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Anne Barmettler, Jessie Wang, Moonseong Heo, Geoffrey J Gladstone
Background: In some upper eyelid blepharoplasties, maximal skin removal may not result in desired outcomes and raising crease height can be considered. Currently, there is no method to determine the amount of skin to be excised and/or crease elevation required to achieve a specific outcome. Objective: This study extrapolates an equation to determine amount of skin excision and/or lid crease elevation needed to achieve a specific eyelid margin to fold distance (MFD)...
July 10, 2018: Aesthetic Surgery Journal
Andrea Agostinelli, Davide Carino, Bruno Borrello, Carla Marcato, Annalisa Volpi, Tiziano Gherli, Francesco Nicolini
OBJECTIVES: Blunt thoracic aortic injury can be treated with thoracic endovascular aortic repair (TEVAR) with excellent short and mid-term outcomes. However, few data are available about the long-term results. Our goal was to report our single-centre, 20-year experience using TEVAR to treat blunt thoracic aortic injury. METHODS: We retrospectively reviewed our institutional database to identify all patients treated with TEVAR for traumatic lesions of the aortic isthmus...
July 10, 2018: Interactive Cardiovascular and Thoracic Surgery
Dong Chen, Chonghe Jiang, Xiongfa Liang, Fangling Zhong, Jian Huang, Yongping Lin, Zhijian Zhao, Xiaolu Duan, Guohua Zeng, Wenqi Wu
OBJECTIVES: To obtain more accurate and rapid predictors for postoperative infections following percutaneous nephrolithotomy (PCNL) in complex kidney stone patients, and provide evidence for early prevention and treatment of postoperative infections. MATERIALS AND METHODS: A total of 802 complex kidney stone patients undergone PCNL from September 2016 to September 2017 were recruited. Urine tests, urine cultures and stone cultures were performed, the perioperative data were prospectively recorded...
July 14, 2018: BJU International
Myong Kim, Chang Wook Jeong, Seung-June Oh
OBJECTIVE: To investigate the effect of urodynamic detrusor overactivity (DO) on the outcomes of transurethral surgery in patients with male bladder outlet obstruction (BOO). MATERIALS AND METHODS: We systematically searched the PubMed, Embase, and Cochrane Library databases for articles published between January 1989 and June 2017. All results of eligible studies were synthesized. RESULTS: Nine articles met the eligibility criteria. These studies included a total of 932 patients with a median number of 92 patients per study (range 40-190)...
July 13, 2018: World Journal of Urology
Ruchi Amin, Alfonso M Martinez, Marjorie J Arca
BACKGROUND: Gastric antral webs are mucosal structures, varying from fenestrated diaphragms to mucosal crescents, resulting in varying degrees of foregut obstruction. Patients commonly present with vomiting, failure to thrive, and abdominal pain. Prevalence is unknown, and diagnosis can be difficult. METHODS: We performed an IRB-approved retrospective review of patients from 4/1/2015-4/1/2018 at a Level I Children's Surgery Center undergoing gastric antral web resection...
July 13, 2018: Surgical Endoscopy
Masafumi Tomita, Shuji Saito, Shinichiro Makimoto, Shuntaro Yoshida, Hiroyuki Isayama, Tomonori Yamada, Takeaki Matsuzawa, Toshiyuki Enomoto, Rika Kyo, Toshio Kuwai, Nobuto Hirata, Mamoru Shimada, Tomio Hirakawa, Koichi Koizumi, Yoshihisa Saida
BACKGROUND: Self-expandable metallic stenting (SEMS) for malignant colorectal obstruction (MCO) as a bridge to elective surgery (BTS) is a widely used procedure. The aim of this study was to assess short-term outcomes of SEMS for MCO as BTS. METHODS: This study analyzed pooled data from BTS patients who were enrolled in two multicenter prospective single-arm observational clinical studies that used different stent types. Both studies were conducted by the Japan Colonic Stent Safe Procedure Research Group (JCSSPRG)...
July 13, 2018: Surgical Endoscopy
Abdullah Alsuhaibani, Ahmed Elashwah, Rana Mahmood, Alaa Abduljabbar, Samar Alhomoud, Luai Ashari, Shouki Bazarbashi, Ali Aljubran, Ahmed Alzahrani, Muhamed Mohiuddin, Hadeel Almanea, Hussah Alhussaini, Nasser AlSanea
PURPOSE: Assess feasibility-rate of PCR, short-term toxicity after neoadjuvant concurrent chemoradiation (NACRT) delivered via simultaneous integrated boost (SIB) using volumetric modulated arc therapy (VMAT) technique for locally advanced rectal cancer. METHODS: Retrospective evaluation of patients with locally advanced rectal cancer treated with VMAT-SIB technique preoperatively at an academic tertiary care center in Riyadh, Saudi Arabia between February 2013 and March 2017...
July 14, 2018: Journal of Gastrointestinal Cancer
Gernot Schmidle, Hannes Leonhard Ebner, Andrea Sabine Klauser, Josef Fritz, Rohit Arora, Markus Gabl
INTRODUCTION: For the treatment of scaphoid non-unions (SNU), different surgical techniques, including vascularized and non-vascularized bone grafts, are applied. Besides stability, vascularity, and the biological situation at the non-union site are important for healing and the appropriate choice of treatment. We assessed the healing potential of SNUs by histological parameters and compared it to CT parameters of bone structure and fracture location. Based on the results, we developed a CT classification and a treatment algorithm to impact graft selection in SNU surgery...
July 13, 2018: Archives of Orthopaedic and Trauma Surgery
Soumya Sagar, Jonathan Rick, Ankush Chandra, Garima Yagnik, Manish K Aghi
Functional brain mapping (FBM) is an integral part of contemporary neurosurgery. It is crucial for safe and optimal resection of brain lesions like gliomas. The eloquent regions of the cortex like motor, somatosensory, Wernicke's, and Broca are usually mapped, either preoperatively or intraoperatively. Since its birth in the nineteenth century, FBM has witnessed immense modernization, radical refinements, and the introduction of novel techniques, most of which are non-invasive. Direct electrical stimulation of the cortex, despite its high invasiveness, remains the technique of choice...
July 13, 2018: Neurosurgical Review
Kyu Sung Chung, Jeong Ku Ha, Ho Jong Ra, Han Sung Lee, Dhong Won Lee, Jung Ho Park, Du Han Kim, Jin Goo Kim
PURPOSE: This study investigated the outcomes of pullout fixation for medial meniscus posterior root tears (MMPRTs) in patients ≤ 60 years old versus patients > 60 years old. It was hypothesized that older patients would demonstrate results comparable with those of younger patients. METHODS: Patients with pullout fixation who were followed-up for more than 5 years were included. Patients were categorized into two groups based on age (group A, ≤ 60 years; group B, > 60 years)...
July 13, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Yan Chen, Ying-Xian Liu, Wai-Kay Seto, Mei-Zhen Wu, Yu-Juan Yu, Yui-Ming Lam, Wing-Kuk Au, Daniel Chan, Ko-Yung Sit, Lai-Ming Ho, Hung-Fat Tse, Kai-Hang Yiu
BACKGROUND: The Model for End-stage Liver Disease excluding international normalized ratio (MELD-XI) score and the modified MELD score with albumin replacing international normalized ratio (MELD-Albumin) score, which reflect both liver and renal function, have been reported as predictors of adverse events in liver and heart disease. Nonetheless, their prognostic value in patients undergoing tricuspid annuloplasty has not been addressed. METHODS AND RESULTS: A total of 394 patients who underwent tricuspid annuloplasty were evaluated...
July 13, 2018: Journal of the American Heart Association
Clayton A Smith, Lisa A Kachnic
Locally advanced rectal cancer (LARC) carries higher risks of local and distant recurrence when treated with surgical resection alone. Multiple treatment strategies have been investigated to reduce recurrence risk and improve survival. Currently, there are 3 primary strategies for managing LARC: (1) preoperative long-course radiotherapy (RT) combined with radiosensitizing chemotherapy, which is better tolerated than postoperative chemoradiotherapy and provides tumor downstaging and improved pathologic complete response (pCR), followed by postoperative chemotherapy; (2) preoperative short-course RT alone as an alternative strategy for reducing the risk of local recurrence, followed by adjuvant postoperative chemotherapy; and (3) total neoadjuvant therapy with induction chemotherapy followed by chemoradiotherapy to improve pCR and reduce the difficulty of delivering chemotherapy in the postoperative setting...
July 2018: Journal of the National Comprehensive Cancer Network: JNCCN
Michael Benson, Sang Lee, Ratul Bhattacharya, Valentino Vasy, Jamshed Zuberi, Sayeeda Yasmeen, Mutahar Ahmed, Moneer K Hanna
OBJECTIVE: To discuss the presenting features, imaging findings and recommended management of patients with Metanephric adenoma (MA) focusing on the diagnostic challenges and indications for follow up. MATERIALS AND METHODS: In this case report, we present a case of a 10-year-old female with MA who eventually underwent nephron sparing surgery with a partial nephrectomy. We performed a literature review of previous cases of metanephric adenoma and their respective management and follow-up...
July 10, 2018: Urology
Radhika Bali, Hadyn K N Kankam, Nikhilesh Borkar, Elena Provenzano, Amit Agrawal
INTRODUCTION: Oncoplastic breast surgery (OBS) can be applied in larger tumors or in patients with high tumor-to-breast ratio without compromising oncologic safety. Inherent larger excisions may increase the probability of clear margins. We compare postoperative outcomes between simple wide local excision (WLE) and OBS assuming 3 different margin distances. PATIENTS AND METHODS: Single oncoplastic surgeon data between April 2014 and September 2016, including tumor and treatment details, for WLE or OBS were reviewed...
June 19, 2018: Clinical Breast Cancer
Flávio Ramalho Romero, Daniele Cristina Cataneo, Antonio José Maria Cataneo
OBJECTIVES: To evaluate the impact of upper thoracic percutaneous sympathectomy with radiofrequency on quality of life of patients with palmar hyperhidrosis METHODS: Thirty-six patients with palmar hyperhidrosis were selected for a prospective observational study. Treatment consisted of percutaneous radiofrequency thoracic sympathectomy of T3 and T4 ganglions in all cases. Quality of life questionnaires were applied preoperatively, on the 1st postoperative day, and on the 30th, 90th, 180th and 360th postoperative days...
July 10, 2018: Seminars in Thoracic and Cardiovascular Surgery
Robert K Eastlack, Justin B Ledesma, Stacie Tran, Amrit Khalsa, Paul Park, Praveen V Mummaneni, Dean Chou, Adam S Kanter, Neel Anand, Pierce Nunley, Frank La Marca, Richard G Fessler, Juan S Uribe, Gregory M Mundis
INTRODUCTION: MIS correction for ASD may reduce the need the need for postoperative skilled nursing (SNF) or rehabilitation facility placement following surgery. The likelihood of requiring placement in a facility, rather than home disposition, may be influenced by a variety of factors. Additionally, the association of discharge location on outcomes and complication rates has not been elucidated in these patients. In this study, we aimed to define factors predicting disposition to SNF/rehab, and the rates of complications occurring in patients sent home vs...
July 10, 2018: World Neurosurgery
Muhammad Azeem, Arfan Ul Haq, Muhammad Ilyas, Waheed Ul Hamid, Muhammad Burhan Hayat, Furqan Jamal, Muhammad Imran Khan
OBJECTIVE: To find out the presence of bacteremia following micro-osteoperforation. MATERIAL AND METHODS: The sample consisted of 28 Class I orthodontic patients (21 women, 7 men; mean age, 18.11±0.4 years). The micro-osteoperforation was performed 4 weeks following bonding of fixed orthodontic appliances. Using aseptic technique, 20-mL blood sample was collected before the micro-osteoperforation and another 20-mL, 60 seconds after the first micro-osteoperforation...
July 10, 2018: International Orthodontics
Dirk J van der Windt, Patrick Bou-Samra, Esmaeel R Dadashzadeh, Xilin Chen, Patrick R Varley, Allan Tsung
BACKGROUND: The Risk Analysis Index (RAI) for frailty is a rapid survey for comorbidities and performance status, which predicts mortality after general surgery. We aimed to validate the RAI in predicting outcomes after hepatopancreatobiliary surgery. METHODS: Associations of RAI, determined in 162 patients prior to undergoing hepatopancreatobiliary surgery, with prospectively collected 30-day post-operative outcomes were analyzed with multivariate logistic and linear regression...
July 10, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Barbara E Adams, Joshua P Edlinger, Miranda L Ritterman Weintraub, Jason D Pollard
Patients requiring a nontraumatic transmetatarsal amputation (TMA) typically have multiple comorbidities that place them at high risk of postoperative complications and additional surgery. The present study identified the demographic, clinical, and surgical risk factors that predict complications after a nontraumatic TMA, including the incidence of 3-year mortality, proximal limb amputation, and lack of healing. The electronic medical records of patients who had undergone TMA within a Kaiser Permanente Northern California facility from March 2007 to January 2012 (n = 375) were reviewed...
July 10, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Basar Erdivanli, Ahmet Sen, Sule Batcik, Tolga Koyuncu, Hizir Kazdal
BACKGROUND AND OBJECTIVES: We compared the efficiency of the King Vision video laryngoscope and the Macintosh laryngoscope, when used by experienced anesthesiologists on adult patients with varying intubating conditions, in a prospective randomized controlled clinical trial. METHODS: A total of 388 patients with an American Society of Anesthesiologists physical status of I or II, scheduled for general anesthesia with endotracheal intubation. Each patient was intubated with both laryngoscopes successively, in a randomized order...
July 10, 2018: Revista Brasileira de Anestesiologia
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