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https://www.readbyqxmd.com/read/27867298/prophylactic-bilateral-nipple-sparing-mastectomy-and-a-staged-breast-reconstruction-technique-preliminary-results
#1
Thierry Tondu, Filip Thiessen, Wiebren A A Tjalma
More high-risk women with breast cancer are identified using genetic testing at a younger age. These young women often opt for prophylactic surgery. Most patients are reluctant for extra donor-site scars besides infections and necrosis. In order to reduce these risks, a two-stage breast reconstruction technique is used for high-risk women with large or ptotic breasts. We presume that this procedure will reduce the risk of skin envelope and nipple-areola complex (NAC) necrosis to less than 1%. In the first stage, an inferior pedicle reduction is performed to obtain large volume reduction with maximal safety for the NAC...
2016: Breast Cancer: Basic and Clinical Research
https://www.readbyqxmd.com/read/27833769/first-case-report-of-a-late-onset-knee-periprosthetic-joint-infection-caused-by-lactococcus-garvieae
#2
V-I Neagoe, S Zytoun, H-J Neuhaus
Lactococcus garvieae is known as a Gram-positive, catalase-negative, and facultatively anaerobic fish pathogen. The association between Lactococcus spp. and human infectious diseases is described as being mainly associated with lumbar osteomyelitis, hepatic abscess, and infective endocarditis. In the literature of orthopedic post-prosthetic infections, L. garvieae was associated with a case of hip prosthetic infection in a fishmonger woman. We present the case of a 79-year-old male patient with multiple comorbidities, who is admitted to our center with a 5-day history of pain, swelling, and motility disorder of the right knee by the presence of a bicondylar knee replacement surgery, which was performed due to gonarthrosis 17 years ago...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27783198/computer-guided-technique-evaluation-of-the-bony-palate-for-planning-individual-implant-placement
#3
Pinar Cagimni, Figen Govsa, Mehmet Asim Ozer, Zuhal Kazak
OBJECTIVE: Different clinical problems may require a surgical approach to the dental arch, such as dentofacial orthopedics, implant-supported dental prothesis, maxillary orthodontics protraction, removable appliances, and posttraumatic dental reconstruction. The aim of this study is to analyze the dental arch size and type for supporting individual dental protheses. MATERIALS AND METHODS: In this study, the reference measurements on the length of the bony palate, maxillary intercanine width, maxillary intermolar width, and the ratio of the maxillary to the palatinal surface were studied in 120 bony palates using a computer software program...
October 25, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27676723/latest-trends-in-upper-limb-prothesis-for-children-with-agenesia
#4
Colina Martinot-Lagarde, Nathaly Quintero-Prigent, Naima Brennetot, Monique Chapuy, Marion Fiat, Malak Fahmy, Frank Fitoussi
Design of these hands (3D prints) are often driven by the desire to have a prosthesis as close as a "real hand", both from an aesthetic and a functional standpoint. A new type of hands has been launched in France in September 2015 thanks to 3D printers. Alongside standard medical prosthesis available with medical prescription and designed by orthoprosthesist, they can also be developed and made in a non-specialised and non-CE approved workshop using 3D printer at lower cost. Those hands were engineered in the USA with this easy manufacturing process and are now expanding all around the world...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27567981/-cpap-interest-in-help-of-mucus-clearance-in-tracheo-bronchomalacia-outpatients
#5
D Billet, É Bernu
The patients suffering of trachea bronchial dyskinesia in a context of trachea bronchomalacia present an important decrease of the expiratory flow during the Forced Expiration Techniques, and during the cough, returning difficult mucus clearance. The use of CPAP for these patients as a pneumatic prothesis can bring a considerable help during the chest physiotherapy techniques, avoiding the tracheobronchial collapse. The objectivation of the efficiency of this technique through a clinical case, its ease of application and control, allows us to propose the attempt of this additive help when the indication and the contraindications are clearly defined...
October 2016: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/27534076/-distal-fixation-prosthesis-for-unstable-intertrochanteric-fractures-in-elderly-patients-a-mid-term-follow-up-study
#6
Zhan-feng Zhang, Ji-kang Min, Jian-ming Zhong, Dan Wang
OBJECTIVE: To explore mid-term follow up results of distal fixation prosthesis in treating unstable intertrochanteric fractures in elderly patients. METHODS: From May 2008 to March 2014,58 elderly patients with unstable intertrochanteric were treated with distal fixation prosthesis, among them, there were 15 males and 43 females aged from 75 to 87 years old with an average of 83.2 years old. Fracture were classified according to Evans classification, 39 cases were type I c and 19 cases were type I d...
June 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27493968/in-vitro-bioactivity-study-of-rgd-coated-titanium-alloy-prothesis-for-revision-total-hip-arthroplasty
#7
Zhentao Man, Dan Sha, Shui Sun, Tao Li, Bin Li, Guang Yang, Laibo Zhang, Changshun Wu, Peng Jiang, Xiaojuan Han, Wei Li
Total hip arthroplasty (THA) is a common procedure for the treatment of end-stage hip joint disease, and the demand for revision THA will double by 2026. Ti6Al4V (Titanium, 6% Aluminum, and 4% Vanadium) is a kind of alloy commonly used to make hip prothesis. To promote the osseointegration between the prothesis and host bone is very important for the revision THA. The peptide Arg-Gly-Asp (RGD) could increase cell attachment and has been used in the vascular tissue engineering. In this study, we combined the RGD with Ti6Al4V alloy using the covalent cross-linking method to fabricate the functional Ti6Al4V alloy (FTA)...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27424207/total-arthroplasty-of-basal-thumb-joint-with-elektra-prothesis-an-in-vitro-analysis
#8
A Completo, A Nascimento, F Neto
: The reported outcomes of the Elektra thumb carpo-metacarpal joint implant have been very variable. This study evaluates the influence of daily cyclic loads and the type of the screw-fit cup insertion technique in the trapezium, with and without prior threading, on the structural bone behaviour. The study was performed experimentally to predict initial implant stability and cortical bone strains. Computational models were developed to assess the structural cancellous bone behaviour. The use of Elektra implant considerably changed the bone strain behaviour compared with the intact joint...
July 16, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27387215/biocompatible-membrane-of-pdms-for-the-new-chamber-prosthesis-stapes
#9
Katarzyna Banasik, Monika Kwacz
Stapes protheses are designed for patients with otosclerosis resulting immobilization or significant reduction of the stapes mobility. All currently used prostheses are called - piston prosthesis. However, its use to stimulate the cochlea is still imperfect. New chamber stapes prosthesis allows the perilymph excitation more effective than the piston prothesis. Moreover, the chamber prosthesis eliminates the common causes of piston-stapedotomy failures. The most important element of the new prosthesis is a flexible membrane...
June 30, 2016: Otolaryngologia Polska. the Polish Otolaryngology
https://www.readbyqxmd.com/read/27351160/-correlation-of-estimated-and-factual-operation-time-in-frequent-interventions-in-traumatolgy
#10
C Büren, S V Gehrmann, A O Scholz, J Windolf, T Lögters
BACKGROUND: The Surgical Safety Checklist (SSC) was introduced by the World Health Organization (WHO) in 2008 in order to analyse and reduce perioperative surgical morbidity. Preoperative estimation of the expected surgery time (EST) by the surgeon is an integral part of the SSC. OBJECTIVE: The aim of the present study was to correlate EST and factual surgery time (FST), to identify factors influencing the correlation between the two parameters and to collect more information about planning surgical capacity...
June 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27307786/focus-on-the-prophylaxis-epidemiology-and-therapy-of-methicillin-resistant-staphylococcus-aureus-surgical-site-infections-and-a-position-paper-on-associated-risk-factors-the-perspective-of-an-italian-group-of-surgeons
#11
REVIEW
G Sganga, C Tascini, E Sozio, M Carlini, P Chirletti, F Cortese, R Gattuso, P Granone, C Pempinello, M Sartelli, S Colizza
BACKGROUND: The aim of this research was to study the epidemiology, microbiology, prophylaxis, and antibiotic therapy of surgical site infections (SSIs), especially those caused by methicillin-resistant Staphylococcus aureus (MRSA), and identify the risk factors for these infections. In Italy SSIs occur in about 5 % of all surgical procedures. They are predominantly caused by staphylococci, and 30 % of them are diagnosed after discharge. In every surgical specialty there are specific procedures more associated with SSIs...
2016: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/27175811/stapled-mesh-reinforcement-technique-smart-to-prevent-parastomal-hernias-our-initial-experience-and-review-of-the-literature
#12
Simona Macina, Francesca Mandolfino, Marco Frascio, Marco Casaccia, Cesare Stabilini, Rosario Fornaro, Tommaso Testa
Parastomal hernia is one of the most common stoma related complication, with the correlated risk of incarceration, obstruction, and strangulation. The incidence is high (30-50%) and depends on the length of follow up. Different surgical options for repairing are defective with a 25-70% failure and recurrence rate. Prevention of parastomal hernia with mesh reinforcement seems to be effective. Three available trials are recruiting patients: Prism (with matrix porcine prothesis), Prevent (with preperitoneal polypropylene mesh), and the stapled polypropylene mesh stoma reinforcement technique (SMART)...
April 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27026181/novel-double-stapling-technique-for-distal-oesophageal-resection-and-oesophago-jejunal-anastomosis
#13
Sergio Gentilli, Luca Portigliotti, Fabio Davoli, Alberto Roncon, Ottavio Rena, Alberto Oldani
AIM: The restoration of the digestive tract by performing an esophago-jejunal anastomosis (EJA) is a crucial step of the total gastric and distal esophagus surgical resection for esophago-gastric junction (EGJ) cancer. We have already ideated and tested on a cadaver model an innovative technique which could be useful to minimize the risk of complications related to the phase of securing the anvil of the circular stapler prior to perform the EJA. This surgical technique was derived from the well-known "double-stapling Knight and Griffen" one that was described for the rectal resection...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/26891669/a-new-evaluation-of-heat-distribution-on-facial-skin-surface-by-infrared-thermography
#14
Denise S Haddad, Marcos L Brioschi, Marina G Baladi, Emiko S Arita
OBJECTIVE: The aim of this study was to identify the facial areas defined by thermal gradient, in individuals compatible with the pattern of normality, and to quantify and describe them anatomically. METHODS: The sample consisted of 161 volunteers, of both genders, aged between 26 and 84 years (63 ± 15 years). RESULTS: The results demonstrated that the thermal gradient areas suggested for the study were present in at least 95% of the thermograms evaluated and that there is significant difference in temperature between the genders, racial group and variables "odontalgia", "dental prothesis" and "history of migraine" (p < 0...
2016: Dento Maxillo Facial Radiology
https://www.readbyqxmd.com/read/26873104/morphometry-of-the-lower-lumbar-intervertebral-discs-and-endplates-comparative-analyses-of-new-mri-data-with-previous-findings
#15
Ruoliang Tang, Celal Gungor, Richard F Sesek, Kenneth Bo Foreman, Sean Gallagher, Gerard A Davis
PURPOSE: Variability of the human lower lumbar geometry is related to complications of disc arthroplasty surgery. Accurate morphometric descriptions are essential for the design of artificial intervertebral discs to ensure good prothesis-vertebra contact and better load distribution, and can improve spinal biomechanics. Unfortunately, current knowledge of the lower lumbar geometry is limited either in the representativeness of sample populations or the accuracy and comprehensiveness of measurements...
February 12, 2016: European Spine Journal
https://www.readbyqxmd.com/read/26796437/novel-double-stapling-technique-for-distal-oesophageal-resection-and-oesophago-jejunal-anastomosis
#16
Sergio Gentilli, Luca Portigliotti, Fabio Davoli, Alberto Roncon, Ottavio Rena, Alberto Oldani
AIM: The restoration of the digestive tract by performing an esophago-jejunal anastomosis (EJA) is a crucial step of the total gastric and distal esophagus surgical resection for esophago-gastric junction (EGJ) cancer. We have already ideated and tested on a cadaver model an innovative technique which could be useful to minimize the risk of complications related to the phase of securing the anvil of the circular stapler prior to perform the EJA. This surgical technique was derived from the well-known "double-stapling Knight and Griffen" one that was described for the rectal resection...
December 4, 2015: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/26719610/recurrent-atraumatic-anterior-hip-dislocation-treated-by-dual-mobility-system
#17
Jie X Xu, Daniel Meyerkort, Riaz J Khan
AIMS: To highlight a case of recurrent atraumatic anterior hip dislocation management using a dual mobility prothesis. METHODS: The stability of the patient's hip was assessed using X-ray and MRI scans. Upon the third spontaneous anterior dislocation it was decided with the patient's consent to undergo a total hip replacement. A piriformis sparing anterior approach was use with the insertion of a dual mobility bearing. This consisted of an uncemented porous titanium cup articulating with a 28 mm head in a 42 mm mobile polyethylene liner...
October 2015: Journal of Orthopaedics
https://www.readbyqxmd.com/read/26552215/-polypropylene-mesh-for-testicular-prothesis-implantation-a-report-of-57-cases
#18
Jie An, Ye Liu, Zong-min Zhang, Chun-xiao Yu, Yong-qiang Xia, Peng-fei Wang
OBJECTIVE: To search for an optimum method for testicular prothesis implantation in the treatment of testis loss. METHODS: We retrospectively analyzed the surgical methods and outcomes of 53 cases of terminal prostate cancer and 4 cases of unilateral testicular torsion treated by implantation of testicular prothesis with the polypropylene mesh. RESULTS: The 57 male patients all received testicular prothesis with the polypropylene mesh. All the patients were satisfied with the appearance and size of the scrotum after surgery...
September 2015: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/26447362/does-the-st-jude-regent-17-mm-offer-better-outcomes-than-the-hemodynamic-plus-17-mm-aortic-valve-mechanical-prothesis
#19
COMPARATIVE STUDY
Edvin Prifti, Massimo Bonacchi, Arben Baboci, Gabriele Giunti, Giampiero Esposito, Efrosina Kajo, Edmond Nuellari, Vittorio Vanini
OBJECTIVE: The aim of the present study is to report the early and mid-term clinical and hemodynamic results of a prospective trial investigating the clinical performance of the St. Jude Medical Regent 17 mm (SJMR-17) versus St. Jude Medical Hemodynamic Plus 17 mm (SJMHP-17). MATERIALS AND METHODS: Between January 2000 and August 2013, 20 patients (Group I) with aortic valve (AV) stenosis underwent first time AV replacement with a SJMR-17 and nine patients (Group II) underwent AV replacement with a SJMHP-17...
November 2015: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/26434082/case-report-prothesis-patient-mismatch-after-aortic-valve-replacement
#20
REVIEW
Luis Rodriguez-Ospina, Juan Garcia-Morell, Carla P Rodriguez-Monserrate, Julio Valentin-Nieves
Valve replacement is the standard surgical treatment of diseased valves that cannot be repaired. The main goal of replacement is to exchange the diseased valve with one that has the engineering and hemodynamics as close as possible to the disease free native valve. However due to mechanical and fluid dynamic constraints all prosthetic heart valves (PHVs) are smaller than normal and thus are inherently stenotic. This represents a challenge when it comes time to replace a valve. The correct valve with the correct and matching profile has to be selected before the procedure to avoid possible complications...
April 2015: Boletín de la Asociación Médica de Puerto Rico
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