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https://www.readbyqxmd.com/read/29929022/risk-factors-for-surgical-site-infection-following-operative-treatment-of-ankle-fractures-a-systematic-review-and-meta-analysis
#1
REVIEW
Jiashen Shao, Huixin Zhang, Bing Yin, Jia Li, Yanbin Zhu, Yingze Zhang
BACKGROUND: This study aims to quantitatively summarize risk factors associated with surgical site infection after open reduction and internal fixation of ankle fractures. METHODS: Relevant original studies were searched in Medline, Embase, China National Knowledge Infrastructure, Wanfang database and Cochrane central database (all through April 2018). Studies eligible had to meet the quality assessment criteria by Newcastle-Ottawa Scale and to evaluate the risk factors for surgical site infection after open reduction and internal fixation of ankle fractures...
June 18, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29928603/the-compression-of-l5-nerve-root-single-or-double-sites-radiographic-graded-signs-intra-operative-detect-technique-and-clinical-outcomes
#2
Ai-Min Wu, Kai Zhang, Xun-Lin Li, Xiao-Fei Cheng, Tang-Jun Zhou, Lin Du, Chen Chen, Hai-Jun Tian, Xiao-Jiang Sun, Chang-Qing Zhao, Yan Michael Li, Jie Zhao
Background: The L5 nerve root could be compressed at both L4-5 and L5-S1 regions. If L5 nerve root has confirmed compression at L4-5 level and questionable compression at L5-S1 foramina, performing both surgeries at L4-5 and L5-S1 levels may induce unnecessary extra surgery on L5-S1; however, ignoring foraminal stenosis of L5/S1 may require re-exploration. Methods: Two hundred seventeen patients with L5 nerve root compressed at L4-5 lateral access were performed with L4-5 decompression and interbody fusion...
May 2018: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/29928372/comparative-analysis-of-the-surgical-treatment-results-for-multiple-myeloma-bone-disease-of-the-spine-and-the-long-bone-soft-tissue
#3
Jiangtao Shen, Xinru Du, Lingxiu Zhao, Hui Luo, Ziyu Xu
The present retrospective study was designed to compare the pain relief, surgery duration, life quality, survival time and relative prognostic factors in multiple myeloma (MM) bone disease patients with different surgical sites. A total of 65 cases were enrolled and divided into two groups. Group A included patients with lesions located in the spine, while Group B included patients with lesions located in the long bone or soft tissue. Pain relief was measured by the visual analogue scale (VAS), neurological impairment was determined according to Frankel classification, and survival was assessed by the Kaplan-Meier method...
June 2018: Oncology Letters
https://www.readbyqxmd.com/read/29928083/infragluteal-fasciocutaneous-flap-for-management-of-recurrent-ischial-pressure-sore
#4
Umesh Kumar, Pradeep Jain
Objective: The objective of the study was to determine the feasibility of infragluteal fasciocutaneous flap in recurrent ischial pressure sore. Materials and Methods: In our study, from 2015 to 2017, nine patients suffering from recurrent ischial sore with scars of previous surgery were managed with infragluteal fasciocutaneous flap. Wound bed was prepared by surgical debridement and negative pressure wound therapy in each case. In two cases, gracilis muscle flap was used as adjuvant to fill up the residual cavity...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29928081/is-multiple-session-of-intralesional-bleomycin-mandatory-for-complete-resolution-of-macrocystic-lymphatic-malformation
#5
Vijai Datta Upadhyaya, Ankur Bhatnagar, Basant Kumar, Zafar Neyaz, J S Kishore, Eti Sthapak
Background: Intralesional bleomycin scelro-therapy has become a favored line of treatment for macrocystic lymphatic malformations. However the need for multiple sessions is a drawback associated with this treatment modality. Our aim is to document whether multiple session of intra- lesional sclero-therapy is necessary for complete resolution of cystic lymphatic malformation. Method: Intralesional bleomycin under Ultrasound guidance was used for macrocystic lymphangioma at concentration of 3mg/ml but not exceeding the total dose (1mg/kg) body weight for single session or cumulative dose of 5mg/kg...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29927829/a-survey-of-in-situ-splitting-rib-harvesting-surgery-for-orbital-deformity-follow-up
#6
Xiao-Ming Sun, Ling-Xiao Ye, Rong Jin, Li-Ying Cheng, Ying Zhang, Yu-Guang Zhang, Lu Zhang
BACKGROUND: Our previous study indicated that in situ splitting rib harvesting surgery clinically reduced in related complications compared with the traditional surgical approach in the early stage, but there are few studies pay close attention to long-term recovery of donor area after rib harvesting. In this study, the authors conducted a follow-up study on recovery condition of donor and graft site of patients after in situ rib splitting grafting or simple whole rib grafting surgery...
June 20, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29927627/premaxillary-setback-with-posterior-vomerine-ostectomy-outcomes-of-single-stage-repair-of-complete-bilateral-cleft-lip-with-a-severely-protruding-premaxilla
#7
Fernando Almas, Valerie Cote, Elie P Ramly, Rami S Kantar, Usama Hamdan
OBJECTIVE: Evaluating the safety and outcomes of premaxillary setback with posterior vomerine ostectomy in single-stage repair of complete bilateral cleft lip (CBCL) with severe premaxillary protrusion. DESIGN: Retrospective case series. SETTING: Multiple outreach surgical sites. PATIENTS/PARTICIPANTS: From 2012 to 2016, 41 patients with CBCL and severe premaxillary protrusion underwent posterior vomerine premaxillary setback (PVPS) by a single surgeon in Brazil, Ecuador, and Peru...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29927043/hospitalised-patients-experiences-during-negative-pressure-wound-therapy-due-to-surgical-site-infection-after-vascular-and-cardiac-surgery
#8
Charlotte B Thorup, Mette Hougaard, Pernille F Blindum, Erik E Sørensen
Surgical site infections that develop after vascular and cardiac surgery are often treated with Negative Pressure Wound Therapy (NPWT). Due to the severity of the infection and risk of bleeding, this NPWT often requires hospitalisation. Fourteen patients were selected for qualitative interviews to investigate their experiences and the meaning of patient participation during hospitalisation with NPWT. Results show that hospitalisation induces tension between an intrusion of privacy and being part of a community...
June 21, 2018: International Wound Journal
https://www.readbyqxmd.com/read/29926957/peri-implantitis
#9
Frank Schwarz, Jan Derks, Alberto Monje, Hom-Lay Wang
OBJECTIVES: This narrative review provides an evidence-based overview on peri-implantitis for the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. METHODS: A literature review was conducted addressing the following topics: 1) definition of peri-implantitis; 2) conversion from peri-implant mucositis to peri-implantitis, 3) onset and pattern of disease progression, 4) characteristics of peri-implantitis, 5) risk factors/indicators for peri-implantitis, and 6) progressive crestal bone loss in the absence of soft tissue inflammation...
June 2018: Journal of Periodontology
https://www.readbyqxmd.com/read/29926955/peri-implant-diseases-and-conditions-consensus-report-of-workgroup-4-of-the-2017-world-workshop-on-the-classification-of-periodontal-and-peri-implant-diseases-and-conditions
#10
Tord Berglundh, Gary Armitage, Mauricio G Araujo, Gustavo Avila-Ortiz, Juan Blanco, Paulo M Camargo, Stephen Chen, David Cochran, Jan Derks, Elena Figuero, Christoph H F Hämmerle, Lisa J A Heitz-Mayfield, Guy Huynh-Ba, Vincent Iacono, Ki-Tae Koo, France Lambert, Laurie McCauley, Marc Quirynen, Stefan Renvert, Giovanni E Salvi, Frank Schwarz, Dennis Tarnow, Cristiano Tomasi, Hom-Lay Wang, Nicola Zitzmann
A classification for peri-implant diseases and conditions was presented. Focused questions on the characteristics of peri-implant health, peri-implant mucositis, peri-implantitis, and soft- and hard-tissue deficiencies were addressed. Peri-implant health is characterized by the absence of erythema, bleeding on probing, swelling, and suppuration. It is not possible to define a range of probing depths compatible with health; Peri-implant health can exist around implants with reduced bone support. The main clinical characteristic of peri-implant mucositis is bleeding on gentle probing...
June 2018: Journal of Periodontology
https://www.readbyqxmd.com/read/29926948/mucogingival-conditions-in-the-natural-dentition-narrative-review-case-definitions-and-diagnostic-considerations
#11
Pierpaolo Cortellini, Nabil F Bissada
BACKGROUND: Mucogingival deformities, and gingival recession in particular, are a group of conditions that affect a large number of patients. Since life expectancy is rising and people are retaining more teeth both gingival recession and the related damages to the root surface are likely to become more frequent. It is therefore important to define anatomic/morphologic characteristics of mucogingival lesions and other predisposing conditions or treatments that are likely to be associated with occurrence of gingival recession...
June 2018: Journal of Periodontology
https://www.readbyqxmd.com/read/29926504/mucogingival-conditions-in-the-natural-dentition-narrative-review-case-definitions-and-diagnostic-considerations
#12
Pierpaolo Cortellini, Nabil F Bissada
BACKGROUND: Mucogingival deformities, and gingival recession in particular, are a group of conditions that affect a large number of patients. Since life expectancy is rising and people are retaining more teeth both gingival recession and the related damages to the root surface are likely to become more frequent. It is therefore important to define anatomic/morphologic characteristics of mucogingival lesions and other predisposing conditions or treatments that are likely to be associated with occurrence of gingival recession...
June 2018: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/29926491/peri-implant-diseases-and-conditions-consensus-report-of-workgroup-4-of-the-2017-world-workshop-on-the-classification-of-periodontal-and-peri-implant-diseases-and-conditions
#13
Tord Berglundh, Gary Armitage, Mauricio G Araujo, Gustavo Avila-Ortiz, Juan Blanco, Paulo M Camargo, Stephen Chen, David Cochran, Jan Derks, Elena Figuero, Christoph H F Hämmerle, Lisa J A Heitz-Mayfield, Guy Huynh-Ba, Vincent Iacono, Ki-Tae Koo, France Lambert, Laurie McCauley, Marc Quirynen, Stefan Renvert, Giovanni E Salvi, Frank Schwarz, Dennis Tarnow, Cristiano Tomasi, Hom-Lay Wang, Nicola Zitzmann
A classification for peri-implant diseases and conditions was presented. Focused questions on the characteristics of peri-implant health, peri-implant mucositis, peri-implantitis, and soft- and hard-tissue deficiencies were addressed. Peri-implant health is characterized by the absence of erythema, bleeding on probing, swelling, and suppuration. It is not possible to define a range of probing depths compatible with health; Peri-implant health can exist around implants with reduced bone support. The main clinical characteristic of peri-implant mucositis is bleeding on gentle probing...
June 2018: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/29926484/peri-implantitis
#14
Frank Schwarz, Jan Derks, Alberto Monje, Hom-Lay Wang
OBJECTIVES: This narrative review provides an evidence-based overview on peri-implantitis for the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. METHODS: A literature review was conducted addressing the following topics: 1) definition of peri-implantitis; 2) conversion from peri-implant mucositis to peri-implantitis, 3) onset and pattern of disease progression, 4) characteristics of peri-implantitis, 5) risk factors/indicators for peri-implantitis, and 6) progressive crestal bone loss in the absence of soft tissue inflammation...
June 2018: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/29926317/the-efficacy-of-antimicrobial-coated-sutures-for-preventing-incisional-surgical-site-infections-in-digestive-surgery-a-systematic-review-and-meta-analysis
#15
Motoi Uchino, Toru Mizuguchi, Hiroki Ohge, Seiji Haji, Junzo Shimizu, Yasuhiko Mohri, Chizuru Yamashita, Yuichi Kitagawa, Katsunori Suzuki, Motomu Kobayashi, Masahiro Kobayashi, Fumie Sakamoto, Masahiro Yoshida, Toshihiko Mayumi, Koichi Hirata
BACKGROUND: Antimicrobial-coated sutures have recently become well known for preventing surgical site infections (SSIs). However, the evidence and recommendations from some organizations remain controversial. Therefore, we conducted a systematic review and meta-analysis to analyze the efficacy of antimicrobial-coated sutures for preventing SSIs in digestive surgery. METHODS: We performed a systematic review of literature published from 2000 to 2017 (registered on PROSPERO, No...
June 20, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29926206/optimal-pre-tavr-annulus-sizing-in-patients-with-bicuspid-aortic-valve-area-derived-perimeter-by-ct-is-the-best-correlated-measure-with-intraoperative-sizing
#16
Yuan Wang, Moyang Wang, Guanyuan Song, Wei Wang, Bin Lv, Hao Wang, Yongjian Wu
OBJECTIVE: To clarify the optimal measurements for patients with bicuspid aortic valve (BAV) preferred for transcatheter aortic valve replacement (TAVR), our study compared intraoperative sizing with five different approaches by transthoracic echocardiography (TTE), three-dimensional transesophageal echocardiography (3DTEE) and computed tomography (CT). METHODS: We enrolled 104 BAV patients prescreened for TAVR but who underwent surgery with direct intraoperative annulus sizing...
June 20, 2018: European Radiology
https://www.readbyqxmd.com/read/29925720/clinical-features-and-surgical-treatment-of-superficial-peroneal-nerve-entrapment-neuropathy
#17
Juntaro Matsumoto, Toyohiko Isu, Kyongsong Kim, Naotaka Iwamoto, Kazuyoshi Yamazaki, Masanori Isobe
Superficial peroneal nerve (S-PN) entrapment neuropathy (S-PNEN) is comparatively rare and may be an elusive clinical entity. There is yet no established surgical procedure to treat idiopathic S-PNEN. We report our surgical treatment and clinical outcomes. We surgically treated 5 patients (6 sites) with S-PNEN. The 2 men and 3 women ranged in age from 67 to 91 years; one patient presented with bilateral leg involvement. Mean post-operative follow-up was 25.3 months. We recorded their symptoms before- and at the latest follow-up visit after surgery using a Numerical Rating Scale and the Japan Orthopedic Association score to evaluate the affected area...
June 20, 2018: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/29925373/in-vivo-degradation-and-neovascularization-of-silk-fibroin-implants-monitored-by-multiple-modes-ultrasound-for-surgical-applications
#18
Shouqiang Li, Dandan Yu, Huan Ji, Baocun Zhao, Lili Ji, Xiaoping Leng
BACKGROUND: In this paper we aimed to investigate the neovascularization and biodegradation of the silk fibroin in vivo using multiple modes ultrasound, including two-dimensional, three-dimensional and contrast-enhanced ultrasound by quantifying the echo intensity, volume and contrast enhancement of the silk fibroin implants. METHOD: A total of 56 male Wistar rats were randomly divided into two groups and 4%(w/v) silk hydrogels were injected subcutaneously at hind limb or upper back of the rats respectively to compare the biodegradation rate in different sites of the body...
June 20, 2018: Biomedical Engineering Online
https://www.readbyqxmd.com/read/29924755/clinicopathological-study-of-oral-focal-mucinosis-a-retrospective-case-series
#19
A-K-G Gonzaga, D-H-I-P de Oliveira, M-L-D-S Lopes, T-J-S Filho, L-M-G Queiroz, É-J-D da Silveira
BACKGROUND: Oral focal mucinosis (OFM) is a rare soft tissue lesion of unknown etiology that exhibits tumor-like growth. It is considered the oral counterpart of cutaneous focal mucinosis or cutaneous myxoid cyst. This is a retrospective study of oral OFM diagnosed over a period of 42 years at an oral pathology service. MATERIAL AND METHODS: Clinical, histopathological and immunohistochemical data were analyzed. Alcian blue staining and S-100 immunohistochemistry were performed...
June 20, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/29924213/evaluation-of-polyamide-surgical-mesh-as-an-abdominal-ventral-implant-in-rabbits
#20
Renata Gebara Sampaio Dória, Silvio Henrique de Freitas, Yumi de Barcelos Hayasaka, Maria Cristina Ferrarini Nunes Soares Hage, Ricardo de Francisco Strefezzi, Adriano Bonfin Carregaro, Gustavo Morandini Reginato, Carlos Eduardo Ambrósio, Alois Foltran Müller
PURPOSE: To evaluate abdominal ventral wound healing by using a specific biomaterial, a handmade polyamide surgical mesh. METHODS: A surgical incisional defect was made in ten rabbits to simulate a hernia in the ventral abdominal musculature. A polyamide surgical mesh was used in hernioplasty. They were monitored for surgical wound healing, and macroscopically and histologically evaluated at the end of the experiment. The polyamide surgical mesh did not cause foreign body reaction, pain, edema, or infection in the surgical site...
May 2018: Acta Cirúrgica Brasileira
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