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    9151 results match your criteria Preoperative Evaluation and Management

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    Preoperative Chest Radiography in Elective Surgery: Review and Update.
    S D Med 2017 Feb;70(2):81-87
    Department of Surgery, University of South Dakota Sanford School of Medicine.
    Introduction: The preoperative evaluation is designed to identify factors that may predispose a patient to perioperative complications in an effort to ensure patient safety. The use of chest radiography in the preoperative evaluation has progressed from routine testing to a more selective approach based on evidence that routine testing is low yield. However, preoperative chest radiography (POCR) may still be utilized more frequently than necessary as guidelines provide varying recommendations and providers continue to order the test by convention. Read More

    Perioperative Care of Elderly Surgical Outpatients.
    Drugs Aging 2017 Aug 14. Epub 2017 Aug 14.
    the First Hospital of China Medical University, Shenyang, China.
    The ambulatory setting offers potential advantages for elderly patients undergoing elective surgery due to the advancement in both surgical and anesthetic techniques resulting in quicker recovery times, fewer complications, higher patient satisfaction, and reduced costs of care. This review article aims to provide a practical guide to anesthetic management of elderly outpatients. Important considerations in the preoperative evaluation of elderly outpatients with co-existing diseases, as well as the advantages and disadvantages of different anesthetic techniques on a procedural-specific basis, and recommendations regarding the management of common postoperative complications (e. Read More

    Role of urodynamics in management of urethral diverticulum in females.
    J Chin Med Assoc 2017 Aug 11. Epub 2017 Aug 11.
    Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Shu-Tien Urological Science Research Center, Taipei, Taiwan, ROC.
    Background: Few studies have focused on the urodynamic findings of urethral diverticula (UD). We characterized the symptoms and urodynamic findings in women with UD.

    Methods: A retrospective review of all women in a single center having surgical treatment for symptomatic UD between May 2004 and September 2014 was done. Read More

    Management of osteonecrosis of the femoral head with pedicled iliac bone flap transfer: A multicenter study of 2190 patients.
    Microsurgery 2017 Aug 14. Epub 2017 Aug 14.
    Orthopedic Department, Affiliated Zhongshan Hospital of Dalian University, No 6 Jiefang Street, Zhongshan District, Dalian, China.
    Background: Osteonecrosis of the femoral head (ONFH) often affects young active adults and leads to destruction of the hip joint and disabling arthritis. Several procedures have been developed to arrest the progress of osteonecrosis and postpone the procedure of total hip replacement especially in young patients. The aim of this multicenter study was to analyze the results of the use of the vascularized iliac bone flap transfer for management of ONFH. Read More

    A complicated urethrovaginal fistula following an inappropriate urethral diverticulum management.
    Taiwan J Obstet Gynecol 2017 Aug;56(4):534-537
    Fellow of the Division of Urogynecology, Department of Obstetrics &Gynaecology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Al-Bashir Hospital, Amman, Jordan.
    Objective: Urethral diverticulum is uncommon, therefore appropriate evaluation, preoperative planning and counseling must be done in order to make correct diagnosis and prevent complications.

    Materials And Methods: A case of anterior vaginal wall mass was treated elsewhere by a gynecologist as periurethral cyst abscess; incision and drainage were done but a symptom of pus discharge was observed after 2 weeks. Therefore, exploration, cyst wall excision and primary closure were done though histopathological examination surprisingly confirmed the presence of urethral tissue suggestive of diverticulum. Read More

    Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?
    Int J Environ Res Public Health 2017 Aug 10;14(8). Epub 2017 Aug 10.
    Swedish Hip Arthroplasty Register, Centre of Registers Västra Götaland, Medicinargatan 18G, SE 413 45 Gothenburg, Sweden.
    The influence of comorbidities and worse physical status on mortality following total hip replacement (THR) leads to the idea that patient-reported health status may also be a predictor of mortality. The aim of this study was to investigate the relationship between patient-reported health status before THR and the risk of dying up to 5 years post-operatively. For these analyses, we used register data on 42,862 THR patients with primary hip osteoarthritis operated between 2008 and 2012. Read More

    Anesthesia for Kidney and Pancreas Transplantation.
    Anesthesiol Clin 2017 Sep 10;35(3):439-452. Epub 2017 Jul 10.
    Department of Anesthesiology, Columbia University Medical Center, College of Physicians & Surgeons, Columbia University, PH 527-B, 630 West 168th Street, New York, NY 10032, USA. Electronic address:
    Kidney transplants are the most common solid organ abdominal transplant and are occasionally performed simultaneously with pancreas transplants in diabetic patients. Preoperative evaluation of potential transplant recipients should focus on the potential for occult cardiovascular disease while also screening for other signs of end-organ dysfunction. Intraoperatively, it is of utmost importance to ensure adequate graft perfusion to limit the risk of postoperative graft dysfunction or rejection. Read More

    Impact of Pre-operative Cardiology Consultation Prior to Intermediate-risk Surgical Procedures.
    Eur J Clin Invest 2017 Aug 7. Epub 2017 Aug 7.
    Mugla Sitki Kocman University, Faculty of Medicine, Department of Cardiology.
    Background: Patients undergoing noncardiac, nonvascular surgery (NCNVS) are at risk of perioperative cardiovascular events. However, benefits of cardiology consultation (CC) in patients with known or suspected cardiac disease undergoing intermediate-risk NCNVS is unknown.

    Methods: The study group included 700 consecutive patients referred for CC before intermediate-risk NCNVS in a tertiary-care teaching hospital. Read More

    Utility of preoperative fine needle aspiration in parotid lesions.
    Laryngoscope 2017 Aug 7. Epub 2017 Aug 7.
    Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A.
    Objectives: Preoperative fine needle aspiration (FNA) of parotid lesions often is used in the initial evaluation of parotid masses, but its role in guiding surgical decision making remains unclear, in part due to varying diagnostic accuracy reported. We sought to evaluate the role of preoperative FNA in detection of malignancy and impact on surgical management.

    Study Design: Retrospective study. Read More

    An international consensus on the appropriate evaluation and treatment for adults with spinal deformity.
    Eur Spine J 2017 Aug 5. Epub 2017 Aug 5.
    Department of Orthopedics, Radboud University Medical Center, Nijmegen, The Netherlands.
    Purpose: Evaluation and surgical management for adult spinal deformity (ASD) patients varies between health care providers. The purpose of this study is to identify appropriateness of specific approaches and management strategies for the treatment of ASD.

    Methods: From January to July 2015, the AOSpine Knowledge Deformity Forum performed a modified Delphi survey where 53 experienced deformity surgeons from 24 countries, rated the appropriateness of management strategies for multiple ASD clinical scenarios. Read More

    Management of Urethral Stricture and Bladder Neck Contracture Following Primary and Salvage Treatment of Prostate Cancer.
    Curr Urol Rep 2017 Oct;18(10):76
    Department of Urology, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA, 01805, USA.
    Purpose Of Review: This article discusses the incidence, evaluation, and treatment of bladder outlet obstruction from urethral stricture, vesicourethral anastomotic stricture, and bladder neck contracture following primary and salvage treatment of prostate cancer.

    Recent Findings: Rates of stenosis after prostate cancer treatment appear similar across all primary treatment modalities including radical prostatectomy, radiation therapy, cryoablation, and high-intensity focused ultrasound in contemporary series. Urethral dilation and urethrotomy continue to report moderate patency rates. Read More

    Anesthetic management for lobectomy of a 2-month-old infant with bronchogenic cyst: Case report along with review of literature.
    Saudi J Anaesth 2017 Jul-Sep;11(3):340-342
    Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India.
    Bronchogenic cyst, a benign congenital cystic lesion of the lung, is a rare cause of respiratory distress in children comprising 7.5% of all mediastinal masses. A thorough preoperative evaluation is crucial to plan for definitive intra- and post-operative management. Read More

    Therapy of ulcus cruris of venous and mixed venous arterial origin with autologous, adult, native progenitor cells from subcutaneous adipose tissue: a prospective clinical pilot study.
    J Eur Acad Dermatol Venereol 2017 Jul 27. Epub 2017 Jul 27.
    Department of Dermatology, and Allergology Technical University Munich, Biedersteinerstrasse 29, 80802, Munich, Germany.
    Background: The stromal vascular fraction (SVF) of adipose tissue consists of cellular subpopulations with distinct regenerative potential.

    Objective: To investigate the regenerative capacities of autologous SVF cells in the treatment of chronic leg ulcers of venous (VLU) and arterial-venous (AVLU) origin.

    Methods: Multimorbid ulcer patients received a singular topical treatment with 9-15x10(6) SVF cells, separated from abdominal lipoaspirates by digestion with collagenase and dispase and applied immediately after isolation. Read More

    Determinants of operative time in thyroid surgery: A prospective multicenter study of 3454 thyroidectomies.
    PLoS One 2017 27;12(7):e0181424. Epub 2017 Jul 27.
    Hospices Civils de Lyon, Pôle Information Médicale Evaluation Recherche, Lyon, France.
    Objective: To identify the determinants of operative time for thyroidectomy and quantify the relative influence of preoperative and intra-operative factors.

    Background: Anticipation of operative time is key to avoid both waste of hospital resources and dissatisfaction of the surgical staff. Having an accurate and anticipated planning would allow a rationalized operating room use and may improve patient flow and staffing level. Read More

    Biliary complications after living donor liver transplantation: A retrospective analysis of the Kyoto experience 1999-2004.
    Indian J Gastroenterol 2017 Jul 26. Epub 2017 Jul 26.
    Kobe International Frontier, Medical Center Medical Corporation, Kobe, Japan.
    Background And Aim: In living donor liver transplantation (LDLT), biliary complications continue to be the most frequent cause of morbidity and may contribute to mortality of recipients although there are advances in surgical techniques. This study will evaluate retrospectively the short-term and long-term management of biliary complications.

    Methods: During the period from May 1999, to May 2004, 505 patients underwent 518 LDLT in the Department of Liver Transplantation and Immunology, Kyoto University Hospital, Japan. Read More

    [Anesthesiology and Outcome - Impact of the Perioperative Process].
    Anasthesiol Intensivmed Notfallmed Schmerzther 2017 Jul 25;52(7-08):525-541. Epub 2017 Jul 25.
    In recent years, the role of the anesthesiologist has turned tremendously from the "anaesthesia doctor" into a perioperative physician and risk specialist. Patients are older, multimorbid, and are called up for more and more extensive surgery and interventions. Socioeconomic aspects have grown in importance. Read More

    Bilateral buccinator myomucosal flap outcomes in nonsyndromic patients with repaired cleft palate and velopharyngeal insufficiency.
    J Plast Reconstr Aesthet Surg 2017 Jun 28. Epub 2017 Jun 28.
    Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, São Paulo, Brazil. Electronic address:
    Background: The purpose of this study was to assess speech outcomes and complication rate in nonsyndromic repaired cleft palate patients undergoing bilateral buccinator myomucosal flaps for velopharyngeal insufficiency management.

    Methods: A prospective study of consecutive repaired cleft palate patients with velopharyngeal insufficiency who underwent bilateral buccinator myomucosal flaps was conducted. Three experienced evaluators performed a blinded perceptual speech evaluation (hypernasality, audible nasal emission, and intraoral pressure). Read More

    Outpatient Lumbar Microdiscectomy in France: From an Economic Imperative to a Clinical Standard-An Observational Study of 201 Cases.
    World Neurosurg 2017 Jul 20. Epub 2017 Jul 20.
    Neurosurgery Department, CAPIO - Clinique des Cèdres, Cornebarrieu, France.
    Purpose: The outpatient lumbar discectomy procedures have been established for more than 2 decades. However, especially in Europe, there are still obstacles to the development of these procedures, which may be related to medicoeconomic imperatives, and to several factors concerning both surgeons and patients. We describe our initial experience in introducing this method in our institution. Read More

    The impact of frailty on functional survival in patients 1 year after cardiac surgery.
    J Thorac Cardiovasc Surg 2017 Jun 24. Epub 2017 Jun 24.
    Institute of Cardiovascular Sciences, St Boniface Hospital Research Centre, Winnipeg, Manitoba, Canada; Department of Surgery, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:
    Objective: This study determined whether frailty provides incremental value to the European System for Cardiac Operative Risk Evaluation II in identifying patients at risk of poor 1-year functional survival.

    Methods: This prospective study in patients undergoing cardiac surgery defined frailty using 3 common definitions: (1) the Modified Fried Criteria; (2) the Short Physical Performance Battery; and (3) the Clinical Frailty Scale. The primary outcome was functional survival, defined as being alive at 1 year postsurgery with a health-related quality of life score greater than 60 on the EuroQol-Visual Analogue Scale. Read More

    Intraoperative ultrasound for prediction of hepatocellular carcinoma biological behavior: prospective comparison with pathology.
    Liver Int 2017 Jul 21. Epub 2017 Jul 21.
    U.O.C. Anatomia Patologica, ASST Santi Paolo e Carlo, Università di Milano, Italy.
    Background And Aims: Preoperative prediction of both microinvasive hepatocellular carcinoma and histological grade of hepatocellular carcinoma is pivotal to treatment planning and prognostication. Aim of the study was to evaluate whether some intraoperative ultrasound features correlate with both the presence of same histological patterns and differentiation grade of hepatocellular carcinoma on the histologic features of the primary resected tumor.

    Methods: All patients with single, small hepatocellular carcinoma that underwent hepatic resection were included in this prospective double-blind study: the intraoperative ultrasound patterns of nodule were registered and compared with similar histological features. Read More

    Perioperative management of intracardiac leiomyomatosis: An observational cohort study.
    Medicine (Baltimore) 2017 Jul;96(29):e7522
    aDepartment of Anesthesiology bDepartment of Cardiac Surgery, Chinese Academy of Medical Sciences/Peking Union Medical College Hospital cDepartment of Anesthesiology, Peking University International Hospital, Beijing, P.R. China.
    Intracardiac leiomyomatosis (ICLM) is a rare condition in which the benign tumor extends into the right heart chambers through inferior vena cava. The best surgical approach still remains unclear.We present a retrospective cohort of 36 patients diagnosed with ICLM in Peking Union Medical College Hospital between 2002 and 2016. Read More

    Proteinuria in Patients Undergoing Renal Cancer Surgery: Impact on Overall Survival and Stability of Renal Function.
    Eur Urol Focus 2016 Dec 10;2(6):616-622. Epub 2016 Feb 10.
    Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:
    Background: Proteinuria is included in the Kidney Disease: Improving Global Outcomes (KDIGO) risk stratification for chronic kidney disease (CKD) in the general population. However, the importance of proteinuria in patients with renal cancer has not been adequately studied.

    Objective: To evaluate the prognostic impact of preoperative proteinuria on overall survival (OS) and renal function stability (RFS) for patients managed with renal cancer surgery. Read More

    Forearm Pronation Osteotomy for Supination Contracture Secondary to Obstetrical Brachial Plexus Palsy: A Retrospective Cohort Study.
    J Pediatr Orthop 2017 Sep;37(6):e357-e363
    *Department of Orthopedic Surgery, Texas Children's Hospital, Houston, TX †Division of Orthopaedics ‡Rehabilitation Services §Division of Plastic Surgery, Hospital for Sick Children, Toronto, ON, Canada.
    Background: Obstetrical brachial plexus palsy can lead to fixed forearm supination contracture. Fixed supination may lead to functional deficits as the affected hand cannot be positioned optimally for activities on a desk such as writing and typing, or for using tools including utensils, which require a neutral or pronated forearm. Forearm pronation osteotomy has been used to address this problem, although the functional benefit over nonoperative management has not been clearly defined. Read More

    Anaesthetic management of patients with myopathies.
    Eur J Anaesthesiol 2017 Jul 15. Epub 2017 Jul 15.
    From the Department of Anaesthesiology and Intensive Care Medicine, Medical Centre Cologne-Merheim, University Witten/Herdecke, Cologne, Germany (MS, JD, AB, FW, MUG).
    : The anaesthetic management of patients with myopathies is challenging. Considering the low incidence and heterogeneity of these disorders, most anaesthetists are unfamiliar with key symptoms, associated co-morbidities and implications for anaesthesia. The pre-anaesthetic assessment aims at the detection of potentially undiagnosed myopathic patients and, in case of known or suspected muscular disease, on the quantification of disease progression. Read More

    Pain drawings predict outcome of surgical treatment for degenerative disc disease in the cervical spine.
    Ups J Med Sci 2017 Jul 18:1-7. Epub 2017 Jul 18.
    a Department of Surgical Sciences , Uppsala University Hospital , Uppsala , Sweden.
    Introduction: Pain drawings have been frequently used in the preoperative evaluation of spine patients. For lumbar conditions comprehensive research has established both the reliability and predictive value, but for the cervical spine most of this knowledge is lacking. The aims of this study were to validate pain drawings for the cervical spine, and to investigate the predictive value for treatment outcome of four different evaluation methods. Read More

    Utility of 360° Real-time Endoanal Sonography for Evaluation of Perianal Fistulas.
    J Ultrasound Med 2017 Jul 14. Epub 2017 Jul 14.
    Department of Ultrasound, Peking University Third Hospital, Beijing, China; and Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
    Objectives: To assess the diagnostic accuracy and performance of 360° endoanal sonography for preoperative evaluation of perianal fistulas using surgical results as a reference standard.

    Methods: Between January 2012 and May 2016, 122 patients with suspicious anal fistulas and perianal abnormalities had real-time endoanal sonographic examinations using a 360° cross-sectional endoanal transducer (5-13 MHz) for preoperative evaluation of the disease. All patients underwent surgical interventions. Read More

    Evaluation of the geriatric co-management for patients with fragility fractures of the proximal femur (Geriatric Fracture Centre (GFC) concept): protocol for a prospective multicentre cohort study.
    BMJ Open 2017 Jul 12;7(7):e014795. Epub 2017 Jul 12.
    Department of Trauma Surgery, Medical University of Innsbruck, Innsbruck, Austria.
    Introduction: Treatment of fractures in the elderly population is a clinical challenge due partly to the presence of comorbidities. In a Geriatric Fracture Centre (GFC), patients are co-managed by a geriatrician in an attempt to improve clinical outcomes and reduce morbidity and mortality. Until now the beneficial effect of orthogeriatric co-management has not been definitively proven. Read More

    Head and Neck MRI Findings in CHARGE Syndrome.
    AJNR Am J Neuroradiol 2017 Jul 13. Epub 2017 Jul 13.
    From the Department of Radiology (M.J.H., S.H.P., W.W., G.M.F., M.H.), Section of Neuroradiology, and Department of Otolaryngology (D.J., J.T.R.), New York University Langone Medical Center, New York, New York.
    Coloboma of the eye, Heart defects, Atresia of the choanae, Retardation of growth and/or development, Genital and/or urinary abnormalities, and Ear abnormalities and deafness (CHARGE) syndrome is a disorder with multiple congenital anomalies seen on imaging. A retrospective review of 10 patients with CHARGE syndrome who underwent MR imaging of the brain as part of a preoperative evaluation for cochlear implantation was conducted. Structural abnormalities of the entire MR imaging of the head were evaluated, including the auditory system, olfactory system, face, skull base, and central nervous system. Read More

    Role of breast magnetic resonance imaging in predicting malignant invasion of the nipple-areolar complex: Potential predictors and reliability between inter-observers.
    Medicine (Baltimore) 2017 07;96(28):e7170
    aDepartemnt of Radiology, Changhua Christian Hospital, Changhua bDepartment of Surgery, Ministry of Healthy and Welfare Sinying Hospital, Tainan cComprehensive Breast Cancer Center, Changhua Christian Hospital, Changhua dSchool of Medicine, National Yang Ming University, Taipei eTumor Center fDepartment of Surgical Pathology, Changhua Christian Hospital, Changhua gSchool of Medicine, Chung Shan Medical University, Taichung hDepartment of Medical Technology, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli, Taiwan.
    In this study, we assessed the diagnostic accuracy of breast magnetic resonance imaging (MRI) for evaluation of malignant invasion of the nipple-areolar complex (NAC).Patients with primary operable breast cancer who underwent preoperative breast MRI and received surgery during January 2011 to December 2013 were collected. The accuracy and potential factors of MRI in predicting nipple invasion were evaluated by comparing preoperative MRI with postoperative histopathologic findings. Read More

    Update on Graves disease: advances in treatment of mild, moderate and severe thyroid eye disease.
    Curr Opin Ophthalmol 2017 Sep;28(5):505-513
    aJohns Hopkins University, Baltimore, Maryland, USA bKing Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
    Purpose Of Review: To report the most recent therapeutic advances of thyroid eye disease (TED) and offer general recommendations for management of TED.

    Recent Findings: Treatment of Graves ophthalmopathy is traditionally based on the use of high doses of corticosteroids and/or radiotherapy (RT) to decrease the activity of the disease, with the subsequent proptosis, strabismus and eyelid deformites treated with different surgical procedures. In recent years, the evidence that oxidative stress plays a relevant role in exacerbating TED severity has encouraged the use of antioxydative agents such as selenium, which has shown a capacity in limiting the disease progression. Read More

    Risk of surgical site infection, acute kidney injury, and Clostridium difficile infection following antibiotic prophylaxis with vancomycin plus a beta-lactam versus either drug alone: A national propensity-score-adjusted retrospective cohort study.
    PLoS Med 2017 Jul 10;14(7):e1002340. Epub 2017 Jul 10.
    Department of Medicine, VA Boston Healthcare System, West Roxbury, Massachusetts, United States of America.
    Background: The optimal regimen for perioperative antimicrobial prophylaxis is controversial. Use of combination prophylaxis with a beta-lactam plus vancomycin is increasing; however, the relative risks and benefits associated with this strategy are unknown. Thus, we sought to compare postoperative outcomes following administration of 2 antimicrobials versus a single agent for the prevention of surgical site infections (SSIs). Read More

    Diagnostic, Surgical, and Postoperative Challenges of Neuroendocrine Tumors of the Neck: Clinical Experience and Literature Review.
    Ann Vasc Surg 2017 Jul 6. Epub 2017 Jul 6.
    Department of Surgery, Shifa International Hospital, Shifa Tameer e Millat University, Islamabad, Pakistan.
    Background: Neuroendocrine tumors of the neck are rare swellings, which constitute about 0.03% of all tumors. Most are sporadically arising paragangliomas. Read More

    Use of 3D reconstruction cloacagrams and 3D printing in cloacal malformations.
    J Pediatr Urol 2017 Jun 20. Epub 2017 Jun 20.
    Seattle Children's Hospital, Seattle, WA, USA.
    Introduction: Cloacal anomalies are complex to manage, and the anatomy affects prognosis and management. Assessment historically includes examination under anesthesia, and genitography is often performed, but these do not consistently capture three-dimensional (3D) detail or spatial relationships of the anatomic structures. Three-dimensional reconstruction cloacagrams can provide a high level of detail including channel measurements and the level of the cloaca (<3 cm vs. Read More

    Cystic major salivary gland lesions: Utilizing fine needle aspiration to optimize the clinical management of a broad and diverse differential diagnosis.
    Diagn Cytopathol 2017 Sep 3;45(9):800-807. Epub 2017 Jul 3.
    Department of Pathology, The Johns Hopkins Hospital, Baltimore, Maryland.
    Introduction: The use of fine-needle aspiration (FNA) cytology for the preoperative evaluation of salivary gland lesions is an accepted but, currently, nonstandardized practice. More specifically, cystic major salivary gland lesions are relatively rare and can be very challenging to diagnose on FNA due to low cellularity and an incredibly broad differential diagnosis. The purpose of this study was to investigate the diagnostic utility of preoperative FNA cytology for cystic major salivary gland lesions. Read More

    Comparison of simulation-based assessments and faculty ratings for general surgery resident milestone evaluation: are they telling the same story?
    Am J Surg 2016 Aug 16. Epub 2016 Aug 16.
    Department of Surgery, UT Southwestern Medical Center, Dallas, TX, USA.
    Background: The goal of this article is to examine the role of simulation in documenting resident nontechnical competencies outlined by the general surgery milestones, and compare those assessments to faculty ratings.

    Methods: Trainees completed a multiphasic simulation scenario to assess ability to obtain informed consent, lead a preoperative time out, crisis management, communication, and delivering bad news. Assessments from this scenario were compared with ratings of these same competencies collected from clinical rotations. Read More

    From Staging to Prognostication: Achievements and Challenges of MR Imaging in the Assessment of Endometrial Cancer.
    Magn Reson Imaging Clin N Am 2017 Aug 27;25(3):611-633. Epub 2017 May 27.
    Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
    Endometrial cancer is the most common gynecologic malignancy in the United States, with recent increasing incidence mostly owing to obesity. Preoperative MR imaging is essential to stratify patients according to their risk of recurrence and to guide surgical management. In the combination of T2-weighted imaging, diffusion-weighted imaging, and dynamic contrast enhancement, MR imaging provides a "one-stop shop" approach for patient-specific accurate staging including the evaluation of the depth of myometrial invasion, cervical stromal invasion, extrauterine extension, and lymph node status. Read More

    Extra Articular Supracondylar Femur Fractures Managed with Locked Distal Femoral Plate or Supracondylar Nailing: A Comparative Outcome Study.
    J Clin Diagn Res 2017 May 1;11(5):RC19-RC23. Epub 2017 May 1.
    Assistant Professor, Department of Orthopaedics, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.
    Introduction: Despite recent evolution in the operating techniques and surgical implants, debate continues around the choice of implant for management of distal femur fractures. High rates of complications and union difficulties continues to make them a momentous therapeutic challenge.

    Aim: To compare the outcome of locked compressive plating versus retrograde nailing in the management of extra articular supracondylar femur fractures. Read More

    The role of imaging in strabismus.
    Curr Opin Ophthalmol 2017 Sep;28(5):465-469
    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

    Bull Cancer 2017 May;104 Suppl 1:S6-S15
    Département d'oncologie médicale, centre François-Baclesse, Caen, France.
    Ovarian Cancer, First Line, Multidisciplinarity: Recommendations for the clinical practice of Nice-Saint-Paul de Vence The treatment of advanced epithelial ovarian cancer is multidisciplinary involving surgical teams and surgery and medical oncology, experienced in the management of this disease, following published quality criteria. The strategy must be validated in multidisciplinary consultation meeting (RCP) before any treatment. The pre-therapeutic assessment includes the histological diagnosis, evaluation of the tumor extension (biological assessment, markers, imaging, laparoscopy), assessment of the general state (operability), in order to answer the question of feasibility of an initial optimal surgery. 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

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