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Review preop evaluation

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https://www.readbyqxmd.com/read/28458513/perioperative-changes-of-the-intraocular-pressure-during-the-treatment-of-epiretinal-membrane-by-using-25-or-27-gauge-sutureless-vitrectomy-without-gas-tamponade
#1
Hirotsugu Takashina, Akira Watanabe, Hiroshi Tsuneoka
PURPOSE: The purpose of this study was to compare perioperative intraocular pressures (IOPs) in 25- or 27-gauge microincision vitrectomy surgery (MIVS) and to evaluate the stability of postoperative sclerotomy closure. MATERIALS AND METHODS: This is a retrospective review of 147 eyes treated for epiretinal membrane by using 25- or 27-gauge MIVS as the initial vitrectomy (25-gauge phacovitrectomy [25-P group]: 73 eyes, 25-gauge vitrectomy alone [25-A group]: 15 eyes, 27-gauge phacovitrectomy [27-P group]: 47 eyes, and 27-gauge vitrectomy alone [27-A group]: 12 eyes)...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28390804/open-vs-endoscopic-cricopharyngeal-myotomy-is-there-a-difference
#2
Colin Huntley, Maurits Boon, Joseph Spiegel
INTRODUCTION: The upper esophageal sphincter (UES) is composed largely of the cricopharyngeus muscle (CP) and acts as the gatekeeper to the esophagus. There are multiple methods of treating UES dysfunction, but myotomy has been shown to be the most definitive means. We aim to evaluate the difference between open and endoscopic CP myotomy (CPM). METHODS: A retrospective review of all patients undergoing endoscopic and open CPM was undertaken. We recorded demographic, clinical, operative, hospital, and postoperative data for both groups from January 2010-March 2015...
March 31, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28010881/post-hepatectomy-hyperbilirubinemia-the-point-of-no-return
#3
Jessica Y Liu, Lauren M Postlewait, Joanna W Etra, Malcolm H Squires, Kenneth Cardona, Joshua H Winer, Juan M Sarmiento, Charles A Staley, Shishir K Maithel, David A Kooby, Maria C Russell
BACKGROUND: Post-hepatectomy hyperbilirubinemia is associated with liver insufficiency and failure. The highest survivable peak total bilirubin (ptbili) is not defined. This study aimed to identify the postop ptbili beyond which survival is improbable or impossible. METHODS: An institutional database of major hepatectomies (≥3 segments, no biliary resections), 2000-2012 was reviewed. Data were analyzed to find ptbili in the first 45 postop days. Factors associated with 90-day mortality (90 DM) and those predictive of ptbili were determined...
November 22, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27864681/are-sagittal-spinopelvic-radiographic-parameters-significantly-associated-with-quality-of-life-of-adult-spinal-deformity-patients-multivariate-linear-regression-analyses-for-pre-operative-and-short-term-post-operative-health-related-quality-of-life
#4
Mitsuru Takemoto, Louis Boissière, Jean-Marc Vital, Ferran Pellisé, Francisco Javier Sanchez Perez-Grueso, Frank Kleinstück, Emre R Acaroglu, Ahmet Alanay, Ibrahim Obeid
PURPOSE: To evaluate the association in ASD patients between spinopelvic sagittal parameters and health-related quality of life (HRQL), adjusted for demographic and surgical variables. METHODS: We constructed multiple linear regression models to investigate pre-operative (PreOp) and 6-month post-operative (PostOp) HRQL as assessed by the Oswestry Disability Index (ODI), with sagittal parameters as independent variables adjusted for potential confounders, such as age, sex, body mass index, past spine surgery, types of surgical treatment, and complications...
November 18, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27491785/primary-extremity-soft-tissue-sarcomas-does-local-control-impact-survival
#5
Sylvie Bonvalot, Antonin Levy, Philippe Terrier, Dimitri Tzanis, Sara Bellefqih, Axel Le Cesne, Cécile Le Péchoux
BACKGROUND: The objective of this study was to evaluate the adequate margin in the local treatment of extremity soft tissue sarcomas (ESTS) and understand the relationship between local control and overall survival (OS). METHODS: All consecutive patients treated for a primary ESTS at a single center from 1993 to 2012 were reviewed. RESULTS: In all, 531 patients were included. Twelve (2 %) underwent a first-line amputation. The resections were R0/R1/not available in 434 (82 %), 92 (17 %), and 5 patients (1 %)...
January 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27387358/short-versus-long-segment-posterior-fixation-in-the-treatment-of-thoracolumbar-junction-fractures-a-comparison-of-outcomes
#6
COMPARATIVE STUDY
Mueez Waqar, Dmitri Van-Popta, Damiano Giuseppe Barone, Maneesh Bhojak, Robin Pillay, Zaid Sarsam
PURPOSE: To compare clinical and radiological outcomes between short (SSPF) and long-segment (LSPF) posterior fixation for thoracolumbar junction (TLJ) fractures. MATERIALS AND METHODS: Retrospective review of adult patients, with single-level, TLJ (T11-L2) fractures, treated with posterior fixation between 2007 and 2014 at a regional spinal centre. SSPF and LSPF were defined as transpedicular screw fixation at one and two levels above and below the fractured vertebra, respectively...
February 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27259805/a-retrospective-study-of-two-populations-to-test-a-simple-rule-for-spirometry
#7
Jill A Ohar, Barbara P Yawn, Gregg L Ruppel, James F Donohue
BACKGROUND: Chronic lung disease is common and often under-diagnosed. METHODS: To test a simple rule for conducting spirometry we reviewed spirograms from two populations, occupational medicine evaluations (OME) conducted by Saint Louis and Wake Forest Universities at 3 sites (n = 3260, mean age 64.14 years, 95 % CI 58.94-69.34, 97 % men) and conducted by Wake Forest University preop clinic (POC) at one site (n = 845, mean age 62.10 years, 95 % CI 50...
June 4, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27044020/adult-spinal-deformity-correction-with-multi-level-anterior-column-releases-description-of-a-new-surgical-technique-and-literature-review
#8
REVIEW
Gokhan Demirkiran, Alexander A Theologis, Murat Pekmezci, Christopher Ames, Vedat Deviren
STUDY DESIGN: Case series. OBJECTIVE: To evaluate radiographic and clinical outcomes of adults with spinal deformity treated with multilevel anterior column releases (ACR). SUMMARY OF BACKGROUND DATA: Pedicle subtraction osteotomy can be used effectively to correct spinal deformity; however, it is not without complications. ACR is an attractive alternative minimally invasive technique for spinal deformity correction, although few clinical reports on its clinical effectiveness exist...
May 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26957098/adjacent-segment-degeneration-and-revision-surgery-after-circumferential-lumbar-fusion-outcomes-throughout-15%C3%A2-years-of-follow-up
#9
José I Maruenda, Carlos Barrios, Felipe Garibo, Borja Maruenda
PURPOSE: This retrospective study analyzes long-term outcomes (15 years) of circumferential lumbar fusion (CF) for degenerative spine disease using instrumented PLIF. The occurrence of adjacent segment degeneration (ASD) and the reintervention rate was specially focused. METHODS: A series of 73 patients who underwent CF (1-3 levels) was reviewed. Patients were evaluated preoperatively, at 2, 5, 10 and 15 years after surgery with static and dynamic radiographic studies, CT scan and MRI...
May 2016: European Spine Journal
https://www.readbyqxmd.com/read/26140404/impact-of-sagittal-spinopelvic-alignment-on-clinical-outcomes-after-decompression-surgery-for-lumbar-spinal-canal-stenosis-without-coronal-imbalance
#10
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
https://www.readbyqxmd.com/read/25862507/magnitude-of-preoperative-cervical-lordotic-compensation-and-c2-t3-angle-are-correlated-to-increased-risk-of-postoperative-sagittal-spinal-pelvic-malalignment-in-adult-thoracolumbar-deformity-patients-at-2-year-follow-up
#11
MULTICENTER STUDY
Peter G Passias, Alexandra Soroceanu, Justin Scheer, Sun Yang, Anthony Boniello, Justin S Smith, Themistocles Protopsaltis, Han J Kim, Frank Schwab, Munish Gupta, Eric Klineberg, Gregory Mundis, Renaud Lafage, Robert Hart, Christopher Shaffrey, Virginie Lafage, Christopher Ames
BACKGROUND CONTEXT: Cervical deformity (CD) is prevalent among patients with adult spinal deformity (ASD). The effect of baseline cervical alignment on achieving optimal thoracolumbar alignment in ASD surgery is unclear. PURPOSE: This study assesses the relationship between preoperative (preop) cervical spinal parameters and global alignment after thoracolumbar ASD surgery at 2-year follow-up. STUDY DESIGN/SETTING: This study is a retrospective review of a multicenter, prospective database...
August 1, 2015: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/25191162/outcomes-after-repair-of-subacute-to-chronic-grade-iii-metacarpophalangeal-joint-collateral-ligament-injuries-in-fingers-are-suboptimal
#12
Justin C Wong, Kevin F Lutsky, Pedro K Beredjiklian
PURPOSE: Although injury to the collateral ligaments of the metacarpophalangeal joint (MPJ) of the fingers is less common than corresponding injuries in the thumb, similar disability may result from chronic untreated injuries. We evaluated injury characteristics and the outcome after primary repair of subacute to chronic grade III collateral ligament injuries of the MPJs of the fingers. METHODS: We retrospectively reviewed all patients who underwent primary repair of a finger MPJ collateral ligament over a 3-year period...
September 2014: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/24294506/preoperative-chemoradiation-and-ioert-for-unresectable-or-borderline-resectable-pancreas-cancer
#13
Jonathan B Ashman, Adyr A Moss, William G Rule, Matthew G Callister, K Sudhakar Reddy, David C Mulligan, Joseph M Collins, Giovanni De Petris, Leonard L Gunderson, Mitesh Borad
BACKGROUND AND OBJECTIVES: Pre-operative chemoradiation (preop CRT) plus intraoperative electron irradiation (IOERT) has been used in the multidisciplinary treatment for patients with locally advanced unresectable or borderline resectable pancreas cancer. This review was performed to evaluate survival, relapse patterns and prognostic factors in patients treated with curative intent. METHODS: Between January 2002 and December 2010, 48 patients with locally advanced pancreatic ductal adenocarcinoma received preop CRT prior to an attempt at resection and IOERT...
December 2013: Journal of Gastrointestinal Oncology
https://www.readbyqxmd.com/read/23734538/psoas-impingement-causing-labrum-tear-a-series-from-three-tertiary-hip-arthroscopy-centers
#14
Brett M Cascio, David King, Yi-Meng Yen
BACKGROUND: The term hip impingement is usually associated with psoas impingement after arthroplasty or femoroacetabular impingement (FAI). A recently, less commonly described mechanism of impingement and labrum pathology is the psoas tendon applying pressure to the acetabular labrum more medial to the typical FAI labrum lesion. Much is still unkown about the anatomy, pathology, and treatment of this entity. PURPOSE: This paper describes the successful arthroscopic treatment of a series of patients with a recently recognized cause of hip pain in the young athletic population without significant bony pathology or coxa saltans...
March 2013: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/22868455/apical-vertebral-derotation-in-the-posterior-treatment-of-adolescent-idiopathic-scoliosis-myth-or-reality
#15
Mario Di Silvestre, Francesco Lolli, Georgios Bakaloudis, Elena Maredi, Francesco Vommaro, Francesca Pastorelli
INTRODUCTION: Direct apical vertebral rotation represents an important goal of posterior surgery for thoracic adolescent idiopathic scoliosis (AIS), so as to obtain a better cosmetic effect and to avoid posterior thoracoplasty. However, the real effectiveness in correction of vertebral rotation, using posterior only procedures, is still open to debate. The aim of the present study is to compare the correction of axial apical rotation obtained with direct rotation procedure versus simple concave rod rotation, in patients treated by posterior fusion for thoracic AIS using pedicle screw-only construct...
February 2013: European Spine Journal
https://www.readbyqxmd.com/read/22811922/the-use-of-epoetin-%C3%AE-in-revision-knee-arthroplasty
#16
Lawrence A Delasotta, Ashwin V Rangavajjula, Michael L Frank, Jamie L Blair, Fabio R Orozco, Alvin C Ong
Introduction. To evaluate the efficacy of epoetin-α prior to revision total knee arthroplasty, we hypothesized that epoetin-α will reduce blood transfusion. Methods. Eighty-one patients were compared in this retrospective review; twenty-eight patients received our dosing regimen. All patients were mildly anemic. Epoetin-α to control (1 : 2) patient matching occurred so that one of two attending surgeons, gender, BMI, complexity of surgery, ASA score, and age were similar between groups. The clinical triggers for blood transfusion during or after the procedure were determined based on peri- and postoperative hemoglobin levels, ASA score, and/or clinical symptoms consistent with anemia...
2012: Advances in Orthopedics
https://www.readbyqxmd.com/read/22629289/the-use-of-preoperative-epoetin-%C3%AE-in-revision-hip-arthroplasty
#17
Lawrence A Delasotta, Ashwin Rangavajjula, Michael L Frank, Jamie Blair, Fabio Orozco, Alvin Ong
PURPOSE: To evaluate the efficacy of preoperative epoetin-α on the revision hip arthroplasty patient. We hypothesized that epoetin-α will reduce blood transfusion. A pertinent review of the literature is provided. METHODS: Forty-six patients were retrospectively reviewed. Sixteen patients received epoetin-α. Patients were case matched by age, preoperative hemoglobin, surgery, gender, and BMI. The clinical triggers for blood transfusion during or after the procedure were determined based on peri- and postoperative hemoglobin levels, ASA score, and/or clinical symptoms consistent with anemia...
2012: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/22039606/readmission-rates-after-abdominal-surgery-the-role-of-surgeon-primary-caregiver-home-health-and-subacute-rehab
#18
Robert C G Martin, Russell Brown, Lisa Puffer, Stacey Block, Glenda Callender, Amy Quillo, Charles R Scoggins, Kelly M McMasters
OBJECTIVE: To prospectively evaluate predictive factors of hospital readmission rates in patients undergoing abdominal surgical procedures. BACKGROUND: Recommendations from MedPAC that the Centers for Medicare and Medicaid Services (CMS) report upon and determine payments based in part on readmission rates have led to an attendant interest by payers, hospital administrators and far-sighted physicians. METHODS: Analysis of 266 prospective treated patients undergoing major abdominal surgical procedures from September 2009 to September 2010...
October 2011: Annals of Surgery
https://www.readbyqxmd.com/read/21487342/treatment-of-non-age-related-macular-degeneration-submacular-diseases-with-macular-translocation-surgery
#19
Justis P Ehlers, Ramiro Maldonado, Neeru Sarin, Cynthia A Toth
PURPOSE: To evaluate the use of macular translocation surgery 360 in blinding submacular diseases other than age-related macular degeneration. METHODS: A retrospective, consecutive case review was performed of subjects treated with macular translocation surgery 360 for a submacular disease other than age-related macular degeneration. Primary outcome was change in visual acuity. Clinical data were collected and analyzed, including demographics, visual acuity, imaging features, surgery details, and complications...
July 2011: Retina
https://www.readbyqxmd.com/read/21141047/simulation-based-examinations-in-physician-assistant-education-a-comparison-of-two-standard-setting-methods
#20
COMPARATIVE STUDY
Jim Carlson, John Tomkowiak, Patrick Knott
PURPOSE: this study explored the reliability of two simple standard-setting methods that are used to set passing standards for a standardized patient (SP) exam in physician assistant (PA) education. METHODS: fifty-four second-year PA students participated in a multistation SP-based clinical skills exam. Cut scores were set using the Angoff and Borderline Group methods. A panel of PA faculty set cut scores using the Angoff method. A modified version of the Borderline Group method set cut scores using SP global ratings verified by faculty review...
2010: Journal of Physician Assistant Education
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