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    EUS-FNA in cystic pancreatic lesions: Where are we now and where are we headed in the future?
    Endosc Ultrasound 2018 Mar-Apr;7(2):102-109
    Department of Gastroenterology, University Hospital of Santiago de Compostela, Santiago de Comppostela, Spain.
    EUS-FNA is often performed in the evaluation of Cystic Pancreatic Lesions (CPL) for a better preoperative characterization. The objective is to identify premalignant lesions as Mucinous Cystic Neoplasms, and/or a malignant transformation of them (adenocarcinoma). The role of cytological evaluation in this setting is discouraging and intracystic markers analysis, mainly CEA, lacks of a good specificity for the detection of mucinous neoplasms. Read More

    Clinical outcomes of detrusor underactivity in female with advanced pelvic organ prolapse following vaginal pelvic reconstructive surgery.
    Neurourol Urodyn 2018 Apr 17. Epub 2018 Apr 17.
    Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan, Republic of China.
    Aim: To determine the impact of vaginal pelvic reconstructive surgery (PRS) on detrusor underactivity (DU) patients having advanced pelvic organ prolapse (POP).

    Methods: A retrospective study of patients who underwent PRS for advanced POP (POP-Q ≥ 3) with DU. Data regarding preoperative evaluation, surgical procedure, and post-operative management were collated. Read More

    Bone Health following Bariatric Surgery: Implications for Management Strategies to Attenuate Bone Loss.
    Adv Nutr 2018 Mar;9(2):114-127
    Department of Human Metabolism and Nutrition, Hebrew University, Jerusalem, Israel.
    Bariatric surgery (BS) is an effective treatment for morbid obesity and its associated comorbidities. Following such a procedure, however, patients are at risk of developing metabolic bone disease owing to the combination of rapid weight loss, severely restricted dietary intake, and reduced intestinal nutrient absorption. Patients undergoing malabsorptive procedures are at a higher risk of postoperative bone health deterioration than those undergoing restrictive procedures; however, studies have demonstrated negative skeletal consequences of restrictive procedures as well. Read More

    Asymptomatic Deep Vein Thrombosis During Free Flap: Concerns in Free Flap Surgery.
    Plast Reconstr Surg 2018 Mar 30. Epub 2018 Mar 30.
    Department of Plastic and Reconstructive Surgery, School of Medicine, Ewha Womans University, Seoul, Korea.
    Background: Venous insufficiency is the most frequent cause of failure in free flap reconstruction of the lower extremity. When deep vein thrombosis (DVT) is detected during preoperative assessment of the lower extremity, decisions regarding treatment plans become difficult, and no relevant guidelines regarding surgery and preoperative treatment of patients with DVT who need a free flap transfer are currently available.

    Methods: In order to find a relevant guideline in decision-making regarding surgery and preoperative treatment of patients with DVT who require free flap reconstruction, a systematic literature review was conducted searching MEDLINE, PubMed Central, Cochrane, and Embase databases for articles published between 1996 and 2015. Read More

    Perforating head injury with iron rod and its miraculous escape: Case report and review of literature.
    Trauma Case Rep 2018 Apr 2;14:11-19. Epub 2018 Feb 2.
    Department of Neurosurgery, Second floor, College building, LTMG Hospital, Sion, Mumbai 22, India.
    Civilian perforating head injury is rare. Because rarity of this injury, there is no standard management protocol. We report a case of perforating head injury with iron rod, review the literature on the subject and discuss the challenges in the management of such case. Read More

    Airway Management for the Oral Surgery Patient.
    Oral Maxillofac Surg Clin North Am 2018 May;30(2):207-226
    Department of Periodontics, The Center for Advanced Dental Education, Saint Louis University, 3320 Rutger Street, St Louis, MO 63104, USA. Electronic address:
    This article discusses anesthesia assessment concepts related to airway evaluation and airway maintenance for safe and reliable selection of either open system (entrainment of room air) or closed system (no entrainment of room air) airway devices, which can be used during office-based oral surgical procedures, depending on the needs of a patient. Dental facial and oral structures are integral to an anesthetist's preoperative patient evaluation prior to surgery. The preoperative medical history and physical examination as well as the nature of the oral surgical procedure affect the selection of a proper and safe airway device. Read More

    Comparison of Pre- and Postoperative Sleep Studies in Patients Undergoing Sphincter Pharyngoplasty.
    Cleft Palate Craniofac J 2018 Jan 1:1055665618766060. Epub 2018 Jan 1.
    3 Plastic and Reconstructive Surgery, Children's Hospital of Michigan, Detroit, MI, USA.
    Objective: To determine if sphincter pharyngoplasty changes sleep study parameters on patients undergoing surgery for velopharyngeal insufficiency (VPI).

    Design: Retrospective chart review on patients undergoing sphincter pharyngoplasty for VPI with pre- and postoperative polysomnography completed.

    Setting: Institutional study at a tertiary pediatric hospital. Read More

    Outcomes After Open Reduction With Internal Fixation of Mandible Fractures.
    J Craniofac Surg 2018 Mar 30. Epub 2018 Mar 30.
    Department of Surgery, Marshall University, Huntington, WV.
    Introduction/hypothesis: Mandible fractures contribute substantially to morbidity after blunt trauma. Controversy exists surrounding the appropriate timing of surgical intervention and benefit from routine postreduction imaging.

    Methods: The authors retrospectively reviewed 146 patients who sustained traumatic mandible fractures at a level 2 trauma center over a 5-year period, between January 2012 and December 2016. Read More

    Impact of 3D printing on the surgical management of tracheal stenosis associated to pulmonary sling: a case report.
    J Thorac Dis 2018 Feb;10(2):E130-E133
    Pediatric Cardiac Surgery Unit, Heart Hospital, G. Monasterio Foundation, via Aurelia Sud, Massa, Italy.
    Congenital tracheal stenosis (CTS) is rare lesions frequently associated with pulmonary sling (PS). Despite the recent improvement in the results by the introduction of slide tracheoplasty (ST) and multidisciplinary approach, surgical management remains difficult and several authors, for this reason, debate for a conservative approach in these cases. Preoperative planning, require hence the use of the most innovative technology to gain the best possible result. Read More

    Preoperative assessment of peritoneal carcinomatosis of colorectal origin.
    J Visc Surg 2018 Mar 27. Epub 2018 Mar 27.
    Department of Surgical Oncologic & Digestive Unit, hôpital Lariboisière, Inserm UMR 965, université Sorbonne Paris Cité, Paris Diderot, AP-HP, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.
    The goal of preoperative assessment of patients with peritoneal carcinomatosis (PC) from colorectal origin is to select candidates for curative surgery by evaluating the possibility of complete resection, and to plan the surgical procedure. Quantitative and qualitative evaluation of lesional localization remains difficult even with current technical progress in imaging. Computed tomography (CT), the reference imaging technique, allows detection of both peritoneal and extra-peritoneal lesions. Read More

    [Transesophageal echocardiography in perioperative period guiding the decision making during hemodynamic instability due to atrial fibrillation].
    Rev Bras Anestesiol 2018 Mar 27. Epub 2018 Mar 27.
    Sociedade Brasileira de Anestesiologia (TSA-SBA), Rio de Janeiro, RJ, Brasil; Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brasil; Universidade Federal do Rio de Janeiro (UFRJ), Ciências Cirúrgicas, Rio de Janeiro, RJ, Brasil; Sociedade Brasileira de Anestesiologia (ETTI/SBA), Curso de Ecocardiografia Transesofágica, Rio de Janeiro, RJ, Brasil; Santa Casa de Juiz de Fora, Departamento de Anestesiologia, Juiz de Fora, MG, Brasil.
    Background And Objective: Atrial fibrillation is the most common cardiac arrhythmia, which may occur during the perioperative period and lead to hemodynamic instability due to loss of atrial systolic function. During atrial fibrillation management, electrical cardioversion is one of the therapeutic options in the presence of hemodynamic instability; however, it exposes the patient to thromboembolic event risks. Transesophageal echocardiography is a diagnostic tool for thrombi in the left atrium and left atrial appendage with high sensitivity and specificity, allowing early and safe cardioversion. Read More

    Incidental gallbladder carcinoma: Utility of histopathological evaluation of routine cholecystectomy specimens.
    South Asian J Cancer 2018 Jan-Mar;7(1):21-23
    Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
    Background: Incidental gallbladder carcinoma (IGBC) is rare cancer diagnosed during or after cholecystectomy done for benign gallbladder disease. The concern whether routine histopathological examination is needed for all cholecystectomy specimens still remains debatable.

    Materials And Methods: Twenty patients diagnosed with IGBC over a period of 2 years were retrospectively reviewed. Read More

    Evaluation of risk factors for complications after bariatric surgery.
    J Visc Surg 2018 Mar 26. Epub 2018 Mar 26.
    Unité multidisciplinaire de la chirurgie de l'obésité (UMCO), hôpital de Brabois, université de Lorraine, CHU de Nancy, 11, allée du Morvan, 54511 Vandoeuvre-les-Nancy, France; Unité Inserm U954, faculté de médecine, université de Lorraine, CHU de Nancy, 11, allée du Morvan, 54511 Vandoeuvre-les-Nancy, France. Electronic address:
    The decision to perform a bariatric surgical procedure, the conclusion of a clinical pathway in which management is individually adapted to each patient, is taken after multidisciplinary consultation. Paradoxically, the patients who would most benefit from surgery are also those who have the highest operative risk. In practice, predictive factors of mortality and severe postoperative complications (Clavien-Dindo>III) must be used to evaluate the benefit/risk ratio most objectively. Read More

    Decision-making for complex scapula and ipsilateral clavicle fractures: a review.
    Eur J Trauma Emerg Surg 2018 Mar 23. Epub 2018 Mar 23.
    Department of Orthopedic Surgery and Traumatology, Kantonsspital Frauenfeld, Pfaffenholzstrasse 4, 8501, Frauenfeld, Switzerland.
    Introduction: Complex scapula with ipsilateral clavicle fracures remains a challange and treatment recommendations are still missing.  This review provides an overview of the evolution of the definition, classification and treatment strategies for complex scapula and ipsilateral clavicle fractures. As with other rare conditions, consensus has not been reached on the most suitable management strategies to treat these patients. Read More

    The Role of Next-Generation Sequencing in the Cytologic Diagnosis of Pancreatic Lesions.
    Arch Pathol Lab Med 2018 Apr;142(4):458-464
    From the Department of Pharmacy and Biotechnology (Dipartimento di Farmacia e Biotecnologie)-Molecular Diagnostic Unit, Azienda USL di Bologna, University of Bologna, Bologna, Italy (Dr de Biase and Ms Pession); the Department of Medicine (Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale)-Molecular Diagnostic Unit, Azienda USL di Bologna, University of Bologna School of Medicine, Bologna, Italy (Drs Visani and Tallini and Ms Acquaviva); the Unit of Anatomic Pathology, Azienda USL-Maggiore Hospital, Bologna, Italy (Dr Fornelli); and the Units of Surgery (Dr Masetti) and Gastroenterology and Digestive Endoscopy (Dr Fabbri), Azienda USL Bologna Bellaria-Maggiore Hospitals, Bologna, Italy.
    Context: - Integration of the analysis of genetic markers with endoscopic ultrasound-guided fine-needle aspiration and cytologic evaluation has increased the accuracy of the preoperative diagnosis of pancreatic lesions. The application of high-throughput gene panel analysis using next-generation sequencing platforms is now offering a great opportunity for further improvements.

    Objective: - To review the application of next-generation sequencing to the preoperative diagnosis of pancreatic lesions. Read More

    Intracystic breast carcinoma. An important differential diagnosis in postmenopausal patients presenting with a rapidly growing breast cyst. Management and literature review.
    Breast Dis 2018 Mar 16. Epub 2018 Mar 16.
    Intracystic breast carcinoma is a rare clinical entity accounting for 0.5-2% of all breast cancers. It represents a distinctive clinical form rather a histological subtype of breast cancer and can either be in situ or invasive tumor. Read More

    Intraoperative bladder perforation during primary total hip arthroplasty.
    Arthroplast Today 2018 Mar 16;4(1):40-43. Epub 2017 May 16.
    Department of Orthopaedics, Drexel University College of Medicine, Hahneman University Hospital, Philadelphia, PA, USA.
    We present a unique case of bladder perforation occurring intraoperatively during primary total hip arthroplasty. It is suspected that the patient's aberrant bladder anatomy, with idiopathic erosion of the quadrilateral space, predisposed the patient to bladder injury. Several preoperative risk factors for bladder injury were identified in the literature. Read More

    Tracheotomy in the intensive care unit: Guidelines from a French expert panel: The French Intensive Care Society and the French Society of Anaesthesia and Intensive Care Medicine.
    Anaesth Crit Care Pain Med 2018 Mar 17. Epub 2018 Mar 17.
    EA 3072, FMTS université de Strasbourg, 67000 Strasbourg, France; Hôpitaux universitaires de Strasbourg, hôpital de Hautepierre, réanimation médicale, avenue Molière, 67200 Strasbourg, France. Electronic address:
    Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. Read More

    Who Is Ordering MRIs in Newly Diagnosed Breast Cancer Patients?
    Am Surg 2018 Mar;84(3):351-357
    The role of MRI in the workup of newly diagnosed breast cancer patients remains controversial. Breast MRI detects additional disease, but this has not translated into improved outcomes. In light of a dramatic rise in MRI use, we investigated patterns of MRI ordering for newly diagnosed breast cancer. Read More

    SPECIFIC SITUATIONS.
    Anaesth Crit Care Pain Med 2018 Mar 16. Epub 2018 Mar 16.
    Department of surgical anaesthesia and intensive care, South Paris university hospital (AP-HP), Hôpital de Bicêtre, 78 rue du Général Leclerc, 94275 le Kremlin, Bicêtre, France. Electronic address:
    Ambulatory surgery can be carried out in diabetic patients. By using a strict organisational and technical approach, the risk of glycaemic imbalance is minimised, allowing the patients to return to their previous way of life more quickly. Taking into account the context of ambulatory surgery, with a same day discharge, the aims are to minimise the changes to antidiabetic treatment, to maintain adequate blood sugar control and to resume oral feeding as quickly as possible. Read More

    Recommendations for Preoperative Management of Frailty from the Society for Perioperative Assessment and Quality Improvement (SPAQI).
    J Clin Anesth 2018 Mar 15;47:33-42. Epub 2018 Mar 15.
    Department of Medicine, Division of Aging, Brigham & Women's Hospital, Boston, MA, United States. Electronic address:
    Frailty is an age-related, multi-dimensional state of decreased physiologic reserve that results in diminished resiliency and increased vulnerability to stressors. It has proven to be an excellent predictor of unfavorable health outcomes in the older surgical population. There is agreement in recommending that a frailty evaluation should be part of the preoperative assessment in the elderly. Read More

    [Management of endometriosis: CNGOF-HAS practice guidelines (short version)].
    Gynecol Obstet Fertil Senol 2018 Mar 14;46(3):144-155. Epub 2018 Mar 14.
    Service de gynécologie-obstétrique et reproduction humaine, CHU Estaing, 1, place Lucie-Aubrac, 63003 Clermont-Ferrand, France; Faculté de médecine, Encov-ISIT, UMR6284 CNRS, université d'Auvergne, 28, place Henri-Dunant, 63000 Clermont-Ferrand, France.
    First-line investigations to diagnose endometriosis are clinical examination and pelvic ultrasound. Second-line investigations include pelvic examination performed by a referent clinician, transvaginal ultrasound performed by a referent echographist, and pelvic MRI. It is recommended to treat endometriosis when it is symptomatic. Read More

    Impact of breast MRI in women eligible for breast conservation surgery and intra-operative radiation therapy.
    Surg Oncol 2018 Mar 8;27(1):95-99. Epub 2018 Jan 8.
    Department of Radiation Oncology, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address:
    Purpose: The current standard of care for women diagnosed with early stage breast cancer is breast-conserving surgery (BCS) followed by external beam radiation therapy, commonly delivered over 3-6 weeks. As an alternative, select patients can undergo intra-operative radiation therapy (IORT) at the time of BCT. This technique delivers a single fraction of radiation at the time of surgery, enabling patients to undergo both surgery and radiation in a single session. Read More

    [Epidemiology and diagnosis strategy: CNGOF-HAS Endometriosis Guidelines].
    Gynecol Obstet Fertil Senol 2018 Mar 13;46(3):223-230. Epub 2018 Mar 13.
    Inserm CIC 1402, service de gynécologie-obstétrique et médecine de la reproduction, 2, rue de la Milétrie, 86000 Poitiers, France; Université de Poitiers, 86000 Poitiers, France; Inserm CIC 1402, 86000 Poitiers, France.
    Based on the best evidence available, we have provided guidelines for clinical practice to target the nature of endometriosis as a disease, the consequences of its natural history on management, and the clinical and imaging evaluation of the disease according to the level of care (primary care, specialized or referral). The frequency of endometriosis is unknown in the general population; endometriosis requires management when it causes symptoms (pain, infertility) or when it affect the function of an organ. In the absence of symptom, there is no need for follow-up or screening of the disease. Read More

    Effect of allergic rhinitis on nasal obstruction outcomes after functional open septorhinoplasty.
    Am J Otolaryngol 2018 Mar 5. Epub 2018 Mar 5.
    Department of Otolaryngology, University of Colorado School of Medicine, USA. Electronic address:
    Objective: To evaluate whether a diagnosis of allergic rhinitis affects surgical outcomes of open septorhinoplasty (OSR) and to examine whether OSR provides the same level of improvement in quality of life to patients with and without allergic rhinitis.

    Study Design, Setting, Subjects And Methods: We performed a retrospective evaluation of 646 patients who underwent open septorhinoplasty in a tertiary otolaryngology practice between 2008 and 2015. Preoperative and postoperative quality of life (QoL) measurement using the validated Nasal Obstruction Symptom Evaluation (NOSE) Scale was performed on 307 patients meeting inclusion criteria. Read More

    Surgical nuances in the separation of craniopagus twins - Our experience and a follow up of 15 years.
    Neurol India 2018 Mar-Apr;66(2):426-433
    Department of Anaesthesiology, Apollo Speciality Hospital, 3rd Block, Jayanagar, Bangalore, Karnataka, India.
    Craniopagus twins are conjoined twins fused at the cranium. This is the rarest anomaly seen in conjoined twins and craniopagus twins account for 2- 6% of conjoined twins. Conjoined twins are also extremely rare, with the anomaly seen in about 10-20 subjects per billion births. Read More

    Tracheotomy in the intensive care unit: guidelines from a French expert panel.
    Ann Intensive Care 2018 Mar 15;8(1):37. Epub 2018 Mar 15.
    EA 3072, FMTS, Université de Strasbourg, Strasbourg, France.
    Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. Read More

    Segmentation of liver and vessels from CT images and classification of liver segments for preoperative liver surgical planning in living donor liver transplantation.
    Comput Methods Programs Biomed 2018 May 12;158:41-52. Epub 2017 Dec 12.
    Department of Industrial Management and Engineering, Pohang University of Science and Technology, Pohang, 37673, South Korea.
    Background And Objective: The present study developed an effective surgical planning method consisting of a liver extraction stage, a vessel extraction stage, and a liver segment classification stage based on abdominal computerized tomography (CT) images.

    Methods: An automatic seed point identification method, customized level set methods, and an automated thresholding method were applied in this study to extraction of the liver, portal vein (PV), and hepatic vein (HV) from CT images. Then, a semi-automatic method was developed to separate PV and HV. Read More

    [Endometriosis medical treatment: Hormonal treatment for the management of pain and endometriotic lesions recurrence. CNGOF-HAS Endometriosis Guidelines].
    Gynecol Obstet Fertil Senol 2018 Mar 10;46(3):231-247. Epub 2018 Mar 10.
    Service de gynecologie-obstetrique et medecine de la reproduction, CHU de Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France; GRC-6 Centre expert en endométriose (C3E), UMR-S938 Inserm, Sorbonne université, 75012 Paris, France. Electronic address:
    The available literature, from 2006 to 2017, on hormonal treatment has been analysed as a contribution to the HAS-CNGOF task force for the treatment of endometriosis. Available data are heterogeneous and the general level of evidence is moderate. Hormonal treatment is usually offered as the primary option to women suffering from endometriosis. Read More

    Short-term and midterm survival of ruptured abdominal aortic aneurysms in the contemporary endovascular era.
    J Vasc Surg 2018 Mar 8. Epub 2018 Mar 8.
    Carolinas Medical Center, Sanger Heart and Vascular Institute, Charlotte, NC. Electronic address:
    Objective: Endovascular aneurysm repair (EVAR) has been shown to reduce mortality in the emergent repair of ruptured abdominal aortic aneurysms (AAAs). However, long-term survival data for this group of patients are lacking with contemporary endovascular endografts. The purpose of this study was to evaluate both 30-day mortality rates and 1-year survival in patients undergoing emergent EVAR in a 43-facility hospital system with a quaternary referral center with an established ruptured aneurysm protocol. Read More

    Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study.
    JAMA Otolaryngol Head Neck Surg 2018 Mar 8. Epub 2018 Mar 8.
    Department of Communication Sciences and Disorders, University of Wisconsin, Madison.
    Importance: It is important that clinicians understand consequences of thyoridectomy on swallowing from the patient perspective to better care for this population.

    Objective: Using rigorous qualitative methodology, this study set out to characterize the effect of swallowing-related symptoms after thyroidectomy on patient quality of life and swallowing-related outcomes.

    Design, Setting, And Participants: Prospective, grounded theory analysis of interviews with 26 patients at 3 time points after thyroidectomy (2 weeks, 6 weeks, and 6 months) Data were collected from an ongoing clinical trial (NCT02138214), and outpatient interviews were conducted at the University of Wisconsin Hospital and Clinics. Read More

    Endoscopic transnasal surgery of clival lesions: our experience.
    Eur Arch Otorhinolaryngol 2018 May 8;275(5):1149-1156. Epub 2018 Mar 8.
    Department of Otolaryngology, University Hospital of Verona, Piazzale Aristide Stefani 1, 37126, Verona, Italy.
    Background: The clivus is a region characterized by complex anatomy, with vascular and neural structures that are located in close proximity. Different pathologies can affect this area, and traditional surgical approaches were open approaches. Recently, the endoscopic transnasal technique has been introduced, and currently represents a good alternative for the surgical management of these lesions. Read More

    Using Patient Demographics and Statistical Modeling to Predict Knee Tibia Component Sizing in Total Knee Arthroplasty.
    J Arthroplasty 2018 Jan 31. Epub 2018 Jan 31.
    Transformative Technology Team, Department of the Knee Product Segment, Zimmer Biomet Inc, Warsaw, IN.
    Background: Preoperative planning is important to achieve successful implantation in primary total knee arthroplasty (TKA). However, traditional TKA templating techniques are not accurate enough to predict the component size to a very close range.

    Methods: With the goal of developing a general predictive statistical model using patient demographic information, ordinal logistic regression was applied to build a proportional odds model to predict the tibia component size. Read More

    Controversies in the Evaluation and Management of Otosclerosis.
    Otolaryngol Clin North Am 2018 Apr;51(2):487-499
    Department of Otolaryngology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9035, USA.
    Controversies have been associated with the etiology, diagnosis, evaluation, and management of otosclerosis since Valsalva first described stapes fixation as a cause of hearing loss. Although the exact mechanism of the bone remodeling associated with otosclerosis remains uncertain, stapedotomy has been accepted as the surgical treatment of most patients with stapedial otosclerosis. There remains a disparity of opinion, however, regarding the role of preoperative imaging, surgical technique, implant selection, and medical therapy for cochlear otosclerosis. Read More

    Impact of Imaging in Management of Otosclerosis.
    Otolaryngol Clin North Am 2018 Apr;51(2):343-355
    Department of Otolaryngology-Head and Neck Surgery, Bnai Zion Medical Center, The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Israeli School of Technology, Golomb 47 Street, Haifa 31048, Israel. Electronic address:
    The use of imaging in otosclerosis for diagnosis, preoperative assessment, and follow-up has the potential to give the clinician an additional tier of patient evaluation and validation of diagnosis. Before stapes surgery, imaging may help avoid unnecessary middle ear explorations in nonotosclerotic cases, prevent potential complications, and assist in appropriate patient counseling regarding management expectations. Postoperatively, following unsuccessful air-bone gap closure in stapes surgery or conductive hearing deterioration following initial successful closure of the air bone gap, imaging can be used to determine the prosthesis position in the middle ear. Read More

    The State of Technology in Craniosynostosis.
    J Craniofac Surg 2018 Mar 1. Epub 2018 Mar 1.
    Division of Plastic and Reconstructive Surgery, McGill University Health Center, Montreal, Canada.
    Introduction: Craniosynostosis, the premature fusion of ≥1 cranial sutures, is the leading cause of pediatric skull deformities, affecting 1 of every 2000 to 2500 live births worldwide. Technologies used for the management of craniofacial conditions, specifically in craniosynostosis, have been advancing dramatically. This article highlights the most recent technological advances in craniosynostosis surgery through a systematic review of the literature. Read More

    The value of fine needle aspiration cytology in the clinical management of rare salivary gland tumors.
    J Appl Oral Sci 2018 22;26:e20170267. Epub 2018 Feb 22.
    Mures County Emergency Clinic, Department of Oral and Maxillofacial Surgery, University of Medicine and Pharmacy of Tirgu Mures, Tirgu Mures, Romania.
    Salivary gland tumors are relatively rare neoplasms, mostly located in the parotid gland, and few are malignant. Preoperative evaluation of salivary gland tumors includes fine needle aspiration cytology (FNAC).

    Objective: The purpose of this study was to determine the importance of FNAC in the evaluation of rare salivary gland neoplasms. Read More

    Surgical Management of Idiopathic Constipation in Pediatric Patients.
    Clin Colon Rectal Surg 2018 Mar 25;31(2):89-98. Epub 2018 Feb 25.
    Department of Surgery, Harvard Medical School, Boston, Massachusetts.
    Constipation is a common childhood problem, but an anatomic or physiologic cause is identified in fewer than 5% of children. By definition, idiopathic constipation is a diagnosis of exclusion. Careful clinical evaluation and thoughtful use of imaging and other testing can help exclude specific causes of constipation and guide therapy. Read More

    Phase II Trial of Bevacizumab Plus Weekly Paclitaxel, Carboplatin, and Metronomic Cyclophosphamide With or Without Trastuzumab and Endocrine Therapy as Preoperative Treatment of Inflammatory Breast Cancer.
    Clin Breast Cancer 2018 Feb 2. Epub 2018 Feb 2.
    Division of Medical Senology, European Institute of Oncology, Milan, Italy.
    Background: Inflammatory breast cancer (IBC) is a rare and highly aggressive disease. A neoadjuvant regimen with chemotherapy and an antiangiogenic strategy was investigated.

    Patients And Methods: Patients with primary or recurrent IBC who were candidates for neoadjuvant treatment received weekly carboplatin and paclitaxel plus bevacizumab every 3 weeks and oral metronomic cyclophosphamide for 6 months. Read More

    Transient Secondary Hypothyroidism and Thyroid Hormone Replacement Therapy in Pediatric Postoperative Cardiopulmonary Bypass.
    Curr Cardiol Rev 2018 Feb 26. Epub 2018 Feb 26.
    Congenital Heart Center, Helen DeVos Children's Hospital, 100 Michigan NE (MC248), Grand Rapids, MI 49503. United States.
    Background: To develop an understanding of current practices in the management of transient secondary hypothyroidism in pediatric postoperative cardiopulmonary bypass (CPB) patients.

    Methods: Electronic survey comprising a 10-item questionnaire was sent to sixty-four high volume pediatric heart centers in the United States and United Kingdom. Survey participants included cardiologist, intensivists, cardiothoracic surgeons, and advanced practice providers. Read More

    Preanesthesia concerns in a patient with a thyroid mass.
    JAAPA 2018 Mar;31(3):1-3
    Gayle B. Bodner and Ashley L. Talbott practice in the Department of Anesthesiology at Wake Forest University Baptist Medical Center in Winston-Salem, N.C. The authors have disclosed no potential conflicts of interest, financial or otherwise.
    Preoperative evaluation helps identify patient comorbidities and surgical characteristics that increase perioperative risk, and also can help identify patients with potentially difficult airways. Identifying patients with difficult airways before surgery lets clinicians plan appropriate perioperative management and prepare for potential complications. This article focuses on management of a difficult airway in a patient undergoing surgery for a thyroid mass. Read More

    Preoperative fluid management in traumatic shock: A retrospective study for identifying optimal therapy of fluid resuscitation for aged patients.
    Medicine (Baltimore) 2018 Feb;97(8):e9966
    Emergency Department.
    Fluid resuscitation was used on aged patients with traumatic shock in their early postoperative recovery. The present study aimed to assess whether different fluid resuscitation strategies had an influence on aged patients with traumatic shock.A total of 219 patients with traumatic shock were recruited retrospectively. Read More

    Technical Aspects of Awake Craniotomy With Mapping for Brain Tumors in a Limited Resource Setting.
    World Neurosurg 2018 Feb 13. Epub 2018 Feb 13.
    Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Department of Neurosurgey , Niterói, Rio de Janeiro, Brazil.
    Background: Brain tumor surgery near or within eloquent regions is increasingly common and is associated with a high risk of neurological injury. Awake craniotomy with mapping has been shown to be a valid method to preserve neurological function while increasing the extent of resection. However, the technique used varies greatly among centers. Read More

    [Intraoperative optical coherence tomography in explorative vitrectomy in patients with vitreous haemorrhage-a case series].
    Ophthalmologe 2018 Feb 15. Epub 2018 Feb 15.
    Augenklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland.
    Background: High-resolution spectral domain optical coherence tomography (SD-OCT) is a gold standard technique for diagnosis, management and monitoring of patients with vitreoretinal diseases. Preoperative diagnostics for evaluation of intraocular and retinal status in patients with vitreous haemorrhage are limited, thus final therapeutic decisions can only be made during explorative vitrectomy. We evaluated the use of intraoperative SD-OCT (iSD-OCT) as a real-time additional diagnostic tool during explorative vitrectomy in patients with vitreous haemorrhage. Read More

    Cardiac surgery in adult patients with remitted or active malignancies: a review of preoperative screening, surgical management and short- and long-term postoperative results.
    Eur J Cardiothorac Surg 2018 Feb 13. Epub 2018 Feb 13.
    Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, Netherlands.
    Candidate patients for cardiac surgery procedures with a history of malignancies and antitumour therapy or with an active cancer and on antineoplastic treatment are increasingly common in daily practice. Oncological therapy can lead to cardiovascular injury and, therefore, has the potential for impacting operative risks and surgical strategies. This means that a number of considerations are essential to take into account prior to cardiac surgery. Read More

    Preoperative evaluation of the elderly surgical patient and anesthesia challenges in the XXI century.
    Aging Clin Exp Res 2018 Mar 14;30(3):229-235. Epub 2018 Feb 14.
    Perioperative Geriatric Medicine, University of San Marino, Contrada Omerelli, 20, 47890, San Marino, San Marino.
    Universally recognized goals of preoperative anesthesia assessment are the evaluation of patient's health status to define the entity of the surgical risk, and the anticipation of possible complications while optimizing and planning preventive strategies. Data obtained by Comprehensive Geriatric Assessment (CGA) and frailty evaluation are of extreme usefulness in surgical risk evaluation in older patients and in the decision about surgery. It is from the team-based discussion of such results that the most appropriate treatment can be individuated, surgery invasiveness and duration critically analyzed and if needed modified, and the best perioperative strategy carefully tailored. Read More

    Anesthesia and analgesia: how does the role of anesthetists changes in the ERAS program for VATS lobectomy.
    J Vis Surg 2018 11;4. Epub 2018 Jan 11.
    Department of Morphology, Surgery and Experimental Medicine, Azienda Ospedaliero-Universitaria Sant'Anna, Ferrara, Italy.
    Enhanced recovery after surgery (ERAS) programs are developed to prevent factors that delay postoperative recovery as well as issues that cause complications. The development of video-assist thoracoscopic surgery (VATS) techniques favors the fast recovery after thoracic procedures. ERAS strategies are based on multidisciplinary approach in which the anesthetist plays an important role from the preoperative to the postoperative phase with several goals. Read More

    High-resolution esophageal manometry in a Mexican population: diagnostic outcome.
    Dis Esophagus 2018 Feb 9. Epub 2018 Feb 9.
    Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
    High-resolution esophageal manometry (HREM) has become the method of choice for evaluation of esophageal motility disorders. There is a paucity of data with this technique from Hispanic countries. This study aims to characterize the diagnostic outcome of HREM in a large cohort of consecutive patients in Mexico. Read More

    Three groups of dissatisfied patients exist after total knee arthroplasty: early, persistent, and late.
    Bone Joint J 2018 Feb;100-B(2):161-169
    Freeman Hospital, Freeman Road, High Heaton, Newcastle upon Tyne NE7 7DD, UK.
    Aims: The primary aim of this study was to assess whether patient satisfaction one year after total knee arthroplasty (TKA) changed with longer follow-up. The secondary aims were to identify predictors of satisfaction at one year, persistence of patient dissatisfaction, and late onset dissatisfaction in patients that were originally satisfied at one year.

    Patients And Methods: A retrospective cohort consisting of 1369 patients undergoing a primary TKA for osteoarthritis that had not undergone revision were identified from an established arthroplasty database. Read More

    Evaluation and surgical outcome of acquired nonaccommodative esotropia among older children.
    Can J Ophthalmol 2018 Feb 25;53(1):45-48. Epub 2017 Sep 25.
    Ivey Eye Institute, Department of Ophthalmology, Western University, London, Ont.
    Objective: To describe the presentation, clinical evaluation, work-up, surgical management, and surgical outcomes in children older than 8 years with spontaneous, comitant, acquired nonaccommodative esotropia (ANAET).

    Design: Retrospective chart review.

    Participants: Children who underwent bilateral medial rectus recession surgery for ANAET with initial esotropia onset later than 8 years of age. Read More

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