keyword
https://read.qxmd.com/read/38526420/clinical-practice-patterns-for-surgical-shunts-and-penile-prosthesis-placement-in-men-with-priapism-a-retrospective-large-claims-database-analysis
#1
JOURNAL ARTICLE
Taylor P Kohn, William DuComb, Kiran Sury, Una Choi, Trinity J Bivalacqua
INTRODUCTION: The objective of this study was to assess the rates of surgical shunting and prosthesis placement for acute ischemic priapism using a large multi-institutional claims database. METHODS: A US claims database network (TriNetX Diamond Network) was queried from 2010 to 2020. We constructed a cohort of men ages ≥ 16 years who (1) had a diagnosis of priapism and (2) underwent an irrigation of the corpora cavernosa for priapism. We assessed the number of men who then had a surgical penile shunt or penile prosthesis placement...
March 21, 2024: Urology Practice
https://read.qxmd.com/read/38523131/thoracic-cavity-irrigation-prevents-retained-hemothorax-and-decreases-surgical-intervention-in-trauma-patients
#2
JOURNAL ARTICLE
Abdul Hafiz Al Tannir, Elise A Biesboer, Simin Golestani, Morgan Tentis, Morgan Maring, Jaclyn Gellings, Jacob R Peschman, Patrick B Murphy, Rachel S Morris, Anuoluwapo Elegbede, Marc A de Moya, Thomas W Carver
INTRODUCTION: Retained hemothorax (HTX) is a common complication following thoracic trauma. Small studies demonstrate the benefit of thoracic cavity irrigation at the time of tube thoracostomy for the prevention of retained HTX. We sought to assess the effectiveness of chest irrigation in preventing retained HTX leading to a secondary surgical intervention. METHODS: We performed a single-center retrospective study from 2017-2021 at a Level I trauma center comparing bedside thoracic cavity irrigation via tube thoracostomy (TT) versus no irrigation...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38520201/convolutional-neural-network-based-deep-learning-engine-for-mastoidectomy-instrument-recognition-and-movement-tracking
#3
JOURNAL ARTICLE
Mallory J Raymond, Biswajit Biswal, Royal M Pipaliya, Mark A Rowley, Ted A Meyer
OBJECTIVE: To develop a convolutional neural network-based computer vision model to recognize and track 2 mastoidectomy surgical instruments-the drill and the suction-irrigator-from intraoperative video recordings of mastoidectomies. STUDY DESIGN: Technological development and model validation. SETTING: Academic center. METHODS: Ten 1-minute videos of mastoidectomies done for cochlear implantation by varying levels of resident surgeons were collected...
March 23, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38517982/first-in-human-clinical-performance-of-a-novel-non-cavitating-hand-held-lensectomy-system-in-665-consecutive-cataract-surgeries
#4
JOURNAL ARTICLE
Sean Ianchulev, Elizabeth Yeu, Edward H Hu, Paul Singh, Gautam Kamthan, Gavin Li, Seth Pantanelli, Farrell Tyson
PURPOSE: To investigate the intraoperative performance and lens fragmentation efficacy of a non-cavitating handheld lensectomy system in mild, moderate, and severe cataract. SETTING: Ambulatory surgical centers. DESIGN: Retrospective consecutive case series. METHODS: 665 consecutive eyes underwent cataract surgery by 12 surgeons using a novel handheld non-cavitating lensectomy system for nuclear fragmentations and extraction...
March 22, 2024: Journal of Cataract and Refractive Surgery
https://read.qxmd.com/read/38494859/moving-beyond-the-temporal-bone-lab-creating-a-drilling-station-in-the-otolaryngology-clinic
#5
JOURNAL ARTICLE
Monika E Freiser, Christian Morill, Bradley Eichar, Khalil Baddour, Noel Jabbour
With the advent of operable 3-dimensional (3D)-printed models, case preparation could occur outside of the cadaveric laboratory. The objective of this study was to design a mobile drilling station that can be used for surgical practice in a variety of clean workplaces. Using materials obtained from hardware stores and online retailers, a wheelable drilling station was constructed to mimic laboratory conditions while also being easily maneuverable into clinic rooms. The station houses the otologic drill, suction, and irrigation mechanisms, is height adjustable, and has a shielded workspace...
March 17, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38494773/-exploration-of-the-method-and-efficacy-of-treatments-for-intractable-pelvic-pain-caused-by-rectal-or-bladder-fistula
#6
JOURNAL ARTICLE
Y M Zhang, G C Wang, Y J Liu, Y C Wang, G Q Zhang, Y Zhang, C Q Gao, C Wang, Z Zhang, J Yang, L Jin, Y P Wang, Z L Niu
Objective: To explore the causes and therapeutic effects of pelvic pain caused by rectal fistula or bladder fistula after comprehensive treatment of cervical cancer and rectal cancer (radiotherapy, surgery, chemotherapy, and other treatments). Methods: A retrospective analysis was conducted on the clinical and pathological data of patients with pelvic tumors admitted to the First People's Hospital of Yinchuan City, Ningxia and the Affiliated Cancer Hospital of Zhengzhou University from June 2016 to June 2022...
March 23, 2024: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://read.qxmd.com/read/38492009/evaluating-the-efficacy-of-nasal-irrigation-in-postoperative-functional-endoscopic-sinus-surgery-patients-a-systematic-review-and-meta-analysis
#7
REVIEW
Sridevi Gnanasekaran, Vinothini Jayaraj, Yazhini V B, Mohanraj Palani Selvam, Vinoth Rajendran
PURPOSE: Functional endoscopic sinus surgery (FESS) is a mainstay surgical intervention for chronic rhinosinusitis with nasal polyposis (CRSwNP). Nasal irrigation, particularly with normal saline, is a widely recommended postoperative care modality. This systematic review and meta-analysis aimed to assess the efficacy of various nasal irrigation solutions in postoperative FESS patients. METHODS: A comprehensive search was conducted in multiple databases for randomized controlled trials investigating normal saline and various substances for nasal irrigation post-FESS...
March 16, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38490711/non-vertebral-mycobacterium-avium-complex-osteomyelitis-in-an-immunocompetent-patient
#8
JOURNAL ARTICLE
Rebecca McAllister, Anthony Magee, Sean Kelly
Mycobacterium avium complex (MAC) is a ubiquitous soil pathogen that is an uncommon cause of diseases in immunocompetent patients. In this case, we describe the presentation of an otherwise healthy man in his 50s presenting with months of malaise and severe hip pain, with aspiration initially yielding no bacteria and presumed fastidious infection. He was treated with irrigation and debridement, surgical stabilisation of the femoral neck and conventional broad-spectrum antibiotics with final cultures diagnostic of MAC osteomyelitis...
March 15, 2024: BMJ Case Reports
https://read.qxmd.com/read/38490277/moses-tm-technology-versus-non-moses-holmium-laser-enucleation-of-the-prostate-a-randomized-controlled-trial-from-a-high-volume-center
#9
JOURNAL ARTICLE
Zhen Tong, Sherryn Sherryn, Shengqiang Xia, Jie Sun
OBJECTIVES: Benign prostatic hyperplasia (BPH) management has evolved from transurethral resection of the prostate (TURP) to holmium laser enucleation of the prostate (HoLEP). Recent innovation introduces MosesTM technology in holmium lasers, with the Lumenis PulseTM system. METHODS: To compare Moses-augmented HoLEP (MoLEP) to non-Moses HoLEP in terms of enucleation efficiency, hemostasis, and applicability in day surgery settings. A single-blind, prospective, parallel randomized controlled trial was conducted in Shanghai, China, from March to December 2022...
March 13, 2024: Urology
https://read.qxmd.com/read/38490053/modified-medial-gastrocnemius-myocutaneous-flap-with-extended-anterior-inferior-and-or-posterior-boundaries-anatomical-observation-and-report-of-a-clinical-series-of-33-flaps
#10
JOURNAL ARTICLE
Shibin Tao, Zhonggen Dong, Jianwei Wei, Lihong Liu, Lijun Zhang, Shimu Shi
INTRODUCTION: Reports on medial gastrocnemius myocutaneous (MGM) flaps with extended inferior and posterior boundaries are rare, and information about the MGM flaps with extended anterior boundaries is unavailable. Thus, this study aimed to investigate the vascular anatomical basis and clinical reliability of the modified MGM flap with extended anterior, inferior and/or posterior boundaries. METHODS: Five fresh lower limb specimens from patients with recurrent tumours in the thigh were immediately irrigated and perfused...
March 11, 2024: Injury
https://read.qxmd.com/read/38480602/comparison-of-temperature-and-renal-tissue-thermal-damage-by-holmium-laser-with-different-energy-parameters-during-lithotripsy-in-vitro-porcine-kidney-model
#11
JOURNAL ARTICLE
Wei Wei, Ming Chen, Le Xie, Yuan Mai, Huacai Zhu, Zhanping Xu
OBJECTIVE: Holmium laser percutaneous nephrolithotripsy was simulated by porcine kidney calculus model in vitro to investigate thermal damage of renal tissue by different energy parameters of the holmium laser. METHODS: We placed human kidney calculus specimen in fresh vitro porcine kidney, then insert thermocouple temperature probes into the submucosa of the renal pelvis and reheated in a 37 °C water bath. A percutaneous nephrological sheath was used to penetrate the renal parenchyma with a moderate irrigation rate of 30 ml/min at 18 ℃...
March 14, 2024: International Urology and Nephrology
https://read.qxmd.com/read/38477800/in-vivo-assessment-of-antimicrobial-activity-and-toxicity-of-repeated-1-povidone-iodine-applications-versus-a-single-5-povidone-iodine-application
#12
JOURNAL ARTICLE
David Teren, Gil Neuman, Adi Abulafia, Evgeny Gelman, Elishai Assayag, Abeer Hajj, Orna Shwartz, David Zadok
PURPOSE: To demonstrate the non-inferiority in antimicrobial effectiveness of thrice-repeated applications of 1% povidone-iodine (PI) compared to a single application of 5% PI on the ocular surface in vivo and to evaluate potential toxicity of PI to the corneal epithelium. SETTING: Department of Ophthalmology, Shaare Zedek Medical Center, Jerusalem, Israel. DESIGN: Prospective randomized, double-blind study. METHODS: Patients randomly received either a single application of 5% PI or repeated irrigations of 1% PI on the ocular surface before surgery...
February 28, 2024: Journal of Cataract and Refractive Surgery
https://read.qxmd.com/read/38477786/ellagic-acid-protected-the-gingival-tissue-via-fibroblast-and-epidermal-growth-factors-in-rats
#13
JOURNAL ARTICLE
Gülüçağ Giray Tekin, Buşra Deveci, Engin Deveci
PURPOSE: To investigate the effect of ellagic acid (EA) in gingival tissues injury in rats. METHODS: Twenty rats were categorized into two groups. In burn group, an excisional wound area was created by removing a 4-mm diameter flap from the left molar region in the mucoperiosteal region of the gingiva. In burn + ellagic acid group, 1.2 mg/mL EA was administered as irrigation for one week. Animals was sacrificed under anesthesia at the end of experiment. Malondialdehyde (MDA), myeloperoxidase (MPO) and glutathione (GSH) level were measured...
2024: Acta Cirúrgica Brasileira
https://read.qxmd.com/read/38477563/pediatric-type-i-open-both-bone-forearm-fractures-predicting-failure-of-nonoperative-management
#14
JOURNAL ARTICLE
McKenna C Noe, Robert C Link, Jonathan R Warren, Ezra Goodrich, Mark Sinclair, Caroline Tougas
BACKGROUND: In recent years, nonoperative treatment of pediatric type I open both bone forearm fractures (OBBFFs) with bedside irrigation, antibiotics, closed reduction, and casting has yielded low infection rates. However, risk factors for failure of type I OBBFF closed reduction have not been well described. Our purpose was to describe management of patients with type I OBBFFs at our institution and determine what factors are associated with failure of closed reduction in this population...
March 13, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38468682/stereotactic-placement-of-dual-lumen-catheter-system-for-continuous-drainage-irrigation-and-intraventricular-antibiotic-therapy-for-treatment-of-brain-abscess-with-ventriculitis-a-case-report-and-literature-review
#15
Domenico Policicchio, Lucio Cosco, Giuseppe Mauro, Alfonso Nicola Iannello, Luigi Santaguida, Virginia Vescio, Giosué Dipellegrini
BACKGROUND: Cerebral abscesses complicated by ventriculitis present significant treatment challenges, often associated with high morbidity and mortality. Traditional management approaches, including systemic antibiotic therapy and external ventricular drainage (EVD), face limitations due to the blood-brain barrier and risks of catheter-related complications. This report discusses a case where the dual-lumen catheter system, an innovative neurosurgical tool integrating continuous irrigation with drainage, was employed...
2024: Surgical Neurology International
https://read.qxmd.com/read/38466866/turning-up-the-heat-surgical-simulation-of-the-moses-2-0-laser-in-an-anatomic-model
#16
JOURNAL ARTICLE
Christopher Wanderling, Aaron Saxton, Dennis Phan, Karen Doersch, Lauren Shepard, Nathan Schuler, Thomas Osinski, Scott Quarrier, Ahmed Ghazi
INTRODUCTION: With advancements in laser technology, urologists have been able to treat urinary calculi more efficiently by increasing the energy delivered to the stone. With increases in power used, there is an increase in temperatures generated during laser lithotripsy. The aim of this study was to evaluate the thermal dose and temperatures generated with four laser settings at a standardized power in a high-fidelity, anatomic model. METHODS: Using high-fidelity, 3D printed hydrogel models of a pelvicalyceal collecting system with a synthetic BegoStone implanted in the renal pelvis, surgical simulation of ureteroscopic laser lithotripsy was performed with the Moses 2...
March 1, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38461077/balanoposthitis-in-children-analysis-of-treatment-diversity-and-development-of-a-treatment-proposal
#17
JOURNAL ARTICLE
Sabine Zundel, Verena Ellerkamp
INTRODUCTION: Balanoposthitis in boys with physiological phimosis is common. Publications on the topic are rare and literature provides no evidence-based guidelines on treatment efficacy. With this study, we aim to analyze treatments currently used, physicians' experience regarding the success and thus derive a treatment proposal. STUDY DESIGN: An online questionnaire was created to evaluate practice patterns and experience. A case scenario, open questions and multiple-choice questions were used to allow multilayered answers...
February 27, 2024: Journal of Pediatric Urology
https://read.qxmd.com/read/38459859/-surgical-treatment-with-pulsed-lavage-irrigation-for-infective-endocarditis
#18
JOURNAL ARTICLE
Kotone Tsujimoto, Hideo Yoshida, Genya Muraoka, Masahiko Kuinose
INTRODUCTION: Pulsed lavage irrigation (PLI) is a procedure used to wash contaminated soft tissues and prevent infection in orthopedic surgery. We applicated PLI for surgical treatment of infective endocarditis( IE). SUBJECTS AND METHODS: From January 2017 to June 2021, 6 cases underwent surgical treatment IE using PLI. We investigated an efficacy of PLI. RESULTS: Infected valves were mitral valve in 4 cases, aortic valve in 1 case, and aortic prosthetic valve in 1 case...
February 2024: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38458602/probing-versus-primary-nasal-endoscopy-for-the-treatment-of-congenital-dacryocystoceles
#19
JOURNAL ARTICLE
Tessnim R Ahmad, Karla J Lindquist, Julius T Oatts, Alejandra G de Alba Campomanes, Robert C Kersten, Dylan K Chan, Maanasa Indaram
PURPOSE: To compare outcomes and complications of three surgical techniques for the treatment of congenital dacryocystoceles: nasolacrimal probing and irrigation (P+I), P+I plus nasal endoscopy (NE) with intranasal cyst marsupialization, and primary NE with intranasal cyst marsupialization. METHODS: The medical records of children ≤2 years of age at a single academic center with a diagnosis of dacryocystocele from 2012 to 2022 were retrospectively identified and reviewed...
March 6, 2024: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://read.qxmd.com/read/38450616/treatment-of-external-fixator-pin-tract-deep-infections-with-an-antibiotic-sparkler
#20
JOURNAL ARTICLE
Lee M Hlad, Jacob N Rizkalla, Eric So, John E Herzenberg
Pin tract infections are virtually universal complications with the use of external fixation. While most are superficial and respond to oral antibiotics and local care, septic loosening may occur at the bone-pin interface, which may lead to instability of the fixator, catastrophic failure, fracture, and long-term osteomyelitis. Classification systems and prevention protocols have been developed to address this ubiquitous complication. Treatment of severe pin tract infections often requires debridement, parenteral antibiotics, and removal of the offending pin or the entire external fixator...
March 7, 2024: Foot & Ankle Specialist
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