Search Our Scientific Publications & Authors

Plast Reconstr Surg Glob Open 2019 Feb 8;7(2):e2067. Epub 2019 Feb 8.

Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

The 3 most common problems after a parotidectomy are cheek contour deformity, Frey syndrome (gustatory sweating), and a visible scar on the neck. These problems can potentially be prevented by (1) facelift type incisions, which eliminate the neck incision and (2) interposition of temporoparietal fascia at the parotidectomy site that fills the defect and provides a barrier to aberrant neuronal regeneration. We followed 11 patients who underwent parotidectomy (9 superficial and 2 total parotidectomies) for a variety of parotid tumors between December 2001 and January 2018. Read More

Obstet Gynecol 2019 Mar 11. Epub 2019 Mar 11.

Departments of Obstetrics and Gynecology and Radiology, Abington Hospital, Jefferson Health, Abington, and Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

Background: Uterine myomas encountered at cesarean delivery increase the complexity and risk of the procedure. Preoperative planning of such deliveries may help optimize patient outcomes. The application of three-dimensional printing technology is rapidly expanding in many surgical specialties. Read More

BJU Int 2019 Mar 13. Epub 2019 Mar 13.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio.

Objectives: To describe the step-by-step technique for robotic radical cystectomy performed by using the da Vinci SP surgical system (Intuitive Surgical, Sunnyvale, CA).

Methods: Four consecutive patients diagnosed with urothelial carcinoma of the bladder were counseled for robotic radical cystectomy with pelvic lymph-nodes dissection and ileal conduit urinary diversion performed by using the da Vinci SP surgical system. A 3-cm midline incision was made 5-cm above the umbilicus. Read More

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019834072

1 National Key Discipline of Human Anatomy, School of Basic Medical Science, Southern Medical University, Guangdong Province, China.

Objective:: To investigate the effectiveness and accuracy of internal fixation of calcaneal fractures with a three-dimensional (3-D) printing navigation module via the sinus approach.

Methods:: Eleven lateral lower extremity specimens were used in the experiment and divided into the digital design (DD) group ( n = 11) and the real surgery (RS) group ( n = 11). For the DD group, thin-section computed tomography (CT) scans, virtual fracture modeling, virtual bone plate fixation, sinus occlusal module design, and navigation module design were performed for the cadaver specimens. Read More

Female Pelvic Med Reconstr Surg 2019 Mar 7. Epub 2019 Mar 7.

From the Division of Urogynecology, and.

Single-incision midurethral slings were introduced in 2006 with the goal of providing shorter operative time, less postoperative pain, and decreased rates of injury to surrounding structures (eg, bladder and/or obturator nerve). Although unrecognized bladder injury during SIMS placement is a rare complication, it can lead to irritative voiding symptoms and recurrent urinary tract infections. We present the case of minimally invasive approach to remove an extruded sling. Read More

Int J Surg Case Rep 2019 Feb 20;56:93-95. Epub 2019 Feb 20.

Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. Electronic address:

Introduction: Situs inversus, polysplenia, complex jejuna atresia are rare anomalies in isolation. Their association in a single patient is even rarer with challenges in diagnosis and management.

Presentation Of Case: A 5 day old neonate presented with features of small bowel obstruction. Read More

Arch Gynecol Obstet 2019 Mar 11. Epub 2019 Mar 11.

Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Piazzale A. Stefani 1, 37126, Verona, Italy.

Purpose: To evaluate the effect of a collagen-fibrin sealant patch (TachoSil®) in preventing postoperative complications after inguinofemoral lymphadenectomy for vulvar cancer.

Methods: Double-blind randomized-controlled trial on consecutive patients undergoing bilateral inguinofemoral lymphadenectomy for vulvar cancer. Intraoperatively, inguinofemoral areas were randomized: one was treated with TachoSil®, while the contralateral had standard closure without collagen-fibrin sealant patch. Read More

Khirurgiia (Mosk) 2019 (2):19-25

Vishnevsky National Medical Research Center for Surgery of Healthcare Ministry of Russia, Moscow, Russia.

Aim: To present single-center experience and results of surgical treatment of acquired tracheal stenosis.

Material And Methods: There were 99 patients with acquired tracheal stenosis for the period from January 2008 to December 2017. Median age was 39 (28; 55) years (range 19-79 years), male/female ratio - 64/35. Read More

Int Urogynecol J 2019 Mar 8. Epub 2019 Mar 8.

Faculty of Medicine and University Hospital of Cologne, Department of Gynecology and Obstetrics, University of Cologne, Kerpenerstrasse 34, 50931, Köln, Germany.

Introduction And Hypothesis: To elevate and suspend the apical end of the vagina, the uterosacral ligaments (USL) were replaced by polyvinylidene fluoride (PVDF) structures. These PVDF structures were placed in the peritoneal folds of the USL at the pelvic wall to mimic the lateral and backward tension and to avoid rectal obstruction. A special tunneling device was used, which allowed the semi-circular placement of the structure without destroying the peritoneum. Read More

Gland Surg 2019 Feb;8(1):27-35

Department of Breast Surgery, Comprehensive Breast Center of Arizona, Arizona Center for Cancer Care, Scottsdale, AZ, USA.

The purpose of this review article is to discuss and highlight the data, techniques and our experience performing mastectomies in the setting of prepectoral breast reconstruction. Using a systematic review of the approach to mastectomy in the oncologic setting encompassing patient selection, safety, anatomy and methods including a literature review of mastectomy trends, safety data and outcomes, anatomy and our experience, we are able to illustrate the safety and utility of this technique. The literature strongly supports the oncologic safety of these methods. Read More

J Neurosurg Spine 2019 Mar 1:1-11. Epub 2019 Mar 1.

Departments of1Neurological Surgery and.

OBJECTIVESpinal deformity causing spinal imbalance is directly correlated to pain and disability. Prior studies suggest adult spinal deformity (ASD) patients with rheumatoid arthritis (RA) have more complex deformities and are at higher risk for complications. In this study the authors compared outcomes of ASD patients with RA following thoracolumbar 3-column osteotomies to outcomes of a matched control cohort. Read More

Orthop Surg 2019 Feb;11(1):34-41

Department of Traumatic Orthopaedics, Affiliated Jinan Third Hospital of Jining Medical University, Jinan, China.

Objective: To assess the clinical efficacy of TiRobot-assisted percutaneous cannulated screw fixation in the treatment of femoral neck fractures.

Methods: From September 2015 to July 2017, 26 patients with unilateral femoral neck fractures were treated with TiRobot-assisted percutaneous cannulated screw fixation. The femoral necks were fixed using three cannulated screws with robot assistance applying the following procedure: image acquisition, path planning, and needle and screw placement. Read More

Heart Rhythm 2019 Feb 28. Epub 2019 Feb 28.

Division of Cardiology, Children's National Health System. 111 Michigan Ave NW. Washington, DC; Department of Pediatrics, George Washington University School of Medicine. Washington, DC. Electronic address:

Background: Pacemaker implantation in infants is limited to epicardial lead placement and an abdominal generator pocket. We propose a minimally invasive solution using a prototype miniature pacemaker with a steroid-eluting leadlet that can affix against the epicardium under thoracoscopy.

Objectives: To evaluate the safety and feasibility of acute implantation of a prototype miniature pacemaker in an infant porcine model. Read More

Clin Oral Investig 2019 Mar 1. Epub 2019 Mar 1.

Unit of Basic Oral Investigation (UIBO), School of Dentistry, El Bosque University, Bogota, Colombia.

Objectives: The purpose of the present systematic review and meta-analysis is to determine the efficacy of antibiotic prophylaxis and specific antibiotic regimens in dental implant placement for prevention of post-operative infection (POI) in overall healthy patients.

Materials And Methods: Electronic database and manual searches were independently conducted to identify randomized controlled trials (RCTs). Publications were selected on basis of eligibility criteria and then assessed for risk-of-bias using the Cochrane Handbook. Read More

J Craniofac Surg 2019 Feb 21. Epub 2019 Feb 21.

Plastic Surgery Division, Argerich Hospital of CABA (Buenos Aires), Quilmes, Argentina.

Alar deformities are frequently sequels of the incorrect primary rhinoplasties. Malpositions and irregular cartilage as consequence of either inadequated or exaggerated resection are the skeletal representation not only of aesthetic deformities but also collapse or depression, airway obstruction, valve narrowing by scarring, etc. Replace of alar cartilage is mandatory and many techniques have been described using autogenous cartilage graft since either ear or costal areas. Read More

Female Pelvic Med Reconstr Surg 2019 Mar/Apr;25(2):83-87

From the Center for Urogynecology & Pelvic Reconstructive Surgery, Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic, Cleveland, OH.

Objective: The primary objective of this study was to compare case and mesh placement times between Restorelle Y mesh and flat mesh. The secondary objective was to compare subjective and objective outcomes between the 2 mesh configurations.

Methods: This is a randomized trial of women undergoing laparoscopic (LSC) or robotic (RSC) sacrocolpopexy for posthysterectomy vaginal prolapse. Read More

Burns Trauma 2019 12;7. Epub 2019 Feb 12.

1Wake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27101 USA.

Burns are a significant cause of trauma, and over the years, the focus of patient care has shifted from just survival to facilitation of improved functional outcomes. Typically, burn treatment, especially in the case of extensive burn injuries, involves surgical excision of injured skin and reconstruction of the burn injury with the aid of skin substitutes. Conventional skin substitutes do not contain all skin cell types and do not facilitate recapitulation of native skin physiology. Read More

J Pak Med Assoc 2019 Feb;69(2):264-266

Tahir Heart Institute, Chenab Nagar. District Chiniot.

Persistent left superior vena cava (PLSVC) is one of the commonest venous anomalies of thoracic venous system. These cases usually have normal right sided superior vena cava (SVC). Patients with PLSVC are often asymptomatic hence, it is diagnosed as an incidental finding during procedures like central venous line placement or pacemaker implantation. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Feb;22(2):180-188

Department of General Surgery, Southwest Hospital, Military Medical University, Chongqing 400038, China.

Objective: To explore the feasibility and safety of robotic surgical system for radical gastrectomy after liver transplantation.

Methods: A 65-year-old male patient with gastric cancer after liver transplantation underwent radical distal subtotal gastrectomy using Da Vinci surgical system at the General Surgery Department of Southwest Hospital Affiliated to the Army Military Medical University on October 23,2018. The placement of Trocars was arranged using five-hole method. Read More

Am J Surg 2019 Feb 14. Epub 2019 Feb 14.

Division of Surgical Oncology, Oregon Health & Science University/Knight Cancer Institute, Portland, OR, USA. Electronic address:

Background: Lymphocele is a complication of sentinel node biopsy (SNB) for melanoma. Plant-based hemostatic powder (PBHP) may have a lymphostatic benefit. We studied whether PBHP placed intraoperatively could reduce lymphocele rates. Read More

Int Urol Nephrol 2019 Feb 22. Epub 2019 Feb 22.

Department of Urology, Oakland University-William Beaumont School of Medicine, Detroit, USA.

Purpose: To investigate the long-term functional change of cryoinjury-induced detrusor underactivity (DU) and the therapeutic potential of repeated low-energy shock wave therapy (LESW).

Methods: Fifty-six female Sprague-Dawley rats were assigned into sham and cryoinjury of bladder with or without LESW (0.05 or 0. Read More

J Oral Maxillofac Surg 2019 Jan 30. Epub 2019 Jan 30.

Attending Surgeon, Division of Oral and Maxillofacial Surgery, Allegheny General Hospital, Pittsburgh, PA.

We present an adalimumab-related dental implant surgical-site infection. A 55-year-old patient with a history of twice-weekly adalimumab subcutaneous injections for ulcerative colitis underwent mandibular extractions and placement of 5 immediate dental implants. She experienced intraoral purulent drainage from all 5 dental implant sites with submental and submandibular space infections 2 weeks after surgery. Read More

Mil Med 2019 Feb 22. Epub 2019 Feb 22.

Naval Medical Center San Diego, San Diego, CA.

Surgical intervention on cetaceans is rarely performed due to challenges including general anesthesia and post-operative wound healing. This report describes the evaluation and treatment of an adult female bottlenose dolphin (Tursiops truncatus) with the US Navy Marine Mammal Program, with a chronic ventral cervical abscess caused by Candida glabrata. Despite aspiration and lavage along with multiple antifungal drugs, the patient developed inspiratory stridor with decreased performance level and surgical treatment was pursued. Read More

Cureus 2018 Dec 13;10(12):e3728. Epub 2018 Dec 13.

General Surgery, South Tipperary General Hospital, Clonmel, IRL.

Parastomal herniation is a common complication following stoma creation, necessitating surgical repair in up to one-quarter of cases, including emergency cases of incarceration or strangulation. Following hernia repair with or without mesh placement, surgical sites are at risk of infection post-operatively and this is typically resolved by removing the mesh, which can be technically challenging. Few studies have assessed conservative management options for these types of cases. Read More

Pediatr Transplant 2019 Feb 20:e13374. Epub 2019 Feb 20.

Division of Pediatric Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia.

Background: Gastrostomy tube (GT) placement is a common pediatric surgical procedure typically indicated for oral aversion. This may develop in patients with congenital heart disease (CHD) who require an orthotopic heart transplant (OHT). The safety profile of GT placement in OHT patients who are immunosuppressed is unknown. Read More

Compend Contin Educ Dent 2019 Feb;40(2):e1-e9

Professor and Director of Graduate Periodontics, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan.

Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed group of drugs in dentistry for managing postoperative pain and discomfort. Little is known regarding their effects on the healing of periodontal and peri-implant tissues.

Methods: The authors conducted a review of the literature to provide an overview of knowledge about NSAIDs and their potential effects on periodontal and implant wound healing. Read More

VideoGIE 2019 Feb 7;4(2):91-94. Epub 2018 Dec 7.

Division of Gastroenterology and Hepatology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.

Background And Aims: GI tract perforations and anastomotic dehiscence are increasingly effectively being repaired endoscopically; however, well-known and long-held surgical principles must still be honored. One important principle is that significant extraluminal contamination must be washed out, debrided, and drained in conjunction with repair of the defect if the wound is to effectively heal and resolve. Here we describe the use of endoscopic washout and debridement of extraluminal contamination at the time of luminal defect closure in a 7-patient series at our institution, with video demonstration of 2 patients in the series. Read More

Endoscopy 2019 Feb 13. Epub 2019 Feb 13.

Department of Gastroenterology, Aichi Medical University, Aichi, Japan.

Background:  Balloon enteroscopy-assisted balloon dilation and temporary biliary stent placement are effective for hepaticojejunostomy anastomotic strictures (HJAS), but the re-stenosis rates are relatively high. We examined the feasibility and efficacy of a novel treatment technique for refractory HJAS, called balloon enteroscopy-assisted radial incision and cutting (BE-RIC).

Methods:  Between January 2016 and June 2018, 11 patients with refractory HJAS that recurred after balloon dilation and/or stent placement, underwent BE-RIC. Read More

Int J Oral Maxillofac Surg 2019 Feb 6. Epub 2019 Feb 6.

Oral and Maxillofacial Surgery Department, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Antibacterial coating of surgical sutures is a suggested approach to prevent surgical site infections. The aim of this study was to compare the incidence of surgical site infection following the use of polyglactin 910 (Vicryl) and polyglactin 910 coated with triclosan (Vicryl Plus) sutures in dental implant surgery. This single-blind, randomized clinical trial evaluated patients who received three implants in the posterior mandible. Read More

Int Braz J Urol 2018 Nov 17;44. Epub 2018 Nov 17.

Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland OH, USA.

Aim: To report the technique for single-port trans-perineal cystoprostatectomy with intracorporeal ileal conduit urinary diversion and lymph nodes dissection using a purpose-built robotic platform (da Vinci SP1098, Intuitive Surgical, Sunny¬vale, CA, USA).

Materials And Methods: In a male cadaver the SP1098 robotic system was used to perform cystoprostatectomy with intracorporeal ileal conduit urinary diversion and lymph nodes dissection by single-port trans-perineal approach. The surgery was completed through a 2. Read More

Semin Intervent Radiol 2018 Dec 5;35(5):461-468. Epub 2019 Feb 5.

Division of Vascular and Interventional Radiology, Rush University Medical Center, Rush Oak Park Hospital, Chicago, Illinois.

Endovascular recanalization for patient with peripheral arterial disease and the end of its spectrum critical limb ischemia (CLI) has become a preferred method of revascularization due to advancement of techniques and equipment, allowing reduction of limb amputations while maintaining a minimally invasive approach compared to surgical approaches. Interventionalists have undertaken a progressively increasing complexity of diseased vessels in the hopes of providing inline unobstructed flow through occlusions for patients with claudication as well as direct flow to a nonhealing wound in patients with CLI. One of the major roadblocks encountered in lower extremity recanalization procedures is managing severely calcified chronic thrombotic occlusions which decrease luminal revascularization, ultimately increasing use of adjunctive interventions such as subintimal tracking, reentry device utilization, and stent placement. Read More

J Neurosurg Spine 2019 Feb 1:1-9. Epub 2019 Feb 1.

OBJECTIVERecent literature describing complications associated with spinopelvic fixation with iliac screws in adult patients has been limited but has suggested high complication rates. The authors' objective was to report their experience with iliac screw fixation in a large series of patients with a 2-year minimum follow-up.METHODSOf 327 adult patients undergoing spinopelvic fixation with iliac screws at the authors' institution between 2010 and 2015, 260 met the study inclusion criteria (age ≥ 18 years, first-time iliac screw placement, and 2-year minimum follow-up). Read More

J Spine Surg 2018 Dec;4(4):787-791

Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Pedicle screw instrumentation is a widely used technique for fixating the spine in fusion surgery. One of the complications associated with pedicle screw placement is when a screw breaches the pedicle medially and causes the patient radicular pain or numbness or weakness. Revising a breached pedicle screw in a patient who has undergone a multilevel fusion surgery often requires that the patient undergo a very invasive revision surgical procedure. Read More

Br J Oral Maxillofac Surg 2019 Feb 31;57(2):169-173. Epub 2019 Jan 31.

Complejo Hospitalario Materno-Insular, Las Palmas de, Gran Canaria, University of Las Palmas de Gran, Canaria, Spain. Electronic address:

Our aim was to evaluate neurosensory symptoms after lateralisation of the inferior alveolar nerve (IAN). We studied a retrospective case series with one-year follow up that included 139 procedures in 123 patients. After the IAN had been located it was deflected from the mandibular body and the implant placed. Read More

World J Clin Cases 2019 Jan;7(2):122-129

Department of Clinical Laboratory, Translational Medicine Center, Huaihe Hospital Affiliated to Henan University, Kaifeng 475000, Henan Province, China.

Background: This case-control study compared the short-term clinical efficacy of natural orifice specimen extraction surgery (NOSES) using a prolapsing technique and the conventional laparoscopic-assisted approach for low rectal cancer.

Aim: To further explore the application value of the transanal placement of the anvil and to evaluate the short-term efficacy of NOSES for resecting specimens of low rectal cancer, as well as to provide a theoretical basis for its extensive clinical application.

Methods: From June 2015 to June 2018, 108 consecutive laparoscopic-assisted low rectal cancer resections were performed at our center. Read More

Curr Urol Rep 2019 Jan 30;20(2). Epub 2019 Jan 30.

Division of Urology and Urologic Oncology, City Of Hope, 1500 East Duarte Ave, Duarte, CA, 91010, USA.

Purpose Of Review: The use of penile implant for the treatment of both erectile dysfunction and Peyronie's disease has changed little in the last 40 years, primarily limited to modeling and plaque incision. In the current review, I explore the history of Peyronie's treatment at the time of penile prosthesis placement and explore new surgical options that help resolve several of the issues that were not treated with the traditional approaches.

Recent Findings: Advancements have been made in the area of graft material, lengthening procedures, and transcorporal techniques. Read More

Urol Int 2019 Jan 30:1-5. Epub 2019 Jan 30.

Department of Urology, University of Campinas, Unicamp, Brazil.

Purpose: To evaluate mini-sling long-term results and correlate them to failure predictors. Many studies show comparable results among different single-incision slings developed as an attempt to reduce complications while keeping good results, but there is a lack of evidence about mini-slings outcomes in the long term.

Methods: This prospective, single-center study evaluated 40 patients for long-term outcomes after mini-sling placement. Read More

J Clin Periodontol 2019 Jan 30. Epub 2019 Jan 30.

Department of Periodontology, School of Dental Medicine, University of Bern, Switzerland.

Objective: To provide an overview on the self-regenerative capacity of various types of intraoral bone defects.

Materials And Methods: This paper has narratively reviewed the most important aspects of bone biology and the healing outcomes related to the self-regenerative capacity (i.e. Read More

Exp Clin Transplant 2019 Jan 29. Epub 2019 Jan 29.

From Inonu University Liver Transplantation Institute, Malatya, Turkey.

Objectives: Hepatic vein outflow obstruction in liver transplantation can lead to graft or patient loss. We used an intrauterine balloon to overcome this complication in 13 liver transplant recipients. Here, we report the results of these cases; our report, as far as we know, involves the highest number of patients on this issue. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):1883-1885

Dept. of Gastrointestinal Tract Surgery, Fukushima Medical University.

A woman in her 70s presented to our hospital with abdominal pain and right lower abdominal mass. Colonoscopy revealed circumferential ascending colon cancer. She underwent right hemicolectomy, D3 lymphadenectomy, and ileocolonic functional end-to-end anastomosis. Read More

J Sex Med 2019 Feb 26;16(2):333-337. Epub 2019 Jan 26.

University of South Florida, Department of Urology, Tampa, FL, USA. Electronic address:

Introduction: Many men suffering from erectile dysfunction are overweight with generous suprapubic fat pads, which often contribute to a decrease in visible exophytic phallic length.

Aim: To present a novel surgical concept of suprapubic fat pad excision with a concomitant placement of inflatable penile prosthesis.

Methods: A transverse incision begins slightly medial to the anterior superior iliac spine, with the superior edge crossing transversely to the contralateral anterior superior iliac spine. Read More

J Surg Res 2019 Mar 30;235:560-568. Epub 2018 Nov 30.

Division of Plastic Surgery, Department of Surgery, Washington University, St. Louis, Missouri. Electronic address:

Background: Although the safety and benefits of negative-pressure wound therapy (NPWT) have been clearly demonstrated in the adult population, studies evaluating the safety and describing the use of NPWT in the pediatric population have been limited. Given this paucity, the goals of this study were to (1) evaluate the literature dedicated to NPWT use in infants and children and (2) leverage a population-level analysis to describe the experience of NPWT use in the pediatric population.

Materials And Methods: We performed a literature review and analyzed the Truven Health Analytics MarketScan Commercial Claims Databases from 2006 to 2014 to identify infants and children treated with NPWT. Read More

J Surg Res 2019 Mar 31;235:223-226. Epub 2018 Oct 31.

Department of General Surgery, TC Thompson Children's Hospital, University of Tennessee Health Science Center, Chattanooga, Tennessee.

Background: Single-incision laparoscopic appendectomy (SILA) in the pediatric population has been well described. Our children's hospital has adopted this modality for nearly all appendectomies. From our center's experience, we hoped to identify factors that portend conversion from SILA to multiport appendectomy. Read More

Curr Urol Rep 2019 Jan 28;20(2). Epub 2019 Jan 28.

Urology Clinic, Department of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., JBSA Fort Sam Houston, San Antonio, TX, 78234, USA.

Purpose Of Review: To discuss emerging alternative strategies for reservoir placement during inflatable penile prosthesis surgery.

Recent Findings: Innovations in penile prosthesis design have facilitated the development of various alternative approaches for reservoir placement. Avoiding the space of Retzius is particularly appealing in patients with a history of pelvic surgery and/or radiation. Read More

Ir J Med Sci 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgery, Cork University Hospital, Wilton Road, Cork, Ireland.

Purpose: Management of anorectal abscess is traditionally by incision and drainage with packing. This study assessed the use of mushroom catheters compared with packing of anorectal abscess after incision and drainage in adults. Placement of a mushroom catheter to allow ongoing drainage of the cavity may have advantages by eliminating the need for painful dressing changes. Read More

J Surg Oncol 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgery, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.

Background And Objectives: Postoperative lymphoceles and further wound complications occur frequently after radical inguinal lymph node dissection (ILND). In various studies, tissue sealants have shown to reduce the incidence of postoperative morbidity.

Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) investigating the effectiveness of tissue sealants in reducing the incidence of postoperative lymphoceles following ILND in patients with melanoma was conducted. Read More

Sci Rep 2019 Jan 22;9(1):308. Epub 2019 Jan 22.

Department of Ophthalmology, University Hospital of Cologne, 50937, Cologne, Germany.

Macrophages are critical mediators of injury-associated corneal hemangiogenesis (HA) and lymphangiogenesis (LA). Yet, molecular regulators of the hem- and lymphangiogenic potential of corneal wound macrophages are poorly understood. Using two different mouse models of acute (perforating corneal incision injury) and chronic (corneal suture placement model) corneal injury, here we identified distinct functions of early- versus late-phase corneal wound macrophages in corneal HA and LA. Read More

J Bacteriol 2019 Apr 13;201(7). Epub 2019 Mar 13.

Department of Molecular, Cellular, and Developmental Biology, University of Michigan, Ann Arbor, Michigan, USA

RNA-DNA hybrids are common in chromosomal DNA. Persistent RNA-DNA hybrids result in replication fork stress, DNA breaks, and neurological disorders in humans. During replication, Okazaki fragment synthesis relies on frequent RNA primer placement, providing one of the most prominent forms of covalent RNA-DNA strands The mechanism of Okazaki fragment maturation, which involves RNA removal and subsequent DNA replacement, in bacteria lacking RNase HI remains unclear. Read More

Otolaryngol Head Neck Surg 2019 Mar 22;160(3):468-471. Epub 2019 Jan 22.

1 Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Sacramento, California, USA.

Objective: The upper eyelid blepharoplasty incision affords direct access to the frontal bone for skull base surgery and trauma reconstruction with a well-hidden scar. The goal of this study is to quantify frontal bone exposure that can be achieved with an upper eyelid blepharoplasty incision.

Design: Anatomic study with human cadaver heads. Read More

Orthop Rev (Pavia) 2018 Dec 6;10(4):7777. Epub 2018 Dec 6.

Department of Orthopedic Surgery, Einstein Medical Center, Philadelphia, PA.

Placement of vancomycin powder into the surgical wound prior to closure has been shown to reduce postoperative infections in spine surgery. This study examines the effect of vancomycin powder on formation of epidural fibrosis (EF). Twenty-two rats underwent a two-level lumbar laminectomy. Read More