1,075,534 results match your criteria Surgical Complications


[Robot-assisted laparoscopic bladder diverticulum resection (RABDR)].

Aktuelle Urol 2021 May 11. Epub 2021 May 11.

Sozialstiftung Bamberg, Klinik für Urologie, Kinderurologie und roboterassistierte minimalinvasive Urologie, Bamberg.

Aims:  Since October 2018, urinary bladder diverticulum resections at our Department of Urology have been carried out with robot assistance and with minimal invasivion, Paediatrical urological and robot-assisted minimally invasive urological surgery for the Bamberg Social Foundation were performed with the DaVinci robotic system. The aim of the present study was to record the surgical results of our patients and to compare these if necessary with available data on optimal diagnostic and therapy.

Methods:  In this retrospective analysis, we included all patients who received RAHDR between October 2018 and March 2020. Read More

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Modified "Blumgart-Type" Suture for Wirsung-Pancreaticogastrostomy: Technique and Results of a Pilot Study.

Eur Surg Res 2021 May 11:1-10. Epub 2021 May 11.

University of Bari "Aldo Moro" Medical School, Bari, Italy.

Introduction: Postoperative pancreatic fistula (POPF) represents the principal determinant of morbidity and mortality after pancreaticoduodenectomy. Since 1994 we have been performing pancreaticogastrostomy with duct-to-mucosa anastomosis (Wirsung-pancreaticogastric anastomosis [WPGA]), but postoperative morbidity, although limited, was still a concern. An original pancreas-transfixing suture technique, named "Blumgart's anastomosis" (BA), has shown efficacy at reducing fistula rates from pancreaticojejunostomy. Read More

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Endoscopically unobservable appendiceal adenoma treated using laparoscopically assisted surgery.

Int J Surg Case Rep 2021 Apr 30;83:105949. Epub 2021 Apr 30.

Department of Surgery, IMSUT Hospital, The Institute of Medical Science, The University of Tokyo, Japan.

Introduction: Primary benign adenomas of the appendix occur rarely. According to appendectomy and autopsy reports, benign adenomas of the appendix are sporadically reported, accounting for ~0.02-0. Read More

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Hepatic hilar and celiac plexus nerve blocks as analgesia for doxorubicin-eluting bead embolization procedures for hepatocellular carcinoma: A non-blinded randomized clinical trial.

J Vasc Interv Radiol 2021 May 8. Epub 2021 May 8.

Department of Radiodiagnosis, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.

Purpose: To investigate whether hepatic hilar and celiac plexus nerve blocks provide safe and effective analgesia to patients undergoing doxorubicin-eluting embolics embolization for hepatocellular carcinoma MATERIALS AND METHODS: In this prospective, randomized trial, 92 patients undergoing drug-eluting embolics transarterial chemoembolization (TACE) for hepatocellular carcinoma were enrolled. The control group received standard intraprocedural local anesthetic, intraarterial lidocaine, and intravenous analgesia; the study group (HHCB) underwent hepatic hilar and celiac plexus nerve blockade in addition. Intraarterial lidocaine, intravenous and postprocedural oral narcotics and antiemetics requirements, pain, patient satisfaction, adverse events, and hospital stay were compared. Read More

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Potential Benefits of Limited Clinical and Radiographic Follow-up After Surgical Treatment of Ankle Fractures.

J Am Acad Orthop Surg Glob Res Rev 2021 05 11;5(5). Epub 2021 May 11.

From the Geisinger Medical Center, Department of Orthopaedics, MSK Institute, Danville, PA (Dr. Friedman and Dr. Horwitz); the Universidad del Rosario, School of Medicine and Health Sciences, Bogota, Colombia (Dr. Sanchez); the Department of Orthopaedic Surgery, University of California Davis Health System, Sacramento, CA (Dr. Zachos); Department of Orthopedic Surgery, Lahey Hospital and Medical Center, Burlington, MA (Dr. Marcantonio); Department of Orthopaedic Surgery, Beaumont Health, Royal Oak, MI (Dr. Audet); Department of Orthopaedic Surgery, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH (Dr. Vallier); Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN (Dr. Mullis); University of Miami, Department of Anesthesiology, Jackson Memorial Hospital, Miami, FL (Dr. Myers-White); Department of Orthopaedic Surgery, Carolinas Medical Center, Atrium Health Musculoskeletal Institute, Charlotte, NC (Dr. Kempton); and Department of Orthopedic Surgery, Cleveland Clinic Akron General Hospital, Akron, OH (Dr. Watts).

Introduction: Ankle fractures are one of the most prevalent musculoskeletal injuries, with a significant number requiring surgical treatment. Postoperative complications requiring additional interventions frequently occur during the early postoperative period. We hypothesize that there is a limited need for routine clinical and radiographic follow-up once the fracture is deemed healed. Read More

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Treatment of Bleeding in Patients with Liver Disease.

J Thromb Haemost 2021 May 11. Epub 2021 May 11.

Department of Haematological Medicine, King's Thrombosis Centre, King's College Hospital National Health Service (NHS) Foundation Trust, London, UK.

Patients with cirrhosis frequently have complex alterations in their hemostatic system. Although routine diagnostic tests of hemostasis in cirrhosis (platelet count, prothrombin time, fibrinogen level) are suggestive of a bleeding tendency, it is now widely accepted that these tests do not reflect hemostatic competence in this population. Rather, patients with cirrhosis appear to have a rebalanced hemostatic system with hypercoagulable elements. Read More

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Giant pseudoaneurysm that developed seven years after surgical repair of a postinfarction ventricular septal defect.

Gen Thorac Cardiovasc Surg 2021 May 11. Epub 2021 May 11.

Department of Cardiovascular Surgery, Hyogo Brain and Heart Center, 520 Saisho-ko, Himeji, Hyogo, 670-0981, Japan.

Left ventricular pseudoaneurysm is a rare complication after myocardial infarction or cardiac surgery. An 88-year-old woman who developed a left ventricular pseudoaneurysm 7 years after the repair of a postinfarction ventricular septal defect was admitted to our hospital with a complaint of a pulsatile epigastric mass, which had persisted for a month. Enhanced computed tomography revealed a large left ventricular pseudoaneurysm that extended to the subcutaneous epigastric tissue through the supra-diaphragmatic space. Read More

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Fractures of the proximal radius in children: management and results of 100 consecutive cases.

Arch Orthop Trauma Surg 2021 May 11. Epub 2021 May 11.

Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.

Introduction: Pediatric radial neck and head fractures are rare, accounting for only 1% of all fractures in children. The aim of this study is to describe the management and results of the respective fracture types and different injury characteristics.

Materials And Methods: This study performs a retrospective data analysis of 100 consecutive patients with a fracture of the proximal radius treated in a single high-volume pediatric trauma center. Read More

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Bladder neck stenosis after transurethral prostate surgery: a systematic review and meta-analysis.

World J Urol 2021 May 11. Epub 2021 May 11.

S.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.

Purpose: Bladder neck stenosis (BNS) is a long-term complication of surgical procedures for benign prostatic hyperplasia (BPH). We performed a systematic literature review and a meta-analysis of the incidence of BNS after transurethral procedures for BPH.

Methods: We performed a systemic literature review using MEDLINE, EMBASE, and Cochrane Central Controlled Register of Trials. Read More

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Flap Reconstruction of Perineal Defects after Pelvic Exenteration: A Systematic Description of Four Choices of Surgical Reconstruction Methods.

Plast Reconstr Surg 2021 May 10. Epub 2021 May 10.

From the Departments of Surgery and Plastic, Reconstructive, and Hand Surgery, Amsterdam University Medical Center; the Department of Plastic Surgery, Leiden University Medical Center; and the Department of Gastrointestinal Surgery, Ghent University Hospital.

Background: The treatment of locally advanced or recurrent anorectal cancer requires radical surgery such as extralevator abdominoperineal resection and pelvic exenteration. Larger defects require flap reconstruction. The authors evaluated outcomes of different perineal reconstruction techniques. Read More

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Safety of Routine Pedicle Division during Delayed Breast Augmentation following Free Flap Breast Reconstruction.

Plast Reconstr Surg 2021 May 10. Epub 2021 May 10.

From the Division of Plastic and Reconstructive Surgery, University of Texas Health Science Center at Houston; and the Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine.

Background: Autologous free flap breast reconstruction is a common reconstructive procedure, with the ability to produce a natural breast shape and a long history of success. Despite its benefits, there are special situations in which patients lack sufficient donor-site tissue to achieve adequate breast size and projection. With this study, the authors describe their institutional experience of delayed implant augmentation after autologous breast reconstruction with a particular focus on pedicle division as a technique to improve aesthetic results. Read More

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Case Report: Role of Anterior Segment Optical Coherence Tomography in Late-onset Capsular Block Syndrome.

Optom Vis Sci 2021 May 7. Epub 2021 May 7.

FISABIO Oftalmología Médica, Valencia, Spain

Significance: We report the use of anterior segment optical coherence tomography (AS-OCT) as a valuable tool for capsular block syndrome diagnosis and follow-up.

Purpose: The purposes of this study are to report a case of late-onset capsular block syndrome or lacteocrumenasia and to describe differential diagnosis with other more common phacoemulsification complications such as intraocular lens (IOL) or posterior capsule opacification.

Case Report: We report the case of a 56-year-old man with a clinical history of cataract surgery in his left eye. Read More

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Robotic-assisted surgery for complicated and uncomplicated diverticulitis: A single-surgeon case-series comparison.

Int J Med Robot 2021 May 3. Epub 2021 May 3.

Department of Colorectal Surgery, George Washington University Hospital, Washington, District of Columbia, USA.

Background: Robotic-assisted techniques in colorectal surgery have dramatically increased. Comparative data on the management of uncomplicated and complicated diverticulitis using robotics is lacking. The purpose of this study is to examine outcomes of patients who underwent robotic-assisted resection in diverticulitis. Read More

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Efficacy of sacral neuromodulation and percutaneous tibial nerve stimulation in the treatment of chronic nonobstructive urinary retention: A systematic review.

Neurourol Urodyn 2021 May 11. Epub 2021 May 11.

Department of Urology, Western Health, University of Melbourne, Melbourne, Australia.

Aim: The aim of this systematic review is to provide an updated report on the efficacy and complications of sacral neuromodulation (SNM) and percutaneous tibial nerve stimulation (PTNS) in the treatment of chronic nonobstructive urinary retention (CNOUR), with a focus on the contemporary technique of SNM utilizing the percutaneous placement of tined leads.

Methods: This systematic review was conducted with the use of PRISMA guidelines and registered with PROSPERO (CRD42020208052). A systematic literature search was conducted in Embase, PubMed, and Cochrane databases. Read More

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Novel transurethral resection technologies and training modalities in the management of nonmuscle invasive bladder cancer: a comprehensive review.

Curr Opin Urol 2021 May 10. Epub 2021 May 10.

Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Division of Urology, Department of Special Surgery, Jordan University Hospital, The University of Jordan, Amman, Jordan Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia Department of Urology, Weill Cornell Medical College, New York, New York Department of Urology, University of Texas Southwestern, Dallas, Texas, USA Department of Urology, Second Faculty of Medicine, Charles University, Prague, Czech Republic Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria European Association of Urology Research Foundation, Arnhem, The Netherlands.

Purpose Of Review: Conventional transurethral resection (TURBT) with tumor fragmentation is the primary step in the surgical treatment of nonmuscle invasive bladder cancer. Recently, new surgical techniques and training modalities have emerged with the aim to overcome short-comings of TURBT and improve oncologic outcomes. In this review, we provide a comprehensive update of recent techniques/techniques that aim to improve upon conventional TURBT and beyond. Read More

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The Value of Three-Dimensional Printing Spine Model in Severe Spine Deformity Correction Surgery.

Global Spine J 2021 May 11:21925682211008830. Epub 2021 May 11.

Department of Orthopedic Surgery, 74639Beijing Chao-Yang Hospital, Capital Medical University, Chaoyang District, Beijing, China.

Study Design: Retrospective case-control study.

Objective: We aimed to evaluate the value of 3-dimensional printing (3DP) spine model in the surgical treatment of severe spinal deformity since the prosperous development of 3DP technology.

Methods: Severe scoliosis or hyper-kyphosis patients underwent posterior fixation and fusion surgery using the 3DP spine models were reviewed (3DP group). Read More

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Three-year effectiveness and safety of the XEN gel stent as a solo procedure or in combination with phacoemulsification in open-angle glaucoma: a multicentre study.

Acta Ophthalmol 2021 May 10. Epub 2021 May 10.

Department of Ophthalmology, University Hospitals UZ Leuven, Leuven, Belgium.

Purpose: To assess the 3-year effectiveness and safety of the XEN gel stent implanted ab interno in open-angle glaucoma (OAG).

Methods: This study was a multicentre, retrospective chart review of consecutive patients with OAG who underwent ab-interno gel stent placement alone or combined with phacoemulsification between 1 January 2014 and 1 October 2015. Outcome measures included mean changes in intraocular pressure (IOP) and IOP-lowering medication count from medicated baseline at 1, 2, 3 (primary outcome) and 4 years (if available) postimplantation. Read More

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Microsurgical resection of foramen magnum meningioma: multi-institutional retrospective case series and proposed surgical risk scoring system.

J Neurooncol 2021 May 10. Epub 2021 May 10.

Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Purpose: Foramen magnum meningiomas (FMMs) are a major surgical challenge, due to relevant surgical morbidity and mortality. The paper aims to review the clinical (symptomatic improvement, complication rate, length of hospital stay) and radiological outcome (completeness of resection) of microsurgical resection of FMMs, and to identify predictors of complications.

Methods: A multi-institutional retrospective review of prospectively maintained database of FMMs included 51 patients (74. Read More

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A Case of Iatrogenic Splenic Injury Following Routine Colonoscopy With Possible Influence of Unique Anatomy Due to Severe Scoliosis.

Cureus 2021 Apr 7;13(4):e14352. Epub 2021 Apr 7.

Surgery, University of Central Florida College of Medicine, Orlando, USA.

Iatrogenic splenic injury is a rare complication of all abdominal surgeries. Despite the procedure's overall safety, colonoscopy is now the procedure most frequently associated with iatrogenic splenic injury. A 58-year-old male with a past medical history of hypertension, lung cancer in remission, colon polyps, and severe scoliosis presented for grade three splenic laceration two days following a routine colonoscopy. Read More

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Plate Osteosynthesis or Figure-of-Eight Brace: Which One Is Better in Midshaft Clavicle Fractures?

Cureus 2021 Apr 7;13(4):e14339. Epub 2021 Apr 7.

Orthopedics, Maharishi Markandeshwar (Deemed to be University), Ambala, IND.

Introduction Fracture of the clavicle bone is a very common injury owing to its subcutaneous location. Controversy exists about the optimal treatment of midshaft clavicle fractures in the presence of significant displacement and comminution of the fracture. Traditionally, non-surgical management was considered the first treatment option for most clavicle fractures. Read More

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Comparison of perioperative complications in anterior decompression with fusion and posterior decompression with fusion for thoracic ossification of the posterior longitudinal ligament -a retrospective cohort study using a nationwide inpatient database.

J Orthop Sci 2021 May 7. Epub 2021 May 7.

Department of Global Health Promotion, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, Japan.

Background: Thoracic ossification of the posterior longitudinal ligament (T-OPLL) is a rare disease, which can cause spinal cord compression leading to various neurological symptoms. There are limited treatment options for T-OPLL, surgery is generally considered the only effective treatment. However, few studies have investigated surgical complications in patients with T-OPLL, and there are no data regarding surgical risks in anterior decompression with fusion (ADF) when compared with posterior decompression with fusion (PDF) for T-OPLL. Read More

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Transperitoneal versus extraperitoneal laparoscopic aortic lymph nodal staging for locally advanced cervical cancer: A systematic review and meta-analysis.

Eur J Surg Oncol 2021 May 1. Epub 2021 May 1.

Department of Gynecologic Oncology, ARNAS Civico Di Cristina Benfratelli, Palermo, Italy.

Cervical cancer is the fourth most common neoplasm in women. In locally advanced cervical cancers, the international guidelines recommend nodal aortic assessment. Two techniques have been described to perform laparoscopic aortic lymphadenectomy: transperitoneal laparoscopic lymphadenectomy (TLL) and extraperitoneal laparoscopic lymphadenectomy (ELL). Read More

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Arthroscopy-controlled medial reefing and lateral release for recurrent patellar dislocation: clinical, radiologic outcomes and complications.

BMC Musculoskelet Disord 2021 May 10;22(1):430. Epub 2021 May 10.

Department of Orthopaedic Surgery, Korea University Ansan Hospital, 123, Jeokgeum-ro, Danwon-Gu, Gyeongki-do, Ansan-si, 15355, Republic of Korea.

Background: Few studies have reported the clinical outcomes of the medial reefing procedure and lateral release with arthroscopic control of medial retinacular tension in patients with recurrent patellar dislocation. The purpose of this study was to investigate the clinical, radiologic outcomes and complications of arthroscopy-controlled medial reefing and lateral release.

Methods: Patients who underwent arthroscopy-controlled medial reefing and lateral release for recurrent patellar dislocation between November 2007 and June 2017 were retrospectively evaluated. Read More

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Association Between 5-Item Modified Frailty Index and Short-term Outcomes in Complex Head and Neck Surgery.

Otolaryngol Head Neck Surg 2021 May 11:1945998211010443. Epub 2021 May 11.

Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.

Objectives: To evaluate the impact of preoperative frailty on short-term outcomes following complex head and neck surgeries (HNSs).

Study Design: Cross-sectional database analysis.

Setting: American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Read More

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Mixed pancreatic hepatoid carcinoma: A surgical case report and literature review.

Int J Surg Case Rep 2021 Apr 30;83:105951. Epub 2021 Apr 30.

Department of Gastrointestinal and Hepato-pancreato-biliary surgery, Bach Mai Hospital, Hanoi, Viet Nam.

Background: Hepatoid carcinoma (HC) is a rare type of malignant tumor that shared similar features of morphology and immunohistochemistry with hepatocellular carcinoma (HCC). Pancreatic HC exists as either pure or mixed type. Mixed pancreatic HC is extremely rare, with only a few cases reported in the literature to date. Read More

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Longer Operative Time Associated with Prolonged Length of Stay, Non-Home Discharge and Transfusion Requirement after Anterior Cervical Discectomy and Fusion: an Analysis of 24,593 Cases.

Spine J 2021 May 7. Epub 2021 May 7.

Department of Orthopaedic Surgery, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH, USA; Center for Spine Health, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH, USA.

Background: Prolonged operative time of single-level ACDF has been associated with adverse postoperative outcomes. The current literature does not contain a comprehensive quantitative description of these associations PURPOSE: This study characterized the associations between single-level anterior cervical discectomy and fusion(ACDF) operative time and 1)30-day postoperative healthcare utilization, and 2)the incidence of local wound complications, need for transfusion and mechanical ventilation.

Design/setting: Retrospective database analysis PATIENT SAMPLE: The American College of Surgeons National Surgical Quality Improvement Program(ACS-NSQIP) database was queried for single-level ACDF cases(2012-2018) using current procedural terminology codes. Read More

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Catheter directed haemorrhoidal de-arterialization technique for the management of haemorrhoids: a meta-analysis of the clinical evidence.

J Vasc Interv Radiol 2021 May 7. Epub 2021 May 7.

Vascular and oncologic Interventional Radiology Department at the Hôpital Européen Georges Pompidou, France.

Purpose: To assess the efficacy and safety of catheter directed hemorrhoidal de-arterialization (CDHD) technique for the management of hemorrhoidal bleeding METHODS: A systematic review and meta-analysis of the Pubmed, Cochrane and Scopus databases was conducted according to the PRISMA guidelines. Clinical studies reporting on CDHD for rectal bleeding were analyzed.

Results: 14 studies (N=362) were identified. Read More

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Post-surgical complications after bladder outlet reducing surgery: an analysis of the FDA Manufacturer and User Facility Device Experience (MAUDE) database.

Urology 2021 May 7. Epub 2021 May 7.

Department of Urology, Oregon Health & Science University. Electronic address:

Objective: To examine voluntary reports in the Food & Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database, categorize complications and assign device-related causality with transurethral resection of the prostate (TURP), prostatic urethral lift (PUL), and transurethral water vapor therapy (TWVT).

Methods: A review was performed using the terms "Urolift," "Rezum," and "transurethral resection of the prostate" between 01/01/2015 and 12/31/2019. Duplicate and incomplete reports were excluded. Read More

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Global Practice Patterns of Dorsal Preservation Rhinoplasty.

Facial Plast Surg Aesthet Med 2021 May 10. Epub 2021 May 10.

Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California, USA.

Dorsal preservation rhinoplasty (DPR) has recently received significant academic attention in part due to theoretical benefits over excisional surgical methods. The purpose of this study was to assess the global practice patterns regarding this technique. An 11-item questionnaire was electronically distributed to regional academies/societies representing rhinoplasty surgeons worldwide. Read More

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Posterior cranial vault distraction osteogenesis in the immunocompromised patient.

Childs Nerv Syst 2021 May 10. Epub 2021 May 10.

Division of Plastic Surgery, Department of Surgery, Children's of Mississippi, University of Mississippi Medical Center, 2500 State Street, Jackson, MS, 39216, USA.

Purpose: The treatment of patients with multisuture craniosynostosis is complex and patient-dependent. Cranial distraction osteogenesis is a relatively new procedure for treatment of these patients, with its use increasing in many centers. With this increased use comes an expanding range of indications. Read More

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