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    9044 results match your criteria Preoperative Evaluation and Management

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    The role of imaging in strabismus.
    Curr Opin Ophthalmol 2017 Jun 24. Epub 2017 Jun 24.
    Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
    Purpose Of Review: To review the most recent literature regarding the clinical experience of imaging modalities in strabismus.

    Recent Findings: MRI of extraocular muscles (EOMs) has elucidated the roles of variation in compartmental contraction of EOMs and further evidence of EOM pulley heterotopy in various strabismus patterns, which may contribute to the clinical and surgical management of patients as this mode of imaging becomes more readily available. Ultrasound biomicroscopy (UBM) and anterior-segment optical coherence tomography (AS-OCT) may play a role in determining the location of EOMs which could also aid in devising a preoperative surgical plan, especially in those who have had prior strabismus surgery. Read More

    Prognostic factors for recurrence of locally advanced differentiated thyroid cancer.
    J Surg Oncol 2017 Jun 26. Epub 2017 Jun 26.
    Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
    Background and Objectives To present treatment outcomes and prognostic factors for surgical management of locally advanced differentiated thyroid cancer (DTC).

    Methods: Retrospective review of 70 patients in a single, tertiary referral institution was done. Clinical pathology characteristics were analyzed to investigate prognosticators, based on primary endpoints; locoregional recurrence alone (LRR), total recurrence (LRR or distant metastasis (DM)), and recurrence-free survival. Read More

    Perioperative Blood Management in Pediatric Spine Surgery.
    J Am Acad Orthop Surg 2017 Jul;25(7):480-488
    From the Department of Orthopaedic Surgery and Sports Medicine, Children's National Medical Center, Washington, DC.
    Blood management strategies are integral to successful outcomes in many types of orthopaedic surgery. These strategies minimize blood loss and transfusion requirements, ultimately decreasing complications, improving outcomes, and potentially eliminating risks associated with allogeneic transfusion. Practices to achieve these goals include preoperative evaluation and optimization of hemoglobin, the use of pharmacologic agents or anesthetic methods, intraoperative techniques to improve hemostasis and cell salvage, and the use of predonated autologous blood. Read More

    Perioperative Management of Neurological Conditions.
    Health Serv Insights 2017 12;10:1178632917711942. Epub 2017 Jun 12.
    Department of Medicine, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
    Perioperative care of the patients with neurological diseases can be challenging. Most important consideration is the management and understanding of pathophysiology of these disorders and evaluation of new neurological changes that occur perioperatively. Perioperative generally refers to 3 phases of surgery: preoperative, intraoperative, and postoperative. Read More

    Perioperative Surgical Home: Evaluation of a New Protocol Focused on a Multidisciplinary Approach to Manage Children Undergoing Posterior Spinal Fusion Operation.
    Anesth Analg 2017 Jun 17. Epub 2017 Jun 17.
    From the Department of Anesthesiology Critical Care Medicine-Pain Service, Children's Hospital Los Angeles, Los Angeles, California.
    Background: The concept of Perioperative Surgical Home has been gaining significant attention in surgical centers. This model is delivering and improving coordinated care in a cost-effective manner to patients undergoing surgical procedures. It starts with the decision for surgical intervention, continues to the intraoperative and postoperative periods, and follows into long-term recovery. Read More

    Laparotomy and intraoperative enteroscopy for obscure gastrointestinal bleeding before and after the era of video capsule endoscopy and deep enteroscopy: A tertiary center experience.
    Am J Surg 2017 Jun 16. Epub 2017 Jun 16.
    CURE Digestive Diseases Research Center (DDRC) - GI Hemostasis Unit, Los Angeles, CA, United States; David Geffen School of Medicine at UCLA, Los Angeles, CA, United States; VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States.
    Background: To evaluate roles of intraoperative endoscopy (IOE) in management of severe obscure GI bleeding (OGIB) before vs. after introduction of video capsule endoscopy (VCE) and deep enteroscopy (DE).

    Methods: We retrospectively reviewed prospectively collected data of patients undergoing IOE for severe OGIB in a tertiary referral center. Read More

    Evaluation of surgical treatment for neuropathic pain from neuroma in patients with injured peripheral nerves.
    J Neurosurg 2017 Jun 16:1-6. Epub 2017 Jun 16.
    Department of Plastic and Hand Surgery, University Hospital of Lausanne, Switzerland.
    OBJECTIVE Chronic neuropathic pain after peripheral nerve injury is a major clinical problem. Its management is difficult, and therapeutic approaches vary and include oral medication, neurostimulation, and surgery. The aim of this study was to assess the adequacy of surgical nerve revision in a large series of patients with long-term follow-up. Read More

    Pre-Operative Lugol's Iodine Treatment in the Management of Patients Undergoing Thyroidectomy for Graves' Disease: A Review of the Literature.
    Eur Thyroid J 2017 Feb 22;6(1):20-25. Epub 2016 Nov 22.
    Royal Victoria Hospital, Belfast, UK.
    Objective: To undertake a review of the relevant English literature published on the pre-operative use of Lugol's iodine in the management of patients undergoing thyroidectomy for Graves' disease.

    Search Strategy: We reviewed all relevant papers found through Ovid Medline, PubMed, EMBASE and the American Thyroid Association website. Searches were limited to the English language only. Read More

    Comparing Outcomes of Coronary Artery Bypass Grafting Among Large Teaching and Urban Hospitals in China and the United States.
    Circ Cardiovasc Qual Outcomes 2017 Jun;10(6)
    From the National Clinical Research Center of Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease (Z.Z., H.Z., X.Y., C.R., Y.Z., S.H.), and Department of Cardiovascular Surgery (Z.Z., H.Z., X.Y., C.R., S.H.), Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China; Department of Health Care Policy, Harvard Medical School and the Department of Biostatistics, Boston, MA (S.-L.N.); Harvard T.H. Chan School of Public Health, Boston, MA (Y.W., S.-L.N.); Center for Outcomes Research and Evaluation, Yale New Haven Health, CT (Y.W., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (H.M.K.), and Robert Wood Johnson Foundation Clinical Scholars Program, Department of Internal Medicine (H.M.K.), Yale School of Medicine, New Haven, CT; and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K.).
    Background: Coronary artery disease is prevalent in China, with concomitant increases in the volume of coronary artery bypass grafting (CABG). The present study aims to compare CABG-related outcomes between China and the United States among large teaching and urban hospitals.

    Methods And Results: Observational analysis of patients aged ≥18 years, discharged from acute-care, large teaching and urban hospitals in China and the United States after hospitalization for an isolated CABG surgery. Read More

    Chiari I malformation and syringomyelia in mucopolysaccharidosis type I (Hurler syndrome) treated with posterior fossa decompression: Case report and review of the literature.
    Surg Neurol Int 2017 26;8:80. Epub 2017 May 26.
    Division of Neurological Surgery, University of Missouri School of Medicine, Columbia, Missouri, USA.
    Background: Hurler Syndrome is the most severe phenotype of mucopolysaccharidosis type I. With bone marrow transplant and enzyme replacement therapy, the life expectancy of a child with Hurler syndrome has been extended, predisposing them to multiple musculoskeletal issues most commonly involving the spine.

    Case Description: This is the case report of a 6-year-old male with Hurler syndrome who was diagnosed with Chiari I malformation and cervicothoracic syringomyelia on a preoperative magnetic resonance imaging (MRI) for his thoracolumbar kyphosis. Read More

    Risk Factors for and Complications after Surgical Delay in Elective Single-Level Lumbar Fusion.
    Spine (Phila Pa 1976) 2017 Jun 9. Epub 2017 Jun 9.
    Department of Orthopaedic Surgery, Rothman Instititute at Thomas Jefferson University.
    Study Design: Retrospective cohort Objective: To assess the incidence of and risk factors for delay of elective lumbar fusion surgery, as well as medical and surgical complications associated with surgical delay.

    Summary Of Background Data: Lumbar fusion is a well-established treatment for patients with degenerative spondylolisthesis with stenosis who have failed conservative management. Rarely, patients admitted for elective lumbar fusion may experience a delay in surgery past the day of admission. Read More

    Axillary versus innominate artery cannulation for antegrade cerebral perfusion in aortic surgery: design of the Aortic Surgery Cerebral Protection Evaluation (ACE) CardioLink-3 randomised trial.
    BMJ Open 2017 Jun 10;7(6):e014491. Epub 2017 Jun 10.
    Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
    Introduction: Neurological injury remains the major cause of morbidity and mortality following open aortic arch repair. Systemic hypothermia along with antegrade cerebral perfusion (ACP) is the accepted cerebral protection approach, with axillary artery cannulation being the most common technique used to establish ACP. More recently, innominate artery cannulation has been shown to be a safe and efficacious method for establishing ACP. Read More

    Association of Modified Frailty Index Score With Perioperative Risk for Patients Undergoing Total Laryngectomy.
    JAMA Otolaryngol Head Neck Surg 2017 Jun 8. Epub 2017 Jun 8.
    Division of Head and Neck Surgery, University of Nebraska Medical Center, Omaha4Department of Head and Neck Surgical Oncology, Nebraska Methodist Hospital, Omaha.
    Importance: Objective preoperative risk assessment tools, such as the Modified Frailty Index (mFI), may inform patient and physician decision making when considering total laryngectomy. Estimation of outcomes may help to set realistic expectations about recovery and outcomes and facilitate optimal resource management.

    Objective: To evaluate the association between the mFI score as a measure of frailty and outcomes following total laryngectomy. Read More

    Wrist Arthroscopy in Children and Adolescent With Chronic Wrist Pain: Arthroscopic Findings Compared With MRI.
    J Pediatr Orthop 2017 Jul/Aug;37(5):e321-e325
    Alder Hey Hospital, Liverpool, UK.
    Background: Wrist arthroscopy is a dynamic diagnostic procedure and its indications are growing as a treatment modality in the adult population. The aim of the study was to retrospectively report our series of pediatric and adolescence with chronic wrist pain, with or without wrist instability who underwent wrist arthroscopy after failing at least 4 months of conservative management. Our secondary aim was to report the sensitivity and specificity of clinical examination and magnetic resonance imaging evaluation for various injury subgroups against the gold standard of the arthroscopic findings. Read More

    Early Detection of the Acute Exacerbation of Interstitial Pneumonia after the Surgical Resection of Lung Cancer by Planned Chest Computed Tomography.
    Korean J Thorac Cardiovasc Surg 2017 Jun 5;50(3):177-183. Epub 2017 Jun 5.
    Department of Surgery I, Tokyo Women's Medical University.
    Background: To improve postoperative outcomes associated with interstitial pneumonia (IP) in patients with lung cancer, the management of the postoperative a cute exacerbation of IP (PAEIP) was investigated.

    Methods: Patients with primary lung cancer were considered to be at risk for PAEIP (possible PAEIP) based on a preoperative evaluation. The early phase of this study was from January 2001 to December 2008, and the late phase was from January 2009 to December 2014. Read More

    Pancreatic carcinosarcoma mimics malignant intraductal papillary mucinous neoplasm: A rare case report and literature review.
    Medicine (Baltimore) 2017 Jun;96(23):e6961
    aDepartment of General Surgery bDepartment of Pathology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
    Rationale: Carcinosarcoma, an extremely rare pancreatic primary tumor, is characterized by coexistence of both carcinomatous and sarcomatous components. Due to its rarity, the clinical manifestation and imaging features have not been recognized. An accurate diagnostic method has not been available and a widely accepted guidelines instructing treatment has not been established. Read More

    Photoselective Vaporization of the Prostate Using 120 W High Performance System: A Prospective Evaluation of Results Over 2 Years.
    Photomed Laser Surg 2017 Jun;35(6):300-304
    5 Acibadem Adana Hospital , Urology, Adana, Turkey .
    Purpose: This study evaluated the safety and efficacy of photoselective vaporization of prostate using the 120 W High Performance System for management of symptomatic benign prostatic hyperplasia (BPH).

    Methods: We prospectively obtained data from 229 patients between January 2009 and December 2012. We evaluated the serum prostate specific antigen level, International Prostate Symptom Score (IPSS), prostate volume; maximum urine flow rate (Qmax); and postvoid residual urine volume (PVR) in the patients at presentation and on follow-up at 1, 6, 12, and 24 months. Read More

    Limitations in the use of 18F-FDG PET in the pre-operative staging of gastric cancer: A case series.
    Int J Surg Case Rep 2017 26;36:147-150. Epub 2017 May 26.
    Texas Tech University Health Sciences Center, 1400 S. Coulter St Amarillo, Texas 79106, United States. Electronic address:
    Introduction: Positron emission tomography (PET) is a mainstay in the preoperative evaluation of various cancers. In gastric cancer however, its role in the initial staging remains contentious. Presented is a case series of three gastric patients wherein the use of fluorodeoxyglucose (18F-FDG) PET/CT (computer tomography) as part of the initial staging was inconsequential to treatment, demonstrating its limited role in the staging of primary gastric cancer. Read More

    [Preoperative Evaluation of Adult Patients Before Elective, Non-Cardiothoracic Surgery].
    • Authors:
    Anasthesiol Intensivmed Notfallmed Schmerzther 2017 Jun 2;52(6):446-462. Epub 2017 Jun 2.
    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 to guide perioperative management. Whether the performance of additional technical tests (e.g. 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 Jun;66(6):442-458
    Klinik für Anaesthesiologie, Klinikum der Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland.
    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 to guide perioperative management. Whether the performance of additional technical tests (e. g. Read More

    [Evaluation and perioperative management of patients with diabetes mellitus. A challenge for the anesthesiologist].
    Rev Bras Anestesiol 2017 May 30. Epub 2017 May 30.
    Hospital Santa Genoveva, Centro de Ensino e Treinamento, Uberlândia, MG, Brasil.
    Diabetes mellitus (DM) is characterized by alteration in carbohydrate metabolism, leading to hyperglycemia and increased perioperative morbidity and mortality. It evolves with diverse and progressive physiological changes, and the anesthetic management requires attention regarding this pathology interference in multiple organ systems and their respective complications. Patient's history, physical examination, and complementary exams are important in the preoperative management, particularly glycosylated hemoglobin (HbA1c), which has a strong predictive value for complications associated with diabetes. Read More

    Advances in radioguided surgery in oncology.
    Q J Nucl Med Mol Imaging 2017 Jun 1. Epub 2017 Jun 1.
    Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria -
    The sentinel lymph node (SLN) biopsy is probably the most well known radioguided technique in surgical oncology. Today SLN biopsy reduces the morbidity associated with lymphadenectomy and increases the identification rate of occult lymphatic metastases by offering the pathologist the lymph nodes with the highest probability of containing metastatic cells. These advantages may result in a change in clinical clinical management both in melanoma and breast cancer patients. Read More

    Critical evaluation of contemporary management in a new Pelvic Exenteration Unit: The first 25 consecutive cases.
    World J Gastrointest Oncol 2017 May;9(5):218-227
    Min Hoe Chew, Yu-Ting Yeh, Ee-Lin Toh, Stephen Aditya Sumarli, Choong Leong Tang, Department of Colorectal Surgery, Singapore General Hospital, Singapore 169608, Singapore.
    Aim: To critically appraise short-term outcomes in patients treated in a new Pelvic Exenteration (PE) Unit.

    Methods: This retrospective observational study was conducted by analysing prospectively collected data for the first 25 patients (16 males, 9 females) who underwent PE for advanced pelvic tumours in our PE Unit between January 2012 and October 2016. Data evaluated included age, co-morbidities, American Society of Anesthesiologists (ASA) score, Eastern Cooperative Oncology Group (ECOG) status, preoperative adjuvant treatment, intra-operative blood loss, procedural duration, perioperative adverse event, lengths of intensive care unit (ICU) stay and hospital stay, and oncological outcome. Read More

    Magnetic Resonance Spectroscopy Findings in Patients with Dural Arteriovenous Fistulas: Three Case Reports.
    World Neurosurg 2017 May 27. Epub 2017 May 27.
    Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
    Background: Magnetic resonance spectroscopy (MRS) is a potentially useful modality for evaluating brain metabolites in patients with dural arteriovenous fistula (dAVF). Here we describe a different pattern of MRS-based cerebral metabolism findings in patients with dAVF.

    Case Descriptions: We performed MRS in 3 patients with transverse sigmoid sinus dAVF associated with cortical venous reflux. Read More

    Check-Rein Technique for Management of Neglected Locked Posterior Shoulder Dislocations: Evaluation of Mid-term Outcome of a Novel Technique.
    Malays Orthop J 2016 Nov;10(3):3-6
    Department of Orthopaedics, Pt BD Sharma, Rohtak, India.
    Introduction: Neglected locked posterior shoulder dislocations, although rare, are quiet perplexing to manage. Various treatment methods have been explained for their management, but a consensus is still lacking. Besides describing a novel technique for the management of these lesions, this study aims to evaluate the mid-term outcome of this technique. Read More

    Surgical management of female paraurethral cyst with concomitant stress urinary incontinence.
    Int Braz J Urol 2017 May 23;43. Epub 2017 May 23.
    Department of Urology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey.
    Paraurethral cysts are usually asymptomatic and frequently detected incidentally during routine pelvic examination however, patients can present with complaints of a palpable cyst or with lower urinary tract symptoms (LUTS) and also dyspareunia. In most cases, diagnosis can be made on physical examination but for more detailed evaluation and to differentiate from malign lesions ultrasonography (US), voiding cystourethrogram (VCUG), computerized tomography (CT), or magnetic resonance imaging (MRI) can also be used. Management of symptomatic paraurethral cyst is surgical excision. Read More

    Penile ossification: A reconstructive challenge.
    Rev Urol 2017 ;19(1):64-67
    Department of Urology, University of Texas Southwestern Medical CenterDallas, TX.
    Penile ossification is a rare condition that occurs most commonly in acquired cases of penile deformity. We report the case of a 43-year-old man with Peyronie disease who was incidentally found to have significant ossified tissue in his penile corpora during complex placement of an inflatable penile prosthesis (IPP). His clinical course was later complicated by impending distal extrusion of his IPP laterally, necessitating corporoplasty. Read More

    Validation of a simple tool for anxiety trait screening in children presenting for surgery.
    Br J Anaesth 2017 Jun;118(6):910-917
    Department of Anaesthesia and Intensive Care, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.
    Background.: Screening for preoperative anxiety is an important challenge during the preoperative period. The aim of our study was to validate the faces scale used to detect anxiety trait in children. Read More

    Surgical Outcomes of Bony Batten Grafting to Correct Caudal Septal Deviation in Septoplasty.
    JAMA Facial Plast Surg 2017 May 18. Epub 2017 May 18.
    Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
    Improtance: Correction of caudal septal deviation with a batten graft has been popularized recently. However, few reports have documented the surgical outcomes of this technique, especially the use of bony batten grafts in septoplasty.

    Objective: To evaluate the surgical outcomes of bony batten grafting for the management of caudal septal deviation in endonasal septoplasty. Read More

    Anxiety and depression affect pain drawings in cervical degenerative disc disease.
    Ups J Med Sci 2017 Jun 15;122(2):99-107. Epub 2017 May 15.
    a Department of Surgical Sciences , Uppsala University Hospital , Uppsala , Sweden.
    Introduction: Pain drawings have been frequently used in the preoperative evaluation of spine patients. Until now most investigations have focused on low back pain patients, even though pain drawings are used in neck pain patients as well. The aims of this study were to investigate the pain drawing and its association to preoperative demographics, psychological impairment, and pain intensity. Read More

    Blood transfusion in the surgical treatment of adolescent idiopathic scoliosis-a single-center experience of patient blood management in 210 cases.
    Transfusion 2017 May 12. Epub 2017 May 12.
    Division of Orthopedic Surgery, Texas Children's Hospital, Houston, Texas.
    Background: The surgical treatment of adolescent idiopathic scoliosis can be associated with substantial blood loss, requiring allogeneic red blood cell (RBC) transfusion. This study describes the use of RBC and the effect of a standardized perioperative patient blood management program.

    Study Design And Methods: Patients treated with posterior instrumented fusion were consecutively enrolled over a 6-year period. Read More

    Dumbbell-shaped Jugular Foramen Tumors Extending to the Neck: Surgical Considerations Based on Imaging Findings.
    World Neurosurg 2017 May 9. Epub 2017 May 9.
    Department of Neurosurgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
    Objective: Dumbbell-shaped jugular foramen tumors (DSJFTs) extending to the neck present diagnostic and management difficulties because of their rarity, various pathologies and multidisciplinary involvement. Accurate imaging findings are of great importance for surgical planning and clinical outcomes. However, few articles have discussed this issue to date. Read More

    CT analysis of anatomical variation and injury affecting posterior pedicle screw fixation for unstable Hangman fractures.
    Medicine (Baltimore) 2017 May;96(19):e6847
    aDepartment of Orthopedics, West China Hospital, Sichuan University, Chengdu bDepartment of Spine Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.
    The aim of this study was to evaluate the anatomical variations and injuries in patients with unstable Hangman fractures that affected the posterior pedicle screw placement of C2 to C3 and retrospectively review our experience with management of these fractures. Clinical data were reviewed in 72 patients with unstable Hangman fractures, especially using 3-dimensional computed tomography (3D-CT) scan to identify the presence of anatomical variations or injuries and analyzing the treatment strategies we used. Twenty-two patients (22/72, 30. Read More

    Laparoscopic sacrocolpopexy using barbed sutures for mesh fixation and peritoneal closure: A safe option to reduce operational times.
    Urol Ann 2017 Apr-Jun;9(2):159-165
    Department of Urology, University of Patras, Patras, Greece.
    Introduction: Laparoscopic sacrocolpopexy (LSC) has established itself as a safe method for the management of pelvic organ prolapse (POP). Laparoscopic suturing is a time-consuming intraoperative task during LSC. Self-retaining barbed sutures (SBSs) are known to reduce the operative time in laparoscopic cases. Read More

    Visceral and gastrointestinal complications in robotic urologic surgery.
    Actas Urol Esp 2017 May 4. Epub 2017 May 4.
    Departamento de Urología, L'Institut Mutualiste Montsouris, París, Francia.
    Introduction: with the widespread use of minimally invasive techniques, robot-assisted urologic surgery has become widely adopted. Despite their infrequency, visceral and gastrointestinal complications could be life-threatening.

    Objectives: To identify the main gastrointestinal injuries that occur in a robot-assisted urologic surgery. Read More

    Molecular Genetics of Thyroid Cancer in Children and Adolescents.
    Endocrinol Metab Clin North Am 2017 Jun 23;46(2):389-403. Epub 2017 Feb 23.
    Division of Endocrinology and Diabetes, The Thyroid Center, The Children's Hospital of Philadelphia, The Perelman School of Medicine, The University of Pennsylvania, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address:
    There has been a steady incorporation of powerful new molecular tools into the evaluation and management of thyroid nodules and thyroid cancer. With an increasing incidence of nodules and differentiated thyroid cancer (DTC) being diagnosed in children and adolescents, oncogene data are providing insight into the clinical differences between pediatric and adult patients with histologically similar DTC. However, additional investment and efforts are needed to define the genomic landscape for pediatric DTC with the goal of improving preoperative diagnostic accuracy as well as stratifying treatment in an effort to reduce complications of therapy. Read More

    Magnetic resonance imaging and clinical features of glenoid labral flap tears.
    Skeletal Radiol 2017 Aug 3;46(8):1095-1100. Epub 2017 May 3.
    Department of Radiology, Duke University Hospital, Box 3808 DUMC, Durham, NC, 27710, USA.
    Objective: Displaced flaps of glenoid labral tissue are an uncommonly encountered finding on MRI of the shoulder, and are of unclear clinical significance. The purpose of this study is to describe the imaging characteristics of displaced glenoid labral flaps, evaluate for any common concomitant injuries, and identify the typical clinical presentation and management of patients with this lesion.

    Materials And Methods: This retrospective, observational study was approved by the institutional review board. Read More

    Evaluation and Monitoring of Patients With Cardiovascular Implantable Electronic Devices Undergoing Noncardiac Surgery.
    Health Serv Insights 2017 20;10:1178632916686073. Epub 2017 Mar 20.
    Division of Cardiology, Department of Medicine, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
    In this article, the reader will get some insights into managing patient with implantable cardiac devices while undergoing noncardiac surgery. We will review basic concepts regarding normal function of pacemakers and implantable cardioverter defibrillators, understanding how their function will be influenced during noncardiac surgeries. You will be guided through management steps from preoperative, intraoperative, and postoperative aspects. Read More

    A prospective evaluation of short-term dysphagia after transoral robotic surgery for squamous cell carcinoma of the oropharynx.
    Cancer 2017 May 3. Epub 2017 May 3.
    Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
    Background: Transoral robotic surgery (TORS) for oropharyngeal squamous cell carcinoma (OPSCC) has been associated with improved long-term dysphagia symptomatology compared with chemoradiation. Dysphagia in the perioperative period has been inadequately characterized. The objective of this study was to characterize short-term swallowing outcomes after TORS for OPSCC. Read More

    Evaluation of Jordan's meatoplasty for the treatment of fossa navicularis strictures. A retrospective study.
    Cent European J Urol 2017 18;70(1):103-106. Epub 2017 Jan 18.
    MS Ramaiah Medical College, Bangalore, India.
    Introduction: Fossa navicular strictures can be a challenging problem for reconstructive urologists in which there is a need to achieve good cosmetic results along with a consistent stream. Our aim was to retrospectively evaluate the outcome of Jordan meatoplasty in the management of fossa navicularis strictures.

    Material And Methods: A total of 25 patients who underwent Jordan meatoplasty for the management of fossa navicularis strictures between 2011 and 2016 were retrospectively reviewed. Read More

    Review of management and morbidity of pediatric craniopharyngioma patients in a low-middle-income country: a 12-year experience.
    Childs Nerv Syst 2017 Jun 28;33(6):941-950. Epub 2017 Apr 28.
    Neuro-oncology, Division of Hematology Oncology, Hospital for Sick Children, Toronto, Canada.
    Background: Management of craniopharyngioma in children is challenging, and their quality of life can be significantly affected. Series describing this from low-middle income countries (LMIC) are few.

    Patients And Methods: The study provides a retrospective chart review of pediatric patients <18 years old, diagnosed with craniopharyngioma between 2003 and 2014, and treated at King Hussein Cancer Center, Jordan. Read More

    Determining the Efficiency of Different Preoperative Difficult Intubation Tests on Patients Undergoing Caesarean Section.
    Balkan Med J 2017 Apr 13. Epub 2017 Apr 13.
    Background: Pregnancy induced anatomical and physiological changes in the airway makes airway management difficult in obstetric patients, thus the preoperative evaluation of the airway is important for obstetric patients.

    Aims: The first aim was determine the effectiveness of the modified mallampati test, the interincisor, sternomental, thyromental distances, the upper limb bite tests and the second aim was to access the effectiveness of the combination of the upper limb bite test with the other tests in obstetric patients.

    Study Design: Cross-sectional study. Read More

    Ocular Surface and External Filtration Surgery: Mutual Relationships.
    Dev Ophthalmol 2017 25;59:67-79. Epub 2017 Apr 25.
    Department of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, Sorbonne Universités, UPMC University Paris 06, INSERM, CNRS, Institut de la Vision, Paris, and University of Versailles, Saint-Quentin-en-Yvelines, France.
    There is a large body of evidence from clinical and experimental studies indicating that the long-term use of topical drugs may induce ocular surface changes, causing ocular discomfort, dry eye, conjunctival inflammation, subconjunctival fibrosis, corneal surface impairment, and, as a consequence of chronic ocular surface changes, the potential risk of failure for further glaucoma surgery. Subclinical inflammation has also been widely described in patients receiving antiglaucoma treatments for long periods of time, with inflammatory cell infiltration and fibroblast activation in the conjunctiva and subconjunctival space. Preservatives, especially benzalkonium chloride, which has consistently demonstrated its toxic effects in laboratory, experimental, and clinical studies, could induce or enhance such inflammatory changes, and has been recently confirmed as a direct risk factor of surgical failure. Read More

    The osteo-odonto-keratoprosthesis.
    Curr Opin Ophthalmol 2017 Jul;28(4):397-402
    aSussex Eye Hospital, Brighton, UK bFarabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran cBrighton and Sussex Medical School, Brighton dTongdean Eye Clinic, Hove, UK.
    Purpose Of Review: To describe the practice of and recent developments in the osteo-odonto-keratoprosthesis.

    Recent Findings: Formal psychological assessment and support have been described. A sub-aqua system for fashioning the osteo-odonto-keratoprosthesis lamina; adoption of thicker laminae; use of bisphosphonate drugs; advances in laminar imaging; and use of bone augmentation and bone morphogenetic protein have been described for prevention, detection, and management of laminar resorption. Read More

    [Implementation of enhanced recovery after surgery in nutritional management of patients undergoing metabolic surgery].
    Zhonghua Wei Chang Wai Ke Za Zhi 2017 Apr;20(4):477-480
    Department of Bariatric and Metabolic Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
    Metabolic surgery is a gastrointestinal surgical procedure to treat obesity and its related co-morbidities with rapid development in recent years. Patients undergoing metabolic surgery have preoperative nutritional disorders, and the nutrition management for these patients is the key point of perioperative management. During the perioperative period, current research has preliminarily confirmed that perioperative managements including supplementation of micronutrients, preoperative evaluation of the weight loss, preoperative fasting and carbohydrate oral intake based on the full application of ERAS and characteristics of the patients undergoing metabolic surgery, are safe and effective in clinical practice. Read More

    Innovations in pediatric cataract surgery.
    Indian J Ophthalmol 2017 Mar;65(3):210-216
    Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All Institute of Medical Sciences, New Delhi, India.
    Advances in technology have made surgery in children safer and faster. The management of pediatric cataract has made rapid progress in the past decade with the availability of safer anesthesia, newer technique's, more predictable intraocular lens (IOL) power calculation, a better understanding of neurobiology, genetics, amblyopia management, improved IOL designs for preventing visual axis opacification, and adjuvant postoperative care. Modern vitrectomy machines with minimally invasive instruments, radiofrequency, diathermy, and plasma blades help immensely in complicated cases. Read More

    Airway Management of Patients Undergoing Oral Cancer Surgery: A Retrospective Analysis of 156 Patients.
    Turk J Anaesthesiol Reanim 2017 Apr 1;45(2):108-111. Epub 2017 Apr 1.
    Department of Anaesthesiology and Intensive Care, Nizam's Institute of Medical Sciences, Hyderabad, India.
    Objective: Oral cancer patients have a potentially difficult airway, but if managed properly during the perioperative period, morbidity and mortality can be reduced or avoided.

    Methods: The medical records of 156 patients who were operated for oral cancers were reviewed for airway management during the perioperative period.

    Results: The surgical procedures ranged from excisions, wide local excisions with split skin graftings, hemiglossectomies and radical neck nodes dissections to pectoralis major myocutaneous or free fibular flaps. Read More

    Bypass of an anesthesiologist-directed preoperative evaluation clinic results in greater first-case tardiness and turnover times.
    J Clin Anesth 2017 Apr 21. Epub 2017 Apr 21.
    Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, 1015 Walnut Street, Philadelphia, PA 19107, United States. Electronic address:
    Study Objective: We evaluated 4 hypotheses related to bypass of an anesthesiologist-directed preoperative evaluation clinics (APEC): 1) first-case tardiness and turnover times increased; 2) turnover times increased more than first-case tardiness; and higher American Society of Anesthesiologists Physical Status (ASA PS) resulted in both an ordered increase among ASA PS and within ASA PS in 3) first-case tardiness; and 4) turnover times.

    Design: Retrospective observational study using electronic health records.

    Setting: One large, teaching hospital. Read More

    Descemet Membrane Endothelial Keratoplasty After Failed Descemet Stripping Without Endothelial Keratoplasty.
    Cornea 2017 Jul;36(7):763-766
    *Massachusetts Eye and Ear Infirmary, Boston, MA; †Department of Ophthalmology, Harvard Medical School Boston, MA; and ‡Department of Ophthalmology and Visual Science, University of Chicago, Chicago, IL.
    Purpose: To describe the clinical course, surgical experience, and postoperative outcomes of 3 patients with Fuchs endothelial dystrophy who underwent Descemet membrane endothelial keratoplasty (DMEK) after failed Descemet stripping without endothelial keratoplasty.

    Methods: Three patients who underwent DMEK for management of persistent corneal edema after deliberate Descemet stripping in the setting of Fuchs endothelial dystrophy were identified. Patients were examined at day 1, week 1, and months 1, 3, and 6 after DMEK. Read More

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