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https://www.readbyqxmd.com/read/29671018/topographic-anatomical-landmarks-for-pulley-system-of-the-thumb
#1
Dhivyalakshmi Gnanasekaran, Raveendranath Veeramani, Aravindhan Karuppusamy
PURPOSE: Knowledge of anatomical landmark to pulley system of the thumb is essential in successful treatment of trigger thumb release either by percutaneous or by minimally invasive technique. Though surgical release of trigger thumb is done commonly, there is paucity of data in the literature regarding its surface landmarks. The purpose of this study is to identify palmar surface anatomical landmarks to the pulley system of the thumb. METHODS: Dissection was performed on 55 fresh frozen adult cadaveric thumbs...
April 18, 2018: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29659161/neurovascular-relations-of-the-trigeminal-nerve-in-asymptomatic-individuals-studied-with-high-resolution-three-dimensional-magnetic-resonance-imaging
#2
Fernando Ruiz-Juretschke, Laín H González-Quarante, Roberto García-Leal, Vicente Martínez de Vega
Neurovascular compression (NVC) is considered the main cause of classic trigeminal neuralgia (TN) and may be surgically addressed with microvascular decompression (MVD). Preoperative high-resolution three-dimensional magnetic resonance has proven a reliable tool to diagnose NVC in patients with refractory TN undergoing MVD. However there is still scarce data regarding the rate, degree and characteristics of neurovascular compression in asymptomatic individuals. This article describes the vascular relations of the trigeminal nerve in the cerebellopontine angle (CPA) in 100 subjects without known TN studied with 3...
April 16, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/29656962/treatment-of-platelet-concentrates-and-plasma-with-riboflavin-and-uv-light-impact-in-bacterial-reduction
#3
J M Bello-López, L Delgado-Balbuena, D Rojas-Huidobro, J Rojo-Medina
OBJECTIVES: Transfusion of hemocomponents is essential for clinical and surgical procedures and therefore their safety has increased. An option for pathogen reduction includes the combination of riboflavin and UV light. To our knowledge, there are no studies in Latin America that demonstrate the effectiveness of the pathogen reduction in hemocomponents. The objective of this work was to evaluate the efficiency of a pathogens reduction system in platelets concentrates (PC) and plasma. MATERIALS AND METHODS: PC and plasma were contaminated with Escherichia coli, Klebsiella pneumoniae, Streptococcus pyogenes and Staphylococcus epidermidis at 104 to 106  CFU and subjected to bacterial reduction...
April 12, 2018: Transfusion Clinique et Biologique: Journal de la Société Française de Transfusion Sanguine
https://www.readbyqxmd.com/read/29627047/biology-of-adenoid-cystic-carcinoma-of-the-tracheobronchial-tree-and-principles-of-management
#4
REVIEW
Donna E Maziak
Adenoid cystic carcinoma of the trachea is a rare tumor. The mainstay of treatment remains surgical resection, even in the presence of positive margins or metastatic disease. Perineural involvement commonly causes positive margins and should not deter from resection. Knowledge of releasing maneuvers is essential for surgical success. Long-term follow-up is required with patients presenting late and surviving with recurrent disease for years.
May 2018: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/29616107/awareness-of-hepatic-arterial-variants-is-required-in-surgical-oncology-decision-making-strategy-case-report-and-review-of-literature
#5
Robert Sitarz, Monika Berbecka, Jerzy Mielko, Karol Rawicz-Pruszyński, Grzegorz Staśkiewicz, Ryszard Maciejewski, Wojciech Polkowski
Surgery for the treatment of pancreatic cancer remains the gold standard, however, the identification of the vascular supply of the pancreas and the nearby organs remains a crucial difficulties in a curative resection. During pancreatic head resection for carcinoma dissection of regional arterial vasculature is mandatory. Normal coeliac and hepatic arterial anatomy occurs in ~50-70% of patients and multiple variations have been described. Knowledge of multiple arterial anomalies is essential in hepato-pancreatico-billary surgery to avoid unnecessary complications...
May 2018: Oncology Letters
https://www.readbyqxmd.com/read/29615572/the-role-of-hedgehog-signalling-in-the-formation-of-the-ventricular-septum
#6
REVIEW
Antonia Wiegering, Ulrich Rüther, Christoph Gerhardt
An incomplete septation of the ventricles in the vertebrate heart that disturbes the strict separation between the contents of the two ventricles is termed a ventricular septal defect (VSD). Together with bicuspid aortic valves, it is the most frequent congenital heart disease in humans. Until now, life-threatening VSDs are usually treated surgically. To avoid surgery and to develop an alternative therapy (e.g., a small molecule therapy), it is necessary to understand the molecular mechanisms underlying ventricular septum (VS) development...
December 12, 2017: Journal of Developmental Biology
https://www.readbyqxmd.com/read/29600241/a-standardized-needs-assessment-tool-to-inform-the-curriculum-development-process-for-pediatric-resuscitation-simulation-based-education-in-resource-limited-settings
#7
Nicole Shilkofski, Amanda Crichlow, Julie Rice, Leslie Cope, Ye Myint Kyaw, Thazin Mon, Sarah Kiguli, Julianna Jung
Introduction: Under five mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to first conduct a needs assessment of the target learner population...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29581690/mentoring-in-surgery-mentor-parshuram-dronacharya-krishan
#8
REVIEW
Brij B Agarwal, Nayan Agarwal, Neeraj Dhamija, Chintamani
Success in any profession has no well-defined predictors. Knowledge, skills, training, and talent come in plenty but fail at times to achieve the universal goal of success. Some attribute it to luck. Apart from the tangible ingredients of a successful career, the intangibles like luck or something ill-defined is a real challenge. The intangibles seem like a chasm, an abyss, or a phantom obstacle. Presence of a guiding spirit who can handhold you to overcome these is essential for success. The aim of a professional is to learn, earn, and yearn for creativity...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29579445/a-collaborative-for-implementation-of-an-evidence-based-clinical-pathway-for-enhanced-recovery-in-colon-and-rectal-surgery-in-an-affiliated-network-of-healthcare-organizations
#9
David W Larson, Jenna K Lovely, Jesse Welsh, Sho Annaberdyev, Chris Coffey, Cybil Corning, Bret Murray, Douglas Rose, Lawrence Prabhakar, Marcus Torgenson, Eugene Dankbar, Mark V Larson
BACKGROUND: In 2015 the Mayo Clinic Care Network (MCCN), in an effort to extend medical knowledge and share these best practices, embarked on an education mission to diffuse the clinical practice redesign involving the practice of colon and rectal surgery at Mayo Clinic (Rochester, Minnesota) to members of the MCCN. They elected to use a collaborative framework in an attempt to transfer knowledge to multiple teams in an efficient and supportive manner. METHODS: Eight MCCN members assembled a multidisciplinary team, which participated in both a didactic learning session delivered by frontline experts, as well as follow-up remote sessions regarding Mayo Clinic's enhanced recovery pathway for colon and rectal surgery...
April 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29578875/strategies-for-the-prevention-and-treatment-of-surgical-site-infection-in-the-lumbar-spine
#10
Joseph S Butler, Scott C Wagner, Patrick B Morrissey, Ian D Kaye, Arjun S Sebastian, Gregory D Schroeder, Kristen Radcliff, Alexander R Vaccaro
Surgical site infection (SSI) following spine surgery can be devastating for both the patient and the surgeon. It leads to significant morbidity and associated health care costs, from readmissions, reoperations, and subsequent poor clinical outcomes. Complications associated with SSI following spine surgery include pseudarthrosis, neurological deterioration, sepsis, and death. Its management can be very challenging. The diagnosis of SSI involves the interpretation of combined clinical, laboratory, and occasionally radiologic findings...
March 23, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29561479/a-practical-recommendation-for-teaching-neck-anatomy-during-neck-dissection-in-the-operating-room
#11
Mehmet Çelik, Şenol Çomoğlu, Ibrahim Yağci, Levent Aydemir, Demet Altun, Erkan Kiyak
Anatomy knowledge is not only essential for surgeons but also has importance for anyone who performs an invasive procedure on a patient, and provides examination and diagnosis of patients and sharing of these findings to the patient and other medical professionals. It is accepted that most surgical procedures could facilitate anatomic perception in surgical internships. There is an educational tendency to explore innovative instructional tools and methods that can help support current education styles. This study investigates the effect of a green laser pointer on students' perceptions and educational effectiveness when neck dissection is performed in the operating room...
March 20, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29550759/acute-scrotum-in-setting-of-acute-pancreatitis
#12
Akshay Sood, Daniel Cole, Shaheen Alanee
Acute scrotum is a urologic emergency with many aetiologies. Acute scrotum in setting of acute pancreatitis is a rare occurrence and results from an effusion of pancreatic juices into the inguinal canal along a retroperitoneal tract. Knowledge regarding the existence of this obscure condition is essential for its diagnosis. It is thus important for medical professionals, particularly internists, surgical trainees and emergency physicians, to be aware of the condition and the options for its management.
March 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29550641/analysis-of-shoulder-compressive-and-shear-forces-during-functional-activities-of-daily-life
#13
Christian Klemt, Joe A Prinold, Sharon Morgans, Samuel H L Smith, Daniel Nolte, Peter Reilly, Anthony M J Bull
BACKGROUND: Knowledge of forces acting through the glenohumeral joint during activities of daily living is a prerequisite for improving implant design and aiding rehabilitation planning. Existing data are limited by the number of activities performed and, in some cases, the lack of representation of the glenohumeral loading direction, although high shear force components may cause joint dislocation or implant loosening. This study aims to analyse shoulder compression and shear force components during essential functional activities of daily living...
March 14, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29547423/strengthening-the-anesthesia-workforce-in-low-and-middle-income-countries
#14
Søren Kudsk-Iversen, Naomi Shamambo, M Dylan Bould
The majority of the world's population lacks access to safe, timely, and affordable surgical care. Although there is a health workforce crisis across the board in the poorest countries in the world, anesthesia is disproportionally affected. This article explores some of the key issues that must be tackled to strengthen the anesthesia workforce in low- and lower-middle-income countries. First, we need to increase the overall number of safe anesthesia providers to match a huge burden of disease, particularly in the poorest countries in the world and in remote and rural areas...
April 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29541887/how-i-do-it-surgical-clipping-of-vertebrobasilar-junction-aneurysms-through-a-far-lateral-transcondylar-approach
#15
Vladimir Nakov, Toma Spiriev, Evgeni Stavrev
BACKGROUND: Vertebrobasilar junction aneurysms occur rarely, but have a higher rupture rate than supratentoral aneurysms, and higher morbidity and mortality. Their location ventral to the neuroaxis makes them a challenging surgical lesion. METHODS: In this paper, we share our experience with the surgical technique for the management of these complex aneurysms. CONCLUSION: An in-depth understanding of the anatomy of these aneurysms, careful preoperative planning, and a meticulous surgical technique, including knowledge of every detail of the procedure-positioning, an advanced skull base technique, and careful aneurysm dissection and clipping-is essential for a successful outcome of the surgery...
March 14, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29528753/a-canadian-population-based-cohort-to-the-study-cost-and-burden-of-surgically-resected-hidradenitis-suppurativa
#16
Ali Mehdizadeh, Laura Rosella, Afsaneh Alavi, Gary Sibbald, Delaram Farzanfar, Ali Hazrati, Lee Vernich, Audrey Laporte, Howard Hu, Morteza Bashash
BACKGROUND: Hidradenitis suppurativa (HS) is a chronic debilitating disease with long-lasting comorbidities that impose direct and indirect costs on the health care system. However, limited studies have estimated the burden of this disease in Canada, and no population-based studies have previously addressed this condition. OBJECTIVES: This work describes the characteristics of a population-based HS cohort to address the existing knowledge gap on the burden of HS for the Canadian health care system...
March 1, 2018: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/29526441/airborne-particle-dispersion-to-an-operating-room-environment-during-sliding-and-hinged-door-opening
#17
Sasan Sadrizadeh, Jovan Pantelic, Max Sherman, Jordan Clark, Omid Abouali
BACKGROUND: Operating rooms (ORs) are usually over-pressurized in order to prevent the penetration of contaminated air and the consequent risk of surgical site infection. However, a door-opening can result in the rapid disappearance of pressure and contaminants can then easily penetrate into the surgical zone. Therefore, a broad knowledge and understanding of OR ventilation systems and their protective potential is essential for optimizing the surgical environment. OBJECTIVES: This study investigated the air quality and level of airborne particles during a single and multiple door-opening cycles in an operating room supplied by a turbulent-mixing ventilation system...
March 8, 2018: Journal of Infection and Public Health
https://www.readbyqxmd.com/read/29525733/lacunar-implementation-of-the-critical-view-of-safety-technique-for-laparoscopic-cholecystectomy-results-of-a-nationwide-survey
#18
Floyd W van de Graaf, Jacqueline van den Bos, Laurents P S Stassen, Johan F Lange
BACKGROUND: Bile duct injury remains a dilemma in laparoscopic cholecystectomy, with an incidence still higher than in conventional cholecystectomy. The Critical View of Safety technique is used as one of the important operating technique to reduce bile duct injury incidence. The objective of this study was to determine current practices in laparoscopic cholecystectomy and the use of the Critical View of Safety technique among surgeons and residents in surgical training. METHODS: We conducted an electronic survey among all affiliated members of the Association of Surgeons of the Netherlands containing questions regarding the current practice of laparoscopic cholecystectomy, essential steps of the Critical View of Safety technique, reasons for conversion to open cholecystectomy, and the use of other safety techniques...
March 7, 2018: Surgery
https://www.readbyqxmd.com/read/29507729/management-of-acute-aortic-dissection-and-thoracic-aortic-rupture
#19
REVIEW
Toshihiro Fukui
Background: Both acute aortic dissection and ruptured aortic aneurysm are leading causes of death in cardiovascular disease. These life-threatening conditions have recently been categorized as acute aortic syndrome. This review describes the etiology, clinical presentation, and therapeutic options for acute aortic syndrome including acute aortic dissection and ruptured aortic aneurysm. Main body: Several diagnostic tools for detecting these critical conditions have been developed including computed tomography, ultrasonography, magnetic resonance imaging, and laboratory tests...
2018: Journal of Intensive Care
https://www.readbyqxmd.com/read/29487951/-content-of-a-weekly-morbidity-and-mortality-conference-in-visceral-surgery
#20
W Schwenk, C-W Liu, L Hansen
BACKGROUND: Morbidity and mortality (M&M) conferences are essential instruments for quality improvement in surgical departments; however, publications concerning the detailed contents of M&M conferences are rare and have not been published in the German language. OBJECTIVE: Detailed analysis of the content of a weekly M&M conference in a department of general and visceral surgery. MATERIAL AND METHODS: Data from a weekly M&M conference were prospectively collected...
February 27, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
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