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    9347 results match your criteria Preoperative Evaluation and Management

    1 OF 187

    The Surgical Management of Nerve Gaps: Present and Future.
    Ann Plast Surg 2017 Nov 21. Epub 2017 Nov 21.
    Peripheral nerve injuries can result in significant morbidity, including motor and/or sensory loss, which can affect significantly the life of the patient. Nowadays, the gold standard for the treatment of nerve section is end-to-end neurorrhaphy. Unfortunately, in some cases, there is segmental loss of the nerve trunk. Read More

    Perioperative Management of Patients with Diabetes.
    Health Serv Insights 2017 15;10:1178632917735075. Epub 2017 Nov 15.
    Division of Geriatric Medicine, North Shore University Hospital/Long Island Jewish Medical Center, Manhasset, NY, USA.
    Hyperglycemia has long been recognized to have detrimental effects on postoperative outcomes in patients undergoing surgery. The manifestations of uncontrolled diabetes are manifold and can include risk of hyperglycemic crises, postoperative infection, poor wound healing, and increased mortality. There is substantial literature supporting the role of diligent glucose control in the prevention of adverse surgical outcomes, but considerable debate remains as to the optimal glucose targets. Read More

    Awake tracheotomy in a patient with stridor and dyspnoea caused by a sizeable malignant thyroid tumor: a case report and short review of the literature.
    Clin Case Rep 2017 Nov 5;5(11):1891-1895. Epub 2017 Oct 5.
    Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine, Pain MedicineDüren HospitalRoonstr. 3052351DürenGermany.
    Individual airway management is mandatory in patients with large goiters undergoing thyroid surgery. Preoperative endoscopic airway evaluation and imaging studies can support clinical decision making. Awake tracheotomy can be an effective and reasonable airway management strategy in such patients. Read More

    Epidemiology and Management of Spinal Trauma in Children and Adolescents Under 18 Years Old.
    World Neurosurg 2017 Nov 13. Epub 2017 Nov 13.
    Neurosurgeon - Department of Neurosurgery, State University of Campinas (UNICAMP), Campinas-SP, Brazil.
    Study Design: Retrospective study.

    Objective: Report the epidemiology, clinical aspects and management of spinal trauma in children and adolescents.

    Methods: Multicenter study of 215 cases of spinal trauma in individuals younger than 18 years of age. Read More

    Pain Management Strategies in Shoulder Arthroplasty.
    Orthop Clin North Am 2018 Jan 6;49(1):81-91. Epub 2017 Oct 6.
    The Rothman Institute at Thomas Jefferson University, Department of Orthopaedic Surgery, 925 Chestnut Street, 5th floor, Philadelphia, PA 19107, USA.
    Pain control in total shoulder arthroplasty demands a multidisciplinary approach with collaboration between patients, surgeon, and anesthetist. A multimodal approach with preemptive medication, regional blockade, local anesthetics, and a combination of acetaminophen, nonsteroidal antiinflammatory drugs, tramadol, and gabapentinoids postoperatively leads to pain control and patient satisfaction. Assessment of patients' expectations constitutes a vital aspect of the preoperative patient evaluation. Read More

    Preoperative, intraoperative and postoperative anesthetic prospective for thyroid surgery: what's new.
    Gland Surg 2017 Oct;6(5):469-475
    Department of Anesthesiology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.
    The aim of this review is to analyze what's new on anesthetic prospective to perioperative management for thyroid surgery. For recent decades intraoperative neuromonitoring (IONM) during thyroid and parathyroid surgery has obtained more and more popularity. New modality of anesthetic technique was also developed to incorporate into surgical teamwork. Read More

    [The analysis of anesthetic management for renal cell carcinoma with associated inferior vena cava tumor thrombus].
    Zhonghua Yi Xue Za Zhi 2017 Nov;97(42):3329-3333
    Department of Anesthesiology, Peking University, Third Hospital, Beijing 100191, China.
    Objective: To explore the key points of anesthetic management for renal cell carcinoma combined with inferior vena cava (IVC) tumor thrombus. Methods: Twenty-seven cases of renal cell carcinoma with inferior vena cava (IVC) tumor thrombus underwent radical nephrectomy and inferior caval venous thrombectomy were reviewed retrospectively during January 2014 to January 2017 in our hospital.Analyzed data includs demographics, classification of tumor, perioperative anesthetic management and monitoring approaches, IVC clamping time , vital signs during cardiopulmonary bypass(CPB), estimated blood loss (EBL), usage of blood products, hospitalization time and ICU time , as well as postoperative outcomes. Read More

    Monitoring and Morphologic Classification of Pediatric Cataract Using Slit-Lamp-Adapted Photography.
    Transl Vis Sci Technol 2017 Nov 2;6(6). Epub 2017 Nov 2.
    State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, China.
    Purpose: To investigate the feasibility of pediatric cataract monitoring and morphologic classification using slit lamp-adapted anterior segmental photography in a large cohort that included uncooperative children.

    Methods: Patients registered in the Childhood Cataract Program of the Chinese Ministry of Health were prospectively selected. Eligible patients underwent slit-lamp adapted anterior segmental photography to record and monitor the morphology of their cataractous lenses. Read More

    Tomosynthesis in Breast Cancer Imaging: How Does It Fit into Preoperative Evaluation and Surveillance?
    Surg Oncol Clin N Am 2018 Jan;27(1):33-49
    Department of Radiology, Breast Imaging Section, UC San Diego Health, Moores Cancer Center, 3855 Health Sciences Drive, #0846, La Jolla, CA 92093-0846, USA. Electronic address:
    An important limitation of conventional two-dimensional mammography is the overlap of dense breast tissue obscuring masses. Digital breast tomosynthesis (DBT) has emerged as a mammographic technology that overcomes this limitation and is considered an overall better mammogram. DBT has been shown to detect significantly more breast cancer than conventional two-dimensional mammography, and to decrease the number of callbacks for diagnostic evaluation from screening mammography. Read More

    Importance of surgeon-performed ultrasound in the preoperative nodal assessment of patients with potential thyroid malignancy.
    Surgery 2017 Nov 8. Epub 2017 Nov 8.
    Case Western Reserve School of Medicine, Cleveland, OH. Electronic address:
    Introduction: A comprehensive cervical ultrasound evaluation is essential in the operative planning of patients with thyroid disease. Reliance on radiographic reports alone may result in incomplete operative management as pathologic lymph nodes are often not palpable and evaluation of the lateral neck is not routine. This study examined the role of surgeon-performed ultrasound in the evaluation of patients who underwent lateral neck dissection for thyroid cancer. Read More

    Desflurane versus propofol in post-operative quality of recovery of patients undergoing day laparoscopic cholecystectomy. Prospective, comparative, non-inferiority study.
    Rev Esp Anestesiol Reanim 2017 Nov 7. Epub 2017 Nov 7.
    Servicio de Cirugía, Hospital Universitario Gregorio Marañón, Madrid, España.
    Objective: Recently, the evaluation of postoperative results has focused on the opinion of the patient as of great relevance. Our objective was to evaluate the quality of recovery by questionnaire (QoR-15) in patients undergoing laparoscopic cholecystectomy, comparing desflurane versus a total intravenous technique with propofol (TIVA). A non-inferiority hypothesis was proposed between both techniques. Read More

    Long-term outcomes after surgical treatment of pediatric neurogenic thoracic outlet syndrome.
    J Neurosurg Pediatr 2017 Nov 10:1-11. Epub 2017 Nov 10.
    Department of Neurosurgery, University of Pennsylvania, Philadelphia; and.
    OBJECTIVE Neurogenic thoracic outlet syndrome (nTOS) is an uncommon compression syndrome of the brachial plexus that presents with pain, sensory changes, and motor weakness in the affected limb. The authors reviewed the clinical presentations and outcomes in their series of pediatric patients with surgically treated nTOS over a 6-year period. METHODS Cases of nTOS in patients age 18 years or younger were extracted for analysis from a prospective database of peripheral nerve operations. Read More

    Surgical Management of Stage IIIA Non-Small Cell Lung Cancer.
    Front Oncol 2017 26;7:249. Epub 2017 Oct 26.
    Department of Thoracic and Vascular Surgery, Antwerp University Hospital and Antwerp University, Antwerp, Belgium.
    According to the eighth edition of the tumor-node-metastasis classification, stage III non-small cell lung cancer is subdivided into stages IIIA, IIIB, and IIIC. They represent a heterogeneous group of bronchogenic carcinomas with locoregional involvement by extension of the primary tumor and/or ipsilateral or contralateral lymph node involvement. Surgical indications have not been definitely established but, in general, long-term survival is only obtained in those patients in whom a complete resection is obtained. Read More

    Anesthesia and Analgesia in the Patient with an Unstable Shoulder.
    Open Orthop J 2017 31;11:848-860. Epub 2017 Aug 31.
    Ramón y Cajal Hospital. Anesthesia and Intensive Care Department. Madrid. Spain.
    Introduction: The patient with an unstable shoulder represents a challenge for the anesthesiologist. Most patients will be young individuals in good health but both shoulder dislocation reduction, a procedure that is usually performed under specific analgesia in an urgent setting, and instability surgery anesthesia and postoperative management present certain peculiarities.

    Material And Methods: For the purpose of the article, 78 references including clinical trials and reviews were included. Read More

    The association of hypoalbuminemia with early perioperative outcomes - A comprehensive assessment across 16 major procedures.
    Am J Surg 2017 Nov 3;214(5):871-883. Epub 2016 Dec 3.
    Center for Surgery and Public Health and Division of Urologic Surgery, Brigham and Women's Hospital, Harvard Medical School, One Brigham Circle, Boston, 02115, MA, USA.
    Background: Poor nutritional status is thought to influence peri- and postoperative outcomes. We assessed the association of hypoalbuminemia, a surrogate for poor nutritional status, with perioperative outcomes in patients undergoing one of 16 major surgical procedures.

    Methods: Patients undergoing one of 16 major surgeries were identified using the ACS-NSQIP (2005-2011). Read More

    Does the use of pretreatment MRI change the management of patients with newly diagnosed breast cancer?
    Breast J 2017 Nov 5. Epub 2017 Nov 5.
    Beaumont Health, Royal Oak, MI, USA.
    Breast MRI plays a critical role in the diagnosis and management of breast cancer. The purpose of this study is to evaluate the effect of preoperative breast MRI on the management of a large cohort of breast cancer patients at our institution. This study is a retrospective chart review of all newly diagnosed breast cancer patients who underwent preoperative breast MRI at our institution between January 1, 2004 and December 31, 2009. Read More

    The use of Amplatz renal dilators in the minimally invasive management of complex urethral strictures.
    Cent European J Urol 2017 23;70(3):301-305. Epub 2017 Jun 23.
    Department of Urology, Sismanoglio University Hospital of Athens, Greece.
    Introduction: To present the outcomes of using Amplatz renal dilators in the management of complex urethral strictures.

    Material And Methods: From September 2011 to August 2015, 34 patients with complex urethral strictures were treated with Amplatz renal dilators assisted with internal urethrotomy. Evaluation included uroflowmetry, IPSS and post-void residual volume measurement. Read More

    ACR Appropriateness Criteria(®) Monitoring Response to Neoadjuvant Systemic Therapy for Breast Cancer.
    J Am Coll Radiol 2017 Nov;14(11S):S462-S475
    Panel Chair, Emory University Hospital, Atlanta, Georgia.
    Patients with locally advanced invasive breast cancers are often treated with neoadjuvant chemotherapy prior to definitive surgical intervention. The primary aims of this approach are to: 1) reduce tumor burden thereby permitting breast conservation rather than mastectomy; 2) promptly treat possible metastatic disease, whether or not it is detectable on preoperative staging; and 3) potentially tailor future chemotherapeutic decisions by monitoring in-vivo tumor response. Accurate radiological assessment permits optimal management and planning in this population. Read More

    Preoperative evaluation of adult patients before elective, noncardiothoracic surgery : Joint recommendation of the German Society of Anesthesiology and Intensive Care Medicine, the German Society of Surgery, and the German Society of Internal Medicine.
    Anaesthesist 2017 Nov 2. Epub 2017 Nov 2.
    Department of Anesthesiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
    Evaluation of the patient's medical history and a physical examination are the cornerstones of risk assessment prior to elective surgery, and may help to optimize the patient's preoperative medical condition and guide perioperative management. Whether performance of additional technical tests (e. g. Read More

    Double Intracavernous Breakage of Sachse's Knife Blade: Management of a Rare Complication Performing Direct Vision Internal Urethrotomy.
    J Endourol Case Rep 2017 1;3(1):126-129. Epub 2017 Sep 1.
    Department of Urology, San Luca Hospital, Vallo della Lucania, Italy.
    Background: Although the breakage of a Sachse's knife blade is already a rare event while performing optical internal urethrotomy, a double failure appears to be at the same time a unique and a challenging complication to manage since no reference has emerged from literature review. Case Presentation: A male patient, 80 years of age, underwent retreatment of recurrent urethral stricture that occurred after transurethral resection of the prostate. The latter was complicated by severe intraoperative urethrorrhagia; this is the reason he was transferred from another institution where at first a suprapubic cystostomy was carried out, followed by urethral recanalization through internal urethrotomy and finally he underwent intracavernous Sachse's knife blade discharge. Read More

    Thirty-five years of single surgeon experience in the reconstruction of esophagus and voice with free ileocolon flap following total pharyngolaryngectomy.
    J Surg Oncol 2017 Nov 1. Epub 2017 Nov 1.
    Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
    Background: Several surgical options exist for the reconstruction of total pharyngolaryngectomy defect. The purpose of this report is to present our experience with ileocolon flap for simultaneous reconstruction of both esophagus and voice.

    Methods: Demographic data, clinical information, and outcomes of 205 patients who underwent the ileocolon flap procedure over the last 35 years were examined. Read More

    Prospective evaluation of surgical management of sliding hiatal hernia and gastroesophageal reflux in dogs.
    Vet Surg 2017 Nov;46(8):1098-1109
    Population Health and Reproduction, School of Veterinary Medicine, University of California-Davis, Davis, California.
    Objective: To evaluate response to surgical management of sliding hiatal hernia (SHH) and gastroesophageal reflux (GER) in dogs using standardized clinical scoring, videofluoroscopic swallow studies, and impedance planimetry.

    Study Design: Prospective clinical trial.

    Animals: A total of 17 client-owned dogs. Read More

    [Clinical and pathological definition of temporal medium epilepsy subtypes with hypocampic sclerosis].
    Neurocirugia (Astur) 2017 Oct 28. Epub 2017 Oct 28.
    Unidad de Gestión Clínica Provincial Intercentros de Anatomía Patológica de Granada, Hospitales de Granada, Granada, España.
    Background And Objective: Mesial temporal lobe epilepsy with hippocampal sclerosis is the most common cause of refractory epilepsy, and the most common indication for surgery. Although effective, surgery fails in up to 40% of patients. The objective of our study was to establish a correlation between the different histological subtypes of mesial temporal lobe epilepsy with hippocampal sclerosis and the prognosis, seizures control, side effects and anticonvulsivant drug withdrawal in patients with refractory epilepsy. Read More

    The Impact of Deployment on the Practice of the Military Internist: A Needs Assessment for Post-Deployment Refresher Training.
    Mil Med 2017 Nov;182(11):e1987-e1991
    Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
    Introduction: U.S. Army internists serve in a variety of provider roles during deployment, many of which vary from the traditional responsibilities of a general internist or internal medicine subspecialist. Read More

    Isolated tubal torsion: Successful preoperative diagnosis of five cases using ultrasound and management with laparoscopy.
    Turk J Obstet Gynecol 2017 Sep 30;14(3):187-190. Epub 2017 Sep 30.
    University of Health Sciences, Ankara Etlik Zübeyde Hanım Women's Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, Turkey.
    Our aim was to evaluate the presentation and diagnostic evaluation of patients with isolated tubal torsion and to evaluate the surgical approach to these patients. We also aimed to define the ultrasonographic diagnostic criteria. Five patients with isolated tubal torsion who were admitted to our gynecology department between January 2014 and January 2017 were evaluated and included in this study. Read More

    Evaluation of patient nasal saline irrigation practices following endoscopic sinus surgery.
    Int Forum Allergy Rhinol 2017 Oct 30. Epub 2017 Oct 30.
    Department of Head and Neck Surgery, University of California Los Angeles, Los Angeles, CA.
    Background: Functional endoscopic sinus surgery (FESS) is an effective treatment for chronic rhinosinusitis (CRS). Postoperative management strategies after FESS often vary from surgeon to surgeon. Recent data suggests that nasal saline irrigation following FESS is almost universally recommended; however, patient adherence has not been formally evaluated. Read More

    What are the clinically important outcome measures in the surgical management of nasal obstruction?
    Clin Otolaryngol 2017 Oct 27. Epub 2017 Oct 27.
    Department of Otorhinolaryngology Head and Neck Surgery, Aintree University Hospital NHS Foundation Trust, Liverpool, UK.
    Objectives: To assess the correlation between the Nasal Obstruction Symptom Evaluation (NOSE) scale and peak nasal inspiratory flow (PNIF) measurement, and to determine which outcome variable correlates with patient satisfaction and thereby, provide an indication of successful surgical outcome.

    Design: Prospective case series SETTING: Tertiary rhinology service (Liverpool, U.K) PARTICIPANTS: Patients having surgery (septoplasty, turbinoplasty) for nasal obstruction. Read More

    Pharmacology and Perioperative Considerations of Pain Medications.
    Curr Clin Pharmacol 2017 Oct 27. Epub 2017 Oct 27.
    Department of Anesthesiology Newyork, NY 10027. United States.
    Background: Pain continues to be the most common medical concern, and perioperative health care providers are encountering increasing numbers of patients with chronic pain conditions. It is important to have a clear understanding of how long-term use of pain medications impacts anesthesia during the intraoperative and postoperative periods.

    Objective: To review common medications used to treat chronic pain and summarize current recommendations regarding perioperative care. Read More

    Patella Resurfacing in Total Knee Arthroplasty: A Series of 1280 Patients at Midterm Follow-Up.
    J Arthroplasty 2017 Oct 5. Epub 2017 Oct 5.
    Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
    Background: The management of patella in total knee arthroplasty (TKA) is a controversial topic. The elevated risk of patellofemoral complications seems to support those who are not eager to perform such procedure. The aim of this study is to carry out a retrospective assessment of patients who underwent patellar resurfacing during TKA from 2004 to 2009. Read More

    The effect of preoperative administration of morphine in alleviating intraoperative pain of percutaneous transforaminal endoscopic discectomy under local anesthesia: A STROBE compliant study.
    Medicine (Baltimore) 2017 Oct;96(43):e8427
    Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
    Local anesthesia is routinely recommended for percutaneous transforaminal endoscopic discectomy (PTED). However, the intense intraoperative pain remains a serious problem. The purpose of the current study is to find a safe and effective method to alleviate the intense pain during PTED for lumbar disc herniation (LDH) under local anesthesia. Read More

    Evaluation of Efficacy and Safety of Upfront Weekly Nanoparticle Albumin-bound Paclitaxel for HER2-negative Breast Cancer.
    Anticancer Res 2017 11;37(11):6481-6488
    Department of Breast Surgery, Toho University Medical Center Ohashi Hospital, Tokyo, Japan.
    Background: Taxanes are among the key drugs for breast cancer treatment. This study aimed to evaluate the efficacy of upfront weekly nanoparticle albumin-bound paclitaxel (Nab-PTX; 100 mg/m(2)) for human epidermal growth factor 2 (HER2)-negative breast cancer.

    Patients And Methods: Patients with stage II to IV breast cancer received 12 cycles of weekly 100 mg/m(2) Nab-PTX as first-line treatment. Read More

    The Community Orthopaedic Surgeon Taking Trauma Call: Pediatric Ankle Fracture Pearls and Pitfalls.
    J Orthop Trauma 2017 Nov;31 Suppl 6:S27-S31
    Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.
    Pediatric ankle fractures are common and have unique fracture characteristics because of the presence of distal tibial and fibular physes. When displaced (>3 mm widening of the physis or >2 mm intra-articular gap/step-off), these fractures are typically treated with anatomical reduction and internal fixation. Computed tomography is recommended for preoperative evaluation and surgical planning for intra-articular fractures. Read More

    Multimodal Analgesia in Outpatient Head and Neck Surgery: A Feasibility and Safety Study.
    JAMA Otolaryngol Head Neck Surg 2017 Oct 19. Epub 2017 Oct 19.
    Department of Head and Neck Surgical Oncology, Estabrook Cancer Center, Nebraska Methodist Hospital, Omaha.
    Importance: Perioperative analgesia strategies that rely solely on narcotics may contribute to adverse effects and concerns about opioid abuse or dependence. Multimodal analgesia protocols incorporating nonnarcotic agents may reduce the need for postoperative narcotic use.

    Objective: To evaluate the feasibility and safety of a multimodal analgesia protocol for outpatient head and neck surgical procedures and to identify the association of the multimodal analgesia protocol with postoperative pain perception scores and patient satisfaction. Read More

    Isolated heptadactylia: A case report of central polydactyly of the foot.
    Medicine (Baltimore) 2017 Oct;96(42):e8324
    Pediatric Orthopedics and Traumatology Unit, Lausanne University Hospital, Lausanne, Switzerland.
    Rationale: Heptadactylia is a rare congenital disorder from the polydactyly family. Polydactyly is generally classified into 3 major groups: preaxial (medial ray), postaxial (lateral ray), and central polydactyly. Most common cases are related to preaxial or postaxial polydactyly. Read More

    Impact of Enhanced Recovery After Surgery and Opioid-Free Anesthesia on Opioid Prescriptions at Discharge From the Hospital: A Historical-Prospective Study.
    Anesth Analg 2017 Nov;125(5):1784-1792
    From the *Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles, California; †UCLA Fielding School of Public Health, Los Angles, California; ‡Department of Anesthesiology, Osaka City University, Osaka, Japan; §Department of Anesthesiology, Nimes University, Nimes, France; ∥Department of Anesthesiology, Keio University School of Medicine, Tokyo, Japan; and ¶Department of Surgery, University of California, Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles, California.
    Background: The United States is in the midst of an opioid epidemic, and opioid use disorder often begins with a prescription for acute pain. The perioperative period represents an important opportunity to prevent chronic opioid use, and recently there has been a paradigm shift toward implementation of enhanced recovery after surgery (ERAS) protocols that promote opioid-free and multimodal analgesia. The objective of this study was to assess the impact of an ERAS intervention for colorectal surgery on discharge opioid prescribing practices. Read More

    The Role of Preoperative Imaging in the Management of Nonsyndromic Lambdoid Craniosynostosis.
    J Craniofac Surg 2017 Oct 16. Epub 2017 Oct 16.
    *University of Michigan Health Systems, Ann Arbor †Wayne State University, Detroit, MI.
    Background: The necessity of imaging for patients with craniosynostosis is controversial. Lambdoid synostosis is known to be associated with additional anomalies, but the role of imaging in this setting has not been established. The purpose of this study was to evaluate the impact of preoperative imaging on intraoperative and postoperative management among patients undergoing operative intervention for lambdoid craniosynostosis. Read More

    Analyzing Effectiveness of Routine Pleural Drainage After Nuss Procedure: A Randomized Study.
    Ann Thorac Surg 2017 Dec 14;104(6):1852-1857. Epub 2017 Oct 14.
    Department of Thoracic Surgery, Karol Marcinkowski University of Medical Sciences, Poznań, Poland.
    Background: The routine use of postoperative pleural cavity drainage after the Nuss procedure is not widely accepted, and its limited use depends on experience. This study analyzed the influence of pleural drainage in the surgical treatment of patients with pectus excavatum on the prevention of pneumothorax and the efficacy of using drainage after a corrective operation.

    Methods: From November 2013 to May 2015, 103 consecutive patients with pectus excavatum, aged 11 to 39 years, underwent surgical treatment by the Nuss procedure. Read More

    Clinical Considerations for the Use Lower Extremity Arthroplasty in the Elderly.
    Phys Med Rehabil Clin N Am 2017 Nov 25;28(4):795-810. Epub 2017 Aug 25.
    Department of Orthopaedic Surgery, School of Medicine, University of Puerto Rico, University of Puerto Rico Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067, USA.
    There is an increase in the aging population that has led to a surge of reported cases of osteoarthritis and a greater demand for lower extremity arthroplasty. This article aims to review the current treatment options and expectations when considering lower extremity arthroplasty in the elderly patient with an emphasis on the following subjects: (1) updated clinical guidelines for the management of osteoarthritis in the lower extremity, (2) comorbidities and risk factors in the surgical patient, (3) preoperative evaluation and optimization of the surgical patient, (4) surgical approach and implant selection, and (5) rehabilitation and life after lower extremity arthroplasty. Read More

    Liver Transplantation in Patients With Cardiac Disease.
    Semin Cardiothorac Vasc Anesth 2017 Oct 1:1089253217736050. Epub 2017 Oct 1.
    1 University of California Los Angeles, Los Angeles, CA, USA.
    Liver transplantation (LT) is a unique surgical procedure that has major hemodynamic and cardiovascular implications. Recently, there has been significant interest focused on cardiovascular issues that affect LT patients in all phases of the perioperative period. The preoperative cardiac evaluation is a major step in the selection of LT candidates. Read More

    Application of computed tomography and stereolithography to correct a complex angular and torsional limb deformity in a donkey.
    Vet Surg 2017 Nov 12;46(8):1131-1138. Epub 2017 Oct 12.
    Department of Surgical Sciences, University of Wisconsin-Madison, School of Veterinary Medicine, Madison, Wisconsin.
    Objective: To report the evaluation, surgical planning, and outcome for correction of a complex limb deformity in the tibia of a donkey using computed tomographic (CT) imaging and a 3D bone model.

    Study Design: Case report.

    Animals: A 1. Read More

    SLEEVE GASTRECTOMY AND FUNDOPLICATION AS A SINGLE PROCEDURE IN PATIENTS WITH OBESITY AND GASTROESOPHAGEAL REFLUX.
    Arq Bras Cir Dig 2017 Jul-Sep;30(3):216-221
    Department of Surgery, Faculty of Medicine, University Hospital Dr José J. Aguirre, Santiago, Chile.
    Background: Bariatric surgery in Chile has seen an exponential increase in recent years, especially in sleeve gastrectomy. Its use is currently discussed in patients suffering from gastroesophageal reflux disease. Different options have been considered for the management of these patients but up to now laparoscopic Roux-en-Y gastric bypass seems to be the best option. Read More

    SUVmax after (18)fluoro-deoxyglucose positron emission tomography/computed tomography: A tool to define treatment strategies in pancreatic cancer.
    Dig Liver Dis 2017 Sep 22. Epub 2017 Sep 22.
    Pancreatic Surgery Unit, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, Italy. Electronic address:
    Background: (18)fluoro-deoxyglucose positron emission tomography/computed tomography (18FDG-PET/CT) might be a useful tool in the management of pancreatic ductal adenocarcinoma (PDAC).

    Aims: The aim of this study was to analyze maximum standard uptake value (SUVmax) after 18FDG-PET/CT as predictor of survival outcomes and method to determine treatment strategies.

    Methods: A consecutive series of patients who underwent preoperative 18FDG-PET/CT and subsequent resection for PDAC were retrospectively reviewed. Read More

    Management of hypertrophied dural lesions: Is surgery a better option?
    J Neurol Sci 2017 Oct 1;381:245-249. Epub 2017 Sep 1.
    Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
    It is often difficult to definitively diagnose dural lesions with hypertrophy as they exhibit nonspecific imaging findings and clinical symptoms. Most cases require histopathological evaluation with surgical intervention (such as biopsy). However, complications related to surgical interventions remain as matter of concern. Read More

    The futility of intraoperative frozen section in the evaluation of follicular thyroid lesions.
    Laryngoscope 2017 Oct 9. Epub 2017 Oct 9.
    Department of Otolaryngology-Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri, U.S.A.
    Objective: Investigate the utility of intraoperative frozen section (iFS) in patients with follicular thyroid lesions following publication of the 2015 American Thyroid Association (ATA) guidelines.

    Study Design: Retrospective chart review.

    Methods: Patient demographics, preoperative cytology, frozen pathology, and final pathology were reviewed on patients undergoing thyroid surgery at a tertiary care hospital in which iFS was utilized over a 5-year period. Read More

    Impact of MRI on high grade Ductal Carcinoma Insitu (HG DCIS) management, are we using the full scope of MRI?
    Eur J Radiol 2017 Oct 31;95:271-277. Epub 2017 Aug 31.
    Breast Unit, King's Mill Hospital, Sherwood Forest Hospitals, Sutton-in-Ashfield, Nottinghamshire, NG17 4JL. Electronic address:
    Introduction: Preoperative assessment of pure Ductal Carcinoma Insitu (DCIS) is essential in the surgical planning. The role of Magnetic resonance imaging (MRI) has long been debated. The impact of MRI on the management of High Grade (HG) DCIS was assessed, whether it accurately captures the true size of this entity in comparison to conventional imaging, and, if MRI use would reduce the number of re-excision surgery. Read More

    Endoscopic and Imaging Predictors of Complete Pathologic Response After Chemoradiation for Esophageal Cancer.
    Curr Gastroenterol Rep 2017 Oct 6;19(11):57. Epub 2017 Oct 6.
    Department of Gastroenterology, Hepatology and Nutrition-Unit 1466, UT MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030-4009, USA.
    Purpose Of Review: Locally advanced esophageal cancer is frequently treated preoperatively with chemotherapy and radiation. The degree of response to this preoperative therapy varies in different patients, and a complete pathological response (pCR) has important implications in the management and prognosis of these patients. This is a review of the different modalities currently available to detect pCR and the clinical context of their use. Read More

    Association between preoperative pulse pressure and perioperative myocardial injury: an international observational cohort study of patients undergoing non-cardiac surgery.
    Br J Anaesth 2017 Jul;119(1):78-86
    William Harvey Research Institute, Queen Mary University of London, London EC1M 6BQ, UK.
    Background: The management of elevated blood pressure before non-cardiac surgery remains controversial. Pulse pressure is a stronger predictor of cardiovascular morbidity in the general population than systolic blood pressure alone. We hypothesized that preoperative pulse pressure was associated with perioperative myocardial injury. Read More

    Applications of Ventilation-Perfusion Scintigraphy in Surgical Management of Chronic Obstructive Lung Disease and Cancer.
    Semin Nucl Med 2017 Nov 23;47(6):671-679. Epub 2017 Aug 23.
    Department of Radiology, Section of Nuclear Medicine, Temple University Hospital, Philadelphia, PA.
    Ventilation-perfusion scintigraphy (VPS) depicts the two main physiological processes that are fundamental to oxygen-dependent life. The test has affirmed its critical place in the evaluation of patients with lung cancer preparing for lung resection. The results of the study can differentiate patients who are very likely to survive surgery and the subsequent pulmonary function loss from those who are not. Read More

    Distant subcutaneous spreading of Fournier's gangrene: An unusual clinical identification by preoperative ultrasound study.
    Arch Ital Urol Androl 2017 Oct 3;89(3):238-239. Epub 2017 Oct 3.
    Department of Urology, University Hospital "Ospedali Riuniti", Ancona.
    We present here the first case of successful management via preoperative ultrasonographic (US) study to detect a distant spreading of Fournier's gangrene (FG), which was happened in a 75-year-old man. US study showed the necrotizing infection in the periumbilical region distant 22 cm from the genital tract. A target incision of this periumbilical area and debridement of necrotic tissues was made. Read More

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