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https://www.readbyqxmd.com/read/29933088/time-to-resolution-of-symptoms-after-suboccipital-decompression-with-duraplasty-in-children-with-chiari-malformation-type-i
#1
Eveline Teresa Hidalgo, Yosef Dastagirzada, Cordelia Orillac, Svetlana Kvint, Emily North, Ramona Bledea, Michelle W McQuinn, Gabriel Redel-Traub, Crystalann Rodriguez, Jeffrey H Wisoff
OBJECTIVE: Duraplasty is one technique successfully used to treat Chiari malformation type I (CM-I). This study describes the timely manner of clinical outcomes and the postoperative course after craniectomy and duraplasty for the treatment of symptomatic CM-I in pediatric children. METHODS: A retrospective chart review was done on 105 consecutive children who underwent surgical decompression of symptomatic CM-I with dural opening by a single surgeon between 1999 and 2015...
June 19, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29932888/pericardial-window-for-methicillin-resistant-staphylococcus-aureus-pericarditis
#2
Hiroaki Oizumi, Hideomi Ichinokawa, Hironobu Hoshino, Jun Shitara, Kenji Suzuki
A 58-year-old man presented with tamponade, and he underwent an emergency pericardiocentesis. We made the diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) pericarditis based on culture results, and treated the patient with pericardial drainage and antibiotics as the first-line therapy. After temporary relief, reaccumulation of effusion developed. We successfully created a pericardial window using thoracotomy, and the postoperative course was uneventful. MRSA pericarditis is an extremely rare and life-threatening illness...
June 19, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29932278/observation-of-complete-clinical-response-in-rectal-cancer-after-neoadjuvant-chemoradiation-the-flinders-experience
#3
Luigi A Sposato, Yick Lam, Chris Karapetis, Sina Vatandoust, Amitesh Roy, Paul Hakendorf, Andrew Dwyer, Dayan de Fontgalland, Paul Hollington, David Wattchow
AIM: Observation with close follow-up ("watch and wait") is a recognized treatment option in patients who achieve a complete clinical response to long course chemoradiotherapy. This review of a prospective database aims to evaluate the clinical outcomes among patients with a complete clinical response managed with observation. METHODS: A prospective study of 32 patients who achieved a complete clinical response was undertaken. The primary outcomes measured were overall and recurrence-free survival, and rate of organ preservation in patients who deferred immediate surgery...
June 22, 2018: Asia-Pacific Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29931989/retroperitoneal-schwannoma
#4
Carlos Alventosa Mateu, Génesis Aurora Castillo López, Cecilia Albert Antequera
Schwannoma is a mesenchymal tumor that is mainly located in the peripheral nerves or the central nervous system. Its retroperitoneal location is rare and commonly asymptomatic. Thus, it is usually diagnosed when imaging tests are performed for other purposes. The clinical course of Schwannoma is benign but it also has malignant potential. Therefore, surgical resection is the treatment of choice. The definitive diagnosis is anatomopathological. In this context, we present a patient with retroperitoneal Schwannoma...
June 22, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29930671/clinical-discussion-of-the-arteria-lusoria-a-case-report
#5
Tulio Fabiano de Oliveira Leite, Lucas Alves Sarmento Pires, Rafael Cisne, Marcio Antonio Babinski, Carlos Alberto Araujo Chagas
The right subclavian artery may originate from the left portion of the aortic arch. This aberrant vessel is known as the arteria lusoria. Its course to its usual site runs behind the esophagus, which may cause a disease known as dysphagia lusoria, responsible for symptoms of discomfort. This artery is often associated with other anomalies, such as the non-recurrent laryngeal nerve and the bicarotid trunk, and with diseases such as aneurysms, congenital heart defects, and even genetic syndromes. During routine dissection of a male cadaver fixed in 10% formalin solution, an arteria lusoria was found...
October 2017: Jornal Vascular Brasileiro
https://www.readbyqxmd.com/read/29930655/abnormal-origin-of-posterior-circumflex-humeral-artery-and-subscapular-artery-case-report-and-review-of-the-literature
#6
Rajani Singh
The subscapular, anterior circumflex, and posterior circumflex arteries arise from the third part of the axillary artery. During dissection of the right upper limb of the cadaver of a 70-year-old male, a common trunk was observed arising from the third part of the axillary artery which, after traveling for 0.5 cm, bifurcated into subscapular and posterior circumflex humeral arteries. The common trunk was crossed anteriorly by the radial nerve. The medial nerve was formed by medial and lateral roots on the medial side of the third part of the axillary artery, remaining medial to the brachial artery up to the cubital fossa and then following its usual course thereafter...
July 2017: Jornal Vascular Brasileiro
https://www.readbyqxmd.com/read/29929818/progress-in-knee-arthroscopy-skills-of-residents-and-medical-students-a-prospective-assessment-of-simulator-exercises-and-analysis-of-learning-curves
#7
Dietmar Dammerer, David Putzer, Alexander Wurm, Michael Liebensteiner, Michael Nogler, Martin Krismer
OBJECTIVE: Knee arthroscopies are very common orthopedic procedures. For a number of reasons, including increased public awareness for medical errors, patient safety, strict regulations governing duty-hours for residents, surgeons' liability, and an increasing emphasis on the efficient use of operating room time, interest in simulator training is on the rise. It was the purpose of this study to analyze learning curves of medical students and orthopedic resident surgeons using a virtual knee arthroscopy simulator...
June 18, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29927837/-concepts-and-artistry-in-the-treatment-of-scapho-lunate-ligament-injuries
#8
Kate E Elzinga, Sirichai Kamnerdnakta, Kevin C Chung
Scapho-lunate ligament injuries are highly challenging injuries to treat. Great uncertainly remains in determining which operative procedures are most effective. Furthermore, there is no consensus on whether surgical intervention changes the natural course of SL injuries. We present our assessment of SL injuries and the senior author's preferred surgical techniques. Surgical videos are included. Operative procedures are selected based on the patient's timing and pattern of injury, degree of associated carpal changes and arthritis, and goals...
June 12, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29927640/does-anterior-cruciate-ligament-reconstruction-improve-functional-and-radiographic-outcomes-over-nonoperative-management-5-years-after-injury
#9
Elizabeth Wellsandt, Matthew J Failla, Michael J Axe, Lynn Snyder-Mackler
BACKGROUND: Current practice patterns for the management of anterior cruciate ligament (ACL) injury favor surgical reconstruction. However, long-term outcomes may not differ between patients completing operative and nonoperative treatment of ACL injury. Differences in outcomes between operative and nonoperative treatment of patients in the United States is largely unknown, as are outcomes in long-term strength and performance measures. PURPOSE: To determine if differences exist in 5-year functional and radiographic outcomes between patients completing operative and nonoperative treatment of ACL injury when both groups complete a progressive criterion-based rehabilitation protocol...
June 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29925722/albert-l-rhoton-jr-md-his-philosophy-and-education-of-neurosurgeons
#10
Toshio Matsushima, Shigeaki Kobayashi, Tooru Inoue, Alice S Rhoton, Alexander L Vlasak, Evandro de Oliveira
Dr. Rhoton's key philosophies included "Keep working hard.", "Make surgery more accurate, gentle and safe", "We want perfect anatomical dissections, because we want perfect surgical operations", "Competence without compassion is worthless. Compassion without competence is meaningless", "Neurosurgeons share a great professional gift; our lives have yielded an opportunity to help mankind in a unique and exciting way" and "There is no finish line for this effort"...
June 20, 2018: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/29925097/-quality-and-satisfaction-with-the-surgical-medical-clerkship-from-a-student-perspective
#11
Susanne Froehlich, Florian Goebel, Adrian Meder, Janine Wirkner, Udo Obertacke, Richard Kasch
PREFACE: The surgical medical clerkship is of special importance, as the student is given the opportunity to get in touch with medical colleagues and patients for the first time, and the interest in a certain field of specialisation can be consolidated. The present study will clarify how students perceived their medical clerkship in the field of surgery. METHODS: A nationwide online survey carried out in 2012 was able to recruit 9079 participants, and contained questions about the completed curricular internships...
June 20, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29924773/-gene-mediated-induction-of-angiogenesis-in-inoperable-patients-with-atherosclerosis-and-diabetes-mellitus
#12
R E Kalinin, I A Suchkov, R V Deev, N D Mzhavanadze, A A Krylov
Analysed in the article are the results of a comprehensive approach to treatment of patients presenting with lower limb critical ischaemia and diabetes mellitus by means of gene-induced angiogenesis. The study comprised a total of 65 patients found to have an ill-suited for surgical reconstruction peripheral arterial bed and undergoing conservative therapy. The patients were divided into two groups. The Study Group patients additionally to the conventional conservative therapy received 2 intramuscular injections of therapeutic agent Neovasculgen at a course dose of 2...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29923863/development-of-a-reference-model-for-keratoconus-progression-prediction-based-on-characterization-of-the-course-of-nonsurgically-treated-cases
#13
Antonio Martínez-Abad, David P Piñero, Elizabeth Chorro, Laurent Bataille, Jorge L Alió
PURPOSE: To evaluate and characterize long-term clinical changes in keratoconus cases not requiring surgical treatment because of the absence of clinically significant visual degradation and to design a predictive model for the progression rate. METHODS: This retrospective longitudinal study enrolled 68 nonsurgically treated keratoconic eyes of 46 patients (age range, 18-66 years), with a follow-up period of 6 years ± 12 months. Visual, refractive, topographic, and aberrometric changes were evaluated, detecting the abnormal levels of longitudinal changes in each clinical variable analyzed (percentiles 10% or 90%)...
June 19, 2018: Cornea
https://www.readbyqxmd.com/read/29922571/careful-interpretation-of-the-wound-status-is-needed-with-use-of-antibiotic-impregnated-biodegradable-synthetic-pure-calcium-sulfate-beads-series-of-39-cases
#14
Aditya Menon, Rajeev Soman, Camilla Rodrigues, Sanjay Phadke, Vikas M Agashe
Introduction: The use of antibiotic impregnated biodegradable synthetic high purity calcium sulfate (SHPCS) beads is frequently reported as they offer increased concentration of antibiotics locally, without need for removal. However some wound discharge following their use has been noted. The purpose of this study was to determine any correlation between wound discharge and infection remission. Methodology: Retrospective study of 39 cases of Osteoarticular infections from April 2013 to November 2016 in whom SHPCS beads were used...
2018: Journal of Bone and Joint Infection
https://www.readbyqxmd.com/read/29922534/non-surgical-pneumoperitoneum-in-the-setting-of-gram-negative-sepsis
#15
Jacob A Sambursky, Sundeep Kumar, Molly Orban, Esteban Janolo, Vladimir Neychev
Pneumoperitoneum is described as the presence of free air in the peritoneal cavity. In the majority of cases, it is the manifestation of abdominal viscus perforation, requiring an emergent surgical exploration. In rare cases, however, no evidence of perforation of the gastrointestinal or genitourinary tracts can be found at exploration, and in such cases, the pneumoperitoneum is referred to as non-surgical pneumoperitoneum. We present a case of an 87-year-old man who developed a non-surgical pneumoperitoneum in the setting of gram-negative sepsis...
April 17, 2018: Curēus
https://www.readbyqxmd.com/read/29916106/comparison-of-models-for-predicting-quality-of-life-after-surgical-resection-of-hepatocellular-carcinoma-a-prospective-study
#16
Chong-Chi Chiu, King-Teh Lee, Hao-Hsien Lee, Jhi-Joung Wang, Ding-Ping Sun, Chien-Cheng Huang, Hon-Yi Shi
BACKGROUND: The essential issue of internal validity has not been adequately addressed in prediction models such as artificial neural network (ANN), support vector machine (SVM), Gaussian process regression (GPR), and multiple linear regression (MLR) models. METHODS: This prospective study compared the accuracy of these four models in predicting quality of life (QOL) after hepatic resection received by 332 patients with hepatocellular carcinoma (HCC) during 2012-2015...
June 18, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29915631/non-operative-management-of-type-2-ercp-related-retroperitoneal-duodenal-perforations-a-9-year-experience-from-a-single-center
#17
Vasileios Theopistos, Georgios Theocharis, Christos Konstantakis, Panagiotis Kitrou, Ioannis Kehagias, Christos Triantos, Konstantinos Thomopoulos
Background: No consensus exists on treatment of endoscopic retrograde cholangiopancreatography (ERCP) -related, retroperitoneal duodenal perforations. The aim of this study is to determine the incidence of post-ERCP retroperitoneal periampullary (type 2) duodenal perforations and the clinical outcome of non-surgical management. Methods: Patients who underwent ERCP in our institution during the period from January 1, 2009 to December 31, 2017 were included. Any cases of retroperitoneal periampullary duodenal (type 2) perforation were identified...
June 2018: Gastroenterology Research
https://www.readbyqxmd.com/read/29915487/sialolithiasis-of-right-submandibular-duct-of-unusual-size
#18
Shreya Sengupta, Sayantan Bose
We present a case of a 35-year-old gentleman with a submandibular duct stone measuring 12 × 6 mm. Considering the literature, most stones are less than 5 mm, and stones more than 10 mm are quite unusual. This gentleman had typical symptoms of chronic sialadenitis, who was clinically diagnosed to have sialolithiasis, which was later confirmed by imaging studies. He was operated upon to remove the stone along with the submandibular gland. The term sialolithiasis is derived from the Greek words sialon (saliva) and lithos (stone), and the Latin -iasis meaning "process" or "morbid condition"...
April 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29914281/the-assassination-of-robert-f-kennedy-an-analysis-of-the-senator-s-injuries-and-neurosurgical-care
#19
Jordan M Komisarow, Theodore Pappas, Megan Llewellyn, Shivanand P Lad
On June 5, 1968, having won the Democratic Party presidential primary in California, Senator Robert F. Kennedy delivered a victory speech to supporters at the Ambassador Hotel in downtown Los Angeles. Just after 12:15 am (Pacific daylight savings time), a lone assassin shot Kennedy 3 times at point-blank range. One of the bullets struck Kennedy in the right posterior auricular region. Within the ensuing 26 hours, Kennedy was transported to 2 hospitals, underwent emergency surgery, and eventually died of severe brain injury...
June 19, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29914256/early-postoperative-follow-up-after-craniosynostosis-surgery
#20
Ebru Atike Ongun, Oguz Dursun, Mehmet Saim Kazan, Banu Nur, Ercan Mıhçı
Background/aim: Declined morbidity rates after craniosynostosis surgery indicate bypassing the pediatric intensive care unit (PICU) course to minimize treatment costs and bed usage. The aim of this study is to examine the incident rates of PICU admission and assess its necessity. Materials and methods: A retrospective analysis of 41 patients (operated on by open surgical techniques) between July 2011 and December 2015 was carried out. Intraoperative/postoperative vital signs, hemodynamic and metabolic parameters, estimated blood loss (EBVloss), blood transfusions, length of PICU, and hospitalizations were recorded...
June 14, 2018: Turkish Journal of Medical Sciences
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