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    1 OF 18334

    Results of interdisciplinary management of 693 patients with aneurysmal subarachnoid hemorrhage: Clinical outcome and relevant prognostic factors.
    Clin Neurol Neurosurg 2018 Feb 13;167:106-111. Epub 2018 Feb 13.
    Neuroradiologische Klinik, Klinikum Stuttgart, Germany; Medizinische Fakultät, Universität Duisburg-Essen, Essen, Germany.
    Objectives: Aneurysmal subarachnoid hemorrhage (aSAH) is associated with high rates of morbidities and fatalities. The continuous evolution of neurosurgical, endovascular and neuro-intensive cares has improved the overall mortality. In this study we sought to evaluate the clinical outcome after aSAH from a single tertiary center. Read More

    Functional results and patient satisfaction after long fusion for spinal deformity in Parkinson's disease.
    Orthop Traumatol Surg Res 2018 Feb 20. Epub 2018 Feb 20.
    Service de Chirurgie Orthopédique et Traumatologie, Hôpital Pitié Salpétrière, Université Pierre et Marie Curie. 83 Boulevard de l'Hôpital, 75013, Paris, France.
    Background: Patients with Parkinson's disease often present abnormal posture or severe sagittal malalignment, causing significant disability. Surgical fusion is these cases shows high rates of complications, but may nevertheless provide functional benefit; however, this remains to be assessed.

    Hypothesis: Long fusion for patients with Parkinson's disease and postural disorder could alleviate disability despite the high risk of complications. Read More

    Purse-string closure versus conventional primary closure of wound following stoma reversal: Meta-analysis of randomized controlled trials.
    Int J Surg 2018 Feb 20. Epub 2018 Feb 20.
    General Surgery, "San Giovanni Battista" Hospital, USL Umbria2, Foligno, Italy.
    Purpose: Surgical site infection (SSI) is one of the most frequent complications after stoma closure and the optimal skin closure technique is still not clear. The goal of this review was to compare outcomes with purse-string closure technique (PSC) versus conventional closure technique (CCT) for skin closure after stoma reversal.

    Methods: We performed a systematic review and meta-analysis of available randomized controlled trials (RCTs) to compare SSI rate within 30 days, operative time, hospital stay, incisional hernia and intestinal obstruction rates between PSC and CCT. Read More

    Comparison of Staples Versus Subcuticular Suture in Class III Obese Women Undergoing Cesarean: A Randomized Controlled Trial.
    Am J Obstet Gynecol 2018 Feb 20. Epub 2018 Feb 20.
    Miller Children and Women's Hospital, Long Beach, CA.
    Background: Obesity is a risk factor for infectious morbidity and wound complications after cesarean delivery. There are currently insufficient data to determine optimal skin closure technique for cesarean delivery, specifically for those women with Class III obesity, defined as a body mass index (BMI) greater than or equal to 40 kg/m.

    Objective: To compare stainless steel staples versus subcuticular suture for skin closure for cesarean delivery in Class III obese women with body mass index of ≥ 40 kg/m. Read More

    Evar Complications and The Power of Endovascular Solutions.
    Ann Vasc Surg 2018 Feb 20. Epub 2018 Feb 20.
    Vascular Surgery Unit, SS. Annunziata Hospital, Taranto - Italy.
    We report the case of a 75 years old man submitted to traditional EVAR for infrarenal abdominal aortic aneurysm. He presented a late type II endoleak 6 months after operation, initially without sac enlargement. One year later, a CT scan control demonstred a sac expansion > 10 mm, also responsible of a secondary proximal type I endoleak. Read More

    Effectiveness, Longevity, and Complications of Facelift by Barbed Suture Insertion.
    Aesthet Surg J 2018 Feb 21. Epub 2018 Feb 21.
    Dr van der lei is a Plastic Surgeon, University Medical Center of Groningen, The Netherlands.
    Background: Minimally invasive facelift techniques involving barbed suture insertion have become popular among patients who wish to correct facial tissue ptosis.

    Objectives: The authors sought to determine the effectiveness, longevity, complications, and postoperative sequelae associated with facelift by means of barbed polydioxanone (PDO) threads.

    Methods: A total of 160 consecutive patients who underwent facelift with barbed threads were evaluated retrospectively. Read More

    Blepharoplasty: Anatomy, Planning, Techniques, and Safety.
    Aesthet Surg J 2018 Feb 21. Epub 2018 Feb 21.
    Dr Alghoul is an Assistant Professor, Division of Plastic and Reconstructive Surgery, Northwestern Feinberg School of Medicine, Chicago, IL.
    Blepharoplasty is one of the most commonly performed cosmetic surgical procedures. To date it remains the most powerful method of periorbital rejuvenation when compared to other non-surgical modalities, especially in the aging face. Despite that, the procedure has its shortcomings that include a steep learning curve, prolonged recovery and potential for appearance and life-changing complications. Read More

    Predicting excess cost for older inpatients with clinical complexity: A retrospective cohort study examining cognition, comorbidities and complications.
    PLoS One 2018 23;13(2):e0193319. Epub 2018 Feb 23.
    Health Research Institute, University of Canberra, Canberra, Australia.
    Background: Hospital-acquired complications increase length of stay and contribute to poorer patient outcomes. Older adults are known to be at risk for four key hospital-acquired complications (pressure injuries, pneumonia, urinary tract infections and delirium). These complications have been identified as sensitive to nursing characteristics such as staffing levels and level of education. Read More

    The Effect of Oral Phenazopyridine on Perioperative Voiding After Midurethral Slings (EPIPhANy Study).
    Female Pelvic Med Reconstr Surg 2018 Mar/Apr;24(2):95-99
    Objective: To determine the effect of preoperative oral phenazopyridine on postoperative voiding dysfunction in women undergoing a retropubic midurethral sling.

    Methods: A single-institution randomized clinical trial was performed from September 2015 to March 2017, comparing 200 mg of oral phenazopyridine versus no phenazopyridine in patients undergoing a retropubic midurethral sling under general anesthesia with no concomitant procedures. A power calculation indicated that we required at least 40 subjects per arm. Read More

    Chronic pain after hysterectomy.
    Curr Opin Anaesthesiol 2018 Feb 22. Epub 2018 Feb 22.
    Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.
    Purpose Of Review: Hysterectomy is a common surgical procedure with a low risk of major complications. However, some women experience long-lasting complications, including chronic postsurgical pain, which can have a negative impact on their quality of life. This review aims to present the recent literature on chronic pain following hysterectomy for benign indications. Read More

    Is tissue still the issue? Lobectomy for suspicious lung nodules without confirmation of malignancy.
    J Surg Oncol 2018 Feb 23. Epub 2018 Feb 23.
    Section of Thoracic Surgery, Health Sciences Centre, University of Manitoba, Winnipeg, Canada.
    Background: Histologic confirmation of malignancy has been indicated for a suspicious lung nodule prior to resection. The purpose of this study was to determine whether or not foregoing routine tissue biopsy increased the incidence of lobectomy for benign lesions.

    Methods: Retrospective cohort of 256 patients who underwent thoracoscopic or open lobectomy for a confirmed or suspected pulmonary malignancy, with or without tissue diagnosis. Read More

    Tubular approach to minimally invasive microdiscectomy for pediatric lumbar disc herniation.
    J Neurosurg Pediatr 2018 Feb 23:1-7. Epub 2018 Feb 23.
    Departments of 1 Neurosurgery.
    OBJECTIVE Lumbar disc herniation (LDH) in the pediatric population is rare and exhibits unique characteristics compared with adult LDH. There are limited data regarding the safety and efficacy of minimally invasive surgery (MIS) using tubular retractors in pediatric patients with LDH. Here, the outcomes of MIS tubular microdiscectomy for the treatment of pediatric LDH are evaluated. Read More

    Extraforaminal approach of biportal endoscopic spinal surgery: a new endoscopic technique for transforaminal decompression and discectomy.
    J Neurosurg Spine 2018 Feb 23:1-7. Epub 2018 Feb 23.
    Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Daejeon; and.
    This study was performed to describe the extraforaminal approach of biportal endoscopic spinal surgery (BESS) as a new endoscopic technique for transforaminal decompression and discectomy and to demonstrate the clinical outcomes of this new procedure for the first time. Twenty-one patients (27 segments) who underwent the extraforaminal approach of BESS between March 2015 and April 2016 were enrolled according to the inclusion and exclusion criteria. The operative time (minutes/level) and complications after the procedure were recorded. Read More

    Anterior clinoidectomy using an extradural and intradural 2-step hybrid technique.
    J Neurosurg 2018 Feb 23:1-10. Epub 2018 Feb 23.
    Department of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona.
    Anterior clinoidectomy is a difficult yet essential technique in skull base surgery. Two main techniques (extradural and intradural) with multiple modifications have been proposed to increase efficiency and avoid complications. In this study, the authors sought to develop a hybrid technique based on localization of the optic strut (OS) to combine the advantages and avoid the disadvantages of both techniques. Read More

    Ureteroscopy in pregnant women with complicated colic pain: Is there any risk of premature labor?
    Arch Ital Urol Androl 2017 Dec 31;89(4):287-292. Epub 2017 Dec 31.
    Department of Human Pathology - Section of Urology, University of Messina, Messina.
    Objective: Clinical presentation of ureteral stones during pregnancy is generally with renal colic pain. The aim of this study is to present our experience in the management of renal colic during pregnancy in emergency settings.

    Materials And Methods: 208 pregnant patients who presented to emergency department with renal colic pain and underwent ureteroscopy (URS) due to failed conservative therapy were enrolled in the study. Read More

    Evaluation of the complications in laparoscopic retroperitoneal radical nephrectomy; An experience of high volume centre.
    Arch Ital Urol Androl 2017 Dec 31;89(4):266-271. Epub 2017 Dec 31.
    Department of Urology, SLK-Kliniken, University of Heidelberg, Heilbronn, Germany.
    Objectives: To provide a standardised report of complications after retroperitoneal laparoscopic radical nephrectomy (rLRN) in a high-volume centre using Clavien-Dindo classification.

    Materials And Methods: We analysed records maintained in a prospective database of 330 consecutive patients that underwent rLRN between March 1995 and September 2016. All complications were graded according to the modified Clavien-Dindo classification. Read More

    Transoral radical tonsillectomy and retropharyngeal lymph node dissection with a flexible next generation robotic surgical system.
    Head Neck 2018 Feb 23. Epub 2018 Feb 23.
    Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
    Background: The purpose of this study was to describe the use of a novel flexible, single-arm robot in performing a transoral radical tonsillectomy and retropharyngeal lymph node dissection.

    Methods: A 63-year-old man with a T1N2bM0 (American Joint Committee on Cancer seventh edition classification) squamous cell carcinoma (SCC) of the left tonsil underwent a transoral robotic radical tonsillectomy and retropharyngeal lymph node dissection, followed by a left selective neck dissection of levels I to IV.

    Results: The tonsillar tumor was removed completely with a negative margin that was followed by a dissection and removal of a retropharyngeal lymph node, completed with primary closure of the site. Read More

    Variation in red cell transfusion decisions in the intensive care unit - a nationwide survey in the Netherlands.
    Vox Sang 2018 Feb 23. Epub 2018 Feb 23.
    Department of Intensive Care Medicine, Leiden University Medical Center, Leiden, The Netherlands.
    Background And Objectives: Most guidelines recommend a restrictive transfusion trigger of 7 g/dl. It is unclear whether this resulted in more uniform transfusion practices. The primary objective was to uncover the extent of variation in transfusion decisions within four scenarios of critically ill patients among critical care physicians in the Netherlands. Read More

    Use of 3D Navigation in Subaxial Cervical Spine Lateral Mass Screw Insertion.
    J Neurol Surg Rep 2018 Jan 19;79(1):e1-e8. Epub 2018 Feb 19.
    Division of Orthopaedic and Division of Neurosurgery, The Ottawa Hospital, University of Ottawa Combined Spine Program, Ottawa, Ontario, Canada.
     Cervical spine can be stabilized by different techniques. One of the common techniques used is the lateral mass screws (LMSs), which can be inserted either by freehand techniques or three-dimensional (3D) navigation system. The purpose of this study is to evaluate the difference between the 3D navigation system and the freehand technique for cervical spine LMS placement in terms of complications. Read More

    Immunothrombotic Activity of Damage-Associated Molecular Patterns and Extracellular Vesicles in Secondary Organ Failure Induced by Trauma and Sterile Insults.
    Front Immunol 2018 8;9:190. Epub 2018 Feb 8.
    Department of Surgery, Duke University, Durham, NC, United States.
    Despite significant improvements in injury prevention and emergency response, injury-related death and morbidity continues to increase in the US and worldwide. Patients with trauma, invasive operations, anti-cancer treatment, and organ transplantation produce a host of danger signals and high levels of pro-inflammatory and pro-thrombotic mediators, such as damage-associated molecular patterns (DAMPs) and extracellular vesicles (EVs). DAMPs (e. Read More

    Predictors of Reoperation and Failure to Rescue in Bariatric Surgery.
    JSLS 2018 Jan-Mar;22(1)
    Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
    Background And Objectives: Morbidity and mortality have been shown to increase several-fold in patients who have undergone bariatric surgery and returned to the operating room after their initial procedures. Failure-to-rescue (FTR) analyses allow for an understanding of patient management and outcomes that is more distinguished than assessments of adverse occurrences and mortality rates alone. The objective of this study was to assess failure to rescue (FTR) and the characteristics and outcomes of patients undergoing reoperation after laparoscopic gastric bypass (LGBP) and laparoscopic sleeve gastrectomy (LSG). Read More

    Trifecta Outcomes to Assess Learning Curve of Robotic Partial Nephrectomy.
    JSLS 2018 Jan-Mar;22(1)
    Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York.
    Background And Objectives: The learning curve for achieving desirable perioperative outcomes in robot-assisted partial nephrectomy (RAPN) has not been well studied. Information is available regarding "trifecta" outcomes of no complications, no positive margins, warm ischemia time (WIT) of ≤25 minutes, and a ≤15% decrease in postoperative glomerular filtration rate (GFR). This study was conducted to assess the impact of the learning curve on surgical outcomes in patients undergoing RAPN. Read More

    Splanchnic NIRS monitoring in neonatal care: rationale, current applications and future perspectives.
    J Perinatol 2018 Feb 22. Epub 2018 Feb 22.
    Neonatology and Neonatal Intensive Care Unit, Department of Medical and Surgical Sciences (DIMEC), St. Orsola-Malpighi Hospital - University of Bologna, Bologna, Italy.
    Near infrared spectroscopy (NIRS) provides a non-invasive, continuous monitoring of regional tissue oxygenation. NIRS assessment of neonatal splanchnic oxygenation (SrSO) has gained increasing interest over the last decade, as local hypoxia and ischemia underlie the most feared gut complications in neonates. Current literature provides encouraging evidence in support of SrSOreliability in detecting mesenteric hemodynamic changes related to various physiological and pathological conditions in-term and preterm infants. Read More

    Surgical Treatment of Neglected Bilateral Hemophilic Equinus Contracture With External Fixation: A Case Report.
    J Foot Ankle Surg 2018 Feb 19. Epub 2018 Feb 19.
    Professor, Department of Orthopaedics and Traumatology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
    Hemophilia is a disorder of blood coagulation with X-linked recessive inheritance. It is characterized by uncontrollable hemorrhage, and 80% of these occur intraarticularly. With recurrent hemarthrosis, recurrent synovitis occurs, which eventually leads to the formation of articular contractures. Read More

    Safety of Vaginal Mesh Surgery Versus Laparoscopic Mesh Sacropexy for Cystocele Repair: Results of the Prosthetic Pelvic Floor Repair Randomized Controlled Trial.
    Eur Urol 2018 Feb 19. Epub 2018 Feb 19.
    Service de gynécologie-obstétrique CHI Poissy-St-Germain, Université Versailles Saint-Quentin, Poissy, France; Unité de recherche EA 7285, Université Versailles St-Quentin, Montigny-le-Bretonneux, France.
    Background: Laparoscopic mesh sacropexy (LS) or transvaginal mesh repair (TVM) are surgical techniques used to treat cystoceles. Health authorities have highlighted the need for comparative studies to evaluate the safety of surgeries with meshes.

    Objective: To compare the rate of complications, and functional and anatomical outcomes between LS and TVM. Read More

    Identification of predictors for wound complications following preoperative or postoperative radiotherapy in extremity soft tissue sarcoma.
    Eur J Surg Oncol 2018 Feb 9. Epub 2018 Feb 9.
    Department of Surgical Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. Electronic address:
    Introduction: In extremity soft tissue sarcoma (ESTS), external beam radiotherapy (EBRT) has been used in addition to limb-sparing surgery (LSS). This study aims to identify predictors for major wound complication (MWC) development following EBRT and LSS in ESTS.

    Methods: This retrospective study includes ESTS patients treated with EBRT and LSS between 2005 and 2017. Read More

    The treatment of malignant glaucoma in nanophthalmos: a case report.
    BMC Ophthalmol 2018 Feb 23;18(1):54. Epub 2018 Feb 23.
    Department of Ophthalmology, Zhejiang Chinese Medical Hospital, Hangzhou, 31006, China.
    Background: The management of eyes with nanophthalmos is a dilemma for ophthalmologists due to various complications, especial the eye with malignant glaucoma. We report a case of effective treatment for malignant glaucoma in nanophthalmos.

    Case Presentation: An 82-year-old man was performed phacoemulsification in the right eye with normal ocular pressure and nanophthalmos. Read More

    Cognitive impairment in older patients undergoing colorectal surgery.
    Scott Med J 2018 Jan 1:36933017750988. Epub 2018 Jan 1.
    2 North Bristol NHS Trust, Bristol, UK.
    Background With increasing numbers of older people being referred for elective colorectal surgery, cognitive impairment is likely to be present and affect many aspects of the surgical pathway. This study is aimed to determine the prevalence of cognitive impairment and assess it against surgical outcomes. Methods The Montreal Cognitive Assessment (MoCA) was carried out in patients aged more than 65 years. Read More

    Post-surgical recurrence of HCC along resection margin treated by percutaneous US-guided ablation.
    Minerva Chir 2018 Feb 21. Epub 2018 Feb 21.
    Radiology Unit, Department of Surgical Science, University of Turin, Turin, Italy.
    Background: To evaluate the safety and efficacy of percutaneous ablation for HCC hepatic recurrence along surgical resection margins to achieve complete cure or bridge for additional treatment. No current recommendations exist for these lesions.

    Methods: Retrospective review of post-surgical recurrent HCC located along surgical margins treated by percutaneous ultrasound-guided ablation from 2006-2014. Read More

    How to reduce surgical complications in rectal cancer surgery using fluorescence techniques.
    Minerva Chir 2018 Feb 21. Epub 2018 Feb 21.
    Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy.
    Background: Anastomotic leakage (AL) is a serious complication in colorectal surgery leading to significant morbidity and mortality. Progressively lower anastomoses are associated with a greater leak rate. Adequate bowel perfusion has been stressed as one of the key elements for suture healing. Read More

    Anesteziol Reanimatol 2016 Jul;61(4):308-310
    Background: Guidelines recommend that duration of antibiotic prophylaxis in cardiac surgery should be no more than 48 h, but at the same time it has been suggested that a 24h or even a single dose may be sufficient.

    The Aim: To define whether 24-hour antibiotic prophylaxis on the incidence of infectious complications in cardiac surgery compared to the 72-hour period. Materials andmethods. Read More

    Anesteziol Reanimatol 2016 Jul;61(4):249-252
    The Aim: to determine the efficacy and safety of dexmedetomidinefor sedation and analgesia during transcatheter aortic valve implantation (TA VI) withfemoral access.

    Materials And Methods: the study included 34 high-risk surgical patients with "critical aortic stenosis". All patients underwent TAVI with femoral access. Read More

    [Value and evaluation on multidisciplinary treatment of advanced schistosomiasis].
    Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016 Oct;29(3):267-272
    National Key Clinical Department of Schistosomiasis, Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China.
    Advanced schistosomiasis, encompassing a wide range of pathologic entities and multi-complications, poses a serious threat on the patients' health. Through comprehensive analysis and evaluation on related aspects regarding clinical classification, main methods of auxiliary examination and treatment (including types of surgical procedure) of advanced schistosomiasis, we think that the individual based multidisciplinary comprehensive treatment according to varying conditions of patients is the most optimal treatment mode of advanced schistosomiasis. It is further proposed that multidisciplinary collaborative diagnosis and treatment system should be undoubtedly established, multidisciplinary case discussions be regularly organized, and treatment expert teams be stably formed, in order to significantly improve the level of diagnosis and treatment of advanced schistosomiasis, so as to reduce the misdiagnosis and improve the therapeutic effect in advanced schistosomiasis control. Read More

    [Pregnancy after Obesity and Metabolic Surgery - Risks and Complications].
    Zentralbl Chir 2018 Feb 22. Epub 2018 Feb 22.
    Klinik für Allgemein-, Viszeral- und Kinderchirurgie, SRH Wald-Klinikum Gera gGmbH, Deutschland.
    The increasing prevalence of morbid obesity in Germany is associated with an increasing number of metabolic surgical interventions. Short-term surgical and long-term metabolic complications - such as nutrient deficiencies - are the main risks of metabolic surgery and the resulting malabsorption. Obesity, especially morbid obesity, is associated with a high incidence of female infertility. Read More

    Modified Minimally Invasive Transforaminal Lumbar Interbody Fusion Technique Can Potentially Improve Safety of Interbody Graft Placement.
    Oper Neurosurg (Hagerstown) 2018 Feb 16. Epub 2018 Feb 16.
    University of Maryland Community Medical Group, UM Shore Medical Center at Easton, Easton, Maryland.
    Background: Minimally invasive transforaminal lumbar interbody fusion (MITLIF) is a well-described procedure with excellent reported outcomes. A modification of interbody graft placement can potentially improve the ease and safety of this procedure.

    Objective: To describe a modification of the MITLIF graft placement and retrospectively review our experience including intraoperative and postoperative complications. Read More

    Persistent first intersegmental artery (PFIA) visualized by three-dimensional computed tomography angiography in Chinese population.
    Int J Surg 2018 Feb 19. Epub 2018 Feb 19.
    Department of Orthopaetics, The 202 Hospital of PLA, Shenyang, 110000, China. Electronic address:
    Background: Persistent first intersegmental artery (PFIA) is one of the most frequently vertebral artery (VA) variations. The presence of PFIA obviously increases the complexity and difficulty of vertebral lesion treatment. Thus, preoperative detection of PFIA is necessary to increase the successful rate of surgeries. Read More

    Operation versus watchful waiting in asymptomatic or minimally symptomatic inguinal hernias: The meta-analysis results of randomized controlled trials.
    Int J Surg 2018 Feb 19. Epub 2018 Feb 19.
    Department of General Surgery, Affiliated Zhongda Hospital, Nanjing, China. Electronic address:
    Introduction: The aim of this article was to compare and analyze the outcomes of surgical repair and watchful waiting (WW) in the treatment of asymptomatic or minimally symptomatic inguinal hernias.

    Methods: A systematic literature review was undertaken to identify studies that compare surgical repair and watchful waiting in asymptomatic or minimally symptomatic inguinal hernias. And all related data matching our standards were abstracted for Meta-analysis with RevMan 5. Read More

    Carpal tunnel release with a new mini-incision approach versus a conventional approach, a retrospective cohort study.
    Int J Surg 2018 Feb 19. Epub 2018 Feb 19.
    Department of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, PR China. Electronic address:
    Purpose: We have make use of a new method to perform carpal tunnel release (CTR) through a 1.5-2.0 cm long incision The aim of this study is to introduce this method and to compare the effectiveness and safety of this approach to the conventional one. Read More

    How Safe Is the Safety Net? Comparison of Ivor-Lewis Esophagectomy at a Safety-Net Hospital Using the NSQIP Database.
    J Am Coll Surg 2018 Jan 21. Epub 2018 Jan 21.
    Department of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL.
    Background: Recent data suggest that surgical outcomes at hospitals caring for low-income, vulnerable populations are suboptimal compared to non safety net hospitals. Therefore, the purpose of our study was to compare outcomes for patients who underwent an Ivor-Lewis esophagectomy at a safety net hospital with the National Surgical Quality Improvement Program (NSQIP) database.

    Study Design: We retrospectively reviewed the medical records of consecutive patients who underwent an Ivor-Lewis esophagectomy from September 2013 to January 2017 at a single safety net hospital. Read More

    Health-related quality of life in patients undergoing cervico-thoracic osteotomies for fixed cervico-thoracic kyphosis in patients with ankylosing spondylitis.
    Eur Spine J 2018 Feb 22. Epub 2018 Feb 22.
    Centre for Spinal Studies and Surgery, Queens Medical Centre Campus of Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK.
    Purpose: Ankylosing spondylitis (AS) can result in severe cervico-thoracic kyphotic deformity (CTKD). Few studies have addressed the relationship between cervico-thoracic osteotomies in AS and health-related quality of life scores. The aim of this study is to evaluate the impact of cervico-thoracic osteotomy (CTO) on improving quality of life for patients with fixed CTKD. Read More

    Surgical management of extensive dissecting thoracic aortic aneurysm via the semi-clamshell approach.
    Gen Thorac Cardiovasc Surg 2018 Feb 22. Epub 2018 Feb 22.
    Department of Cardiovascular Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan.
    Background: We retrospectively evaluated the initial clinical experience of the surgical management of extensive dissecting thoracic aortic aneurysm (TAA) via the semi-clamshell approach.

    Methods: Thirteen patients (3 women and 10 men, mean age 67 ± 15 years) who underwent elective surgical intervention for extensive dissecting TAA via semi-clamshell approach in our institute between May 2007 and April 2017 participated in this study. Regarding surgical techniques, left thoracotomy with transverse sternotomy was initially performed via the third or fourth intercostal space following an incision from the right sternal borderline to the anterior axillary line on the left sternal borderline. Read More

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

    Maternal Pulse Pressure and the Risk of Postepidural Complications: A Randomized Controlled Trial.
    Obstet Gynecol 2018 Mar;131(3):600-601
    Northwestern University Feinberg School of Medicine, Division of Obstetrical Anesthesiology, Department of Anesthesiology, Chicago, Illinois Emory University School of Medicine, Department of Anesthesiology, Emory University Hospital, Atlanta, Georgia University of Texas Medical Branch, Division of Maternal Fetal Medicine and Surgical Critical Care, Department of Obstetrics & Gynecology and Anesthesiology, Galveston, Texas Northwestern University Feinberg School of Medicine, Division of Obstetrical Anesthesiology, Department of Anesthesiology, Chicago, Illinois.

    Coil embolization to successfully treat annular rupture during transcatheter aortic valve replacement.
    Catheter Cardiovasc Interv 2018 Feb 22. Epub 2018 Feb 22.
    Elaine and Sydney Sussman Catheterization Laboratories, University of Miami Hospital, University of Miami Miller School of Medicine, Miami, Florida.
    Aortic annular rupture is one of the most feared complications of transcatheter aortic valve replacement (TAVR). This complication often presents as sudden cardiac tamponade with hypotension and requires urgent intervention. The traditional rescue strategy for such cases is emergency surgical intervention, yet the mortality remains high considering most patients who undergo TAVR are not candidates for open heart surgery. Read More

    Nail or plate in the management of distal extra-articular tibial fracture, what is better? Valutation of outcomes.
    SICOT J 2018 21;4. Epub 2018 Feb 21.
    Department of Orthopaedics and Traumatology, "S.M. Misericordia Hospital", University of Perugia, Perugia, Italy.
    Introduction: Distal tibial fractures are the most common long bone fractures. Several studies focusing on the methods of treatment of displaced distal tibial fractures have been published. To date, locked plates, intramedullary nails and external fixation are the three most used techniques. Read More

    Total Colpectomy Increases the Risk of Postoperative Hydronephrosis in Vaginal Cancer Patients.
    J Invest Surg 2018 Feb 22:1-4. Epub 2018 Feb 22.
    b Department of General Surgery and Surgical Oncology , Emergency City Hospital , Timisoara , Romania.
    Purpose: Due to the rarity of vaginal cancer, surgical treatment results, and postoperative complications have been poorly described in the literature. The aim of this study was to improve current knowledge about the incidence of hydronephrosis following the surgical treatment of vaginal cancer.

    Materials And Methods: 32 patients with vaginal cancer of the middle and upper third were matched with 32 cervical cancer patients (stages I and II) for comparison of long-term urological postoperative complications. Read More

    Hybrid Reconstruction of the Aortic Arch Using a Double-Branched Stent-Graft in a Canine Model.
    J Invest Surg 2018 Feb 22:1-10. Epub 2018 Feb 22.
    a Department of Cardiovascular Surgery , Changhai Hospital, Second Military Medical University , Shanghai , China.
    Purpose: To report the results of a hybrid approach to aortic arch repair using an innovative unibody double-branched stent graft in a canine model.

    Materials And Methods: The stent-graft system consists of two parts: the main body and two branches for reconstruction of the supra-arch branches. There is a 2-cm-long suturing portion at the proximal end of the main body. Read More

    Perioperative complications of esophagectomy: Postneoadjuvant treatment versus primary surgery - Our experience and review of literature.
    Indian J Cancer 2017 Apr-Jun;54(2):439-441
    Centre for Cancer, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
    Aims: : To compare perioperative complications in esophagectomy after neoadjuvant therapy v/s primary surgery.

    Settings And Design: : Retrospective analysis of perioperative complications in a prospectively maintained data base of patients who underwent esophagectomy as Primary surgery or after neoadjuvant therapy was done.

    Methods And Material: : 238 cases of esophagectomies performed for esophageal carcinoma were analysed and compared, out of which 125(52. Read More

    Nutritional status and postoperative outcomes in patients with gastrointestinal cancer in Vietnam: a retrospective cohort study.
    Nutrition 2017 Dec 6;48:117-121. Epub 2017 Dec 6.
    Department of Global Public Health, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
    Background: Nutritional support for surgical care is crucial because hospital malnutrition is rather common. However, low- and middle-income countries have not adequately addressed nutritional management of surgical patients. To highlight need for nutritional management in surgical patients, the present study aimed to describe preoperative nutritional status in patients who underwent gastrointestinal cancer surgery in Vietnam and to investigate the relationship between preoperative malnutrition and adverse outcomes, such as postoperative complications and prolonged length of hospital stay. Read More

    Optimus covered stent: Advanced covered stent technology for complex congenital heart disease.
    Congenit Heart Dis 2018 Feb 21. Epub 2018 Feb 21.
    Department of Pediatric Cardiology, Birmingham Children's Hospital, Birmingham, United Kingdom.
    Aim: To assess the acute results of the first human use of the Optimus covered stent in complex coarctation of the aorta.

    Methods And Results: We successfully implanted the Optimus covered stent in eight cases in patients whose preprocedural anatomy looked challenging for currently available covered stents. Six of the patients had native coarctation with one recoarctation following surgical repair. Read More

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