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    8809 results match your criteria Preoperative Evaluation and Management

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    Open Reduction and Internal Fixation of Displaced Calcaneum, Intra-Articular Fractures by Locking Calcaneal Plate.
    J Clin Diagn Res 2016 Dec 1;10(12):RC18-RC21. Epub 2016 Dec 1.
    Post Graduate Trainee, Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
    Introduction: Calcaneal fractures constitute the most common fractures in hindfoot. Lots of controversies exist in the management of calcaneal fractures but now-a-days, it is preferable to perform open reduction and internal fixation and early mobilizatation.

    Aim: To evaluate the functional outcome after open reduction and internal fixation of displaced intra-articular fractures of the calcaneum by locking calcaneal plate. Read More

    Comprehensive preoperative work-up and surgical treatment of low grade tumor/benign lesion related temporal lobe epilepsy.
    J Clin Neurosci 2017 Feb 12. Epub 2017 Feb 12.
    Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai 200040, China.
    Objective: Generally low-grade tumor/benign lesion related temporal lobe epilepsy (LGT/BL-TLE) is considered easier to treat and has better prognosis when compared to non-lesional TLE. However, multiple disputes exist in surgical management of this epilepsy entity. This study aims to discuss comprehensive preoperative work-up, surgical strategies and outcome of it. Read More

    Nasal juvenile angiofibroma: Current perspectives with emphasis on management.
    Head Neck 2017 Feb 15. Epub 2017 Feb 15.
    Coordinator of the International Head and Neck Scientific Group.
    Juvenile angiofibroma is an uncommon, benign, locally aggressive vascular tumor. It is found almost exclusively in young men. Common presenting symptoms include nasal obstruction and epistaxis. Read More

    Endarterectomy versus stenting in patients with prior ipsilateral carotid artery stenting.
    J Vasc Surg 2017 Feb 9. Epub 2017 Feb 9.
    Division of Vascular Surgery, Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Md. Electronic address:
    Objective: In-stent restenosis is a recognized complication of carotid angioplasty and stenting (CAS), and it is associated with an increased risk of stroke. Few case series have reported outcomes separately following carotid endarterectomy (CEA) and CAS for the treatment of in-stent restenosis. In this study, we perform an evaluation of redo-CAS vs CEA in a large contemporary cohort of patients who underwent prior ipsilateral CAS. Read More

    Surgery for endometriosis: beyond medical therapies.
    Fertil Steril 2017 Feb 8. Epub 2017 Feb 8.
    Department of Obstetrics, Gynecology and Newborn Care, University of Ottawa, Ottawa, Ontario, Canada.
    Endometriosis-associated pelvic pain and subfertility may be managed medically in many cases; however, the surgical management of this insidious disease remains a necessary part of the treatment algorithm. Laparoscopy for diagnosis alone is rarely indicated with the advancements in preoperative imaging. When surgery is performed, the ideal goal would be a therapeutic and effective surgical intervention based on the preoperative evaluation. Read More

    Preoperative Axillary Lymph Node Evaluation in Breast Cancer: Current Issues and Literature Review.
    Ultrasound Q 2017 Feb 9. Epub 2017 Feb 9.
    *Department of Medicine, Graduate School, Kyung Hee University; and †Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul, South Korea.
    Axillary lymph node (ALN) status is an important prognostic factor for overall breast cancer survival. In current clinical practice, ALN status is evaluated before surgery via multimodal imaging and physical examination. Mammography is typically suboptimal for complete ALN evaluation. Read More

    Circulating tumor cells and circulating tumor DNA: What surgical oncologists need to know?
    Eur J Surg Oncol 2017 Jan 29. Epub 2017 Jan 29.
    Institut Curie, PSL Research University, Department of Medical Oncology, Paris, France; Institut Curie, PSL Research University, Circulating Tumor Biomarkers Laboratory, SiRIC, Paris, France; Université Paris-Saclay, Saint Cloud, France.
    As a result of recent progress in detection techniques, circulating tumor DNA (ctDNA) and circulating tumor cells (CTC) can now be accurately detected in the blood of most cancer patients. While these new biomarkers can provide a better understanding of key biological mechanisms underlying cancer growth and dissemination, they also open up a wide range of possible clinical applications in medical oncology, radiation oncology and surgical oncology. In this review, we summarize the results obtained with ctDNA and CTC together with their potential future clinical applications in the field of surgical oncology, with particular focus on the perioperative setting of various types of cancer. Read More

    Enhanced recovery after surgery in gastric resections.
    Cir Esp 2017 Feb 6. Epub 2017 Feb 6.
    Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Valencia, Valencia, España.
    Introduction: Enhanced recovery after surgery is a modality of perioperative management with the purpose of improving results and providing a faster recovery of patients. This kind of protocol has been applied frequently in colorectal surgery, presenting less available experience and evidence in gastric surgery.

    Methods: According to the RICA guidelines published in 2015, a review of the bibliography and the consensus established in a multidisciplinary meeting in Zaragoza on the 9th of October 2015, we present a protocol that contains the basic procedures of fast-track for resective gastric surgery. Read More

    The effects of dynamic airway photographs on preoperative airway planning among a panel of anesthetists.
    J Clin Anesth 2017 Feb 18;36:54-58. Epub 2016 Nov 18.
    Department of Anesthesiology, Perioperative and Pain Medicine at Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, USA. Electronic address:
    Study Objective: To determine whether having preoperative airway photographs will change the preanesthetic airway plan.

    Design: Questionnaire.

    Setting: American academic medical center (Brigham and Women's Hospital, Boston MA). Read More

    Perioperative anesthetic management for renal cell carcinoma with vena caval thrombus extending into the right atrium: case series.
    J Clin Anesth 2017 Feb 17;36:39-46. Epub 2016 Nov 17.
    Department of Anesthesia, Indiana University School of Medicine, Fesler Hall Room 204, 1130 West Michigan St, Indianapolis, IN, 46202-5115.
    Renal cell carcinoma has a tendency for vascular invasion and may extend into the inferior vena cava and even into the right-sided cardiac chambers. It has been reported that nephrectomy with thrombectomy can provide immediate palliation of symptoms with 5-year survival rates of up to 72% in the absence of nodal or distant metastasis. The location of the tumor dictates the anesthetic and surgical approach, as extension into the heart often necessitates cardiac surgical involvement. Read More

    Evaluation of the reliability of preoperative descriptive airway assessment tests in prediction of the Cormack-Lehane score: A prospective randomized clinical study.
    J Clin Anesth 2017 Feb 31;36:21-26. Epub 2016 Oct 31.
    Department of Anesthesiology & Reanimation, Maltepe University Faculty of Medicine, Feyzullah cad. No 39 Maltepe, Istanbul, Turkey.
    Study Objective: In this study we investigated and compared the predictive values of different airway assessments tests including thyromental height measurement test, which has been recently suggested, in difficult laryngoscopy (Cormack and Lehane [C-L] scores 3 and 4). In addition, we compared the effectiveness of methods and C-L scores, by IDS, in terms of predicting difficult intubation.

    Design: Prospective, blinded study. Read More

    Surgical management of Chiari I malformation based on different cerebrospinal fluid flow patterns at the cranial-vertebral junction.
    Neurosurg Rev 2017 Feb 9. Epub 2017 Feb 9.
    Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, China.
    Chiari I malformation has been shown to present different cerebrospinal fluid (CSF) flow patterns at the cranial-vertebral junction (CVJ). Posterior fossa decompression is the first-line treatment for symptomatic Chiari I malformation. However, there is still controversy on the indication and selection of decompression procedures. Read More

    A case report of congenital umbilical arteriovenous malformation complicated with liver failure after surgical excision.
    Medicine (Baltimore) 2017 Feb;96(6):e5240
    Department of Surgery, Seoul National University Children's Hospital, Seoul, Korea.
    Rationale: Few case reports of umbilical arteriovenous malformation (AVM) have been reported. Herein, we report a neonatal case of umbilical AVM who underwent liver failure after surgical excision.

    Patient Concerns: The patient was a girl delivered at a gestational age of 39+5 weeks showing cyanosis and heart murmur. Read More

    Overview of Sinonasal and Ventral Skull Base Malignancy Management.
    Otolaryngol Clin North Am 2017 Feb 1. Epub 2017 Feb 1.
    Department of Otolaryngology - Head and Neck Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Endoscopic Skull Base Surgery Program, Department of Otolaryngology - Head and Neck Surgery, Rhinology and Sinus Surgery, Otolaryngology Research, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA. Electronic address:
    Significant technological advances have fostered a movement toward minimally invasive surgical interventions for the management of ventral skull base malignancies. The care of patients with these lesions ideally involves an interdisciplinary skull base team that includes otolaryngologists, neurologic surgeons, radiation oncologists, and medical oncologists. This overview describes considerations essential for diagnosis, prognosis, and preoperative evaluation. Read More

    Educational Review of Predictive Value and Findings of Computed Tomography Scan in Diagnosing Bowel and Mesenteric Injuries After Blunt Trauma: Correlation With Trauma Surgery Findings in 163 Patients.
    Can Assoc Radiol J 2017 Jan 23. Epub 2017 Jan 23.
    Department of Emergency, Trauma Surgery Unit, Maggiore Hospital Trauma Center, Bologna Local Health District, Bologna, Italy. Electronic address:
    Background And Aims: Laparotomy can detect bowel and mesenteric injuries in 1.2%-5% of patients following blunt abdominal trauma. Delayed diagnosis in such cases is strongly related to increased risk of ongoing sepsis, with subsequent higher morbidity and mortality. Read More

    Acute airway obstruction due to postoperative retropharyngeal hematoma after anterior cervical fusion: a retrospective analysis.
    J Orthop Surg Res 2017 Jan 26;12(1):19. Epub 2017 Jan 26.
    Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, Haeundae-ro 875, Haeundae-gu, Busan, 48108, Korea.
    Background: Acute airway obstruction (AAO) after anterior cervical fusion (ACF) can be caused by postoperative retropharyngeal hematoma, which requires urgent recognition and treatment. However, the causes, evaluation, and appropriate treatment of this complication are not clearly defined. The purpose of this retrospective review of a prospective database was to investigate etiologic factors related to the development of AAO due to postoperative hematoma after ACF and formulate appropriate prevention and treatment guidelines. Read More

    Functional analysis of distraction arthroplasty in the treatment of ankle osteoarthritis.
    J Orthop Surg Res 2017 Jan 26;12(1):18. Epub 2017 Jan 26.
    Foot and Ankle Surgery Department, Honghui Hospital, Xi'an Jiaotong University College of Medicine, 710054, Xi'an, China.
    Background: Ankle joint distraction arthroplasty (AJDA) is an alternative surgical procedure for the management of moderate to severe ankle osteoarthritis. However, the benefit of this procedure and failure relative factors are still in debate. The purpose of the current study was to evaluate the functional outcomes of AJDA in treatment of moderate to severe ankle OA and to evaluate the relative factors correlated with treatment failure. Read More

    [Use of pedicle percutaneous cemented screws in the management of patients with poor bone stock].
    Neurochirurgie 2016 Dec 26;62(6):306-311. Epub 2016 Oct 26.
    Unité de chirurgie du rachis, CHU Timone, 264, rue Saint-Pierre, 13005 Marseille, France. Electronic address:
    Introduction: Management of patients with poor bone stock remains difficult due to the risks of mechanical complications such as screws pullouts. At the same time, development of minimal invasive spinal techniques using a percutaneous approach is greatly adapted to these fragile patients with a reduction in operative time and complications. The aim of this study was to report our experience with cemented percutaneous screws in the management of patients with a poor bone stock. Read More

    Postoperative Surgical-Site Hemorrhage After Kidney Transplantation: Incidence, Risk Factors, and Outcomes.
    Transpl Int 2017 Jan 25. Epub 2017 Jan 25.
    Multi-Organ Transplant Program, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
    Studies investigating the incidence, risk factors, and outcomes of surgical-site hemorrhage after kidney transplantation are limited. Patients who underwent a kidney transplant from 1 Jan 2000 to 30 Sep 2012 (followed until 31 Dec 2012) at Toronto General Hospital were included in this study. Postoperative surgical-site hemorrhage was defined as a drop in hemoglobin ≥ 20 g/L over a 24-hour period within 3 days of transplantation, followed by an ultrasound indicating a significant hematoma/collection. Read More

    Patient management in aortic arch surgery†.
    Eur J Cardiothorac Surg 2017 Jan;51(suppl 1):i4-i14
    Department of Cardiac Surgery, University Hospital Munich, Ludwig Maximilian University, Munich, Germany
    SummaryAortic arch surgery requires complex patient management beyond the manual replacement of the diseased vessel. These procedures include (i) a thorough and pathologically adjusted preoperative evaluation, (ii) initiation and control of cardiopulmonary bypass, (iii) cerebral protection strategies and (iv) techniques to protect the abdominal end organs during prolonged operations. Due to the complexity of aortic arch procedures, multimodal real-time surveillance is required during all stages of the operation. Read More

    [Prospective Evaluation of the Quality of the Results of Thyroid Surgery in an ENT-Department].
    Laryngorhinootologie 2017 Jan 18. Epub 2017 Jan 18.
    Klinik für Hals-Nasen-Ohrenheilkunde, Klinikum Bad Hersfeld GmbH, Bad Hersfeld.
    Although the thyroid gland is located in the neck it is not a matter of fact that it is a clinical issue for the otorhinolaryngologist in Germany. Probably due to historic reasons general surgeons usually perform operations on the thyroid. As at our department this kind of treatment is an established procedure we prospectively evaluated our thyroid cases in order to present our results. Read More

    Prolonged air leak following lobectomy can be predicted in lung cancer patients.
    Surg Today 2017 Jan 13. Epub 2017 Jan 13.
    Division of Thoracic Surgery, Department of Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajiicho, Kawaramachidori-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.
    Purpose: The purpose of this study was to identify the factors associated with prolonged air leak (PAL) following pulmonary lobectomy for lung cancer.

    Methods: The data of 146 patients who underwent pulmonary lobectomy for lung cancer between August 2010 and July 2015 were retrospectively reviewed. Air leaks were assessed daily by a visual evaluation and were categorized as follows: forced expiratory only (Grade 1), expiratory only (Grade 2), or continuous (Grade 3). Read More

    Systems innovation model: an integrated interdisciplinary team approach pre- and post-bariatric surgery at a veterans affairs (VA) medical center.
    Surg Obes Relat Dis 2016 Nov 15. Epub 2016 Nov 15.
    VA Health Services Research & Development Center for Innovation to Implementation (Ci2 i), Palo Alto Veterans Affairs Health Care System, Palo Alto, CA; Department of Medicine, Stanford School of Medicine, Stanford, CA.
    Background: Provision of bariatric surgery in the Veterans Health Administration must account for obese veterans' co-morbidity burden and the geographically dispersed location of patients relative to Veterans Affairs (VA) bariatric centers.

    Objectives: To evaluate a collaborative, integrated, interdisciplinary bariatric team of surgeons, bariatricians, psychologists, dieticians, and physical therapists working in a hub-and-spokes care model, for pre- and post-bariatric surgery assessment and management.

    Methods: This is a description of an interdisciplinary clinic and bariatric program at a VA healthcare system and a report on program evaluation findings. Read More

    Zero-fragment Nephrolithotomy: A Multi-center Evaluation of Robotic Pyelolithotomy and Nephrolithotomy for Treating Renal Stones.
    Eur Urol 2016 Oct 27. Epub 2016 Oct 27.
    Department of Urology, University of Michigan, Ann Arbor, MI, USA. Electronic address:
    Background: Robotic pyelolithotomy (RPL) and robotic nephrolithotomy (RNL) may be utilized for treating kidney stones as an alternative to percutaneous nephrolithotomy or flexible ureteroscopy.

    Objective: To describe the techniques of RPL and RNL, and present multi-center outcome data for patients undergoing these procedures.

    Design, Setting, And Participants: This study was a retrospective analysis of 27 patients undergoing RPL and RNL at five tertiary academic institutions between 2008 and 2014. Read More

    Preoperative bevacizumab and surgery for colorectal liver metastases: a propensity score analysis.
    Langenbecks Arch Surg 2017 Feb 13;402(1):57-67. Epub 2017 Jan 13.
    Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Rennes, France.
    Purpose: Bevacizumab associated with conventional chemotherapy has become standard care in the management of metastatic colorectal cancer. However, its impact on outcomes after liver resections (LRs) remains debated. The aim of this study was to evaluate the impact of neoadjuvant bevacizumab-based chemotherapy (BBC) on postoperative outcomes of LR for colorectal liver metastasis (CLM) using a validated approach. Read More

    Modern hydroxyethyl starch and acute kidney injury after cardiac surgery: a prospective multicentre cohort.
    Br J Anaesth 2016 Oct 17;117(4):458-463. Epub 2016 Oct 17.
    Anesthesiology & Critical Care, Clinica Universidad de Navarra, Avenida Pio 12, 36, 31008 Pamplona, Spain.
    Background: Recent trials have shown hydroxyethyl starch (HES) solutions increase the risk of acute kidney injury (AKI) in critically ill patients. It is uncertain whether these adverse effects also affect surgical patients. We sought to determine the renal safety of modern tetrastarch (6% HES 130/0. Read More

    The anesthesia of trachea and bronchus surgery.
    J Thorac Dis 2016 Nov;8(11):3442-3451
    Department of Thoracic Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.
    The trachea and bronchus surgery is generally performed due to stenosis, traumatic injury, foreign body and tumors. Preoperative evaluation and anesthesia management are very important issues because of higher mortality and morbidity rates. Patients may be asymptomatic, but airway difficulties, hypoxia, stridor, cough, hemoptysis are common conditions in these patient population. Read More

    Age Nutrition Chirugie (ANC) study: impact of a geriatric intervention on the screening and management of undernutrition in elderly patients operated on for colon cancer, a stepped wedge controlled trial.
    BMC Geriatr 2017 Jan 7;17(1):10. Epub 2017 Jan 7.
    Université Lyon 1, Lyon, France.
    Background: Undernutrition prior to major abdominal surgery is frequent and increases morbidity and mortality, especially in older patients. The management of undernutrition reduces postoperative complications. Nutritional management should be a priority in patient care during the preoperative period. Read More

    Experience in Perioperative Management of Patients Undergoing Posterior Spine Fusion for Neuromuscular Scoliosis.
    Biomed Res Int 2016 12;2016:3053056. Epub 2016 Dec 12.
    Pediatric Orthopedics, Timone, Aix-Marseille University, 264 rue Saint Pierre, 13005 Marseille, France.
    The objective of this investigation was to determine the outcome of spine fusion for neuromuscular (NM) scoliosis, using Unit Rod technique, with emphasis on complications related to preoperative general health. Between 1997 and 2007, 96 consecutive patients with neuromuscular scoliosis operated on with Unit Rod instrumentation were retrospectively reviewed. The inclusion criteria were diagnosis of NM scoliosis due to cerebral palsy (CP) and muscular dystrophy (DMD). Read More

    Lessons learned from study of congenital hip disease in adults.
    World J Orthop 2016 Dec 18;7(12):785-792. Epub 2016 Dec 18.
    George Hartofilakidis, Kalliopi Lampropoulou-Adamidou, Laboratory for the Research of Musculoskeletal System "Th. Garofalidis", Medical School, University of Athens, General Hospital of Athens KAT, Athens 14561, Greece.
    Orthopaedic surgeons specialising in adult hip reconstruction surgery often face the problem of osteoarthritis secondary to congenital hip disease (CHD). To achieve better communication among physicians, better treatment planning and evaluation of the results of various treatment options, an agreed terminology is needed to describe the entire pathology. Furthermore, a generally accepted classification of the deformities is necessary. Read More

    Evidence-Based Medicine: The Evaluation and Treatment of Pressure Injuries.
    Plast Reconstr Surg 2017 Jan;139(1):275e-286e
    Boston, Mass. From the Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School.
    Learning Objective: After studying this article, the participant should be able to: 1. Discuss the approach to and rationale for pressure injury management, including specific techniques for prevention and preoperative evaluation. 2. Read More

    The evolution of diastolic function during liver transplantation.
    Anaesth Crit Care Pain Med 2016 Dec 23. Epub 2016 Dec 23.
    Department of Anaesthesiology, Croix Rousse Hospital, Hospices Civils de Lyon, France.
    Introduction: The peroperative management of liver transplantation is still associated with many cardio-circulatory complications in which diastolic dysfunction may play a contributive role. Transoesophageal echocardiography is a monitoring device commonly used in liver transplantation allowing diastolic function assessment.

    Methods: We prospectively analysed the peroperative transoesophageal echocardiography recordings of 40 patients undergoing liver transplantation in order to describe changes in diastolic function at different steps of the surgery. Read More

    Airway Management via Laryngeal Mask in Laryngotracheal Resection.
    Thorac Cardiovasc Surg Rep 2016 Dec 24;5(1):1-3. Epub 2015 Nov 24.
    Department of Anesthesiology and Intensive Care, Otto von Guericke University Magdeburg, Germany.
    We present a case of impassable subglottic stenosis scheduled for tracheal resection and reconstruction managed by establishing a supraglottic airway. Despite careful preoperative evaluation, the stenosis was localized higher than anticipated, rendering conventional intubation impossible. Laryngeal mask bridging to cross-field ventilation was feasible and jet ventilation and cardiopulmonary bypass were available as emergency strategies. Read More

    The Evaluation of Comorbidities Relative to Length of Stay for Total Joint Arthroplasty Patients.
    J Arthroplasty 2016 Nov 16. Epub 2016 Nov 16.
    Department of Orthopaedic Research, Providence-Providence Park Hospital, Southfield, Michigan; The CORE Institute, Department of Orthopaedics, Southfield, Michigan.
    Background: The ability to identify those at risk for longer inpatient stay helps providers with postoperative planning and patient expectations. Decreasing length of stay (LOS) in the future will be determined by appropriate patient selection, risk stratification, and preoperative patient optimization. The purpose of this study was to identify factors that place patients at risk for extended postoperative LOSs. Read More

    Aberrant Lower Extremity Arterial Anatomy in Microvascular Free Fibula Flap Candidates: Management Algorithm and Case Presentations.
    J Craniofac Surg 2016 Nov;27(8):2134-2137
    *Hansjörg Wyss Department of Plastic Surgery†Department of Radiology, New York University School of Medicine, Langone Medical Center, New York, NY.
    An accurate and comprehensive understanding of lower extremity arterial anatomy is essential for the successful harvest and transfer of a free fibula osteoseptocutaneous flap (FFF). Minimum preoperative evaluation includes detailed history and physical including lower extremity pulse examination. Controversy exists regarding whether preoperative angiographic imaging should be performed for all patients. Read More

    Functional Magnetic Resonance Imaging for Preoperative Planning in Brain Tumour Surgery.
    Can J Neurol Sci 2017 Jan;44(1):59-68
    1Department of Clinical Neurological Sciences (Neurosurgery),Western University,London,Ontario,Canada.
    Background: Functional magnetic resonance imaging (fMRI) is being increasingly used for the preoperative evaluation of patients with brain tumours.

    Methods: The study is a retrospective chart review investigating the use of clinical fMRI from 2002 through 2013 in the preoperative evaluation of brain tumour patients. Baseline demographic and clinical data were collected. Read More

    [Current situation in the diagnosis and treatment of rectovaginal fistula].
    Zhonghua Wei Chang Wai Ke Za Zhi 2016 Dec;19(12):1324-1328
    Department of Chinese Integrative Medicine Anorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China.
    The treatment of rectovaginal fistula is quite difficult. It is a formidable challenge for anorectal surgeons to successfully perform operations for rectovaginal fistulas, since both recurrence rate and incontinence rate are high. This commentary elucidates certain questions during the treatment course of rectovaginal fistula through reviewing relevant literature and our clinical practice, including the overall evaluation of the preoperative rectovaginal fistula, the choice of suitable operation timing, reasonable choice of operational procedure and standard perioperative management. Read More

    Anesthetic Management of Clinically Silent Familial Pheochromocytoma with MEN 2A: A Report of Four Cases.
    Indian J Surg 2016 Oct 15;78(5):414-417. Epub 2016 Aug 15.
    Department of Anesthesia, V.M.M.C. and Safdarjung Hospital, A7/14 Mianwali Nagar Paschim Vihar, New Delhi, 110087 India.
    Familial pheochromocytomas are commonly associated with multiple endocrine neoplasia type 2 (MEN 2) syndrome. Majority of the patients present with normal clinical and biochemical parameters in the preoperative period, the incidence of hypertension being only 50 %. Even though patients may be clinically asymptomatic, surveillance and proper preoperative evaluation is important, as surgery for associated tumors may precipitate a hypertensive crisis and result in severe complications. Read More

    Laparoscopic management of ureteral endometriosis: A systematic review.
    Eur J Obstet Gynecol Reprod Biol 2016 Dec 12;210:94-101. Epub 2016 Dec 12.
    European Gynecology Endoscopy School (E.G.E.S.-Valencia), Valencia, Spain; Unidad de Endoscopia y Oncología Ginecológica, Hospital General Universitario de Valencia, Valencia, Spain.
    The optimal management of ureteral endometriosis (UE) is not yet well defined. The choice on surgical approach and type of procedure has been based both on surgeons' experience and the location and depth of the lesion. The aim of this study was to review evidence about laparoscopic management of ureteral endometriosis, including preoperative evaluation, surgical details and postoperative follow-up. Read More

    Utility of Ultraportable Echocardiography in the Preoperative Evaluation of Noncardiac Surgery.
    Arq Bras Cardiol 2016 Nov;107(5):420-426
    Programa de Pós-Graduação em Ciências Cardiovasculares da Universidade Federal do Rio de Janeiro, Niterói, RJ - Brazil.
    Background:: The ultraportable echocardiogram machine, with relevant portability and easiness in performing diagnoses, when in experienced hands, may contribute to the reliability of preoperative evaluation in noncardiac surgeries.

    Objectives:: To assess cardiac function parameters in patients aged older than 60 years, candidates of elective noncardiac surgeries, classified as ASA1 or ASA 2 according to surgical risk.

    Methods:: A total of 211 patients referred for elective surgeries, without suspicion of previous heart diseases, were included in the study. Read More

    Three-dimensional intracranial EEG monitoring in presurgical assessment of MRI-negative frontal lobe epilepsy.
    Medicine (Baltimore) 2016 Dec;95(50):e5192
    aDepartment of Neurosurgery bDepartmnt of Epileptology cDepartment of Medical Imaging dDepartment of Pathology, Fuzhou General Hospital , Xiamen University Medical College, Fuzhou, China.
    Magnetic resonance imaging (MRI)-negative epilepsy is associated with poor clinical outcomes prognosis. The present study was aimed to assess whether intracranial 3D interictal and ictal electroencephalography (EEG) findings, a combination of EEG at a different depth, in addition to clinical, scalp EEG, and positron emission tomography-computed tomography (PETCT) data help to predict outcome in a series of patients with MRI-negative frontal lobe epilepsy (FLE) after surgery.Patients with MRI-negative FLE who were presurgically evaluated by 3D-intracranial EEG (3D-iEEG) recording were included. Read More

    Sutureless Scleral Tunnel Trabeculectomy: Evaluation of Feasibility and Effectiveness versus Conventional Trabeculectomy for Management of Primary Open Angle Glaucoma.
    Semin Ophthalmol 2016 Dec 14:1-6. Epub 2016 Dec 14.
    a Menoufia University Hospitals , Menoufia , Egypt.
    Purpose: To evaluate the intraocular pressure-lowering effect of sutureless scleral tunnel trabeculectomy with Mitomycin-C (MMC) compared to the standard trabeculectomy with MMC in patients with primary open angle glaucoma (POAG).

    Methods: This was a masked, randomized, controlled comparison trial involving 34 eyes of 34 patients with bilateral POAG. Patients were randomized to receive sutureless sclera flap trabeculectomy with MMC or conventional trabeculectomy with MMC. Read More

    Goal-Oriented Anesthesia Week for MS III Students.
    J Educ Perioper Med 2016 Jul-Dec;18(1):E403. Epub 2016 Jul 1.
    Department of Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center Boston, MA, USA.
    Background: Third year medical students at our institution are required to complete a one-week rotation in anesthesia as part of their required twelve week surgery clerkship. During this constrained time, our aim was to provide students with a focused and goal-oriented preview of anesthesiology which would allow students going into various fields to have an appreciation of the field.

    Curriculum Design: The one-week curriculum is a combination of lecture, simulation, operating room teaching and hands on experience aimed at providing students with some fundamentals of procedural skills and a knowledge base of anesthesia. Read More

    Measuring future liver remnant function prior to hepatectomy may guide the indication for portal vein occlusion and avoid posthepatectomy liver failure: a prospective interventional study.
    HPB (Oxford) 2017 Feb 9;19(2):108-117. Epub 2016 Dec 9.
    Hepatobiliary, Endocrine and Transplantation Surgery, Antwerp University Hospital, Edegem, Belgium.
    Background: Estimation of the future liver remnant function (eFLRF) can avoid post-hepatectomy liver failure (PHLF). In a previous study, a cutoff value of 2.3%/min/m(2) for eFLRF was a better predictor of PHLF than future liver remnant volume (FLRV%). Read More

    Surgery for lung cancer invading the mediastinum.
    J Thorac Dis 2016 Nov;8(Suppl 11):S889-S894
    Department of Thoracic Surgery, Mount Sinai Health System, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
    Lung cancer infiltrating the mediastinum is a subset of locally advanced lung tumors for which surgery is not routinely offered. Radical operations that involve removal of adjacent mediastinal structures to obtain free margins may provide a realistic cure. Such extended resections are typically reserved to highly motivated patients seeking more aggressive management, and are only offered following complete evaluation on a case-by-case basis. Read More

    Nonmissile Penetrating Head Injuries: Surgical Management and Review of the Literature.
    World Neurosurg 2016 Dec 5. Epub 2016 Dec 5.
    Department of Neurosurgery, The First Affiliated hospital of Guangxi Medical University, Nanning, Guangxi, China. Electronic address:
    Background: Nonmissile penetrating head injuries (NPHIs) in the civilian population are rare but potentially fatal. Although numerous cases have been reported in the literature, the surgical management of such injuries is still ambiguous, especially with development of surgical techniques. Here, we report 5 cases of NPHIs managed with different surgical techniques and review the literature on surgical treatment of these injuries to outline the appropriate management for these patients from a neurosurgical perspective. Read More

    Selective Necrosectomy for Infected Pancreatic Necrosis.
    Dig Surg 2016 Dec 9. Epub 2016 Dec 9.
    Background: Until recently, a diagnosis of infected pancreatic necrosis (IPN) warranted necrosectomy, which was associated with high morbidity and mortality rates greater than 20%. Preoperative percutaneous drainage delayed the need for necrosectomy with improved outcomes.

    Methods: In 2008, this institution changed its approach to the management of such cases opting instead for percutaneous drainage with selective deferred necrosectomy. Read More

    Frontal Sinus Pneumatization Affects Height of the Lateral Lamella and Position of Anterior Ethmoidal Artery.
    J Craniofac Surg 2017 Jan;28(1):265-269
    Department of Otorhinolaryngology-Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, Istanbul, Turkey.
    Preoperative evaluation of the frontal sinus (FS) and associated anatomical structures may reduce the risk of intraoperative complications and facilitate the management of potential complications. In this study, the authors aimed to evaluate relationship between FS pneumatization and critical anatomical structures. Paranasal sinus computerized tomography scans of 350 sides of 175 patients were evaluated. Read More

    Outcomes Following Arthroscopic Repair of Posterior Labral Tears in Patients Older Than 35 Years.
    Orthopedics 2016 Dec 7:1-7. Epub 2016 Dec 7.
    Although the results of arthroscopic management of posterior labral pathology in young athletes have been reported extensively in the literature, the clinical outcomes in older patients are unknown. This retrospective review included patients older than 35 years who underwent arthroscopic posterior labral repair. Functional outcome scores were collected, and subgroup analyses were performed to evaluate the impact of patient-specific factors. Read More

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