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https://www.readbyqxmd.com/read/29917327/middle-turbinate-manipulation-and-postoperative-sinus-obstruction-after-endoscopic-endonasal-skull-base-surgery
#1
Thomas J Willson, Nicholas R Rowan, Eric W Wang
BACKGROUND: Inadvertent lateralization of the middle turbinate (MT) after endoscopic sinus surgery (ESS) is cited as a common complication that results in both outflow tract obstruction and recurrent symptoms. In endoscopic endonasal skull-base surgery, the MT is frequently lateralized during the parasagittal approach. Little is known about whether this strategy has unintended consequences on the adjacent paranasal sinuses. Intentional lateralization vs surgical resection of the MT were compared for radiographic evidence of sinus obstruction in this patient population...
June 19, 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29917320/efficacy-of-repeated-surgery-is-superior-to-that-of-non-surgery-for-recurrent-second-primary-lung-cancer-after-initial-operation-for-primary-lung-cancer
#2
Haitao Zhou, Xiaozheng Kang, Liang Dai, Wanpu Yan, Yongbo Yang, Yao Lin, Ke-Neng Chen
BACKGROUND: The current study aimed to determine the oncological efficacy and surgical safety of multiple pulmonary resections (MPRs) after prior curative surgery for local regional recurrent or second primary lung cancers. METHODS: All cases of lung cancer included in our prospective database between January 2000 and July 2015 were retrospectively reviewed. The oncological efficacy endpoints for synchronous and metachronous MPR were five-year overall survival (OS), disease-free survival (DFS), and progression-free survival (PFS) rates after the second surgery...
June 19, 2018: Thoracic Cancer
https://www.readbyqxmd.com/read/29916996/acute-glaucoma-following-cyanoacrylate-glue-patch-for-corneal-perforation
#3
Alfonso Vasquez-Perez, Francesco Matarazzo, Niraj Mandal, Stephen Tuft
PURPOSE: To describe a case of acute glaucoma after cyanoacrylate gluing for a non-traumatic central corneal perforation. METHODS: A 55-year-old woman with history of rheumatoid arthritis and severe dry eye presented to emergency with a right central corneal perforation. She was treated successfully with the use cyanoacrylate glue patch but iridocorneal adhesions remained. The next day she presented with ocular pain, headaches and vomiting. On examination she had shallow anterior chamber with no aqueous leakage but her intraocular pressure was 56▒mm Hg measured with rebound tonometry...
June 18, 2018: Journal of Glaucoma
https://www.readbyqxmd.com/read/29916984/le-fort-ii-osteotomy-and-modified-technique-presentation
#4
Héctor-Omar Malagón-Hidalgo, Roberto Vilchis-López, Diego-Raúl González-Chapa, Richael-Antonio Silva-Suárez, Eugenio García-Cano, José-Luis Lastiri-Barrios, Fernando González-Magaña
INTRODUCTION: The LeFort II osteotomy has a specific number of indications, thus this is true, there is less experience with the technique. The authors present a modification to the technique and extensive step-by-step procedure explanation in order to share their experience for making a safe surgery. MATERIAL AND METHODS: A clinical report is presented of a nonsyndromatic patient with nasomaxillary hypoplasia, in which the authors make an LeFort II osteotomy with circumvestibular, transcaruncular, and "W"-shaped approaches, with minimal scar showing, in order to offer better aesthetic outcomes as well as functional and skeletal...
June 18, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29916980/modified-lefort-distraction-osteogenesis-for-the-treatment-of-nager-syndrome-associated-midface-hypoplasia-technique-and-review
#5
Andrew M Simpson, Sagar T Mehta, Faizi Siddiqi, Duane Yamashiro, Barbu Gociman
The surgical management of midface hypoplasia in the setting of Nager syndrome remains a significant challenge for craniofacial surgeons. This study describes a novel technique using distraction osteogenesis and modified osteotomies for the treatment of midface bony defects in an 11-year-old child with Nager syndrome.Presurgical 3-dimensional planning was performed to design the osteotomies and placement of distractors. The surgical approach required upper buccal sulcus and extended transconjunctival incisions only...
June 18, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29916882/paradigm-shift-in-the-management-of-irresectable-colorectal-liver-metastases-living-donor-auxiliary-partial-orthotopic-liver-transplantation-in-combination-with-two-stage-hepatectomy-ld-rapid
#6
Alfred Königsrainer, Silke Templin, Ivan Capobianco, Ingmar Königsrainer, Michael Bitzer, Lars Zender, Bence Sipos, Lothar Kanz, Silvia Wagner, Silvio Nadalin
OBJECTIVE: to report the first case of resection and partial liver segment 2-3 transplantation with delayed total hepatectomy (RAPID) from living donor in a patient affected of irresectable colorectal liver metastases (i-CRLM) BACKGROUND:: A renaissance of liver transplantation (LT) for i-CRLM has been recently observed. The Norwegian SECA trial demonstrated a 5-year overall survival rate of approximately 60%, notwithstanding early tumor recurrence. The RAPID technique was recently introduced as alternative to whole deceased donor LT, but it is limited by poor availability of splittable organs and many organisational aspects...
June 18, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29916850/sphincter-of-oddi-dysfunction-sphincter-of-oddi-dysfunction-or-discordance-what-is-the-state-of-the-art-in-2018
#7
Jong Jin Hyun, Richard A Kozarek
PURPOSE OF REVIEW: To review important manuscripts published over the previous 2 years relative to sphincter of Oddi dysfunction (SOD). RECENT FINDINGS: The long-term outcomes of the Evaluating Predictors and Interventions of SOD (EPISOD) trial further substantiated results from the initial EPISOD study, reinforcing that neither endoscopic retrograde cholangiopancreatography-manometry nor endoscopic sphincterotomy are appropriate for SOD type III. Pain management in the latter patients has reverted to neuromodulating agents, and recent studies have suggested a role for duloxetine and potentially acupuncture...
June 16, 2018: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/29915970/comparison-of-surgical-outcomes-of-trabeculectomy-ahmed-shunt-and-baerveldt-shunt-in-uveitic-glaucoma
#8
Audrey Chow, Bruce Burkemper, Rohit Varma, Damien C Rodger, Narsing Rao, Grace M Richter
BACKGROUND: Uveitis is defined as a collection of syndromes involving intraocular inflammation which can lead to pain, tissue damage, and vision loss. Ophthalmic surgery in uveitis patients can be challenging due to inflammation-induced fibrosis and scarring. Trabeculectomy and implantation of glaucoma drainage devices (aqueous shunts) have been used in surgical management of uveitic glaucoma, however there is a paucity of literature examining the comparative results of these entities in this unique setting...
June 18, 2018: Journal of Ophthalmic Inflammation and Infection
https://www.readbyqxmd.com/read/29915947/a-pilot-study-of-a-breast-surgery-enhanced-recovery-after-surgery-eras-protocol-to-eliminate-narcotic-prescription-at-discharge
#9
Kristin E Rojas, Donna-Marie Manasseh, Peter L Flom, Solomon Agbroko, Nicole Bilbro, Charusheela Andaz, Patrick I Borgen
BACKGROUND: The evolving conceptualization of the management of surgical pain was a major contributor to the supply of narcotics that led to the opioid crisis. We designed and implemented a breast surgery-specific Enhanced Recovery After Surgery (ERAS) protocol using opioid-sparing techniques to eliminate narcotic prescription at discharge without sacrificing perioperative pain control. METHODS: A pilot observational study included patients with and without cancer undergoing lumpectomy...
June 18, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29915920/successful-treatment-of-isolated-bile-leakage-after-hepatectomy-combination-therapy-with-percutaneous-transhepatic-portal-embolization-and-bile-duct-ablation-with-ethanol-a-case-report
#10
Norio Kubo, Norifumi Harimoto, Kei Shibuya, Norihiro Ishii, Mariko Tsukagoshi, Takamichi Igarashi, Akira Watanabe, Kenichiro Araki, Masaya Miyazaki, Hiroyuki Kuwano, Ken Shirabe
BACKGROUND: Bile leakage after hepatectomy still causes relatively serious problems, and some types of bile leakage are intractable. CASE PRESENTATION: We report a case of postoperative isolated bile duct leakage managed successfully by combination therapy of percutaneous transhepatic portal vein embolization (PTPE) and bile duct ablation with ethanol. A 61-year-old man diagnosed with hepatocellular carcinoma underwent partial hepatectomy. On postoperative day 1, bile leakage was detected at the drainage tube...
June 19, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29915848/pulmonary-edema-post-adenotonsillectomy-in-children
#11
Elaf Ahmed, Nasser K Almutairi
Post-adenotonsillectomy pulmonary edema (pATPE) is a life-threatening condition that necessitates immediate clinical intervention. The early diagnosis and detection of the signs of this condition is vital to its treatment and patient outcome. The purpose of this review article is to present epidemiological data on the prevalence of pATPE, and address the mechanisms of development, types, etiology, pathophysiology, and management of pATPE. In order to minimize postoperative intensive care unit admission rates of pATPE, utilization of preoperative clinical assessment, operative/postoperative monitoring tools, and procedural precautions are discussed...
June 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29915804/using-advanced-wound-care-and-hyperbaric-oxygen-to-manage-wound-complications-following-treatment-of-vulvovaginal-carcinoma
#12
C Griffiths, R S Howell, H Boinpally, E Jimenez, E Chalas, F Musa, S Gorenstein
Postoperative management of patients with vulvar cancer is associated with a high incidence of poor wound healing and radiation -induced late tissue necrosis. This case series demonstrates the impact on wound healing with the use of hyperbaric oxygen therapy and advanced wound care following radical vulvectomy and/or radiation therapy. A retrospective case series was performed of all patients from 2016 to 2017 with lower genital cancer who underwent radical surgery with or without chemoradiation treatment, experienced wound dehiscence or late tissue radionecrosis, and were treated with advanced wound care, including hyperbaric oxygen therapy (HBO)...
May 2018: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/29915795/saddle-pulmonary-embolus-resulting-in-cardiovascular-collapse-requiring-extracorporeal-membrane-oxygenation-in-a-postoperative-patient-with-endometrial-cancer
#13
David Samuel, Gregory M Gressel, Sara Isani, Akiva P Novetsky, Nicole S Nevadunsky
Background: Venous thromboembolism after open gynecologic surgery is not uncommon, especially in the presence of other risk factors such as obesity, prolonged surgical time or gynecologic malignancy. Case: We present the case of a 62 y.o. patient who underwent open hysterectomy and surgical staging for uterine serous carcinoma. She was readmitted with lower extremity edema. During her workup, she underwent cardiovascular arrest secondary to saddle pulmonary embolus requiring cardiopulmonary resuscitation and extracorporeal membrane oxygenation...
May 2018: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/29914968/tracheobronchial-stents-in-palliative-care-a-case-series-and-literature-review
#14
Richard Tjahjono, Ronald Yoon-Kong Chin, Peter Flynn
OBJECTIVE: To evaluate the outcomes of tracheobronchial stenting in patients with malignant central airway obstruction and assist practitioners in palliative settings in understanding the indications, contraindications and management of tracheobronchial stents. METHODS: This retrospective study involved a consecutive case series of palliative patients with central airway obstruction secondary to inoperable cancers who underwent tracheobronchial stenting at a single institution...
June 18, 2018: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/29914788/impact-of-low-skeletal-muscle-mass-and-density-on-short-and-long-term-outcome-after-resection-of-stage-i-iii-colorectal-cancer
#15
Jeroen L A van Vugt, Robert R J Coebergh van den Braak, Zarina S Lalmahomed, Wietske W Vrijland, Jan W T Dekker, David D E Zimmerman, Wouter J Vles, Peter-Paul L O Coene, Jan N M IJzermans
BACKGROUND: Preoperative low skeletal muscle mass and density are associated with increased postoperative morbidity in patients undergoing curative colorectal cancer (CRC) surgery. However, the long-term effects of low skeletal muscle mass and density remain uncertain. METHODS: Patients with stage I-III CRC undergoing surgery, enrolled in a prospective observational cohort study, were included. Skeletal muscle mass and density were measured on CT. Patients with high and low skeletal muscle mass and density were compared regarding postoperative complications, disease-free survival (DFS), overall survival (OS), and cancer-specific survival (CSS)...
June 6, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29914291/the-path-to-surgery-in-carcinoid-heart-disease-a-retrospective-study-and-a-multidisciplinary-proposal-of-a-new-algorithm
#16
Philippe Mortelmans, Marie-Christine Herregods, Filip Rega, Philippe Timmermans
BACKGROUND: Development of carcinoid heart disease (CHD) is the major negative prognostic factor in patients with the carcinoid syndrome. The only effective treatment is valve replacement. However, the selection of candidates and determination of optimal timing remain unclear. Considerable variability in local screening and treatment strategies exist. METHODS: In this single-centre study, we retrospectively analysed the diagnostic process and outcome of all CHD patients who underwent valve surgery between 2000 and 2016...
June 18, 2018: Acta Cardiologica
https://www.readbyqxmd.com/read/29913775/epidural-pain-management-after-open-lateral-thoracotomy-female-patients-have-better-pain-relief-and-need-smaller-amounts-of-analgesics-than-males
#17
Gísli Vigfússon, Gísli H Sigurðsson
Background and aims There is an ongoing dispute whether or not there is a gender difference in epidural drug requirements. The objective of this study was to compare the effects of a triple drug epidural mixture used for postoperative pain relief on male and female patients undergoing major surgery. Materials and methods To avoid possible influence of different age and type of surgery only 50-70 year old patients undergoing open lateral thoracotomy were included. 253 patients were enrolled: 116 males and 137 females...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913395/the-effect-of-nonsteroidal-anti-inflammatory-drugs-on-bone-healing-in-humans-a-qualitative-systematic-review
#18
REVIEW
Alain Borgeat, Christian Ofner, Andrea Saporito, Mazda Farshad, José Aguirre
STUDY OBJECTIVE: Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used in postoperative pain management. While an increasing number of in vitro and animal studies point toward an inhibitory effect of NSAIDs on bone healing process, the few existing retro- and prospective clinical studies present conflicting data. DESIGN: The aim of this qualitative, systematic review was to investigate the impact of perioperative use of NSAIDs in humans on postoperative fracture/spinal fusion healing compared to other used analgesics measured as fracture nonunion with radiological control...
June 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29913392/evaluation-of-ultrasound-guided-erector-spinae-plane-block-for-postoperative-analgesia-in-laparoscopic-cholecystectomy-a-prospective-randomized-controlled-clinical-trial
#19
Serkan Tulgar, Mahmut Sertan Kapakli, Ozgur Senturk, Onur Selvi, Talat Ercan Serifsoy, Zeliha Ozer
STUDY OBJECTIVE: Laparoscopic cholecystectomy (LC) is a commonly performed minimally invasive procedure that has led to a decrease in procedure-related mortality and morbidity. However, LC requires analgesia that blocks both visceral and somatic nerve fibers. In this study, we evaluated the effectiveness of Erector Spinae Plane Block (ESPB) for postoperative analgesia management in LC. DESIGN: Single-blinded, prospective, randomized, efficiency study. SETTING: Tertiary university hospital, postoperative recovery room & ward...
June 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29913027/patient-satisfaction-with-nonopioid-pain-management-following-knee-arthroscopic-partial-meniscectomy-and-or-chondroplasty
#20
Charles S Carrier, Kirsten D Garvey, Emily M Brook, Elizabeth G Matzkin
The purpose of this study was to determine the efficacy of nonopioid pain management following arthroscopic partial meniscectomy and/or chondroplasty and to assess patients' attitudes regarding their need for opioid pain medication following these procedures. Patients who underwent a knee arthroscopy procedure for either partial meniscectomy and/or chondroplasty from July 2016 to January 2017 by a single surgeon at a single institution were included. Medical records were reviewed, and demographics were recorded...
June 18, 2018: Orthopedics
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