970,759 results match your criteria Surgical Complications


Synovial sepsis of unknown origin in the adult Thoroughbred racehorse.

Equine Vet J 2019 Apr 21. Epub 2019 Apr 21.

Randwick Equine Centre, 3 Jane Street, Randwick, Sydney, NSW, 2031, Australia.

Background: Synovial sepsis of unknown origin is a rare cause of lameness in the adult horse and a haematogenous pathogenesis has been proposed in previous cases.

Objectives: To describe the features and outcome of synovial sepsis of unknown origin in adult Thoroughbred racehorses.

Study Design: Retrospective case series. Read More

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http://dx.doi.org/10.1111/evj.13127DOI Listing

Impact of body mass index on minimally invasive ventral hernia repair: an ACS-NSQIP analysis.

Hernia 2019 Apr 20. Epub 2019 Apr 20.

Division of Gastrointestinal Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, 19104, USA.

Purpose: Body mass index (BMI) ≥ 35 kg/m is a known independent risk factor for complications following open ventral hernia repair (VHR). We sought to examine the relationship between BMI and minimally invasive VHR.

Methods: The ACS-NSQIP database was queried for all patients age ≥ 18 years undergoing minimally invasive VHR (2005-2015). Read More

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http://dx.doi.org/10.1007/s10029-019-01944-6DOI Listing

Association of super-extended lymphadenectomy at radical cystectomy with perioperative complications and re-hospitalization.

World J Urol 2019 Apr 20. Epub 2019 Apr 20.

Department of Urology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.

Purpose: We performed a retrospective analysis of patients treated with radical cystectomy and lymphadenectomy (LAD) for bladder cancer to assess the differential association of the extent of LAD with perioperative complications and re-hospitalization.

Materials And Methods: LAD templates were defined as limited (lLAD = external, internal iliac and obturator), extended (eLAD = up to crossing of ureter and presacral lymph nodes), and super-extended (sLAD = up to the inferior mesenteric artery). Logistic regression models investigated the association of LAD templates with intraoperative, 30- and 30-90-day postoperative complications, as well as re-hospitalizations within 30 and 30-90 days. Read More

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http://dx.doi.org/10.1007/s00345-019-02769-9DOI Listing
April 2019
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Acute and midterm outcomes of the post-approval MELODY Registry: a multicentre registry of transcatheter pulmonary valve implantation.

Eur Heart J 2019 Apr 21. Epub 2019 Apr 21.

Department of Congenital Heart Disease-Pediatric Cardiology, German Heart Institute Berlin, Augustenburger Platz 1, Berlin, Germany.

Aims: The post-approval MELODY Registry aimed to obtain multicentre registry data after transcatheter pulmonary valve implantation (TPVI) with the Melody™ valve (Medtronic plc.) in a large-scale cohort of patients with congenital heart disease (CHD).

Methods And Results: Retrospective analysis of multicentre registry data after TPVI with the Melody™ valve. Read More

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https://academic.oup.com/eurheartj/advance-article/doi/10.10
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http://dx.doi.org/10.1093/eurheartj/ehz201DOI Listing
April 2019
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Fungal Malignant Otitis Externa Involves a Cascade of Complications Culminating in Pseudoaneurysm of Internal Maxillary Artery: A Case Report.

Am J Case Rep 2019 Apr 21;20:562-566. Epub 2019 Apr 21.

Department of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.

BACKGROUND Pseudomonal infection is the most common cause of malignant otitis externa (MOE), which typically affects elderly diabetic patients. Fungi are a rare cause of MOE. MOE can be life-threatening if not recognized and treated promptly. Read More

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https://www.amjcaserep.com/abstract/index/idArt/913469
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http://dx.doi.org/10.12659/AJCR.913469DOI Listing
April 2019
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Diabetic retinopathy, a vascular and inflammatory disease: therapeutic implications.

Diabetes Metab 2019 Apr 18. Epub 2019 Apr 18.

Department of Medicine and Health Sciences 'V. Tiberio', University of Molise, Via Francesco De Sanctis 1, 86100 Campobasso, Italy. Electronic address:

Diabetic retinopathy (DR) is the most common microvascular complication of diabetes and the leading cause of visual impairment in the working-age population in the Western world. Diabetic macular oedema (DME) is one of the major complications of DR. Therapy with intravitreal injections of anti-vascular endothelial growth factor (anti-VEGF) drugs has become the gold standard treatment for DR and its complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12623636193006
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http://dx.doi.org/10.1016/j.diabet.2019.04.002DOI Listing
April 2019
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Hangman's fracture: Management strategy and healing rate in a prospective multi-centre observational study of 34 patients.

Orthop Traumatol Surg Res 2019 Apr 17. Epub 2019 Apr 17.

Société Française de Chirurgie Rachidienne, 56, rue Boisonnade, 75014 Paris, France.

Background: Hangman's fractures account for 15% to 20% of all cervical spine fractures. The grading system developed by Effendi and modified by Levine and Edwards is generally used as the basis for management decisions. Nonetheless, the optimal management remains controversial. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.03.009DOI Listing

The Impact of Frailty on Artificial Urinary Sphincter Placement and Removal Procedures.

Urology 2019 Apr 18. Epub 2019 Apr 18.

Department of Urology, University of California, San Francisco (UCSF). Electronic address:

Objectives: To determine whether frailty is associated with increased odds of 30-day surgical complications among men undergoing both artificial urinary sphincter (AUS placement and removal procedures and to determine whether frailty was associated with increased odds of having an AUS removal procedure.

Methods: This is a retrospective cohort study of men undergoing AUS placement and removal procedures using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) from 2006-2013. Frailty was quantified using the NSQIP-FI (Frailty Index) and was applied to logistic regression models predicting 30-day complications (overall, major and minor) and the odds of having an AUS removal procedure (over an AUS placement procedure). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295193036
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http://dx.doi.org/10.1016/j.urology.2019.04.015DOI Listing
April 2019
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The Use of Full Thickness Skin Graft Phalloplasty During Adult Acquired Buried Penis Repair.

Urology 2019 Apr 18. Epub 2019 Apr 18.

Indiana University School of Medicine, Department of Urology. Electronic address:

Objective: To evaluate the feasibility and outcomes of full thickness penile skin grafting (FTSG) for phalloplasty during acquired buried penis repair.

Materials And Methods: A retrospective cohort study of patients undergoing complex genital reconstruction for buried penis between January 2013 and April 2018 was performed. Patients undergoing FTSG were identified. Read More

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http://dx.doi.org/10.1016/j.urology.2019.04.007DOI Listing

Outcome of kidney transplantation from young pediatric donors (aged less than 6 years) to young size-matched recipients.

J Pediatr Urol 2019 Mar 28. Epub 2019 Mar 28.

Department of Pediatric Nephrology, University Hospital Vall d'Hebron, Hospital Vall d'Hebron, Passeig de la Vall d'Hebrón 119-129, 08035, Barcelona, Spain; School of Medicine, Universitat Autonoma de Barcelona, Hospital Vall d'Hebron, Passeig de la Vall d'Hebrón 119-129, 08035, Barcelona, Spain.

Introduction: Pediatric donation is underutilized because of presumed increased risk of vascular thrombosis (VT) and graft loss. Using young pediatric donors (YPDs) for young pediatric recipients (YPRs) is suggested to be even at greater risk and therefore precluded in many centers. The aim of this study was to analyze the outcome of kidney transplantation (KT) from YPD to age-matched YPR. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.03.015DOI Listing

Long-term follow-up of total shoulder replacement surgery with inset glenoid implants for arthritis with deficient bone.

J Shoulder Elbow Surg 2019 Apr 17. Epub 2019 Apr 17.

Sentara Martha Jefferson Hospital, Charlottesville, VA, USA.

Background: Total shoulder replacement surgery has been a successful treatment for patients with shoulder arthritis. However, long-term results are limited by complications such as glenoid loosening, wear, and instability. Also, glenoid bone deficiency limits available treatment options and outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746193007
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http://dx.doi.org/10.1016/j.jse.2019.01.020DOI Listing
April 2019
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Transhiatal distal esophagectomy for Siewert type II cardia cancer can be a treatment option in selected patients.

Eur J Surg Oncol 2019 Apr 13. Epub 2019 Apr 13.

University of Turin. Department of Oncology, Surgical Oncology and Digestive Surgery Unit, San Luigi University Hospital (S.L.U.H.), Regione Gonzole 10, 10049, Orbassano, Turin, Italy. Electronic address:

Background: While surgical treatment of Siewert I and III (S1,S3) Esophagogastric Junction (EGJ) cancer is codified, the efficay of transhiatal procedure with anastomosis in the lower mediastinum for Siewert II (S2) still remains a dibated topic.

Methods: This is a large multicenter retrospective study. The results of 598 consecutive patients submitted to resection with curative intent from January 2000 to January 2017 were reported. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07487983193039
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http://dx.doi.org/10.1016/j.ejso.2019.04.001DOI Listing
April 2019
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Prior Hip Arthroscopy Increases Risk for Perioperative Total Hip Arthroplasty Complications: A Matched-Controlled Study.

J Arthroplasty 2019 Apr 1. Epub 2019 Apr 1.

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.

Background: Arthroscopic hip surgery is becoming increasingly popular for the treatment of femoroacetabular impingement and labral tears. Reports of outcomes of hip arthroscopy converted to total hip arthroplasty (THA) have been limited by small sample sizes. The purpose of this study was to investigate the impact of prior hip arthroscopy on THA complications. Read More

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http://dx.doi.org/10.1016/j.arth.2019.03.066DOI Listing

General vs Spinal Anesthesia for Revision Total Knee Arthroplasty: Do Complication Rates Differ?

J Arthroplasty 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopaedic Surgery, Emory University, Atlanta, GA.

Background: The incidence of both primary total knee arthroplasty (TKA) and revision TKA is increasing. Data from primary arthroplasty patients suggest a risk reduction with the use of spinal anesthesia when compared with general anesthesia. However, the same relationship has not been examined in the revision knee arthroplasty patient. Read More

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http://dx.doi.org/10.1016/j.arth.2019.03.048DOI Listing

The significance of bicuspid aortic valve after surgery for acute type A aortic dissection.

J Thorac Cardiovasc Surg 2019 Mar 21. Epub 2019 Mar 21.

Landspitali University Hospital, Faculty of Medicine University of Iceland, Reykjavik, Iceland.

Objective: Decision-making concerning the extent of the repair of acute type A aortic dissection (ATAAD) includes functional and anatomical assessment of the aortic valve. We hypothesized that bicuspid aortic valve (BAV) does not impact outcome after surgery for ATAAD. We therefore evaluated the outcome after ATAAD surgery in relation to the presence of BAV, acute aortic regurgitation (AR), and surgical approach, using the Nordic Consortium for Acute Type A Aortic Dissection database. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.03.012DOI Listing

Indocyanine Green Fluorescence Imaging of the Tracheal Blood Flow During Esophagectomy.

J Surg Res 2019 Apr 17;241:1-7. Epub 2019 Apr 17.

Department of Digestive Surgery, Osaka International Cancer Institute, Chuo-ku, Osaka, Japan.

Background: Tracheobronchial ischemia and necrosis are uncommon causes of pulmonary complications that can be lethal on development. Surgical manipulation considering tracheal blood flow is important in radical esophagectomy with extensive lymph node dissection. This study introduces a novel method for assessing tracheal blood perfusion using indocyanine green (ICG) fluorescence imaging. Read More

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http://dx.doi.org/10.1016/j.jss.2019.03.019DOI Listing

Fourth ventricular meningiomas.

World Neurosurg 2019 Apr 17. Epub 2019 Apr 17.

Department of Neurosurgery, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, No. 6 TiantanXili, Beijing 100050, China. Electronic address:

Objective: The fourth ventricular meningiomas (FVMs) are extremely rare. Here, we present a series of eleven cases at one single institution. A comprehensive literature analysis is conducted. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193108
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http://dx.doi.org/10.1016/j.wneu.2019.04.097DOI Listing
April 2019
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Early and Mid-term Outcomes of Surgical Correction for Severe Dystrophic Cervical Kyphosis in Patients with Neurofibromatosis Type 1: a Retrospective Multicenter Study.

World Neurosurg 2019 Apr 17. Epub 2019 Apr 17.

Department of Spine Surgery, The First Affiliated Hospital, University of South China, 69 Chuanshan Road, Hengyang 421001, Hunan, P.R. China. Electronic address:

Objective: To evaluate the early and mid-term outcomes of surgical correction for severe dystrophic cervical kyphosis in patients with neurofibromatosis type 1 (NF-1) and analyze the pathomechanics and the influence on surgical efficacy of related systemic skeletal dystrophy.

Methods: Ten patients who underwent surgical correction for NF-1-related severe dystrophic cervical kyphosis were reviewed. Radiographic parameters, including local and global Cobb angle, sagittal vertical axis (SVA) and T-1 slope, were measured. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.04.096DOI Listing

Fabricated Tropoelastin-Silk Yarns and Woven Textiles for Diverse Tissue Engineering Applications.

Acta Biomater 2019 Apr 17. Epub 2019 Apr 17.

Charles Perkins Centre, University of Sydney, NSW 2006, Australia; School of Life and Environmental Sciences, University of Sydney, NSW 2006, Australia; Bosch Institute, University of Sydney, NSW 2006, Australia. Electronic address:

Electrospun yarns offer substantial opportunities for the fabrication of elastic scaffolds for flexible tissue engineering applications. Currently available yarns are predominantly made of synthetic elastic materials. Thus scaffolds made from these yarns typically lack cell signaling cues. Read More

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http://dx.doi.org/10.1016/j.actbio.2019.04.029DOI Listing

Antibiotic therapy for acute uncomplicated appendicitis: a systematic review and meta-analysis.

Int J Colorectal Dis 2019 Apr 19. Epub 2019 Apr 19.

Department of Visceral, Vascular and Endocrine Surgery, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.

Purpose: Appendectomy has been the gold standard for every form of appendicitis. In recent years, though, it has repeatedly been claimed that for acute uncomplicated appendicitis, antibiotic therapy can be an equivalent treatment. The aim of this meta-analysis was to determine if antibiotic therapy is a safe and effective alternative to appendectomy for acute uncomplicated appendicitis. Read More

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http://link.springer.com/10.1007/s00384-019-03296-0
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http://dx.doi.org/10.1007/s00384-019-03296-0DOI Listing
April 2019
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Long-term results of atrial maze surgery in patients with congenital heart disease.

Europace 2019 Apr 19. Epub 2019 Apr 19.

Department of Cardiovascular Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Aims: Recurrent atrial tachycardia is common after repair of many types of congenital heart disease, and surgical ablation with a maze procedure represents a potential treatment strategy. The objective of this study is to report a single-centre 19 years' experience with maze surgery in congenital heart patients.

Methods And Results: Patients undergoing maze procedure concomitantly with cardiac surgical procedures were retrospectively analysed. Read More

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http://dx.doi.org/10.1093/europace/euz056DOI Listing
April 2019
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Adjunctive therapy of intravenous colistin to intravenous tigecycline for adult patients with non-bacteremic post-surgical intra-abdominal infection due to carbapenem-resistant Acinetobacter baumannii.

J Infect Chemother 2019 Apr 16. Epub 2019 Apr 16.

Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Department of Microbiology, Fujita Health University, Aichi, Japan.

Post-surgical intra-abdominal infections (IAIs) due to carbapenem-resistant Acinetobacter baumannii (CRAB) are difficult to treat due to suboptimal peritoneal penetrations of several antimicrobial agents. Tigecycline has favorable outcomes of treating IAIs due to multidrug-resistant organisms but occurrence of breakthrough bacteremia has been observed because this agent has low serum level. Colistin has in vitro activity against CRAB but data on treatment of IAIs is limited due to poor peritoneal penetration. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1341321X193008
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http://dx.doi.org/10.1016/j.jiac.2019.03.017DOI Listing
April 2019
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Body composition changes in diabetes and aging.

J Diabetes Complications 2019 Apr 3. Epub 2019 Apr 3.

Division of Endocrinology, Diabetes & Metabolism, The Johns Hopkins University, Baltimore, MD, United States of America. Electronic address:

Aging is associated with changes in body composition, including both fat gain and muscle loss beginning in middle age, and is associated with increased risk of type 2 diabetes. Moreover, changes in fat distribution take place in adults as they age and may contribute to the increased risk of type 2 diabetes. Recent literature has shown differences in the age-related changes in body composition by diabetes status suggesting that some of these changes might not only be a risk factor of the development of diabetes but could also be a consequence of the disease. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10568727183143
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http://dx.doi.org/10.1016/j.jdiacomp.2019.03.007DOI Listing
April 2019
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Outcomes of revision surgery after periprosthetic shoulder infection: a systematic review.

J Shoulder Elbow Surg 2019 Apr 16. Epub 2019 Apr 16.

Department of Orthopaedic and Trauma Surgery, "Magna Græcia" University, "Mater Domini" University Hospital, Catanzaro, Italy.

Background: Periprosthetic shoulder infection (PSI) is one of the most challenging complications after shoulder arthroplasty. Different treatments have been proposed, but the best surgical procedure remains disputed in the current literature. This systematic review investigated the outcomes of revision surgery after PSI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746193012
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http://dx.doi.org/10.1016/j.jse.2019.02.014DOI Listing
April 2019
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Gender Differences for Hip and Knee Arthroplasty: Complications and Healthcare Utilization.

J Arthroplasty 2019 Apr 1. Epub 2019 Apr 1.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Introduction: The influence of patient gender on complications and healthcare utilization remains unexplored. The purpose of the present study was to determine if patient gender significantly affected outcomes following total hip arthroplasty (THA) and total knee arthroplasty (TKA).

Methods: Retrospective cohort study of THA and TKA patients was performed using the Nationwide Inpatient Sample from 2002 to 2011. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403193032
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http://dx.doi.org/10.1016/j.arth.2019.03.064DOI Listing
April 2019
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Implications of transfer status on bowel loss in children undergoing emergency surgery for malrotation.

J Pediatr Surg 2019 Feb 27. Epub 2019 Feb 27.

Division of General and Thoracic Pediatric Surgery, Cincinnati, Children's Hospital Medical Center.

Objective: Malrotation with midgut volvulus is a time-sensitive pediatric surgical disease that requires emergent operative exploration to avoid bowel loss; however, it also requires specialized pediatric care. The purpose of this study was to identify disparities in bowel resection in children who underwent emergency surgery for malrotation; particularly the role of transfer status.

Methods: The Pediatric Health Information System was used to identify a multicenter cohort of patients who underwent emergency surgical intervention for malrotation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468193011
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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.061DOI Listing
February 2019
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The dual-staged pathway for closure in cloacal exstrophy: Successful evolution in collaborative surgical practice.

J Pediatr Surg 2019 Apr 8. Epub 2019 Apr 8.

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Johns Hopkins Hospital, Johns Hopkins Medical Institutions, Charlotte Bloomberg Children's Hospital, Baltimore, MD, USA. Electronic address:

Introduction: A successful abdominal wall and bladder closure is critical in the management of cloacal exstrophy (CE). This study examines closure outcomes and practices over the last 4 decades at the authors' institution. Beginning in 1995, the authors' institution standardized CE closure and management with the Dual-Staged Pathway (DSP). Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.005DOI Listing

Effects of topical sesame (Sesamum indicum) oil on the pain severity of chemotherapy-induced phlebitis in patients with colorectal cancer: A randomized controlled trial.

Complement Ther Clin Pract 2019 May 2;35:78-85. Epub 2019 Feb 2.

Department of Nursing, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran. Electronic address:

Background And Purpose: Chemotherapy-induced phlebitis (CIP) is one of the most important and common complications in patients with cancer. Currently, the use of complementary methods to prevent or alleviate phlebitis symptoms has attracted great attention. In this study, we aimed to assess the effects of topical sesame oil in reducing the pain severity of CIP. Read More

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http://dx.doi.org/10.1016/j.ctcp.2019.01.016DOI Listing

Pectus excavatum repair using bridge fixation system.

Asian Cardiovasc Thorac Ann 2019 Apr 19:218492319846733. Epub 2019 Apr 19.

Department of Thoracic Surgery, Choray Hospital, Ho Chi Minh City, Vietnam.

Background: The stability of the pectus bar is an important determinant of the success of pectus excavatum repair surgery. In practice, several different types of fixation method are in use for stabilizing pectus bars. The aim of this study was to compare the performance of the bridge fixation system with previous fixation systems for stabilizing pectus bars. Read More

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http://dx.doi.org/10.1177/0218492319846733DOI Listing

Lumbar laminotomy for the intrathecal administration of nusinersen for spinal muscular atrophy: technical note and outcomes.

J Neurosurg Spine 2019 Apr 19:1-5. Epub 2019 Apr 19.

3Neurological Surgery, Oregon Health & Science University, Portland, Oregon.

Nusinersen (Spinraza) is a US Food and Drug Administration-approved intrathecal medication for the treatment of spinal muscular atrophy (SMA). Adult patients with SMA often undergo thoracolumbar fusion to treat neurogenic scoliosis, preventing thecal access. The authors report a laminotomy technique and the ease of intrathecal access in three SMA patients with prior thoracolumbar fusions. Read More

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https://thejns.org/view/journals/j-neurosurg-spine/aop/artic
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http://dx.doi.org/10.3171/2019.2.SPINE181366DOI Listing
April 2019
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[Do we need to perform systematic supracervical hysterectomy during laparoscopic sacrocolpopexy?]

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Département de Gynécologie-Obstétrique, Université de Liège, Centre Hospitalier Régional de la Citadelle, Boulevard du 12(e) de Ligne, 1, 4000 Liège, Belgique.

Objective: To evaluate the place of subtotal hysterectomy during laparoscopic sacrocolpopexy.

Methods: This retrospective observational study includes patients undergoing laparoscopic sacrocolpopexy between November 2010 and March 2015 at the Centre Hospitalier Régional de la Citadelle, Liège, Belgium. Patient characteristics, medical and surgical history were collected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687189193015
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http://dx.doi.org/10.1016/j.gofs.2019.04.007DOI Listing
April 2019
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Patient Satisfaction with Oral Versus Intravenous Sedation for Cataract Surgery : A Randomized Clinical Trial.

Ophthalmology 2019 Apr 16. Epub 2019 Apr 16.

Department of Ophthalmology, Boston Medical Center, Boston University School of Medicine, Boston, MA.

Purpose: To determine whether patient satisfaction with oral sedation is non-inferior to intravenous (IV) sedation for cataract surgery.

Design: A prospective, randomized, double-masked clinical trial.

Subjects: A volunteer sample of patients age 18 or older from diverse ethnic, racial, and socioeconomic backgrounds scheduled for cataract surgery. Read More

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http://dx.doi.org/10.1016/j.ophtha.2019.04.022DOI Listing

Comparison of a Potential Hospital Quality Metric With Existing Metrics for Surgical Quality-Associated Readmission.

JAMA Netw Open 2019 Apr 5;2(4):e191313. Epub 2019 Apr 5.

Veterans Affairs, Palo Alto, Veterans Affairs Medical Center, Palo Alto, California.

Importance: The existing readmission quality metric does not meaningfully distinguish readmissions associated with surgical quality from those that are not associated with surgical quality and thus may not reflect the quality of surgical care.

Objective: To compare a quality metric that classifies readmissions associated with surgical quality with the existing metric of any unplanned readmission in a surgical population.

Design, Setting, And Participants: Cohort study using US nationwide administrative data collected on 4 high-volume surgical procedures performed at 103 Veterans Affairs hospitals from October 1, 2007, through September 30, 2014. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2019.1313DOI Listing

Total laparoscopic hysterectomy for enlarged uteri: factors associated with the rate of conversion to open surgery.

J Obstet Gynaecol 2019 Apr 19:1-6. Epub 2019 Apr 19.

a Dipartimento Scienze della Salute della Donna e del Bambino , Fondazione Policlinico Univeristario A. Gemelli, IRCCS , Rome , Italy ;

A hysterectomy for enlarged uteri is considered a challenge for gynaecologic surgeons, due to the limit of exposure to surgical spaces. Our objective is to investigate the different variables that may have an impact on the risk of conversion to open surgery. This is a retrospective cohort study consisting of 133 women who were submitted to surgery for uterine fibroids and who underwent total hysterectomy by laparoscopic approach attempt. Read More

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http://dx.doi.org/10.1080/01443615.2019.1575342DOI Listing

Minimally invasive versus open distal pancreatectomy for pancreatic neuroendocrine tumors: An analysis from the U.S. neuroendocrine tumor study group.

J Surg Oncol 2019 Apr 18. Epub 2019 Apr 18.

Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, Ohio.

Background: To determine short- and long-term oncologic outcomes after minimally invasive distal pancreatectomy (MIDP) with open distal pancreatectomy (ODP) for the treatment of pancreatic neuroendocrine tumor (pNET).

Methods: The data of the patients who underwent curative MIDP or ODP for pNET between 2000 and 2016 were collected from a multi-institutional database. Propensity score matching (PSM) was used to generate 1:1 matched patients with MIDP and ODP. Read More

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http://dx.doi.org/10.1002/jso.25481DOI Listing
April 2019
2 Reads

Improvement in the quality of life of patients with persistent or long-standing persistent atrial fibrillation after hybrid ablation.

J Interv Card Electrophysiol 2019 Apr 17. Epub 2019 Apr 17.

Cardiocenter, Department of Cardiac Surgery, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 50, 100 34, Prague, Czech Republic.

Background: Hybrid ablation (i.e., a combination of a thoracoscopic surgical ablation followed by a catheter ablation) is a treatment option for patients with non-paroxysmal atrial fibrillation (AF). Read More

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http://link.springer.com/10.1007/s10840-019-00546-7
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http://dx.doi.org/10.1007/s10840-019-00546-7DOI Listing
April 2019
5 Reads

Laparoscopic completion gastrectomy in elderly patients with remnant gastric cancer: a case series.

Surg Case Rep 2019 Apr 17;5(1):63. Epub 2019 Apr 17.

Department of Surgery, Saiseikai Yokohamashi Tobu Hospital, 3-6-1, Shimosueyoshi, Tsurumi-ku, Yokohama-shi, Kanagawa, 230-8765, Japan.

Background: Open completion gastrectomy (OCG) has been selected to treat remnant gastric cancer (RGC) due to severe adhesions and difficulty recognizing anatomical orientation after primary gastrectomy. In general, elderly individuals' physiological reserves gradually decrease. Moreover, elderly patients (EPs) often have multiple complicating factors (i. Read More

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http://dx.doi.org/10.1186/s40792-019-0610-0DOI Listing

Effect of Operative Time on Short-Term Adverse Events After Isolated Anterior Cruciate Ligament Reconstruction.

Orthop J Sports Med 2019 Feb 19;7(2):2325967118825453. Epub 2019 Feb 19.

Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.

Background: A longer operative time has been previously recognized as a risk factor for short-term complications after various orthopaedic procedures; however, it has yet to be investigated as an independent risk factor for postoperative complications after anterior cruciate ligament (ACL) reconstruction.

Purpose: To identify whether a longer operative time in ACL reconstruction is an independent risk factor for the development of postoperative complications, hospital readmissions, or an extended length of stay within 30 days of the index procedure.

Study Design: Descriptive epidemiology study. Read More

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http://dx.doi.org/10.1177/2325967118825453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454657PMC
February 2019
1 Read

Cervical Discogenic Pain Treatment with Percutaneous Jellified Ethanol: Preliminary Experience.

Authors:
Haytham Eloqayli

Biomed Res Int 2019 13;2019:2193436. Epub 2019 Mar 13.

Department of Neurosurgery, Faculty of Medicine, Jordan University of Science and Technology (JUST), Irbid 22110, Jordan.

Background: Percutaneous DiscoGel® (Gelscom SAS, France), introduced in 2007 as a promising new minimal invasive technique, showed efficacy and safety in lumbar spine surgery, with limited use and scientific reports with regard to the cervical spine. Since the first publication of its use on the cervical spine (2010), less than 100 cases have been published. We introduce an initial experience with this relatively new procedure. Read More

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https://www.hindawi.com/journals/bmri/2019/2193436/
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http://dx.doi.org/10.1155/2019/2193436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436363PMC
March 2019
2 Reads

Suggested Indications for Enucleation of Solid Pseudopapillary Neoplasms in Pediatric Patients.

Front Pediatr 2019 3;7:125. Epub 2019 Apr 3.

Department of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, South Korea.

Solid pseudopapillary neoplasms (SPNs) are rare, low-grade, malignant neoplasms that can occur in pediatric patients. Although complete resection of the tumor is the principle treatment, SPN enucleation (EN) has been reported to be effective in children. This study aimed to examine the feasibility and safety of EN by comparing it with conventional pancreatectomy (CP), and to present the indications for its use in pediatric patients. Read More

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https://www.frontiersin.org/article/10.3389/fped.2019.00125/
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http://dx.doi.org/10.3389/fped.2019.00125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456698PMC
April 2019
1 Read

Olecranon Osteotomy Approach for Complex AO-13C Fractures of Distal Humerus: A Prospective Analysis of 24 Cases.

Malays Orthop J 2019 Mar;13(1):30-35

Department of Orthopaedics, Sir Ganga Ram Hospital, New Delhi, India.

Olecranon osteotomy is well described approach for complex intra-articular distal humeral fractures. In this study, we investigated the usefulness and complications of olecranon osteotomy approach for such fractures. We hypothesise that outcome is comparable in young adults and middle age group and also functional outcome is independent of fracture subtype following surgical fixation. Read More

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http://www.morthoj.org/2019/v13n1/olecranon-osteotomy-fractu
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http://dx.doi.org/10.5704/MOJ.1903.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459036PMC
March 2019
1 Read

Resistance of Synthetic and Biologic Surgical Meshes to Methicillin-Resistant Biofilm: An Investigation.

Int J Biomater 2019 13;2019:1063643. Epub 2019 Mar 13.

Department of Surgery, Allegheny Health Network, Pittsburgh, PA, USA.

Surgical meshes have become the standard procedure for a variety of surgical applications with 20 million meshes being implanted each year. The popularity of mesh usage among surgeons is backed by the multiple studies that support its functionality as a tool for improving surgical outcomes. However, their use has also been associated with infectious surgical complications and many surgeons have turned to biologic meshes. Read More

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https://www.hindawi.com/journals/ijbm/2019/1063643/
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http://dx.doi.org/10.1155/2019/1063643DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436333PMC
March 2019
5 Reads

Spinal Cord Ependymoma - Surgical Management and Outcome.

J Neurosci Rural Pract 2019 Apr-Jun;10(2):316-320

Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland.

Background: Ependymoma is a common primary neoplasm of the spinal cord and filum terminale. Patients with spinal ependymoma usually experience gradual symptoms due to slow progression of the tumor; thus, early diagnosis can be challenging to make.

Objective: The objective of this study was to report 5 years' experience in treating spinal intramedullary ependymomas and to illustrate the advantage of aggressive complete resection whenever possible. Read More

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http://dx.doi.org/10.4103/jnrp.jnrp_267_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454966PMC

Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease.

J Craniovertebr Junction Spine 2019 Jan-Mar;10(1):28-32

Department of Neurosurgery, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India.

Background: Anterior cervical discectomy and fusion (ACDF) is a well-described surgical approach for symptomatic degenerative cervical disc disease which does not respond to conservative management. In the present study, we assessed clinical presentation and outcomes of ACDF.

Materials And Methods: The present study was conducted from October 1, 2015, to October 31, 2017, in the Department of Neurosurgery, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, among 100 consecutive adult patients who underwent single- or two-level ACDF for degenerative cervical disc disease. Read More

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http://dx.doi.org/10.4103/jcvjs.JCVJS_87_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469327PMC

Transplantation of live allograft kidney with double ureter: A case report and review of literature.

Indian J Urol 2019 Apr-Jun;35(2):161-163

Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.

Duplication of ureter is an uncommon anomaly with a reported incidence of 0.6%-1%. It can be either complete or a partial duplication. Read More

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http://dx.doi.org/10.4103/iju.IJU_365_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458812PMC

Protocol-based perioperative antimicrobial prophylaxis in urologic surgeries: Feasibility and lessons learned.

Indian J Urol 2019 Apr-Jun;35(2):141-146

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

Introduction: Rational use of antibiotics and strict adherence to practice guidelines is essential to prevent antibiotic resistance. The best surgical prophylaxis protocol requires tailoring of the available guidelines in accordance to the local bacterial flora. We designed a protocol for surgical prophylaxis to check the rampant abuse of antibiotics in the department of urology and evaluated its feasibility. Read More

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http://dx.doi.org/10.4103/iju.IJU_270_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458815PMC

Oesophageal atresia.

Nat Rev Dis Primers 2019 Apr 18;5(1):26. Epub 2019 Apr 18.

Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Pediatric Gastroenterology and Nutrition, Amsterdam, The Netherlands.

Oesophageal atresia (EA) is a congenital abnormality of the oesophagus that is caused by incomplete embryonic compartmentalization of the foregut. EA commonly occurs with a tracheo-oesophageal fistula (TEF). Associated birth defects or anomalies, such as VACTERL association, trisomy 18 or 21 and CHARGE syndrome, occur in the majority of patients born with EA. Read More

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http://www.nature.com/articles/s41572-019-0077-0
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http://dx.doi.org/10.1038/s41572-019-0077-0DOI Listing
April 2019
1 Read

Systematic Review of Medial Patellofemoral Ligament Reconstruction Techniques: Comparison of Patellar Bone Socket and Cortical Surface Fixation Techniques.

Arthroscopy 2019 Apr 15. Epub 2019 Apr 15.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.. Electronic address:

Purpose: To compare patellar bone socket and cortical surface fixation techniques for isolated medial patellofemoral ligament (MPFL) reconstruction and determine whether there was a difference in (1) complication rates, including fracture of the patella; (2) redislocation rates; or (3) patient-reported outcomes.

Methods: A literature search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We included patients who underwent isolated MPFL reconstruction for recurrent patellar instability. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063183106
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http://dx.doi.org/10.1016/j.arthro.2018.10.150DOI Listing
April 2019
1 Read

Distal femoral hemiepiphysiodesis with screws and suture versus 8-plate for the treatment of genu valgum in children.

Orthop Traumatol Surg Res 2019 Apr 15. Epub 2019 Apr 15.

Department of Traumatology and Orthopedics, Clinical Hospital of Pontificia Universidad Católica de Chile, Santiago, Chile.

Introduction: There are different techniques for gradual correction of angular deformities in lower limbs. The use of screws and non-absorbable filament have been described as an effective alternative for transitory hemiepiphysiodesis in pediatric population.

Hypothesis: In pediatric population with genu valgum there are no differences in outcome between hemiepiphysiodesis, using screws and non-absorbable filament (SNAF) versus 8-plate. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568193011
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http://dx.doi.org/10.1016/j.otsr.2019.02.019DOI Listing
April 2019
5 Reads

Local referrals as a strategy for increasing value of surgical care among medicare patients undergoing liver and pancreatic surgery.

HPB (Oxford) 2019 Apr 15. Epub 2019 Apr 15.

Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address:

Background: The focus of the current Medicare payment reform is to increase value - i.e. improve health care quality while lowering costs. Read More

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http://dx.doi.org/10.1016/j.hpb.2019.03.371DOI Listing
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