6,409 results match your criteria Preoperative Testing


Preoperative screening for coagulopathy in elective neurosurgical patients in Wellington Regional Hospital and survey of practice across Australia and New Zealand.

J Clin Neurosci 2019 Mar 12. Epub 2019 Mar 12.

Department of Haematology, Wellington Regional Hospital, Wellington, New Zealand.

It is common practice to perform pre-operative coagulation screening in elective neurosurgery patients, including international normalised ratio (INR) and activated partial thromboplastin time (aPTT). We present a retrospective analysis of 1143 elective neurosurgical patients at Wellington Regional Hospital (WRH) in New Zealand between 2013 and 2017 on whom coagulation screening including INR and aPTT was performed prior to surgery. 21 patients (1. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.01.048DOI Listing

On the feasibility of transperineal 3D ultrasound image guidance for robotic radical prostatectomy.

Int J Comput Assist Radiol Surg 2019 Mar 13. Epub 2019 Mar 13.

Department of Electrical and Computer Engineering, University of British Columbia, 2332 Main Mall, Vancouver, BC, V6T 1Z4, Canada.

Purpose: Prostate cancer is the most prevalent form of male-specific cancers. Robot-assisted laparoscopic radical prostatectomy (RALRP) using the da Vinci surgical robot has become the gold-standard treatment for organ-confined prostate cancer. To improve intraoperative visualization of anatomical structures, many groups have developed techniques integrating transrectal ultrasound (TRUS) into the surgical workflow. Read More

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http://link.springer.com/10.1007/s11548-019-01938-w
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http://dx.doi.org/10.1007/s11548-019-01938-wDOI Listing
March 2019
1 Read

Assessment of Association Between Spino-Pelvic Parameters and Outcomes Following Gluteus Medius Repair.

Arthroscopy 2019 Mar 8. Epub 2019 Mar 8.

Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address:

Purpose: To evaluate postoperative coronal/sagittal spinal plane and spinopelvic parameters in patients undergoing gluteus medius repair and to identify associations between outcomes and the aforementioned spinopelvic variables.

Methods: Patients who underwent gluteus medius/minimus repair by a single surgeon between January 20, 2012, and November 25, 2015, were retrospectively identified from a prospectively collected database. Radiographic measurements included Cobb angle, lumbar lordosis, sagittal vertical axis (SVA), pelvic tilt, sacral slope, and pelvic incidence. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.10.147DOI Listing
March 2019
1 Read

Surgical Considerations for Vitamin D Deficiency in Foot and Ankle Surgery.

Orthop Clin North Am 2019 Apr 12;50(2):259-267. Epub 2019 Feb 12.

Department of Orthopaedics, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address:

Vitamin D deficiency affects nearly one-sixth of the world's population and is common in patients undergoing foot and ankle surgery. Vitamin D is critical for calcium homeostasis and plays an important role in the maintenance of bone health. Patients undergoing foot and ankle procedures can be evaluated preoperatively with vitamin D level testing, and deficiencies can be addressed with either preoperative or postoperative supplementation. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.10.008DOI Listing

Changes of Balance Control in Individuals with Lumbar Degenerative Spine Disease after Lumbar Surgery: A Longitudinal Study.

Spine J 2019 Mar 4. Epub 2019 Mar 4.

School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; Physical Therapy Center, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Background Context: Lumbar degenerative spine disease (DSD) with neurological symptoms is the most common indication requiring lumbar surgery when nonoperative treatment is not effective. Individuals with lumbar DSD have sensory, proprioception, and musculoskeletal system alterations, which may result in balance impairment. However, evidence regarding balance recovery in individuals with lumbar DSD after lumbar surgery is limited. Read More

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http://dx.doi.org/10.1016/j.spinee.2019.02.015DOI Listing
March 2019
1 Read

Auricle shaping using 3D printing and autologous diced cartilage.

Laryngoscope 2019 Mar 7. Epub 2019 Mar 7.

Departments of Plastic and Reconstructive Surgery, The Third Xiangya Hospital, Central South University, Changsha.

Objective: To reconstruct the auricle using a porous, hollow, three-dimensional (3D)-printed mold and autologous diced cartilage mixed with platelet-rich plasma (PRP).

Methods: Materialise Magics v20.03 was used to design a 3D, porous, hollow auricle mold. Read More

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http://doi.wiley.com/10.1002/lary.27752
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http://dx.doi.org/10.1002/lary.27752DOI Listing
March 2019
2 Reads
2.032 Impact Factor

Preoperative Cardiac Stress Tests Ordered in the Preoperative Evaluation Clinic: A Retrospective Review of Ordering Patterns.

Cardiol Res 2019 Feb 24;10(1):1-8. Epub 2019 Feb 24.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital/Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA.

Background: The role of anesthesiologists has expanded from operating rooms to preoperative evaluation clinics. This role involves performing preoperative cardiovascular evaluation and optimization of patients before elective surgery, which can include ordering cardiac stress tests. We aimed to study the ordering patterns by anesthesiologists for preoperative cardiac stress tests, focusing on whether societal and institutional guidelines and recommendations were used. Read More

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http://dx.doi.org/10.14740/cr821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396798PMC
February 2019

Early Active Motion Versus Sling Immobilization After Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial.

Arthroscopy 2019 Mar;35(3):749-760.e2

Glen Sather Sports Medicine Clinic, University of Alberta, Edmonton, Alberta, Canada; Division of Orthopedic Surgery, University of Alberta, Edmonton, Alberta, Canada; Division of Orthopedic Surgery, Grey Nuns Hospital, Edmonton, Alberta, Canada.

Purpose: To compare the effect of early mobilization (EM) with standard rehabilitation (SR) over the initial 24 months following arthroscopic rotator cuff (RC) repair.

Methods: A total of 206 patients with full-thickness RC tears undergoing arthroscopic repair were randomized following preoperative assessment of shoulder range of motion (ROM), pain, strength, and health-related quality of life (HRQOL) to either EM (n = 103; self-weaned from sling and performed pain-free active ROM during the first 6 weeks) or SR (n = 103; wore a sling for 6 weeks with no active ROM). Shoulder ROM, pain, and HRQOL were reassessed at 6 weeks and 3, 6, 12, and 24 months postoperatively by a blinded assessor. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.10.139DOI Listing
March 2019
2 Reads

The role of preoperative CEA in the management of colorectal cancer: A cohort study from two cancer centres.

Int J Surg 2019 Feb 26;64:10-15. Epub 2019 Feb 26.

Cabrini Monash University Department of Surgery, Cabrini Hospital, Malvern, VIC, Australia
.

Background: The primary aim of this study was to investigate whether a preoperative elevation in serum CEA is an independent prognostic factor for both 5-year overall and disease-free survival within an Australian patient cohort.

Materials And Methods: A retrospective study of a prospectively maintained colorectal neoplasia database for patients between January 2010 and June 2016 was performed. Patients were categorized into two groups according to the preoperative serum CEA level: low (<2. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.02.014DOI Listing
February 2019
2 Reads

Adiponectin: A Predictor for Breast Cancer Survival?

Eur J Breast Health 2019 Jan 19;15(1):13-17. Epub 2018 Dec 19.

Department of Endocrinology and Metabolism, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey.

Objective: Breast cancers in women with low serum adiponectin levels have been reported to show phenotypes that are more aggressive. In 2008, we investigated the relationship between serum adiponectin levels and breast cancer in our case-controlled study involving 83 patients, in which serum adiponectin levels were measured preoperatively. In this study, we aimed to investigate the relationship between serum adiponectin levels and breast cancer-specific survival among these 83 patients. Read More

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http://dx.doi.org/10.5152/ejbh.2018.4349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385722PMC
January 2019
1 Read

The Effect of Prehabilitation on Postoperative Outcome in Patients Following Primary Total Knee Arthroplasty.

Med Arch 2018 Dec;72(6):439-443

Neurology Clinic, University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina.

Introduction: Osteoarthritis (OA) is the most common joint disease in the world. At the end stage of the disease, usually when patients cannot handle the pain anymore, the knee replacement surgery is the most common and effective treatment to reduce pain and improve functionality. The effect of preoperative exercise (prehabilitation) for patients undergoing total knee arthroplasty (TKA) is still controversial. Read More

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http://dx.doi.org/10.5455/medarh.2018.72.439-443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340623PMC
December 2018

Utility of Preoperative Laboratory Testing in Women Undergoing Suburethral Sling.

Female Pelvic Med Reconstr Surg 2019 Mar/Apr;25(2):99-104

Department of Biomedical Informatics, Center for Biostatistics, The Ohio State University, Columbus, OH.

Objective: The aim of the study was to examine current patterns and factors associated with preoperative testing in patients undergoing midurethral sling and to compare 30-day outcomes in subjects.

Methods: This retrospective cohort study was performed using the National Surgery Quality Improvement Program database from 2005 to 2014. All women undergoing midurethral slings were identified by Current Procedural Terminology code. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000664DOI Listing
February 2019
1 Read

Correlation of MRI Findings With Patterns of Visual Field Loss in Patients With Pituitary Tumors.

J Neuroophthalmol 2019 Feb 22. Epub 2019 Feb 22.

Australian National University Medical School (EJK, PJM, KR, CJL), Canberra, Australia; Departments of Neurology (EJK, CJL), Radiology (DEA), Neurosurgery; (PJM), and Ophthalmology (KR), The Canberra Hospital, Canberra, Australia; and School of Engineering and Information Technology (AN), UNSW, Canberra, Australia.

Background: Compression of the optic chiasm by pituitary tumors typically results in bitemporal hemianopia, implying that nasal retinal fibers are preferentially damaged. The reason for this is not clear. One theory suggests that nasal fibers are selectively vulnerable simply because they cross each other. Read More

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http://dx.doi.org/10.1097/WNO.0000000000000763DOI Listing
February 2019
1 Read

SMART pass will prevent inappropriate operation of S-ICD.

J Arrhythm 2019 Feb 20;35(1):86-91. Epub 2018 Nov 20.

Department of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.

Background: Compared to screening ECG before implantation of a subcutaneous implantable cardioverter-defibrillator (S-ICD), selectable vectors without T-wave oversensing increase after S-ICD implantation. Newer algorithms have recently become available to reduce T-wave oversensing, such as SMART pass (SP). With this function, more selectable vectors are identified after S-ICD implantation. Read More

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http://dx.doi.org/10.1002/joa3.12141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373830PMC
February 2019
2 Reads

Treatment of Patients With Early-Stage Colorectal Cancer: ASCO Resource-Stratified Guideline.

J Glob Oncol 2019 Feb;5:1-19

19 New York-Presbyterian/Weill Cornell Medical Center, New York, NY.

Purpose: To provide resource-stratified, evidence-based recommendations on the treatment and follow-up of patients with early-stage colorectal cancer.

Methods: ASCO convened a multidisciplinary, multinational Expert Panel that reviewed existing guidelines and conducted a modified ADAPTE process and a formal consensus process with additional experts for one round of formal ratings.

Results: Existing sets of guidelines from 12 guideline developers were identified and reviewed; adapted recommendations from six guidelines form the evidence base and provide evidence to inform the formal consensus process, which resulted in agreement of 75% or more on all recommendations. Read More

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http://dx.doi.org/10.1200/JGO.18.00214DOI Listing
February 2019
1 Read

Locking Miniplate Osteosynthesis of Anterior Mandibular Fractures-Quo Vadis?

J Oral Maxillofac Surg 2019 Jan 30. Epub 2019 Jan 30.

Former Associate Professor, Department of Oral and Maxillofacial Surgery, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India. Electronic address:

Purpose: This study compared the clinical stability and efficacy of locking miniplates with those of standard miniplates in the osteosynthesis of anterior mandibular fractures using bite force recordings and other clinical parameters.

Materials And Methods: A prospective randomized double-blinded clinical trial was carried out in patients from various hospitals of Hassan (India). Patients were randomly divided into 2 groups of locking (test) and standard (control) miniplate osteosynthesis. Read More

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http://dx.doi.org/10.1016/j.joms.2019.01.029DOI Listing
January 2019
1 Read
1.280 Impact Factor

Contemporary Rates of Preoperative Cardiac Testing Prior to Inpatient Hip Fracture Surgery.

J Hosp Med 2019 02 20;14:E1-E5. Epub 2019 Feb 20.

Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland.

Hip fracture is a common reason for urgent inpatient surgery. In the past few years, several professional societies have identified preoperative echocardiography and stress testing for noncardiac surgeries as low-value diagnostics. We utilized data on hospitalizations with a primary diagnosis of hip fracture surgery between 2011 and 2015 from the State Inpatient Databases (SID) of Maryland, New Jersey, and Washington, combined with data on hospital characteristics from the American Hospital Association (AHA). Read More

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http://dx.doi.org/10.12788/jhm.3142DOI Listing
February 2019
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Analysis of the causes of false negative and false positive results of preoperative axillary ultrasound in patients with early breast cancer - a single-centre study.

Contemp Oncol (Pozn) 2018 31;22(4):247-251. Epub 2018 Dec 31.

Chair and Department of Surgical Oncology, Ludwik Rydygier's Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland.

Introduction: Properly planned and performed diagnostic tests allow the optimal treatment option to be chosen for the patient. They also allow qualification for the correct surgical procedure.

Aim Of The Study: In this study we evaluated the clinical value of preoperative ultrasound scan (USS) testing performed during primary disease staging in patients with early breast cancer qualified to sentinel lymph node biopsy (SLNB). Read More

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http://dx.doi.org/10.5114/wo.2018.82644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377422PMC
December 2018
1 Read

Choosing Wisely in preoperative testing: Are we there yet?

Authors:
Adriana D Oprea

J Clin Anesth 2019 Feb 16;56:136-137. Epub 2019 Feb 16.

Yale University School of Medicine, New Haven, CT, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.jclinane.2019.02.005DOI Listing
February 2019

Open Implantation of Autologous Chondrocytes Cultured on Porcine Collagen Membrane for the Treatment of a Full-Thickness Patellar Cartilage Lesion.

JBJS Essent Surg Tech 2018 Dec 14;8(4):e29. Epub 2018 Nov 14.

University of Minnesota Twin Cities, Minneapolis, Minnesota.

Large cartilage defects in the knee are debilitating for patients and challenging for surgeons to treat. Autologous chondrocyte implantation (ACI) has gained popularity over the past 20 years and has become the treatment of choice for large cartilage defects for some surgeons. Termed matrix-applied ACI (MACI), use of autologous chondrocytes cultured on porcine collagen membrane has recently been approved by the U. Read More

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http://dx.doi.org/10.2106/JBJS.ST.17.00066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358336PMC
December 2018

Neurocytoma mimicking macroadenoma.

Surg Neurol Int 2019 21;10. Epub 2019 Jan 21.

Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.

Background: Intraventricular and extraventricular central neurocytomas (CN) are equally frequent among 20-40-year-old men and women. However, sellar and suprasellar extraventricular CN are extremely rare, with only 12 reported cases.

Case Description: The authors report the case of a Brazilian 27-year-old man who presented with progressive vision loss during the last 4 years and serious bilateral keratoconus. Read More

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http://dx.doi.org/10.4103/sni.sni_387_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357540PMC
January 2019
1 Read

Preoperative MRI-radiomics features improve prediction of survival in glioblastoma patients over MGMT methylation status alone.

Oncotarget 2019 Jan 18;10(6):660-672. Epub 2019 Jan 18.

Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Background: Glioblastoma (GBM) is the most common malignant central nervous system tumor, and promoter hypermethylation in this tumor has been shown to be associated with better prognosis. We evaluated the capacity of radiomics features to add complementary information to status, to improve the ability to predict prognosis.

Methods: 159 patients with untreated GBM were included in this study and divided into training and independent test sets. Read More

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http://dx.doi.org/10.18632/oncotarget.26578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363013PMC
January 2019
1 Read

3D printing for heart valve disease: a systematic review.

Eur Radiol Exp 2019 Feb 15;3(1). Epub 2019 Feb 15.

University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713GZ, Groningen, The Netherlands.

Background: Current developments showed a fast-increasing implementation and use of three-dimensional (3D) printing in medical applications. Our aim was to review the literature regarding the application of 3D printing to cardiac valve disease.

Methods: A PubMed search for publications in English with the terms "3D printing" AND "cardiac valve", performed in January 2018, resulted in 64 items. Read More

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http://dx.doi.org/10.1186/s41747-018-0083-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377684PMC
February 2019

Routine Postoperative Cardiac Testing is Unnecessary Following Carotid Endarterectomy.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Staten Island University Hospital, 501 Seaview Ave, Suite 302, Staten Island, New York 10305. Electronic address:

Background: Routine laboratory testing to rule out myocardial infarction (MI) after carotid endarterectomy (CEA) is common in many centers. Its utility in this patient population has not been thoroughly investigated. We hypothesize that routine testing for MI in post-CEA patients is of low-yield and not cost-effective. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.028DOI Listing
February 2019
1 Read
1.029 Impact Factor

Incidence and malignancy rates of indeterminate pediatric thyroid nodules.

Cancer Cytopathol 2019 Feb 15. Epub 2019 Feb 15.

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

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

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

Awake Surgical Management of Third Ventricular Tumors: A Preliminary Safety, Feasibility, and Clinical Applications Study.

Oper Neurosurg (Hagerstown) 2019 Feb 12. Epub 2019 Feb 12.

Aurora Neuroscience Innovation Institute, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin.

Background: Endoscopic and microneurosurgical approaches to third ventricular lesions are commonly performed under general anesthesia.

Objective: To report our initial experience with awake transsulcal parafascicular corridor surgery (TPCS) of the third ventricle and its safety, feasibility, and limitations.

Methods: A total of 12 cases are reviewed: 6 colloid cysts, 2 central neurocytomas, 1 papillary craniopharyngioma, 1 basal ganglia glioblastoma, 1 thalamic glioblastoma, and 1 ependymal cyst. Read More

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http://dx.doi.org/10.1093/ons/opy405DOI Listing
February 2019
1 Read

Longitudinal progress of transepidermal water loss, color, and sensory elements in split-thickness skin graft donor sites in East Asians.

Int J Dermatol 2019 Feb 11. Epub 2019 Feb 11.

Department of Plastic and Reconstructive Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.

Background: There is little research available that describes the natural progression of split-thickness skin graft (STSG) donor site wounds after re-epithelialization. The purpose of this study was to evaluate the longitudinal clinical progress of transepidermal water loss (TEWL), color, and sensory elements in STSG donor sites in East Asians.

Methods: Eighteen patients participated in this study. Read More

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http://dx.doi.org/10.1111/ijd.14389DOI Listing
February 2019
1 Read

Sentinel node biopsy after primary systemic therapy in node positive breast cancer patients: Time trend, imaging staging power and nodal downstaging according to molecular subtype.

Eur J Surg Oncol 2019 Jan 31. Epub 2019 Jan 31.

Breast Surgery Unit, San Raffaele Hospital, Milan, Italy. Electronic address:

Background: The management of axilla after Primary Systemic Therapy (PST) for breast cancer is a highly debated field. Despite the proven axillary downstaging occurring after PST, there is still some degree of reluctance in applying sentinel node biopsy (SNB) in the neoadjuvant setting.

Patients And Methods: We performed a retrospective analysis on 181 PST patients with axillary positive nodes at presentation treated between 2005 and 2017 at San Raffaele Hospital in Milan. Read More

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http://dx.doi.org/10.1016/j.ejso.2019.01.219DOI Listing
January 2019
2 Reads

The Immune Checkpoint Kick Start: Optimization of Neoadjuvant Combination Therapy Using Game Theory.

JCO Clin Cancer Inform 2019 Feb;3:1-12

1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.

Purpose: In an upcoming clinical trial at the Moffitt Cancer Center for women with stage 2/3 estrogen receptor-positive breast cancer, treatment with an aromatase inhibitor and a PD-L1 checkpoint inhibitor combination will be investigated to lower a preoperative endocrine prognostic index (PEPI) that correlates with relapse-free survival. PEPI is fundamentally a static index, measured at the end of neoadjuvant therapy before surgery. We have developed a mathematical model of the essential components of the PEPI score to identify successful combination therapy regimens that minimize tumor burden and metastatic potential, on the basis of time-dependent trade-offs in the system. Read More

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http://ascopubs.org/doi/10.1200/CCI.18.00078
Publisher Site
http://dx.doi.org/10.1200/CCI.18.00078DOI Listing
February 2019
5 Reads

Functional MRI and direct cortical stimulation: Prediction of postoperative language decline.

Epilepsia 2019 Mar 11;60(3):560-570. Epub 2019 Feb 11.

Clinical Epilepsy Section, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland.

Objective: To assess the ability of functional MRI (fMRI) to predict postoperative language decline compared to direct cortical stimulation (DCS) in epilepsy surgery patients.

Methods: In this prospective case series, 17 patients with drug-resistant epilepsy had intracranial monitoring and resection from 2012 to 2016 with 1-year follow-up. All patients completed preoperative language fMRI, mapping with DCS of subdural electrodes, pre- and postoperative neuropsychological testing for language function, and resection. Read More

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http://doi.wiley.com/10.1111/epi.14666
Publisher Site
http://dx.doi.org/10.1111/epi.14666DOI Listing
March 2019
18 Reads

Current status of dental metal allergy in Japan.

J Prosthodont Res 2019 Feb 6. Epub 2019 Feb 6.

Center of Oral Clinical Examination, Hiroshima University Hospital, Hiroshima, Japan; Department of Periodontal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Purpose: To assess the current status of patients with dental metal allergies in Japan.

Methods: This study analyzed dental metal allergy in 1225 patients (1:3 male to female ratio; average age 53.0 ±16. Read More

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http://dx.doi.org/10.1016/j.jpor.2019.01.003DOI Listing
February 2019
2 Reads

Risk Factors for Cerebral Desaturation Events During Shoulder Surgery in the Beach Chair Position.

Arthroscopy 2019 Mar 4;35(3):725-730. Epub 2019 Feb 4.

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.

Purpose: The goals of this study were 2-fold: (1) to determine the risk factors for cerebral desaturation events (CDEs) after implementation of a comprehensive surgical and anesthetic protocol consisting of patient risk stratification, maintenance of normotensive anesthesia, and patient positioning in a staged fashion, and (2) to assess for subclinical neurologic decline associated with intraoperative ischemic events through cognitive testing.

Methods: One hundred patients undergoing shoulder surgery in the beach chair position were stratified for risk of CDE based on Framingham stroke criteria, body mass index (BMI), and history of cerebrovascular accidents. Cerebral oxygen saturation was monitored with near-infrared spectroscopy. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.10.123DOI Listing
March 2019
2 Reads

Long-term Follow-up of Intracapsular Schwannoma Excision.

Ann Plast Surg 2019 Mar;82(3):296-298

Medical University of Vienna, Vienna, Austria.

Introduction: The current criterion-standard treatment for schwannomas is intracapsular excision. This study was designed as a long-term follow-up to investigate postoperative symptoms, nervous impairment, and recurrence rate.

Methods: We performed a long-term follow-up of 18 subjects who underwent intracapsular schwannoma excision. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001812DOI Listing
March 2019
3 Reads

Virtual Reality Angiogram vs 3-Dimensional Printed Angiogram as an Educational tool-A Comparative Study.

Neurosurgery 2019 Feb 2. Epub 2019 Feb 2.

Department of Neurosurgery, Nepean Hospital, The University of Sydney, Sydney, Australia.

Background: Three-dimensional (3D) visualization of the neurovascular structures has helped preoperative surgical planning. 3D printed models and virtual reality (VR) devices are 2 options to improve 3D stereovision and stereoscopic depth perception of cerebrovascular anatomy for aneurysm surgery.

Objective: To investigate and compare the practicality and potential of 3D printed and VR models in a neurosurgical education context. Read More

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http://dx.doi.org/10.1093/neuros/nyz003DOI Listing
February 2019
2 Reads

Transplantation of donor lungs with pulmonary embolism - a retrospective study.

Transpl Int 2019 Feb 3. Epub 2019 Feb 3.

Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Lung transplantation from donors with fulminant pulmonary arterial embolism as a cause of death remains controversial. An analysis was performed comparing preoperative characteristics and outcomes of 25 donors with a primary diagnosis of pulmonary arterial embolism to 1085 recipients of donor lungs without pulmonary arterial embolism. No early functional impairment of donor lungs with pulmonary embolism was detectable as depicted by the incidence of primary graft dysfunction immediately after surgery (P = 0. Read More

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http://dx.doi.org/10.1111/tri.13407DOI Listing
February 2019
3 Reads

Effectiveness of posterior structures in the development of proximal junctional kyphosis following posterior instrumentation: A biomechanical study in a sheep spine model.

Acta Orthop Traumatol Turc 2019 Jan 30. Epub 2019 Jan 30.

Istanbul University, Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey.

Introduction: Proximal junctional kyphosis - PJK has been defined by a 10 or greater increase in kyphosis at the proximal junction as measured by the Cobb angle from the caudal endplate of the uppermost instrumented vertebrae (UIV) to the cephalad endplate of the vertebrae 1 segments cranial to the UIV. In this biomechanical study, it is aimed to evaluate effects of interspinosus ligament complex distruption and facet joint degeneration on PJK development.

Materials And Methods: Posterior instrumentation applied between T2 - T7 vertebrae using pedicle screws to randomly selected 21 sheeps, divided into 3 groups. Read More

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http://dx.doi.org/10.1016/j.aott.2019.01.003DOI Listing
January 2019
4 Reads

Urodynamic findings and functional outcomes after laparoscopic sacrocolpopexy for symptomatic pelvic organ prolapse.

Int Urogynecol J 2019 Feb 2. Epub 2019 Feb 2.

Andrology and Urogynecological Clinic, Santa Maria Hospital Terni, University of Perugia, Piazzale Tristano di Joanuccio, Terni, Italy.

Introduction And Hypothesis: The aim of this study was to evaluate the functional outcomes and urodynamic findings after laparoscopic sacrocolpopexy (LSC) in patients with stages II-IV pelvic organ prolapse (POP).

Methods: In this single-center prospective study, we evaluated 63 women (mean age 62.5 ± 7. Read More

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http://dx.doi.org/10.1007/s00192-019-03874-4DOI Listing
February 2019
3 Reads

Electrode Reconstruction Assists Postoperative Contact Selection in Deep Brain Stimulation.

World Neurosurg 2019 Jan 29. Epub 2019 Jan 29.

Department of Functional Neuro, the First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, Guangdong, China; Shenzhen University School of Medicine, Shenzhen, Guangdong, China. Electronic address:

Background: Postoperative contact selection of deep brain stimulation (DBS), testing one contact at a time, is a clinically time-consuming procedure being challenged by incoming applications of more complex DBS leads. The objective of this study is to guide clinicians to select the optimal contact by neuroanatomic information derived from electrode reconstruction.

Methods: We reviewed 33 patients with Parkinson disease who underwent bilateral subthalamic nucleus (STN) DBS with preoperative magnetic resonance imaging and postoperative computed tomography scan. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.101DOI Listing
January 2019
2 Reads

The association of preoperative cardiac stress testing with 30-day death and myocardial infarction among patients undergoing kidney transplantation.

PLoS One 2019 1;14(2):e0211161. Epub 2019 Feb 1.

Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, United States of America.

Background: Although periodic cardiac stress testing is commonly used to screen patients on the waiting list for kidney transplantation for ischemic heart disease, there is little evidence to support this practice. We hypothesized that cardiac stress testing in the 18 months prior to kidney transplantation would not reduce postoperative death, total myocardial infarction (MI) or fatal MI.

Methods: Using the United States Renal Data System, we identified ESRD patients ≥40 years old with primary Medicare insurance who received their first kidney transplant between 7/1/2006 and 11/31/2013. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211161PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358073PMC
February 2019
2 Reads

A prediction model for potential intraoperative laparoscopic hemostasis in spleen-preserving No. 10 lymphadenectomy for proximal gastric cancer.

Asian J Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, 350001, Fujian Province, China; Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China; Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, China. Electronic address:

To identify the risk factors for intraoperative laparoscopic hemostasis during laparoscopic spleen-preserving splenic hilar lymph node dissection (LSPSD) for proximal gastric cancer (GC) and to develop and validate a model to estimate the risk of intraoperative laparoscopic hemostasis. Between January 2011 and December 2014, we prospectively collected and retrospectively analyzed the medical records of 398 patients with proximal GC who underwent LSPSD. The data were split 75/25, with one group used for model development and the other for validation testing. Read More

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http://dx.doi.org/10.1016/j.asjsur.2019.01.002DOI Listing
January 2019
1 Read

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

Authors:
Y T Song B Zhang

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

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

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

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

The Impact of Colloid Cyst Treatment on Neurocognition.

World Neurosurg 2019 Jan 29. Epub 2019 Jan 29.

Department of Neurosurgery, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel.

Background: Colloid cysts (CC) have been associated with neurocognitive function (NCF) decline, both preoperatively and after resection. Factors such as local pressure on the fornix and hydrocephalus are thought to contribute to preoperative NCF decline. The potential cause of postoperative decline is thought to be forniceal injury during surgery. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.079DOI Listing
January 2019
1 Read

Perioperative olfactory dysfunction in patients with meningiomas of the anteromedial skull base.

Clin Anat 2019 Jan 31. Epub 2019 Jan 31.

Department of Neurosurgery, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg, Saarland, Germany.

Olfactory dysfunction represents a main symptom in olfactory groove meningiomas (OGM). Besides this, olfactory function has been sparsely investigated in patients suffering from supratentorial meningiomas. Here, the authors explore pre- and postoperative variables associated with olfactory dysfunction in supratentorial meningioma patients. Read More

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http://doi.wiley.com/10.1002/ca.23346
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http://dx.doi.org/10.1002/ca.23346DOI Listing
January 2019
6 Reads

The evidence-based preoperative assessment for the otolaryngologist.

Laryngoscope 2019 Jan 31. Epub 2019 Jan 31.

Department of Otolaryngology-Head and Neck Surgery, University of South Florida, Tampa, Florida, U.S.A.

There is a narrow window of opportunity between surgical scheduling and the operative date to optimize patients for an elective surgical procedure. Traditionally, preoperative care has involved extended routine testing batteries with intermittent referrals for medical clearance. These traditions are costly, inefficient, and yield no clear reduction in perioperative morbidity and mortality. Read More

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http://dx.doi.org/10.1002/lary.27845DOI Listing
January 2019
2 Reads

EEG lateralization and seizure outcome following peri-insular hemispherotomy for pediatric hemispheric epilepsy.

Childs Nerv Syst 2019 Jan 30. Epub 2019 Jan 30.

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Objective: To determine whether preoperative non-lateralizing scalp electroencephalography (EEG) influences seizure outcome following peri-insular hemispherotomy (PIH) in pediatric hemispheric epilepsy.

Methods: Retrospective data was collected on all 45 pediatric patients who underwent PIH between 2005 and 2016. All underwent a basic pre-surgical evaluation consisting of detailed history and examination, neuropsychological assessment, MRI, and EEG. Read More

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http://link.springer.com/10.1007/s00381-019-04067-6
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http://dx.doi.org/10.1007/s00381-019-04067-6DOI Listing
January 2019
10 Reads

Risk factors for severe acute pain and persistent pain after surgery for breast cancer: a prospective observational study.

Reg Anesth Pain Med 2019 Feb 5;44(2):192-199. Epub 2019 Jan 5.

Department of Surgery, Duke University, Durham, North Carolina, USA.

Background And Objectives: There are few prospective studies providing comprehensive assessment of risk factors for acute and persistent pain after breast surgery. This prospective observational study assessed patient-related, perioperative, and genetic risk factors for severe acute pain and persistent pain following breast cancer surgery.

Methods: Women presenting for elective breast cancer surgery completed State Trait Anxiety Inventory, Beck Depression Inventory, and Pain Catastrophizing Scale questionnaires preoperatively. Read More

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http://dx.doi.org/10.1136/rapm-2018-000040DOI Listing
February 2019
1 Read

Lipoprotein(a) in Patients Undergoing Transcatheter Aortic Valve Replacement.

Angiology 2019 Apr 30;70(4):332-336. Epub 2019 Jan 30.

1 Division of Cardiovascular Diseases, Sulpizio Cardiovascular Center, Vascular Medicine Program, University of California San Diego, San Diego, CA, USA.

Lipoprotein(a) [Lp(a)] is a genetically determined risk factor for calcific aortic valve stenosis (CAVS) for which transcatheter aortic valve replacement (TAVR) is increasingly utilized as treatment. We evaluated the effect of a program to increase testing of and define the prevalence of elevated Lp(a) among patients undergoing TAVR. Educational efforts and incorporation of a "check-box" Lp(a) order to the preoperative TAVR order set were instituted. Read More

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http://dx.doi.org/10.1177/0003319719826461DOI Listing
April 2019
1 Read

The Feasibility of a Healthcare Application in the Management of Patients Undergoing a Radical Cystectomy.

J Urol 2019 Jan 25. Epub 2019 Jan 25.

University of Kansas Health System, Department of Urology.

Purpose: Patients who undergo radical cystectomy for bladder cancer are at high risk of complications and readmissions. Studies indicate insufficient preoperative education and perioperative monitoring. The aim of this study is to demonstrate the feasibility of implementing a health care application to provide more patient education and more thorough monitoring perioperatively. Read More

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http://dx.doi.org/10.1097/JU.0000000000000050DOI Listing
January 2019
4 Reads