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https://www.readbyqxmd.com/read/29913463/diet-drugs-devices-and-surgery-for-weight-management
#1
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No abstract text is available yet for this article.
June 4, 2018: Medical Letter on Drugs and Therapeutics
https://www.readbyqxmd.com/read/29913430/characteristics-and-outcomes-of-laparoscopic-surgery-in-patients-with-large-hiatal-hernia-a-single-center-study
#2
Angela Romano, Davide D'Amore, Giuseppe Esposito, Marianna Petrillo, Modestino Pezzella, Francesco Maria Romano, Giuseppe Izzo, Angelo Cosenza, Francesco Torelli, Antonio Volpicelli, Natale Di Martino
INTRODUCTION: Giant hiatal hernia is characterized by the presence of more than 1/3 of the stomach in the chest, through the diaphragmatic hiatus, with or without other intra-abdominal organs. It is a rare pathology, representing the 5-10% of all hiatal hernias. The advent of laparoscopic surgery led to new surgical techniques, which include the simple reduction with the excision of the hernial sac and the execution of a posterior hiatoplasty, with or without mesh, and the execution of a Collis-Nissen gatroplasty in case of short esophagus...
May 7, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29913394/many-us-hospital-affiliated-freestanding-ambulatory-surgery-centers-are-located-on-hospital-campuses-relevant-to-interpretation-of-studies-involving-ambulatory-surgery
#3
Dean Elhag, Franklin Dexter, Mohamed Elhakim, Richard H Epstein
STUDY OBJECTIVE: The US Agency for Healthcare Research and Quality's State Ambulatory Surgery Database includes procedures performed at hospital outpatient surgery departments. We hypothesized that, among US hospitals with an anesthesia department and freestanding outpatient surgical center, the prevalence on hospital campuses (i.e., within 250 yards of the main hospital building) would be sufficiently large (e.g., >10%) to influence interpretation of observational studies performed with US national ambulatory surgery datasets...
June 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29913360/spinal-cord-stimulation-in-the-treatment-of-complex-regional-pain-syndrome-type-1-is-trial-truly-required
#4
Erica Garbin Risson, Ana Paula Serpa, Jéssica Jacques Berger, Renata Fabiola Heil Koerbel, Andrei Koerbel
OBJECTIVE: Spinal cord stimulation has been proven highly effective in the treatment of Complex Regional Pain Syndrome (CRPS). The definitive implantation of a neurostimulator is usually preceded by a therapeutic test (trial), which has the purpose of identifying whether the patient would respond positively to neuromodulation or not. The present study aims to analyze the surgical results of spinal cord stimulation in type 1 CRPS patients who have not undergone trial. PATIENTS AND METHODS: From January 2011 to August 2017, 160 patients underwent implantation of spinal cord neurostimulator...
June 10, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29913339/incidence-of-epileptiform-discharges-in-children-during-induction-of-anaesthesia-using-propofol-versus-sevoflurane
#5
Susanne Koch, Leopold Rupp, Christine Prager, Rudolf Mörgeli, Sylvia Kramer, Klaus Dieter Wernecke, Astrid Fahlenkamp, Claudia Spies
OBJECTIVE: In pediatric patients, anaesthesia induction is often performed with intravenous Propofol or Sevoflurane inhalation. Although epileptiform discharges have been observed during inductions with Sevoflurane, their occurrence has not been investigated for i.v. Propofol inductions. The aim of this study is to compare the incidence of epileptiform discharges in children during anaesthesia induction using Propofol versus Sevoflurane. METHODS: Prospective, observational cohort study in children aged 0...
June 8, 2018: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29913296/interobserver-reliability-of-mri-predictors-of-outcome-in-cervical-spine-degenerative-conditions
#6
Joey K Grochmal, Andrew M Lozen, Andrew P Klein, Leighton P Mark, Jianing Li, Marjorie C Wang
BACKGROUND: Although recent work has focused on characterizing quantitative MRI markers that may predict outcome among patients with cervical degenerative conditions, little is known about their reliability. Measurement and reporting of these markers is time-consuming and non-standardized, thereby preventing their routine use in clinical care. METHODS: We retrospectively analyzed cervical MRI images among subjects prospectively enrolled in a health outcomes study of elective surgery for degenerative cervical spine conditions...
June 15, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29913295/comparison-of-the-effects-of-contractubex%C3%A2-gel-and-benzothiazole-after-topical-application-in-an-experimental-model-of-epidural-fibrosis-in-rats
#7
Huseyin Bozkurt, Emel Cicek Bozkurt, Hulya Ozpinar, Densel Arac, Ismail Kaya, Hidir Ozer, Reyhan Egilmez
OBJECTIVE: Postoperative epidural adhesion is one of the most frequent causes of failed-back surgery syndrome, presenting with back and leg pain or neurological deficits. Development of preventive measures for epidural adhesion after laminectomy remains critical to improve the outcomes of lumbar surgery. We hypothesized that positive effects of the topical application of Contractubex®Gel and benzothiazole individually and in combination can aid in the prevention of epidural fibrosis in a rat laminectomy model...
June 15, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29913293/rare-case-of-a-convexity-meningioma-growing-into-an-arachnoid-cyst
#8
Schul B David, Meier P Michael, Földvari Zsouzsana, Matthias J Krammer, Lumenta B Christianto
BACKGROUND: Meningioma growing into an arachnoid cyst is an extremely rare event. Only three cases are reported in the literature. In two of them, an operative procedure in or near the arachnoid cyst preceded tumor growth. Schul CASE DESCRIPTION: We report a case of a patient requiring marsupialization of an arachnoid cyst of the middle cranial fossa. On follow-up, three years postoperatively he showed no signs of recurrence or tumor growth. One year later, the fourth year after cyst's surgery, he presented with large tumor growth into the former cyst's cavity...
June 15, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29913269/iliac-screw-for-reconstructing-posterior-pelvic-ring-in-tile-type-c1-pelvic-fractures
#9
Yonggang Li, Xiguang Sang, Zhiyong Wang, Lin Cheng, Hao Liu, Tao Qin, Kai Di
BACKGROUND: It is often difficult to achieve stable fixation in Tile type C1 pelvic fractures and there is no standard fixation technique for these types of injuries. HYPOTHESIS: Iliac screw fixation can be used for treating Type C1 pelvic fractures. PATIENTS AND METHODS: A retrospective review was performed on 47 patients who underwent iliac screw fixation in posterior column of ilium (PCI) for Tile type C1 pelvic fractures from July 2007 to December 2014...
June 15, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29913258/motorized-0-8-mm-micro-punch-grafting-for-refractory-vitiligo-a-retrospective-study-of-230-cases
#10
Jung Min Bae, Ji Hae Lee, Hyuck Sun Kwon, Jiehoon Kim, Dong Seok Kim
BACKGROUND: Punch grafting for vitiligo has been time-consuming and may result in cobblestone-like appearances. We devised a motorized 0.8 mm micro-punch grafting procedure to overcome these limitations. OBJECTIVE: To assess the therapeutic effectiveness and adverse events associated with micro-punch grafting in refractory vitiligo. METHODS: We retrospectively reviewed 230 lesions in 208 patients with stable vitiligo who underwent motorized 0...
June 15, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29913222/a-multifunctional-multimaterial-system-for-on-demand-protein-release
#11
REVIEW
Deniz Ceylan Tuncaboylu, Fabian Friess, Christian Wischke, Andreas Lendlein
In order to provide best control of the regeneration process for each individual patient, the release of protein drugs administered during surgery may need to be timely adapted and/or delayed according to the progress of healing/regeneration. This study aims to establish a multifunctional implant system for a local on-demand release, which is applicable for various types of proteins. It was hypothesized that a tubular multimaterial container kit, which hosts the protein of interest as a solution or gel formulation, would enable on-demand release if equipped with the capacity of diameter reduction upon external stimulation...
June 15, 2018: Journal of Controlled Release: Official Journal of the Controlled Release Society
https://www.readbyqxmd.com/read/29913175/implementation-of-an-urogynecology-specific-enhanced-recovery-after-surgery-eras-pathway
#12
Charelle M Carter-Brooks, Angela L Du, Kristine M Ruppert, Anna L Romanova, Halina M Zyczynski
OBJECTIVES: ERAS protocols were developed for colorectal surgery to hasten post-op recovery. Variations of the protocol are being adopted for gynecologic procedures despite limited population and procedure-specific outcome data. Our objective was to evaluate if implementation of an ERAS pathway would facilitate reduced length of admission in an urogynecology population. MATERIALS AND METHODS: In this retrospective analysis of patients undergoing pelvic floor reconstructive surgery by 7 female pelvic medicine and reconstructive surgeons we compared same day discharge, length of admission and post-op complications before and after implementation of an ERAS pathway at a tertiary-care hospital...
June 15, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29913085/a-software-program-to-assist-coding-of-prelinguistic-vocalizations-in-real-time
#13
Elisabeth Willadsen, Christina Persson, Duncan Appelbe
Numerous studies have confirmed that prelinguistic utterances are precursors to speech, and there is ample evidence that, for example, frequency of canonical syllables and syllable inventory size correlate with speech and language measures at older ages. Traditionally, prelinguistic utterances have been assessed by phonetic transcription which is difficult and time-consuming in infants. Recently, a more time-efficient methodology to assess prelinguistic utterances in real time, called naturalistic listening, was developed (Ramsdell et al...
June 18, 2018: Clinical Linguistics & Phonetics
https://www.readbyqxmd.com/read/29913033/comparison-of-propofol-based-versus-volatile-based-anaesthesia-and-postoperative-sedation-in-cardiac-surgical-patients-a-prospective-randomized-study
#14
Marcin Wąsowicz, Angela Jerath, Warren Luksun, Vivek Sharma, Nicholas Mitsakakis, Massimilaino Meineri, Rita Katznelson, Terrence Yau, Vivek Rao, William Scott Beattie
BACKGROUND: Clinical trials have shown conflicting results regarding the use of volatile anesthesia before or after the ischemic insult in cardiac surgical patients and effect on myocardial injury. This may be attributable to the failure of continuing volatile agents into the early postoperative period. We hypothesized that combined volatile-based anesthesia and postoperative sedation would decrease the extent of myocardial injury after coronary artery bypass grafting (CABG) when compared to intravenous, propofol-based approach...
June 18, 2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/29913027/patient-satisfaction-with-nonopioid-pain-management-following-knee-arthroscopic-partial-meniscectomy-and-or-chondroplasty
#15
Charles S Carrier, Kirsten D Garvey, Emily M Brook, Elizabeth G Matzkin
The purpose of this study was to determine the efficacy of nonopioid pain management following arthroscopic partial meniscectomy and/or chondroplasty and to assess patients' attitudes regarding their need for opioid pain medication following these procedures. Patients who underwent a knee arthroscopy procedure for either partial meniscectomy and/or chondroplasty from July 2016 to January 2017 by a single surgeon at a single institution were included. Medical records were reviewed, and demographics were recorded...
June 18, 2018: Orthopedics
https://www.readbyqxmd.com/read/29913026/long-term-outcomes-after-same-amount-of-bilateral-rectus-muscle-recession-for-intermittent-exotropia-with-the-same-angle-of-deviation
#16
Haeng-Jin Lee, Seong-Joon Kim, Young Suk Yu
PURPOSE: To evaluate long-term outcomes of homogenous bilateral rectus recession in patients with the same preoperative angle of deviation in intermittent exotropia and investigate factors associated with surgical outcomes. METHODS: In this retrospective review, patients with the same preoperative angle of deviation who underwent bilateral 6-mm lateral rectus recession between January 2008 and January 2014 were observed for 2 or more years. Patients were classified into two groups based on deviation angle: success (orthophoria or exodeviation < 10 prism diopters [PD]) or recurrence (exodeviation ≥ 10 PD)...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29913025/one-muscle-strabismus-surgery-a-review
#17
Jake Gurland, Aldo Vagge, Leonard B Nelson
Proper management of a patient with small to moderate horizontal deviations continues to be challenging for the strabismus surgeon. The use of one-muscle surgery for comitant strabismus has been controversial because of concerns that it may result in a significant number of undercorrections and/or ocular incomitance. Recent literature on unilateral rectus muscle surgery has shown that this surgery is a safe and effective procedure for small and moderate angle horizontal deviations. It has the advantage of limiting surgery to one eye, reducing operative time and possible cost to the family, and leaving other muscles untouched in case repeat surgery is necessary...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29913023/immediate-postoperative-alignment-following-bimedial-rectus-recession-for-esotropia-in-children-compared-to-adults
#18
Mohamed B Hassan, Nancy N Diehl, Brian G Mohney
PURPOSE: To determine whether the immediate postoperative alignment among patients undergoing successful bilateral weakening surgery for esotropia is different in children compared to adults. METHODS: The medical records of all patients undergoing surgery for esotropia by a single surgeon at a major academic referral center between January 1, 2002, and July 1, 2014 (n = 544), were retrospectively reviewed. Exclusion criteria included those with prior strabismus surgery, unilateral surgery, strengthening procedures, vertical or superior oblique surgery, and those wearing hyperopic spectacles for accommodative esotropia...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29912838/baha-skin-complications-in-the-pediatric-population-systematic-review-with-meta-analysis
#19
Scott Shapiro, Jad Ramadan, Adam Cassis
OBJECTIVE: Compare the incidence of skin and surgical site complications for children undergoing percutaneous and transcutaneous bone conduction implant (pBCI and tBCI) surgery via systematic review and meta-analysis of the available data. DATA SOURCES: 1) Search of PubMed, Web of Science, and EBSCOhost databases from January 2012 to April 2017. 2) References of studies meeting initial criteria. STUDY SELECTION: Inclusion criteria were studies that involved patients less than 18 years old undergoing tBCI or pBCI surgery with a BI300 implant and reported skin complications, implant loss, and need for revision surgery...
June 15, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29912829/automated-metrics-in-a-virtual-reality-myringotomy-simulator-development-and-construct-validity
#20
Caiwen Huang, Horace Cheng, Yves Bureau, Hanif M Ladak, Sumit K Agrawal
OBJECTIVES: The objectives of this study were: 1) to develop and implement a set of automated performance metrics into the Western myringotomy simulator, and 2) to establish construct validity. STUDY DESIGN: Prospective simulator-based assessment study. SETTING: The Auditory Biophysics Laboratory at Western University, London, Ontario, Canada. PARTICIPANTS: Eleven participants were recruited from the Department of Otolaryngology-Head & Neck Surgery at Western University: four senior otolaryngology consultants and seven junior otolaryngology residents...
June 15, 2018: Otology & Neurotology
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