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https://www.readbyqxmd.com/read/29924008/pacman-flap-for-oncologic-reconstruction-of-soft-tissue-defects-after-tumor-resection-a-retrospective-case-series
#1
Guangxue Li, Lan Mu, Ye Bi, Kai Yang, Yan Liu, Zhe Peng, Yi Zhu, Huiran Zang, Saisai Cao, Peiyang Zhang, Youlei Qian
INTRODUCTION: The Pacman flap is a novel modality for repairing round soft-tissue defects after tumor resection. This modality provides a robust blood supply without microsurgical tissue rearrangement. This article reviews the authors' experience with Pacman flap for reconstruction of round soft-tissue defects. The safety and effectiveness of the Pacman flap are investigated. METHODS: Here, we describe a method for oncologic reconstruction of round soft-tissue defects with a Pacman flap after tumor resection...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923979/median-arcuate-ligament-syndrome-and-arterial-anastomotic-bleeding-inducing-hepatic-artery-thrombosis-after-liver-transplantation-a-case-report
#2
Xiaodong Sun, Zhongqi Fan, Wei Qiu, Yuguo Chen, Chao Jiang, Guoyue Lv
RATIONALE: Median arcuate ligament (MAL) may compress the coeliac trunk inducing median arcuate ligament syndrome (MALS). MALS is a risk factor for hepatic artery thrombosis (HAT) in liver transplant recipients. PATIENT CONCERNS: A thin female complained about upper abdominal pain for two months. DIAGNOSES: The patient was diagnosed as primary biliary cirrhosis. INTERVENTIONS: The patient received two liver transplantations...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923930/prophylactic-seizure-medication-and-health-related-quality-of-life-after-intracerebral-hemorrhage
#3
Andrew M Naidech, Jennifer Beaumont, Kathryn Muldoon, Eric M Liotta, Matthew B Maas, Matthew B Potts, Babak S Jahromi, David Cella, Shyam Prabhakaran, Jane L Holl
OBJECTIVES: Prophylactic levetiracetam is currently used in ~40% of patients with intracerebral hemorrhage, and the potential impact of levetircetam on health-related quality of life is unknown. We tested the hypothesis that prophylactic levetiracetam is independently associated with differences in cognitive function health-related quality of life. DESIGN: Patients with intracerebral hemorrhage were enrolled in a prospective cohort study. We performed mixed models for T-scores of health-related quality of life, referenced to the U...
June 19, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29922546/the-use-of-temporoparietal-fascia-flap-for-surgical-treatment-of-traumatic-auricle-defects
#4
Ubaidullo Kurbonov, Abdumalik Davlatov, Sitora Janobilova, Ziyodullo Kurbanov, Massoud Mirshahi
Background: Auricular reconstruction is 1 of the biggest challenges of facial plastic surgery. The aim of this study was to evaluate the efficacy of 1-stage reconstruction of an auricle using a temporoparietal fascia flap (TPFF). Methods: In this nonrandomized study, autologous auricle bodies with emergency condition and cartilaginous graft from projection of a costal arch from the VI-VII ribs were used. Temporal fascia sample with vascular pedicle (a temporal artery with the accompanying veins) by the Z-shaped incision of skin in temporal area for auricular reconstruction was extracted...
May 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29921745/hand-hematoma-after-cardiac-catheterization-via-distal-radial-artery
#5
Michael Koutouzis, Eleftherios Kontopodis, Andreas Tassopoulos, Ioannis Tsiafoutis, Efstathios Lazaris
This is the first reported case of severe hand hematoma after cardiac catheterization through the distal radial artery, with the hematoma extending distally to the sheath insertion site. The distribution of the hematoma in our case is completely different compared to the hematomas observed after traditional radial catheterization, which used to extend to the forearm. Therefore, the traditional EASY classification may not apply to hematomas after catheterization through the distal radial artery.
June 19, 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29920396/effects-of-atorvastatin-on-surgical-treatments-of-chronic-subdural-hematoma
#6
Rongrui Tang, Jiantao Shi, Xuegang Li, Yongjie Zou, Long Wang, Yujie Chen, Rubin Yan, Boyuan Gao, Hua Feng
OBJECTIVE: To investigate the effects of atorvastatin on the surgical treatment of patients with chronic subdural hematoma (CSDH). METHODS: Our retrospective study included 245 consecutive adult patients undergoing burr hole craniotomy of CSDH. Data included baseline characteristics and recurrence, postoperative complications, and mortality. A univariate and multivariate regression model analyzed the association between administration of atorvastatin perioperatively and recurrence rates...
June 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29920380/transvaginal-treatment-of-anterior-and-apical-genital-prolapses-using-an-ultra-lightweight-mesh-restorelle%C3%A2-direct-fixtm-a-retrospective-study-on-feasibility-and-morbidity
#7
Philippe Ferry, Pauline Bertherat, Anne Gauthier, Richard Villet, Francesco Del Piano, David Hamid, Hervé Fernandez, Pierre-Louis Broux, Delphine Salet-Lizée, Etienne Vincens, Pierre Ntshaykolo, Philippe Debodinance, Philippe Pocholle, Yannick Thirouard, Renaud de Tayrac
Vaginal mesh safety information is limited, especially concerning single incision techniques using ultra lightweight meshes for the treatment of anterior pelvic organ prolapse (POP). Objective To determine the intraoperative and postoperative complication rates after anterior POP repair involving an ultralight mesh (19kg/m2 ): Restorelle® Direct Fix™. Methods A case series of 218 consecutive patients, operated on between January 2013 and December 2016 in ten tertiary and secondary care centres, was retrospectively analysed...
June 16, 2018: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/29916973/adjunctive-use-of-the-dermocartilaginous-ligament-for-dorsal-irregularities-in-primary-rhinoplasty
#8
Orhan Ozturan, Alper Yenigun, Selahattin Tugrul, Fadlullah Aksoy
Nasal dorsal irregularity is a common postrhinoplasty complication in spite of meticulous smoothing. Utilization of the dermocartilaginous ligament in 2 different fashions for different purposes was described before. A novel utilization of the dermocartilaginous ligament as a flattened and pedicled flap from the cephalic attachment for nasal dorsal irregularities was presented in this article. This surgical technique was applied in 11 cases. Eight of them had thin skin, 2 had skin with medium thickness, and 1 had thick skin...
June 18, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29916890/aesthetic-refinement-in-the-creation-of-the-clitoris-its-preputial-hood-and-labia-minora-in-male-to-female-transsexual-patients
#9
Iván Mañero Vazquez, Oihane García-Senosiain, Trinidad Labanca, Esther Gómez Gil
BACKGROUND: In male-to-female genital sex reassignment surgery, the clitoris, its prepuce, and the labia minora remain among the most difficult structures to construct. We describe the authors' clitoroplasty and vulvoplasty technique. METHODS: All patients who underwent male-to-female sex reassignment surgery at a single center, between June 2012 and June 2016, were prospectively included. The standard pedicled island neurovascular flap of the glans penis was harvested in a letter M fashion with attached preputial skin...
June 19, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29916889/a-new-technique-in-management-of-depressed-posttracheostomy-scars
#10
Sevgi Kurt Yazar, Erkan Yüce, Merdan Serin, Memet Yazar, Zeliha Gül, Fatih Irmak, Serhat Selami Şirvan
BACKGROUND: The goals of tracheostomy scar revision are filling of the depressed area, providing easy sliding of skin over the trachea. There are various techniques described to correct this situation. In this article, a modification of split sternocleidomastoid (SCM) muscle flap used in the correction of posttracheostomy defects is described. METHODS: Thirteen patients who had depressed scars after tracheostomy are included in this study. The mean patient age was 44 years (range, 27-56 years)...
June 19, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29916885/direct-to-implant-as-a-frontline-option-for-immediate-breast-reconstruction-a-comparative-study-with-2-stage-reconstruction
#11
Hyun Ho Han, Hyung Bae Kim, Eun Key Kim, Jin Sup Eom
BACKGROUND: Immediate single-stage direct-to-implant breast reconstruction requires caution owing to the possibility of skin necrosis and implant failure. Nevertheless, this method has been performed widely for breast reconstruction. This study aimed to analyze the safety of single-stage implant reconstruction by comparing it with 2-stage reconstruction (TSR). METHODS: Immediate single-stage reconstructions (SSRs) and TSRs with a tissue expander, performed from January 2011 to December 2016, were retrospectively reviewed...
June 19, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29916091/vascular-complications-in-adult-postcardiotomy-cardiogenic-shock-patients-receiving-venoarterial-extracorporeal-membrane-oxygenation
#12
Feng Yang, Dengbang Hou, Jinhong Wang, Yongchao Cui, Xiaomeng Wang, Zhichen Xing, Chunjing Jiang, Xing Hao, Zhongtao Du, Xiaofang Yang, Yu Jiang, Xiaotong Hou
BACKGROUND: The rate, prognostic impacts, and predisposing factors of major vascular complications (MVCs) in patients underwent venoarterial extracorporeal membrane oxygenation (VA-ECMO) by surgical cut-down are poorly understood. The purpose of this study was to identify these parameters in adult VA-ECMO patients. METHODS: Adult postcardiotomy cardiogenic shock (PCS) patients receiving VA-ECMO by femoral surgical cut-down cannulation from January 2004 to December 2015 were enrolled in this study...
June 19, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/29915888/moyamoya-disease-in-pregnancy-a-systematic-review
#13
REVIEW
Georgios A Maragkos, Luis C Ascanio, Kohei Chida, Myles D Boone, Christopher S Ogilvy, Ajith J Thomas, Ekkehard M Kasper
BACKGROUND: Moyamoya disease (MMD) management during pregnancy poses a challenge to health care providers, and recommendations are outdated, vague, and controversial. We conducted a systematic review to investigate and present the available evidence. METHOD: We searched five online databases and bibliographies of relevant published original studies to identify case reports, case series, cohort studies, and reviews reporting on patients diagnosed with MMD before, during, or shortly after pregnancy...
June 19, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29915125/beyond-large-vessel-occlusion-strokes-distal-occlusion-thrombectomy
#14
Jonathan A Grossberg, Leticia C Rebello, Diogo C Haussen, Mehdi Bouslama, Meredith Bowen, Clara M Barreira, Samir R Belagaje, Michael R Frankel, Raul G Nogueira
BACKGROUND AND PURPOSE: Endovascular therapy is the standard of care for the treatment of proximal large vessel occlusion strokes. Its safety and efficacy in the treatment of distal intracranial occlusions has not been well studied. METHODS: The data that support the findings of this study are available from the corresponding author on reasonable request. Retrospective review of a prospectively collected endovascular database (2010-2015, n=949) for all patients with distal intracranial occlusions treated endovascularly...
June 18, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29915124/-17p12-influences-hematoma-volume-and-outcome-in-spontaneous-intracerebral-hemorrhage
#15
Sandro Marini, William J Devan, Farid Radmanesh, Laura Miyares, Timothy Poterba, Björn M Hansen, Bo Norrving, Jordi Jimenez-Conde, Eva Giralt-Steinhauer, Roberto Elosua, Elisa Cuadrado-Godia, Carolina Soriano, Jaume Roquer, Christina E Kourkoulis, Alison M Ayres, Kristin Schwab, David L Tirschwell, Magdy Selim, Devin L Brown, Scott L Silliman, Bradford B Worrall, James F Meschia, Chelsea S Kidwell, Joan Montaner, Israel Fernandez-Cadenas, Pilar Delgado, Steven M Greenberg, Arne Lindgren, Charles Matouk, Kevin N Sheth, Daniel Woo, Christopher D Anderson, Jonathan Rosand, Guido J Falcone
BACKGROUND AND PURPOSE: Hematoma volume is an important determinant of clinical outcome in spontaneous intracerebral hemorrhage (ICH). We performed a genome-wide association study (GWAS) of hematoma volume with the aim of identifying novel biological pathways involved in the pathophysiology of primary brain injury in ICH. METHODS: We conducted a 2-stage (discovery and replication) case-only genome-wide association study in patients with ICH of European ancestry...
June 18, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29914487/blunt-liver-trauma-a-descriptive-analysis-from-a-level-i-trauma-center
#16
Ibrahim Afifi, Sheraz Abayazeed, Ayman El-Menyar, Husham Abdelrahman, Ruben Peralta, Hassan Al-Thani
BACKGROUND: We aimed to review liver injury experience in a level 1 trauma center; namely clinical presentation, grading, management approach and clinical outcomes. METHODS: It is a retrospective analysis to include all blunt liver injury patients who were admitted at the Level 1 trauma center over a 3-year period. Data were compared and analyzed based on the liver injury grades and management approaches. RESULTS: Blunt liver injury accounted for 38% of the total blunt abdominal trauma cases with a mean age of 31 ± 13 years...
June 19, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29912610/pain-and-surgical-outcomes-reporting-after-laparoscopic-ventral-hernia-repair-in-relation-to-mesh-fixation-technique-a-systematic-review-and-meta-analysis-of-randomized-clinical-trials
#17
Mooyad A Ahmed, Qutaiba A Tawfic, Christopher M Schlachta, Nawar A Alkhamesi
OBJECTIVES: The aim of this meta-analysis was to examine postoperative pain and surgical outcomes (operative time, hospital stay, the incidence of seroma and recurrence) with different mesh fixation methods following laparoscopic ventral hernia repair (LVHR). METHODS: Randomized clinical trials compared different methods of mesh fixation in LVHR and reported on pain outcome measures analyzed. The results were expressed as odds ratio (OR) for combined dichotomous and mean difference (MD) for continuous data...
June 18, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29912090/rupture-of-the-corpus-cavernosum-in-a-pediatric-patient
#18
Blake C Gruenberg, David Mortel, Amanda Bogie
Pediatric penile pain is an uncommon complaint and is associated with a wide differential diagnosis including infectious, inflammatory, traumatic, and idiopathic conditions. Penile fractures, anatomically known as rupture of the corpus cavernosum, are almost exclusively reported in sexually mature patients and usually involve forceful manipulation during sexual activity. Rupture of the corpus cavernosum is a true urologic emergency. Failure to recognize and treat rupture of the corpus cavernosum has been associated with residual penile angulation, persistent hematoma, abscess, erectile dysfunction, and fibrosis...
June 14, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29911581/real-time-ultrasound-guided-infraorbital-nerve-block-to-treat-trigeminal-neuralgia-using-a-high-concentration-of-tetracaine-dissolved-in-bupivacaine
#19
Kenichi Takechi, Amane Konishi, Kotaro Kikuchi, Shiho Fujioka, Tomomi Fujii, Toshihiro Yorozuya, Koh Kuzume, Takumi Nagaro
Background Trigeminal neuralgia is a neuropathic disorder characterized by episodes of intense pain in the face. Drug therapy is the first choice of treatment. However, in cases where drug therapy are contraindicated due to side effects, patients can get pain relief from lengthy neurosurgical procedures. Alternatively, a peripheral trigeminal nerve block can be easily performed in an outpatient setting. Therefore it is a useful treatment option for the acute paroxysmal period of TN in patients who cannot use drug therapy...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29909511/minimizing-the-short-term-reoperation-rate-in-abdominoplasty-procedures-by-prolonged-postoperative-immobilization
#20
Karl Schwaiger, Stephanie Tiede, Wolfgang Hitzl, Rene Kaplan, Frederik DeMeyer, Klemens Heinrich, Michaela Hladik, Gottfried Wechselberger, Elisabeth Russe
BACKGROUND: Abdominoplasty is a common procedure in postbariatric surgery. Over the years, a high number of technical refinements of the procedure have been established to improve safety and reduce associated complications. Nevertheless, the complication rate is high. The purpose of this study was to examine the incidence of postoperative complications in patients undergoing abdominoplasty in association with prolonged postoperative immobilization. METHODS: Retrospective analysis of 82 patients who underwent abdominoplasty was performed...
June 16, 2018: Obesity Surgery
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