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    8959 results match your criteria Preoperative Evaluation and Management

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    Review of management and morbidity of pediatric craniopharyngioma patients in a low-middle-income country: a 12-year experience.
    Childs Nerv Syst 2017 Apr 28. 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 Apr 24. Epub 2017 Apr 24.
    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 *Mehran Zarei-Ghanavati and Venkata Avadhanam contributed equally to the manuscript.
    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 Apr 21. Epub 2017 Apr 21.
    *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

    Subungual Glomus Tumours: Is Magnetic Resonance Imaging or Ultrasound Necessary for Diagnosis?
    Malays Orthop J 2017 Mar;11(1):47-51
    Department of Orthopaedics, Grande International Hospital Kathmandu, Nepal.
    Introduction: Diagnosis of subungual glomus tumour is mostly based on detailed history and clinical examination. Recently, Magnetic Resonance Imaging (MRI) and Ultrasound have been proposed as the imaging modality to confirm the clinical diagnosis and in planning the surgical management of these tumours. However, these imaging modalities are not routinely available in rural setting and also are expensive. Read More

    Transoral intracranial injury via middle skull base by a blunt chopstick in a child.
    World Neurosurg 2017 Apr 20. Epub 2017 Apr 20.
    Department of Neurosurgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Road, 310003, Hangzhou, China. Electronic address:
    Background: Transoral penetrating injury from a blunt-tipped chopstick is unusual and should be promptly dealt with since it is associated with high morbidity and mortality.

    Case Description: We report a peculiar case of a 2-year-old girl who suffered from a transoral penetrating brain injury after falling onto a bamboo chopstick, which penetrated through the hard palate and eventually led to middle skull base fracture as well as temporal lobe laceration and contusion. The chopstick was successfully extracted via transoral approach followed by administration of empirical antibiotics and anticonvulsants. Read More

    Effect of Body Mass Index on Venous Sinus Pressures in Idiopathic Intracranial Hypertension Patients Before and After Endovascular Stenting.
    Neurosurgery 2017 Apr 20. Epub 2017 Apr 20.
    Department of Neurosurgery, University of Virginia, Charlottesville, Virginia.
    Background: Elevated body mass index (BMI) has been correlated with worse outcomes after treatment for idiopathic intracranial hypertension (IIH). Venous sinus stenting (VSS) has emerged as a safe and effective treatment for a subset of patients with IIH and evidence of venous sinus stenosis. However, the association between BMI and the efficacy of VSS remains poorly characterized. Read More

    Comparison of Magnetic Resonance Imaging and Radiographs for Evaluation of Carpal Osteoarthritis.
    J Wrist Surg 2017 May 12;6(2):120-125. Epub 2016 Sep 12.
    Department of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York.
    Background We sought to evaluate the interobserver and intraobserver reliability of radiographs and magnetic resonance imaging (MRI) for grading of osteoarthritis in patients with scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC), and to determine whether MRI is more likely than radiographs to detect carpal osteoarthritis. Methods Radiographs and MR studies of 46 patients with SLAC and SNAC arthritis were reviewed by two hand surgeons and two radiologists and were graded according to severity of osteoarthritis at seven carpal joints. Interobserver and intraobserver reliability was assessed using a weighted kappa analysis. Read More

    Predictive Modeling of Massive Transfusion Requirements During Liver Transplantation and Its Potential to Reduce Utilization of Blood Bank Resources.
    Anesth Analg 2017 May;124(5):1644-1652
    From the *Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; †Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; and ‡Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
    Background: Patients undergoing liver transplantation frequently but inconsistently require massive blood transfusion. The ability to predict massive transfusion (MT) could reduce the impact on blood bank resources through customization of the blood order schedule. Current predictive models of MT for blood product utilization during liver transplantation are not generally applicable to individual institutions owing to variability in patient population, intraoperative management, and definitions of MT. Read More

    Preoperative assessment of mitral valve abnormalities in left atrial myxoma patients using cardiac CT.
    Oncotarget 2017 Mar 11. Epub 2017 Mar 11.
    Department of Radiology, West China Second University Hospital, Sichuan University, China.
    Background: To retrospectively evaluate mitral valve abnormality in left atrial myxoma patients by using cardiac computed tomography (CT).

    Material And Methods: Cardiac CT was performed in 56 patients with left atrial myxoma and 50 controls. Tumor and mitral valve characteristics were analyzed. Read More

    Preoperative imaging evaluation of pancreatic pathologies for the objective prediction of pancreatic fistula after pancreaticoduodenectomy.
    Surg Today 2017 Apr 18. Epub 2017 Apr 18.
    Department of Digestive and General Surgery, Shimane University Faculty of Medicine, 89-1 Enya, Izumo, Shimane, 693-8501, Japan.
    In performing pancreaticoduodenectomy (PD) or when conducting clinical trials involving PD procedure, a universal platform for predicting the risk of postoperative pancreatic fistula (POPF) is indispensable. In this article, the most significant imaging studies that focused on the objective preoperative assessment of pancreatic pathologies in association with the occurrence of POPF after PD were reviewed. Several recently developed imaging modalities can objectively predict the occurrence of POPF after PD by assessing the elasticity, fibrosis, and fatty infiltration of the pancreas. Read More

    Enterobius vermicularis in tubo-ovarian abscess: A rare and interesting incidental finding - A case Report.
    J Pak Med Assoc 2017 Apr;67(4):630-633
    Department of Pathology and Laboratory Medicine, The Aga Khan University Hospital, Karachi.
    Enterobius vermicularis is a common intestinal nematode; however, rare extraintestinal Enterobius infections have been reported from different parts of the world. Here, we present a case of tubo-ovarian abscess in an otherwise healthy young sexually active female with no known comorbids with history of on and off lower abdominal pain for one year and high grade fever for one month. On the basis of further workup and radiological evaluation, a preoperative diagnosis of right sided tubo-ovarian abscess was made and salpingo-oophorectomy was performed laproscopically in July 2015. Read More

    Vitreous Amyloidosis: Ocular, Systemic, and Genetic Insights.
    Ophthalmology 2017 Apr 12. Epub 2017 Apr 12.
    Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
    Purpose: To report the unique clinical and surgical characteristics encountered in eyes with vitreous amyloidosis. Systemic evaluation and visual outcome after vitrectomy are discussed. A novel mutation in the transthyretin gene (TTR) in Indian patients with familial amyloid polyneuropathy (FAP) is described. Read More

    Assessment of stability during gait in patients with spinal deformity-A preliminary analysis using the dynamic stability margin.
    Gait Posture 2017 Apr 5;55:37-42. Epub 2017 Apr 5.
    Motion Analysis Laboratory, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address:
    Daily living activities are dynamic, requiring spinal motion through space. Current assessment of spinal deformities is based on static measurements from full-spine standing radiographs. Tools to assess dynamic stability during gait might be useful to enhance the standard evaluation. Read More

    Bone Loss in Revision Total Knee Arthroplasty: Evaluation and Management.
    J Am Acad Orthop Surg 2017 May;25(5):348-357
    From the Department of Orthopaedic Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA (Dr. Sheth), and the Department of Orthopaedic Surgery, Universidade de São Paulo, São Paulo, Brazil (Dr. Bonadio and Dr. Demange).
    With the increasing number of total knee arthroplasty (TKA) procedures being performed annually, the burden of revision surgery is also expected to increase. Addressing bone loss during revision TKA is a considerable challenge that requires proper preoperative evaluation and surgical planning. In addition to an assessment of femoral and tibial bone loss, a systematic approach to the management of bone loss associated with TKA includes careful implant selection, adherence to the general principles of revision TKA, and an understanding of the available reconstruction options. Read More

    Hysteroscopy for Abnormal Uterine Bleeding and Fibroids.
    Clin Obstet Gynecol 2017 Jun;60(2):231-244
    Department of Obstetrics/Gynecology, Cleveland Clinic Foundation, Cleveland, Ohio.
    Operative hysteroscopy is a safe and effective minimally invasive treatment option for submucosal and intramural leiomyomas. We discuss preoperative evaluation, fluid management, postoperative complications, preventative measures, and hysteroscopic outcomes. Technical instructions and tips for successful hysteroscopy, as well as the various equipment options most commonly utilized in the United States, are also reviewed. Read More

    SF-36 preoperative interest of predicting improvement of quality of life after laparoscopic management of minimal endometriosis.
    J Gynecol Obstet Hum Reprod 2017 Feb 30;46(2):137-142. Epub 2017 Jan 30.
    Department of gynecologic surgery, CHU Estaing Clermont-Ferrand, 63058 Clermont-Ferrand cedex1, France; Clermont university, université d'Auvergne, ISIT UMR6284, 28, place Henri-Dunant, BP 10448, 63000 Clermont-Ferrand, France. Electronic address:
    The Purpose Of The Study: To study preoperative thresholds of the SF-36 components above which we can predict a high risk of failure in order to improve the quality of life after surgery for patients with minimal endometriosis.

    Material And Methods: Design: prospective and multicenter observational study between February 2004 and 2011.

    Patients: 167 patients with operated minimal endometriosis. Read More

    Pneumocytoma (sclerosing hemangioma), a potential pitfall.
    Diagn Cytopathol 2017 Apr 11. Epub 2017 Apr 11.
    Department of Pathology & Laboratory Medicine, Papanicolaou Cytology Laboratory, New York-Presbyterian Hospital, Weill Cornell Medical College, New York.
    Pneumocytoma is an uncommon benign tumor of the lung, derived from primitive respiratory epithelium, with a predilection for middle-aged females. A single, well-circumscribed mass is commonly identified on imaging, necessitating pathologic evaluation for further assessment. Fine-needle aspiration cytology is a minimally invasive and cost-effective method that can be utilized in the diagnosis of these lesions. Read More

    Comparison of Vaginal Hysterectomy Techniques and Interventions for Benign Indications: A Systematic Review.
    Obstet Gynecol 2017 May;129(5):877-886
    University of New Mexico, Albuquerque, New Mexico; the University of Texas Southwestern Medical Center, Dallas, Texas; Women & Infants Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island; the University of North Carolina, Chapel Hill, North Carolina; the University of Alabama at Birmingham, Birmingham, Alabama; ProHealth, Waukesha Memorial Hospital, Waukesha, Wisconsin; Columbia University Medical Center and Icahn School of Medicine at Mount Sinai, New York, New York; the Center for Evidence Based Medicine, Brown University School of Public Health, Providence, Rhode Island; and the Institute for Female Pelvic Medicine and Reconstructive Surgery, North Wales, Pennsylvania.
    Objective: To create evidence-based clinical practice guidelines based on a systematic review of published literature regarding the risks and benefits of available preoperative, intraoperative, and postoperative technical steps and interventions at the time of vaginal hysterectomy for benign indications.

    Data Sources: We systematically searched the literature to identify studies that compared technical steps or interventions during the preoperative, intraoperative, and postoperative periods surrounding vaginal hysterectomy. We searched MEDLINE, Cochrane Central Register of Controlled Trials, Health Technology Assessments, and ClinicalTrials. Read More

    Treatment of traumatic sternal fractures with titanium plate internal fixation: a retrospective study.
    J Cardiothorac Surg 2017 Apr 4;12(1):22. Epub 2017 Apr 4.
    Department of Thoracic Surgery, Shanghai Sixth People's Hospital, Shanghai, 200233, People's Republic of China.
    Background: This study aim to evaluate surgical procedures for titanium plate internal fixation of sternal fractures with displacement or nonunion.

    Methods: From January 2010 to December 2014, 64 patients with sternal fractures were treated with titanium plate internal fixation in the thoracic surgery department of the Shanghai Sixth People's Hospital. Pain severity scale scores were analyzed preoperatively and postoperatively. Read More

    Preoperative evaluation and surgical planning of submandibular gland tumors.
    Head Neck 2017 Mar 28. Epub 2017 Mar 28.
    Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
    Background: Roughly half of submandibular gland neoplasms are malignant. Because preoperative information on the nature of these tumors remains limited, both preoperative evaluation and assessment of the extent of primary surgery warrant guidelines that are more accurate.

    Methods: We evaluated the preoperative examinations and management of all submandibular gland neoplasms treated surgically at the Helsinki University Hospital between 2000 and 2010. Read More

    Management of Wilms Tumor: ICMR Consensus Document.
    Indian J Pediatr 2017 Apr 3. Epub 2017 Apr 3.
    Department of Medical Oncology, Dr. B.R.A Institute-Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
    Wilms tumor (WT) is the most common renal tumor of childhood. Although multidisciplinary care including surgery, chemotherapy and radiotherapy have greatly improved the survival rates in WT, there is a scope for further improvement in India and other resource-poor settings. In resource-limited settings, the majority of patients present with large tumors, which may either be unresectable or risky to resect; making preoperative chemotherapy followed by delayed surgery the preferred approach. Read More

    Preoperative evaluation of cervical lymph nodes for metastasis in patients with oral squamous cell carcinoma: A comparative study of efficacy of palpation, ultrasonography and computed tomography.
    Natl J Maxillofac Surg 2016 Jul-Dec;7(2):186-190
    Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, Odisha, India.
    Introduction: Oral cancer is a major health threat in a country like India, where patients frequently present with advanced disease with regional dissemination to cervical lymph nodes. The management and prognosis depend on the status of cervical lymph nodes. Thus, it becomes imperative to diagnose and evaluate them preoperatively. Read More

    State of the Art in Degenerative Cervical Myelopathy: An Update on Current Clinical Evidence.
    Neurosurgery 2017 Mar;80(3S):S33-S45
    Department of Surgery, Division of Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, Canada.
    Degenerative cervical myelopathy (DCM) is a common cause of spinal cord dysfunction that confronts clinicians on a daily basis. Research performed over the past few decades has provided improved insight into the diagnosis, evaluation, and treatment of this disorder. We aim to provide clinicians with an update regarding the state of the art in DCM, focusing on more recent research pertaining to pathophysiology, natural history, treatment, consideration of the minimally symptomatic patient, surgical outcome prediction, and outcome measurement. Read More

    Incidental metastatic mediastinal atypical carcinoid in a patient with parathyroid adenoma: a case report.
    J Med Case Rep 2017 Mar 26;11(1):81. Epub 2017 Mar 26.
    Department of Ear, Nose & Throat, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan.
    Background: Atypical carcinoid arising from the mediastinal tissue is a rare neuroendocrine tumor and an association with parathyroid adenoma is very unusual. We report an unusual case of atypical carcinoid of mediastinum with metastasis in a patient presenting with parathyroid adenoma, which is the first case to be reported from Pakistan.

    Case Presentation: A 51-year-old Pakistani man was seen in postoperative intensive care after right parathyroidectomy and mediastinal mass resection for the management of postoperative hypocalcaemia. Read More

    Anesthetic Management for Left Ventricular Assist Device Implantation Through Left Thoracotomy: Evaluation of On-Pump Versus Off-Pump.
    Transplant Proc 2017 Apr;49(3):587-592
    Department of Cardiovascular Surgery, Ege University Medical Faculty, Izmir, Turkey.
    Background: Ventricular assist devices (VADs) are alternative approaches to medical treatment in patients with acute or chronic heart failure. The goal of this study was to compare an anesthetic approach in patients undergoing implantation of a VAD with (on-pump) or without (off-pump) cardiopulmonary bypass (CPB) through left thoracotomy.

    Methods: A total of 32 patients were divided into 2 groups: on-pump (group 1) and off-pump (group 2). Read More

    Postoperative quality-of-life assessment in patients with spine metastases treated with long-segment pedicle-screw fixation.
    J Neurosurg Spine 2017 Mar 24:1-11. Epub 2017 Mar 24.
    Department of Neurosurgery, CHU d'Angers, France.
    OBJECTIVE In recent decades, progress in the medical management of cancer has been significant, resulting in considerable extension of survival for patients with metastatic disease. This has, in turn, led to increased attention to the optimal surgical management of bone lesions, including metastases to the spine. In addition, there has been a shift in focus toward improving quality of life and reducing hospital stay for these patients, and many minimally invasive techniques have been introduced with the aim of reducing the morbidity associated with more traditional open approaches. Read More

    Value of MDCT and Clinical and Laboratory Data for Predicting the Need for Surgical Intervention in Suspected Small-Bowel Obstruction.
    AJR Am J Roentgenol 2017 Apr;208(4):785-793
    1 Department of Radiology, University of Wisconsin School of Medicine & Public Health, E3/311 Clinical Science Center, 600 Highland Ave, Madison, WI 53792-3252.
    Objective: The purpose of this article is to assess the value of a large panel of clinical and MDCT variables in patients with suspected small-bowel obstruction (SBO) for predicting urgent surgical intervention (< 72 hours), bowel ischemia, and bowel resection.

    Materials And Methods: MDCT studies performed at admission for 179 nonconsecutive adults (mean age, 55.8 years; 86 men and 93 women) with suspected SBO were retrospectively reviewed by three board-certified radiologists. Read More

    Evaluation of the High-Frequency Monopolar Stimulation Technique for Mapping and Monitoring the Corticospinal Tract in Patients With Supratentorial Gliomas. A Proposal for Intraoperative Management Based on Neurophysiological Data Analysis in a Series of Ninety-Two Patients.
    Neurosurgery 2017 Jan 13. Epub 2017 Jan 13.
    Department of Neurosurgery, Hospital Universitari de Bellvitge, L´Hospitalet de Llobregat, Barcelona, Spain.
    Background: Intraoperative identification and preservation of the corticospinal tract is often necessary for glioma resection.

    Objective: To make a proposal for intraoperative management with the high-frequency monopolar stimulation technique for monitoring the corticospinal tract.

    Methods: Ninety-two patients operated on with the assistance of the high-frequency monopolar stimulation. Read More

    The effect of age at surgery and compensatory articulation on speech outcome in submucous cleft palate patients treated with double-opposing Z-plasty: A 10-year experience.
    J Plast Reconstr Aesthet Surg 2017 May 7;70(5):646-652. Epub 2017 Mar 7.
    Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Gumi Ro 173 Road 82, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, Republic of Korea. Electronic address:
    Background: Submucous cleft palate is a congenital deformity that may present as velopharyngeal insufficiency. The degree of anatomical abnormality varies widely among patients and does not predict severity of symptom. We present our 10-year experience treating submucous cleft palate patients with double opposing z-plasty and explore the effect of age at surgery and compensatory articulation on speech. Read More

    Postgastrectomy Syndromes and Nutritional Considerations Following Gastric Surgery.
    Surg Clin North Am 2017 Apr;97(2):277-293
    Surgical Oncology Section, Thoracic & Gastrointestinal Oncology Branch, National Cancer Institute, 10 Center Drive, MSC1201, Room 4-3940, Bethesda, MD 20892, USA.
    Postgastrectomy syndromes result from altered form and function of the stomach. Gastrectomy disrupts reservoir capacity, mechanical digestion and gastric emptying. Early recognition of symptoms with prompt evaluation and treatment is essential. Read More

    A Preoperative Medical History and Physical Should Not Be a Requirement for All Cataract Patients.
    J Gen Intern Med 2017 Mar 20. Epub 2017 Mar 20.
    Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA.
    Cataract surgery poses minimal systemic medical risk, yet a preoperative general medical history and physical is required by the Centers for Medicare and Medicaid Services and other regulatory bodies within 1 month of cataract surgery. Based on prior research and practice guidelines, there is professional consensus that preoperative laboratory testing confers no benefit when routinely performed on cataract surgical patients. Such testing remains commonplace. Read More

    Colonic Laterally Spreading Tumor Diagnosed as an Early Cancer and Treated with Endoscopic Mucosal Resection: A Case Report and Review of Literature.
    Middle East J Dig Dis 2017 Jan;9(1):49-54
    Mohamad Dossary Hospital, Saudi Arabia ; Department of Internal Medicine, University of Ein Shams, Egypt.
    Laterally spreading tumors (LSTs) are generally defined as superficial lesions ≥10 mm in diameter that typically extend laterally rather than vertically along the colonic wall. Such lesions are now increasingly reported because of increased awareness and the introduction of chromo and magnifying colonoscopy. Although the clinicopathological characteristics and the efficacy of endoscopic management of LSTs have been defined in Japanese cohorts, reports from the Middle East are lacking where surgical resection is the mainstay of treatment. Read More

    Is cervical disc arthroplasty good for congenital cervical stenosis?
    J Neurosurg Spine 2017 Mar 10:1-9. Epub 2017 Mar 10.
    Department of Neurosurgery, Neurological Institute, and.
    OBJECTIVE Cervical disc arthroplasty (CDA) has been demonstrated to be as safe and effective as anterior cervical discectomy and fusion (ACDF) in the management of 1- and 2-level degenerative disc disease (DDD). However, there has been a lack of data to address the fundamental discrepancy between the two surgeries (CDA vs ACDF), and preservation versus elimination of motion, in the management of cervical myelopathy associated with congenital cervical stenosis (CCS). Although younger patients tend to benefit more from motion preservation, it is uncertain if CCS caused by multilevel DDD can be treated safely with CDA. Read More

    Role of Clavicle Chest Cage Angle Difference in Predicting Postoperative Shoulder Balance in Lenke 5C Adolescent Idiopathic Scoliosis Patients after Selective Posterior Fusion.
    Orthop Surg 2017 Feb 9;9(1):86-90. Epub 2017 Mar 9.
    The Department of Spine Surgery, Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
    Objective: To evaluate the role of preoperative clavicle chest cage angle difference (CCAD) on postoperative radiographic shoulder imbalance, patient's satisfaction and surgeon's fulfillment in Lenke 5 adolescent idiopathic scoliosis (AIS). CCAD, as a novel radiographic parameter, has proven to be a reliable predictor for postoperative shoulder imbalance in Lenke 1 AIS patients. However, the value of CCAD in predicting shoulder balance has never been evaluated in Lenke 5 AIS patients. Read More

    Image-guided lacrimal drainage surgery in congenital arhinia-microphthalmia syndrome.
    Orbit 2017 Mar 8:1-7. Epub 2017 Mar 8.
    a Govindram Seksaria of Dacryology , L. V. Prasad Eye Institute , Hyderabad , India.
    The aim of this study was to illustrate the surgical techniques and utility of stereotactic or image-guided navigation in the management of lacrimal drainage obstruction in congenital arhinia-microphtalmia syndrome and review the relevant literature. Image-guided combined external and endoscopic dacryocystorhinostomy was performed in a female, aged 16 years with congenital partial arhinia and ipsilateral microphthalmus. The lacrimal sac was bypassed to the contra lateral nasal cavity through a septal window. Read More

    [Results of percutaneous discectomy in the management of lumbar disc herniation].
    Acta Ortop Mex 2016 Jul-Aug;30(4):170-175
    Coordinación de Investigación en Salud. Instituto Mexicano del Seguro Social (IMSS). México.
    Introduction: Percutaneous discectomy is a disc decompression technique approved by the FDA that is useful to improve pain caused by a herniated disc. However, its practice is under discussion because the benefits of the technique are controversial.

    Objectives: To describe the clinical course of patients with low lumbar disc herniation (L4-L5, L5-S1) treated by percutaneous surgery within one year of surgery and prove that it is a useful surgical option for the relief of symptoms caused by this pathological entity. Read More

    Current hypospadias management: Diagnosis, surgical management, and long-term patient-centred outcomes.
    Can Urol Assoc J 2017 Jan-Feb;11(1-2Suppl1):S48-S53
    Division of Urology, Department of Surgery and Pediatrics, London Health Sciences Centre, London, ON, Canada.
    In this article, we present the current approach to hypospadias, a review of the classification, preoperative evaluation, and factors that enable decision-making during surgery. We will then discuss patient-reported outcomes, evaluating the patients' and parents' perspectives regarding hypospadias repair. Read More

    Evaluation of the bundle 'Zero Surgical Site Infection' to prevent surgical site infection in vascular surgery.
    Ann Vasc Surg 2017 Mar 2. Epub 2017 Mar 2.
    Preventive Medicine and Public Health Service. University Hospital of Elche. Alicante. Comunidad Valenciana. Spain; Spanish coordinator of Zero Surgical Site Infection Project - Spanish Society of Preventive Medicine, Public Health and Hygiene (SEMPSPH).
    Objective: To compare the incidence of Surgical Site Infections (SSIs) before and after the implementation of a bundle of care called 'Zero Surgical Site Infection'. Secondary goals included estimating measures of association and their potential impact, determining care management indicators in vascular surgery, and evaluating the level of compliance with the bundle.

    Methods: This is a prospective observational study with a historic control group. Read More

    Complicated colorectal cancer in nonagenarian patients: is it better not to perform anastomosis in emergency?
    Ulus Travma Acil Cerrahi Derg 2017 Jan;23(1):15-22
    Department of Emergency Surgery, University Hospital of Parma, Parma-Italy.
    Background: Colorectal cancer (CRC) is predominantly a disease of elderly people. Cancer in nonagenarian patients presents an ethical dilemma for surgeons and oncologists, and management of this group of patients in emergency for complicated CRC is debated. Presently described is retrospective study reporting experience of 6 departments of emergency surgery with management of nonagenarian patients sent to emergency surgery for CRC complications. Read More

    Intraoperative diagnosis of Staphylococcus aureus and coagulase-negative Staphylococcus using Xpert MRSA/SA SSTI assay in prosthetic joint infection.
    New Microbiol 2017 Mar 1;40(2). Epub 2017 Mar 1.
    Istituto Ortopedico Rizzoli, via Pupilli 1 40136 Bologna, Italy.
    The aim of this prospective study was to evaluate the performance of the Polymerase Chain Reaction (PCR) tool Xpert MRSA/SA SSTI test (Cepheid, Sunnyvale, CA, USA) on periprosthetic samples from a cohort of patients with suspected prosthetic joint infection (PJI). Seventy adult patients were included in this prospective study. On the basis of the preoperative evaluation, 39 patients were clinically considered to have a PJI, whereas 31 were presumed to suffer from an aseptic mobilization of the implant. Read More

    Upper Eyelid Blepharoplasty: Evaluation, Treatment, and Complication Minimization.
    Semin Plast Surg 2017 Feb;31(1):51-57
    Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Institute, UC San Diego School of Medicine, La Jolla, California; Division of Plastic Surgery, Department of Surgery, UC San Diego School of Medicine, La Jolla, California.
    Upper eyelid blepharoplasty is one of the most common procedures performed worldwide for both functional and cosmetic indications. There is a high rate of patient satisfaction; however, in this era of social media, patient expectations are higher than ever. Today's digitally savvy patients expect perfect outcomes with no complications and rapid recovery. Read More

    Perioperative management of hepatectomy in patients with interstitial pneumonia: a report of three cases and a literature review.
    Surg Today 2017 Mar 1. Epub 2017 Mar 1.
    Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Gunma University, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
    Purpose: Interstitial pneumonia (IP) is a progressive and irreversible fibrosis and can be fatal if acute exacerbation (AE) occurs. While a useful risk-scoring system has been established for lung surgery, no risk evaluation exists for AE of IP related to non-pulmonary surgery. The objective of this review is to describe the management for patients with IP. Read More

    Targeted fascicular biopsy of the brachial plexus: rationale and operative technique.
    Neurosurg Focus 2017 Mar;42(3):E9
    Departments of 2 Neurologic Surgery.
    OBJECTIVE Nerve biopsy is useful in the management of neuromuscular disorders and is commonly performed in distal, noncritical cutaneous nerves. In general, these procedures are diagnostic in only 20%-50%. In selected cases in which preoperative evaluation points toward a more localized process, targeted biopsy would likely improve diagnostic yield. Read More

    Intraoperative dermoscopic features of onychomatricoma: a review of 10 cases.
    Clin Exp Dermatol 2017 Feb 28. Epub 2017 Feb 28.
    Department of Dermatology, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Lyon, France.
    Background: Amelanotic nail tumours are difficult to diagnose. Dermoscopy is an accessible tool successfully used in diagnosis of amelanotic or melanotic skin tumours. We have previously shown the usefulness of dermoscopy in the preoperative diagnosis of onychomatricoma (OM). Read More

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