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    Quality of life in a randomized trial of early closure of temporary ileostomy after rectal resection for cancer (EASY trial).
    Br J Surg 2017 Nov 23. Epub 2017 Nov 23.
    Department of Gastroenterology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev Ringvej, Herlev, Denmark.
    Background: A temporary ileostomy may reduce symptoms from anastomotic leakage after rectal cancer resection. Earlier results of the EASY trial showed that early closure of the temporary ileostomy was associated with significantly fewer postoperative complications. The aim of the present study was to compare health-related quality of life (HRQOL) following early versus late closure of a temporary ileostomy. Read More

    Congenital insensitivity to pain: How should anesthesia be managed?
    Turk J Pediatr 2017 ;59(1):87-89
    Department of Anesthesiology and Reanimation, Başkent University Faculty of Medicine, Adana, Turkey.
    Özmete Ö, Şener M, Bali Ç, Çalışkan E, Arıboğan A. Congenital insensitivity to pain: How should anesthesia be managed? Turk J Pediatr 2017; 59: 87-89. Congenital insensitivity to pain syndrome is a rare, sensorial and autonomic neuropathy characterized by unexplained fever, insensitivity to pain and anhidrosis. Read More

    Robotic Strong's procedure for the treatment of superior mesenteric artery syndrome. Description of surgical technique on occasion of the first reported case in the literature.
    Int J Med Robot 2017 Nov 23. Epub 2017 Nov 23.
    Interbalkan Medical Centre, Robotic General and Oncologic Surgical Department, Thessaloniki, Greece.
    Backround: Superior Mesenteric Artery Syndrome (SMAS) is a rare disorder caused by compression of the third portion of the duodenum by the SMA. Once a conservative approach fails, usual surgical strategies include Duodenojejunostomy and Strong's procedure. The latter avoids potential anastomotic risks and complications. Read More

    Temporary closure of colostomy with suture before colostomy takedown improves the postoperative outcomes.
    Int J Colorectal Dis 2017 Nov 22. Epub 2017 Nov 22.
    Department of Colorectal Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123, Ta-Pei Rd., Niao-Sung District, Kaohsiung City, 83301, Taiwan.
    Purpose: Temporary loop colostomy is a common surgical procedure used to avoid complications in high-risk distal anastomosis as well as pelvic inflammation. Issues regarding postoperative outcomes of colostomy takedown have been widely discussed in the literature, wound infection especially. Temporary closure of colostomy with suture before takedown was adopted in our study, which provided excellent traction to aid mobilization of stomy and avoided stool spillage to downgrade the wound classification to "clean contamination. Read More

    The Value of Hybrid Angio-CT in Preoperative Detection and Localization of Insulinomas: A Single-Center Retrospective Study.
    Cardiovasc Intervent Radiol 2017 Nov 22. Epub 2017 Nov 22.
    Department of Interventional Radiology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, People's Republic of China.
    Objective: To investigate the performance of hybrid angio-CT in preoperative detection and localization for insulinomas.

    Methods: Fifty-four postoperative pathology-confirmed patients from April 2015 to March 2017 were retrospectively reviewed; all patients underwent angio-CT with administration of contrast media in SMA, GDA and SA due to negative, inconclusive or controversial findings by several preoperative diagnostic methods including TAUS, CEUS, EUS, ECT, EMRI and DSA. Surgery was used as gold standard for localization of insulinomas; detection sensitivity and localization accuracy of angio-CT were assessed and compared with other preoperative image options. Read More

    No implant migration and good subjective outcome of a novel customized femoral resurfacing metal implant for focal chondral lesions.
    Knee Surg Sports Traumatol Arthrosc 2017 Nov 22. Epub 2017 Nov 22.
    LIME, Karolinska Institutet, Solna, Sweden.
    Purpose: Managing focal cartilage injuries in the middle-aged patient poses a challenge. Focal prosthetic inlay resurfacing has been proposed to be a bridge between biologics and conventional joint arthroplasty. Patient selection and accurate implant positioning is crucial to avoid increased contact pressure to the opposite cartilage surface. Read More

    Rodent Vertical Sleeve Gastrectomy Alters Maternal Immune Health and Feto-placental Development.
    Clin Sci (Lond) 2017 Nov 22. Epub 2017 Nov 22.
    Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, 2500 North State Street, Research Wing 735, Jackson, Mississippi, 39216, United States
    Bariatric surgery is increasingly employed to improve fertility and reduce obesity related co-morbidities in obese women. Surgical weight loss not only improves the chance of conception but reduces the risk of pregnancy complications including pre-eclampsia, gestational diabetes, and macrosomia. However, bariatric procedures increase the incidence of intrauterine growth restriction (IUGR), fetal demise, thromboembolism and other gestational disorders. Read More

    [A Programmed Procedure of Prosthetic Reconstruction of the Superior Vena Cava 
for Thoracic Tumors via Median Thoracotomy].
    Zhongguo Fei Ai Za Zhi 2017 Nov;20(11):751-754
    Department of Thoracic Surgery, Peking University First Hospital, Beijing 100034, China.
    Background: The involvement of superior vena cava is a common condition in locally advanced thoracic tumors. Patients may benefit from the high risk operation. This study proposed a programmed procedure to optimize surgical techniques, which can facilitate the safety of operation via median thoracotomy. Read More

    Protocol for a systematic review and meta-analysis on the clinical outcomes and cost of deep inferior epigastric perforator (DIEP) flap versus implants for breast reconstruction.
    Syst Rev 2017 Nov 22;6(1):232. Epub 2017 Nov 22.
    Department of Plastic & Reconstructive Surgery, Royal Free Hospital NHS Trust, London, UK.
    Background: Mastectomy in the context of breast malignancy can have a profoundly negative impact on a woman's self-image, impairing personal, sexual and social relationships. The deep inferior epigastric perforator (DIEP) flap and implants are the two commonest reconstructive modalities that can potentially overcome this psychological trauma. The comparative data on clinical outcomes and costs of the two modalities is limited. Read More

    Contribution of diffusion-weighted imaging to conventional MRI for detection of haemorrhagic infarction in ovary torsion.
    BMC Med Imaging 2017 Nov 22;17(1):56. Epub 2017 Nov 22.
    Department of Radiology, Muş State Hospital, Muş, Turkey.
    Background: To assess the role of DWI in differentiation haemorrhagic ovary infarction from non-haemorrhagic one.

    Methods: For this prospectively designed study, of 117 female patients who presented with acute lower quadrant pain and underwent MRI for suspicion of ovary torsion, results of only 29 patients (mean age, 24.7; SD, ±5. Read More

    Transcatheter or surgical aortic valve replacement in patients with advanced kidney disease: A propensity score-matched analysis.
    Clin Cardiol 2017 Nov 22. Epub 2017 Nov 22.
    Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, New York.
    Background: Transcatheter aortic valve replacement (TAVR) is an alternative for surgically inoperable patients with severe aortic stenosis. Advanced kidney disease may significantly affect outcomes in patients treated with TAVR and surgical aortic valve replacement (SAVR).

    Hypothesis: TAVR is associated with better in-hospital outcomes compared with SAVR in patients with advanced kidney disease. Read More

    Neurological complications of solid organ transplantation.
    Arq Neuropsiquiatr 2017 Oct;75(10):736-747
    Universidade Federal de São Paulo, Divisão de Neurologia Geral, Departamento de Neurologia, São Paulo SP, Brasil.
    Solid organ transplantation is a significant development in the treatment of chronic kidney, liver, heart and lung diseases. This therapeutic approach has increased patient survival and improved quality of life. New surgical techniques and immunosuppressive drugs have been developed to achieve better outcomes. Read More

    Implementing an epilepsy surgery center. Initial experience at a university hospital in Brazil.
    Arq Neuropsiquiatr 2017 Oct;75(10):722-726
    Hospital Universitário Antônio Pedro, Niterói RJ, Brasil.
    Objective: Epilepsy is a serious neurological condition, often without a full and effective treatment. In some cases, surgery is beneficial, despite being underused. Our aim herein is to describe the implementation of an epilepsy surgery center in a federal university hospital, sharing the initial experience gained, as well as describing the main challenges and first results. Read More

    Maternal complications and cesarean section without indication: systematic review and meta-analysis.
    Rev Saude Publica 2017 17;51:105. Epub 2017 Nov 17.
    Universidade Federal de Pelotas. Centro de Pesquisas Epidemiológicas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
    Objective: The objective of this study was to determine the risks of severe acute maternal complications associated with cesarean section without medical indication.

    Methods: A systematic review was carried out with meta-analysis. The literature search was performed systematically, in multiple stages, in the PubMed, Lilacs, and Web of Science databases using the following descriptors: (postpartum period) and (cesarean section or natural childbirth) and ((morbidity or mortality) or (postpartum hemorrhage) or (puerperal infection) or (surgical infection) or (puerperal disorders)). Read More

    Abortion Surveillance - United States, 2014.
    MMWR Surveill Summ 2017 Nov 24;66(24):1-48. Epub 2017 Nov 24.
    Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, CDC.
    Problem/condition: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States.

    Period Covered: 2014.

    Description Of System: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, the District of Columbia, and New York City). Read More

    Neutrophil-to-Lymphocyte Ratio Predicts the Severity of Incarcerated Groin Hernia.
    Med Sci Monit 2017 Nov 22;23:5558-5563. Epub 2017 Nov 22.
    Department of Gastrointestinal Surgery, The First People's Hospital of Zunyi and Third Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, China (mainland).
    BACKGROUND The incarceration of a segment of bowel within a groin hernia can result in intestinal strangulation if hernia treatment is delayed. Once intestinal strangulation occurs, a bowel resection may be required, and there is an overall increased risk for postoperative complications. The aim of this study was to identify biomarkers to predict the severity of an incarcerated groin hernia. Read More

    Surgeon Sleep Deprivation, Surgical Complications, and the Ethical Imperatives of Evidence-Based Persuasion.
    Ann Plast Surg 2017 Nov 21. Epub 2017 Nov 21.
    Introduction: A proposed relationship between surgeon sleep deprivation (SSD) and increased patient complications is examined through a review of published studies and application of standards of evidence-based persuasion.

    Methods: Published studies of SSD and patient complications were analyzed to evaluate reported relationships between SSD and surgical complications. The basis of a reported "83% increase" in patient complication associated with SSD was reexamined at its original data source. Read More

    Nursing Care of Infants With a Ventriculoperitoneal Shunt.
    Adv Neonatal Care 2017 Nov 20. Epub 2017 Nov 20.
    West Chester University of Pennsylvania, Exton (Dr Joseph and Mss Killian and Brady); and Christiana Care Health Systems, Newark, Delaware (Dr Joseph).
    Background: Infants with congenital or posthemorrhagic hydrocephalus may require a ventriculoperitoneal (VP) shunt to divert the flow of cerebrospinal fluid, thus preventing increase in intracranial pressure. Knowledge on various aspects of caring for a child with a VP shunt will enable new and experienced nurses to better care for these infants and equip parents for ongoing care at home.

    Purpose: To review the nurses' role in care of infants with hydrocephalus, care after VP shunt placement, prevention of complications, and parental preparation for home care. Read More

    The Radiologist's Primer to Imaging the Noncuff, Nonlabral Postoperative Shoulder.
    Radiographics 2017 Nov 22:170061. Epub 2017 Nov 22.
    From the Mallinckrodt Institute of Radiology, Musculoskeletal Section, Washington University School of Medicine, 510 S Kingshighway Blvd, Campus Box 8131, St Louis, MO 63110.
    Many radiologists are familiar with the preoperative imaging assessment of patients with labral tears, rotator cuff abnormalities, and end-stage arthritis, as well as the subsequent primary reconstructions and repairs commonly encountered in routine clinical management. However, the second-line surgical procedures and augmentation procedures performed for refractory or recurrent shoulder instability and the extra-articular surgical procedures of the shoulder girdle may challenge even the most experienced musculoskeletal radiologist. Knowledge of the indications, surgical techniques, expected postoperative imaging appearance, and complications of these uncommon shoulder girdle reconstructions and repairs will aid the radiologist in both the pre- and postoperative assessment of the injured shoulder. Read More

    Imaging of iatrogenic esophageal injuries using optimized CT esophageal leak protocol: pearls and pitfalls.
    Br J Radiol 2017 Nov 22:20170629. Epub 2017 Nov 22.
    4 Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
    Iatrogenic injury to the esophagus is a serious complication which is increasingly seen in clinical practice secondary to expansion and greater acceptability of surgical and endoscopic esophageal procedures. Morbidity and mortality following such injury is high. This is mostly due to an inflammatory response to gastric contents in the mediastinum, and the negative intra-thoracic pressures that may further draw out esophageal contents into the mediastinum leading to mediastinitis. Read More

    Analysis of the factors affecting surgical site infection and bone flap resorption after cranioplasty with autologous cryopreserved bone: The importance of temporalis muscle preservation.
    Turk Neurosurg 2017 Nov 1. Epub 2017 Nov 1.
    Korea University, Ansan Hospital, Department of Neurosurgery, Ansan, Gyeonggi-do, Republic of Korea.
    Aim: A decompressive craniectomy is a potentially life-saving surgical procedure for raised intracranial pressure. Once it has been performed, patients are obliged to undergo a second procedure with cranioplasty. The aim of this study was to investigate the outcomes and associated complications after delayed cranioplasty using autologous, cryopreserved bone. Read More

    Limited Midline Myelotomy for Intractable Visceral Pain: Surgical Techniques and Outcomes.
    Neurosurgery 2017 Nov 18. Epub 2017 Nov 18.
    Department of Neurosurgery, Baylor College of Medicine, Houston, Texas.
    Background: Limited midline myelotomy targets the midline nociceptive pathway for intractable visceral pain. Multiple techniques are available for limited midline myelotomy; however, outcome data for each technique are sparse.

    Objective: To review our experience with open and percutaneous approaches for limited midline myelotomy for intractable visceral pain. Read More

    Direct axillary cannulation with open Seldinger-guided technique: is it safe?
    Eur J Cardiothorac Surg 2017 Nov 20. Epub 2017 Nov 20.
    Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, CT, USA.
    Objectives: Axillary artery cannulation is commonly used in thoracic aortic surgery, often utilizing a sidearm graft. Although our institutional preference is femoral cannulation, we use axillary cannulation in select cases with a 'dirty' aorta on computed tomography scan or intraoperative transoesophageal echocardiography. Since 2011, we have routinely used an open Seldinger-guided approach for axillary cannulation. Read More

    [Pterygium: etiology, pathogenesis, treatment].
    Vestn Oftalmol 2017 ;133(5):76-83
    Research Institute of Eye Diseases, 11A, B, Rossolimo St., Moscow, Russian Federation, 119021.
    Pterygium is a degenerative condition characterized by fibrovascular outgrowth of conjunctiva over the cornea. Many theories exist that try to explain its pathogenesis. The current belief is that this disease is multifactorial with ultraviolet radiation being the most important trigger. Read More

    Biomaterials and Advanced Technologies for Hemostatic Management of Bleeding.
    Adv Mater 2017 Nov 22. Epub 2017 Nov 22.
    Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
    Bleeding complications arising from trauma, surgery, and as congenital, disease-associated, or drug-induced blood disorders can cause significant morbidities and mortalities in civilian and military populations. Therefore, stoppage of bleeding (hemostasis) is of paramount clinical significance in prophylactic, surgical, and emergency scenarios. For externally accessible injuries, a variety of natural and synthetic biomaterials have undergone robust research, leading to hemostatic technologies including glues, bandages, tamponades, tourniquets, dressings, and procoagulant powders. Read More

    C-reactive protein levels for early detection of early postoperative complications after proximal femoral fracture surgery.
    Eur J Orthop Surg Traumatol 2017 Nov 21. Epub 2017 Nov 21.
    Department of Orthopaedic Surgery, Le Raincy Montfermeil Intercommunal Hospital, 10 rue du Général Leclerc, 93370, Montfermeil, France.
    Introduction: We have studied the early C-reactive protein (CRP) kinetics after proximal femoral fracture (PFF) surgery and defined a chart of CRP threshold values beyond which early postoperative complications are likely.

    Materials And Methods: We have prospectively followed up a 42-patient cohort for surgical treatment by osteosynthesis or hip arthroplasty, and CRP was dosed at admission, on day 1, day 3, day 5 and then twice weekly for 30 days at the same time as a platelet count control of low molecular weight heparins. Then, we identified postoperative complications (medical complications like infections other than the surgical site, thromboembolic complications, death and surgical complications like surgical site infections, dislocation, haematoma) and established the evolutive profile of CRP in a 'complication' group and a 'no complication' group. Read More

    Interpretations of complications following third molar extraction.
    Quintessence Int 2017 Nov 21:41-47. Epub 2017 Nov 21.
    Objective: Surgical removal of third molars is often associated with complications. The aim of the present study was to analyze the incidence of complications following extraction of third molars relative to the risk factors.

    Method And Materials: This retrospective study included 463 patients who had mandibular third molar extraction (performed by a single surgeon, DSA) in the years 2001 to 2011. Read More

    Timing of Decompression in Patients With Acute Spinal Cord Injury: A Systematic Review.
    Global Spine J 2017 Sep 5;7(3 Suppl):95S-115S. Epub 2017 Sep 5.
    University of Toronto, Toronto, Ontario, Canada.
    Study Design: Systematic review.

    Objective: To conduct a systematic review and synthesis of the literature to assess the comparative effectiveness, safety, and cost-effectiveness of early (≤24 hours) versus late decompression (>24 hours) in adults with acute spinal cord injury (SCI).

    Methods: A systematic search was conducted of Medline, EMBASE, the Cochrane Collaboration Library, and Google Scholar to identify studies published through November 6, 2014. Read More

    Change in Functional Impairment, Disability, and Quality of Life Following Operative Treatment for Degenerative Cervical Myelopathy: A Systematic Review and Meta-Analysis.
    Global Spine J 2017 Sep 5;7(3 Suppl):53S-69S. Epub 2017 Sep 5.
    Spectrum Research, Inc, Tacoma, WA, USA.
    Study Design: Systematic review.

    Objectives: The primary objective of this systematic review was to define the change in impairment, disability, and pain following surgical intervention in patients with degenerative cervical myelopathy (DCM). Secondary objectives included to assess the impact of preoperative disease severity and duration of symptoms on outcomes and to summarize complications associated with surgery. Read More

    A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury and Central Cord Syndrome: Recommendations on the Timing (≤24 Hours Versus >24 Hours) of Decompressive Surgery.
    Global Spine J 2017 Sep 5;7(3 Suppl):195S-202S. Epub 2017 Sep 5.
    Thomas Jefferson University, Philadelphia, PA, USA.
    Objective: To develop recommendations on the timing of surgical decompression in patients with traumatic spinal cord injury (SCI) and central cord syndrome.

    Methods: A systematic review of the literature was conducted to address key relevant questions. A multidisciplinary guideline development group used this information, along with their clinical expertise, to develop recommendations for the timing of surgical decompression in patients with SCI and central cord syndrome. Read More

    Delayed Tibial Osteomyelitis after Anterior Cruciate Ligament Reconstruction with Hamstrings Autograft and Bioabsorbable Interference Screw: A Case Report and Review of the Literature.
    Case Rep Orthop 2017 15;2017:6383526. Epub 2017 Oct 15.
    Boca Care Orthopedics, Florida Atlantic University College of Medicine, Boca Raton, FL 33431, USA.
    Osteomyelitis following arthroscopically assisted anterior cruciate ligament (ACL) reconstruction has rarely been reported in the literature. We report a case of a 20-year-old female who had delayed tibial osteomyelitis and a pretibial cyst with culture-positive, oxacillin sensitive Staphylococcus epidermidis 15 months after an ACL reconstruction with hamstring autograft. Soft tissue fixation within the tibial tunnel was with a poly-L-D-lactic acid (PLDLA) bioabsorbable interference screw. Read More

    An Undiagnosed Paraganglioma in a 58-Year-Old Female Who Underwent Tumor Resection.
    Case Rep Anesthesiol 2017 15;2017:5796409. Epub 2017 Oct 15.
    General, Vascular, Transplant Division, Department of Anesthesiology, Duke University Medical Center, Box 3823 Durham, NC 27710, USA.
    Paragangliomas and pheochromocytomas are rare neuroendocrine tumors that can have high morbidity and mortality if undiagnosed. Here we report a case of an undiagnosed paraganglioma in a 58-year-old female who underwent tumor resection. The patient became severely hypertensive intraoperatively with paroxysmal swings in blood pressure and then later became acutely hypotensive after tumor removal. Read More

    ERCP in infants, children and adolescents is feasible and safe: results from a tertiary care center.
    United European Gastroenterol J 2017 Nov 11;5(7):1024-1029. Epub 2017 Jan 11.
    Innere Medizin I, Universitätsklinikum Tübingen, Tübingen, Germany.
    Background: Indications for endoscopic retrograde cholangiopancreatography (ERCP) in children differ from adults. Paucity of data and concerns about potential lower effectiveness and more side effects limit its use even in high volume centers. We retrospectively analyzed indications, success rates, limitations, and side effects of ERCPs in children <18 years. Read More

    New therapeutic options provided by off-label deployment of stent graft for tailored arteriovenous access salvage: Two cases.
    SAGE Open Med Case Rep 2017 14;5:2050313X17741827. Epub 2017 Nov 14.
    Vascular Surgery Department, Center For Research on Organ Transplantation, University of Insubria, Varese, Italy.
    A tailored therapy to patient requirements by combining endovascular and surgical steps can be necessary to prolong the life of a vascular access. Stent grafts play a growing role for the therapy of dialytic access complications. Randomized multi-center trials, however, support the on-label use of stent grafts in the treatment of graft venous outflow and in-stent restenosis. Read More

    Vertebral body segmentation with GrowCut: Initial experience, workflow and practical application.
    SAGE Open Med 2017 13;5:2050312117740984. Epub 2017 Nov 13.
    School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, China.
    Objectives: Spinal diseases are very common; for example, the risk of osteoporotic fracture is 40% for White women and 13% for White men in the United States during their lifetime. Hence, the total number of surgical spinal treatments is on the rise with the aging population, and accurate diagnosis is of great importance to avoid complications and a reappearance of the symptoms. Imaging and analysis of a vertebral column is an exhausting task that can lead to wrong interpretations. Read More

    Robotic arm-assisted versus conventional unicompartmental knee arthroplasty: Exploratory secondary analysis of a randomised controlled trial.
    Bone Joint Res 2017 Nov;6(11):631-639
    Department of Orthopaedics, Glasgow Royal Infirmary, Glasgow, G4 0SF, UK.
    Objectives: This study reports on a secondary exploratory analysis of the early clinical outcomes of a randomised clinical trial comparing robotic arm-assisted unicompartmental knee arthroplasty (UKA) for medial compartment osteoarthritis of the knee with manual UKA performed using traditional surgical jigs. This follows reporting of the primary outcomes of implant accuracy and gait analysis that showed significant advantages in the robotic arm-assisted group.

    Methods: A total of 139 patients were recruited from a single centre. Read More

    Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review.
    JMIR Res Protoc 2017 Nov 21;6(11):e232. Epub 2017 Nov 21.
    Department of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
    Background: The treatment of supracondylar humerus fracture in children (SHFC) is associated with complications such as functional deficit, residual deformity, and iatrogenic neurological damage. The standard treatment is closed reduction and percutaneous Kirschner wire fixation with different configurations. Despite this fact, there is still no consensus on the most effective technique for the treatment of these fractures. Read More

    Surgical Outcome of Very Small Intracranial Aneurysms Utilizing the Double Clip Technique.
    World Neurosurg 2017 Nov 18. Epub 2017 Nov 18.
    Department of Neurosurgery, Helsinki University Hospital and University of Helsinki, Finland.
    Objectives: To report the outcome of patients with VSIA undergoing surgical clipping utilizing a double clip technique.

    Methods: This cross-sectional study was conducted in Namazi hospital, the main referral neurovascular center in Southern Iran during a 6-year period from September 2010 to March 2016. All the patients with VSIAs (≤3mm) undergoing surgery by double clip technique were included. Read More

    Arterial reconstructions for chronic lower extremity ischemia in preadolescent and adolescent children.
    J Vasc Surg 2017 Nov 18. Epub 2017 Nov 18.
    Section of Vascular Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich.
    Objective: Chronic lower extremity ischemia in pediatric patients is uncommon. The intent of this study was to better define the arterial reconstructive options and their long-term durability in preadolescent and adolescent children having clinically relevant arterial occlusions affecting the lower extremity.

    Methods: The medical records of 33 consecutive pediatric patients who underwent lower extremity revascularization for chronic ischemia at the University of Michigan from 1974 to 2016 were reviewed. Read More

    Diabetes and Healing Outcomes in Lower Extremity Fractures: A Systematic Review.
    Injury 2017 Nov 18. Epub 2017 Nov 18.
    Division of Orthopaedics, Department of Surgery, St. Michael's Hospital, University of Toronto, Canada. Electronic address:
    Objective: The purpose of this study was to review the rates of adverse healing outcomes following surgical fixation of lower extremity fractures in diabetic patients and matched controls.

    Materials And Methods: Searches of PubMed, MEDLINE, CINAHL and Embase were performed for studies published between the date of database inception and July 6, 2015. Patient characteristics and the incidence of adverse healing outcomes (nonunion, malunion, delayed union, infection and reoperation) were extracted from each study. Read More

    Current concepts in spondylopelvic dissociation.
    Injury 2017 Nov;48 Suppl 6:S5-S11
    Orthopedic Trauma Surgeon and Researcher from National Institute of Traumatology and Orthopedics, Rio de Janeiro - RJ, Brazil. Electronic address:
    Introduction: Spondylopelvic dissociation is an uncommon and complex injury that results from high-energy trauma with axial overloading through the sacrum. Due to the life-threatening nature of these injuries, standard Advanced Trauma Life Support(®) (ATLS) protocol must be used in the trauma setting as part of the initial management of these patients. The key to diagnosis is a good physical exam coupled with high level of suspicion. Read More

    New steps of robot-assisted radical prostatectomy using the extraperitoneal approach: a propensity-score matched comparison between extraperitoneal and transperitoneal approach in Japanese patients.
    BMC Urol 2017 Nov 21;17(1):106. Epub 2017 Nov 21.
    Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
    Background: Robot-assisted radical prostatectomy (RARP) is commonly performed using the transperitoneal (TP) approach with six trocars over an 8-cm distance in the steep Trendelenburg position. In this study, we investigated the feasibility and the benefit of using the extraperitoneal (EP) approach with six trocars over a 4-cm distance in a flat or 5° Trendelenburg position. We also introduced four new steps to the surgical procedure and compared the surgical results and complications between the EP and TP approach using propensity score matching. Read More

    Recognizing and reacting to complications of trans-septal puncture.
    Expert Rev Cardiovasc Ther 2017 Nov 22. Epub 2017 Nov 22.
    a Heart Rhythm Management Centre, Postgraduate course in Cardiac Electrophysiology and Pacing , Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel , Brussels , Belgium .
    Introduction: The transseptal puncture (TSP) enables access to the left heart, through the fossa ovalis (FO), both in electrophysiology and in cardiac interventional procedures. TSP is usually safe in experienced hands. Sometimes TSP can be technically demanding and carries the risk of severe complications in approximately 1%. Read More

    Existing issues and valid concerns in continuous-flow ventricular assist devices.
    Expert Rev Med Devices 2017 Nov 22. Epub 2017 Nov 22.
    b Hannover Medical School , Hannover , Germany.
    Introduction: Through concerted endeavours in the fields of surgery, medicine, and biomedical engineering, patronized by government and industry, ventricular assist devices have become an established surgical treatment to support the failing heart, which could easily and simply surpass the frequency of heart transplantation. Be it as it may, complications and adverse events have unfolded, and these facilitated the way to newer biomedically-engineered pump designs in search of the perfect support for a failing heart. Areas covered: This review focuses on the evolution of the continous-flow ventricular assist device as an accepted mode of treatment in advanced heart failure, as a bridge to myocardial recovery, as a bridge to heart transplantation and as a permanent therapy, with its attendant complications and long-term outcome. Read More

    Editorial Comment on END-2017-0436-OR.R1.
    J Endourol 2017 Nov 22. Epub 2017 Nov 22.
    New York Medical College, 8137, Valhalla, New York, United States ;
    A central component of percutaneous nephrostolithotomy is an endoscopic lithotrite that safely and efficiently clears stone of all compositions from the intrarenal collecting system. The current multicenter trial studied 3 lithotrite combinations employing both mechanical ballistic and ultrasonic energy to fragment and evacuate with suction stone debris. What is clear from this work is that, with regard to the timely clearance of the stone burden and peri-operative complications, there is minimal difference between the devices studied, nothing special and nothing new. Read More

    Critical Limb Ischemia: A Practical Up-To-Date Review.
    Angiology 2017 Jan 1:3319717739387. Epub 2017 Jan 1.
    1 Cardioangiology Universitary Departmental Section, Cardio Thoracic and Vascular Department, A.O.U.P., University of Pisa, Pisa, Italy.
    Critical limb ischemia (CLI) is the most advanced form of peripheral artery disease. It is associated with significant morbidity and mortality and high management costs. It carries a high risk of amputation and local infection. Read More

    Levothyroxine treatment generates an abnormal uterine contractility patterns in an in vitro animal model.
    J Clin Transl Endocrinol 2015 Dec 9;2(4):144-149. Epub 2015 Sep 9.
    Department of Obstetrics and Gynecology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.
    Objective: Abnormal uterine contraction patterns were recently demonstrated in uterine strips from pregnant women treated with Levothyroxine (T4). These abnormalities were correlated with an increased risk of C-section delivery and associated surgical complications. To date, no study has investigated whether uterine contractility is modified by hypothyroidism or T4 treatment. Read More

    Cancer treatment and management for elderly patients 80 years of age or older with malignant solid tumors.
    J Exp Ther Oncol 2017 Nov;12(2):143-149
    Department of General Medicine, Kanagawa Prefectural Ashigarakami Hospital, Matsuda-soryo 866-1, Matsuda, Kanagawa 258-0003, Japan.
    Objective: We retrospectively analyzed the backgrounds, treatment and nursing care for 96 patients aged 80 years or more with malignant tumors. Twenty of them were hospitalized on an emergency basis. Sixty patients were male and 36 were female, with a median age of 83 years (range: 80-94 years). Read More

    Management of cardiac tamponade in catheter ablation of atrial fibrillation: single-centre 15 year experience on 5222 procedures.
    Europace 2017 Nov 17. Epub 2017 Nov 17.
    Cardiology Division, Cardiovascular Center, Tsuchiura Kyodo Hospital, 4-1-1 Otsuno, Tsuchiura, Ibaraki 300-0028, Japan.
    Aims: Cardiac tamponade during atrial fibrillation (AF) ablation is infrequent but potentially fatal. This study aimed to retrospectively investigate the incidence, management, and outcomes of tamponade in large patient series.

    Methods And Results: The study analysed 5222 AF ablation procedures in 3483 patients between 2002 and 2016 under a heparin-bridge anticoagulation protocol. Read More

    Public Perception of Telemedicine and Surgical Telementoring in the Pediatric Population: Results of a Parental Survey.
    J Laparoendosc Adv Surg Tech A 2017 Nov 21. Epub 2017 Nov 21.
    Department of Pediatric Surgery, Akron Children's Hospital , Akron, Ohio.
    Introduction: Telemedicine and surgical telementoring strive to provide equal access to specialized healthcare, regardless of patient location. It also aims to provide providers in remote locations real-time, second opinions from more experienced physicians who are otherwise not readily available. The goal of this study is to gauge the public perception of this technology in the pediatric population. Read More

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