5,189 results match your criteria Incision Placement


Outcomes of Endoscopic Versus Open Spring Assisted Surgery for Sagittal Craniosynostosis.

J Craniofac Surg 2020 Jul 3. Epub 2020 Jul 3.

Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Winston-Salem, NC.

Spring-assisted surgery (SAS) has been shown to be an effective technique for correction of isolated sagittal craniosynostosis in patients less than 6 months of age. At their institution, the authors adopted a minimally invasive technique in 2010, using a shorter incision and an endoscope. A retrospective chart review of 101 patients with isolated, nonsyndromic, sagittal craniosynostosis, who underwent SAS, was performed in order to compare perioperative and clinical outcomes of the open (n = 51) and minimally-invasive (n = 50) approaches. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006709DOI Listing

Most High-Intensity Transient Signals Are Not Associated With Specific Surgical Maneuvers.

World J Pediatr Congenit Heart Surg 2020 Jul;11(4):401-408

Department of Biological Systems Engineering, University of Nebraska-Lincoln, Lincoln, NE, USA.

Background: Mortality after congenital heart defect surgery has dropped dramatically in the last few decades. Current research on long-term outcomes has focused on preventing secondary neurological sequelae, for which embolic burden is suspected. In children, little is known of the correlation between specific surgical maneuvers and embolic burden. Read More

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http://dx.doi.org/10.1177/2150135120909761DOI Listing

Gender-affirming vaginectomy - Transperineal approach.

Urology 2020 Jul 6. Epub 2020 Jul 6.

Department of Urology, Oregon Health and Science University, Portland, OR. Electronic address:

Objective: Gender-affirming vaginectomy treats gender dysphoria associated with the presence of a vagina in transgender males. Prior reported approaches include transperineal vaginectomy, mucosal fulguration, and robotic-assisted. We present key steps in transperineal gender-affirming vaginectomy in a 39-year-old transgender male. Read More

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http://dx.doi.org/10.1016/j.urology.2020.05.084DOI Listing

Home modeling after penile prosthesis implantation in the management of residual curvature in Peyronie's disease.

Int J Impot Res 2020 Jul 8. Epub 2020 Jul 8.

Department of Urology, Hospital Puerta De Hierro Majadahonda & Lyx Institute of Urology, Universidad Francisco de Vitoria, Madrid, Spain.

The aim of this study was to study the clinical effectiveness of a structured home modeling (HM) protocol in Peyronie's disease (PD) patients who have residual curvature up to 45° after inflatable penile prosthesis (PP) placement. A total of 92 patients with PD and coexistent refractory erectile dysfunction received inflatable PP. If residual curvature after manual modeling (MM) was more than 45°, incision-grafting was performed. Read More

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http://dx.doi.org/10.1038/s41443-020-0325-6DOI Listing

Titanium Alloy Cutting Guides in Craniomaxillofacial Surgery-A Minimally Invasive Alternative to Synthetic Polymer Guides.

J Oral Maxillofac Surg 2020 Jun 11. Epub 2020 Jun 11.

Associate Professor, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL.

Purpose: Historically, synthetic polymers, such as polyamide, have been the predominate material used for patient-specific cutting guides in 3-dimensionally guided craniomaxillofacial surgery. The physical properties of polyamide result in guides that are bulky and difficult to place within the confines of the facial soft tissue envelope, requiring larger incisions with resultant morbidity. Despite their utility, we found the need for wider exposure simply for guide placement was unacceptable. Read More

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http://dx.doi.org/10.1016/j.joms.2020.06.010DOI Listing

"Imola-Montecatone" subtotal colectomy to improve bowel management in spinal cord injury patients. Retrospective analysis in 19 cases.

Spinal Cord Ser Cases 2020 Jul 7;6(1):59. Epub 2020 Jul 7.

Montecatone Rehabilitation Institute, Imola, Italy.

Study Design: Retrospective single-center study.

Objectives: Persons with spinal cord injury live with neurogenic bowel dysfunction. Difficulties with management of neurogenic bowel can increase over time with age and time post injury, with a negative impact on autonomy and quality of life. Read More

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http://dx.doi.org/10.1038/s41394-020-0311-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341834PMC

Shunt timing in meningomyelocele and clinical results: analysis of 80 cases.

Childs Nerv Syst 2020 Jul 6. Epub 2020 Jul 6.

Neurosurgery Department, Adana City Training and Research Hospital, Adana, Turkey.

Purpose: Meningomyelocele is a serious pathology that requires immediate surgical treatment. Its management is difficult due to accompanying other pathologies and hydrocephalus. Shunt timing is still controversial. Read More

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http://dx.doi.org/10.1007/s00381-020-04786-1DOI Listing

The association of skin incision placement during cesarean delivery with wound complications in obese women: a systematic review and meta-analysis.

J Matern Fetal Neonatal Med 2020 Jul 7:1-13. Epub 2020 Jul 7.

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Objective: To determine the risk of wound complications by skin incision type in obese women undergoing cesarean delivery. Electronic databases (MEDLINE, Scopus, and Ovid) were searched from their inception through August 2018. We included all randomized controlled trials and cohort studies reporting the placement of skin incision during cesarean section in obese women, defined as those with BMI ≥30 kg/m. Read More

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http://dx.doi.org/10.1080/14767058.2020.1786050DOI Listing

Risk factors of stone recurrence after endoscopic retrograde cholangiopancreatography for common bile duct stones.

Medicine (Baltimore) 2020 Jul;99(27):e20412

Department of General Surgery, Traditional Chinese Medicine Hospital, Chongqing, China.

To explore the risk factors related to the recurrence of common bile duct stones (CBDS) after endoscopic retrograde cholangiopancreatography (ERCP), so as to provide reference for reducing the recurrence of CBDS after ERCP.The clinical data of 385 patients with CBDS treated by ERCP from March 2012 to May 2016 were collected. According to the diagnostic criteria of recurrence of CBDS, the patients were divided into recurrence group and control group. Read More

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http://dx.doi.org/10.1097/MD.0000000000020412DOI Listing

Infection after buried or exposed K-wire fixation of distal radial fractures: a randomized clinical trial.

J Hand Surg Eur Vol 2020 Jul 1:1753193420936543. Epub 2020 Jul 1.

Hospital Maradei, Clínica dos Acidentados, Belém, PA, Brazil.

We treated 220 extra-articular distal radial fractures with closed reduction and percutaneous K-wire fixation and randomized K-wire placement to buried or exposed. We analysed the incidence and severity of infection and the mobility of the metacarpophalangeal joints. At 6 weeks postoperatively, 12 patients in the exposed group had infections versus two in the buried group, which was a statistically significant difference. Read More

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http://dx.doi.org/10.1177/1753193420936543DOI Listing

Modified Intrascleral Fixation for Repositioning the Dislocated Single-Piece, Rigid PMMA Intraocular Lens.

Retina 2020 Jun 26. Epub 2020 Jun 26.

Department of Ophthalmology and Vision Science, Eye and ENT Hospital, Fudan University, Shanghai, People's Republic of China.

Purpose: To describe a modified intrascleral fixation technique for repositioning single-piece rigid polymethyl methacrylate intraocular lenses (IOLs).

Methods: Four patients with dislocated IOLs were enrolled. Surgical modifications included using ≤1-mm scleral incision for haptic externalization, placing the IOL haptic placement in scleral tunnels, and using 8-0 absorbable sutures. Read More

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http://dx.doi.org/10.1097/IAE.0000000000002876DOI Listing

Growing rod technique with prior foundation surgery and sublaminar taping for early-onset scoliosis.

J Neurosurg Spine 2020 Jun 26:1-6. Epub 2020 Jun 26.

1Department of Orthopaedic Surgery, Dokkyo Medical University, Mibu.

Objective: The aim of this study was to show the surgical results of growing rod (GR) surgery with prior foundation surgery (PFS) and sublaminar taping at an apex vertebra.

Methods: Twenty-two early-onset scoliosis (EOS) patients underwent dual GR surgery with PFS and sublaminar taping. PFS was performed prior to rod placement, including exposure of distal and proximal anchor areas and anchor instrumentation filled with a local bone graft. Read More

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http://dx.doi.org/10.3171/2020.4.SPINE2036DOI Listing

Arthroscopically Assisted Tape Augmentation for Anterior Talofibular Ligament Repair.

Arthrosc Tech 2020 Jun 14;9(6):e809-e816. Epub 2020 May 14.

Department of Pediatric Orthopedics and Foot and Ankle Surgery, Orthopedic Hospital Speising, Vienna, Austria.

In this Technical Note, we describe arthroscopically assisted tape augmentation of a modified Broström repair for chronic lateral ankle instability. Specifically, this technique involves talar anchor placement under direct arthroscopic visualization combined with a minimally invasive approach for anatomic anterior talofibular ligament repair and FiberTape (Arthrex, Naples, FL) augmentation. The primary advantage of our technique compared with open InternalBrace (Arthrex) techniques is that only a 2-cm incision is made and no subcutaneous suture passing and knot tying are required, which bear the danger of superficial peroneal nerve damage. Read More

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http://dx.doi.org/10.1016/j.eats.2020.02.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301337PMC

Single-Port Robotic-Assisted Laparoscopic Sacrocolpopexy with magnetic retraction: A Video Demonstration.

Urology 2020 Jun 19. Epub 2020 Jun 19.

University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address:

Background: Abdominal sacrocolpopexy is the gold standard for treatment of apical prolapse. Minimally invasive surgery offers many advantages over the open approach, including incision size, blood loss, post-operative pain while maintaining similar long-term outcomes. OBJECTIVE: To assess the safety and feasibility of performing a magnetic-assisted single-port robotic sacrocolpopexy (MARS). Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.006DOI Listing

Hurricane Harvey Aftermath.

J Am Podiatr Med Assoc 2020 Mar;110(2)

St. Joseph Medical Center, Houston, TX.

Natural disasters, such as hurricanes and severe flooding, pose a threat of increased skin and soft-tissue infections, especially in the event of open fractures and wading through the waters. The purpose of this case study is to present a complex patient sustaining trauma resulting in an open bimalleolar fracture, multiple wounds, and exposure to a variety of water-borne pathogens during Hurricane Harvey in Houston, Texas, in 2017. He underwent multiple incision and drainage procedures, tissue cultures, and placement of antibiotic beads, with an application of external fixation to the left ankle. Read More

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http://dx.doi.org/10.7547/19-068DOI Listing

Modified Hydrodissection to Prevent Intraoperative Iris Prolapse.

J Cataract Refract Surg 2020 Jun 9. Epub 2020 Jun 9.

From the Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Amodified hydrodissection technique to prevent intraoperative iris prolapse is presented. The phacoemulsification tip is inserted into the main ocular incision while hydrodissection is performed through a side-port incision. Placement of the phacoemulsification tip in this location prevents iris prolapse. Read More

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http://dx.doi.org/10.1097/j.jcrs.0000000000000275DOI Listing

Reconstruction of Full Thickness Scalp Defects in Extremely Elderly Patients Using Dermal Regeneration Templates.

J Craniofac Surg 2020 Jul-Aug;31(5):e511-e514

Weill Cornell Medical College, New York-Presbyterian Hospital, New York, NY.

The reconstruction of full thickness scalp defects following oncologic resection poses a unique challenge that is further magnified in "extremely elderly" patients, defined as those in at least their ninth decade of life, who are often unsuitable candidates for complex reconstruction. A "simpler" option is two-stage reconstruction: placement of Integra dermal regenerative template (Integra Life Science, Plainsboro, NJ) followed by a split thickness skin graft (STSG). This case series illustrates the success of this technique in the extremely elderly. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006646DOI Listing

[Effect of surgeon's handedness on distribution of prosthesis during primary total knee arthroplasty].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):696-701

Department of Orthopaedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou Jiangsu, 221002, P.R.China.

Objective: To evaluate the effect of the surgeon's handedness on the distribution of prosthesis during primary total knee arthroplasty (TKA).

Methods: A retrospective analysis was performed on 86 patients (100 knees) with primary TKA completed by the same right-handed surgeon between December 2016 and December 2018, including 72 cases of single knee and 14 of bilateral knees. The patients were divided into dominant group (right side) and non-dominant group (left side) according to the operating position of the surgeon and each group had 50 knees. Read More

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http://dx.doi.org/10.7507/1002-1892.201911042DOI Listing

Posterior to anterior malleolar extended lateral approach to the ankle (PAMELA): a cadaveric anatomic study.

Arch Orthop Trauma Surg 2020 Jun 8. Epub 2020 Jun 8.

Department of Orthopedics and Traumatology, Lausanne University Hospital (CHUV), and University of Lausanne (UNIL), Pierre-Decker 4, CH 1011, Lausanne, Switzerland.

Introduction: The posterolateral approach is used in most cases of surgical treatment of ankle fractures involving the posterior and lateral malleoli. However, this approach does not allow access to the anterolateral structures of the ankle, which represent important landmarks to allow an anatomical reduction in case of complex ankle fracture. Our objective is to propose a novel surgical approach for optimal management of injuries including both a fracture of the posterior malleolus and a complex lesion of the lateral and/or anterolateral portions of the ankle. Read More

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http://dx.doi.org/10.1007/s00402-020-03507-2DOI Listing

Complications Following the Use of Biologic Mesh in Ileostomy Closure: A Retrospective, Comparative Study.

Wound Manag Prev 2020 Jun;66(6):16-22

Department of Surgery, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Republic of Korea.

Prophylactic placement of mesh in the abdominal wall during ileostomy closure can decrease the rate of hernia formation. However, few studies have evaluated the safety of biologic mesh in ileostomy closure.

Purpose: This study aimed to investigate the safety of biologic mesh in ileostomy closure, specifically the need to remove the mesh due to infection. Read More

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Pseudoaneurysm of the Superficial Temporal Artery After Intracranial Pressure Monitoring Device Placement: Case Report of a Rare Complication.

Oper Neurosurg (Hagerstown) 2020 Jun 5. Epub 2020 Jun 5.

Department of Neurological Surgery, University of Washington, Seattle, Washington.

Background And Importance: Pseudoaneurysms involving the superficial temporal artery (STA), either iatrogenic or caused by direct trauma, are rare. The STA is prone to injury due to its long course throughout the scalp. Injuries can cause cosmetic defects and/or skin breakdown leading to further complications. Read More

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http://dx.doi.org/10.1093/ons/opaa151DOI Listing

Autologous Pubovaginal Sling for the Treatment of Stress Urinary Incontinence in a Patient With High Risk of Mesh Erosion.

Urology 2020 Jun 2. Epub 2020 Jun 2.

Advanced Urology Associates Pte Ltd, Singapore (formerly Department of Urology, Tan Tock Seng Hospital, Singapore).

Objective: Autologous pubovaginal sling is a surgical option for patients with stress urinary incontinence (SUI), either as primary treatment, or in those who have failed synthetic sling placement. It is also favorable for patients at high risk of mesh erosion, for example, in those who are immunocompromised or postradiation. This video reviews the technical considerations in performing an autologous pubovaginal sling fashioned from rectus fascia in an immunocompromised patient with multiple previous abdominal surgeries. Read More

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http://dx.doi.org/10.1016/j.urology.2020.05.031DOI Listing

Twenty years later: is the scrotal one-incision AUS of value?

Int J Impot Res 2020 Jun 2. Epub 2020 Jun 2.

Department of Urology, University of Alabama, Birmingham, AL, USA.

The artificial urinary sphincter, known as AMS 800, has been the gold standard for treating moderate to severe stress urinary incontinence in males for 40 years. Yet, the number of sphincters done globally is quite small and the majority of urologists doing them are infrequent implanters. Estimates for 2019 showed half of implanters did only one implant that year and worldwide only around 13,000 implantations were performed. Read More

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http://dx.doi.org/10.1038/s41443-020-0317-6DOI Listing

The good, the bad, and the ugly about surgical approaches for inflatable penile prosthesis implantation.

Int J Impot Res 2020 Jun 2. Epub 2020 Jun 2.

Department of Urology, Institute of Urologic Excellence, La Quinta, CA, USA.

The penoscrotal (PS), infrapubic (IP), and subcoronal (SC) incisions are used for inserting an inflatable penile prosthesis (IPP). Each surgical approach has its advantages and disadvantages and experts continue to debate which technique has the best outcomes. We performed a critical review of the published English-language studies up to April 2020 investigating the PS, IP, or SC approach for IPP placement. Read More

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http://dx.doi.org/10.1038/s41443-020-0319-4DOI Listing

Contemporary Outcomes and Prognostic Factors of 23-Gauge Vitrectomy for Retained Lens Fragments after Phacoemulsification.

Am J Ophthalmol 2020 May 29. Epub 2020 May 29.

Vitreoretinal Service, Moorfields Eye Hospital, London, United Kingdom. Electronic address:

Purpose: To provide data on VA outcomes and prognostic factors of micro-incision 23-gauge vitrectomy (MIVS) for retained lens fragments after complicated cataract surgery.

Design: Retrospective, interventional case series from 2012 to 2017.

Methods: Pre-cataract surgery and intra-operative (vitrectomy) parameters, post-vitrectomy complications, and best-corrected visual acuities (BCVA), were identified. Read More

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http://dx.doi.org/10.1016/j.ajo.2020.05.028DOI Listing

Effect of propofol-based procedural sedation on risk of adverse events in a French emergency department: a retrospective analysis.

Eur J Emerg Med 2020 May 25. Epub 2020 May 25.

Emergency Department, CHU de Bordeaux, Bordeaux, France.

Objectives: Propofol is widely used today outside the operating room to facilitate painful procedures. The objective of this retrospective study was to evaluate the frequency and type of complications related to a propofol-based procedural sedation protocol used in a French emergency department.

Methods: This retrospective study reviewed the records over a 6-year period of all patients-adults and children-who received propofol for procedural sedation according to a pre-established protocol. Read More

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http://dx.doi.org/10.1097/MEJ.0000000000000697DOI Listing

rSILS: initial clinical experience with single-port robotic (SPr) right colectomy.

Tech Coloproctol 2020 May 25. Epub 2020 May 25.

Lankenau Medical Center Division of Colorectal Surgery, Marks Colorectal Surgical Associates, Wynnewood, PA, USA.

Background: The da Vinci Single-Port (SP) robot is a novel platform designed to facilitate single-incision robotic surgery (rSILS). The objective of this study was to describe our initial experience using this platform for SP robotic (SPr) right colectomy.

Methods: Under a Food and Drug Administration-regulated feasibility study and Institutional Review Board approval, a patient with cecal adenocarcinoma underwent an SPr right colectomy. Read More

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http://dx.doi.org/10.1007/s10151-020-02218-5DOI Listing

Transcutaneous approach for orbital augmentation with alloplastic implants in acquired anophthalmia.

Orbit 2020 May 24:1-6. Epub 2020 May 24.

Department of Ophthalmology, Faculty of Medicine, Fayoum University , Al Fayyum, Egypt.

Purpose: To report the outcomes of a transcutaneous surgical technique for orbital volume augmentation with secondary alloplastic implants in acquired anophthalmia.

Methods: Retrospective case note review of patients who underwent secondary orbital implant insertion through a subciliary incision between January 2006 and December 2017. Collected data included age, gender, type and cause of primary surgery, time interval before secondary implantation, and details of secondary implantation surgery. Read More

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http://dx.doi.org/10.1080/01676830.2020.1767156DOI Listing

Effect of the short-segment internal fixation with intermediate inclined-angle polyaxial screw at the fractured vertebra on the treatment of Denis type B thoracolumbar fracture.

J Orthop Surg Res 2020 May 24;15(1):182. Epub 2020 May 24.

Orthopaedic Department, General Hospital of Central Theater Command of PLA, #627 Wuluo Road, Wuchang District, Wuhan, Hubei, China.

Background: Short-segment internal fixation with intermediate straight-forward monoaxial screws (SSIF-SFM) and long-segment internal fixation (LSIF) are the two major surgical options for thoracolumbar (TL) fracture. However, SSIF-SFM might not provide adequate support to the spine, and LSIF is unnecessarily extensive. SSIF with intermediate inclined-angle polyxial screw (SSIF-IAP) might offer an alternative solution for the treatment of TL fracture. Read More

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http://dx.doi.org/10.1186/s13018-020-01686-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245877PMC
May 2020
1.577 Impact Factor

Revisiting the penoscrotal approach to artificial urinary sphincter surgery: how does it compare to a perineal incision for initial implantation?

World J Urol 2020 May 21. Epub 2020 May 21.

Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Purpose: Artificial urinary sphincters (AUS) remain the gold standard to treat male stress urinary incontinence. AUS implantation can be performed through a penoscrotal or perineal incision depending on surgeon preference.

Methods: The present study compares initial AUS implantation through two surgical approaches focusing on outcomes of continence and revision. Read More

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http://dx.doi.org/10.1007/s00345-020-03244-6DOI Listing

A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation.

Sex Med 2020 May 17. Epub 2020 May 17.

Department of Urology, Jessa Hospital, Hasselt, Belgium; Faculty of medicine, Hasselt University, Hasselt, Belgium; University Hospitals Leuven, Leuven, Belgium.

Introduction: At the moment, there is an ongoing debate regarding the controversial issue of the ideal reservoir placement (RP) surgical technique during implantation of a 3-piece inflatable penile prosthesis, but a definitive winner has not yet emerged.

Aim: In this light, we herein describe our modified technique for RP into the space of Retzius through the external oblique muscle fascia and present its results.

Methods: In total, 253 inflatable penile prosthesis procedures (110 AMS 700 and 143 Coloplast Titan) via a single transverse penoscrotal incision were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.esxm.2020.04.004DOI Listing

Transfacet Minimally Invasive Transforaminal Lumbar Interbody Fusion With an Expandable Interbody Device-Part I: 2-Dimensional Operative Video and Technical Report.

Oper Neurosurg (Hagerstown) 2020 May 20. Epub 2020 May 20.

Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.

Background: Advances in operative techniques and minimally invasive technologies have evolved to maximize patient outcomes and radiographic results, while reducing morbidity and recovery time.

Objective: To describe the operative technique for a transfacet minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) as a proposed modification to the standard approach MIS-TLIF.

Methods: We present the case of a 72-yr-old man with left-sided lumbar radiculopathy. Read More

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http://dx.doi.org/10.1093/ons/opaa100DOI Listing

Early postextraction implants may achieve osseointegration in the absence of primary stability. A pilot study.

J Biol Regul Homeost Agents 2019 Nov-Dec;33(6 Suppl. 2):1-12

Associate Professor, Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy.

This pilot study aimed at investigating if implants without primary stability may osseointegrate and support functional prosthesis. Patients received one Trabecular Metal implant each in posterior sockets two months after tooth extraction, combined with xenograft and a resorbable membrane. Implants were divided in three groups, based on the primary stability assessed by resonance frequency analysis. Read More

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Anterior Lumbar Interbody Fusion (ALIF): Technique Video: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 May 18. Epub 2020 May 18.

Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.

This surgical video demonstrates the technique of an anterior lumbar interbody fusion (ALIF). This video demonstrates the surgical approach, technical nuances of ALIF, and pearls. The main surgical anatomy and approach-related risks are discussed. Read More

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http://dx.doi.org/10.1093/ons/opaa132DOI Listing

The use of absorbable adhesion barriers to reduce the incidence of intraperitoneal adhesions at repeat cesarean delivery.

Arch Gynecol Obstet 2020 Jul 15;302(1):101-108. Epub 2020 May 15.

Department of Obstetrics and Gynecology, 12 Bayit Shaare Zedek Medical Center, Affiliated with the Hebrew University School of Medicine, 91031, Jerusalem, Israel.

Purpose: We aimed to evaluate the effect of an absorbable adhesion barrier (oxidized regenerated cellulose) for the prevention of peritoneal adhesions in women undergoing repeat cesarean delivery (CD).

Methods: This is a retrospective, single center study that included all women who underwent two consecutive CDs, 2011-2018. Women in whom an absorbable adhesion barrier (oxidized regenerated cellulose) was placed at the time of the initial CD (index CD) were compared to women in whom no such barrier was placed. Read More

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http://dx.doi.org/10.1007/s00404-020-05591-6DOI Listing

Comprehensive management of breast augmentation with polyacrylamide hydrogel injection based on 15 years of experience: a report on 325 cases.

Ann Transl Med 2020 Apr;8(7):475

Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Background: As a permanent soft tissue filler, the use of polyacrylamide hydrogel (PAAG) has been banned due to its myriad complications. However, a large number of symptomatic and asymptomatic patients whose breasts were augmented with the gel injection have continued to seek medical advice. This study aimed to explore standardized clinical management of breast augmentation with PAAG. Read More

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http://dx.doi.org/10.21037/atm.2020.03.68DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210124PMC

Diabetes as a potential risk for periodontitis: association studies.

Periodontol 2000 2020 Jun;83(1):40-45

Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.

Diabetes affects one in 10 adults and periodontal disease affects four in 10 adults in the USA, and they are linked. Individuals with diabetes are more likely to suffer from periodontal disease and periodontal disease affects glycemic control and complications of diabetes. The role of diabetes as a risk factor for periodontal disease and other oral conditions will be discussed in this review. Read More

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http://dx.doi.org/10.1111/prd.12270DOI Listing
June 2020
3.632 Impact Factor

Antibiotic-impregnated polymethylmethacrylate strut graft as a treatment of spinal osteomyelitis: case series and description of novel technique.

J Neurosurg Spine 2020 May 8:1-6. Epub 2020 May 8.

1Swedish Neuroscience Institute, Swedish Medical Center, Seattle.

Objective: The surgical treatment of osteomyelitis and discitis of the spine often represents a challenging clinical entity for a multitude of reasons, including progression of infection despite debridement, development of spinal deformity and instability, bony destruction, and seeding of hardware. Despite advancement in spinal hardware and implantation techniques, these aforementioned challenges not uncommonly result in treatment failure, especially in instances of heavy disease burden with enough bony endplate destruction as to not allow support of a modern titanium cage implant. While antibiotic-infused polymethylmethacrylate (aPMMA) has been used in orthopedic surgery in joints of the extremities, its use has not been extensively described in the spine literature. Read More

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http://dx.doi.org/10.3171/2020.3.SPINE191313DOI Listing

Endoscopic incision for treatment of benign gastrointestinal strictures.

Expert Rev Gastroenterol Hepatol 2020 May 22:1-8. Epub 2020 May 22.

Department of Gastroenterology, The Second Xiangya Hospital, Changsha, Hunan, China.

: Benign gastrointestinal strictures are common, and can be congenital or acquired (anastomotic, corrosive, induced by Crohn's disease or endoscopic treatments, etc.). Patients usually present with stricture-related symptoms such as vomiting, dysphagia, dyschezia, abdominal pain, which impair their quality of life. Read More

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http://dx.doi.org/10.1080/17474124.2020.1766966DOI Listing

An early experience with transversus abdominis release for complex ventral hernias: a retrospective review of 100 cases.

Hernia 2020 May 6. Epub 2020 May 6.

Department of General Surgery, Grant Medical College and Sir JJ Group of Hospitals, 6th Floor, Main Hospital Building, Sir JJ Hospital Campus, Byculla, Mumbai, 400008, India.

Background: Transversus abdominis release (TAR) is a relatively recent surgical technique for ventral hernia repair which allows placement of a large prosthesis in the retro-muscular plane with considerable myofascial medialization. A retrospective review of 100 cases who underwent TAR for complex ventral hernias was performed to evaluate the safety and efficacy of TAR in a series of large ventral hernias.

Methods: Between March 2016 and May 2019, 100 consecutive patients who underwent open TAR were identified from our prospectively maintained database. Read More

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http://dx.doi.org/10.1007/s10029-020-02202-wDOI Listing

Robot-assisted laparoendoscopic single-site upper urinary tract surgery with da Vinci Xi surgical system: Initial experience.

Investig Clin Urol 2020 May 28;61(3):323-329. Epub 2020 Feb 28.

Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

Purpose: The da Vinci Xi robot surgical system was newly released with several upgrades and modifications made to its previous Si platform; to further enhance the capabilities to carry out minimally invasive surgery. This study aimed to evaluate the intraoperative and postoperative outcomes of robot laparoendoscopic single-site surgery performed with the da Vinci Xi system.

Materials And Methods: Retrospective chart review of patients undergoing of robot laparoendoscopic single-site by a single surgeon using the Xi single-site platform from November 2016 and May 2019. Read More

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http://dx.doi.org/10.4111/icu.2020.61.3.323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189114PMC

Robotic versus open primary ventral hernia repair: A randomized controlled trial (Robovent Trial).

Int J Surg Protoc 2020 4;21:27-31. Epub 2020 Apr 4.

Division of Digestive Surgery, University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211 Genève 14, Switzerland.

Background: The objective of the present study is to compare the outcomes open PVHR and robotic PVHR.

Methods/design: The present study will be a randomized single-blinded controlled trial with intention-to-treat analysis comparing robotic PVHR to open PVHR in adult patients undergoing elective PVHR with a defect ranging between 1-5 cm. Patient refusing to participate, not able to give informed consent, with history of intra-abdominal surgery contraindicating a robotic surgical approach will be excluded. Read More

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http://dx.doi.org/10.1016/j.isjp.2020.03.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186553PMC

Medial Patellofemoral Ligament Reconstruction in Skeletally Immature Patients.

JBJS Essent Surg Tech 2020 Jan-Mar;10(1). Epub 2020 Feb 3.

Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.

Patellofemoral instability is a common problem affecting children and adolescents, with recurrent instability often requiring surgical intervention. Medial patellofemoral ligament (MPFL) reconstruction has become a mainstay for the treatment of patellofemoral instability because of the biomechanical importance of the MPFL against lateral dislocation as well as the high frequency of MPFL injury following traumatic patellar dislocation. The concern in managing skeletally immature patients is the potential for injury to the distal femoral physis. Read More

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http://dx.doi.org/10.2106/JBJS.ST.18.00110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161734PMC
February 2020

Successful management of sternomanubrial joint septic arthritis with pectoralis muscle flap closure: a case series.

J Surg Case Rep 2020 Apr 29;2020(4):rjaa035. Epub 2020 Apr 29.

Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of New Mexico, Albuquerque, NM.

Primary infection of the sternomanubrial joint (SMJ) is extremely rare. We present four consecutive cases who were all treated with SMJ resection (partial sternectomy), bilateral partial 2nd rib resection and immediate placement of temporary wound vacuum therapy followed by pectoralis major muscle flap closure. Average patient age was 35. Read More

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http://dx.doi.org/10.1093/jscr/rjaa035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190025PMC

Miniaturized implantable cardiac monitor with a long sensing vector (BIOMONITOR III): Insertion procedure assessment, sensing performance, and home monitoring transmission success.

J Electrocardiol 2020 May - Jun;60:118-125. Epub 2020 Apr 11.

Centre for Heart Rhythm Disorders, The University of Adelaide and Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia. Electronic address:

Background: Implantable Cardiac Monitors (ICMs) are used for long-term monitoring of arrhythmias. BIOMONITOR III is a novel ICM with a miniaturized profile, long sensing vector due to a flexible antenna, simplified implantation with a dedicated insertion tool for pocket formation and ICM placement in a single step, and daily automatic Home Monitoring (HM) function.

Methods: In 47 patients undergoing BIOMONITOR III insertion for any ICM indication, 16 investigators at 10 Australian sites assessed handling characteristics of the insertion tool, R-wave amplitudes, noise burden, P-wave visibility, and HM transmission success. Read More

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http://dx.doi.org/10.1016/j.jelectrocard.2020.04.004DOI Listing

New Concealed-Incision Extrapelvic Approach for Pubic Symphysis Diastasis and Parasymphyseal Fractures: Preliminary Results.

J Bone Joint Surg Am 2020 Apr 30. Epub 2020 Apr 30.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.

Background: The Pfannenstiel approach, which provides good surgical exposure, has been used for the treatment of pubic symphysis diastasis and parasymphyseal fractures. However, it requires a medium-length incision and moderate soft-tissue dissection, resulting in potential damage to anatomical structures and inferior aesthetic outcomes. Here, we introduce a new concealed-incision extrapelvic approach for the internal fixation of pubic symphysis diastasis and parasymphyseal fractures. Read More

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http://dx.doi.org/10.2106/JBJS.19.01152DOI Listing

Syringo-Subarachnoid Shunt Placement: A Minimally Invasive Technique Using Fixed Tubular Retractors-Three Case Reports and Literature Review.

Int J Spine Surg 2020 Apr 30;14(2):133-139. Epub 2020 Apr 30.

Department of Neurosurgery, Aster CMI Hospital, Karnataka, India.

Background: Placement of a syringo-subarachnoid shunt as a surgical management for syringomyelia has been well described in the literature. Good results in terms of clinical and radiological improvement have been documented especially for posttraumatic syringomyelia. Traditionally, this has been performed using open approaches which are fraught with risks of cerebrospinal fluid leak, delayed wound healing, and increased postoperative pain. Read More

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http://dx.doi.org/10.14444/7020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188106PMC

Single-incision percutaneous drilling technique to achieve hemiepiphysiodesis of the distal metacarpus in foals with metacarpophalangeal varus deformities.

Vet Surg 2020 Jul 27;49(5):940-946. Epub 2020 Apr 27.

Davidson Surgery Center, Hagyard Equine Medical Institute, Lexington, Kentucky.

Objective: To describe a drilling technique for hemiepiphysiodesis of the distal lateral metacarpal physis and report the outcome of treated foals.

Study Design: Retrospective case series.

Sample Population: Eleven thoroughbred foals. Read More

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http://dx.doi.org/10.1111/vsu.13418DOI Listing