing. PURPOSE: The objective of this prospective controlled clinical study was to determine and compare the accuracy of the match with and without an additional X-ray template...
April 25, 2018: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/29691809/standardization-of-simple-auxiliary-method-beneficial-to-total-endoscopic-thyroidectomy-on-patients-with-ptc-based-on-retrospective-study-of-356-cases
#3
Shouyi Yan, Wenxin Zhao, Bo Wang, Liyong Zhang
OBJECTIVE: Total endoscopic thyroidectomy (TET) is paid increasing attention to by patients, especially those with thyroid carcinoma. The aim of this study is to evaluate the clinic feasibility of standardization of simple auxiliary method (SOSAM) involved in operating bed adjustment, location of skin traction points and thyroid retractor points for the TET via bilateral breast approach. METHODS: A retrospective study was performed on 356 patients with thyroid carcinoma, who had undergone the TET...
April 24, 2018: Endocrine
https://www.readbyqxmd.com/read/29691737/salvage-abdominoperineal-resection-for-squamous-cell-anal-cancer-a-30-year-single-institution-experience
#4
J A W Hagemans, S E Blinde, J J Nuyttens, W G Morshuis, M A M Mureau, J Rothbarth, C Verhoef, J W A Burger
BACKGROUND: Failure of chemoradiotherapy (CRT) for anal squamous cell carcinoma (SCC) results in persistent or recurrent anal SCC. Treatment with salvage abdominoperineal resection (APR) can potentially achieve cure. The aims of this study are to analyze oncological and surgical outcomes of our 30-year experience with salvage APR for anal SCC after failed CRT and identify prognostic factors for overall survival (OS). METHODS: All consecutive patients who underwent salvage APR between 1990 and 2016 for histologically confirmed persistent or recurrent anal SCC after failed CRT were retrospectively analyzed...
April 24, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29691659/colon-cancer-with-perforation
#5
REVIEW
Kensuke Otani, Kazushige Kawai, Keisuke Hata, Toshiaki Tanaka, Takeshi Nishikawa, Kazuhito Sasaki, Manabu Kaneko, Koji Murono, Shigenobu Emoto, Hiroaki Nozawa
Perforation of the colon is a rare complication for patients with colon cancer and usually requires emergent surgery. The characteristics of perforation differ based on the site of perforation, presenting as either perforation at the cancer site or perforation proximal to the cancer site. Peritonitis due to perforation tends to be more severe in cases of perforation proximal to the cancer site; however, the difference in the outcome between the two types remains unclear. Surgical treatment of colon cancer with perforation has changed over time...
April 24, 2018: Surgery Today
https://www.readbyqxmd.com/read/29691626/the-disparities-of-coronary-artery-bypass-grafting-surgery-outcomes-by-insurance-status-a-retrospective-cohort-study-2007-2014
#6
Timothy M Connolly, Robert S White, Dahniel L Sastow, Licia K Gaber-Baylis, Zachary A Turnbull, Lisa Q Rong
BACKGROUND: Coronary artery bypass grafting (CABG) surgery is the gold standard treatment for complex coronary artery disease. Social determinants of health, including primary payer status, are disproportionately associated with adverse outcomes following surgical operations. We sought to examine associations between insurance status, in particular having Medicaid public insurance, and postoperative outcomes following isolated CABG surgeries. METHODS: A retrospective review was performed using Florida, California, New York, Maryland, and Kentucky State Inpatient Databases (2007-2014) for isolated CABG patients ≥ 18 years...
April 24, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29691622/measurement-of-total-liver-volume-using-the-energy-expenditure-a-new-formula
#7
Matteo Donadon, Antonio Mimmo, Guido Costa, Matteo Cimino, Luca Viganò, Angela Palmisano, Guido Torzilli
BACKGROUND: The assessment of liver volume (LV) is important before surgical resection or transplantation to reduce the risk of hepatic insufficiency. LV is usually measured using computed tomography or with some formulas. The aim of this study was to develop a new dynamic formula to predict LV. METHODS: Using computed tomography, LV was calculated in 101 patients without liver disease. LV was correlated with patient metabolic status, calculated with the Harris-Benedict equation for basal energy expenditure (BEE)...
April 24, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29691620/laparoscopic-proximal-gastrectomy-maintains-body-weight-and-skeletal-muscle-better-than-total-gastrectomy
#8
Masahiko Sugiyama, Eiji Oki, Koji Ando, Yuichiro Nakashima, Hiroshi Saeki, Yoshihiko Maehara
BACKGROUND: Laparoscopic proximal gastrectomy (LPG) is performed as a function-preserving surgery for patients with early proximal gastric malignant tumors; however, whether LPG has advantages postoperatively compared with laparoscopic total gastrectomy (LTG) is debatable, especially with regard to nutritional outcomes. METHODS: We evaluated 20 patients who underwent LTG and 10 patients who underwent LPG with double tract reconstruction (LPG-DT) who were diagnosed preoperatively with T1a or T1b N0 Stage IA gastric cancer in our department in the same time period...
April 24, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29691618/patients-with-an-achilles-tendon-re-rupture-have-long-term-functional-deficits-in-function-and-worse-patient-reported-outcome-than-primary-ruptures
#9
Olof Westin, Katarina Nilsson Helander, Karin Grävare Silbernagel, Kristian Samuelsson, Annelie Brorsson, Jón Karlsson
PURPOSE: The aim of this study was to perform a long-term follow-up of patients treated for an Achilles tendon re-rupture, using established outcome measurements for tendon structure, lower extremity function and symptoms, and to compare the results with those for the uninjured side. A secondary aim was to compare the outcome with that of patients treated for primary ruptures. The hypotheses were that patients with a re-rupture recover well, and have similar long-term outcome as primary ruptures...
April 24, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29691617/mapping-functions-in-health-related-quality-of-life-mapping-from-the-achilles-tendon-rupture-score-to-the-eq-5d
#10
Ay-Yen Hua, Olof Westin, Eric Hamrin Senorski, Eleonor Svantesson, Alberto Grassi, Stefano Zaffagnini, Kristian Samuelsson, Mikael Svensson
PURPOSE: Health state utility values are derived from preference-based measurements and are useful in calculating quality-adjusted life years (QALYs), which is a metric commonly used in cost-effectiveness studies. The purpose of this study was to convert the Achilles Tendon Rupture Score (ATRS) to the preference-based European Quality of Life-5 Dimension Questionnaire (EQ-5D) by estimating the relationship between the two scores using mapping. METHODS: Data were collected from a randomised controlled trial, where 100 patients were treated either surgically or non-surgically for Achilles tendon rupture...
April 24, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29691616/lars-synthetic-ligaments-for-the-acute-management-of-111-acute-knee-dislocations-effective-surgical-treatment-for-most-ligaments
#11
Pierre Ranger, Andréa Senay, Geneviève Rochette Gratton, Marc Lacelle, Josée Delisle
PURPOSE: The purpose of this study was to describe the longitudinal outcomes of acute repair and augmentation for the reconstruction of dislocated knees, using LARS synthetic ligaments. METHODS: Patients with a knee dislocation surgically treated using LARS synthetic ligament augmentation, with a minimum follow-up of 24 months, were enrolled between 1996 and 2014. Range of motion, Lachman, pivot shift, posterior drawer, step off sign, valgus, varus, KT-1000 arthrometer, Telos technique, IKDC, Lysholm, Tegner, and Meyers scores were obtained every 2 years up to 10 years...
April 24, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29691592/-minimally-invasive-vs-open-partial-nephrectomy-perioperative-success-and-complication-rates
#12
A Boy, J Hein, M Bollow, D Lazica, A Roosen, B Ubrig
BACKGROUND: Solid renal masses are increasingly treated with nephron-sparing surgery. As in other uro-oncological surgical techniques, minimally invasive and robotic-assisted techniques are becoming increasingly popular. OBJECTIVES: The perioperative results from minimally invasive nephron-sparing surgery versus open surgery were retrospectively compared. MATERIALS AND METHODS: In our single center retrospective study, all patients who underwent nephron-sparing tumor excision between 2006 and 2016 were divided into two groups (group O = open approach and group M = minimally invasive approach)...
April 24, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29691435/elf3-contributes-to-cartilage-degradation-in-vivo-in-a-surgical-model-of-post-traumatic-osteoarthritis
#13
Elisabeth B Wondimu, Kirsty L Culley, Justin Quinn, Jun Chang, Cecilia L Dragomir, Darren A Plumb, Mary B Goldring, Miguel Otero
The E-74 like factor 3 (ELF3) is a transcription factor induced by inflammatory factors in various cell types, including chondrocytes. ELF3 levels are elevated in human cartilage from patients with osteoarthritis (OA), and ELF3 contributes to the IL-1β-induced expression of genes encoding Mmp13, Nos2, and Ptgs2/Cox2 in chondrocytes in vitro. Here, we investigated the contribution of ELF3 to cartilage degradation in vivo, using a mouse model of OA. To this end, we generated mouse strains with cartilage-specific Elf3 knockout (Col2Cre:Elf3f/f ) and Comp-driven Tet-off-inducible Elf3 overexpression (TRE-Elf3:Comp-tTA)...
April 24, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29691185/common-themes-in-patients-requiring-urgent-cardiothoracic-surgery-after-percutaneous-coronary-interventions-case-series-and-review-of-the-literature
#14
REVIEW
Saad Ezad, Trent D Williams, Jeremy Condon, Andrew J Boyle, Nicholas J Collins
Urgent cardiothoracic surgical intervention for the management of complications of percutaneous coronary intervention is uncommon in the stent era. Nonetheless, given increasing procedural complexity, in part reflecting an aging population, an ongoing hazard for urgent surgery remains. We sought to review the incidence and outcome of urgent cardiothoracic surgery in patients undergoing PCI in a contemporary cohort at a tertiary referral centre. The incidence of cardiothoracic intervention for PCI related complications was low at 0...
March 21, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29691174/ten-year-mortality-and-revision-after-total-knee-arthroplasty-in-morbidly-obese-patients
#15
Mina Tohidi, Susan B Brogly, Katherine Lajkosz, Heather J Grant, Elizabeth G VanDenKerkhof, Aaron R Campbell
BACKGROUND: Although morbid obesity has been associated with early surgical complications after total knee arthroplasty (TKA), evidence of long-term outcomes is limited. We conducted a population-based study to determine the association between morbid obesity and 10-year survival and revision surgery in patients undergoing primary TKA. METHODS: A cohort study of 9817 patients aged 18-60 years treated with primary TKA from April 1, 2002 to March 31, 2007 was conducted using Ontario administrative health-care databases of universal health-care coverage...
April 4, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29691126/outcome-and-prognostic-impact-of-surgical-staging-in-serous-tubal-intraepithelial-carcinoma-a-cohort-study-and-systematic-review
#16
N M A Van der Hoeven, K Van Wijk, S E Bonfrer, J J Beltman, L A Louwe, C D De Kroon, C J Van Asperen, K N Gaarenstroom
The optimal management of breast cancer susceptibility gene (BRCA)1/2 carriers with isolated serous tubal intraepithelial carcinoma (STIC) found at risk-reducing salpingo-oophorectomy (RRSO) is unclear. The prevalence of occult carcinoma and STIC in a consecutive series of BRCA1/2 carriers undergoing RRSO is reported. The outcome of staging procedures in BRCA1/2 carriers with isolated STIC at RRSO as well as the relationship between staging, chemotherapy treatment and risk of recurrence was assessed via a systematic review of the literature...
April 21, 2018: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/29691125/perioperative-complications-and-the-cost-of-rescue-or-failure-to-rescue-in-hepato-pancreato-biliary-surgery
#17
Qinyu Chen, Eliza W Beal, Charles W Kimbrough, Fabio Bagante, Katiuscha Merath, Mary Dillhoff, Carl Schmidt, Susan White, Jordan Cloyd, Timothy M Pawlik
BACKGROUND: It is unclear how either the successful or failed rescue of hepato-pancreato-biliary (HPB) patients from complications impacts costs. METHODS: A retrospective cohort study of HPB surgical patients was performed using claims data from 2013 to 2015 in the Medicare Provider Analysis and Review (MEDPAR) database. Patient demographics, characteristics, outcomes and risk-adjusted Medicare payments were compared. RESULTS: 11,596 patients were identified...
April 21, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29691096/prevalence-of-lung-cancer-in-isfahan-province-iran
#18
Zahra Tolou Ghamari
OBJECTIVE: To describe for the first time period prevalence (PP) and incidence rate (Ir) for patients with lung cancer in Isfahan Province/Iran. DESIGN: Data associated to the Surveillance, Epidemiology, and End Results; (SEER) was collected from the Isfahan Cancer Registry from March 2011 to March 2015. Lung cancer was distinguished by the related established topography code. PP and Ir were calculated and expressed per 100,000 persons. RESULTS: In all, 548 females and 1399 males were identified...
April 21, 2018: Journal of the Egyptian National Cancer Institute
https://www.readbyqxmd.com/read/29691079/the-scleroderma-hand-manifestations-of-disease-and-approach-to-management
#19
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/29691077/camptodactyly-treatment-for-the-lesser-digits
#20
REVIEW
Lindley B Wall, Marybeth Ezaki, Charles A Goldfarb
Camptodactyly of the lesser digits is commonly seen in patients with arthrogryposis. The flexed posture of the digit can be functionally limiting and necessitate surgical treatment to improve grasp function. In digits with normal bony anatomy, a lateral stiletto-shaped transposition flap combined with flexor digitorum superficialis tendon release, can improve finger deformity and function.
April 21, 2018: Journal of Hand Surgery
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