8,989 results match your criteria Preoperative Evaluation and Management


Preoperative difficult airway prediction using suprahyoid and infrahyoid ultrasonography derived measurements in anesthesiology.

Med Ultrason 2019 Feb;21(1):83-88

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Airway management is one of the most important skills in everyday practice of anesthesia. Improper airway management might contribute to significant morbidity and mortality. In some patients, clinical parameters do not anticipate all difficulties related to airway management. Read More

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http://dx.doi.org/10.11152/mu-1764DOI Listing
February 2019

Revised management of advanced primary colon cancer: Case series of 2 patients.

Int J Surg Case Rep 2019 Feb 10;55:233-238. Epub 2019 Feb 10.

Department of Surgery, MedStar Washington Hospital Center, Washington, DC, USA.

Background: The resection of a primary colon cancer has the opportunity to cure the patient of cancer by complete clearance and absolute containment of disease. Alternatively, if the cancer resection does not provide clearance and containment it will eventuate in local recurrence and peritoneal dissemination.

Methods: Culpability of recurrence of colorectal cancer is difficult to determine. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.046DOI Listing
February 2019

Role of preoperative investigations in elderly patients undergoing oncosurgical procedures - A retrospective review audit.

J Anaesthesiol Clin Pharmacol 2018 Oct-Dec;34(4):535-539

Department of Epidemiology and Biostatistics, Regional Cancer Centre, Thiruvananthapuram, Kerala, India.

Background And Aims: The aim of the study was to evaluate the efficacy and usefulness of the current practice of various investigations and consultations being done during preanesthetic evaluation in patients undergoing oncosurgical procedures in our hospital. We also evaluated the delay caused due to these and its value in predicting postoperative complications.

Material And Methods: The preanesthetic charts of 300 elderly patients >65 years of age were reviewed, and the incidence of abnormal investigations and number of consultations advised were noted. Read More

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http://dx.doi.org/10.4103/joacp.JOACP_147_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360897PMC
February 2019

Incidence and malignancy rates of indeterminate pediatric thyroid nodules.

Cancer Cytopathol 2019 Feb 15. Epub 2019 Feb 15.

Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee.

Background: The American Thyroid Association guidelines task force currently recommends definitive thyroidectomy or lobectomy after an indeterminate thyroid biopsy in children. This recommendation is based on evidence of a greater incidence and a higher risk of malignancy compared with adults in earlier pediatric studies. Such management may lead to overtreatment and unnecessary surgery for many children in the United States. Read More

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http://dx.doi.org/10.1002/cncy.22104DOI Listing
February 2019

Management of non-syndromic craniosynostoses in France in 2015: A national survey.

J Craniomaxillofac Surg 2019 Jan 30. Epub 2019 Jan 30.

Department of Plastic and Oral and Maxillofacial Surgery, Caen University Hospital, Avenue de la Côte-de-Nacre, 14000 Caen, France. Electronic address:

Purpose: Craniosynostoses are managed by surgical and anaesthetic teams in specialist centres. Despite the availability of international guidelines, the perioperative management of craniosynostoses remains highly variable between centres. The aim of our study was to describe the different protocols for the management of non-syndromic craniosynostoses in France in 2015. Read More

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http://dx.doi.org/10.1016/j.jcms.2019.01.028DOI Listing
January 2019

[Safety and efficacy of total hip arthroplasty following failed internal fixation of intertrochanteric fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):160-165

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To evaluate the safety and efficacy of total hip arthroplasty (THA) following failed internal fixation of intertrochanteric fractures.

Methods: Between January 2007 and January 2016, THAs were performed in 32 patients (33 hips) for failed internal fixation of intertrochanteric fractures. There were 15 males and 17 females, with mean age of 74. Read More

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http://dx.doi.org/10.7507/1002-1892.201807089DOI Listing
February 2019
1 Read

Patterns of lymph node metastasis and the management of neck dissection for parotid carcinomas: a single-institute experience.

Int J Clin Oncol 2019 Feb 9. Epub 2019 Feb 9.

Department of Otorhinolaryngology-Head and Neck Surgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka, 569-8686, Japan.

Background: There is no consensus about the indications and range of neck dissection in patients who have parotid carcinoma, with elective neck dissection for cN0 disease being particularly controversial.

Methods: This study retrospectively reviewed 185 patients with newly diagnosed parotid carcinoma who were treated at our department between September 1999 and August 2018.

Results: 50 of the 185 patients had lymph node metastasis, including 7. Read More

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http://dx.doi.org/10.1007/s10147-019-01411-3DOI Listing
February 2019

A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis.

J Ophthalmol 2019 14;2019:3561857. Epub 2019 Jan 14.

Department of Ophthalmology, Menoufia University, Faculty of Medicine, Shebin El Kom, Menoufia, Egypt.

Purpose: Evaluation of using pigtail probe to detect and open severely stenosed lower lacrimal punctum followed by self-retaining bicanalicular intubation.

Study Design: A prospective nonrandomized clinical study.

Methods: The study included 24 patients with severe lower punctal stenosis (grade 0 according to Kashkouli scale) attending at Menoufia University Hospitals. Read More

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http://dx.doi.org/10.1155/2019/3561857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348839PMC
January 2019

Association between carotid artery stenosis and peripheral artery disease: Evaluation by screening carotid ultrasonography (cross-sectional study).

Medicine (Baltimore) 2019 Feb;98(6):e14163

Department of Radiology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan-si, Gyeongsangnam-do, South Korea.

We aimed to investigate the association between carotid artery stenosis and peripheral artery disease (PAD) by screening carotid ultrasonography (CUS).From January 2012 to December 2015, 231 consecutive patients who had undergone preoperative CUS for PAD were included in this study. A radiologist assessed the degree of internal carotid artery (ICA) stenosis by using the North American Symptomatic Carotid Endarterectomy Trial (NASCET). Read More

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http://dx.doi.org/10.1097/MD.0000000000014163DOI Listing
February 2019
1 Read

Predicting inadequate postoperative pain management in depressed patients: A machine learning approach.

PLoS One 2019 6;14(2):e0210575. Epub 2019 Feb 6.

Department of Biomedical Data Sciences, Stanford University, Stanford, California, United States of America.

Widely-prescribed prodrug opioids (e.g., hydrocodone) require conversion by liver enzyme CYP-2D6 to exert their analgesic effects. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210575PLOS
February 2019
5 Reads

Lesser tuberosity osteotomy in total shoulder arthroplasty: impact of radiographic healing on outcomes.

J Shoulder Elbow Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopedic Surgery, Broward Health Medical Center, Fort Lauderdale, FL, USA.

Background: Lesser tuberosity osteotomy (LTO) has gained popularity in anatomic total shoulder arthroplasty (TSA); however, healing rates have not been universally high. This study examined differences in outcomes based on variations in LTO healing.

Methods: A retrospective review identified primary TSA patients with 2-year minimum follow-up treated with a LTO. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.052DOI Listing
February 2019

Pediatric Traumatic Brain Injury and Associated Topics: An Overview of Abusive Head Trauma, Nonaccidental Trauma, and Sports Concussions.

Anesthesiol Clin 2019 Mar;37(1):119-134

Department of Anesthesiology, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA.

Pediatric traumatic brain injury (TBI) uniquely affects the pediatric population. Abusive head trauma (AHT) is a subset of severe pediatric TBI usually affecting children in the first year of life. AHT is a form of nonaccidental trauma. Read More

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http://dx.doi.org/10.1016/j.anclin.2018.10.002DOI Listing
March 2019
2 Reads

MRI of the Penis: Indications, Anatomy, and Pathology.

Curr Probl Diagn Radiol 2018 Dec 11. Epub 2018 Dec 11.

Department of Radiology & Biomedical Imaging, Yale University School of Medicine, New Haven, CT.

The purpose of this review is to discuss the role of magnetic resonance imaging (MRI) in the evaluation of penile pathology. Normal penile anatomy as well as the appearance of neoplastic and non-neoplastic entities on MRI will be reviewed. While ultrasound remains the first line imaging modality in evaluating most penile pathology, MR imaging has specific advantages owing to improved soft tissue resolution, ability to evaluate less accessible or complex anatomy (such as at the base of the penis), and the ability to detect subtle enhancement. Read More

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http://dx.doi.org/10.1067/j.cpradiol.2018.12.004DOI Listing
December 2018

Phacoemulsification of posterior polar cataracts.

J Cataract Refract Surg 2019 Feb;45(2):228-235

Iladevi Cataract & IOL Research Centre, Ahmedabad, India.

Posterior polar cataracts present a unique challenge for the cataract surgeon. This review describes the steps a surgeon can take to overcome these challenges for the successful phacoemulsification of the posterior polar cataract. Proper preoperative examination and diagnostics will allow appropriate preoperative counseling and surgical planning to increase the likelihood of success. Read More

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http://dx.doi.org/10.1016/j.jcrs.2018.09.029DOI Listing
February 2019

[Preoperative molecular testing on fine-needle aspiration in precision management of thyroid cancer].

Authors:
Y T Song B Zhang

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Jan;54(1):58-61

Department of Head and Neck Surgery, Beijing Cancer Hospital, Beijing Institute for Cancer Research, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China.

This article focuses on the controversial issues in the diagnosis and treatment of thyroid cancer. Several commonly used molecular tests, especially gene mutation and fusion detection, in the preoperative diagnosis of thyroid nodules and the prognosis evaluation of thyroid cancer are introduced. For the thyroid nodules with uncertain indeterminate cytology, different molecular screening methods have their own advantages and disadvantages. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.01.015DOI Listing
January 2019
2 Reads

POEM in Latin America: The Rise of a New Standard.

J Clin Gastroenterol 2019 Jan 29. Epub 2019 Jan 29.

Gastrointestinal Endoscopy Unit, University of Sao Paulo Medical School, Sao Paulo, Brazil.

Background: Per-oral endoscopic myotomy (POEM) has become the preferred alternative treatment to standard Heller myotomy for patients with esophageal achalasia, in Latin American countries. The aim of our study was to evaluate the efficacy and safety of a POEM in the management of achalasia with and without Chagas disease in patients receiving POEM.

Methods: Patients who underwent POEM from tertiary centers in Latin America were included in a dedicated registry. Read More

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http://dx.doi.org/10.1097/MCG.0000000000001161DOI Listing
January 2019
3 Reads
3.498 Impact Factor

Diagnosis and Management of Pancreatic Adenocarcinoma in the Background of Chronic Pancreatitis: Core Issues.

Dig Dis 2019 Jan 30:1-10. Epub 2019 Jan 30.

Consultant, Department of Gastrointestinal Surgery, Lilavati Hospital and Research Center, Mumbai, India.

Background: The incidence of pancreatic adenocarcinoma (PDAC) in patients with chronic pancreatitis (CP) is as high as 5%. It is a commonly encountered diagnostic challenge in patients with CP on long-term follow-up.

Summary: This review consolidates the existing literature on assessment of PDAC in background of CP, its evaluation through the available investigations, surgical management, and prognostication. Read More

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http://dx.doi.org/10.1159/000496507DOI Listing
January 2019
1 Read

A Prospective Analysis of Patients With Anterior Versus Posterior Shoulder Instability: A Matched Cohort Examination and Surgical Outcome Analysis of 200 Patients.

Am J Sports Med 2019 Jan 30:363546518819199. Epub 2019 Jan 30.

The Steadman Clinic, Vail, Colorado, USA.

Background:: Anterior and posterior shoulder instabilities are entirely different entities. The presenting complaints and symptoms vastly differ between patients with these 2 conditions, and a clear understanding of these differences can help guide effective treatment.

Purpose:: To compare a matched cohort of patients with anterior and posterior instability to clearly outline the differences in the initial presenting history and overall outcomes after arthroscopic stabilization. Read More

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http://dx.doi.org/10.1177/0363546518819199DOI Listing
January 2019
6 Reads

Biliary interventions using Single operator cholangioscopy.

Dig Endosc 2019 Jan 28. Epub 2019 Jan 28.

Department of Gastroenterology, Tokyo Medical University, Japan.

Cholangioscopy provides an opportunity to directly visualize the bile duct for diagnosing biliary lesions and for therapeutic interventions. Although there are different cholangioscopy techniques available, single-operator cholangiosopy has gained widespread acceptance as the standard technique for interventions in the biliary system because of its ease of use and widespread availability. Single-operator cholangioscopy can be used for both diagnostic and therapeutic indications in the biliary tract. Read More

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http://doi.wiley.com/10.1111/den.13361
Publisher Site
http://dx.doi.org/10.1111/den.13361DOI Listing
January 2019
4 Reads

[Diagnostic value of imaging (ultrasonography, doppler, CT, MR, PET-CT) for the diagnosis of a suspicious ovarian mass and staging of ovarian, tubal or primary peritoneal cancer: Article drafted from the French Guidelines in oncology entitled "Initial management of patients with epithelial ovarian cancer" developed by FRANCOGYN, CNGOF, SFOG, GINECO-ARCAGY under the aegis of CNGOF and endorsed by INCa].

Gynecol Obstet Fertil Senol 2019 Jan 24. Epub 2019 Jan 24.

Service de radiologie, université Paris Descartes Sorbonne Paris Cité, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France; Université Paris Descartes Sorbonne Paris Cité, Inserm UMR-S970, Cardiovascular Research Center - PARCC, 56, rue Leblanc, 75015 Paris, France.

Transvaginal ultrasound is the first-line examination allowing characterizing 80 to 90% of adnexal masses (LP1). If performed by an expert, a subjective analysis is optimal. If performed by a non-expert, combining the use of Simple Rules with subjective analysis can achieve the diagnostic performance of an expert (LP1). Read More

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http://dx.doi.org/10.1016/j.gofs.2018.12.012DOI Listing
January 2019
1 Read

Predicting patient-prosthesis mismatch by aortic root evaluation before aortic valve replacement.

J Thorac Cardiovasc Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. Electronic address:

Objective: This study aimed to assess the predictors of patient-prosthesis mismatch (PPM) after surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR) using preoperative computed tomography.

Methods: We enrolled 323 patients undergoing SAVR (n = 85) or TAVR (n = 238) for aortic stenosis. The end point was any degree of PPM (effective orifice area index <0. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2018.11.103DOI Listing
December 2018
7 Reads

Pseudoaneurysm rupture causing hemoperitoneum following rectal impalement injury: A case report.

Authors:
Pyong Wha Choi

Int J Surg Case Rep 2019 Jan 19;55:28-31. Epub 2019 Jan 19.

Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do, 10380, Republic of Korea. Electronic address:

Introduction: Although vascular anatomy of the rectum is complex, pseudoaneurysm followed by massive hemoperitoneum after rectal impalement injury is extremely rare.

Case Presentation: A 43-year-old man presented with abdominal distension. One day earlier, he had undergone sigmoid loop colostomy for rectal implement injury at a local hospital. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351351PMC
January 2019
3 Reads

Six-long non-coding RNA signature predicts recurrence-free survival in hepatocellular carcinoma.

World J Gastroenterol 2019 Jan;25(2):220-232

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.

Background: Recent evidence shows that long non-coding RNAs (lncRNAs) are closely related to hepatogenesis and a few aggressive features of hepatocellular carcinoma (HCC). Increasing studies demonstrate that lncRNAs are potential prognostic factors for HCC. Moreover, several studies reported the combination of lncRNAs for predicting the overall survival (OS) of HCC, but the results varied. Read More

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https://www.wjgnet.com/1007-9327/full/v25/i2/220.htm
Publisher Site
http://dx.doi.org/10.3748/wjg.v25.i2.220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337021PMC
January 2019
4 Reads

Psychiatric complications after epilepsy surgery… but where are the psychiatrists?

Epilepsy Behav 2019 Jan 15. Epub 2019 Jan 15.

University of Miami Miller School of Medicine, Department of Neurology, 1150 NW 14th St, Miami, FL 33136, United States of America.

In patients with refractory epilepsy, there is a significant risk of postoperative psychiatric complications after epilepsy surgery. The main risk factors for this phenomenon include a lifetime or family history of psychiatric illness; these risk factors can be easily identified through a preoperative evaluation performed by a psychiatrist. Despite this, very few comprehensive epilepsy centers include a psychiatrist on the treatment team. Read More

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http://dx.doi.org/10.1016/j.yebeh.2018.12.009DOI Listing
January 2019
1 Read

The Effect of Preoperative Neutrophil-To-Lymphocyte Ratio and Platelet-To-Lymphocyte Ratio on Predicting Rupture Risk in Tubal Ectopic Pregnancies.

Gynecol Obstet Invest 2019 Jan 17:1-5. Epub 2019 Jan 17.

Department of Obstetrics and Gynecology, TOBB University Faculty of Medicine, Ankara, Turkey.

Background: Consecutive measurements of β-hCG levels and sonographic evaluation of adnexae are critical for choosing the optimal management in ampullar tubal ectopic pregnancies (EP). To select suitable patients for conservative approach, there is a need for an affordable and reliable marker for determining rupture risk. Evaluation of systemic inflammatory markers in combination with serum β-hCG levels and ultrasound might help to decide the appropriate treatment option. Read More

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https://www.karger.com/Article/FullText/496543
Publisher Site
http://dx.doi.org/10.1159/000496543DOI Listing
January 2019
7 Reads

Technologies for image-guided surgery for managing lymphatic metastases in prostate cancer.

Nat Rev Urol 2019 Jan 15. Epub 2019 Jan 15.

Martini Klinik, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

One of the challenges for the surgical management of prostate cancer is the lymphatic spread of metastases. Lymph node metastases vary in size (micrometastases (<2 mm) or macrometastases (>2 mm)), and their interactions with the lymphatic environment differ (whether they are hypoxic or connected to blood flow). Thus, devising a universal imaging system and an image-guided surgical approach that supports the resection of all affected lymph nodes is difficult. Read More

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http://www.nature.com/articles/s41585-018-0140-8
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http://dx.doi.org/10.1038/s41585-018-0140-8DOI Listing
January 2019
5 Reads

Impact of preoperative wireless pH monitoring in the evaluation of esophageal conditions prior to bariatric surgery in a severely obese patient population.

Surg Obes Relat Dis 2018 Nov 23. Epub 2018 Nov 23.

Department of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, Florida. Electronic address:

Background: Sleeve gastrectomy (SG) is currently the most commonly performed bariatric procedure in the United States; however, it can be associated with development of de novo gastroesophageal reflux (GERD) or worsening of existing GERD. Preoperative esophagogastroduodenoscopy (EGD) and findings of esophagitis are commonly used as screening tool, but the alternative use of preoperative objective measurement of acid reflux has not been studied.

Objective: The aim of this study was to evaluate if preoperative objective measurement of acid reflux by using wireless pH monitoring (WPHM) could have an impact on surgical planning and outcomes. Read More

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http://dx.doi.org/10.1016/j.soard.2018.11.014DOI Listing
November 2018
3 Reads

Association between bone mineral density distribution and various radiographic parameters in patients with advanced medial osteoarthritis of the knee.

J Orthop Sci 2019 Jan 7. Epub 2019 Jan 7.

Niigata University Crisis Management Office, Niigata University Hospital, Niigata University Graduate School of Medical and Dental Sciences, 1 Asahimachi Dori Niigata, Niigata, 951-8520, Japan. Electronic address:

Purpose: Patients with severe osteoarthritis (OA) of the knee have changes in bone mineral density (BMD) of the distal femur and proximal tibia. Correlations between the medial-to-lateral BMD (M/L-BMD) ratio (which normalizes the potentially confounding effects of body size and sex on BMD) and radiographic parameters that indicate OA progression have not been adequately studied. The purpose of this study was to evaluate correlations between radiographic indicators of OA progression and femoral and tibial M/L-BMD ratios. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09492658183039
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http://dx.doi.org/10.1016/j.jos.2018.12.019DOI Listing
January 2019
4 Reads

Retrospective Evaluation of the Perioperative Management of Patients Undergoing Total Pancreatectomy With Islet Autotransplantation: Single Institution Review.

Pancreas 2019 Feb;48(2):228-232

Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC.

Objective: The aim of this retrospective descriptive study was to examine associations with the perioperative management of patients undergoing total pancreatectomy with islet autotransplantation, which may impact complication rate and hospital length of stay.

Methods: We retrospectively collected data on 165 patients, and 161 patients were included in the final analysis. Data collected included preoperative, intraoperative, and postoperative patient and procedural characteristics. Read More

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http://dx.doi.org/10.1097/MPA.0000000000001236DOI Listing
February 2019

Usefulness of endoscopic ultrasound for perianal fistula in Crohn's disease.

Rev Col Bras Cir 2019 Jan 7;45(6):e1840. Epub 2019 Jan 7.

Universidade Federal do Paraná, Departamento de Coloproctologia, Curitiba, PR, Brasil.

Objective: to determine the role of endoscopic ultrasonography (EU) in comparison with nuclear magnetic resonance imaging (MRI) and examination under anesthesia (EUA) in the management of patients with perianal fistulizing Crohn's disease.

Methods: we conducted a cross-sectional, observational study with patients with perianal Crohn's disease evaluated at a tertiary center in Curitiba, Paraná, Brazil, from February 2016 to March 2017. All patients underwent EU, MRI and EUA. Read More

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http://dx.doi.org/10.1590/0100-6991e-20181840DOI Listing
January 2019

Surgical Treatment of Cervical Spine Fibrous Dysplasia: Case Report and Literature Review.

Int J Spine Surg 2018 Dec 21;12(6):659-664. Epub 2018 Dec 21.

Spine Unit, University Hospital of Vall d'Hebron, Barcelona, Spain.

Background: Fibrous dysplasia (FD) is an uncommon benign intramedullary fibro-osseous lesion. Cervical spine compromise is rare with only cases reported. Currently, the natural history of cervical FD is poorly understood, and its treatment remains controversial. Read More

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http://dx.doi.org/10.14444/5082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314346PMC
December 2018
1 Read

Cardiovascular imaging approach in pre and postoperative tetralogy of Fallot.

BMC Cardiovasc Disord 2019 Jan 7;19(1). Epub 2019 Jan 7.

Mid-German Heart Center, Department of Internal Medicine III (KIM-III), Division of Cardiology, Angiology and Intensive Medical Care, University Hospital Halle, Martin-Luther-University Halle, Ernst-Grube-Strasse 40, D-06120, Halle (Saale), Germany.

Advances in the medical and surgical management of Tetralogy of Fallot have led to marked increase of the number and age of survivors. Imaging in patients with Tetralogy of Fallot plays a crucial role in the diagnosis and follow up, and essentially guides management and intervention in this entity. This study systematically reviews the imaging modalities used in patients with Tetralogy of Fallot in the evaluation of preoperative and postoperative anatomic and hemodynamic lesions, as well as disease progression in this diagnosis. Read More

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http://dx.doi.org/10.1186/s12872-018-0996-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323806PMC
January 2019
2 Reads

Preoperative quality-of-life measures predict acute postoperative pain in endoscopic sinus surgery.

Laryngoscope 2019 Jan 6. Epub 2019 Jan 6.

Vanderbilt University School of Medicine, Otolaryngology & Head and Neck Surgery, Nashville, Tennessee, U.S.A.

Objectives: Recent increases in opioid-related mortality have prompted a critical evaluation of postoperative pain management across all specialties. However, successfully limiting narcotic overprescription requires perioperative identification of patients who are at risk for high postoperative pain. Unfortunately, quality data to guide practice patterns are lacking. Read More

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http://dx.doi.org/10.1002/lary.27763DOI Listing
January 2019
1 Read

Clinical impact and cost-effectiveness of noncontrast MRI in the evaluation of suspected appendiceal abscesses in children.

J Magn Reson Imaging 2019 Jan 4. Epub 2019 Jan 4.

Department of Medical Imaging, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.

Background: Noncontrast MRI has been shown to be feasible in children with postappendectomy abscesses and helps guide clinical management, but its role in preoperative appendiceal abscesses is unclear.

Purpose: To determine the cost-effectiveness and impact on clinical management of noncontrast MRI in pediatric patients with suspected appendiceal abscess, both pre- and postappendectomy.

Study Type: Retrospective cohort study. Read More

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http://dx.doi.org/10.1002/jmri.26624DOI Listing
January 2019
2 Reads

Diagnostic Value of Contrast-Enhanced Digital Mammography versus Contrast-Enhanced Magnetic Resonance Imaging for the Preoperative Evaluation of Breast Cancer.

J Breast Cancer 2018 Dec 26;21(4):453-462. Epub 2018 Dec 26.

Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Purpose: This study aimed to compare the diagnostic performance of contrast-enhanced digital mammography (CEDM) and contrast-enhanced magnetic resonance imaging (CEMRI) in preoperative evaluations, and to evaluate the effect of each modality on the surgical management of women with breast cancer.

Methods: This single-center, prospective study was approved by the Institutional Review Board, and informed consent was obtained from all patients. From November 2016 to October 2017, 84 patients who were diagnosed with invasive carcinoma (69/84) and ductal carcinoma (15/84), and underwent both CEDM and CEMRI, were enrolled. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4048/jbc.2018.21
Publisher Site
http://dx.doi.org/10.4048/jbc.2018.21.e62DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310721PMC
December 2018
6 Reads

Optical Imaging Technology: A Useful Tool to Identify Remission in Cushing Disease After Surgery.

Horm Metab Res 2019 Feb 2;51(2):120-126. Epub 2019 Jan 2.

Section on Endocrinology and Genetics Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, Maryland, USA.

We recently reported the use of optical imaging technology to quantify facial plethora in endogenous Cushing syndrome (CS). In the present study, we studied a larger cohort of patients with Cushing disease (CD) and examined water content fraction as well as blood volume fraction as bio-optic markers for determining the efficacy of this methodology as a predictor of lasting remission after surgery for CS. We imaged 49 patients before and after transsphenoidal surgery (TSS) for Cushing disease (CD); 22 patients were also seen at 3-6 months, and 13 patients 12 months post-operatively. Read More

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http://dx.doi.org/10.1055/a-0801-8917DOI Listing
February 2019
4 Reads

The Abdominal Hernia-Q: Development, Psychometric Evaluation, and Prospective Testing.

Ann Surg 2018 Dec 26. Epub 2018 Dec 26.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.

Objective: Our study completes the development and estimates the psychometric properties of a novel, ventral hernia-specific patient reported outcomes (PRO) tool-the Abdominal Hernia-Q (AHQ).

Summary Background Data: A standardized method for measuring hernia-related PRO has not been identified. There remains a need for a broadly applicable, hernia-specific tool that incorporates patient viewpoints and offers pre- and postoperative forms. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003144DOI Listing
December 2018
3 Reads

Low predictive power of comorbidity indices identified for mortality after acute arthroplasty surgery undertaken for femoral neck fracture.

Bone Joint J 2019 Jan;101-B(1):104-112

Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Aims: Our aim was to examine the Elixhauser and Charlson comorbidity indices, based on administrative data available before surgery, and to establish their predictive value for mortality for patients who underwent hip arthroplasty in the management of a femoral neck fracture.

Patients And Methods: We analyzed data from 42 354 patients from the Swedish Hip Arthroplasty Register between 2005 and 2012. Only the first operated hip was included for patients with bilateral arthroplasty. Read More

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http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-0894.R1DOI Listing
January 2019
2 Reads

Patellofemoral arthroplasty versus total knee arthroplasty for patients with patellofemoral osteoarthritis.

Bone Joint J 2019 Jan;101-B(1):41-46

The Royal Infirmary of Edinburgh, Edinburgh, UK.

Aims: The primary aim of this study was to compare the knee-specific functional outcome of patellofemoral arthroplasty with total knee arthroplasty (TKA) in the management of patients with patellofemoral osteoarthritis.

Patients And Methods: A total of 54 consecutive Avon patellofemoral arthroplasties were identified and propensity-score-matched to a group of 54 patients undergoing a TKA with patellar resurfacing for patellofemoral osteoarthritis. The Oxford Knee Score (OKS), the 12-Item Short-Form Health Survey (SF-12), and patient satisfaction were collected at a mean follow up of 9. Read More

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http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-0654.R2DOI Listing
January 2019
2 Reads

Management and therapeutic options for abdominal aortic aneurysm coexistent with horseshoe kidney.

J Vasc Surg 2018 Dec 24. Epub 2018 Dec 24.

Department of Vascular Surgery, 401 General Military Hospital of Athens, Athens, Greece.

Background: Horseshoe kidney (HSK), referring to the abnormal fusion of the lower renal poles, represents one of the most common renal anomalies. One of its most significant features is the anomalous vasculature, with a number of accessory renal arteries originating from the aorta, the mesenteric arteries, and even the iliac arteries supplying both the renal kidneys and the renal isthmus.

Methods: A literature review was performed to identify and to present the most recent data regarding classification and imaging evaluation of HSK concomitant with abdominal aortic aneurysm (AAA). Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.009DOI Listing
December 2018
1 Read

Incidence of Intraspinal and Extraspinal MRI Abnormalities in Patients With Adolescent Idiopathic Scoliosis.

Spine Deform 2019 01;7(1):47-52

Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

Study Design: Retrospective study with follow-up.

Objectives: The purpose of this study was to determine the incidence of intraspinal and extraspinal MRI abnormalities in a consecutive series of patients with adolescent idiopathic scoliosis (AIS) and to describe the evaluation and management of these abnormalities.

Summary Of Background Data: Indications for preoperative magnetic resonance imaging (MRI) in patients with AIS remain controversial. Read More

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http://dx.doi.org/10.1016/j.jspd.2018.06.006DOI Listing
January 2019
2 Reads

Use of Preoperative Mammography During Evaluation for Nononcologic Breast Reduction Surgery.

JAMA Surg 2018 Dec 26. Epub 2018 Dec 26.

Section of Plastic Surgery, Department of Surgery, Michigan Medicine, Ann Arbor.

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http://dx.doi.org/10.1001/jamasurg.2018.4875DOI Listing
December 2018

The Benefits of Using a Small Caliber Ureteroscope in Evaluation and Management of Urethral Stricture.

Adv Urol 2018 21;2018:9137892. Epub 2018 Nov 21.

Kulkarni Reconstructive Urology Center, Pune, India.

Introduction And Objective: The proper evaluation of urethral strictures is an essential part of the surgical planning in urethral reconstruction. The proper evaluation of the stricture can be challenging in certain situations, especially when the meatus is involved. We propose that the use of a small caliber ureteroscope (4. Read More

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https://www.hindawi.com/journals/au/2018/9137892/
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http://dx.doi.org/10.1155/2018/9137892DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280311PMC
November 2018
12 Reads

Major vessel invasion by thyroid cancer: a comprehensive review.

Expert Rev Anticancer Ther 2018 Dec 24:1-13. Epub 2018 Dec 24.

a Department of Surgery , St. Paul's Hospital & University of British Columbia , Vancouver , British Columbia , Canada.

Introduction: Gross extrathyroidal extension of thyroid cancer is an indicator of a worse cancer prognosis and may lead to major vessel invasion (MVI) that represents an uncommon and highly morbid manifestation of disease progression. Areas covered: This review aims to evaluate the current literature reporting on thyroid cancer that exhibits MVI, with a focus on relevant patient and pathological characteristics, diagnostic evaluation, and management, of this uncommon but challenging thyroid cancer presentation. Expert commentary: Vascular invasion by thyroid cancer is uncommon and has a poor prognosis with high associated perioperative morbidity and mortality. Read More

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http://dx.doi.org/10.1080/14737140.2019.1559059DOI Listing
December 2018
1 Read

Perioperative thrombocytopenia: evidence, evaluation, and emerging therapies.

Br J Anaesth 2019 Jan 25;122(1):19-31. Epub 2018 Oct 25.

Department of Anesthesia Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Thrombocytopenia is a common perioperative clinical problem. While global haemostasis is influenced by many patient- and procedure-related factors, the contribution of thrombocytopenia to bleeding risk is difficult to predict, as platelet count does not linearly correlate with likelihood of bleeding. Thus, the widely used definition of thrombocytopenia and grading of its severity have limited clinical utility. Read More

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http://dx.doi.org/10.1016/j.bja.2018.09.010DOI Listing
January 2019
1 Read

Jejunal leiomyosarcoma: Report of a rare case diagnosed on cytology.

Diagn Cytopathol 2018 Dec 21. Epub 2018 Dec 21.

Department of Radiodiagnosis and Interventional Radiology, AIIMS, Jodhpur, India.

Jejunal leiomyosarcomas (LMS) are extremely rare. Of all the mesenchymal tumors of the small intestine, Gastrointestinal Stromal Tumors (GIST) comprise the majority. LMS of the small intestine have been documented as isolated reports or only a very small percentage of the smooth muscle tumors of the small intestine. Read More

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http://doi.wiley.com/10.1002/dc.24136
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http://dx.doi.org/10.1002/dc.24136DOI Listing
December 2018
6 Reads

Systematic review of the utility of 18-FDG PET in the preoperative evaluation of IPMNs and cystic lesions of the pancreas.

Surgery 2018 Dec 18. Epub 2018 Dec 18.

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital; Duke-NUS Medical School, Singapore. Electronic address:

Background: The aim of this systematic review is to assess the role of 18-fluorodeoxyglucose positron emission tomography in the preoperative evaluation of intraductal papillary mucinous neoplasms and cystic lesions of the pancreas.

Methods: A computerized PubMed search was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to identify studies evaluating positron emission tomography in the preoperative evaluation of pancreatic cystic lesions.

Results: A total of 14 studies evaluated the role of 18-fluorodeoxyglucose positron emission tomography/positron emission tomography-computed tomography, 9 of which evaluated only intraductal papillary mucinous neoplasms and 5 evaluated all pancreatic cystic lesions, including intraductal papillary mucinous neoplasms. Read More

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http://dx.doi.org/10.1016/j.surg.2018.11.006DOI Listing
December 2018
1 Read

American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence-based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules.

Head Neck 2018 Dec 18. Epub 2018 Dec 18.

Department of Otolaryngology, Massachusetts General Hospital, Boston, Massachusetts.

Background: Care for patients with thyroid nodules is complex and multidisciplinary, and research demonstrates variation in care. The objective was to develop clinical guidelines and quality metrics to reduce unwarranted variation and improve quality.

Methods: Multidisciplinary expert consensus and modified Delphi approach. Read More

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http://dx.doi.org/10.1002/hed.25526DOI Listing
December 2018
1 Read