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A Garcia-Granero, L Sánchez-Guillén, O Carreño, J Sancho Muriel, E Alvarez Sarrado, D Fletcher Sanfeliu, B Flor Lorente, M Frasson, F Martinez Soriano, E Garcia-Granero
BACKGROUND: The medial approach in laparoscopic splenic flexure mobilization is based on the entrance to the lesser sac just above the ventral edge of the pancreas (VEOP). The artery of Moskowitz runs through the base of the mesocolon, just above the VEOP. The aim of this study was to assess the incidence of the artery of Moskowitz, its route and its distance from the VEOP. METHODS: We performed a cadaveric study on 27 human cadavers. The vascular arcades of the splenic flexure were dissected, the number of vascular arches, and the origin and localization of its terminal anastomosis were recorded...
July 2017: Techniques in Coloproctology
P Gennaro, A Borghini, G Chisci, F G Mazzei, E Weber, E Tedone Clemente, S Guerrini, F Gentili, G Gabriele, C Ungari, M A Mazzei
OBJECTIVE: Aim of this study is to evaluate the possibility of limb magnetic resonance lymphography (MRL) to differentiate lymphatic vessels from pathological veins, collect a specimen of the identified lymphatic vessel during operations of super microsurgical lymphatic-venular anastomosis (s-LVA) and perform immunohistochemical stainings to confirm the nature of the collected vessels. PATIENTS AND METHODS: Twenty patients presenting lymphedema were enrolled in this study...
February 2017: European Review for Medical and Pharmacological Sciences
José Arnaldo Shiomi da Cruz, Sabrina Thalita Dos Reis, Rodrigo Marcus Cunha Frati, Ricardo Jordão Duarte, Hiep Nguyen, Miguel Srougi, Carlo Camargo Passerotti
INTRODUCTION: Virtual reality surgical simulators (VRSS) have been showing themselves as a valuable tool in laparoscopy training and education. Taking in consideration the effectiveness of the VRSS, new uses for this tool have been purposed. In sports, warming up before exercise clearly shows benefit in performance. It is hypothesized that warming up in the VRSS before going to the operating room may show benefit in surgical performance. OBJECTIVE: Verify whether there is benefit in surgical performance with preoperatory warm-up using a VRSS...
November 2016: Journal of Surgical Education
A Montiel-Jarquín, R Barragán-Hervella, G López-Cázares, P Lima-Ramírez, G Lázaro-Michaca, H Vallecillo-Velázquez, M Sánchez-Durán, C Medina-Escobedo, A Villatoro-Martínez
INTRODUCTION: Ligament injuries of the knee joint are common during the second and third decades of life, clinical and radiological diagnosis presents difficulties since the surgical findings may differ significantly. The objective is to determine correlation between clinical-radiologic and arthroscopic diagnosis in patients with injury of the anterior cruciate ligament (ACL) and meniscal lesions. MATERIAL AND METHODS: Cross-sectional study held in 29 patients with ACL injury associated to meniscal lesions treated arthroscopically...
September 2015: Acta Ortopédica Mexicana
M N Bratucu, N D Garofil, P A Radu, V Paic, V Goleanu, M Zurzu, F Popa, V Strambu, D N Straja
BACKGROUND: Surgery is the definitive treatment of secondary hyperparathyroidism (2HPT) and end stage renal disease patients. The aim of this study to assess the impact of surgery on the evolution of quality of life (QoL) in patients with 2HPT, and to identify the variables that influence this evolution. METHODS: A series of 85 consecutive unselected patients underwent total parathyroidectomy for 2HPT in our clinic. QoL was measured using the Short-Form Health Survey(SF-36) and alleviation of symptoms was documented using an outcome tool (PAS score), based on visual analog scales, preoperatively, postoperatively and at 6 months...
November 2015: Chirurgia
Marina Zamuner, Fernando A M Herbella, José L B Aquino
BACKGROUND: The adoption of standardized protocols and specialized multidisciplinary teams for esophagectomy involve changes in routines with the implantation of expensive clinical practices and deviations from ingrained treatment philosophies. AIM: To evaluate the prevalence of standardized protocols and specialized multidisciplinary teams in São Paulo state, Brazil. METHODS: Institutions that routinely perform esophagectomies in São Paulo were contacted and questioned about the work team involved in the procedure and the presence of standardized routines in the preoperatory care...
July 2015: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Theodor Viorel Dumitrescu, Constantin Daniel Uscatu, Stelian Ştefăniţă Mogoantă, Dragoş Ovidiu Alexandru, Alexandra Dumitrescu, Michael Schenker, Cristian Meşină, Elena Raluca Nicoli, Dan Ionuţ Gheonea, Manuela Vasile, Iancu Emil Pleşea
AIM: New blood vessel formation (angiogenesis) is a fundamental event in the process of tumor growth and metastatic dissemination. The aim was to evaluate intratumoral vascular density (ITMVD) and to analyze possible correlations between ITMVD and the morphological profile of colorectal carcinoma. MATERIALS AND METHODS: The studied group consisted of 50 patients that underwent surgery for colorectal tumors, 12 of them receiving preoperatory radiotherapy. The analyzed morphological parameters were tumor site, tumor gross aspect, tumor longitudinal and transverse diameter, tumor grading, local invasion (pT), regional invasion (pN), distant metastases (pM) and intratumoral microvessel density (ITMVD) expressed as number of capillaries÷mm²...
2015: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
S Aldoescu, T Patrascu, I Brezean
AIM: identifying the variables that can help in quantifying/ predicting duration of hospital stay after inguinal hernia surgery. METHOD: 257 patients who were diagnosed with inguinal hernia underwent surgery between January 2013 and October 2014 and were prospectively registered and statistically analyzed by using linear regression with the aim of emphasizing, calculating and validating the predictors for duration of hospital stay. RESULTS: out of 257 patients, 50,7% underwent laparoscopic surgery (TAPP and TEP) and 49,7% had an anterior approach by using the technique described by Lichtenstein in most of the cases...
July 2015: Journal of Medicine and Life
M O Adameșteanu, V Enache, D Zamfirescu, I Lascăr
In medical practice, plastic surgeons confront with patients with sarcomas of the extremities that require a radical surgical approach. Knowing when to attempt limb-sparing surgery and when to give in to limb amputation is one of the most difficult decisions a surgeon can take. The correct approach and management of such cases ensure surgical success and the patient survival. In this paper, the case of a 56-year-old man, admitted in our clinic with a crush injury of the right calf and subsequent haematoma is presented...
April 2015: Journal of Medicine and Life
Silvia Schiavolin, Rui Quintas, Marco Pagani, Stefano Brock, Francesco Acerbi, Sergio Visintini, Alberto Cusin, Marco Schiariti, Morgan Broggi, Paolo Ferroli, Matilde Leonardi
BACKGROUND: The aim of this paper is to present the preliminary results of QoL, well-being, disability, and coping strategies of patients before neurosurgical procedure. METHODS: We analysed data on preoperative quality of life (EUROHIS-QoL), disability (WHODAS-II), well-being (PGWB-S), coping strategies (Brief COPE), and functional status (KPS score) of a sample of patients with brain tumours and cerebrovascular and spinal degenerative disease admitted to Neurological Institute Carlo Besta...
2014: TheScientificWorldJournal
S Cervi, A Fioruzzi, L Bisogno, C Fioruzzi
AIM OF THE STUDY: The Reverdin-Isham percutaneous osteotomy is indicated in the treatment of mild to moderate hallux valgus. The aim of this study is to evaluate the technique itself after a relevant experience. METHODS: From January 2010 to January 2012 we have done 213 percutaneous osteotomy. The patients were evaluated clinically and with imaging after a minimum 5 months and a maximum 2 years follow up. For the clinical evaluation it was used the American Orthopaedic Foot and Ankle Society score...
September 24, 2014: Acta Bio-medica: Atenei Parmensis
Roberta Maragliano, Alessandro Vanoli, Luca Albarello, Massimo Milione, Olca Basturk, David S Klimstra, Antonio Wachtel, Silvia Uccella, Emanuela Vicari, Marina Milesi, Maria Vittoria Davì, Aldo Scarpa, Fausto Sessa, Carlo Capella, Stefano La Rosa
Adrenocorticotropic hormone (ACTH)-secreting pancreatic neuroendocrine tumors (PanNETs), although rare, are responsible for about 15% of ectopic Cushing syndrome (CS). They represent a challenging entity because their preoperatory diagnosis is frequently difficult, and clear-cut morphologic criteria useful to differentiate them from other types of PanNETs have not been defined. Ectopic ACTH secretion associated with CS can also be rarely due to pancreatic acinar cell carcinoma (ACC) and pancreatoblastoma, rare tumor types with morphologic features sometimes overlapping those of PanNETs and, for this reason, representing a diagnostic challenge for pathologists...
March 2015: American Journal of Surgical Pathology
Federico Ignacio Tirapegui, Mariano Sebastian González, Ignacio Pablo Tobía González, Francisco P Daels
OBJECTIVE: To identify kidney stone characteristics that will determine either success or failure of a percutaneous nephrolithotomy (PCNL) and design a classification system to predict results according to these characteristics. MATERIALS AND METHODS: One hundred thirty-eight patients were assessed with multislice abdominal and pelvic CT before and after PCNL. With regard to pyelocaliceal stone distribution, we classified our patients in two groups that we called "no extra stone in middle calix" (NESMC) and "extra stone in middle calix" (ESMC), according to the difficulty in reaching the stones...
June 2015: Journal of Endourology
Percy Rossell-Perry, Carolina Romero-Narvaez
The purpose of this study is to evaluate the surgical outcome after using composite grafts for secondary cleft lip nasal deformities. A retrospective cohort study of one surgeon's outcome of 35 consecutive performed secondary cleft lip nasal deformity repair. Thirty-five patients with secondary nose deformity related to unsatisfactory cleft lip repair were operated using the proposed surgical technique since 2008. All these patients met the study criterion of having anthropometric measurements performed at least one year postoperatively...
2014: Plastic Surgery International
Cristian Funieru, Bogdan Bănică, Cristian-Niky Cumpătă, Ruxandra Ionela Sfeatcu, Adina Mihaela Dumitrache, Mihaela Răescu, Ionela Teodora Dascălu, George Simion, Mihaela Jana Ţuculină
PURPOSE: The purpose of this paper is to present a rare case of osteoma localized in the left frontal sinus. A 22-year-old woman who arrived at the Department of Neurosurgery of the University Emergency Hospital, Bucharest, Romania, presented a vertical asymmetry of the eyeballs but displayed no clinical signs like pain or diplopia. The computer tomography exam was used for preoperatory diagnostic. Histopathology was performed after surgery using Hematoxylin and Eosin staining. The Nikon Eclipse microscope was used to examine the slides...
2014: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
Giovani Jose Dal Poggetto Molinari, Andréia Marques de Oliveira Dalbem, Ana Terezinha Guillaumon
INTRODUCTION: In the past few years, the increase of endovascular surgeons' interest on tomography image edition through softwares is marked specially when it concerns to its use on preoperatory study for endovascular aneurysm repair. It is presumed that the bigger the number of informations extracted from the tomography exam and its three-dimensional reconstruction, the smaller is the need of patient's exposure to contrast, as well as the its exposure and the surgical team to radiation...
April 2014: Revista Brasileira de Cirurgia Cardiovascular
Percy Rossell-Perry, Arquímedes M Gavino-Gutierrez
OBJECTIVE: The purpose of this study was to evaluate the surgical outcome of secondary bilateral cleft lips after using a surgical technique for whistler deformity repair. DESIGN: A prospective cohort study of one surgeon's outcome of 38 consecutive performed bilateral whistler deformity repairs was conducted. SETTING: Data from the Outreach Surgical Center Program, Lima, Peru, were used. PATIENTS: Thirty-eight patients with lip deformity related to unsatisfactory bilateral cleft lip repair were operated on using the proposed surgical technique since 2008...
August 2016: Annals of Plastic Surgery
Justin Côté-Daigneault, Pierre Leclerc, Josette Joubert, Mickael Bouin
BACKGROUND: Obesity is an important health problem affecting >500 million people worldwide. Esophageal dysmotility is a gastrointestinal pathology associated with obesity; however, its prevalence and characteristics remain unclear. Esophageal dysmotilities have a high prevalence among obese patients regardless of gastrointestinal symptoms. OBJECTIVE: To identify the prevalence of esophageal dysmotility among obese patients. The secondary goals were to characterize these pathologies in obese patients and identify risk factors...
June 2014: Canadian Journal of Gastroenterology & Hepatology
Alessandra Surace, Alessia Ferrarese, Rosa Benvenga, Silvia Marola, Jacopo Cumbo, Matteo Rivelli, Valter Martino, Mario Solej, Mario Nano
INTRODUCTION: Incidence of neuroendocrine tumor (NET) is increased in the last thirty years from 1.1 to 5.2 cases per 100,000 people in the United States. They can originate from the pancreatic gland and for the majority of cases are not functioning (80%). A small percentage of functioning may produce adrenocorticotropic hormone (ACTH) and lead to ectopic ACTH Syndrome (EAS), responsible of Cushing-Syndrome. RESULTS: We present a case of a 30 year-old woman suffering from EAS due to a neoformation of the pancreatic tail of the maximum diameter of 4 cm...
2014: International Journal of Surgery
R Carloni, E Delay, A Gourari, C Ho Quoc, C Tourasse, C Balleyguier, N Forme, D Goga
BACKGROUND: Prescription of preoperatory imaging assessment prior to planned breast reconstruction surgery (reduction or augmentation mastoplasty, correction of congenital breast asymmetry) is poorly codified. The objective of this study was to analyze the attitudes of French radiologists and plastic surgeons with regard to prescription of preoperative imaging in the framework of non-oncologic breast surgery. MATERIAL AND METHODS: This is a descriptive and comparative observational study involving two groups, one consisting of 50 plastic surgeons (P) and the other of 50 radiologists (R) specialized in breast imaging...
April 2014: Annales de Chirurgie Plastique et Esthétique
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