keyword
https://read.qxmd.com/read/38533487/pediatric-corneal-transplantation-techniques-challenges-and-outcomes
#21
REVIEW
Bharat Gurnani, Kirandeep Kaur, Sameer Chaudhary, Ruminder Preet Kaur, Swatishree Nayak, Deepak Mishra, Harinikrishna Balakrishnan, Rohit Om Parkash, Arvind Kumar Morya, Amit Porwal
Pediatric corneal transplant is a highly demanding and technically challenging procedure for the cornea surgeon in today's era. These cases pose unique challenges in clinical and surgical management. The indications of pediatric corneal transplant can be therapeutic, tectonic, optical, and cosmetic. Pediatric patients undergoing corneal transplants are at a high risk of graft infection, failure, rejection, dehiscence, and amblyopia due to young age, robust immune system, increased incidence of trauma, and compliance issues...
2024: Therapeutic Advances in Ophthalmology
https://read.qxmd.com/read/38533436/a-large-gastric-splenosis-mimicking-gastrointestinal-stromal-tumor-a-case-report-and-literature-review
#22
Xiaotian Li, Xianwen Hu, Pan Wang, Guiyun Hu, Bin Zhou, Jiong Cai
Splenosis pertains to the phenomenon wherein a segment of the spleen undergoes detachment and becomes embedded in other anatomical regions subsequent to traumatic rupture or therapeutic resection, and then progressively establishing blood circulation to foster the regeneration of splenic tissue. Existing literature posits that splenosis predominantly manifests within the confines of the abdominal and pelvic cavities. The objective of the current study was to present an uncommon case involving the occurrence of splenosis within the gastric myometrium, thereby contributing to the current knowledge regarding splenosis...
May 2024: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/38533305/the-primary-prevention-of-pancreatic-fistula-using-a-vascularised-rectus-abdominis-muscle-flap-a-porcine-model
#23
JOURNAL ARTICLE
A W J Wong, N H S Sim, J H Kam, R Rajarethinam, B K Tan, A Y H Tan
BACKGROUND: A pancreatic fistula is one of the most devastating complications following a Whipple's procedure. Fistula rates remain high despite various modifications to surgical techniques. We propose the use of a vascularised muscle flap in the primary prevention of pancreatic fistulas. METHOD: A distal pancreatectomy was performed on 5 pigs in our porcine model. A pancreaticojejunal (PJ) anastomotic leak was simulated. The pigs were divided into treatment (4 pigs) and control groups (1 pig)...
June 2024: JPRAS Open
https://read.qxmd.com/read/38533167/suture-based-vascular-closure-versus-surgical-closure-of-large-bore-arteriotomies-a-real-world-experience
#24
JOURNAL ARTICLE
Keshava Murthy, Ratheesh Kumar J, Navjyot Kaur, Amitoj Chadha, Rajeev Chauhan, Davinder Chadha
INTRODUCTION: With the introduction of transcatheter aortic valve implantation (TAVI), endovascular abdominal aortic aneurysm repair (EVAR), thoracic endovascular aortic aneurysm repair (TEVAR), and frequent use of left ventricular assist devices in complicated percutaneous coronary interventions, the use of large bore arterial access has become a necessity. In the index study, we compared the percutaneous closure of large arteriotomies with open surgical (OS) closure. METHODS: It was a prospective study in which we compared the technical success and vascular complication rate associated with the use of a suture-based vascular closure device (VCD): Perclose ProGlide (PP) with that of OS closure...
February 2024: Curēus
https://read.qxmd.com/read/38533148/a-rare-recurrence-of-a-thyroglossal-duct-cyst-accompanied-by-several-postoperative-complications-in-an-eight-year-old-boy-a-case-report
#25
Ethan Dimock, Jithin John, Jatin Ahluwalia, Alise Haddad, Michael Haupert
A thyroglossal duct cyst (TGDC) is a fluid-filled mass in the neck resulting from the persistence of a duct from fetal development that typically regresses spontaneously. When it persists, it is most often removed in a surgical procedure known as a Sistrunk operation. This case study presents the intriguing case of an eight-year-old boy who presented to an otolaryngology clinic with both a recurrence of his TGDC, as well as several postoperative complications, after the Sistrunk operation was performed...
February 2024: Curēus
https://read.qxmd.com/read/38533146/less-is-more-a-case-report-on-all-on-4-prosthesis
#26
Dhanashree A Minase, Seema Sathe, Anjali Borle, Ankita Pathak, Tanvi Jaiswal
Severe alveolar ridge atrophy following tooth removal poses a common and worsening issue in edentulous jaws, affecting patient comfort and quality of life. The All-on-4 approach involves axially positioning two anterior implants and distally orienting two posterior implants, reducing cantilever length and enabling prostheses with 12 teeth. This less invasive option, utilizing distal tilting of implants at 30°, offers biomechanical advantages and has shown short-term success, though long-term research is limited...
February 2024: Curēus
https://read.qxmd.com/read/38533092/case-report-technical-description-and-clinical-evaluation-of-three-cases-of-unilateral-biportal-endoscopic-decompression-for-symptomatic-spinal-epidural-lipomatosis
#27
Zhengqiang Liu, Huili Cai, Hongwei Zhao, Lei Tang, Siyu Jia, Zhenyu Zhou, Can Zhuo, Haidan Chen
OBJECTIVE: To investigate the clinical characteristics and outcomes of three patients with symptomatic Spinal epidural lipomatosis (SEL) treated using Unilateral Biportal Endoscopic (UBE) surgery. METHODS: This report retrospectively analyzed the clinical data of three patients with SEL admitted to our hospital. The analysis covers onset characteristics, clinical manifestations, and the most recent radiologic grading system of neural compression (Manjila classification)...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38533026/application-of-the-superior-mesenteric-artery-first-approach-in-laparoscopic-pancreatoduodenectomy-a-literature-review
#28
REVIEW
Jianji Ke, Feiqi Liu, Jianjia Ke, Hongqiao Cai, Yahui Liu, Bai Ji
BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is a complicated surgical procedure that has recently been performed safely. A superior mesenteric artery (SMA)-first approach can allow complete mesopancreas resection, maximizing surgical margins and R0 resection rates. Therefore, the SMA-first approach is recommended. This review is a literature summary of recent updates of the SMA approaches for LPD and informs clinical practice of the advantages of its various approach. METHODS: A systematic literature search was performed on the PubMed (MEDLINE) database using truncated word searches and medical subject headings to identify all pertinent published studies...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38532592/-application-value-of-laparoscopic-double-stapler-firings-and-double-stapling-technique-combined-with-rectal-eversion-and-total-extra-abdominal-resection-in-the-sphincter-preserving-resection-of-low-rectal-cancer
#29
JOURNAL ARTICLE
H Liang, K Q Wu, Q W Fan, W Zheng, H Zhang, J W Bai, J M Li, J Q Chen, C Zhang
Objectives: To investigate the application value of laparoscopic double stapler firings and double stapling technique combined with rectal eversion and total extra-abdominal resection (LDER) in the anal preservation treatment of low rectal cancer. Methods: Inclusion criteria: (1) age was 18-70; (2) the distance of the lower tumor edge from the anal verge was 4-5 cm; (3) primary tumor with a diameter ≤3 cm; (4) preoperative staging of T1~2N1~2M0; (5) "difficult pelvis", defined as ischial tuberosity diameter<10 cm or body mass index>25 kg/m2 ; (6) patients with strong intention for sphincter preservation; (7) no preoperative treatment (e...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532590/-application-value-of-the-carbon-nanoparticles-titanium-clip-labeling-technique-for-resection-of-siewert-type-ii-adenocarcinoma-of-the-esophagogastric-junction
#30
JOURNAL ARTICLE
Y C Fang, Y Z Wang, W H Wu, N Lin, J Yang, W B Lu, Z Z Luo, Y Wang
No abstract text is available yet for this article.
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532581/-malnutrition-in-advanced-gastrointestinal-cancer-patients-and-nutritional-support-therapy
#31
JOURNAL ARTICLE
G H Wu
The advancement of comprehensive treatment has allowed an increasing number of patients with gastrointestinal tumor to achieve long-term survival. In current clinical practice, there is a growing population of patients with advanced gastrointestinal tumor. Due to various factors, such as tumor burden, treatments including chemotherapy and radiation therapy, as well as underlying diseases, patients with advanced gastrointestinal tumor often experience malnutrition, which negatively impacts their clinical outcomes...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532580/-chinese-expert-consensus-on-clinical-application-of-percutaneous-endoscopic-gastrostomy-jejunostomy-2024-edition
#32
JOURNAL ARTICLE
(no author information available yet)
Percutaneous endoscopic gastrostomy / jejunostomy (PEG/J) is a relatively safe and effective minimally invasive surgical approach to establish long-term enteral nutrition (EN) channels. Due to the good compliance and the reduced incidence of reflux and aspiration pneumonia, PEG/J is the preferred way for long-term EN and has been widely used in clinical applications. However, few technical guidelines or expert consensus guiding the clinical practice of PEG/J have been published. The formation of "Chinese expert consensus on clinical application of percutaneous endoscopic gastrostomy / jejunostomy (2024 edition)" is led by the Committee of Parenteral and Enteral Nutrition, Chinese Research Hospital Association...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532517/transcatheter-valve-in-valve-interventions-after-aortic-root-replacement-a-systematic-review
#33
REVIEW
Massimo Baudo, Besart Cuko, Julien Ternacle, Serge Sicouri, Gianluca Torregrossa, Mathieu Pernot, Olivier Busuttil, Antoine Beurton, Anouk Alaux, Alexandre Ouattara, Stephane Lafitte, Guillaume Bonnet, Lionel Leroux, Carlo De Vincentiis, Louis Labrousse, Basel Ramlawi, Thomas Modine
Structural valve deterioration after aortic root replacement (ARR) surgery may be treated by transcatheter valve-in-valve (ViV-TAVI) intervention. However, several technical challenges and outcomes are not well described. The aim of the present review was to analyze the outcomes of ViV-TAVI in deteriorated ARR. This review included studies reporting any form of transcatheter valvular intervention in patients with a previous ARR. All forms of ARR were considered, as long as the entire root was replaced. Pubmed, ScienceDirect, SciELO, DOAJ, and Cochrane library databases were searched until September 2023...
March 26, 2024: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/38532504/sub-coronary-aortic-root-replacement-post-aortic-valve-dehiscence-a-case-report
#34
JOURNAL ARTICLE
Aabha Divya, Tobin Mangel, Rakesh Seetharaman, John Fouad Taghavi
This is a case report of a 78-year-old male who underwent a sub-coronary aortic valve and root replacement due to valve dehiscence and aortic root pseudoaneurysm. The patient had complex anomalous coronary anatomy and had undergone a previous tissue aortic valve replacement in 2013. The patient made an uneventful recovery and was discharged from the hospital five days later. The authors suggest that the sub-coronary root replacement technique should be considered in elderly patients and patients with complex coronary anatomy...
March 26, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38532497/robotic-portal-resection-for-mediastinal-tumours-a-prospective-observational-study
#35
JOURNAL ARTICLE
Wei Gan, Mu-Zi Yang, Zi-Hui Tan, Chu-Long Xie, Tian-Yu Sun, Hao-Xian Yang
BACKGROUND: To demonstrate the effectiveness and feasibility of robotic portal resection (RPR) for mediastinal tumour using a prospectively collected database. METHODS: Data from 73 consecutive patients with mediastinal tumours who underwent RPRs were prospectively collected from August 2018 to April 2023. All patients underwent chest and abdominal enhanced computed tomography (CT) and preoperative multidisciplinary team (MDT) discussion. The patients were stratified into two groups based on tumour size: Group A (tumour size < 4 cm) and Group B (tumour size ≥ 4 cm)...
March 26, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38532430/needle%C3%A2-based-gastrocnemius-lengthening-a-novel-ultrasound%C3%A2-guided-noninvasive-technique-part-ii-clinical-results
#36
JOURNAL ARTICLE
A Iborra, M Villanueva, H Fahandezh-Saddi Díaz
BACKGROUND: Isolated gastrocnemius contracture has been associated with more than 30 lower limb disorders, including plantar heel pain/plantar fasciitis, Achilles tendinosis, equinus foot, adult flatfoot, and metatarsalgia. Although many techniques are available for gastrocnemius recession, potential anesthetic, cosmetic, and wound-related complications can lead to patient dissatisfaction. Open and endoscopic recession techniques usually require epidural or general anesthesia, exsanguination of the lower extremities and stitches and can damage the sural nerve, which is not under the complete control of the surgeon at all stages of the procedure...
March 26, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38532330/advancing-laparoscopy-in-resource-limited-settings
#37
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/38531826/epidemiology-of-spondylolisthesis-a-nationwide-study-from-2001-to-2016-in-the-italian-population
#38
JOURNAL ARTICLE
Umile Giuseppe Longo, Sergio De Salvatore, Luca Denaro, Alessandro Mazzola, Ilaria Piergentili, Vincenzo Denaro
STUDY DESIGN: Epidemiological study. OBJECTIVE: This study aimed to evaluate the annual incidence of spondylolisthesis requiring surgery in Italy and the epidemiological characteristics of the patients. BACKGROUND: The health care system continues to incur considerable costs as a result of low-back pain. Segmental instability of the lumbar spine has attracted significant interest from researchers as a potential mechanism leading to mechanical low back pain...
March 27, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38531809/comparison-of-the-medium-term-outcomes-of-anterior-lumbar-discectomy-and-fusion-with-minimally-invasive-transforaminal-lumbar-interbody-fusion-a-retrospective-cohort-study
#39
JOURNAL ARTICLE
Chao Song, Zhibo Deng, Hanhao Dai, Wu Zheng, Guoyu Yu, Yijing Wu, Jun Luo, Jie Xu
OBJECTIVE: Lumbar degenerative diseases (LDDs) with huge herniation in the left lateral recess or central canal present challenges for oblique lateral lumbar interbody fusion (OLIF) or endoscope-assisted OLIF procedures. Currently, minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is the primary approach for this issue. This study aims to provide a standardized technical description of the anterior lumbar discectomy and fusion (ALDF) and evaluate the medium-term clinical effectiveness of both ALDF and MIS-TLIF techniques...
March 26, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38531744/an-improved-laparoscopic-choledochojejunostomy-technique-with-video
#40
JOURNAL ARTICLE
Xingru Wang, Fei Chen, Qian Zhang, Jianwei Li
TECHNIQUE: Choledochojejunostomy is an important procedure in hepatobiliary pancreatic surgery. It is used in pancreaticoduodenectomy, biliary strictures, liver transplantation, and other surgical reconstructions involving bile duct resection. Safe and reliable anastomosis under laparoscopic guidance is important for good postoperative recoveries. There are some difficulties owing to the limited angle of laparoscopic instruments. Standardized anastomosis methods are currently lacking, especially for cases with thin bile duct walls and small diameters...
March 25, 2024: Asian Journal of Surgery
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