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Facial Plast Surg 2022 Jun 24. Epub 2022 Jun 24.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

An understanding of patient preference is vital for surgeons to create outcomes that align with the goals of patients undergoing cosmetic surgery. This study analyzes the perception of the rhytidectomy scar from the perspective of cosmetic patients and surgeons. Cross-sectional surveys were administered in-person to cosmetic patients and online to facial plastic and reconstructive surgeons in the United States. Read More

Trop Doct 2022 Jun 23:494755221110831. Epub 2022 Jun 23.

Department of Surgery, 534313NSCB Government Medical College, Jabalpur, India.

Prophylactic mesh placement (PMP) is increasingly being used to reduce the incidence of incisional hernia after routine and emergency midline laparotomy (EML). However, such studies are not available for EMLs done solely for intestinal perforation. Patients who underwent non-absorbable PMP during EML for intestinal perforation (Group A, 15 patients) were compared with those who had a conventional abdominal wall closure (Group B, 20 patients). Read More

Cureus 2022 May 20;14(5):e25162. Epub 2022 May 20.

Neurological Surgery, University of Miami Miller School of Medicine, Miami, USA.

Treatment for vertebral osteomyelitis varies depending on the extent of pathology and includes both medical and surgical approaches. Pathogen-directed antibiotic therapy is often the first-line treatment, however, refractory cases or those with sepsis, segmental instability, or epidural abscess may be candidates for surgical treatment. Patients with extensive bony destruction often require a corpectomy with the placement of a cage for anterior column reconstruction. Read More

J Am Acad Orthop Surg Glob Res Rev 2022 Jun 21;6(6). Epub 2022 Jun 21.

From the Orthopedic Department, Henri Mondor Hospital, Aurillac, France (Deluzarches); the Research & Development Department, I.Ceram, Limoges, France (Poli, and Barriere); and the Infectious Diseases Department, ELSAN Polyclinique de Limoges, Limoges, France (Denes).

To describe the use of a porous alumina ceramic loaded with antibiotics for the reconstruction of bilateral tibial fractures in a patient who presented with bone loss and infection after a motorcycle road injury. A 70-year-old man presented open fractures of his both tibiae (proximal involvement on the right side and diaphyseal on the left side). After initial treatment with multiple débridements and the placement of bilateral external fixators, he had bone loss to both tibiae and had developed infections of both legs with multiple organisms identified (Stenotrophomonas maltophilia, Enterobacter cloacae, and Pseudomonas aeruginosa). Read More

J Plast Reconstr Aesthet Surg 2022 May 2. Epub 2022 May 2.

Section of Plastic and Reconstructive Surgery, University of Chicago Medicine; Chicago, IL, USA. Electronic address:

Background: The use of progressive tension sutures (PTSs) for drain-free abdominoplasty closure has been well published in the esthetic literature and found to be effective at reducing abdominal drainage without a worse complication profile. This research aims to evaluate the outcomes of incorporating PTS into donor-site closures for abdominal-based breast reconstruction.

Methods: A retrospective chart review was performed evaluating patients at the University of Chicago Medicine, who underwent autologous breast reconstruction and either PTS closure or standard abdominal closure between 2018 and 2021. Read More

Plast Reconstr Surg Glob Open 2022 Jun 10;10(6):e4371. Epub 2022 Jun 10.

Department of Plastic Surgery, Kelsey-Seybold Clinic, Houston Tex.

Infections involving thoracic aortic grafts are difficult to treat and have devastating consequences. The traditional approaches to surgical management include aggressive debridement with graft explantation and replacement. Despite treatment, the reported morbidity and mortality rates are high. Read More

Orthop Traumatol Surg Res 2022 Jun 10:103346. Epub 2022 Jun 10.

Department of Orthopaedics, Wuxi 9th People's Hospital Affiliated to Soochow University, 214062 Wuxi, China. Electronic address:

Introduction: Gustilo IIIB open forearm fractures are severe injuries often associated with extensive bone and soft tissue injuries. The treatment of Gustilo IIIB open forearm fractures remains a challenging problem, with a high morbidity rate such as infection, nonunion, even amputation. External fixation is preferred for open lower limb fractures. Read More

JBJS Essent Surg Tech 2021 Oct-Dec;11(4). Epub 2021 Oct 7.

Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota.

Meniscal root tears are soft-tissue and/or osseous injuries characterized by an avulsion of, or tear within 1 cm of, the native meniscal insertion. These injuries account for 10% to 21% of all meniscal tears, affecting nearly 100,000 patients annually. Medial meniscal posterior-root tears (MMPRTs) expose the tibiofemoral joint to supraphysiologic contact pressure, decreased contact area, and altered knee kinematics similar to a total meniscectomy. Read More

JBJS Essent Surg Tech 2021 Oct-Dec;11(4). Epub 2021 Oct 12.

Division of Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.

Although most patients who undergo anterior cruciate ligament (ACL) reconstruction achieve long-term functional stability and symptom relief, graft rupture rates range from 2% to 10%. A small subset of these patients require a 2-stage revision ACL reconstruction because of tunnel osteolysis or tunnel malposition that will interfere with the planned revision tunnel placement. In the present article, we describe the hybrid use of arthroscopically delivered injectable allograft matrix in the femur and pre-shaped bone dowels in the tibia for the treatment of lower-extremity bone deficiencies. Read More

Fertil Steril 2022 Jun 9. Epub 2022 Jun 9.

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas. Electronic address:

Objective: To describe a novel, minimally invasive technique for performing myomectomy, a fertility-sparing procedure.

Design: This technique was developed based on similar techniques for other surgeries that showed a benefit. Liu et al. Read More

Comput Math Methods Med 2022 31;2022:9269695. Epub 2022 May 31.

Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.

This study was aimed at exploring the application value of magnetic resonance imaging (MRI) based on image enhancement algorithm in analyzing the placement of drainage tubes in the healing of incisions after hepatobiliary surgery. A total of 70 patients with liver cancer undergoing laparoscopic hepatobiliary surgery were selected, including 34 males and 36 females. According to the detection method of postoperative recovery, they were divided into a group A (conventional MRI detection) and a group B (MRI detection based on Retinex algorithm). Read More

JBJS Essent Surg Tech 2021 Oct-Dec;11(4). Epub 2021 Dec 22.

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

A triplane fracture is an example of a transitional fracture of adolescence that occurs because the distal tibial physis closes in a predictably asymmetric way from central to medial and then lateral. The triplane fracture is so named because the fracture lines propagate in 3 planes (axial, sagittal, and coronal) and thus appear on radiographs as a Salter-Harris III pattern on anteroposterior images and Salter-Harris II or IV on lateral images. The fracture occurs via a twisting mechanism (usually supination and external rotation) through the relatively weak open portion of the physis (axial) and propagates out the metaphysis (coronal) and/or epiphysis (sagittal) at the transition to the relatively stronger closed portion of the physis. Read More

JBJS Essent Surg Tech 2022 Jan-Mar;12(1). Epub 2022 Feb 16.

Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota.

For stable intertrochanteric hip fractures, treatment commonly involves the use of a sliding hip screw. Intertrochanteric hip fractures are increasingly common as the population ages and lives longer. More than 250,000 hip fractures occur per year in the United States. Read More

Turk J Surg 2021 Dec 31;37(4):413-416. Epub 2021 Dec 31.

Clinic of Hepatopancreaticobiliary Surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.

The number of patients with obesity is set to rise, as is the proportion with severe obesity. These patients are a high-risk subgroup who present addi- tional challenges to the surgeon when performing laparoscopic cholecystectomy. It is important that all surgeons who perform this procedure have a safe strategy they can revert to. Read More

Int Urogynecol J 2022 Jun 8. Epub 2022 Jun 8.

University of Kentucky Medical Center, 1000 S Limestone St, Lexington, KY, 40536, USA.

Introduction And Hypothesis: Tobacco is a known risk factor for pelvic organ prolapse (POP) as well as postoperative complications in general surgery procedures. Very little is known regarding the impact of tobacco use on postoperative outcomes in POP-correcting procedures, however. We hypothesize that tobacco use will be associated with an increased risk of postoperative complications in these procedures. Read More

Plast Reconstr Surg 2022 Jun 9. Epub 2022 Jun 9.

From: Craniofacial Center, Division of Plastic and Craniofacial Surgery.

Following neurosurgical repair of spinal dysraphism defects, soft tissue reconstruction is often required to obtain robust coverage of the dura. Layered closure utilizing local muscle and muscle fascia have proven reliable for this purpose, but often result in significant dead space necessitating closed suction drainage. Progressive tension sutures have been reported as an alternative to drains for prevention of fluid collection in a number of other procedures. Read More

J Laparoendosc Adv Surg Tech A 2022 Jun 6. Epub 2022 Jun 6.

Department of Surgery, Children's Mercy Kansas City, Kansas City, Missouri, USA.

Infants with intra-abdominal pathology necessitating open abdominal surgery may also require placement of a gastrostomy tube (GT). Use of laparoscopy provides better visualization for gastrostomy placement and lowers the risk of complications compared with an open approach. We describe a series of patients who underwent laparoscopic GT placement at the time of an open abdominal procedure. Read More

Int J Surg Case Rep 2022 May 21;94:107115. Epub 2022 Apr 21.

Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo 173-8606, Japan.

Introduction And Importance: Most insulinomas are benign and solitary, with a tumor diameter less than 2 cm; therefore, laparoscopic enucleation, which is a minimally invasive procedure that can preserve the pancreatic parenchyma, is considered an optimal procedure. The key to enucleation is to avoid injury to the main pancreatic duct (MPD). Herein, we present a case in which single-incision laparoscopic enucleation (SILE) was performed for insulinomas, with preoperative nasopancreatic stent (NPS) placement. Read More

J Contemp Dent Pract 2021 Dec 1;22(12):1370-1376. Epub 2021 Dec 1.

Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.

Aim: Nowadays, guided bone regeneration (GBR) is a predictable technique in both vertical and horizontal bone defects treatment. GBR Pocket Technique is an original surgical approach adopted in order to reduce the invasiveness of traditional procedures. The aim of this work is to describe the surgical procedure of GBR Pocket Technique in vertical bone augmentation and to compare the clinical outcomes of this technique with the results reported in literature of vertical bone augmentation and crestal bone remodeling achieved after 1 year after implants insertion. Read More

Contrast Media Mol Imaging 2022 18;2022:2079098. Epub 2022 May 18.

Department of Thoracic Surgery, Shanghai Pudong Hospital Fudan University Pudong Medical Center, Shanghai 201399, China.

Objective: A case-control study was conducted, to assess the complications, short-term effectiveness, and quality of life of video-assisted thoracoscopic surgery with conventional surgery in the treatment of rib fractures.

Methods: From February 2018 to April 2021, 100 patients with rib fractures who required surgical treatment at the hospital were selected. Patients were randomly divided into control and study groups. Read More

Oper Orthop Traumatol 2022 Jun 31;34(3):218-230. Epub 2022 May 31.

Department of Orthopedic Surgery, Virginia Tech Carilion School of Medicine, Institute for Orthopedics and Neurosciences, 24014, Roanoke, VA, USA.

Objective: Proximal femoral replacement (PFR) is a salvage procedure originally developed for reconstruction after resection of sarcomas and metastatic cancer. These techniques can also be adapted for the treatment of non-oncologic reconstruction for cases involving massive proximal bone loss. The direct anterior approach (DAA) is readily utilized for revision total hip arthroplasty (THA), but there have been few reports of its use for proximal femoral replacement. Read More

Langenbecks Arch Surg 2022 May 31. Epub 2022 May 31.

Department of General and Transplantation Surgery, University Hospital Zurich, CH-8091, Zurich, Switzerland.

Purpose: Minimal-invasive surgery has gained wide acceptance in colorectal surgery. Single incision laparoscopic surgery (SILS) was designed to minimize surgical trauma and improve postoperative outcome. However, the role of SILS in ileostomy formation is unclear. Read More

Medicina (Kaunas) 2022 May 1;58(5). Epub 2022 May 1.

Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

: Lower extremity lymphedema (LEL) is one of the most relevant chronic and disabling sequelae after gynecological cancer therapy involving pelvic lymphadenectomy (PL). Supermicrosurgical lymphaticovenular anastomosis (LVA) is a safe and effective procedure to treat LEL, particularly indicated in early-stage cases when conservative therapies are insufficient to control the swelling. Usually, preoperative assessment of these patients shows patent and peristaltic lymphatic vessels that can be mapped throughout the limb to plan the sites of skin incision to perform LVA. Read More

J Surg Res 2022 May 23;278:196-205. Epub 2022 May 23.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:

Introduction: Research indicates that prophylactic mesh may help prevent incisional hernia after laparotomy, but best practice patterns in these situations are still evolving. Here, we compare the failure loads (FLs) and biomechanical stiffness (BMS) of 35 porcine abdominal wall laparotomy incisions reinforced with meshes of various widths and fixation distances using biomechanical testing.

Methods: In each specimen, a 10-cm incision was made and closed using continuous 1-0 Maxon suture. Read More

Facial Plast Surg 2022 May 24. Epub 2022 May 24.

Plastic and Reconstructive Surgery, University of Rochester Medical Center, Rochester, United States.

Background: Previous studies have evaluated the effectiveness of bacterial nanocellulose (BNC) for the treatment of thermal injuries, but the synergic effect of platelet-rich plasma (PRP) with BNC-based dressing for burns still requires further investigation. Herein, we evaluated the effectiveness of BNC dressings in the management of facial burns using PRP.

Methods: Patients with second-degree facial burns were treated with BNC-based wound dressings after debridement. Read More

Int Urogynecol J 2022 May 23. Epub 2022 May 23.

Department of Gynecology, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.

Aim Of The Video/introduction: The aim was to demonstrate our minimally invasive technique for excision of eroded transvaginal cervical cerclage suture through the bladder mucosa using a suprapubic-assisted transurethral approach. Transvaginal cervical cerclage is a common treatment for cervical insufficiency in pregnancy. Complications such as erosion are rare, as the duration of treatment is typically several months, with cerclage placement in the second trimester and complete removal prior to the onset of labor. Read More

N Am Spine Soc J 2022 Jun 2;10:100120. Epub 2022 May 2.

University Spine Center Zürich, Balgrist University Hospital, University of Zürich, Zürich, Switzerland.

Background: Pedicle screw instrumentation of the cervical spine, although technically challenging due to the potential risk of serious neurovascular injuries, is biomechanically favorable for stabilization purposes. Patient-specific templates are increasingly used in the thoracolumbar spine with excellent accuracy. The aim of this study was to evaluate the accuracy of cervical pedicle screw placement with patient-specific templates in a clinical setting and to report the European experience so far. Read More

Zhonghua Shao Shang Za Zhi 2022 May;38(5):454-461

Department of Burns, Zhengzhou First People's Hospital, Zhengzhou 450004, China.

To explore the effects of expanded frontal-parietal pedicled flap in reconstructing cervical scar contracture deformity in children after burns. A retrospective observational study was conducted. From January 2015 to December 2020, 18 male children with cervical scar contracture deformity after burns who met the inclusion criteria were admitted to Zhengzhou First People's Hospital, aged 4 to 12 years, including 10 cases with degree Ⅱ cervical scar contracture deformity and 8 cases with degree Ⅲ scar contracture deformity, and were all reconstructed with expanded frontal-parietal pedicled flap. Read More

Int J Urol 2022 May 21. Epub 2022 May 21.

Department of Urology, PGIMER, Chandigarh, India.

Objectives: Percutaneous nephrolithotomy and placement of nephrostomy tube are performed for renal stones >2 cm in diameter. Attempts have been made to infiltrate local anesthetics with or without adjuvants into the surgical site to reduce pain. We hypothesized that there would be a significant prolongation of the analgesic effect of local anesthetic instillation along the nephrostomy tube due to the adjuvant dexamethasone. Read More

Aesthet Surg J Open Forum 2022 30;4:ojac021. Epub 2022 Mar 30.

Background: Textured breast implants have been used in aesthetic breast surgery to decrease the rates of implant malposition. A recent analysis of a large-volume single-surgeon experience found statistically similar rates of malposition in smooth vs micro-textured breast implants.

Objectives: Prophylactic use of a polydioxanone (PDO) internal support matrix in breast augmentation was hypothesized to prevent scar malposition and increase pocket control. Read More