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https://www.readbyqxmd.com/read/29665733/natural-history-predictors-of-outcome-and-effects-of-treatment-in-thoracic-spinal-cord-injury-a-multicenter-cohort-study-from-the-north-american-clinical-trials-network
#1
Jefferson R Wilson, Blessing Jaja, Brian K Kwon, James Guest, James Shields Harrop, Bizhan Aarabi, Christopher Shaffrey, Jetan Badhiwala, Elizabeth Toups, Robert Grossman, Michael G Fehlings
The course, treatment response and recovery potential following acute traumatic spinal cord injury (SCI) have been shown to differ depending on the neurological level of injury. However, there are limited data focused on thoracic-level injuries. A cohort of 86 patients from the prospectively maintained North American Clinical Trials Network (NACTN) SCI registry were identified and studied to characterize the patterns of neurological recovery as well as to determine rates of acute hospital mortality and pulmonary complications...
April 18, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29664510/rapunzel-syndrome-with-double-simultaneous-trichobezoar-in-a-teenager-clinical-case-report
#2
Miguel Bargas Ochoa, María Xacur Hernández, Mariela Espadas Torres, Alexis Quintana Gamboa, Iddar Tappan Lavadores, Nina Méndez Domínguez
Resumen: Introduction: Trichobezoars are an intraluminal accumulation of ingested hair. The Rapunzel syndrome refers to the presence of gastric trichobezoars which extend to the small intestine together with trichotillomania and trichophagia, that occur predominantly in psychiatric patients of pediatric age. OBJECTIVE: To analyze the clinical course and resolution of this syndrome in a case report. Likewise, we provide information about the family environment and psycho-emotional context of the patients and help the reader identify similar circumstances in their clinical practice...
February 2018: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/29663677/the-carotid-sinus-nerve-structure-function-and-clinical-implications
#3
Andrea Porzionato, Veronica Macchi, Carla Stecco, Raffaele De Caro
Interest has been renewed in the anatomy and physiology of the carotid sinus nerve (CSN) and its targets (carotid sinus and carotid body), due to recent proposals of surgical procedures for a series of common pathologies, such as carotid sinus syndrome, hypertension, heart failure and insulin resistance. The CSN originates from the glossopharyngeal nerve soon after its appearance from the jugular foramen. It shows frequent communications with the sympathetic trunk (usually at the level of the superior cervical ganglion) and the vagal nerve (main trunk, pharyngeal branches or superior laryngeal nerve)...
April 16, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/29662741/predictive-factors-for-the-outcome-of-surgical-treatment-of-lumbar-spondylolysis-in-young-sporting-individuals
#4
Ujjwal K Debnath, B E Scammell, Brian J C Freeman, Jeffrey R McConnell
Study Design: Retrospective consecutive case series. Objectives: Only few sporting individuals with symptomatic lumbar pars injuries require surgical repair and it is often difficult to predict the outcome following surgery. The factors that predict the outcome after direct repair of lumbar pars defect was evaluated clinically and statistically. The preoperative background variables both subjective and objective as well as radiological evaluation were used in a multiple regression model to find the strong predictors of postoperative outcome as measured by VAS (visual analogue scores), ODI (Oswestry Disability Index) and SF-36 (Short Form)...
April 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29661685/natural-course-of-local-bone-mineralization-after-treatment-of-benign-or-borderline-bone-tumors-and-cysts-with-a-composite-ceramic-bone-graft-substitute
#5
Peter Frederik Horstmann, Werner Herbert Hettwer, Michael Mørk Petersen
After surgical bone tumor removal, filling of the bone defect is frequently performed using a bone graft or bone graft substitute. During follow-up, precise quantification of changes in bone mineral density, within the treated bone defect, is very difficult using conventional X-ray examinations. The objectives of this study were to characterize the pattern of resorption/biodegradation of a composite calcium sulfate/hydroxyapatite bone graft substitute and to quantify the bone defect healing with repeated dual-energy X-ray absorptiometry (DXA) measurements...
March 23, 2018: Journal of Clinical Densitometry
https://www.readbyqxmd.com/read/29661505/training-cardiothoracic-surgeons-of-the-future-the-uk-experience
#6
Louise Kenny, Karen Booth, Kathrin Freystaetter, Greta Wood, Gary Reynolds, Sridhar Rathinam, Narain Moorjani
OBJECTIVE: The study aimed to assess targeted simulation courses, including live animal operating, as complementary training tools with regard to 2 key surgical skills in early cardiothoracic surgeon training. METHODS: Twenty UK surgical trainees (equivalent to cardiothoracic surgery resident physicians in the United States) in their first year of residency training were evaluated. Assessment of skills in pulmonary wedge resection and cardiopulmonary bypass were undertaken before and after 2 boot camp-style courses, including live animal operating (boot camp 1 and boot camp 2)...
February 15, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29661204/surgical-treatment-outcomes-of-patients-with-t1-t2-gastric-cancer-does-the-age-matter-when-excellent-treatment-results-are-expected
#7
Rimantas Bausys, Augustinas Bausys, Indre Vysniauskaite, Kazimieras Maneikis, Eugenijus Stratilatovas, Kestutis Strupas
BACKGROUND: The proportion of early gastric cancer stages is increasing, as is the incidence of gastric cancer among the elderly population. Therefore, this study was designed to analyze surgical treatment outcomes of T1-T2 gastric cancer in elderly patients. METHODS: A total of 457 patients with T1-T2 gastric cancer who underwent gastrectomy between 2005 and 2015 were enrolled in this retrospective study. Patients were classified into two groups according to age (< 70 years versus ≥ 70 years)...
April 16, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29659818/surgical-treatment-of-huge-left-ventricular-outflow-tract-pseudoaneurysm
#8
Yuan Li, Long Deng, Yunhu Song
Pseudoaneurysms arising from the left ventricular outflow tract are rarely reported. We report a 26-year-old man who was admitted with paroxysmal chest pain and dyspnoea on exertion. Computed tomography revealed the presence of a pseudoaneurysm (93 × 77 mm), and the communication was below the aortic annulus. Through median sternotomy, a huge pulsatile pseudoaneurysm was exposed, and an 8-mm-diameter communication of the pseudoaneurysm in the left ventricular outflow tract wall was visualized. The defect was successfully repaired, and the postoperative course was uneventful...
April 12, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29659177/the-anatomical-relationships-of-the-ocular-motor-nerves-with-an-emphasis-on-surgical-anatomy-of-the-orbit
#9
Nihal Apaydin, Simel Kendir, S Tuna Karahan
The surgical procedures directed to the orbit are invariably reported to be one of the most challenging procedures of the neurosurgery and it is very important to take measures to protect the ocular nerves. Many researchers have tried to identify safe approaches or safe regions in the orbit but the suggestions and results vary among published studies. The ocular motor nerves are under risk of injury during various approaches to the orbit. Simple but careful attention to potential variations in the origin and anatomical course of the ocular nerves and their relationships to the orbit may help to define "safe zones" during various approaches, thus help to enhance clinical outcomes...
April 16, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/29658867/repair-of-partial-anomalous-pulmonary-venous-connection-a-rare-case-evaluated-by-multi-slice-computed-tomographic-angiography
#10
Yukun Cao, Tin Yang, Ma Hou, Hongcha Zhang, Xi Chen, Fe Zou
Partial anomalous pulmonary venous connection (PAPVC) is an uncommon congenital heart disease, which may be difficult to identify and often remains undiagnosed. Accurate diagnosis of major aortopulmonary collaterals and partial anomalous pulmonary venous drainage in patients with congenital heart disease is important but problematic. The goal of this publication is to present the diagnosis and surgical repair of this rare pathology in an eight-year-old boy. Atrial septal defect was found by echocardiography, but no anomalous pulmonary vein was found...
March 8, 2018: Heart Surgery Forum
https://www.readbyqxmd.com/read/29658864/right-ventricular-perforation-by-a-defibrillator-lead-migrating-to-the-left-breast
#11
Jerneja Tasic, Rok Zbacnik, Igor Zupan, Jus Ksela
Cardiac perforation after an ICD implantation is a rare complication, with a reported incidence between 0.6-5.2%. Its manifestation might be acute, subacute, or delayed, with an acute perforation occurring within the first 24 hours after implantation, frequently accompanied by severe clinical signs, while subacute and delayed perforations have a more benign progression. Here, we report a case of a 69-year old patient with an acute right ventricular perforation by a defibrillator lead migrating all the way through the pericardium and thoracic wall into the left breast, with an unusually mild and benign clinical course, delaying prompt diagnosis and postponing subsequent surgical treatment...
March 5, 2018: Heart Surgery Forum
https://www.readbyqxmd.com/read/29658403/endobronchial-stenting-on-vv-ecmo-in-a-6-month-old-girl-with-right-lung-agenesis-and-severe-stenosis-of-the-left-main-bronchus
#12
Vaclav Vobruba, Jiri Votruba, Jan Bělohlávek, Tomas Grus, Pavel Leden, Tomas Zaoral, Jan Hřídel
INTRODUCTION: Lung agenesis is a rare disorder with a variable, but potentially very bad clinical course. It necessitates complex clinical management, especially in life-threatening situations. CASE REPORT: We describe a case of a 6-month-old girl with right lung agenesis who required venovenous extracorporeal membrane oxygenation (VV-ECMO) due to pneumonia complicated by exacerbated previously diagnosed left main bronchus stenosis. The stenosis was resolved by endobronchial intervention and X-ray-guided stent insertion, which enabled weaning from ECMO and was aimed at preventing such a life-threatening respiratory failure in the future...
April 1, 2018: Perfusion
https://www.readbyqxmd.com/read/29656869/comparing-treatment-strategies-for-stage-i-small-cell-lung-cancer
#13
Peter Paximadis, Jennifer L Beebe-Dimmer, Julie George, Anne G Schwartz, Antoinette Wozniak, Shirish Gadgeel
INTRODUCTION: The diagnosis of stage I small-cell lung cancer (SCLC) is increasing in incidence with the advent of low-dose screening computed tomography. Surgery is considered the standard of care but there are very few data to guide clinical decision-making. The purpose of this study was to compare outcomes for patients receiving definitive surgery, stereotactic body radiation therapy (SBRT), or external beam radiation therapy (EBRT) for stage I SCLC. PATIENTS AND METHODS: Patients with a primary diagnosis of stage I SCLC were identified in the National Cancer Database...
March 23, 2018: Clinical Lung Cancer
https://www.readbyqxmd.com/read/29656712/isolated-splenic-lymphangioma-presenting-as-a-huge-mass-causing-anemia-and-abdominal-distension-in-an-adult-patient-a-case-report
#14
Boubacar Efared, Gabrielle Atsame-Ebang, Aliou Zabeirou, Nawal Hammas, Khalid Mazaz, Hinde El Fatemi, Laila Chbani
BACKGROUND: Lymphangiomas are uncommon benign lesions of lymphatic vessels very rarely affecting the spleen. Isolated involvement of the spleen in adult patients is rarely reported. CASE PRESENTATION: We report a case of a 40-year-old Arabic woman who presented with a 25-cm abdominal mass, fatigue, and anemia evolving for 6 months. Her physical examination revealed anemic syndrome and an enormous splenomegaly extending beyond the umbilical area. An abdominal computed tomographic scan showed a 25-cm splenic mass with multiple hypodense nodules without enhancement after contrast injection...
April 16, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29656621/effect-of-myoarchitectonic-spinolaminoplasty-on-concurrent-hypertension-in-patients-with-cervical-spondylotic-myelopathy
#15
Kazushige Itoki, Ryu Kurokawa, Tetsuro Shingo, Phyo Kim
OBJECTIVE: When treating patients with cervical spondylotic myelopathy (CSM), we often note amelioration in concomitant hypertension after surgery. To assess the effects of surgery and the mechanisms thereof, blood pressure (BP) and parasympathetic nervous activity were monitored prospectively in CSM patients undergoing surgery. METHODS: Sixty-eight consecutive CSM patients who underwent surgery with myoarchitectonic spinolaminoplasty were enrolled. BP and electrocardiography were recorded preoperatively and at 1, 3, and 6 months postoperatively...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29653250/pluripotent-stem-cell-based-therapy-for-parkinson-s-disease-current-status-and-future-prospects
#16
REVIEW
Kai-C Sonntag, Bin Song, Nayeon Lee, Jin Hyuk Jung, Young Cha, Pierre Leblanc, Carolyn Neff, Sek Won Kong, Bob S Carter, Jeffrey Schweitzer, Kwang-Soo Kim
Parkinson's disease (PD) is one of the most common neurodegenerative disorders, which affects about 0.3% of the general population. As the population in the developed world ages, this creates an escalating burden on society both in economic terms and in quality of life for these patients and for the families that support them. Although currently available pharmacological or surgical treatments may significantly improve the quality of life of many patients with PD, these are symptomatic treatments that do not slow or stop the progressive course of the disease...
April 10, 2018: Progress in Neurobiology
https://www.readbyqxmd.com/read/29653248/core-trainee-boot-camp-a-method-for-improving-technical-and-non-technical-skills-of-novice-surgical-trainees-a-before-and-after-study
#17
R Bamford, L Langdon, C A Rodd, S Eastaugh-Waring, J E Coulston
INTRODUCTION: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training...
April 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29653246/duodenal-fistula-the-most-lethal-surgical-complication-in-a-case-series-of-radical-gastrectomy
#18
Marcus Fernando Kodama Pertille Ramos, Marina Alessandra Pereira, Leandro Cardoso Barchi, Osmar Kenji Yagi, Andre Roncon Dias, Daniel Szor, Bruno Zilberstein, Ulysses Ribeiro-Júnior, Ivan Cecconello
BACKGROUND: Despite all advances regarding the surgical treatment of gastric cancer (GC), duodenal stump fistula (DF) continues to negatively affect postoperative outcomes. This study aimed to assess DF regarding its incidence, risk factors, management and impact on overall survival. METHODS: We retrospectively analyzed 562 consecutive patients who underwent gastrectomy for GC between 2009 and 2017. Clinicopathological characteristics analysis was performed comparing DF, other surgical fistulas and patients with uneventful postoperative course...
April 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29652230/transposition-of-the-lateral-femoral-cutaneous-nerve
#19
Amgad Hanna
OBJECTIVE Meralgia paresthetica causes pain, burning, and loss of sensation in the anterolateral thigh. Surgical treatment traditionally involves neurolysis or neurectomy of the lateral femoral cutaneous nerve (LFCN). After studying and publishing data on the anatomical feasibility of LFCN transposition, the author presents here the first case series of patients who underwent LFCN transposition. METHODS Nineteen patients with meralgia paresthetica were treated in the Department of Neurological Surgery at University of Wisconsin between 2011 and 2016; 4 patients underwent simple decompression, 5 deep decompression, and 10 medial transposition...
April 13, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29651852/current-treatment-options-of-dupuytren%C3%A2-s-disease
#20
J Kníže, J Miletín, A Nejedlý, M Chorvát, K Novotná, P Tichá, A Fibír, A Sukop, A Knížetová
Dupuytren's disease (fibromatosis of the palmar fascia, benign neoplastic fibromatosis, Dupuytren's contracture) is a disease characterized by growth and successive contracture of single parts of the palmar aponeurosis. This condition is known and has been treated for several centuries. In the advanced stages of the disease, it leads to significant limitation of hand function, resulting in reduced quality of life of the patient. Dupuytren's disease (DD) is a life-long disease with a variable course and a heterogeneous clinical presentation...
2018: Acta Chirurgiae Plasticae
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