keyword
https://read.qxmd.com/read/38701184/mesentery-sparing-technique-a-new-intracorporeal-approach-for-urinary-diversion-in-robot-assisted-radical-cystectomy
#1
JOURNAL ARTICLE
Eliney Ferreira Faria, Carlos Vaz de Melo Maciel, Pablo Almeida Melo, Marcos Tobias-Machado, Roberto Dias, Rodolfo Borges Dos Reis, Rodrigo José Costa-Gualberto
BACKGROUND: Robotic-assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD) is associated with significant morbidity and mortality. We present an alternative technique that preserves the complete mesenteric vascularization during the isolation of the intestinal segment used in ICUD, including distal vessels. This approach aims to minimize the risk of ischemia in both the ileal anastomosis and the isolated loop at the diversion site. METHODS: This cohort study included 31 patients, both male and female, who underwent RARC with ICUD from February 2018 to November 2023, performed by a single surgeon...
May 3, 2024: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://read.qxmd.com/read/38694348/effect-of-needles-distance-of-arteriovenous-fistula-cannulation-on-hemodialysis-adequacy-based-on-kt-v-a-randomized-controlled-trial
#2
JOURNAL ARTICLE
Samad Karkhah, Majid Pourshaikhian, Saman Maroufizadeh, Pooyan Ghorbani Vajargah, Pegah Aghajanzadeh, Joseph Osuji, Mohammad Taghi Moghadamnia
BACKGROUND: This study aims to assess the effect of needle distance of arteriovenous fistula (AVF) cannulation on haemodialysis adequacy based on KT/V. MATERIALS AND METHODS: This study was a parallel-group, randomized controlled trial. Patients who met the inclusion criteria were divided into two groups with 3 and 6 cm needle distances using block randomization. Data acquisition transpired through a comprehensive checklist encompassing demographic variables such as age and sex, alongside clinical metrics comprising actual weight, dry weight, average dialysis duration, fistula longevity, and KT/V rate...
May 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38687051/transarterial-embolization-of-intracranial-dural-arteriovenous-fistulas-cognard-type-v-with-direct-drainage-into-the-perimedullary-veins-case-report-and-literature-review
#3
JOURNAL ARTICLE
Santiago David Mendoza-Ayús, Kareem El Naamani, Elias Atallah, Saman Sizdahkhani, Anand Kaul, Nikolaos Mouchtouris, Stavropoula Tjoumakaris, Michael R Gooch, Robert H Rosenwasser, Pascal Jabbour
BACKGROUND AND IMPORTANCE: Cognard type V fistula (CVF) is a rare type of dural arteriovenous fistula characterized by spinal perimedullary venous drainage. Owing to the lack of pathognomonic findings, misdiagnosis is common. Patients often undergo multiple spinal angiograms negative for spinal vascular malformations. Digital subtraction angiography is the gold standard diagnostic tool. The preferred treatment option is endovascular management with embolization through a transarterial, transvenous, or combined approach...
April 30, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38685582/relationship-between-effective-blood-flow-rate-and-clinical-outcomes-in-maintenance-hemodialysis-patients-a-single-center-study
#4
JOURNAL ARTICLE
Zhoucang Zhang, Jiarui Li, Jiaxiang Ding, Shenglei Zhang, Mei Wang, Jinsheng Xu
The association between blood flow rate (BFR) and clinical outcomes in patients undergoing maintenance hemodialysis (MHD) is inconclusive. This retrospective study included 175 patients undergoing MHD treatment between July 2015 and March 2022, divided into two groups based on time-averaged effective blood flow rate (eBFR) median value. We investigated arteriovenous fistula (AVF) outcomes and the association of eBFR with all-cause mortality and new major adverse cardiovascular events (MACE). Mean ± SD and median time-averaged eBFR values were 276 ± 24 and 275 mL/min, respectively...
December 2024: Renal Failure
https://read.qxmd.com/read/38684547/treatment-techniques-for-rectovaginal-fistulas-after-low-rectal-resection-for-deep-endometriosis
#5
JOURNAL ARTICLE
A Potolicchio, C Jehaes, B Merlot, V Assenat, T Dennis, H Roman, M-O Francois, Q Denost
Endometriosis is a benign gynecologic affection that may lead to major surgeries, such as colorectal resections. Rectovaginal fistulas (RVF) are among the possible complications. When they occur, it is necessary to adapt the repair surgery as best as possible to limit their functional consequences. This video shows three different techniques for correcting RVF after rectal resection for endometriosis, with a combination of perineal surgery and laparoscopy: a mucosal flap, a transanal transection and single stapled anastomosis (TTSS) and a pull through...
April 29, 2024: Techniques in Coloproctology
https://read.qxmd.com/read/38678991/endovascular-treatment-for-v3-segment-direct-vertebral-venous-fistulas-a-report-of-two-cases-and-a-literature-review
#6
Jinlu Yu, Zibo Zhou, Hui Pan
INTRODUCTION AND IMPORTANCE: Direct vertebrovertebral fistulas (VVFs) involving the V3 segment of the vertebral artery (VA) are rare. Endovascular treatment (EVT) can be used to obliterate these VVFs. CASE PRESENTATION: Case 1 was a 30-year-old male with limb weakness. He had grade V muscle strength in his limbs. Angiography confirmed a low-flow direct VVF of the V3 segment. The right VA was well developed. Coiling of the VVF and its parent VA obliterated the VVF...
April 21, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38672577/influence-of-certification-program-on-treatment-quality-and-survival-for-rectal-cancer-patients-in-germany-results-of-13-certified-centers-in-collaboration-with-an-institute
#7
JOURNAL ARTICLE
Mihailo Andric, Jessica Stockheim, Mirhasan Rahimli, Sara Al-Madhi, Sara Acciuffi, Maximilian Dölling, Roland Siegfried Croner, Aristotelis Perrakis
INTRODUCTION: The certification of oncological units as colorectal cancer centers (CrCCs) has been proposed to standardize oncological treatment and improve the outcomes for patients with colorectal cancer (CRC). The proportion of patients with CRC in Germany that are treated by a certified center is around 53%. Lately, the effect of certification on the treatment outcomes has been critically discussed. AIM: Our aim was to investigate the treatment outcomes in patients with rectal carcinoma at certified CrCCs, in German hospitals of different medical care levels...
April 13, 2024: Cancers
https://read.qxmd.com/read/38666342/-nutritional-status-and-its-relationship-with-covid-19-prognosis-in-hemodialysis-patients
#8
JOURNAL ARTICLE
Paz Andrea Bersano-Reyes, Gema Nieto, Alicia Cana-Poyatos, Paula Guerrero Sanz, Rafa García-Maset, Alicia García-Testal
INTRODUCTION: among the groups most affected by the COVID-19 pandemic are patients undergoing chronic hemodialysis (HD) treatment due to their comorbidities, advanced age, impaired innate and adaptive immune function, and increased nutritional risk due to their underlying inflammatory state. All of these factors contribute to a higher risk of severe complications and worse outcomes compared to the general population when infected with SARS-CoV-2. OBJECTIVE: the objective of this study was to describe the nutritional characteristics of and their potential association with the prognosis of COVID-19 in patients undergoing chronic HD treatment...
April 12, 2024: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://read.qxmd.com/read/38665977/fungal-planet-description-sheets-1550-1613
#9
JOURNAL ARTICLE
P W Crous, M M Costa, H Kandemir, M Vermaas, D Vu, L Zhao, E Arumugam, A Flakus, Ž Jurjević, M Kaliyaperumal, S Mahadevakumar, R Murugadoss, R G Shivas, Y P Tan, M J Wingfield, S E Abell, T S Marney, C Danteswari, V Darmostuk, C M Denchev, T T Denchev, J Etayo, J Gené, S Gunaseelan, V Hubka, T Illescas, G M Jansen, K Kezo, S Kumar, E Larsson, K T Mufeeda, M Piątek, P Rodriguez-Flakus, P V S R N Sarma, M Stryjak-Bogacka, D Torres-Garcia, J Vauras, D A Acal, A Akulov, K Alhudaib, M Asif, S Balashov, H-O Baral, A Baturo-Cieśniewska, D Begerow, A Beja-Pereira, M V Bianchinotti, P Bilański, S Chandranayaka, N Chellappan, D A Cowan, F A Custódio, P Czachura, G Delgado, N I De Silva, J Dijksterhuis, M Dueñas, P Eisvand, V Fachada, J Fournier, Y Fritsche, F Fuljer, K G G Ganga, M P Guerra, K Hansen, N Hywel-Jones, A M Ismail, C R Jacobs, R Jankowiak, A Karich, M Kemler, K Kisło, W Klofac, I Krisai-Greilhuber, K P D Latha, R Lebeuf, M E Lopes, S Lumyong, J G Maciá-Vicente, G Maggs-Kölling, D Magistà, P Manimohan, M P Martín, E Mazur, M Mehrabi-Koushki, A N Miller, A Mombert, E A Ossowska, K Patejuk, O L Pereira, S Piskorski, M Plaza, A R Podile, A Polhorský, W Pusz, M Raza, M Ruszkiewicz-Michalska, M Saba, R M Sánchez, R Singh, L Śliwa, M E Smith, V M Stefenon, D Strasiftáková, N Suwannarach, K Szczepańska, M T Telleria, D S Tennakoon, M Thines, R G Thorn, J Urbaniak, M van der Vegte, V Vasan, C Vila-Viçosa, H Voglmayr, M Wrzosek, J Zappelini, J Z Groenewald
Novel species of fungi described in this study include those from various countries as follows: Argentina , Neocamarosporium halophilum in leaf spots of Atriplex undulata . Australia , Aschersonia merianiae on scale insect ( Coccoidea ), Curvularia huamulaniae isolated from air, Hevansia mainiae on dead spider, Ophiocordyceps poecilometigena on Poecilometis sp. Bolivia , Lecanora menthoides on sandstone, in open semi-desert montane areas, Sticta monlueckiorum corticolous in a forest, Trichonectria epimegalosporae on apothecia of corticolous Megalospora sulphurata var...
June 2023: Persoonia
https://read.qxmd.com/read/38664107/comparison-of-two-surgical-protocols-for-the-treatment-of-unilateral-cleft-lip-and-palate-a-multidisciplinary-systematic-review-and-meta-analysis
#10
REVIEW
V L van Roey, S Ombashi, M M Pleumeekers, I M J Mathijssen, A B Mink van der Molen, M Munill, S L Versnel
There is still no unanimous agreement on the optimal surgical protocol(s) for the treatment of unilateral cleft lip and palate (UCLP), and a huge variety of protocols are employed by cleft centres across the world. The aim of this systematic review and meta-analysis was to compare reported patient outcomes of the Oslo protocol (and modifications) (OP) and delayed hard palate closure protocols (DHPCP) from a multidisciplinary perspective. A systematic search of multiple databases was conducted until September 2023...
April 24, 2024: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38634579/-unformed-conglomerate-debilitating-jejunal-fistulas-and-their-two-stage-surgical-treatment-via-posterolateral-laparotomy
#11
JOURNAL ARTICLE
V M Bensman, V A Porkhanov, A G Baryshev, V V Polovinkin, K G Triandafilov, O V Sidorenko, V N Ponomarev, E S Zezekalo
OBJECTIVE: To create a method of two-stage repair of high unformed conglomerate delimited debilitating jejunal fistulas via posterolateral laparotomy with low risk of surgical complications. MATERIAL AND METHODS: Methodology and treatment outcomes were analyzed in 37 patients with unformed conglomerate high debilitating delimited jejunal fistulas. Of these, 22 patients underwent one-stage treatment through 2 converging incisions and/or two-stage treatment through anterolateral access...
2024: Khirurgiia
https://read.qxmd.com/read/38629834/posterior-interhemispheric-approach-for-occlusion-of-a-galenic-type-1-tentorial-dural-arteriovenous-fistula-2-dimensional-operative-video
#12
JOURNAL ARTICLE
Visish M Srinivasan, Mohamed A Labib, Joshua S Catapano, Michael T Lawton
Galenic dural arteriovenous fistulas account for 1 of the 6 types of tentorial dural arteriovenous fistulas (type I). These fistulas are located around the great cerebral vein of Galen, with dural arterial supply through the tentorial arteries of Bernasconi and Cassinari or other posterior fossa branches, such as the posterior meningeal artery. In this case, a man in his 60s presented with a headache and was found to have this high-risk lesion, which was Borden grade III and Cognard grade IV. The lesion persisted despite embolization through the middle meningeal artery...
April 17, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38591304/pancreaticoureteric-fistula-following-penetrating-abdominal-trauma-a-case-report
#13
Hamza Bashir, Muhammad Nauman, Muhammad Arsalan
Pancreaticoureteric Fistula (PUF) is a very rare complication secondary to penetrating abdominal trauma involving the ureter and pancreatic parenchyma. Pancreatic injuries carry h igh morbidity due to the involvem ent of surrounding structures and are d ifficult to diagnose due to thei r retroperitoneal location. A case of a patient is reported at Civil Hospital, Hyderabad who presented with a history of firearm injury and missed pancreatic duct involvement on initial exploration that eventually led to the development of Pan creaticoureteric Fistula...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38586097/mscta-imaging-analysis-of-autologous-arteriovenous-fistula-dysfunction-in-maintenance-hemodialysis-patients
#14
JOURNAL ARTICLE
Yingjie Wang, Yanlei Qin, Xiaolu Huang, Weihong Liu
OBJECTIVE: To observe the multi-slice spiral CT angiography (MSCTA) imaging features of arteriovenous fistula dysfunction in patients undergoing maintenance hemodialysis and analyze the significance of the imaging examination. METHODS: Altogether 90 patients with end-stage renal disease treated by maintenance hemodialysis in General Hospital of China Resources & Wisco from June 2020 to February 2023 were divided into a normal function group (n=68) and a dysfunction group (n=22) according to the function of autogenous arteriovenous fistula...
2024: American Journal of Translational Research
https://read.qxmd.com/read/38583898/independent-external-validation-and-comparison-of-existing-pancreatic-fistula-risk-scores-after-laparoscopic-pancreaticoduodenectomy-with-bing-s-pancreaticojejunostomy
#15
JOURNAL ARTICLE
Jiaying You, Yangzhi Fu, He Cai, Xin Wang, Yongbin Li, Man Zhang, Jingnan Tang, Pan Gao, Yunqiang Cai, Bing Peng
BACKGROUND: The fistula risk score (FRS) is the widely acknowledged prediction model for clinically relevant postoperative pancreatic fistula (CR-POPF). In addition, the alternative FRS (a-FRS) and updated alternative FRS (ua-FRS) have been developed. This study performed external validation and comparison of these 3 models in patients who underwent laparoscopic pancreaticoduodenectomy (LPD) with Bing's pancreaticojejunostomy. METHODS: The FRS total points and predictive probabilities of a-FRS and ua-FRS were retrospectively calculated using patient data from a completed randomized controlled trial...
April 2024: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38576632/role-of-doppler-evaluation-in-assessing-the-maturation-of-the-arteriovenous-fistula-for-hemodialysis-an-observational-study
#16
JOURNAL ARTICLE
H S Suraj, Sakalecha Anil Kumar, N Rachegowda, Govindaraju Tirupathi Rajeswari, L Yashas Ullas, R B Revanth
Introduction Arteriovenous fistulas (AVFs) are the preferred type of vascular access for hemodialysis due to their lower risk of complications. This study aimed to determine the role of Doppler evaluation in assessing AVF. Materials and methods We conducted an 18-month prospective observational study of 33 hemodialysis patients who underwent a procedure for the creation of AVF at the Department of Radio-Diagnosis at Sri Devaraj Urs Academy of Higher Education and Research. Patients were evaluated using color Doppler ultrasound...
March 2024: Curēus
https://read.qxmd.com/read/38567271/a-case-report-of-a-young-woman-with-pulmonary-emboli-and-a-right-coronary-artery-to-coronary-sinus-fistula
#17
V Karthik, Chinedum Anosike, Christos Zivlas
BACKGROUND: Coronary artery fistulae are rare cardiovascular anomalies that can present with atypical symptomatology and therefore pose diagnostic challenges, especially in young patients. CASE SUMMARY: A 34-year-old woman presented with left-sided pleuritic chest pain, haemoptysis, and flu-like symptoms. Initial evaluation revealed multiple left-sided pulmonary emboli, and her transthoracic echocardiography showed turbulent flow in a dilated coronary sinus. A right coronary artery (RCA) to coronary sinus fistula was confirmed by computed tomography coronary angiogram...
April 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38561678/acute-myocardial-infarction-due-to-giant-coronary-artery-aneurysm-and-arteriovenous-fistula-a-challenging-case-report-and-review-of-the-literature
#18
REVIEW
A Vassilikou, M P Xenitopoulou, K Ziampa, A P Evangeliou, S Mitsiadis, A Syrnioti, G Petrakis, P Tossios, V Vassilikos, S Tzikas
BACKGROUND: A coronary artery aneurysm (CAA) is an abnormal dilation of a coronary artery segment often accompanied by coronary artery fistula (CAF), leading to communication between a coronary artery and a cardiac chamber or a part of the coronary venous system. Both CAAs and CAFs can present with symptoms and signs of myocardial ischemia and infarction. CASE PRESENTATION: We describe the case of a 46-year-old woman with non-ST-elevation myocardial infarction (NSTEMI) caused by a "giant" CAA...
April 1, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38556126/laparoscopic-approach-for-xanthogranulomatous-pyelonephritis-and-pyonephrosis
#19
JOURNAL ARTICLE
T Telecan, I Andras, N Crousen, E D Cata, P Medan, D V Stanca, A Territo, I Coman, N Crisan
INTRODUCTION: Xanthogranulomatous pyelonephritis (XGPN) is a rare form of chronic renal inflammation, caused by long-term obstruction of the urinary tract. Pyonephrosis is a severe suppurative complication of acute obstructive pyelonephritis. Although minimally invasive approaches have many advantages, the safe dissection of the kidney may not be always achievable. MATERIALS AND METHODS: We reviewed 27 cases diagnosed with either XGPN or pyonephrosis, who underwent laparoscopic total nephrectomy between October 2016 and March 2022 in our department...
March 29, 2024: Actas urologicas españolas
https://read.qxmd.com/read/38549910/role-of-pancreatic-attenuation-index-in-assessing-pancreatic-fat-content-and-postpancreatectomy-outcomes
#20
JOURNAL ARTICLE
Rizwan Ahmed Perikinchira, Ramesh Rajan, Bonny Natesan P, Bindiya Gisuthan, L Jayasree, Swasthik K S, Santhoshkumar Subramanian, Agestino V Antony
Background  High fat content of pancreas can contribute to its soft texture, which is a strong predictor for postoperative pancreatic fistula (POPF). We propose to assess the relationship of pancreatic computed tomography (CT) attenuation index (PAI) with histopathological fat content of pancreas and postpancreatectomy outcomes. Methodology  Data was collected prospectively from patients who underwent pancreatic resections from February 2021 to January 2023. CT attenuation was measured in pancreas and spleen in three regions of interest each...
April 2024: Indian Journal of Radiology & Imaging
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