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https://www.readbyqxmd.com/read/28571679/side-to-side-refluxing-non-dismembered-ureterocystotomy-a-novel-strategy-to-address-obstructed-megaureters-in-children
#1
Fahad A Alyami, Martin A Koyle, Paul R Bowlin, Joseph M Gleason, Luis H Braga, Armando J Lorenzo
INTRODUCTION: A non-refluxing megaureter (NRMU) is a relatively common cause of antenatal hydronephrosis (ANH). Although non-operative management is favored, surgical intervention is sometimes warranted. There is controversy regarding the best approach, particularly in young children. Herein we describe our experience with a non-dismembered side-to-side refluxing ureterocystotomy (UC) as a simple option to address obstruction. METHODS: Between January 2012 and January 2017, 32 patients underwent UC, performed at four referral centers in North America...
May 29, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28551190/clinical-trial-of-local-anesthetic-protocols-for-acute-pain-associated-with-caustic-paste-disbudding-in-dairy-calves
#2
Charlotte B Winder, Stephen J LeBlanc, Derek B Haley, Kerry D Lissemore, M Ann Godkin, Todd F Duffield
Caustic paste disbudding is becoming more commonplace in North America. A large body of work has examined pain control for cautery disbudding and surgical dehorning, but fewer studies have evaluated pain control for caustic paste disbudding, and results conflict regarding benefits of local anesthesia. In humans, the pain associated with a caustic, chemical burn can differ in nature, duration, and intensity compared with a thermal burn. The objective of this clinical trial was to evaluate the effects of either a lidocaine cornual nerve block or a topical anesthetic incorporated into caustic paste on the acute pain of caustic paste disbudding...
May 24, 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/28523381/national-clinical-guidelines-for-non-surgical-treatment-of-patients-with-recent-onset-neck-pain-or-cervical-radiculopathy
#3
REVIEW
Per Kjaer, Alice Kongsted, Jan Hartvigsen, Alexander Isenberg-Jørgensen, Berit Schiøttz-Christensen, Bolette Søborg, Charlotte Krog, Christian Martin Møller, Christine Marie Bækø Halling, Henrik Hein Lauridsen, Inge Ris Hansen, Jesper Nørregaard, Karsten Juhl Jørgensen, Lars Valentin Hansen, Marie Jakobsen, Martin Bach Jensen, Martin Melbye, Peter Duel, Steffan W Christensen, Tina Myung Povlsen
PURPOSE: To summarise recommendations about 21 selected non-surgical interventions for recent onset (<12 weeks) non-specific neck pain (NP) and cervical radiculopathy (CR) based on two guidelines from the Danish Health Authority. METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach. RESULTS: Twelve recommendations were based on evidence and nine on consensus. Management should include information about prognosis, warning signs, and advise to remain active...
May 18, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28520718/retrospective-observational-evaluation-of-postoperative-oxygen-saturation-levels-and-associated-postoperative-respiratory-complications-and-hospital-resource-utilization
#4
Satya Krishna Ramachandran, Aleda Thompson, Jaideep J Pandit, Scott Devine, Amy M Shanks
INTRODUCTION: The clinical importance of postoperative episodic hypoxemia is still unclear, and therefore largely under-studied. As a result, there is limited understanding of its relationship with early postoperative respiratory complications (PRC, defined as intubation within three days of surgery) and hospital resource utilization. MATERIALS AND METHODS: This single center study was performed using a retrospective observational design. We described population based definitions of desaturation from continuous SpO2 monitoring data captured in the post anesthesia care unit (PACU), namely median SpO2 in PACU, duration of desaturation below median, nadir desaturation, and length of oxygen therapy relative to PACU duration...
2017: PloS One
https://www.readbyqxmd.com/read/28456598/two-haplotype-clusters-of-echinococcus-granulosus-sensu-stricto-in-northern-iraq-kurdistan-region-support-the-hypothesis-of-a-parasite-cradle-in-the-middle-east
#5
Zuber Ismael Hassan, Azad Abdullah Meerkhan, Belgees Boufana, Abdullah A Hama, Bayram Dawod Ahmed, Wijdan Mohammed Salih Mero, Serra Orsten, Maria Interisano, Edoardo Pozio, Adriano Casulli
Human cystic echinococcosis (CE) caused by Echinococcus granulosus s.s. is a major public health problem in Iraqi Kurdistan with a reported surgical incidence of 6.3 per 100,000 Arbil inhabitants. A total of 125 Echinococcus isolates retrieved from sheep, goats and cattle were used in this study. Our aim was to determine species/genotypes infecting livestock in Iraqi Kurdistan and examine intraspecific variation and population structure of Echinococcus granulosus s.s. in this region and relate it to that of other regions worldwide...
April 27, 2017: Acta Tropica
https://www.readbyqxmd.com/read/28451501/prevalence-and-outcomes-in-patients-undergoing-reintubation-after-anterior-cervical-spine-surgery-results-from-the-aospine-north-america-multicenter-study-on-8887-patients
#6
Narihito Nagoshi, Michael G Fehlings, Hiroaki Nakashima, Lindsay Tetreault, Jeffrey L Gum, Zachary A Smith, Wellington K Hsu, Chadi A Tannoury, Tony Tannoury, Vincent C Traynelis, Paul M Arnold, Thomas E Mroz, Ziya L Gokaslan, Mohamad Bydon, Anthony F De Giacomo, Bruce C Jobse, Eric M Massicotte, K Daniel Riew
STUDY DESIGN: A multicenter, retrospective cohort study. OBJECTIVE: To evaluate clinical outcomes in patients with reintubation after anterior cervical spine surgery. METHODS: A total of 8887 patients undergoing anterior cervical spine surgery were enrolled in the AOSpine North America Rare Complications of Cervical Spine Surgery study. Patients with or without complications after surgery were included. Demographic and surgical information were collected for patients with reintubation...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451500/perioperative-vision-loss-in-cervical-spinal-surgery
#7
Brandon C Gabel, Arthur Lam, Jens R Chapman, Rod J Oskouian, Ahmad Nassr, Bradford L Currier, Arjun S Sebastian, Paul M Arnold, Steven R Hamilton, Michael G Fehlings, Thomas E Mroz, K Daniel Riew
STUDY DESIGN: Retrospective multicenter case series. OBJECTIVE: To assess the rate of perioperative vision loss following cervical spinal surgery. METHODS: Medical records for 17 625 patients from 21 high-volume surgical centers from the AOSpine North America Clinical Research Network who received cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, inclusive, were reviewed to identify occurrences of vision loss following surgery...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451499/iatrogenic-spinal-cord-injury-resulting-from-cervical-spine-surgery
#8
Alan H Daniels, Robert A Hart, Alan S Hilibrand, David E Fish, Jeffrey C Wang, Elizabeth L Lord, Zorica Buser, P Justin Tortolani, D Alex Stroh, Ahmad Nassr, Bradford L Currier, Arjun S Sebastian, Paul M Arnold, Michael G Fehlings, Thomas E Mroz, K Daniel Riew
STUDY DESIGN: Retrospective cohort study of prospectively collected data. OBJECTIVE: To examine the incidence of iatrogenic spinal cord injury following elective cervical spine surgery. METHODS: A retrospective multicenter case series study involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network was conducted. Medical records for 17 625 patients who received cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, were reviewed to identify occurrence of iatrogenic spinal cord injury...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451498/a-multicenter-review-of-superior-laryngeal-nerve-injury-following-anterior-cervical-spine-surgery
#9
Zachary J Tempel, Justin S Smith, Christopher Shaffrey, Paul M Arnold, Michael G Fehlings, Thomas E Mroz, K Daniel Riew, Adam S Kanter
STUDY DESIGN: A retrospective multicenter case-series study; case report and review of the literature. OBJECTIVE: The anatomy and function of the superior laryngeal nerve (SLN) are well described; however, the consequences of SLN injury remain variable and poorly defined. The prevalence of SLN injury as a consequence of cervical spine surgery is difficult to discern as its clinical manifestations are often inconstant and frequently of a subclinical degree. A multicenter study was performed to better delineate the risk factors, prevalence, and outcomes of SLN injury...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451496/carotid-artery-injury-in-anterior-cervical-spine-surgery-multicenter-cohort-study-and-literature-review
#10
Roger Härtl, Marjan Alimi, Mohamed Abdelatif Boukebir, Connor D Berlin, Rodrigo Navarro-Ramirez, Paul M Arnold, Michael G Fehlings, Thomas E Mroz, K Daniel Riew
STUDY DESIGN: Retrospective study and literature review. OBJECTIVE: To provide more comprehensive data about carotid artery injury (CAI) or cerebrovascular accident (CVA) related to anterior cervical spine surgery. METHODS: We conducted a retrospective, multicenter, case series study involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network. Medical records of 17 625 patients who went through cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, were analyzed...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451492/recurrent-laryngeal-nerve-palsy-after-cervical-spine-surgery-a-multicenter-aospine-clinical-research-network-study
#11
Ziya L Gokaslan, Mohamad Bydon, Rafael De la Garza-Ramos, Zachary A Smith, Wellington K Hsu, Sheeraz A Qureshi, Samuel K Cho, Evan O Baird, Thomas E Mroz, Michael Fehlings, Paul M Arnold, K Daniel Riew
STUDY DESIGN: Multicenter retrospective study. OBJECTIVES: To investigate the risk of symptomatic recurrent laryngeal nerve palsy (RLNP) following cervical spine surgery, to examine risk factors for its development, and to report its treatment and outcomes. METHODS: A multicenter study from 21 high-volume surgical centers from the AOSpine North America Clinical Research Network was performed. Each center screened for rare complications following cervical spine surgery, including RLNP...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451490/incidence-and-outcomes-of-acute-implant-extrusion-following-anterior-cervical-spine-surgery
#12
Gabriel A Smith, Jonathan Pace, Mark Corriveau, Sungho Lee, Thomas E Mroz, Ahmad Nassr, Michael G Fehlings, Robert A Hart, Alan S Hilibrand, Paul M Arnold, David B Bumpass, Ziya Gokaslan, Mohamad Bydon, Jeremy L Fogelson, Eric M Massicotte, K Daniel Riew, Michael P Steinmetz
STUDY DESIGN: Multi-institutional retrospective case series of 8887 patients who underwent anterior cervical spine surgery. OBJECTIVE: Anterior decompression from discectomy or corpectomy is not without risk. Surgical morbidity ranges from 9% to 20% and is likely underreported. Little is known of the incidence and effects of rare complications on functional outcomes following anterior spinal surgery. In this retrospective review, we examined implant extrusions (IEs) following anterior cervical fusion...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451488/esophageal-perforation-following-anterior-cervical-spine-surgery-case-report-and-review-of-the-literature
#13
Stuart H Hershman, William A Kunkle, Michael P Kelly, Jacob M Buchowski, Wilson Z Ray, David B Bumpass, Jeffrey L Gum, Colleen M Peters, Weerasak Singhatanadgige, Jin Young Kim, Zachary A Smith, Wellington K Hsu, Ahmad Nassr, Bradford L Currier, Ra'Kerry K Rahman, Robert E Isaacs, Justin S Smith, Christopher Shaffrey, Sara E Thompson, Jeffrey C Wang, Elizabeth L Lord, Zorica Buser, Paul M Arnold, Michael G Fehlings, Thomas E Mroz, K Daniel Riew
STUDY DESIGN: Multicenter retrospective case series and review of the literature. OBJECTIVE: To determine the rate of esophageal perforations following anterior cervical spine surgery. METHODS: As part of an AOSpine series on rare complications, a retrospective cohort study was conducted among 21 high-volume surgical centers to identify esophageal perforations following anterior cervical spine surgery. Staff at each center abstracted data from patients' charts and created case report forms for each event identified...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451485/anterior-cervical-infection-presentation-and-incidence-of-an-uncommon-postoperative-complication
#14
George M Ghobrial, James S Harrop, Rick C Sasso, Chadi A Tannoury, Tony Tannoury, Zachary A Smith, Wellington K Hsu, Paul M Arnold, Michael G Fehlings, Thomas E Mroz, Anthony F De Giacomo, Bruce C Jobse, Ra'Kerry K Rahman, Sara E Thompson, K Daniel Riew
STUDY DESIGN: Retrospective multi-institutional case series. OBJECTIVE: The anterior cervical discectomy and fusion (ACDF) affords the surgeon the flexibility to treat a variety of cervical pathologies, with the majority being for degenerative and traumatic indications. Limited data in the literature describe the presentation and true incidence of postoperative surgical site infections. METHODS: A retrospective multicenter case series study was conducted involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network, selected for their excellence in spine care and clinical research infrastructure and experience...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451484/intraoperative-death-during-cervical-spinal-surgery-a-retrospective-multicenter-study
#15
Jeffrey C Wang, Zorica Buser, David E Fish, Elizabeth L Lord, Allison K Roe, Dhananjay Chatterjee, Erica L Gee, Erik N Mayer, Marisa Y Yanez, Owen J McBride, Peter I Cha, Paul M Arnold, Michael G Fehlings, Thomas E Mroz, K Daniel Riew
STUDY DESIGN: A retrospective multicenter study. OBJECTIVE: Routine cervical spine surgeries are typically associated with low complication rates, but serious complications can occur. Intraoperative death is a very rare complication and there is no literature on its incidence. The purpose of this study was to determine the intraoperative mortality rates and associated risk factors in patients undergoing cervical spine surgery. METHODS: Twenty-one surgical centers from the AOSpine North America Clinical Research Network participated in the study...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451482/thoracic-duct-injury-following-cervical-spine-surgery-a-multicenter-retrospective-review
#16
Adeeb Derakhshan, Daniel Lubelski, Michael P Steinmetz, Mark Corriveau, Sungho Lee, Jonathan R Pace, Gabriel A Smith, Ziya Gokaslan, Mohamad Bydon, Paul M Arnold, Michael G Fehlings, K Daniel Riew, Thomas E Mroz
STUDY DESIGN: Multicenter retrospective case series. OBJECTIVE: To determine the rate of thoracic duct injury during cervical spine operations. METHODS: A retrospective case series study was conducted among 21 high-volume surgical centers to identify instances of thoracic duct injury during anterior cervical spine surgery. Staff at each center abstracted data for each identified case into case report forms. All case report forms were collected by the AOSpine North America Clinical Research Network Methodological Core for data processing, cleaning, and analysis...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28451480/rare-complications-of-cervical-spine-surgery-horner-s-syndrome
#17
Vincent C Traynelis, Hani R Malone, Zachary A Smith, Wellington K Hsu, Adam S Kanter, Sheeraz A Qureshi, Samuel K Cho, Evan O Baird, Robert E Isaacs, Ra'Kerry K Rahman, Galina Polevaya, Justin S Smith, Christopher Shaffrey, P Justin Tortolani, D Alex Stroh, Paul M Arnold, Michael G Fehlings, Thomas E Mroz, K Daniel Riew
STUDY DESIGN: A multicenter retrospective case series. OBJECTIVE: Horner's syndrome is a known complication of anterior cervical spinal surgery, but it is rarely encountered in clinical practice. To better understand the incidence, risks, and neurologic outcomes associated with Horner's syndrome, a multicenter study was performed to review a large collective experience with this rare complication. METHODS: We conducted a retrospective multicenter case series study involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28421162/r-ideal-a-framework-for-systematic-clinical-evaluation-of-technical-innovations-in-radiation-oncology
#18
Helena M Verkooijen, Linda G W Kerkmeijer, Clifton D Fuller, Robbert Huddart, Corinne Faivre-Finn, Marcel Verheij, Stella Mook, Arjun Sahgal, Emma Hall, Chris Schultz
The pace of innovation in radiation oncology is high and the window of opportunity for evaluation narrow. Financial incentives, industry pressure, and patients' demand for high-tech treatments have led to widespread implementation of innovations before, or even without, robust evidence of improved outcomes has been generated. The standard phase I-IV framework for drug evaluation is not the most efficient and desirable framework for assessment of technological innovations. In order to provide a standard assessment methodology for clinical evaluation of innovations in radiotherapy, we adapted the surgical IDEAL framework to fit the radiation oncology setting...
2017: Frontiers in Oncology
https://www.readbyqxmd.com/read/28390771/contemporary-outcomes-of-surgical-revascularization-of-the-lower-extremity-in-patients-on-dialysis
#19
Ajit Rao, Melissa Baldwin, James Cornwall, Michael Marin, Peter Faries, Ageliki Vouyouka
OBJECTIVE: Peripheral arterial disease is a common comorbidity found in up to 38% of patients with end-stage renal disease (ESRD). With an increase in the survival rate of patients with ESRD by >25%, there is a lack of contemporary data on the safety of open surgical revascularization of the lower extremity (OSRLE) in this population of patients. We sought to identify the perioperative morbidity and mortality and independent risk factors of mortality in dialysis patients undergoing OSRLE...
July 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28343029/meta-analysis-of-transhiatal-esophagectomy-in-carcinoma-of-esophagogastric-junction-does-it-have-an-advantage
#20
REVIEW
Rong Yan, Chengxue Dang
PURPOSE: Compare the clinical outcome of Transhiatal Esophagectomy (THE) approach and open Thoracic Esophagectomy (TTE) approach in the carcinoma of esophagogastric junction (CEGJ). METHODS: Relevant literature published until 2016 from PubMed, Cochrane Library, Ovid (Medline) and EMBASE were retrieved. Meta-analysis was achieved by using the Stata12 software. RESULTS: A total of 18 studies and 2202 cases of patients were involved in this meta-analysis...
June 2017: International Journal of Surgery
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