931,726 results match your criteria Surgical Complications


Comparison of intravenous ibuprofen and acetaminophen for postoperative multimodal pain management in bariatric surgery: A randomized controlled trial.

J Clin Anesth 2018 Jun 20;50:5-11. Epub 2018 Jun 20.

Department of Biostatistics, Inonu University Faculty of Medicine, Malatya, Turkey.

Study Objective: Multimodal analgesic strategies are recommended to decrease opioid requirements and opioid-induced respiratory complications in patients undergoing laparoscopic bariatric surgery. Recent studies have demonstrated that intravenous ibuprofen decreases opioid consumption compared with placebo. The primary aim of this study was to compare the effect of intravenous ibuprofen and intravenous acetaminophen on opioid consumption. Read More

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Feasibility of early postoperative mobilisation after colorectal surgery: a retrospective cohort study.

Int J Surg 2018 Jun 20. Epub 2018 Jun 20.

Department of Visceral Surgery, Lausanne University Hospital CHUV, Switzerland. Electronic address:

Background: Enhanced Recovery After Surgery (ERAS) guidelines advocate early postoperative mobilisation to counteract catabolic changes due to immobilisation and maintain muscle strength. The present study aimed to assess compliance to postoperative mobilisation according to ERAS recommendations.

Materials And Methods: This is a retrospective cohort study on consecutive colorectal surgical procedures treated within an established ERAS protocol within a single center between May 2011 and May 2017. Read More

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Treatment of Large Deep Osteochondritis Lesions of the Knee by Autologous Matrix-Induced Chondrogenesis (AMIC): Preliminary Results in 13 Patients.

Orthop Traumatol Surg Res 2018 Jun 20. Epub 2018 Jun 20.

SOO - Société d'Orthopédie de l'Ouest, 18, Rue de Bellinière, 49800 Trélazé, France.

Background: Osteo-chondral defects due to advanced osteochondritis of the knee eventually cause osteoarthritis. Autologous matrix-induced chondrogenesis (AMIC) may hold potential for overcoming the treatment challenges raised by defects larger than 2 cm. The primary objective of this study was to assess medium-term functional outcomes of AMIC. Read More

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June 2018
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Learning Curve and Minimally Invasive Spine Surgery.

World Neurosurg 2018 Jun 20. Epub 2018 Jun 20.

Department of Neurosurgery, Liaquat National Hospital & Medical College, Institute of Postgraduate Studies and Medical Sciences.

Minimally invasive surgery has become popular in recent times and has been proven more advantageous than conventional open surgery methods, in terms of maximal preservation of natural anatomy and minimal postoperative complications. However, these advancements require a longer learning curve for an inexperienced surgeon. The learning curve in MISS is complex and difficult to measure, therefore operating times, conversion to open procedures, VAS and periods of hospital stay are used. Read More

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Novel and easy techniques for 27-gauge silicone oil infusion and removal.

Int Ophthalmol 2018 Jun 22. Epub 2018 Jun 22.

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54S Xianlie Road, Guangzhou, 510060, China.

Purpose: To introduce novel and easy techniques for 27-gauge silicone oil (SO) infusion and removal.

Methods: Consecutive patients treated with 27-gauge pars plana vitrectomy (PPV) plus SO infusion (Infusion Group) and scheduled to have SO removal (Removal Group) were prospectively included, respectively. Patients in Infusion Group underwent 27-gauge PPV plus SO infusion. Read More

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Long-term follow-up of female prolactinoma patients at child-bearing age after transsphenoidal surgery.

Endocrine 2018 Jun 22. Epub 2018 Jun 22.

Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China.

Context: Prolactinoma is the most common subtype of functional pituitary adenoma. Effective therapy is required for women of child-bearing age to achieve remission at serum prolactin level and regain reproductive function.

Purpose: To evaluate long-term outcomes, including menstrual recovery, after transsphenoidal surgery on female prolactinoma patients by experienced neurosurgeons. Read More

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The impact of preoperative anemia and malnutrition on outcomes in paraesophageal hernia repair.

Surg Endosc 2018 Jun 22. Epub 2018 Jun 22.

Division of General Surgery, Department of Surgery, Medical College of Wisconsin, 8701 Watertown Plank Road, HUB for Collaborative Medicine, 6th floor, Milwaukee, WI, 53226, USA.

Background: Patients with a paraesophageal hernia may experience gastroesophageal reflux symptoms and/or obstructive symptoms such as dysphagia. Some patients with large and complex paraesophageal hernias unintentionally lose a significant amount of weight secondary to difficulty eating. A subset of patients will develop Cameron's erosions in the hernia, which contribute to anemia. Read More

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Transanal endoscopic micro-surgery in elderly and very elderly patients: a safe option? Observational study with prospective data collection.

Surg Endosc 2018 Jun 22. Epub 2018 Jun 22.

General and Digestive Surgery Department, Parc Tauli University Hospital, Universitat Autònoma de Barcelona, Sabadell, Spain.

Background: Although the incidence of colorectal cancer increases with the patient's age, the elderly continue to be less likely to be scheduled for surgery. Transanal endoscopic micro-surgery (TEM) is a surgical alternative to total mesorectal excision (TME) in early stage rectal cancer and/or in selected patients that could decrease morbidity and mortality rates in this group of patients. Our main objective is to assess the safety and feasibility of TEM in elderly (75-84 years) and very elderly (≥ 85 years) patients. Read More

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Pain medication at ictus of subarachnoid hemorrhage-the influence of one-time acetylsalicylic acid usage on bleeding pattern, treatment course, and outcome: a matched pair analysis.

Neurosurg Rev 2018 Jun 22. Epub 2018 Jun 22.

Department of Neurosurgery, Goethe University, Frankfurt am Main, Germany.

Acetylsalicylic acid (ASA) is a well-known and widely used analgesic for acute pain. Patients with acute headache due to subarachnoid hemorrhage (SAH) are inclined to take ASA in this situation. Due to the antithrombotic effects, ASA intake is related to higher bleeding rates in case of hemorrhage or surgical treatment. Read More

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June 2018
2 Reads

[Osteotomies of the distal tibia].

Oper Orthop Traumatol 2018 Jun 22. Epub 2018 Jun 22.

Orthopädische Klinik König-Ludwig-Haus, Brettreichstr. 11, 97074, Würzburg, Deutschland.

Objective: Restoration of physiological alignment of the distal tibia and thereby restoration of physiological loading of the ankle joint; joint preservation in asymmetric degenerative arthritis of the ankle.

Indications: Congenital deformities of the distal tibia; acquired deformities of the distal tibia; asymmetric degenerative arthritis with partially preserved cartilage.

Contraindications: Absolute contraindications comprise severe nicotine abuse, Charcot arthropathy, peripheral polyneuropathy, relevant peripheral arterial vessel disease, poor local soft tissue condition, acute infection and extensive cartilage damage grade 3-4 in the Outerbridge classification in the complete joint. Read More

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Documenting pessary offer prior to hysterectomy for management of pelvic organ prolapse.

Int Urogynecol J 2018 Jun 22. Epub 2018 Jun 22.

Department of Obstetrics and Gynecology, Michigan Medicine, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.

Objectives: To (1) determine the proportion of hysterectomy cases with documentation of pessary counseling prior to prolapse surgery and (2) identify variables associated with women offered a pessary.

Study Design: The Michigan Surgical Quality Collaborative (MSQC) is a hysterectomy improvement initiative. Hysterectomies from 2013 to 2015 in which prolapse was the principal diagnosis were included. Read More

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Transvaginal native-tissue repair of enterocele.

Int Urogynecol J 2018 Jun 22. Epub 2018 Jun 22.

ASST Monza, San Gerardo Hospital, Monza, Italy.

Introduction And Hypothesis: Enterocele repair represents a challenge for pelvic surgeons. Surgical management implies enterocele sac removal. Subsequently, hernial port closure and adequate suspension may be achieved with Shull uterosacral ligament suspension (ULS). Read More

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Diabetic Gastroparesis: Principles and Current Trends in Management.

Diabetes Ther 2018 Jun 22. Epub 2018 Jun 22.

Division of Gastroenterology, Hepatology, and Nutrition, University of Louisville, Louisville, KY, USA.

This article is a comprehensive review of diabetic gastroparesis, defined as delayed or disordered gastric emptying, including basic principles and current trends in management. This review includes sections on anatomy and physiology, diagnosis and differential diagnosis as well as management and current guidelines for treatment of diabetic gastroparesis. Diabetic gastroparesis (DGp) is a component of autonomic neuropathy resulting from long-standing poorly controlled type 1 and type 2 diabetes. Read More

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Anatomical variants of ethmoid bone on multidetector CT.

Surg Radiol Anat 2018 Jun 22. Epub 2018 Jun 22.

Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, V. Mangiagalli 31, Milan, Italy.

Anatomical variants of the ethmoid bone have a special importance in several fields, especially in otolaryngology; a precise understanding of the complex anatomy and anatomic variations of the ethmoid bone is crucial for radiological diagnosis of paranasal pathology and for surgical work-up in order to avoid potential complications. The present study aims at helping general radiologists to become familiar with the most common forms of ethmoid anatomical variants and their clinical relevance. Read More

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Olfactory cleft dilatation.

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Jun 19. Epub 2018 Jun 19.

Service ORL et chirurgie cervico-faciale, université de Lorraine, centre hospitalier régional universitaire de Nancy, 54500 Vandoeuvre-les-Nancy, France.

The surgical technique of olfactory cleft dilatation consists in transmucosal lateral fracture-dislocation of the lateral wall of each olfactory cleft (i.e., of the turbinate wall of the ethmoid, composed, from anterior to posterior, of the middle, superior and supreme turbinates), in order to get access to the recess hosting the human olfactory mucosa and to the roof of the olfactory cleft (i. Read More

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Primary flexor tendons repair in zone 2: Current trends with GEMMSOR survey results.

Hand Surg Rehabil 2018 Jun 19. Epub 2018 Jun 19.

7, rue de Hanovre, 75002 Paris, France.

The repair of flexor tendon lesions in zone 2 remains a highly controversial subject in hand surgery. Currently, there is no consensus about the management of these lesions intra- and postoperatively, but the literature suggests that a solid suture will allow early active motion. We hypothesized that the management of flexor tendon injury in zone 2 varies widely. Read More

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Single-stage tracheal and cricotracheal segmental resection with end-to-end anastomosis: Outcome, complications, and risk factors.

Auris Nasus Larynx 2018 Jun 19. Epub 2018 Jun 19.

Department of Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, Denmark.

Objective: Management of tracheal stenosis remains controversial. Endoscopic interventions commonly provide immediate relief of symptoms, but are associated with high recurrence rates. In contrast, high success rates have been reported in patients undergoing tracheal resection. Read More

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Usefulness of the STOP-Bang Questionnaire in a Cardiac Surgical Population.

J Cardiothorac Vasc Anesth 2018 Apr 26. Epub 2018 Apr 26.

Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.

Objective: The aim of this study was to assess the predictive accuracy of the STOP-Bang questionnaire in relation to obstructive sleep apnea (OSA) detected by nocturnal oximetry, as well as postoperative outcomes, in a population undergoing cardiac surgery.

Design: A prospective observational cohort study.

Setting: The specialist cardiothoracic center at the Royal Papworth Hospital, Cambridge University Health Partners, United Kingdom. Read More

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April 2018
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Surgical approaches for open reduction and internal fixation of intra-articular distal humerus fractures in adults: A systematic review and meta-analysis.

Injury 2018 Jun 19. Epub 2018 Jun 19.

Department of Biostatistics, Postgraduate Institute of Medical Education & Research, Chandigarh, India.

Background: A number of surgical approaches have been described for open reduction and internal fixation (ORIF) of intra-articular distal humerus (IDH) fractures in adults. However, there is no consensus as to which approach is better in terms of functional outcomes and complications. The purpose of this study was to determine whether the functional outcomes and types and rates of complications are influenced by the choice of surgical approach for ORIF of IDH fractures (AO/OTA types 13 B & C). Read More

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Failed Thumb Carpometacarpal Arthroplasty: Common Etiologies and Surgical Options for Revision.

J Hand Surg Am 2018 Jun 19. Epub 2018 Jun 19.

Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA. Electronic address:

Carpometacarpal (CMC) arthroplasty surgery, although modifications have occurred over time, continues to be commonly performed and has provided patients with their desired pain relief and return of function. The complications of primary surgery, although relatively rare, can present in various clinical ways. An understanding of the underlying anatomy, pathology of coexisting conditions, and specific techniques used in the primary surgery is required to make the best recommendation for a patient with residual pain following primary CMC arthroplasty. Read More

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Treatment of Madelung Deformity With Vicker Ligament Release and Radial Physiolyses: A Case Series.

J Hand Surg Am 2018 Jun 19. Epub 2018 Jun 19.

Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, OH. Electronic address:

Purpose: To evaluate the surgical outcomes in a series of Madelung wrists treated with a Vicker ligament release at a young age. We hypothesize that early treatment of Madelung deformity with Vicker ligament release is safe and may minimize progression of deformity.

Methods: A retrospective review was performed at a single large pediatric institution from 2013 to 2016 of patients with a diagnosis of Madelung deformity treated with Vicker ligament release and radial physiolysis. Read More

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The Challenge of Creating Lordosis in High-Grade Dysplastic Spondylolisthesis.

Neurosurg Clin N Am 2018 Jul;29(3):375-387

Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55454, USA; Department of Neurosurgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55454, USA. Electronic address:

High-grade dysplastic spondylolisthesis (HGDS) is a subset of L5-S1 spondylolisthesis that occurs due to dysmorphic anatomy at the lumbosacral junction, often resulting in sagittal imbalance. Enhanced understanding of global sagittal alignment has led many to preferentially treat HGDS with reduction and fusion to restore sagittal balance. The purpose of this article is to review published surgical techniques for obtaining sagittal correction in HGDS and to evaluate the current evidence regarding the associated surgical complications. Read More

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Giant congenital melanocytic nevus in a Cameroonian child: a case report.

J Med Case Rep 2018 Jun 23;12(1):175. Epub 2018 Jun 23.

Department of Internal Medicine and Sub-specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Background: Giant congenital melanocytic nevus is a very rare condition characterized by a large skin lesion and an increased risk of complications like neurocutaneous melanosis and malignant transformation. Reports of giant congenital melanocytic nevus are scarce in the sub-Saharan African literature and here we present a case of this disease in a Cameroonian adolescent.

Case Presentation: A 12-year-old Cameroonian girl from the "Baka" ethnic group, with no relevant family and medical histories presented with a progressively extensive brownish-black nodular hypertrophic skin lesion of approximately 45 cm, which she had had since she was 2-days old. Read More

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Postoperative catecholamine resistance following fetal methamphetamine exposure.

Asian Cardiovasc Thorac Ann 2018 Jan 1:218492318784740. Epub 2018 Jan 1.

1 Queensland Paediatric Cardiac Services, Lady Cilento Children's Hospital, Brisbane, Australia.

Methamphetamine and its related compounds are among the most widely abused recreational drugs worldwide. While a myriad of clinical complications of methamphetamine use have been described, there is a paucity of literature regarding the effects of maternal abuse during pregnancy on neonatal hearts. In this report, we describe a neonate who underwent Norwood-type palliation and subsequently developed catecholamine-resistant cardiogenic shock, likely related to methamphetamine exposure, which recovered after a period of venoarterial extracorporeal membrane oxygenation support. Read More

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January 2018
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Endoscopic approaches for treating emphysema.

Expert Rev Respir Med 2018 Jun 22. Epub 2018 Jun 22.

a Department of Pneumology and Critical Care Medicine , Thoraxklinik, University of Heidelberg.

Introduction: Surgical treatment of severe pulmonary emphysema has so far been associated with relatively high perioperative morbidity and mortality. In the past two decades, novel approaches to lung volume reduction and alternative minimally invasive endoscopic techniques have been developed. This review presents the different techniques (blocking and non-blocking) available until present as well as the appropriate patient selection and possible complications. Read More

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June 2018
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Perioperative Management in Hepatic Resections: Comparative Effectiveness of Neuraxial Anesthesia and Disparity of Care Patterns.

Anesth Analg 2018 Jun 20. Epub 2018 Jun 20.

From the Department of Anesthesiology.

Background: Complication rates after hepatic resection can be affected by management decisions of the hospital care team and/or disparities in care. This is true in many other surgical populations, but little study has been done regarding patients undergoing hepatectomy.

Methods: Data from the claims-based national Premier Perspective database were used for 2006 to 2014. Read More

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Bioelectrical impedance analysis; a new method to evaluate lymphoedema, fluid status, and tissue damage after gynaecological surgery - A systematic review.

Eur J Obstet Gynecol Reprod Biol 2018 Jun 18;228:111-119. Epub 2018 Jun 18.

Department of Anesthesiology and Intensive Care, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

The aim of this descriptive review is to summarise the current knowledge of non-invasive bioelectrical impedance analysis (BIA) used with gynaecological surgical patients in regard to postoperative development of lymphoedema and determination of perioperative fluid balance, and as a prognostic factor in cancer mortality and a predictor of postoperative complications. The databases PubMed, MEDLINE, Scopus Web of Science, the Cochrane Library, and reference lists of selected articles were searched for relevant articles published during the period January 2008-April 2018. Only papers published in English were retrieved. Read More

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Comparison of screw versus locked plate fixation for Scarf osteotomy treatment of hallux valgus.

Orthop Traumatol Surg Res 2018 Jun 19. Epub 2018 Jun 19.

Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Service de chirurgie Orthopédique et Traumatologique, 69495 Pierre-Bénite, France; Université Lyon 1, IFSTTAR, LBMC UMR-T 9406 - Laboratoire de Biomécanique et Mécanique des Chocs, 69675 Bron, France.

Introduction: The Scarf osteotomy is a commonly used surgical procedure for treating hallux valgus in Europe. Screw fixation is standard practice, although some surgeons now go without internal fixation. Plate fixation is still being studied. Read More

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New technology for surgical treatment of osteoporotic vertebral compression fractures: the transvertebral bone graft and fixation.

World Neurosurg 2018 Jun 19. Epub 2018 Jun 19.

Department of Orthopaedic Surgery, Changzheng Hospital, Shanghai, China.

Objective: To introduce an innovative surgical technique named as trans-vertebral bone graft and augmentation(TBGA) and evaluate its clinical efficacy with balloon Kyphoplasty (BKP) as control for osteoporotic VCFs.

Methods: A total of 81 patients with one-level osteoporotic VCFs received the TBGA(n=38) or BKP(n=43) from October 2012 to January 2015. The average follow-up period of the patients was 27. Read More

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Time to Resolution of Symptoms After Suboccipital Decompression with Duraplasty in Children with Chiari Malformation Type I.

World Neurosurg 2018 Jun 19. Epub 2018 Jun 19.

Division of Pediatric Neurosurgery, Department of Neurosurgery, NYU Langone Health, New York, NY.

Objective: Duraplasty is one technique successfully used to treat Chiari malformation type I (CM-I). This study describes the timely manner of clinical outcomes and the postoperative course after craniectomy and duraplasty for the treatment of symptomatic CM-I in pediatric children.

Methods: A retrospective chart review was done on 105 consecutive children who underwent surgical decompression of symptomatic CM-I with dural opening by a single surgeon between 1999 and 2015. Read More

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June 2018
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Comparison of dural peeling versus duraplasty for surgical treatment of Chiari type I malformation: results and complications in a monocentric patients' cohort.

World Neurosurg 2018 Jun 19. Epub 2018 Jun 19.

Object: Chiari malformation type I (CM-I) is featured by the downwards herniation of the cerebellar tonsils through the foramen magnum which can impede cerebrospinal fluid (CSF) circulation and may lead to syringomyelia. Usual symptoms in the condition are neck pain and posterior headaches at Valsalva maneuver. Different surgical procedures have been described for cranio-cervical decompression (CCD), without reaching a consensus about the best suited technique. Read More

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June 2018
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The Safety of Bevacizumab Administered Shortly after Laser Interstitial Thermal Therapy in Glioblastoma: A Case Series.

World Neurosurg 2018 Jun 19. Epub 2018 Jun 19.

Department of Neurological Surgery, University of Miami Miller School of Medicine, 1321 NW 14th Street, West Building Suite 306, Miami, Florida, 33125, USA.

Background: Laser interstitial thermal therapy (LITT) enables ablation of lesions using thermal energy with minimal damage to surrounding regions. Bevacizumab has been used as an adjuvant therapy in recurrent glioblastoma (GBM). Presently, administration of Bevacizumab occurs at least 4-6 weeks after surgical intervention. Read More

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June 2018
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Complete Reduction for Pilon Fracture Can Make Complete Failure.

J Am Podiatr Med Assoc 2018 May;108(3):257-261

The surgical management of distal intra-articular comminuted fracture of the tibia (pilon fracture) is difficult because complications frequently develop. The minimally invasive plate osteosynthesis technique is generally accepted for this type of fracture. In this study, complications developed after open reduction and internal fixation using multiple miniplates for accurate reduction of small fracture fragments. Read More

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Enclosing sutures technique for control of local bleeding in a case of placenta increta.

J Obstet Gynaecol Res 2018 Jun 22. Epub 2018 Jun 22.

Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan.

Antepartum diagnosis of uterine placenta increta is difficult, thus considering a counterplan during placental delivery is obliged. Uterine compression suture is one of the choices of hemostatic surgical techniques for postpartum hemorrhage. However, uterine synechiae/ischemia are known for the complications. Read More

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Hand-assisted laparoscopic and laparoscopic donor nephrectomy: A comparison of surgical outcomes from two centres.

Turk J Urol 2018 Jul;44(4):362-366

Department of Urology and Kidney Transplantation, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

Objective: The aim of the study was to compare the different surgical approaches of two centers on outcomes of live donor laparoscopic nephrectomy.

Material And Methods: The first 98 patients of each centre who underwent laparoscopic donor nephrectomy (LDN) or hand-assisted laparoscopic donor nephrectomy (HALDN) were included in the study. The following data were used for analyses: donor age, weight, height, body mass index (BMI), transfusion requirement, operative time, ischemia time and postoperative complications. Read More

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July 2018
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Total tubeless ultra-mini supine percutaneous nephrolithotomy: A feasibility study.

Turk J Urol 2018 Jul;44(4):323-328

Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, India.

Objective: The ultra-mini percutaneous nephrolithotomy (PCNL) for treating low-volume renal nephrolithiasis is being used as an alternative modality to the conventional PCNL. However its use in the supine position has been scarcely reported.

Material And Methods: Patients who underwent ultra-mini PCNL in the supine position within the time frame of January 2017 to July 2017 were studied. Read More

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Robotic radical cystectomy for the management of bladder cancer: Analysis of operative and pathological outcomes of eighteen patient.

Turk J Urol 2018 Jul;44(4):311-315

Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.

Objective: To present the surgical and pathological results of robotic radical cystectomy (RRC) operations performed in our clinic.

Material And Methods: A total of 18 patients, who underwent RRC and intracorporeal urinary diversion between October 2016 and September 2017 for clinically localized bladder cancer in our clinic, were included in the study. The results were evaluated under three headings. Read More

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Surgical site infections after radical prostatectomy: A comparative study between robot-assisted laparoscopic radical prostatectomy and retropubic radical prostatectomy.

Turk J Urol 2018 Jul;44(4):303-310

Department of Urology and Pediatric Urology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.

Objective: Surgical site infection (SSI) is defined as infection at or near surgical incisions within 30 days of an operative procedure and classified either incisional superficial and deep or organ/space. The aim of the study is to report and compare the incidence and management of SSIs after robot-assisted laparoscopic radical prostatectomy (RALP) and retropubic radical prostatectomy (RRP).

Material And Methods: Within the last 4 years, we identified 285 patients that underwent RRP, n=187 (66%) or RALP, n=98 (34%). Read More

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Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal: technical case report.

J Neurosurg 2018 Jun 22:1-7. Epub 2018 Jun 22.

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

Clival lesions are still considered surgically complex due to their anatomical location. Critical structures, such as the internal carotid arteries (ICAs), cavernous sinuses, cranial nerves, and brainstem, may be encased within the lesion. Although advances in endoscopic endonasal approaches have provided new routes to these lesions, exposure and resection of clival tumors through the endonasal route remain a technical challenge. Read More

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Safety and efficacy of a novel neurosurgical enhanced recovery after surgery protocol for elective craniotomy: a prospective randomized controlled trial.

J Neurosurg 2018 Jun 22:1-12. Epub 2018 Jun 22.

Departments of 1 Neurosurgery.

OBJECTIVE Although enhanced recovery after surgery (ERAS) programs have gained acceptance in various surgical specialties, no established neurosurgical ERAS protocol for patients undergoing elective craniotomy has been reported in the literature. Here, the authors describe the design, implementation, safety, and efficacy of a novel neurosurgical ERAS protocol for elective craniotomy in a tertiary care medical center located in China. METHODS A multidisciplinary neurosurgical ERAS protocol for elective craniotomy was developed based on the best available evidence. Read More

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Fibrin patch influences the expression of hypoxia-inducible factor-1α and nuclear factor-κBp65 factors on ischemic intestinal anastomosis.

Exp Biol Med (Maywood) 2018 Jun;243(10):803-808

4 Fundación Jiménez Díaz, Madrid, 28040, Spain.

The intestinal anastomotic failure is one of the most severe complications in gastrointestinal surgery. Despite the great surgical improvements during the last decade, anastomotic leak rates remain practically the same, with a dramatically high grade of morbidity for patients. Leakages are usually the final consequence of ischemia in the anastomosis, leading to tissue hypoxia. Read More

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Autologous cervical fascia duraplasty in 123 children and adults with Chiari malformation type I: surgical technique and complications.

J Neurosurg Pediatr 2018 Jun 22:1-9. Epub 2018 Jun 22.

Department of Neurosurgery, University of Iowa Hospitals and Clinics, University of Iowa Stead Family Children's Hospital; and.

OBJECT Techniques for combined extradural and intradural decompression with expansile duraplasty for Chiari malformation type I (CM-I) have been well described, with various allogenic and autologous materials used for duraplasty. However, the approach and surgical technique used for duraplasty in our treatment of CM-I and developed by the senior author in the 1990s has not been described. METHODS A prospective database was initiated in March 2003 to denote the use of cervical fascia for duraplasty and incorporate an ongoing detailed record of complications during the surgical treatment of children and adults with CM-I with and without syringomyelia. Read More

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Loss of intraoperative neurological monitoring signals during flexed prone positioning on a hinged open frame during surgery for kyphoscoliosis correction: case report.

J Neurosurg Spine 2018 Jun 22:1-5. Epub 2018 Jun 22.

Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Various complications of prone positioning in spine surgery have been described in the literature. Patients in the prone position for extended periods are subject to neurological deficits and/or loss of intraoperative signals due to compression neuropathies, but positioning-related spinal deficits are rare in the thoracolumbar deformity population. The authors present a case of severe kyphoscoliotic deformity with critical thoracolumbar stenosis in which, during the use of a hinged open frame in the prone position, complete loss of intraoperative neural monitoring signals occurred while the frame was flexed into kyphosis to facilitate exposure and instrumentation placement. Read More

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Enzymatic mediastinitis as a fearsome complication of pancreatic necrosectomy.

Rev Esp Enferm Dig 2018 Jun 22;110. Epub 2018 Jun 22.

Cirugía General y Digestiva. Unidad HBP., Hospital Álvaro Cunqueiro, España.

Several types of thoracic complications can be associated with severe acute pancreatitis. Some are very common, such as pleural effusion, whilst some others are very rare although life threatening, such as enzymatic mediastinitis (EM). Only a few cases of EM (when related to acute pancreatitis) have been described in the literature. Read More

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June 2018
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Surgical outcomes of laparoscopic cholecystectomy for acute cholecystitis in elderly patients.

Asian J Endosc Surg 2018 Jun 21. Epub 2018 Jun 21.

Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.

Introduction: The clinical significance of laparoscopic cholecystectomy (LC) for acute cholecystitis in elderly patients aged 80 years or older has not been determined. This study aimed to investigate surgical outcomes of LC for acute cholecystitis in elderly patients compared to non-elderly patients.

Methods: Patients who underwent urgent LC for acute cholecystitis were enrolled. Read More

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Gamma knife radiosurgery for trigeminal schwannoma: a 20-year experience with long-term treatment outcome.

J Neurooncol 2018 Jun 21. Epub 2018 Jun 21.

Department of Neurosurgery, College of Medicine, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.

Purpose: This study evaluated the long-term tumor control rate (TCR) and symptomatic outcomes of patients treated with gamma knife radiosurgery (GKRS) for trigeminal schwannomas (TSs).

Methods: Thirty-two patients with TS who underwent GKRS between January 1994 and January 2013 with at least 2 years of follow-up were enrolled in the study. Clinical charts and surgical records were retrospectively reviewed to evaluate factors affecting TCR and symptomatic outcomes. Read More

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June 2018
2 Reads

Meta-analysis of surgical strategies in perforated left colonic diverticulitis with generalized peritonitis.

Langenbecks Arch Surg 2018 Jun 9;403(4):425-433. Epub 2018 Jun 9.

Department of Surgery, Clinic of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Brauerstrasse 15, 8401, Winterthur, Switzerland.

Purpose: Surgical strategies for perforated diverticulitis (Hinchey stages III and IV) remain controversial. This systematic review aimed to compare the outcome of primary anastomosis, Hartmann procedure and laparoscopic lavage.

Methods: A systematic literature search was conducted through Medline, Embase, Cochrane Central Register and Health Technology Assessment Database to identify randomized and non-randomized controlled trials involving patients with perforated left-sided colonic diverticulitis comparing different surgical strategies. Read More

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June 2018
1 Read

Total minimally invasive esophagectomy for esophageal adenocarcinoma reduces postoperative pain and pneumonia compared to hybrid esophagectomy.

Surg Endosc 2018 Jun 21. Epub 2018 Jun 21.

Center of Esophageal and Gastric Surgery, Agaplesion Markus Hospital, Wilhelm-Epstein-Straße 4, 60431, Frankfurt, Germany.

Background: The impact of total minimally invasive esophagectomy (MIE) on early postoperative outcome and patient's survival is a matter of recent discussion.

Methods: We performed a 1:2 propensity score-matched comparison of 20 patients who underwent 3D-MIE and high intrathoracic esophagogastrostomy with 40 patients who underwent hybrid esophagectomy (HYBRID) with laparoscopic gastric mobilization and open transthoracic esophagectomy and the same anastomosis for esophageal adenocarcinoma in 2014 and 2015. Matching criteria were tumor localization, age, gender, and neoadjuvant treatment. Read More

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June 2018
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Preliminary results: use of multi-hole injection nails for intramedullary nailing with simultaneous bone cement injection in long-bone metastasis.

Skeletal Radiol 2018 Jun 21. Epub 2018 Jun 21.

Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, South Korea.

Objective: For symptomatic metastasis of the long bones, intramedullary nailing has been the most accepted fixation method. Intramedullary nailing has effective control of pain, perioperative bleeding, and local tumor progression by augmentation with bone cement around the nail. Here, we report the preliminary results of a new surgical implant that allows for simultaneous injection of bone cement while inserting a percutaneous, flexible intramedullary nail. Read More

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June 2018
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[The Kono-S anastomosis in surgery for Crohn's disease : First results of a new functional end-to-end anastomotic technique after intestinal resection in patients with Crohn's disease in Germany].

Chirurg 2018 Jun 21. Epub 2018 Jun 21.

Chirurgische Klinik, Universitätsklinikum Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland.

Background: Recurrent disease at the anastomotic site after bowel resection represents a major problem in patients with Crohn's disease. In 2011, a new anastomotic technique (Kono-S anastomosis) was published, which as a functional end-to-end anastomosis creating a wide anastomotic diameter aimed to reduce the rate of recurrence after surgery.

Aim: To evaluate the Kono-S anastomosis with respect to early and late postoperative complications and recurrence rate after surgical intestinal resection in patients with Crohn's disease at a university center. Read More

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