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https://www.readbyqxmd.com/read/29772949/lack-of-consensus-on-optimal-acetabular-cup-orientation-because-of-variation-in-assessment-methods-in-total-hip-arthroplasty-a-systematic-review
#1
Thom E Snijders, Koen Willemsen, Steven M van Gaalen, Rene M Castelein, Harrie Weinans, Arthur de Gast
INTRODUCTION: Dislocation is one of the main reasons for revision of total hip arthroplasty but dislocation rates have not changed in the past decades, compromising patients' well-being. Acetabular cup orientation plays a key role in implant stability and has been widely studied. This article investigates whether there is a consensus on optimal cup orientation, which is necessary when using a navigation system. METHODS: A systematic search of the literature in the PubMed, Embase and Cochrane databases was performed (March 2017) to identify articles that investigated the direct relationship between cup orientation and dislocation, including a thorough evaluation of postoperative cup orientation assessment methods...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29771825/complex-scalp-and-calvarium-defects-after-giant-basal-cell-carcinoma-excision-management-challanges-outcomes
#2
Utku Ozcan, Mustafa Akyurek, Emrah Arslan
Giant basal cell carcinoma (GBCC) is defined as a tumor ≥5 cm in diameter. GBCC of scalp usually requires extended resection of soft tissues, calvarium, and dura. In this study, we present 5 patients with GBCC of head, who underwent a single-stage combined scalp, calvarium, and dural reconstruction. Herein, we aim to discuss reconstruction methods, cerebrospinal fluid (CSF) leakage, duration of hospital stay, and tumor recurrency. Peroperative and postoperative follow-ups, defect areas, and performed calvarium reconstruction methods of 5 patients, who underwent complex scalp and calvarium reconstruction after GBCC between year 2010 and 2017, were retrospectively maintained...
May 15, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29764458/cone-beam-computed-tomography-in-implant-dentistry-recommendations-for-clinical-use
#3
Reinhilde Jacobs, Benjamin Salmon, Marina Codari, Bassam Hassan, Michael M Bornstein
BACKGROUND: In implant dentistry, three-dimensional (3D) imaging can be realised by dental cone beam computed tomography (CBCT), offering volumetric data on jaw bones and teeth with relatively low radiation doses and costs. The latter may explain why the market has been steadily growing since the first dental CBCT system appeared two decades ago. More than 85 different CBCT devices are currently available and this exponential growth has created a gap between scientific evidence and existing CBCT machines...
May 15, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29753777/surgically-assisted-rapid-palatal-expansion-in-class-iii-malocclusion-our-experience
#4
A Barrabé, C Meyer, H Bonomi, Weber Elise, N Sigaux, A Louvrier
INTRODUCTION: Maxillary transverse deficiency (MTD) is a common facial disharmony that may need surgical assisted rapid palatal expansion (SARPE). The aim of this study was to present our SARPE technique and to report about our experience. MATERIEL AND METHOD: Medical records of all class III patients who underwent SARPE in our department from 2010 to 2015 and for whom a follow-up of at least 1 year was available, were included in a retrospective study. The technic consisted, after short orthodontic preparation allowing for divergence of the upper central incisors, in a complete Le Fort I osteotomy without down fracture, and medial sagittal submucosal separation of the hard palate under general anesthesia in an inpatient procedure...
May 10, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29607402/massive-ileal-bleeding-secondary-to-a-dieulafoy-s-lesion
#5
Aymeric Becq, Xavier Dray, Giulia Boarini
Dieulafoy's lesions are a rare cause of gastrointestinal bleeding. This article presents the case of a young woman presenting with a massive ileal bleeding, secondary to a Dieulafoy's lesion. A computed-tomography angiography scan showed an arterial bleeding in the ileum and the diagnosis was confirmed by an emergency peroperative enteroscopy. Surgical treatment was performed. Dieulafoy's lesions account for 1 % to 2 % of acute gastrointestinal bleeding and lesions are mostly located in the upper gastrointestinal tract...
April 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29575507/effects-of-clinical-parameters-on-patient-reported-outcome-in-cataract-patients-a-multicentre-study
#6
Aline C Stolk-Vos, Martijn S Visser, Stijn Klijn, Reinier Timman, Peter Lansink, Rudy Nuijts, Khiun Tjia, Bart Zijlmans, Leonieke W Kranenburg, Jan V Busschbach, Nicolaas J Reus
PURPOSE: Ophthalmologists tend to evaluate the results of cataract surgery by focusing on the clinical visual and refractive outcomes and the incidence of complications, where patients' main interest might be their ability to perform daily activities. Therefore, there appears to be a need for optimizing effective communication between patients and ophthalmologist about the outcome of cataract surgery. The aim of this multicentre study was to determine the effects of whether the surgery was performed in one or two eyes, ocular comorbidity and per- and postoperative complications on visual function experienced by patients measured with the Catquest-9SF...
March 25, 2018: Acta Ophthalmologica
https://www.readbyqxmd.com/read/29562402/-revascularization-of-left-anterior-descending-artery-area-using-a-skeletonized-left-internal-mammary-artery-a-comparison-between-sequential-and-separate-grafting
#7
J Q Shen, Q Ji, W J Ding, L M Xia, L Wei, C S Wang
Objective: To evaluate in-hospital and mid-term outcomes of sequential versus separate grafting of in situ skeletonized left internal mammary artery (LIMA) to the left coronary system in a single-center, propensity-matched study. Methods: After propensity score matching, 120 pairs of patients undergoing first, scheduled, isolated coronary artery bypass grafting (CABG) with in situ skeletonized LIMA grafting to the left anterior descending artery (LAD) territory were entered into a sequential group (sequential grafting of LIMA to the diagonal artery and then to the LAD) or a control group (separate grafting of LIMA to the LAD)...
March 13, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29558711/pancreas-sparing-and-superior-mesenteric-artery-first-approach-in-duodenal-adenocarcinoma-of-the-fourth-portion-of-duodenum-a-case-report
#8
Marie-Julie Lardinois, Nicolas Meurisse
INTRODUCTION: Peroperative assessment of resectability in pancreas-sparing duodenectomy for distal duodenal (D3-D4) adenocarcinoma is challenging for surgeons. PRESENTATION OF CASE: We report a 68-year-old man with biopsy-proven adenocarcinoma of the fourth portion of duodenum which had been diagnosed with upper endoscopy and CT. A pancreas-sparing duodenectomy with loco-regional lymph node resection using the superior mesenteric artery first approach was performed...
March 9, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29512796/adult-s-congenital-bile-duct-cysts
#9
Omar Toumi, Mohamed Ali Chaouch, Abdesslem Ghedira, Ibtissem Korbi, Mohamed Nasr, Faouzi Noomene, Khadija Zouari, Randa Salem, Badii Hamida, Mondher Golli
INTRODUCTION: Congenital bile duct cysts (CBDC) is a rare congenital malformation. It results from an anomaly of the biliopancreatic junction (AJBP). This condition is often diagnosed at a young age. Although, it can be asymptomatic and discovered only at an advanced age. The aim of our work was to describe the diagnosis, therapeutic and evolutionary aspects of BVCD through a series of 11 cases diagnosed in adult cases. METHODS: This is a descriptive, retrospective and monocentric study...
June 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29509213/blunt-scrotal-trauma-in-adults-a-multi-institution-study-evaluating-the-american-association-for-the-surgery-of-trauma-organ-injury-grading-scale-about-107-cases
#10
Sataa Sallami, Hassen Khouni, Hamza Ichaoui, Mahmoud Ben Atta, Sana Abou El Makarim, Sami Ben Rhouma
PURPOSE: The authors evaluated the usefulness of the American Association for the Surgery of Trauma (AAST) testis injury scale based on preoperative scrotal ultrasonography (US) and physical examination compared to peroperative findings. METHODS: A retrospective review was performed on 107 patients (mean age=29,2±5.8 years) with a testis blunt trauma treated between January 2005 and August 2015. All patients underwent surgical scrotal exploration. Preoperative US was performed in all cases...
May 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29492938/diaphragmatic-hydatid-disease-a-diagnostic-challenge-for-the-radiologist
#11
Hichem Jerraya, Ali Gaja, Mehdi Khalfallah, Chadli Dziri
Primitive hydatid disease of diaphragm is very rare. The preoperative diagnosis of this hydatid location represents a challenge for the radiologist. We reported a case of primitive hydatid cyst of the diaphragm not associated with other hydatid localizations which was diagnosed preoperatively. A 70 year-old woman with no previous medical history, complained of abdominal pain in the right upper quadrant for 7 months. The physical exam and the laboratory tests were unremarkable. Abdominal ultrasound showed multiloculated cystic lesion which appeared to be located in the hepatic dome suggestive of hydatid cyst of the liver...
April 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29453166/skull-metastasis-revealing-a-renal-tumor-a-case-report-and-review-of-the-literature
#12
Mohamed Badri, Ghassen Gader, Kamel Bahri, Ihsen Zammel
BACKGROUND: Renal cell carcinomas represent 85% of malignant renal tumors. Typically, the tumor remains asymptomatic a long time before the appearance of urologic clinical signs. In some cases, metastasis can precede the manifestations of the primary tumor. Different sites are potential metastatic localizations for renal tumors, including skull metastases who represent a very rare location. CASE DESCRIPTION: We report the case of a 65-year-old man presented after the appearance of a skull mass...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29440242/bilobed-gallbladder-a-rare-congenital-anomaly
#13
Manoj Kumar, Devbrata Adhikari, Vineet Kumar, Satish Dharap
Bilobed gallbladder is a rare form of duplication of gallbladder. Preoperative diagnosis is important to avoid peroperative complications; however, it is also a challenge as imaging reports are often confounding. A case of bilobed gallbladder managed successfully laparoscopically is presented.
February 11, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29426763/-toric-lens-implantation-in-cataract-surgery-automatic-versus-manual-horizontal-axis-marking-analysis-of-50-cases
#14
M Raucau, H El Chehab, E Agard, C Lagenaite, C Dot
SUBJECT: The main objective of our study is to evaluate the contribution of automated conjunctival recognition in the alignment of toric implants by comparing the automatic alignment optimized with Callisto™ to the manual marking of the horizontal axis. MATERIALS AND METHODS: We performed a prospective, descriptive, and monocentric study on patients undergoing cataract surgery with toric implantation (Asphina 709 Zeiss), operated by a surgeon with good experience in toricity, between September 2016 and March 2017...
February 2018: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/29417773/-mid-and-long-term-clinical-effects-of-percutaneous-kyphoplasty-with-two-methods-for-vertebral-fragility-fracture-in-the-elderly
#15
Hua-Jun Yu, Gou-Ping Ma, Qiao-Feng Guo, Xiao-Wen Zhang, Chun Zhang
OBJECTIVE: To evaluate the middle-long-term clinical effects of unilateral and bilateral percutaneous kyphoplasty(PKP) for vertebral fragility fracture in the elderly. METHODS: The clinical data in elderly patients with vertebral fragility fracture treated by unilateral and bilateral PKP between January 2008 and January 2010 was retrospective analyzed. According to a unified criteria to divided into two groups for 104 patients(44 males and 60 females), of them, 50 cases were divided in unilateral group using unilateral pedicle surgical approach for PKP and 54 cases were in bilateral group using bilateral pedicle approach...
May 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29398522/-vaginal-hysterectomy-in-outpatient-procedure-feasibility-and-satisfaction-study
#16
Q Reboul, A Mehdi, C Chauleur
OBJECTIVES: To study the feasibility and patient satisfaction for vaginal hysterectomy in a new outpatient procedure. METHODS: This retrospective study was directed in CHU de Saint-Étienne, Loire, France. All patient who underwent a vaginal hysterectomy in outpatient procedure were included from January 2014 and January 2017. Descriptive data were collected and all patients were called back for satisfaction study. RESULTS: Sixty-five patients were included...
February 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29396223/international-consensus-icon-on-functional-and-aesthetic-rhinoplasty
#17
S Albert, F Simon, A-J Tasman, D Chua, R Grigg, A Jaklis, T Wang, F Disant
During the 2017 IFOS international congress in Paris, a roundtable discussion on the topic of functional and aesthetic rhinoplasty was organised. Five experts, from the five continents and renown in the field of rhinoplasty, were brought together to discuss the issue from an international perspective and to put forward a consensus or on the contrary practical differences. Five questions were put to the experts beforehand to guarantee independent answers, which were then discussed during the roundtable. The questions were the following: - What are the age limits for achieving a rhinoplasty? - Do you use objective measurements before, during and after surgery? (facial landmarks, airflow, peroperative measurements) - How do you manage the preoperative general information and computer imaging of the patient? - What are the indications in your practice to perform a CT-scan or endoscopic examination before doing a rhinoplasty? - What kind of graft or prosthesis do you use for an augmentation rhinoplasty? This paper offers a synthesis of the roundtable based on the experts' answers to the different questions...
February 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29379253/templating-in-uncemented-tha-on-accuracy-and-postoperative-leg-length-discrepancy
#18
Nils J Strøm, Olav Reikerås
Purpose: This study examines the accuracy of digital templating in uncemented total hip arthroplasty (THA), i.e., whether the templated components where actually inserted during surgery. The surgical outcome was evaluated on the basis of limb length equality. Methods: We retrospectively examined digital x-rays of 41 patients scheduled for uncemented THA. These were templated using templating software. The template was compared to the surgical choice of implant registered in the patients' journal...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29368319/is-implant-washing-and-wound-irrigation-with-rifampicin-effective-for-preventing-surgical-site-infections-in-lumbar-instrumentation
#19
Numan Karaarslan, Ibrahim Yilmaz, Hanefi Ozbek, Mehmet Sabri Gurbuz, Kadir Oznam, Ozkan Ates, Ilknur Erdem
AIM: The aim of this study was to determine whether the washing of implants and autogenous bone grafts with rifampicin, and the irrigation of the surgical field using diluted rifampicin, have any significant effect on the prevention of spinal implant infections. MATERIAL AND METHODS: A total of 166 consecutive lumbar stenosis and spondylolisthesis patients undergoing lumbar instrumentation between 2012 and 2016 were analyzed retrospectively. The patients were divided into two groups...
December 11, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29353314/robot-assisted-post-chemotherapy-retroperitoneal-lymph-node-dissection-in-germ-cell-tumor-is-the-single-docking-with-lateral-approach-relevant
#20
C Overs, J B Beauval, L Mourey, P Rischmann, M Soulié, M Roumiguié, Nicolas Doumerc
INTRODUCTION: Surgical treatment of post-chemotherapy residual mass of germ cell tumor (GCT) may be performed in various techniques. We assess the feasibility, safety, and efficacy of single-docking with lateral approach robot-assisted retroperitoneal lymph node dissection (R-RPLND) in residual mass of GCT in our center. MATERIALS AND METHODS: A retrospective review of patients undergoing R-RPLND for residual mass of CGT was performed between January 2014 and April 2017...
April 2018: World Journal of Urology
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