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Actas Urol Esp 2021 Jun 11. Epub 2021 Jun 11.

Servicio de Urología, Complejo Hospitalario Universitario A Coruña, A Coruña, España.

Introduction And Objective: The minimally invasive surgical approach to adrenal gland pathology is the most widely used nowadays, and retroperitoneoscopy occupies a relevant place. However, the evolution of these techniques towards even less invasive surgery through single-port access is anecdotal. The aim of this work is to describe our initial experience in single-port retroperitoneoscopic surgery (SPORS) of the adrenal gland focusing on perioperative data and postoperative pain. Read More

Cureus 2021 May 11;13(5):e14954. Epub 2021 May 11.

Plastic and Reconstructive Surgery, University of Maryland School of Medicine, Baltimore, USA.

Background Groin reconstruction with muscle flap coverage is associated with high wound complication rates. Incisional vacuum-assisted closure (iVAC) therapy may lower wound complications. We evaluated the impact of iVAC on postoperative outcomes in patients following groin reconstruction with muscle flap coverage. Read More

Hernia 2021 Jun 11. Epub 2021 Jun 11.

Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Korle, Bu, Accra, Ghana.

Purpose: Inguinal hernia is a common male surgical disease. Intervention carries a wide range of complications such as scrotal haematoma and seroma which may require surgical re-intervention or predispose patients to developing infections, pains or feeling of mass. This could lead to long hospital stay. Read More

Oper Orthop Traumatol 2021 Jun 10. Epub 2021 Jun 10.

Gelenkchirurgie Orthopädie Hannover, Bertastr. 10, 30159, Hannover, Deutschland.

Objective: Establish a safe technique for high tibia osteotomy.

Indications: Varus deformity of proximal tibia, high tibia osteotomy indicated.

Contraindications: Correct placement of retractor not possible. Read More

Ann Plast Surg 2021 Jun;86(6S Suppl 5):S510-S516

Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Medical Center; Richmond, VA.

Background: Dog bite injuries cause significant preventable patient morbidity and health care expenditure in children. This study aimed to characterize the patient and healthcare burden related to pediatric dog bite injuries at a level 1 trauma center.

Methods: This is a retrospective review of 356 pediatric patients who presented to Virginia Commonwealth University Pediatric Emergency Department between July 2007 and August 2017 after sustaining dog bite injuries. Read More

Ann Plast Surg 2021 Jun;86(6S Suppl 5):S498-S502

From the Division of Plastic Surgery, University of Alabama at Birmingham School of Medicine.

Background: After many years of debate, underlay and sublay placement of mesh slowly emerged as the standard of care in abdominal wall reconstruction because of lower hernia recurrence rates. However, onlay has the advantages of being faster, less invasive, and technically easier compared with underlay and sublay. Therefore, if a similar recurrence could be achieved, then onlay should be a consideration. Read More

Ann Gastroenterol Surg 2021 May 17;5(3):373-380. Epub 2020 Dec 17.

Department of Surgery Saiseikai Kumamoto Hospital Kumamoto Japan.

Aim: Severe postoperative pleural effusion (sPOPE) after hepatectomy can lead to respiratory distress and may require thoracic drainage, leading to prolonged hospitalization. Preventive chest tube insertion may be useful for patients at high risk for sPOPE. We aimed to develop a predictive model for sPOPE after hepatectomy and evaluate indications for preventive chest tube insertion using our model. Read More

Sex Med 2021 May 31;9(3):100379. Epub 2021 May 31.

University of Texas Health Science Center - McGovern Medical School at Houston, Texas, USA; St Joseph Medical Center, Houston, Texas, USA. Electronic address:

Introduction: Impending cylinder erosion and floppy glans secondary to an undersized penile prosthesis are rare complications that can cause cosmetic deformity and patient discomfort.

Aim: To demonstrate a technique for the management of impending cylinder erosion and floppy glans secondary to cylinder under-sizing.

Methods: We retrospectively reviewed 6 patients who required the proximal extracapsular tunneling technique during penile prosthesis revision surgery. Read More

J Clin Med 2021 May 30;10(11). Epub 2021 May 30.

Sporthopaedicum Straubing, Medical Care Center, 94135 Straubing, Germany.

Purpose: In contrast to total knee arthroplasty (TKA), unicompartmental knee arthroplasty (UKA) is a true resurfacing procedure, as none of the ligaments are replaced or released, and the pre-arthritic leg alignment is the major goal. As such, the alignment of the tibial component plays a crucial role in postoperative knee function and long-term survival. Pinless navigation has shown reliable results in total knee arthroplasty. Read More

Urology 2021 May 28. Epub 2021 May 28.

Department of Urology, Weill Cornell Medical College/New York Presbyterian, New York, NY, 10065. Electronic address:

Objectives: To understand the histologic changes of prostate tissue induced by temporary implantable nitinol device (cTIND) in a canine model.

Methods: The cTIND is a small, symmetric device comprised of nitinol wire loops welded together on an axis, which exert radial force on the tissue to induce a targeted ischemic effect. The cTIND was implanted in three live canine models, which were monitored for 14 days post-index procedure. Read More

Injury 2021 May 13. Epub 2021 May 13.

Division of Orthopaedic Trauma, Department of Orthopaedics and Traumatology; Taipei Veterans General Hospital, Taipei, Taiwan; Department of Orthopaedics; School of Medicine; National Yang Ming Chiao Tung University, Taipei, Taiwan. Electronic address:

Background: Sinus tarsi approach (STA) is the most commonly used minimally invasive surgery (MIS) in the treatment of displaced intra-articular calcaneal fracture (DIACF). However, there are some limitations related to its limited access. The goal of the present study is to describe a modified 2-incision STA and to evaluate the radiographic and clinical outcomes in the treatment of DIACF. Read More

J Obstet Gynaecol 2021 May 25:1-4. Epub 2021 May 25.

Department of Ultrasonography, Ordos Center Hospital, Ordos, China.

This study reports on our experience of treating lactational breast abscesses larger than 5 cm via ultrasonography (US)-guided percutaneous catheter placement and hydrostatic pressure irrigation. Twelve cases of puerperal single breast abscesses larger than 5 cm were collected. These patients were treated with US-guided percutaneous catheter placement and hydrostatic pressure irrigation combined with oral antibiotics. Read More

Updates Surg 2021 Jun 20;73(3):831-838. Epub 2021 May 20.

Department of Surgical Oncology, Roswell Park Comprehensive Cancer Center, 665 Elm Street, Buffalo, NY, 14203, USA.

Esophageal resection is a key component of the multidisciplinary management of esophageal cancer. Robotic-assisted minimally invasive esophagectomy is gaining widespread approval amongst few centers with promising early data. There is significant variability in the operative approach utilized by different centers and this review describes, step-by-step, the operative technique at a high-volume tertiary center. Read More

Int J Ophthalmol 2021 18;14(5):693-699. Epub 2021 May 18.

Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.

Aim: To identify instrument holding archetypes used by experienced surgeons in order to develop a universal language and set of validated techniques that can be utilized in manual small incision cataract surgery (MSICS) curricula.

Methods: Experienced cataract surgeons performed five MSICS steps (scleral incision, scleral tunnel, side port, corneal tunnel, and capsulorhexis) in a wet lab to record surgeon hand positions. Images and videos were taken during each step to identify validated hand position archetypes. Read More

A A Pract 2021 May 17;15(5):e01452. Epub 2021 May 17.

From the Department of Anesthesiology, Harbor-University of California, Los Angeles (UCLA) Medical Center, Los Angeles, California.

Increased intra-abdominal pressure (IAP) following large abdominal surgeries can lead to postoperative complications, including wound dehiscence and surgical reoperation. Numerous factors can contribute to increased postoperative IAP, and intractable hiccups have been implicated as a culprit. Different treatment modalities have been widely used with variable success in addressing intractable hiccups. Read More

Semin Thorac Cardiovasc Surg 2021 May 11. Epub 2021 May 11.

Perioperative Nursing Services, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

To design and implement multidisciplinary interventions to decrease the interval between when a patient entered the operating room and when skin incision was made during thoracic surgical operations. Thirty-eight steps that occurred during the pre-incision time were identified during meetings with surgery, anesthesia, and nursing teams. Using a critical path method and Pareto analysis, standardization of intubation and positioning techniques as well as establishing strict guidelines to avoid unnecessary urinary catheter and arterial line placement were identified as high-value interventions. Read More

Phys Eng Sci Med 2021 Jun 10;44(2):525-534. Epub 2021 May 10.

Radiation Application Research School, Nuclear Science and Technology Research Institute, Tehran, Iran.

This study aims to investigate dosimetry parameters for the new design of Yb seed in the form of a surgical staple for circular staplers commonly used in the abdominal incision and the esophageal and gastric surgery, which facilitates the precise placement. This seed includes a titanium tube with the inner diameter and outer diameter 0.68 mm and 2. Read More

Childs Nerv Syst 2021 May 10. Epub 2021 May 10.

Division of Plastic Surgery, Department of Surgery, Children's of Mississippi, University of Mississippi Medical Center, 2500 State Street, Jackson, MS, 39216, USA.

Purpose: The treatment of patients with multisuture craniosynostosis is complex and patient-dependent. Cranial distraction osteogenesis is a relatively new procedure for treatment of these patients, with its use increasing in many centers. With this increased use comes an expanding range of indications. Read More

Cureus 2021 Apr 6;13(4):e14327. Epub 2021 Apr 6.

Neurological Surgery, Mount Sinai Health System, New York, USA.

Background Facet fusion has been described in open and minimally invasive approaches to promote fusion. Our objective is to describe the technique of an endoscopic facet decortication and allograft placement as an adjunct to an interbody fusion. Methodology This was a descriptive analysis of patients who underwent endoscopic interbody fusion combined with facet fusion and percutaneous screw placement. Read More

Childs Nerv Syst 2021 May 8. Epub 2021 May 8.

Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Purpose: Distal shunt tube migration following ventriculoperitoneal (VP) shunt placement in children is mostly managed by an initial shunt diversion/removal and subsequent replacement. Lately, shunt salvage is being used as an alternative in certain conditions. We have focused on the situations where one can consider or disregard shunt salvage in such cases. Read More

J Am Assoc Lab Anim Sci 2021 May 4;60(3):365-373. Epub 2021 May 4.

Campus Animal Resources, Center for Statistical Training and Consulting, Michigan State University, East Lansing, Michigan.

Rodents are frequently used for models that require surgical procedures. At our institution, laboratory rats are increasingly preferred for investigations of neurologic disorders, cardiovascular interventions, and assessment and treatment of addictive and depressive behaviors. For these types of studies, surgical preparations of the head and neck areas are necessary for catheterization and instrumentation. Read More

Orthop Surg 2021 May 5. Epub 2021 May 5.

Department of Orthopaedics, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Oblique lateral lumbar interbody fusion (OLIF) has been extensively used, with satisfactory outcomes for the treatment of degenerative lumbar disease. This article aims to demonstrate a modified lateral approach, also known as the anteroinferior psoas (AIP) technique for OLIF, which is expected to enhance security by operating under direct vision. The core procedures of our technique are as follows. Read More

Surg Neurol Int 2021 14;12:160. Epub 2021 Apr 14.

Department of Neurological Surgery, University of Miami, Miami, Florida, United States.

Background: Intracranial arachnoid cysts (ACs) are a cerebral spinal fluid (CSF) collection within the meninges. They typically arise during embryologic development. Some are stable overtime with little consequence, but large or growing cysts may require surgical intervention. Read More

BMJ Open Gastroenterol 2021 May;8(1)

AZ Nikolaas, Nutrition Support Team, Sint-Niklaas, Oost-Vlaanderen, Belgium.

Background: Percutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the 'pull' technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a 'blind' perforation of thestomach through a small acute surgical abdominal wound. Read More

Prog Urol 2021 Jun-Jul;31(8-9):477-494. Epub 2021 Apr 30.

Centre d'urologie du Polygone, Montpellier.

Introduction: Peyronie's disease is a common cause for consultation in urology. Many controversies surround its treatment. No French Guidelines have been published so far. Read More

Thorac Surg Clin 2021 May;31(2):129-137

Department of Thoracic Surgery, NewYork-Presbyterian Columbia University Irving Medical Center, Herbert Irving Pavilion, 161 Fort Washington Avenue, 3rd Floor, New York, NY 10032, USA. Electronic address:

As palliative treatment, lung volume reduction surgery can be offered to a selected subset of chronic obstructive pulmonary disease patients. Careful adherence to established inclusion and exclusion criteria is critical to achieve good outcomes. The evolution of surgical techniques toward minimally invasive approaches has improved outcomes. Read More

Int J Environ Res Public Health 2021 04 7;18(8). Epub 2021 Apr 7.

Faculty of Dentistry, Universidad Alfonso X El Sabio, 28961 Villanueva de la Cañada, Spain.

Acellular dermal matrix grafts (ADMG) have been used as soft tissue graft substitutes for autografts in periodontal plastic surgical procedures. They have benefits like avoiding a second surgical site and patient morbidity that have been associated with autografts, but there is limited evidence available on their tissue response and wound healing process. This histomorphometric animal model study was carried out in mini pigs and it aimed to compare the two types of ADMG materials of porcine derivative with a control group through observation of parameters like epithelial and Keratinized layer thickness, angiogenesis, cellularity, matrix resorption, and inflammatory infiltrate. Read More

Wounds 2021 Feb;33(2):E20-E23

Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota.

Introduction: Delayed wound healing and ulceration in radiated tissue is a surgical challenge. Autologous fat grafting can reverse skin changes secondary to radiation such as fibrosis, scarring, contracture, and pain. Adipose-derived stem cells are thought to contribute to the regenerative properties of fat. Read More

Clin Anat 2021 Jul 5;34(5):774-784. Epub 2021 May 5.

The Spine Clinic of Oklahoma City, Oklahoma City, Oklahoma, USA.

The latest development in the anterior lumbar interbody fusion (ALIF) procedure is its application in the lateral position to allow for simultaneous posterior percutaneous screw placement. The technical details of the lateral ALIF technique have not yet been described. To describe the surgical anatomy relevant to the lateral ALIF approach we performed a comprehensive anatomical study. Read More

Vascular 2021 Apr 28:17085381211011357. Epub 2021 Apr 28.

Department of Cardiovascular Disease, University of Kansas, Medical Center, Kansas City, KS, USA.

Objective: There is a paucity of data regarding six-month readmissions in critical limb ischemia patients and the influence of management strategy during index-admission [endovascular, surgical, hybrid procedure, medical therapy, and amputation]. We aimed to investigate the incidence, predictors, and impact of management strategies on six-month readmission in patients with critical limb ischemia.

Methods: A secondary analysis of the Nationwide Readmissions Database (2016-2017) was conducted. Read More