962,447 results match your criteria Surgical Complications


A Nationwide Analysis of Preoperative Planning on Operative Times and Postoperative Complications in Total Knee Arthroplasty.

J Knee Surg 2019 Feb 20. Epub 2019 Feb 20.

Department of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York.

Compared with nonelective total knee arthroplasties (TKAs), elective procedures have more time for preoperative planning, which allows for potentially improved patient optimization, risk factor modification, and patient education. The purpose of this study was to (1) determine nationwide trends in operative times and (2) evaluate associations between surgery type, elective or nonelective, with respect to (a) operative times, (b) length of stay (LOS), (c) discharge dispositions, (d) 30-day postoperative complications, (e) reoperations, and (f) readmissions. The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for all primary TKAs performed between 2011 and 2016. Read More

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http://dx.doi.org/10.1055/s-0039-1677790DOI Listing
February 2019

Gastrostomy tubes appear to be safe following pediatric orthotopic heart transplant.

Pediatr Transplant 2019 Feb 20:e13374. Epub 2019 Feb 20.

Division of Pediatric Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia.

Background: Gastrostomy tube (GT) placement is a common pediatric surgical procedure typically indicated for oral aversion. This may develop in patients with congenital heart disease (CHD) who require an orthotopic heart transplant (OHT). The safety profile of GT placement in OHT patients who are immunosuppressed is unknown. Read More

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http://doi.wiley.com/10.1111/petr.13374
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http://dx.doi.org/10.1111/petr.13374DOI Listing
February 2019
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Diagnostic and Management Options of Osteoblastoma in the Spine.

Med Sci Monit 2019 Feb 20;25:1362-1372. Epub 2019 Feb 20.

Department of Bone and Musculoskeletal Tumor Center, Zhongnan Hospital, Wuhan University, Wuhan, Hubei, China (mainland).

BACKGROUND Osteoblastoma is a rare, benign, osteolytic neoplasm commonly found in the spine in early adulthood. Here, we review the clinical characteristics, radiographic findings, and surgical management of patients with spinal osteoblastoma. MATERIAL AND METHODS Thirteen patients with osteoblastoma who underwent surgery at our institute from June 2008 to November 2017 were enrolled in this study. Read More

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http://dx.doi.org/10.12659/MSM.913666DOI Listing
February 2019

Meropenem and Amikacin for Management of Post-Neurosurgical Infections from Acinetobacter baumannii.

Surg Infect (Larchmt) 2019 Feb 20. Epub 2019 Feb 20.

Department of Critical Care Medicine, Suizhou Hospital Affiliated to Hubei Medical College, Hubei, China.

Background: Intra-cranial infection with Acinetobacter baumannii is a tough problem because of the presence of multi-resistance and poor drug penetration through the blood-brain barrier. Such intra-cranial infections can lead to serious complications and death. We retrospectively analyzed the culture results and clinical characteristics of patients with intra-cranial infections in our hospital and suggested intravenous (IV) meropenem and intra-thecal (IT) amikacin therapy may be effective in the management of A. Read More

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http://dx.doi.org/10.1089/sur.2018.242DOI Listing
February 2019

Treatment Options and Outcomes of Penile Constriction Devices.

Int Braz J Urol 2019 Feb 10;45. Epub 2019 Feb 10.

Hospital Municipal Souza Aguiar, Rio de Janeiro, RJ, Brasil.

Purpose: To study the effect of penile constriction devices used on a large series of patients who presented at our emergency facility. We explored treatment options to prevent a wide range of vascular and mechanical injuries occurring due to penile entrapment.

Materials And Methods: Between January 2001 and March 2016, 26 patients with penile entrapment were admitted to our facility and prospectively evaluated. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0667DOI Listing
February 2019

MALNUTRITION AND CLINICAL OUTCOMES IN SURGICAL PATIENTS WITH COLORECTAL DISEASE.

Arq Gastroenterol 2018 Oct-Dec;55(4):397-402

Faculdade de Medicina de São José do Rio Preto, Disciplina de Coloproctologia, Departamento de Cirurgia, São José do Rio Preto, SP, Brasil.

Background: Malnutrition is a frequent condition among hospitalized patients and a factor of increased risk of postoperative complication.

Objective: This study aimed to evaluate the impact of malnutrition on phase angle (PA), body water distribution and clinical outcomes in surgical patients with colorectal disease.

Methods: This retrospective study was performed in a tertiary hospital with 40 patients admitted electively. Read More

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http://dx.doi.org/10.1590/S0004-2803.201800000-85DOI Listing

The Namibian Children's Heart Project: a South-South partnership to provide cardiac care.

Cardiol Young 2019 Feb;29(2):206-213

2Division of Paediatric Cardiology,Department of Paediatrics and Child Health,University of Cape Town,Cape Town,South Africa.

IntroductionCongenital and acquired heart diseases are highly prevalent in developing countries despite limited specialised care. Namibia established a paediatric cardiac service in 2009 with significant human resource and infrastructural constraints. Therefore, patients are referred for cardiac interventions to South Africa. Read More

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http://dx.doi.org/10.1017/S1047951118002172DOI Listing
February 2019

Current and emerging pharmacotherapy for the treatment of infections following open-heart surgery.

Expert Opin Pharmacother 2019 Feb 20:1-22. Epub 2019 Feb 20.

a Dipartimento di Scienze della Salute (DISSAL) , University of Genoa , Genoa , Italy.

Introduction: Patients undergoing open-heart surgery may suffer from postoperative complications, including severe infections. Antimicrobials to treat infectious complications in this population should be selected thoughtfully, taking into account three different and fundamental issues: (i) the site of infection; (ii) the suspected or proven causative agent and its susceptibility pattern; and (iii) the risk of suboptimal pharmacokinetic characteristics and potential toxicity of the chosen drug/s. Areas covered: The present narrative review summarizes the current and future antimicrobial options for the treatment of infections developing after open-heart surgery. Read More

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http://dx.doi.org/10.1080/14656566.2019.1574753DOI Listing
February 2019

Surgical treatment of a left ventricular apical thrombus via robotic surgery.

J Card Surg 2019 Feb 20. Epub 2019 Feb 20.

Department of Cardiovascular Surgery, Health Sciences University Gülhane Training and Research Hospital, Ankara, Turkey.

Left ventriculotomy for thrombus removal is usually associated with a high incidence of cardiac arrhythmias and decreased ejection fraction. A 51-year-old male patient was admitted to the emergency department with loss of consciousness. Transthoracic echocardiography revealed a 20 × 24-mm left ventricular apical nonpedunculated thrombus with normal ejection fraction. Read More

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http://dx.doi.org/10.1111/jocs.14000DOI Listing
February 2019

The effects of hyperglycemia on outcomes in surgical high-grade glioma patients.

Clin Neurol Neurosurg 2019 Feb 11;179:9-13. Epub 2019 Feb 11.

Lillian S. Wells Department of Neurosurgery, 1600 S.W. Archer Road, University of Florida, Gainesville, FL, 32608, United States.

Objective: To define the glucose values associated with an increase in complication rates in post-operative brain tumor patients.

Patients And Methods: Patients who underwent craniotomy for resection of WHO Grade III or IV glioma from 2011 to 2014 were retrospectively reviewed. Post-operative blood glucose values were recorded for post-operative day #0, #1, and #2. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.011DOI Listing
February 2019

The impact of BMI on operating room time, blood loss, and hospital stay in patients undergoing spinal fusion.

Clin Neurol Neurosurg 2019 Feb 11;179:19-22. Epub 2019 Feb 11.

Boulder Neurosurgical Associates, Boulder, CO, United States; Justin Parker Neurological Institute, Boulder, CO, United States. Electronic address:

Objective: Obesity affects not only the health of an individual but society as a whole and especially the healthcare system. Healthcare providers are faced with challenges to deliver adequate care in this resource-limited environment, assure safety, and accommodate the increasing population of overweight patients. The effects of increased body mass index (BMI) on clinical outcomes, complications, health care resource utilization, effectiveness of minimally invasive approaches, and perioperative parameters in spine surgeries have all been previously studied, but the majority of these findings are conflicting rather than conclusive. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.012DOI Listing
February 2019

Efficacy and Safety of Transvenous Lead Extraction in the Device Laboratory and Operating Room Guided by a Novel Risk Stratification Scheme.

JACC Clin Electrophysiol 2019 Feb;5(2):174-182

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota. Electronic address:

Objectives: The goal of this study was to evaluate a novel risk stratification scheme to categorize patients on the basis of risk to either an operating room or device laboratory with rescue strategy.

Background: Lead extraction can be complicated by lethal issues such as vascular and cardiac rupture. Currently, the optimal site for lead extraction has not been well established. Read More

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http://dx.doi.org/10.1016/j.jacep.2019.01.001DOI Listing
February 2019

Impact of Short-Term Complications on Mortality and Quality of Life After Transcatheter Aortic Valve Replacement.

JACC Cardiovasc Interv 2019 Feb;12(4):362-369

Saint Luke's Mid America Heart Institute and University of Missouri-Kansas City, Kansas City, Missouri.

Objectives: The aim of this study was to examine the independent association of short-term complications of transcatheter aortic valve replacement (TAVR) with survival and quality of life at 1 year.

Background: Prior studies have examined the mortality and cost implications of various complications of TAVR. However, many of these complications may primarily affect patients' quality of life after TAVR, which has not been previously studied. Read More

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http://dx.doi.org/10.1016/j.jcin.2018.11.008DOI Listing
February 2019

Wound Coverage Options for Soft Tissue Defects Following Calcaneal Fracture Management (Operative/Surgical).

Clin Podiatr Med Surg 2019 Apr 12;36(2):323-337. Epub 2018 Dec 12.

Plastic Reconstructive and Orthopaedic Surgery, University of Pennsylvania Health System, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, South Pavilion, 1st Floor, Philadelphia, PA 19104, USA.

Soft tissue defects and wound healing complications related to calcaneus fractures may result in significant morbidity. The management of these soft tissue complications requires following reconstructive principles that provide the requisites for preservation of the injured limb and the maximization of function. Soft tissue complications are addressed with methods that commensurate with the degree of injury, ranging from local wound care to free flap reconstruction. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.012DOI Listing

Primary or Secondary Subtalar Arthrodesis and Revision of Calcaneal Nonunion with Minimally Invasive Rigid Internal Nail Fixation for Treatment of Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):295-306. Epub 2019 Jan 24.

Department of Trauma, Hand and Reconstructive Surgery, Rostock University Medical Center, Schillingallee 35, Rostock D-18057, Germany. Electronic address:

Primary or secondary subtalar joint arthrodesis after displaced intra-articular calcaneal fractures makes use of talocalcaneal large-diameter screw fixation after an eventual correction of geometric hindfoot deformity. Despite this procedure usually having a successful functional outcome, potential complications occur, including nonunion and malalignment, with an unknown rate of loss of correction or implant migration during the healing period. Angular stable fixation of the subtalar joint arthrodesis with an interlocking nail applied in a minimally invasive technique affords maintenance of the hindfoot position until osseous healing occurs. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.010DOI Listing

Arthroscopic and Endoscopic Management of Common Complications After Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):279-293. Epub 2019 Jan 24.

Guangdong Provincial Engineering Research Center of Wound Repair and Regenerative Medicine, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China; Guangdong Provincial Academician Workstation of Wound Repair and Regenerative Medicine, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China; Department of Trauma and Orthopedics, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China.

The list of late complications after calcaneal fracture that can be treated through arthroscopic and/or endoscopic approach continues to expand. The late complications of calcaneal fractures can be classified into 3 groups: (1) those causing focal hindfoot or ankle pain, (2) those causing functional deficit, and (3) those present with diffuse and poorly localized pain. Many group 1 and some group 2 complications can be managed arthroscopically and/or endoscopically. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.009DOI Listing

Intraoperative Reduction Techniques for Surgical Management of Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):269-277. Epub 2019 Jan 24.

Coastline Foot and Ankle Center, 800 Liberty Street Southeast, Salem, OR 97302, USA.

Fractures of the calcaneus are detrimental injuries, often caused by high-energy trauma. To best restore the functionality of a limb and allow normal ambulation, it is recommended to repair displaced intra-articular calcaneus fractures surgically. This article presents several methods of reduction and repair of the calcaneus. Read More

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

Joint-Sparing Surgical Management of Sanders IV Displaced Intra-Articular Calcaneal Fractures.

Authors:
Thomas S Roukis

Clin Podiatr Med Surg 2019 Apr 24;36(2):251-268. Epub 2019 Jan 24.

Orthopaedic Center, Gundersen Health System, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

Displaced intra-articular calcaneal fractures represent life-altering injuries. Difficulty obtaining and maintaining calcaneal morphology and the significant risk of wound healing complications with an extensile lateral incision exist. Open reduction with internal fixation as a joint-sparing approach has been studied. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.007DOI Listing

Sinus Tarsi Approach with Screws-Only Fixation for Displaced Intra-Articular Calcaneal Fractures.

Authors:
Tim Schepers

Clin Podiatr Med Surg 2019 Apr 24;36(2):211-224. Epub 2019 Jan 24.

Trauma Unit, Amsterdam UMC, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands. Electronic address:

Treatment of displaced intra-articular calcaneal fractures has changed numerous times in the last decades. Currently, less invasive surgery has reemerged and is increasingly used. The sinus tarsi approach is most commonly used. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.004DOI Listing

Closed Manipulation, Intraosseous Reduction, and Rigid Internal Fixation for Displaced Intra-Articular Calcaneal Fractures.

Authors:
Thomas S Roukis

Clin Podiatr Med Surg 2019 Apr 24;36(2):197-210. Epub 2019 Jan 24.

Orthopaedic Center, Gundersen Health System, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

Although open reduction and internal fixation for treating displaced intra-articular calcaneal fractures remain common, difficulty obtaining and maintaining both calcaneal morphology and subtalar articular surface reduction remain. In addition, open approaches induce a significant risk of wound-healing complications. For this reason, closed manipulation to restore calcaneal morphology, intra-osseous fracture reduction, and rigid locked nail fixation was developed and validated for clinical use. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.003DOI Listing

Surgical Management of Displaced Intra-Articular Calcaneal Fractures: What Matters Most?

Clin Podiatr Med Surg 2019 Apr 24;36(2):173-184. Epub 2019 Jan 24.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390-8883, USA.

Displaced intra-articular calcaneal fractures are severe, complex injuries that can cause significant long-term functional impairment. Despite the controversies of whether these fractures should be treated operatively or nonoperatively, functional improvement can be seen with confounding variables that can be controlled by the surgeon. This article reviews prognostic factors that are associated with good functional outcomes following operatively treated displaced intra-articular calcaneal fractures. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.002DOI Listing

A Cadaveric Study of Cutaneous Vascular Anatomy about the Elbow Using Computed Tomography Angiography.

Clin Anat 2019 Feb 19. Epub 2019 Feb 19.

University of Arkansas for Medical Sciences, Little Rock, Arkansas.

The posterior approach is a commonly employed exposure of the elbow that provides excellent visualization and efficacy for various orthopedic procedures, including total elbow arthroplasty (TEA) and fracture care. The posterior approach to the elbow has been associated with an increased rate of wound complications, including infection, skin necrosis, and wound dehiscence. Despite an association between these complications and decreased elbow perfusion, data regarding the intrinsic anatomic etiology for preferential complications in this area has been scarcely reported in the literature. Read More

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http://dx.doi.org/10.1002/ca.23341DOI Listing
February 2019

The value of acoustic respiratory rate monitoring in a patient with postoperative hemorrhage after thyroidectomy: a case report.

J Clin Monit Comput 2019 Feb 19. Epub 2019 Feb 19.

Department of Anesthesiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.

Acoustic respiratory rate (RRa) monitoring is a non-invasive method of monitoring respiratory rate in spontaneously breathing individuals. The aim of this report is to highlight the clinical utility of this monitoring system in post-thyroidectomy patients by presenting a case of respiratory compromise due to post-thyroidectomy hematoma, in which the alarm of the respiratory rate monitor alerted the nursing staff about the complication. A 61-year-old woman who uneventfully underwent right thyroid lobectomy for adenomatous goiter under general anesthesia with endotracheal intubation was being monitored postoperatively using the RRa monitoring system. Read More

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http://dx.doi.org/10.1007/s10877-019-00283-2DOI Listing
February 2019

Cholecystectomy-related malpractice litigation: predictive factors of case outcome.

Updates Surg 2019 Feb 19. Epub 2019 Feb 19.

Warren Alpert Medical School, Brown University, 34 Olive St, Box 9014, Providence, RI, USA.

Complications following cholecystectomy may lead to malpractice litigation. Little research exists regarding cholecystectomy-related malpractice, the complications that lead to litigation, and the outcomes of such cases. This study is a retrospective analysis utilizing the legal database Verdictsearch (ALM Media Properties, LLC, New York, NY). Read More

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http://dx.doi.org/10.1007/s13304-019-00633-4DOI Listing
February 2019

Descemet stripping automated endothelial keratoplasty performed by trainees.

Jpn J Ophthalmol 2019 Feb 19. Epub 2019 Feb 19.

Department of Ophthalmology, Tokyo Dental College, Ichikawa General Hospital, 5-11-13 Sugano, Ichikawa, Chiba, 272-8513, Japan.

Purpose: To assess the surgical outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) performed by trainees.

Study Design: Retrospective, case control comparative study.

Methods: This study compared cases performed by trainees with those performed by an experienced surgeon. Read More

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http://dx.doi.org/10.1007/s10384-019-00652-zDOI Listing
February 2019

Core-needle biopsy in thyroid nodules: performance, accuracy, and complications.

Eur Radiol 2019 Feb 19. Epub 2019 Feb 19.

University of the Basque Country (UPV/EHU), Leioa, Spain.

Objective: To evaluate the performance of core-needle biopsy (CNB) in thyroid using a cohort of patients in which it was used as first choice.

Methods: Our institutional review board approved this retrospective study. We reviewed all CNB performed in our center over a period of 11 years. Read More

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http://dx.doi.org/10.1007/s00330-019-06038-6DOI Listing
February 2019

Transarterial (Chemo-)Embolization and Lipiodolization for Hepatic Haemangioma.

Cardiovasc Intervent Radiol 2019 Feb 19. Epub 2019 Feb 19.

Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Background: Transarterial (chemo-)embolization/lipiodolization (TAE/TAL) might be an attractive minimally invasive alternative to surgery in the treatment of symptomatic hepatic haemangioma. This review assesses the efficacy and safety of TAE/TAL as primary treatment for symptomatic hepatic haemangioma.

Methods: A systematic search of the literature was performed by two reviewers following the PRISMA guidelines. Read More

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http://dx.doi.org/10.1007/s00270-019-02169-xDOI Listing
February 2019

Endoscopic Endonasal Surgery for Sinus Fungus Balls: Clinical, Radiological, Histopathological, and Microbiological Analysis of 40 Cases and Review of the Literature.

Iran J Otorhinolaryngol 2019 Jan;31(102):35-44

Department of Otorhinolaryngology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Italy.

Introduction: Paranasal sinus fungus ball (PSFB) is a non-invasive mycosis, which appears in immunocompetent patients, along with unilateral lesion. The purpose of this study was to analyse various symptoms of PSFB and its radiological, pathological, and microbiological findings. In addition, this study involved the investigation of the incidence of bacterial coinfection and surgical techniques applied for this infection and to report the modern developments in this domain. Read More

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January 2019

Influences of Total Laparoscopic Hysterectomy According to Body Mass Index (Underweight, Normal Weight, Overweight, or Obese).

Gynecol Minim Invasive Ther 2019 Jan-Mar;8(1):19-24. Epub 2019 Jan 23.

Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Osaka, Japan.

Study Objective: The aim of this study is to evaluate the effect of body mass index (BMI) on laparoscopic hysterectomy outcomes.

Design: This was retrospective study.

Setting: Minoh City Hospital, Japan. Read More

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http://dx.doi.org/10.4103/GMIT.GMIT_53_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367909PMC
January 2019

Giant carotid pseudoaneurysm amenable to pipeline stenting in a patient with Ehlers-Danlos type IV.

Surg Neurol Int 2019 25;10:11. Epub 2019 Jan 25.

Michigan State University College of Human Medicine, 15 Michigan St NE, Grand Rapids, MI, 49503, USA.

Background: Ehlers-Danlos type IV primarily affects collagen synthesis in the vasculature, increasing the risk of these patients to have dissection and pseudoaneurysm formation. Due to friable vessels, antiplatelet or anticoagulation has been the treatment of choice. However, newer intravascular surgical devices may be promising for future management. Read More

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http://dx.doi.org/10.4103/sni.sni_343_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367946PMC
January 2019

Endovascular treatment of middle cerebral artery aneurysm with a (LVIS) device: Comparison of LVIS stent and non-LVIS stent.

Exp Ther Med 2019 Mar 28;17(3):1656-1662. Epub 2018 Dec 28.

Department of Ophthalmology and Otorhinolaryngology, Ningbo Yinzhou Second Hospital, Ningbo, Zhejiang 315040, P.R. China.

Middle cerebral artery (MCA) aneurysm is a serious medical condition mainly occurring in the proximal and bifurcation tracts. Evidence has indicated that endovascular treatment is an effective surgical method for patients with MCA aneurysm. In the present study, the efficacy of endovascular treatment with low-profile visualized intraluminal support (LVIS) stent for MCA aneurysms was evaluated in comparison with that using a non-LVIS stent device. Read More

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http://dx.doi.org/10.3892/etm.2018.7139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364188PMC

Clinical efficacy evaluation of treatment of different degrees of retinal vein occlusion with ranibizumab combined with an argon ion laser.

Exp Ther Med 2019 Mar 21;17(3):1563-1568. Epub 2018 Dec 21.

Ophthalmological Center of Huizhou Municipal Central Hospital, Huizhou, Guangdong 516000, P.R. China.

The aim of this study was to evaluate the clinical efficacy of an intravitreal injection of ranibizumab combined with argon ion laser photocoagulation therapy in the treatment of different degrees of central retinal vein occlusion (CRVO). A total of 112 CRVO patients including 25 cases of trunk occlusion, 50 cases of branch occlusion and 37 cases of hemiretinal vein-occlusion were enrolled in this study. Patients were treated with an intravitreal injection of 0. Read More

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http://dx.doi.org/10.3892/etm.2018.7125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364225PMC

Who benefits more in osteoporotic fractures: Pedicle screw instrumentation or kyphoplasty for American Society of Anesthesiologists II/III patients?

J Craniovertebr Junction Spine 2018 Oct-Dec;9(4):232-237

Department of Orthopedics and Trauma Surgery, University of Duisburg-Essen, Essen, Germany.

Purpose: Osteoporotc fractures with posterior wall injury are commonly treated with a pedicle srcrew instrumentation (PSI) or a ballonkyphoplasty (BKP). A predictor for complications for these patients is the American Society of Anesthesiologists (ASA) class. Clinical results in ASA II/III patients who underwent BKP and PSI due to OF were evaluated to find the optimal treatment regimen. Read More

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http://dx.doi.org/10.4103/jcvjs.JCVJS_55_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364364PMC
February 2019

Transcanalicular endoscopic primary dacryoplasty for congenital nasolacrimal duct obstruction.

Eye (Lond) 2019 Feb 19. Epub 2019 Feb 19.

Department of Ophthalmology and Micro-technology, Yokohama City University Medical Center, Yokohama City, Japan.

Objectives: To examine the causes of congenital nasolacrimal duct obstruction (CNLDO) using dacryoendoscopy, and to evaluate the surgical outcomes of primary transcanalicular endoscopic dacryoplasty.

Methods: The subjects of this study were a total of 56 eyes of 46 Japanese children aged one to five years old (mean, 29.1 ± 14. Read More

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http://dx.doi.org/10.1038/s41433-019-0374-6DOI Listing
February 2019

Textiloma: 28 years of foreign body mimicking pancreatic mass Case Report.

Ann Ital Chir 2019 Feb 18;8. Epub 2019 Feb 18.

Problem of retained foreign bodies is still actual challenge at surgical practice at the present time. Retained surgical sponges (cotton or gauze pads), which can be mistakenly left behind during different surgical operations, represent a difficult diagnostic problem despite of using modern technologic procedures, such as US, CT, MRI and etc. These foreign materials may cause serious complications and may lead even to mortality. Read More

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February 2019

Protocol for a prospective observational study to develop a frailty index for use in perioperative and critical care.

BMJ Open 2019 Jan 9;9(1):e024682. Epub 2019 Jan 9.

Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia.

Introduction: Frailty is of increasing importance to perioperative and critical care medicine, as the proportion of older patients increases globally. Evidence continues to emerge of the considerable impact frailty has on adverse outcomes from both surgery and critical care, which has led to a proliferation of different frailty measurement tools in recent years. Despite this, there remains a lack of easily implemented, comprehensive frailty assessment tools specific to these complex populations. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024682DOI Listing
January 2019

Finnish National Esophago-Gastric Cancer Cohort (FINEGO) for studying outcomes after oesophageal and gastric cancer surgery: a protocol for a retrospective, population-based, nationwide cohort study in Finland.

BMJ Open 2019 Jan 15;9(1):e024094. Epub 2019 Jan 15.

Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland.

Introduction: Surgery for oesophageal and gastric cancers is associated with high morbidity, mortality and poor quality of life postoperatively. The Finnish National Esophago-Gastric Cancer Cohort has been established with the aim of identifying factors that could contribute to improved outcomes in oesophago-gastric cancer.

Methods And Analysis: All patients with oesophageal and gastric cancer diagnosed in Finland between 1987 and 2015 will be identified from the Finnish national registries. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024094DOI Listing
January 2019

Pros and cons of gastric bypass surgery in individuals with obesity and type 2 diabetes: nationwide, matched, observational cohort study.

BMJ Open 2019 Jan 15;9(1):e023882. Epub 2019 Jan 15.

Department of Molecular and Clinical Medicine, University of Gothenburg, Gothenburg, Sweden.

Objectives: Long-term effects of gastric bypass (GBP) surgery have been presented in observational and randomised studies, but there are only limited data for persons with obesity and type 2 diabetes mellitus (T2DM) regarding postoperative complications.

Design: This is a nationwide observational study based on two quality registers in Sweden (National Diabetes Register, NDR and Scandinavian Obesity Surgery Register, SOReg) and other national databases.

Setting: After merging the data, we matched individuals with T2DM who had undergone GBP with those not surgically treated for obesity on propensity score, based on sex, age, body mass index (BMI) and calendar time. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023882DOI Listing
January 2019

Histologic severity of liver cirrhosis: A key factor affecting surgical outcomes of hepatocellular carcinoma in patients with portal hypertension.

Asian J Surg 2019 Feb 16. Epub 2019 Feb 16.

Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:

Background: Portal hypertension (PH), which is closely associated with the severity of liver cirrhosis, has been suggested as a contraindication of liver resection for hepatocellular carcinoma (HCC). We aimed to explore the role of a potential player, histologic severity of liver cirrhosis, in affecting surgical outcomes of the patients with both HCC and PH.

Methods: A total of 374 HCC patients with PH underwent resection for HCC were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.asjsur.2019.01.009DOI Listing
February 2019

Necrotic cell debris induces a NF-κB-driven inflammasome response in vascular smooth muscle cells derived from abdominal aortic aneurysms (AAA-SMC).

Biochem Biophys Res Commun 2019 Feb 16. Epub 2019 Feb 16.

Universitaetsklinik Heidelberg, Department of Vascular and Endovascular Surgery, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany. Electronic address:

Abdominal aortic aneurysm (AAA) is a multi-factorial progressive vascular disease with life-threatening complications. Increasing evidence suggests that smooth muscle cell (SMC) dysfunction and cell death contribute to dilatation and rupture of the aorta by inducing an inflammatory response. The exact mechanism of this response however, is incompletely understood. Read More

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http://dx.doi.org/10.1016/j.bbrc.2019.02.051DOI Listing
February 2019

Outcomes of different surgical resection techniques for end-stage hepatic alveolar echinococcosis with inferior vena cava invasion.

HPB (Oxford) 2019 Feb 16. Epub 2019 Feb 16.

Department of Liver Surgery, Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China. Electronic address:

Background: Hepatic alveolar echinococcosis (HAE) lesions with inferior vena cava (IVC) invasion require combined resection of the liver and IVC. The outcomes of different surgical treatments, including in situ, ante situm and ex vivo resection, remain unclear.

Methods: A total of 71 consecutive HAE patients who underwent hepatectomy with retrohepatic IVC resection were included. Read More

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http://dx.doi.org/10.1016/j.hpb.2018.10.023DOI Listing
February 2019

Utilization of a handheld telemedicine device in postoperative pediatric surgical care.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Children's Hospital of Richmond at Virginia Commonwealth University, Children's Pavilion, Richmond, VA. Electronic address:

Purpose: The purpose of this study was to assess the utilization of a handheld telemedicine (TM) device in the postoperative care of pediatric surgical patients.

Methods: We performed postoperative TM evaluations using an advanced medical tablet immediately prior to seeing the patients in clinic as well as at two different time points from their home. The caregivers and physicians were surveyed about their overall satisfaction. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.032DOI Listing
January 2019

Sclerotherapy for rectal prolapse in children: A systematic review and meta-analysis.

J Pediatr Surg 2019 Feb 3. Epub 2019 Feb 3.

Division of Pediatric Surgery, Department of Surgery, British Columbia Children's Hospital, Vancouver, BC, Canada. Electronic address:

Background: Sclerotherapy is a commonly utilized treatment for rectal prolapse in children. This study systematically evaluates the effectiveness and complications of various sclerosing agents in treating pediatric rectal prolapse.

Methods: After protocol registration (CRD-42018088980), multiple databases were searched. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.033DOI Listing
February 2019

Atypical diaphyseal femoral fractures: Considerations on surgical technique.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Musculoskeletal Oncology, "Palazzo Baleani" Umberto I University Hospital, Rome, Italy.

In the last two decades bisphosphonates (BP) has become the mainstream therapy for osteoporosis and the benefit in reducing the incidence of fractures has been well demonstrated in several studies, together with the drug long term (5-10 years) efficacy and safety. A complication of the long-term use of bisphosphonates is a low-energy stress fractures located in the sub-trochanteric region and the femoral shaft called atypical femur fracture (AFF). These stress fractures can be seen on plain radiographs as simple transverse patterns, with unicortical beaking and hypertrophy of the diaphyseal lateral cortex. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.048DOI Listing
February 2019

Laparoscopic unilateral oophorectomy for ovarian tissue cryopreservation in children.

J Pediatr Surg 2019 Mar 9;54(3):543-549. Epub 2018 Jun 9.

Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.

Background/purpose: Many survivors of childhood cancer will experience premature gonadal insufficiency or infertility as a consequence of their medical treatments. Ovarian tissue cryopreservation (OTC) remains an experimental means of fertility preservation with few reports focused on the surgical technique and postoperative outcomes for OTC in children.

Methods: This is a single institution, retrospective review of OTC cases from January 2011 to December 2017. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.06.005DOI Listing

"Confidence comes with frequent practice": health professionals' perceptions of using manual vacuum aspiration after a training program.

Reprod Health 2019 Feb 19;16(1):20. Epub 2019 Feb 19.

Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.

Background: Malawi has one of the highest maternal mortality rates in the world, with unsafe abortion as a major contributor. Curettage is most frequently used as the surgical method for treating incomplete abortions, even though it is costly for an impoverished health system and the less expensive and safe manual vacuum aspiration (MVA) method is recommended.

Methods: The aim of this 2016-17 study is to explore health worker's perception of doing MVA 1 year after an educational intervention. Read More

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http://dx.doi.org/10.1186/s12978-019-0683-zDOI Listing
February 2019

Aortic Stenting in Symptomatic Infrarenal Aortic Stenosis and Subtotal Aortic Occlusion.

Vasc Endovascular Surg 2019 Feb 19:1538574419830825. Epub 2019 Feb 19.

1 Department of Vascular Surgery, University Hospital Graz, Medical University Graz, Graz, Austria.

Objective:: The aim of this study was to evaluate the long-term results of aortic stent placement in patients with infrarenal aortic occlusive disease.

Methods:: Between April 1996 and May 2014, 34 patients with symptomatic infrarenal atherosclerotic aortic stenosis or subtotal aortic occlusion underwent percutaneous angioplasty with primary aortic stent implantation. There were 21 patients with Fontaine stage of the peripheral arterial disease (PAD) II, 5 patients with stage III, and 8 patients with stage IV. Read More

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http://dx.doi.org/10.1177/1538574419830825DOI Listing
February 2019

The preliminary report about the modified supramalleolar tibial osteotomy for asymmetric ankle osteoarthritis.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019829204

1 Department of Orthopedic Surgery, Hanyang University College of Medicine, Hanyang University Hospital, Seoul, South Korea.

Objective:: Supramalleolar tibial osteotomy (SMO) for asymmetric ankle osteoarthritis (OA) is known to lead to satisfactory. Here, authors present a preliminary report on SMO surgical treatment in patients with asymmetric ankle arthritis.

Materials And Methods:: We reviewed cases of asymmetric ankle OA treated by modified SMO between January 2011 and October 2015. Read More

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http://dx.doi.org/10.1177/2309499019829204DOI Listing
February 2019

Mesenteric diverticuli as a reason of acute abdomen.

Rozhl Chir 2019 ;98(1):27-30

Introduction: Diverticula of the small bowel are quite rare findings, frequently confirme only by necropsy. The authors describe the signs and symptoms resulting from complications of small bowel diverticula as well as the diagnostic options and treatment modalities. The paper also presents the results of treatment in the Department of Surgery at University Hospital in Pilsen. Read More

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January 2019

Nonoperative management of primary hyperparathyroidism: the exception rather than the rule.

Expert Rev Endocrinol Metab 2009 Nov;4(6):553-563

b Section of Endocrine Surgery, Department of Surgery, University of Wisconsin, H4/722 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA.

The spectrum of classical primary hyperparathyroidism (pHPT) has expanded from a disabling disease to a largely asymptomatic one, leading to considerable uncertainty regarding which patients with pHPT will truly benefit from operative therapy. In the hands of an experienced endocrine surgeon, parathyroidectomy (PTx) is associated with a greater than 95% cure rate and long-term complication rates of less than 5%. We believe that all patients with pHPT should be referred to an experienced endocrine surgeon for consideration of PTx. Read More

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http://dx.doi.org/10.1586/eem.09.50DOI Listing
November 2009
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