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R Autrata, I Krejčířová, L Griščíková, Z Doležel
UNLABELLED: Our study evaluated the visual and refractive results of LASEK and anterior chamber phakic intraocular lens (pIOL) implantation performed for high myopic anisometropia with amblyopia and contact lens intolerance in children compared with conventional treatment by contact lenses.Fourty-three patients (Group A) aged 3 to 7 years (mean, 5,6 years) with high myopic anisometropia and amblyopia had performed multizonal LASEK (27 eyes) or pIOL Verisyse implantation (16 eyes) on the more myopic eye in general anesthesia...
2016: Ceská a Slovenská Oftalmologie
Satoru Demura, Hideki Murakami, Satoshi Kato, Katsuhito Yoshioka, Moriyuki Fujii, Takashi Igarashi, Noritaka Yonezawa, Naoki Takahashi, Hiroyuki Tsuchiya
BACKGROUND CONTEXT: Deformity progression after posterior fusion in skeletally immature patients with scoliosis has remained a topic of debate. It occurs when the anterior segment of the apical zone continues to grow after successful posterior fusion, resulting in progressive bending and rotation of the vertebral bodies. For this reason, circumferential fusion using a combined anterior-posterior approach has been used to prevent this occurrence. PURPOSE: The aim of this study was to report instrumented spinal fusion with convex hemi-interbody arthrodesis using a posterior-only approach in Risser stage 0 or 1 scoliosis patients...
September 2016: Spine Journal: Official Journal of the North American Spine Society
Donald G Keamy, Karan R Chhabra, Christopher J Hartnick
OBJECTIVE: To identify pre-operative risk factors predicting complications following adenotonsillectomy in children with severe OSA. METHODS: Retrospective chart review in an academic tertiary care center. Children with symptoms of OSA with overnight polysomnography (PSG) revealing apnea-hypopnea index (AHI) >10, who underwent adenotonsillectomy with overnight postoperative observation between 2008 and 2012. Univariate logistic regression was used to assess odds ratio (OR) of individual risk factors versus postoperative complications such as overnight desaturations <90%, length of stay (LOS)>24 h, supplemental oxygen requirement, and transfer to a higher level of care...
November 2015: International Journal of Pediatric Otorhinolaryngology
A Wiedemann, R Maykan, J Pennekamp, H Heppner
OBJECTIVE: Detection of changes in cognition after transurethral resection (TURP) or 180-Watt green-light XPS laser treatment (GLL) of the prostate is required by the German "Krankenhausbedarfsplan" which demands an interdisciplinary dialogue including special aspects of the operating discipline. This has as yet not been investigated in Germany or in Europe. METHODS: Assessments of the cognitive capacity were made by application of the "Mini Mental State Examination" and the "Uhrentest" preoperatively and on postoperative day 2 in addition to documentation of clinical parameters such as patient age, prostate size, duration of surgery, comorbidities, co-medication, changes in haemoglobin and sodium...
February 2016: Aktuelle Urologie
Tomohiro Hikata, Kota Watanabe, Nobuyuki Fujita, Akio Iwanami, Naobumi Hosogane, Ken Ishii, Masaya Nakamura, Yoshiaki Toyama, Morio Matsumoto
OBJECT: The object of this study was to investigate correlations between sagittal spinopelvic alignment and improvements in clinical and quality-of-life (QOL) outcomes after lumbar decompression surgery for lumbar spinal canal stenosis (LCS) without coronal imbalance. METHODS: The authors retrospectively reviewed data from consecutive patients treated for LCS with decompression surgery in the period from 2009 through 2011. They examined correlations between preoperative or postoperative sagittal vertical axis (SVA) and radiological parameters, clinical outcomes, and health-related (HR)QOL scores in patients divided according to SVA...
October 2015: Journal of Neurosurgery. Spine
George J S Kallingal, Joel M Weinberg, Isildinha M Reis, Avinash Nehra, Manjeri A Venkatachalam, Dipen J Parekh
OBJECTIVE: To assess the 1-year renal functional changes in patients undergoing partial nephrectomy with intra-operative renal biopsies. PATIENTS AND METHODS: A total of 40 patients with a single renal mass deemed fit for a partial nephrectomy were recruited prospectively between January 2009 and October 2010. We performed renal biopsies of normal renal parenchyma and collected serum markers before, during and after surgically induced renal clamp ischaemia during the partial nephrectomy...
May 2016: BJU International
M Battal, A Kartal, B Citgez, B Yilmaz, A Akcakaya, O Karatepe
BACKGROUND: We investigated the effects of allyl disulfide (agarlic extract) on tissue damage, regeneration, proliferation and oxidative damage in an experimental liver resection model. MATERIALS AND METHODS: In the study, 24 female Wistar albinorats weighing approximately 200-250 g were used. Group 1:The rats in the experimental group all received a 70%hepatectomy and were fed an Allyl disulfide (30 μg kg day,Allyl disulfide, Sigma-Aldrich, formula: C6H10S2, CASNumber: 2179-57-9, formula weight: 146...
March 2015: Chirurgia
Qingguo Li, Changhua Zhuo, Lei Liang, Hongtu Zheng, Dawei Li, Sanjun Cai
Recent studies indicated that preoperative radiotherapy significantly reduces the lymph nodes (LNs) harvest from patients with rectal cancer. This may weaken the prognostic value of current standard of LNs retrieval (≥12 LNs). This study investigates the prognostic impact of the LN counts on pathologically LN-negative (ypN0) after preoperative radiotherapy for patients with rectal cancer.Surveillance, Epidemiology and End Results (SEER) registered nonmetastatic rectal cancer patients diagnosed between 1998 and 2005 were included in this study...
January 2015: Medicine (Baltimore)
Gulbin Sezen, Yavuz Demiraran, Ilknur Suidiye Seker, Ibrahim Karagoz, Abdulkadir Iskender, Handan Ankarali, Ozlem Ersoy, Onur Ozlu
BACKGROUND: Perioperative hemodynamic fluctuations are seen more often in hypertensive patients than in normotensive patients. The purpose of our study was to investigate the perioperative hemodynamic effects of dexmedetomidine and midazolam used for premedication in hypertensive patients relative to each other and in comparison to normotensive patients. METHODS: One-hundred-forty female, normotensive or hypertensive patients undergoing myomectomies or hysterectomies...
2014: BMC Anesthesiology
Fengzhu Tang, Dongyi Han, Shenhong Qu, Jianping Liang, Bei Liu, Yuying Huang
OBJECTIVE: To investigate diagnosis method and treatment experience of jugulare glomus tumor (JGT) and carotid body tumor (CBT). METHOD: Retrospective analysis. Clinical materials from 4 patients at one genealogy with JGT and CBT were collected. The clinical features, radiological characteristics, surgical methods and prognosis were assessed. The proband suffered from left JGT and left CBT, her younger sister had right CBT as well as her younger female cousin had bilateral CBT and right JGT, her older male cousin had bilateral CBT and left JGT...
May 2014: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Raghavendra Sawarappa, Aditya Kanoi, Madhumita Gupta, Ashwin Pai, S I S Khadri
A 27-year-old female presented with pain in the left hypochondrium for the past six months. An abdominal examination revealed mild splenomegaly. An abdominal ultrasonography showed two cystic lesions at the superior pole of the spleen. Contrast enhanced CT scan abdomen confirmed the USG findings, demonstrating splenomegaly with nonenhancing cystic lesions having internal septations and suspicious daughter cysts within it, strongly suggestive of hydatid cysts. On serological testing, the patient was positive for IgG Antibodies against Eccinococcus...
June 2014: Journal of Clinical and Diagnostic Research: JCDR
Rhiannon D Reed, Tyler L Poston, Jeffrey D Kerby, Joshua S Richman, Janet L Colli, Mary T Hawn
BACKGROUND: Our study sought to examine the prevalence of urinary symptoms in men undergoing hernia repair and whether there is an association between symptoms and short-term outcomes. METHODS: This is a prospective cohort study of male veterans consenting to inguinal hernia repair. The American Urological Association Symptom Score (AUASS) was administered preoperatively at 48 hours and again at 30 days after surgery. RESULTS: Median preoperative AUASS was 6 (interquartile range [IQR]: 3 to 12); at 48 hours, the median score increased significantly to 10 (IQR: 4 to 16, P < ...
August 2014: American Journal of Surgery
Jimin Kahng, Eun-Jee Oh, Hae Nam Lee, Dae Woo Lee, Yonggoo Kim
BACKGROUND: Clinical specificity and sensitivity are essential factors in the adoption of a human papillomavirus (HPV) test as a primary screening tool and test of cure after treatment of cervical cancer and precancerous lesions (High-Risk-Lesion). Using histologically-confirmed High-Risk-Lesion-patient specimens with postoperative follow-ups, we performed clinical validation of the AdvanSure GenoBlot Assay (GenoBlot; LG Life Sciences, Korea). METHODS: The study population included 100 cases with High-Risk-Lesion, 96 with high-risk genotype positive and cervical intraepithelial neoplasia (CIN) 1 or better, and 39 with HR-negative and better than CIN 1...
March 2014: Annals of Laboratory Medicine
Sherif Abdalla, Georges Makhoul, Minh Duong, Ray C J Chiu, Renzo Cecere
OBJECTIVES: The use of stem cells in cardiac regeneration is still limited due to low cellular integration and engraftment rates. Consequently, there has been a spurt in research on developing alternative regenerative therapies. Hyaluronic acid (HA) is a major component of the extracellular matrix that is non-immunogenic, and has been implicated in various wound-healing functions such as angiogenesis and inflammation modulation, making it an ideal candidate for regenerative biomaterials...
November 2013: Interactive Cardiovascular and Thoracic Surgery
Karim Marzouk, Joseph Lawen, Bryce A Kiberd
BACKGROUND: Given the unpredictable timing of deceased donor organs and the need for blood transfusion, this study was carried out to determine the rate and risk factors for transfusion in order to identifying a low-risk cohort in the face of a critical blood shortage. METHODS: This retrospective chart review examined 306 consecutive deceased solitary kidney transplant recipients from January 2006 to August 2012. RESULTS: Records show that 80 (26...
2013: Transplantation Research
Niclas Abrahamsson, Britt Edén Engström, Magnus Sundbom, F Anders Karlsson
BACKGROUND: Brain natriuretic peptide (BNP) is produced in the heart in response to stretching of the myocardium. BNP levels are negatively correlated to obesity, and in obese subjects, a reduced BNP responsiveness has been described. Diet-induced weight loss has been found to lower or to have no effect on BNP levels, whereas gastric banding and gastric bypass have reported divergent results. We studied obese patients undergoing gastric bypass (GBP) surgery during follow-up of 1 year...
September 2013: Obesity Surgery
Tamás Illés, Szabolcs Somoskeöy
PURPOSE: A new concept of vertebra vectors based on spinal three-dimensional (3D) reconstructions of images from the EOS system, a new low-dose X-ray imaging device, was recently proposed to facilitate interpretation of EOS 3D data, especially with regard to horizontal plane images. This retrospective study was aimed at the evaluation of the spinal layout visualized by EOS 3D and vertebra vectors before and after surgical correction, the comparison of scoliotic spine measurement values based on 3D vertebra vectors with measurements using conventional two-dimensional (2D) methods, and an evaluation of horizontal plane vector parameters for their relationship with the magnitude of scoliotic deformity...
June 2013: European Spine Journal
N Bouhéraoua, P Hamard, V Iordanidou, E Brasnu, S Dupond-Monod, C Baudouin, A Labbé
PURPOSE: Thanks to recent progress in imaging techniques, the anatomy of the anterior segment can be measured accurately and noninvasively. The objective of this study was to assess early postoperative changes induced by non penetrating deep sclerectomy (NPDS) on anterior chamber depth, anterior chamber angle and central corneal thickness. PATIENTS AND METHODS: Twenty eyes of 20 patients with primary open-angle glaucoma (POAG) that underwent NPDS were studied. All patients underwent ophthalmologic examination including non invasive analysis of the anterior segment architecture...
December 2012: Journal Français D'ophtalmologie
Mary E Charlton, Chi Lin, Dingfeng Jiang, Karyn B Stitzenberg, Thorvardur R Halfdanarson, Jane F Pendergast, Elizabeth A Chrischilles, Robert B Wallace
PURPOSE: Preoperative (preop) chemoradiation therapy (CRT) improves local control and reduces toxicity more than postoperative (postop) CRT for the treatment of stages II/III rectal cancer, but studies suggest that many patients still receive postop CRT. We examined patient beliefs and clinical and provider characteristics associated with receipt of recommended therapy. METHODS: We identified stages II/III rectal cancer patients who had primary site resection and CRT among subjects in the Cancer Care Outcomes Research and Surveillance Consortium, a population-based and health system-based prospective cohort of newly diagnosed colorectal cancer patients from 2003 to 2005...
December 2013: American Journal of Clinical Oncology
S Nijhawan, Tracy Martinez, Alan C Wittgrove
BACKGROUND: Obesity is a major public health problem in the developed world. The National Survey of Children's Health 2003 estimated around 17 million children in the USA to be overweight, making this a significantly alarming disease in the young population. Findings from the Third National Health and Nutrition Examination Survey demonstrated at least 30 % of overweight adolescents to be suffering from the metabolic syndrome. Combined metabolic and restrictive bariatric operations have been shown to improve or resolve these various comorbidities, and surgical therapy is recommended as a part of a multidisciplinary approach to the treatment of morbid obesity in adults...
September 2012: Obesity Surgery
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