Search Our Scientific Publications & Authors

Am J Obstet Gynecol 2019 Jan 8. Epub 2019 Jan 8.

Saint Louis University School of Medicine, Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Women's Health, Saint Louis, Missouri.

Background: Neuraxial block-related hypotension and maternal obesity contribute to uterine hypoperfusion and decreased umbilical arterial pH at cesarean delivery. Between the time of anesthesia placement and delivery, the fetus may be exposed to a hypo-perfused uterine environment without surgeon awareness of fetal compromise.

Objective: We sought to evaluate neonatal umbilical arterial pH according to pre-delivery time intervals at scheduled term cesarean. Read More

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

From the Department of Plastic and Reconstructive Surgery, College of Medicine, University of Illinois at Chicago, Chicago IL.

Ventriculoperitoneal shunt (VPS) placement is a common neurosurgical procedure with a high rate of distal catheter malfunction. Rarely, the catheter may migrate to other tissues in the body including the breast pockets. There are increasing odds that a patient may undergo both breast augmentation and VPS placement, because breast augmentation is the most common aesthetic surgical procedure. Read More

J Card Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Anesthesia and Intensive Care, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Objective: The aim of this study is to evaluate the open transaxillary placement of the Impella 5.0 with a modified surgical technique.

Methods: From January to July 2018, nine patients (eight males; mean age 60 years) underwent surgical transaxillary Impella 5. Read More

J Int Med Res 2019 Jan 7:300060518817216. Epub 2019 Jan 7.

1 Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.

Endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction is a common and preferred choice for gallstone disease. Laparoscopic common bile duct exploration (LCBDE) and laparoscopic cholecystectomy (LC) are being increasingly used for managing choledocholithiasis and cholecystolithiasis. We report a case of a Hem-o-lok clip that was dropped into the common bile duct (CBD) after LC and surgical common bile duct exploration (CBDE). Read More

J Pediatr Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Pediatric Surgery, John R. Oishei Children's Hospital, Buffalo, NY; Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY.

Objective: This paper intends to evaluate the association between Down Syndrome (DS) and postoperative medical and surgical complications and inpatient postoperative mortality in pediatric patients undergoing intestinal operations.

Methods: The 2012 Kids' Inpatient Database was queried to compare short-term postoperative medical and surgical complications and in-patient mortality among patients with DS undergoing intestinal operations to a cohort without DS using inverse probability weighting. Subset analysis was performed for patients undergoing intestinal operations exclusive of gastrostomy placement. Read More

Int J Impot Res 2019 Jan 3. Epub 2019 Jan 3.

Icahn School of Medicine, New York, NY, USA.

Multiple-component inflatable penile prostheses (IPPs) consist of paired intracorporal cylinders, a scrotal pump, and an abdominal fluid reservoir. In recent years, ectopic (e.g. Read More

Acta Biomater 2018 Dec 31. Epub 2018 Dec 31.

Department of Surgery-Transplant and Mary & Dick Holland Regenerative Medicine Program, College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States. Electronic address:

Bone loss around tooth extraction sites can occur, thus making future placement of dental implants difficult. Alveolar bone regeneration can be guided by the application of a nanofibrous bone graft coupled with osteoinductive proteins/peptides, following tooth loss or tooth extraction. In the present study, we demonstrate the potential of mineralized nanofiber segments coupled with calcium-binding bone morphogenetic protein 2 (BMP-2) mimicking peptides for periodontal bone regeneration. Read More

J Vasc Surg 2018 Dec 28. Epub 2018 Dec 28.

Department of Vascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Objective: Iliac conduits (ICs) are used for challenging iliac access during endovascular aortic aneurysm repair (EVAR) with contradictory reports of safety and increased surgical complications, morbidity, and mortality in national database reviews. The objective of this study was to examine outcomes related to IC placement before or concomitant with EVAR at a high-volume single center.

Methods: A retrospective analysis of patients who underwent IC placement for endovascular aortic repair from 2006 to 2016 was conducted. Read More

Plast Reconstr Surg 2019 Jan;143(1):10e-21e

Salt Lake City, Utah; Nashville, Tenn.; Garden City and Valhalla, N.Y.; Detroit, Mich.; and Bala Cynwyd, Pa. From the Division of Plastic Surgery, University of Utah, Huntsman Cancer Institute; the Department of Plastic Surgery, Vanderbilt University Medical Center; Long Island Plastic Surgery Group PC; the Henry Ford Health System; the Westchester Medical Center, New York Medical College; and Drexel University College of Medicine.

Background: Use of biological implants such as acellular dermal matrices in tissue expander breast reconstruction is a common adjunct to submuscular implant placement. There is a paucity of published prospective studies involving acellular matrices. The authors sought to evaluate a porcine-derived acellular peritoneal matrix product for immediate breast reconstruction. Read More

Scand J Trauma Resusc Emerg Med 2018 Dec 27;26(1):110. Epub 2018 Dec 27.

Program in Trauma, Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD, 21201, USA.

Background: The technique of tube thoracostomy has been standardized for years without significant updates. Alternative procedural methods may be beneficial in certain prehospital and inpatient environments with limited resources. We sought to compare the efficacy of chest tube insertion using a novel, endoscopic device (The Reactor™) to standard, open tube thoracostomy. Read More

Facial Plast Surg 2018 Dec 19. Epub 2018 Dec 19.

Division of Facial Plastic Surgery, Department of Otolaryngology, Loma Linda University Health, Loma Linda, California.

The main purpose of this article is to present an alternative technique for the reconstruction of saddle nose deformity in patients with severely scarred or contracted soft tissue envelopes. In this single surgeon case series, the authors present a two-staged reconstruction performed on four adult patients with saddle nose deformities and contracted soft tissue envelope stemming from a variety of etiologic factors including vasculitis, sarcoidosis, and trauma. Stage one involved placement of a 1 × 4 cm tissue expander along the nasal dorsum through anterior scalp and endonasal incisions. Read More

Oper Orthop Traumatol 2018 Dec 18. Epub 2018 Dec 18.

Sektion Sporttraumatologie und arthroskopische Chirurgie, BG Unfallklinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.

Objective: Simultaneous arthroscopic reconstruction of the anterior and/or posterior cruciate ligament (ACL/PCL) using the GraftLink® system (Arthrex) to obtain stable treatment and good functional results. The transplant is protected by the safety belt like biomechanical GraftLink® principle, which is used to secure the intraoperatively obtained stability in the long term.

Indications: ACL, PCL, or combined cruciate ligament rupture, especially multiligament injuries. Read More

Ann Plast Surg 2019 Feb;82(2):137-144

Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil.

Simultaneous augmentation-mastopexy can achieve excellent patient and surgeon satisfaction but continues to pose a challenge, with revision rates of up to 25%. Recurrent ptosis and poor overall breast shape are 2 common reasons for reoperation, whereas some of the most feared complications is breast implant exposure, infection, and loss secondary to wound breakdown; excessively large implants or too much tension during closure are possible contributing factors. We describe a technique for augmentation-mastopexy combining a muscle-splitting pocket for implant placement along with an inferior flap, which helps secure the implant in place and provides coverage in case of wound dehiscence. Read More

J Vasc Surg Venous Lymphat Disord 2019 Jan 24;7(1):65-73. Epub 2018 Oct 24.

Interventional Radiology, ProMedica Toledo Hospital, Toledo, Ohio.

Objective: Chronic, post-thrombotic iliofemoral and inferior vena caval obstruction is associated with debilitating morbidity. Venoplasty and stenting are often successful; however, in the presence of a diseased or occluded common femoral vein (CFV), failure is common. A hybrid operative procedure of open surgical CFV endovenectomy and endoluminal recanalization or bypass of the obstructed iliofemoral and vena caval segments has been developed and modified. Read More

J Sex Med 2019 Jan 12;16(1):146-152. Epub 2018 Dec 12.

Division of Urology, Rutgers New Jersey Medical School, East Orange, NJ, USA. Electronic address:

Background: Removal of the penile prosthesis reservoir can be technically challenging because of its difficult locations either deep in the pelvis or high in the abdominal wall.

Aim: To describe a detailed surgical technique for reservoir removal through a penoscrotal approach.

Methods: We describe our preferred method for removal of prosthetic reservoir and present a retrospective review of patient outcomes after reservoir removal. Read More

Open Vet J 2018 2;8(4):411-414. Epub 2018 Nov 2.

Vale Referrals, Stinchcombe, Dursley, Gloucestershire, UK.

The creation of leakage holes in the intestinal wall by four types of swaged-on needles used to close enterotomy incisions in canine cadavers was studied. Twenty-four enterotomies were performed in 10 cm jejunal sections obtained from five dogs following euthanasia. After placement of Doyen intestinal forceps to the ends of each section, a 3 cm antimesenteric incision was performed and closed using 4-0 polydioxanone suture armed in a swaged-on needle in a simple interrupted pattern. Read More

Cochrane Database Syst Rev 2018 Nov 15;11:CD009901. Epub 2018 Nov 15.

Wiesbaden Business School, RheinMain University of Applied Science, Bleichstr. 44, Wiesbaden, Germany, 65183.

Background: Percutaneous dilatational tracheostomy (PDT) is one of the most common bedside surgical procedures performed in critically ill adults, on intensive care units (ICUs), who require long-term ventilation. PDT is associated with relevant life-threatening complications: Cuff rupture or accidental extubation may lead to hypoxia, aspiration or loss of airway. Puncture of the oesophagus, or creating a false passage during dilatation or replacement of the tracheostomy tube, can lead to pneumothorax or emphysema. Read More

World Neurosurg 2018 Dec 5. Epub 2018 Dec 5.

Division of Spine Surgery, Department of Orthopaedics, Alpert Medical School of Brown University; 1 Kettle Point Ave, East Providence, RI. Electronic address:

Background: Cervical squamous cell carcinoma is the second most common cancer in women worldwide, and the third most common cause of female cancer mortality. It frequently metastasizes to the osseous spine and has been rarely reported to cause cutaneous metastases at gynecological surgical scars.

Case Description: A 63-year-old woman with known metastatic cervical squamous cell carcinoma presented with a pathologic fracture of the L2 vertebra, unrelenting back pain, bilateral lower extremity weakness, and inability to ambulate. Read More

J Pediatr Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of Paediatric Urology, Birmingham Children's Hospital, UK. Electronic address:

Aim: The most common cause of congenital bladder outlet obstruction (BOO) is posterior urethral valves (PUV). Initial treatment requires decompression, but transurethral incision (TUI) or primary diversion is all described. There is no randomized control trial to guide management. Read More

J Int Med Res 2018 Dec 11:300060518816185. Epub 2018 Dec 11.

1 Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, PR China.

Objective: Unstable femoral neck fractures are typically high-angled shear fractures caused by high-energy trauma. Internal fixation of femoral neck fractures with placement of parallel cannulated screws in an inverted triangle configuration is commonly performed in the clinical setting. This study was performed to investigate the primary results of intramedullary nailing with cannulated screws for the treatment of unstable femoral neck fractures in young and middle-aged patients. Read More

J Gastrointest Oncol 2018 Oct;9(5):828-832

Department of Surgery, University of Kansas Medical Center, Kansas City, KS, USA.

Background: Liver resection in conjunction with partial colectomy for colon cancer is considered acceptable treatment for isolated metastasis to the liver. This method is unstudied in patients undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for carcinomatosis due to colon cancer and high grade appendiceal cancer.

Methods: A retrospective chart review included patients from 2005 to 2016 undergoing CRS/HIPEC. Read More

J Periodontol 2018 Dec 5. Epub 2018 Dec 5.

Department of Dental Diagnostic and Surgical Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba.

Background: The purpose was to compare patient-centered outcomes, early wound healing, and postoperative complications at palatal donor area of subepithelial connective tissue grafts (CTG) between cyanoacrylates tissue adhesives and polytetrafluoroethylene (PTFE) sutures.

Methods: Thirty-six patients who required harvesting of CTG were enrolled in this randomized clinical trial and assigned to one of two groups. In the "suture" group, wound closure was achieved with standardized continuous interlocking 6-0 PTFE sutures, while in the "cyanoacrylate" group, a high viscosity blend of n-butyl and 2-octyl cyanoacrylate was applied until hemostasis was achieved. Read More

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):501-506

Department of General Surgery, Ankara Training and Research Hospital, Ankara-Turkey.

Background: There are varying opinions on the feasibility of the placement of synthetic materials in contaminated surgical fields. The aim of this study was to investigate the outcomes of the use of a commercially available composite mesh in the presence of abdominal infection.

Methods: Twenty-four hours after the induction of experimental peritonitis, 20 rats were randomized into 2 groups of 10 subjects. Read More

J Craniomaxillofac Surg 2018 Nov 15. Epub 2018 Nov 15.

Department of Oral and Maxillofacial Surgery (Head Dr. Jurjen Schortinghuis), Treant Hospital, Emmen-Stadskanaal, The Netherlands. Electronic address:

Purpose: The aim of this study was to describe the surgical technique of immediate dental implant placement in calvarial grafts for augmentation of the severely resorbed maxilla and to assess the treatment results.

Methods: In 13 patients the maxilla was augmented with calvarial bone followed by simultaneous dental implant placement (total: 68 implants). In the frontal "knife edge" region, implants were inserted in the buccal plated area. Read More

Int J Surg Case Rep 2018 Nov 27;54:15-19. Epub 2018 Nov 27.

School of Dentistry, Ibirapuera University (Unib), Av. Interlagos, 1329, Chácara Flora, São Paulo, SP 04661-100, Brazil.

Introduction: Implant-supported dentures in esthetic zones pose a great challenge to dental surgeons, since important factors are involved in treatment success, such as positioning of the implants, morphology of soft tissues, dental esthetics, and biomechanics of the prosthetic structure.

Presentation Of Case: This clinical report describes the case of a patient previously subjected to dental surgery for implant placement on tooth #11 and subsequent prosthetic crown placement. The patient reported poor esthetics due to gingival retraction and changes on the surface of the ceramic material. Read More

Clin Spine Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA.

Study Design: This is a retrospective cohort study.

Objective: This study's objective was to determine whether perioperative invasive vascular catheter placement, independent of comorbid conditions, modified the risk of postoperative infection in lumbar spine surgery.

Summary Of Background Data: Infection is a risk inherent to lumbar spine surgery, with overall postoperative infection rates of 0. Read More

J Orthop Surg Res 2018 Nov 29;13(1):304. Epub 2018 Nov 29.

Department of Orthopaedics, University of Zurich, Balgrist University Hospital, Forchstrasse 340, CH-8008, Zürich, Switzerland.

Background: The anterior deltopectoral approach is the standard approach for performing the open Latarjet procedure. Through the use of a more medial and vertical skin incision, the scar can be cosmetically covered by the bra strap in women. We call this incision the bra strap incision. Read More

Ear Nose Throat J 2018 Oct-Nov;97(10-11):354-361

Department of Otolaryngology, University of Colorado School of Medicine, 12631 E. 17th Ave., B-205, Aurora, CO 80045, USA.

Mucosal preservation is paramount to achieving successful outcomes after endoscopic sinus surgery (ESS). Despite best surgical practices and implementation of evidenced-based postoperative care, patients in rare cases might exhibit persistent demucosalization that is recalcitrant to conservative therapies. We retrospectively reviewed the records of 3 patients-a 63-year-old woman, a 67-year-old woman, and a 43-year-old man-who experienced clinically significant local demucosalization after uncomplicated ESS despite routine surgical and postoperative management. Read More

World Neurosurg 2018 Nov 24. Epub 2018 Nov 24.

Department of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Objective: The engineered herpes simplex virus-1 G207, is a promising therapeutic option for central nervous system tumors. The first-ever pediatric phase 1 trial of continuous-infusion delivery of G207 via intratumoral catheters for recurrent or progressive malignant brain tumors is ongoing. In this article, we describe surgical techniques for the accurate placement of catheters in multiple supratentorial locations and perioperative complications associated with such procedures. Read More

J Pediatr Urol 2018 Oct 24. Epub 2018 Oct 24.

Division of Urology, Department of Surgery, McMaster Children's Hospital and McMaster University, Hamilton, Ontario, Canada. Electronic address:

Background: Ectopic upper-pole (UP) ureters in duplex kidneys can be managed surgically by ipsilateral distal ureteroureterostomy (U-U) with or without ureteric stenting. Evidence to support routine stenting during this procedure is lacking.

Objective: The authors present their outcomes of children with ectopic UP ureters who underwent ipsilateral distal U-U. Read More

Biomedicine (Taipei) 2018 Dec 26;8(4):21. Epub 2018 Nov 26.

Department of Neurosurgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan.

Generally regarding as a safe treatment for Parkinson's disease (PD) for the past 20 years, deep brain stimulation (DBS) is also an example of precision medicine where surgeons need to titrate individual patient's stimulating electrodes one by one down to the scale of micrometer for the maximum therapeutic effect. In order to prevent operation induced psychiatric complications and minimize any other potential side effects, we have followed 103 patients received this treatment provided by a single surgeon in the same medical institution from 2004 to 2017. We identified each patient complaint from nursing care records and complication data from medical charts during the perioperative hospitalization period to see if any of them correlate statistical significantly with the DBS lead placement procedure. Read More

Cureus 2018 Sep 17;10(9):e3319. Epub 2018 Sep 17.

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

Background: Hidradenitis suppurativa (HS) is a physically debilitating disease that greatly impairs the quality of life of affected individuals. Advanced disease is often difficult to treat with topical and systemic therapies. Surgical resection of diseased skin has become paramount in HS management but proposes challenges of wound care and closure. Read More

Urol Clin North Am 2019 Feb;46(1):17-30

Department of Urology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address:

Synthetic midurethral sling placement is the most studied anti-incontinence procedure available. Multiple randomized trials demonstrate its safety and efficacy, with results out to 5 years. With long-term follow-up, it seems there may be some benefit in efficacy to retropubic sling placement compared with the transobturator approach. Read More

J Surg Res 2018 Dec 17;232:643-646. Epub 2018 Aug 17.

Department of Surgery, Mayo Clinic, Rochester, Minnesota.

Background: Treatment of cardiovascular implantable device pocket infections (CIDPIs) requires a multimodal approach that includes antimicrobials, device explantation, and local wound care. Our institution implemented a practice management guideline (PMG) to standardize the care of CIDPIs and engage our acute care surgeons in 2013. Our PMG includes wound culture, complete capsulectomy, pulse lavage, and the placement of a negative pressure wound therapy appliance at the time of device extraction. Read More

Clin Orthop Relat Res 2018 Nov 5. Epub 2018 Nov 5.

D. Becker, N. Hammer, Anatomy Department, University of Otago, Dunedin, New Zealand F. A. Lopez-Marambio, Hamilton Hospital, Hamilton, New Zealand N. Hammer, Department of Orthopedic and Trauma Surgery, University of Leipzig, Germany Fraunhofer IWU, Dresden, Germany D. Kieser, Orthopaedics Department, Christchurch Public Hospital, Christchurch, New Zealand.

Background: The posterior interosseous nerve (PIN) is occasionally damaged during distal biceps tendon repair. But to our knowledge, no studies have examined the position of the PIN in relation to the bicipital tuberosity in full supination, which is the recommended position during single-incision distal biceps repair or reconstruction QUESTIONS/PURPOSES: (1) What is the anterior safe zone when exposing the anterior tuberosity with the arm in supination? (2) When drilling the radial tuberosity for bicortical button placement in full supination, how should the drill be angled to avoid PIN injury?

Methods: Fifteen adult cadaver elbows had the PIN dissected around the proximal radius. The position of the PIN was measured relative to the most ulnar aspect of the radius at three sites in full supination: at the bicipital tuberosity (bicipital tuberosity-PIN), 10 mm proximal to the bicipital tuberosity (bicipital tuberosity-proximal), and 10 mm distal to the bicipital tuberosity (bicipital tuberosity-distal). Read More

J Vasc Surg Venous Lymphat Disord 2019 Jan 12;7(1):106-112.e3. Epub 2018 Nov 12.

Division of Vascular and Endovascular Surgery, USF Health Morsani College of Medicine, Tampa, Fla.

Background: Subclavian vein stenosis or occlusion at the thoracic outlet is a problem associated with certain anatomic and environmental stresses (venous thoracic outlet syndrome [VTOS]), the presence of central venous catheters, and the high flows associated with arteriovenous (AV) access in the limb. We describe our experience with open and endovascular techniques for restoring patency in highly symptomatic patients.

Methods: A prospectively collected database of patients was queried for patients treated for central venous obstructive disease in the setting of highly symptomatic VTOS and ipsilateral AV access from October 2011 to August 2016. Read More

J Clin Neurosci 2018 Nov 9. Epub 2018 Nov 9.

Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA.

Cortical bone trajectory (CBT) is a novel pedicle insertion technique with comparable or superior mechanical properties and reduced invasiveness compared to traditional methods. We describe the screw accuracy, complications, and learning curve associated with CBT use. A prospective cohort study was performed involving 22 patients who underwent lumbar fusion with CBT screw placement. Read More

Open Orthop J 2018 28;12:389-395. Epub 2018 Sep 28.

Division of Adult Reconstruction and Joint Replacement, Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.

Background: Computer-assisted navigation has proven effective at improving the accuracy of component placement during Total Hip Arthroplasty (THA); however, the material costs, line-of-site issues and potential for significant time increases have limited their widespread use.

Objective: The purpose of this study was to investigate the impact of an imageless navigation device on surgical time, when compared with standard mechanical guides.

Methods: We retrospectively reviewed prospectively collected data from 61 consecutive primary unilateral THA cases (posterior approach) performed by a single surgeon. Read More

Technol Cancer Res Treat 2018 Jan;17:1533033818807431

4 Department of Therapeutic Radiology, Kobe City Medical Center General Hospital, Hyogo, Japan.

Stereotactic body radiotherapy is an alternative treatment option for small-sized, primary lung cancers and pulmonary metastatic diseases. In the case of local relapse after stereotactic body radiotherapy, salvage pulmonary resection is considered cautiously. However, no study has described the difficulty of the salvage operations. Read More

Clin Transplant 2018 Dec 6;32(12):e13445. Epub 2018 Dec 6.

Division of Cardiac Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Objective: Thoracic epidural analgesia provides effective pain control after lung transplantation; however, the optimal timing of placement is controversial. We sought to compare pain control and pulmonary and epidural morbidity between patients receiving preoperative vs postoperative epidurals.

Methods: Institutional records were reviewed for patients undergoing a bilateral lung transplant via a bilateral anterior thoracotomy with transverse sternotomy incision between January 2014 and January 2017. Read More

J Turk Ger Gynecol Assoc 2018 Nov 5. Epub 2018 Nov 5.

Department of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Objective: To demonstrate the role of cadaveric hands-on training model on surgical skills and confidence level of surgeons during transobturator tape (TOT) surgery.

Material And Methods: A pre-test and post-test evaluation to measure the skills during the practice of the steps of TOT operation was performed to a total of 15 postgraduate urologists and gynecologists during the urogynecologic cadaveric dissection course. The course was shaped with regard to theoretical lessons, full pelvic cadaveric dissection and TOT surgery on cadavers. Read More

Tech Hand Up Extrem Surg 2018 Nov 1. Epub 2018 Nov 1.

Department of Orthopaedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA.

In this retrospective study, we report the preliminary results of a novel technique for volar vascularized strut grafting to treat avascular scaphoid nonunion by using the 1,2 intercompartmental supraretinacular artery through a single incision. Forty-three of 45 patients with avascular scaphoid nonunion healed at a mean of 13 weeks (range, 3 to 10 mo). Complications consisted of 1 pin tract infection that resolved with oral antibiotics and 4 cases of transient dysesthesia of the radial sensory nerve. Read More

World Neurosurg 2018 Oct 31. Epub 2018 Oct 31.

Department of Neurosurgery, Windsor Regional Hospital, Western University.

Background: Traumatic spondylolisthesis or hangman's fractures are common cervical spine fractures. The majority of these are treated non-surgically with external immobilization. Indications for surgery generally include fracture instability or failed non-operative management. Read More

Spine (Phila Pa 1976) 2018 Oct 25. Epub 2018 Oct 25.

St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015.

Study Design: Retrospective chart review OBJECTIVE.: To address and characterize the differences between pain relief obtained from the "trial" versus permanent stimulator in the acute post-operative period (less than 6 weeks).

Summary Of Background Data: After a short stimulator trial (typically less than 7 days), patients who report at least a 50% relief are set up for permanent spinal cord stimulator (SCS) placement. Read More

Geburtshilfe Frauenheilkd 2018 Oct 19;78(10):991-998. Epub 2018 Oct 19.

Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany.

The complication of tape erosion in the urethra following placement of a retropubic (TVT) or transobturator (TOT) tension-free suburethral vaginal sling or an accidental iatrogenic transurethral tape position can result in the formation of a urethrovaginal or vesicovaginal fistula. The objective of the investigation is the evaluation of the management of such rare complications. Retrospective analysis of 14 patients who were treated for a urethral lesion or urethrovaginal fistula formation status post TVT/TOT placement between June 2011 and February 2018 in the Tübingen University Department of Gynaecology. Read More

Eur J Orthop Surg Traumatol 2018 Oct 25. Epub 2018 Oct 25.

Orthopedic Department, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University School of Medicine, Achrafieh, Lebanon.

Background/objective: Pseudoaneurysms (PA) are rare complications following ankle arthroscopy (AA). Delay in diagnosis is reported to be frequent and could lead to serious complications. Evidence synthesis on the clinical context of such complication lacks in the literature. Read More

J Trauma Acute Care Surg 2018 Oct 23. Epub 2018 Oct 23.

Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, 2051 Marengo St, IPT C5L100, Los Angeles, CA 90033, USA.

Background: Hemorrhage remains the leading cause of preventable death after trauma. The XSTAT® expandable minisponge hemostatic device was developed for the control of severe, life-threatening bleeding from junctional wounds not amenable to tourniquet application. This is an initial report of the clinical use of this novel method of hemorrhage control for civilian penetrating injury. Read More

Cureus 2018 Aug 14;10(8):e3141. Epub 2018 Aug 14.

Orthopedic Surgery, New England Baptist Hospital, Boston, USA.

Introduction Damage to the posterior interosseous nerve (PIN) is a known complication when using a cortical button during distal biceps tendon repair. Prior studies show that the trajectory of the drill through the biceps tuberosity can affect the distance from the PIN. We develop a mathematical model to predict the location of the tuberosity based on a palpable bony landmark and patient demographic factors. Read More

J Maxillofac Oral Surg 2018 Dec 13;17(4):417-424. Epub 2017 Sep 13.

Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, 143006 Punjab India.

Introduction: Trauma is steadily increasing in the modern world and thus becoming a major public problem. Maxillofacial injuries constitute a substantial proportion of cases of trauma and occur in a variety of situations like road traffic accidents, interpersonal violence, falls or as a result of contact sports. The aim of this prospective study was to evaluate the efficacy of titanium mesh for osteosynthesis of maxillofacial fractures. Read More

Can J Ophthalmol 2018 Oct 1;53(5):533-537. Epub 2018 Feb 1.

Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, Alta.. Electronic address:

Objective: To evaluate the refractive outcomes after anterior capsular tear (ACT).

Design: Retrospective case-control study.

Participants: After ethics approval, the surgical operative records of 4301 consecutive patients undergoing cataract surgery by a single surgeon were reviewed for cases of ACT. Read More