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    Clinical Value of Contrast Enema Prior to Ileostomy Closure.
    Rofo 2017 Sep 23;189(9):855-863. Epub 2017 Aug 23.
    University Hospital Regensburg, Department of Radiology, Regensburg, Germany.
    Purpose To determine the value of routine contrast enema of loop ileostomy before elective ileostomy closure regarding the influence on the clinical decision-making. Materials and Methods Retrospective analysis of contrast enemas at a tertiary care center between 2005 und 2011. Patients were divided into two groups: Group I with ileostomy reversal, group II without ileostomy closure. Read More

    CASE REPORT OF SEVERE PROLIFERATIVE RETINOPATHY IN A PATIENT WITH CONGENITAL LIPODYSTROPHY.
    Retin Cases Brief Rep 2017 Aug 21. Epub 2017 Aug 21.
    *Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel; and †Department of Neurobiology (Physiology), Hadassah-Hebrew University School of Medicine, Jerusalem, Israel.
    Purpose: A case report of a patient with severe proliferative retinopathy due to congenital lipodystrophy.

    Methods: We reviewed the medical history, imaging, and surgical procedures of a 25-year-old woman with a history of congenital lipodystrophy, presenting with bilateral combined tractional and exudative retinal detachment, poorly controlled diabetes mellitus, and extreme dislipidemia.

    Results: The patient underwent retinal detachment repair surgery both eyes. Read More

    Quengel Casting for the Management of Pediatric Knee Flexion Contractures: A 26-Year Single Institution Experience.
    J Pediatr Orthop 2017 Aug 18. Epub 2017 Aug 18.
    *Department of Orthopedic Surgery, The University of Texas Southwestern Medical Center at Dallas †Texas Scottish Rite Hospital for Children, Dallas, TX.
    Background: Quengel casting was introduced in 1922 for nonsurgical treatment of knee flexion contractures (KFC) associated with hemophilic arthropathy. It consists of an extension-desubluxation hinge fixed to a cast allowing for gradual correction of a flexion deformity while preventing posterior tibial subluxation. The purpose of this study is to report 1 center's experience with this technique for the treatment of pediatric KFC. Read More

    Open Versus Closed Reduction of Maxillary Fractures: Complications and Resource Utilization.
    J Craniofac Surg 2017 Aug 22. Epub 2017 Aug 22.
    Division of Plastic, Aesthetic and Reconstructive Surgery, DeWitt Daughtry Family Department of Surgery, Leonard M. Miller School of Medicine, University of Miami, Miami, FL.
    Introduction: Maxillary fractures are frequently managed depending on the surgeon's preferences, nature of the injury, presence of associated injuries, and comorbidities. Current literature advocates open reduction with plating versus closed techniques. However, data defining associated costs and complications comparing the 2 approaches remains lacking. Read More

    Is there a real role of postoperative antibiotic administration for mild-moderate acute cholecystitis? A prospective randomized controlled trial.
    J Hepatobiliary Pancreat Sci 2017 Aug 17. Epub 2017 Aug 17.
    Department of Hepato-biliary and Pancreas Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
    Background: In cases of acute cholecystitis (AC), postoperative antibiotic prophylaxis is generally used for the purpose of preventing subsequent infections. However, there is still no standardized guideline regarding antibiotic administration after cholecystectomy.

    Methods: A total of 200 patients at five participating hospitals who were admitted for cholecystectomy to treat grade I or II AC were enrolled and randomly allocated to a group given a placebo (group A) or a group given postoperative antibiotics (group B). Read More

    Pre-operative effects of mifepristone (POEM) for dilation and evacuation after 19 weeks gestation: A randomised controlled trial.
    BJOG 2017 Aug 22. Epub 2017 Aug 22.
    Division of Family Planning Services and Research, Department of Obstetrics & Gynecology, Stanford University School of Medicine, Stanford, California.
    Objective: To evaluate mifepristone as an adjunct to, or replacement for, osmotic dilators for cervical preparation in surgical abortion after 19-weeks gestation.

    Design: Site-stratified, double-blinded randomised controlled trial.

    Setting: Two tertiary care teaching hospitals. Read More

    Super pulse CO2 laser therapy for benign eyelid tumors.
    J Cosmet Dermatol 2017 Aug 17. Epub 2017 Aug 17.
    Department of Laser Plastic Surgery, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China.
    Background: Benign eyelid tumors occur commonly in daily outpatient services.

    Objectives: The aim of this study was to evaluate the treatment of benign eyelid lesions with a super pulse CO2 laser as an alternative to surgical excision.

    Methods: This retrospective clinical study included 80 patients with 99 benign eyelid lesions treated with super pulse CO2 laser photocoagulation. Read More

    Rate of Complications Following Spinal Cord Stimulation Paddle Electrode Removal.
    Neuromodulation 2017 Aug 22. Epub 2017 Aug 22.
    Center for Neurological Restoration, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
    Objective: Spinal cord stimulation (SCS) is a safe, reversible surgical treatment for complex regional pain syndrome and failed back surgery syndrome refractory to conventional medical management. Paddle electrodes are routinely used for the permanent implant because of the reduced risk of migration, lower energy requirements, and expanded coverage options. The risks associated with paddle lead removal are not well defined in the literature. Read More

    Preoperative breast size affects reconstruction status following mastectomy.
    Breast J 2017 Aug 22. Epub 2017 Aug 22.
    Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
    Much research has been devoted to why women choose not to be reconstructed following mastectomy. The effect of breast size has not been well explored. The authors aimed to assess the relationship between breast size and reconstructive choices. Read More

    Anatomical Complications of Hysterectomy: A review.
    Clin Anat 2017 Aug 17. Epub 2017 Aug 17.
    Department of Anatomical Sciences, St. George's University, Grenada, West Indies.
    Introduction: Hysterectomy is the most commonly performed gynecological procedure in the United States with three possible surgical approaches; vaginal, abdominal and laparoscopic. As with any surgical procedure, various anatomical complications can arise. These include injuries to anatomical structures such as the urinary bladder, ureter, intestines, rectum, anus and a multitude of nervous structures. Read More

    In-hospital and long-term outcomes of percutaneous balloon aortic valvuloplasty with concomitant percutaneous coronary intervention in patients with severe aortic stenosis.
    J Interv Cardiol 2017 Aug 22. Epub 2017 Aug 22.
    Department of Interventional Cardiology, Jagiellonian University Medical College, Krakow, Poland.
    Background: Severe aortic stenosis (AS) often coexists with significant coronary artery disease.

    Objective: To evaluate procedural complications and long-term outcomes of patients with severe AS undergoing balloon aortic valvuloplasty (BAV) and percutaneous coronary intervention (PCI).

    Methods: A total of 97 patients with severe AS underwent 104 BAVs as palliative procedure, bridge to definitive treatment, or before urgent non-cardiac surgery. Read More

    Palatal perforation and chemical ulcers of the tongue in a blind patient.
    Spec Care Dentist 2017 Aug 22. Epub 2017 Aug 22.
    Assistant Professor of Preventive Care Dentistry, Amazonas State University, Manaus-AM, Brazil.
    We report a unique case of a potassium aluminum sulfate oral dissolution leading to palatal chemical necrosis and extensive chemical ulcers on the tongue. The patient, a 47-year-old white, blind male, denied using cocaine or other illegal drugs that could cause such lesions. His self-medication started as a treatment for a traumatic ulcerative lesion on the hard palate. Read More

    Complications in operative hysteroscopy - is prevention possible?
    Acta Obstet Gynecol Scand 2017 Aug 18. Epub 2017 Aug 18.
    Department of Gynecology, Hospital St. John of God, Vienna, Austria.
    Operative hysteroscopy in a hospital setting has revolutionized surgical treatment of benign uterine disorders. It is minimally invasive, cost and time-effective and may spare patients from major surgical interventions. Operative hysteroscopy in a day-case hospital setting is regarded as a safe and well-tolerated procedure with low complication rates. Read More

    A New Experimental Device for Transapical Access of the Aortic and Mitral Valves as well as the Aorta in its Various Segments.
    Braz J Cardiovasc Surg 2017 May-Jun;32(3):156-161
    Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil.
    Objective:: To present the results of a new experimental device developed to facilitate the transapical access in endovascular treatment of structural heart diseases. It aims to reduce the risk of bleeding and complications in this type of access and demonstrate the device as a safe, fast and effective alternative.

    Methods:: CorPoint is composed of three parts: introducer, base with coiled spring, and closing capsule. Read More

    Lung Cancer: Postoperative Imaging and Complications.
    J Thorac Imaging 2017 Sep;32(5):276-287
    *Department of Diagnostic Radiology, The UT MD Anderson Cancer Center, Houston, TX †Department of Radiology, Memorial Sloan Kettering Cancer Center ‡Department of Radiology, NYU Langone Medical Center, New York, NY §Department of Radiology, Wake Forest Baptist Medical Center, Winston-Salem, NC.
    In patients with early-stage lung cancer, surgical resection is the treatment of choice. Knowledge of the expected postsurgical changes and awareness of the temporal evolution of these findings as well as potential complications are important in avoiding misinterpretation. We review the surgical techniques used for lung cancer resection, expected postoperative radiologic manifestations, as well as potential early and late postoperative complications in order to improve diagnostic interpretation and optimize patient management. Read More

    180W-LBO GreenLight XPS laser vaporization for benign prostatic hyperplasia: our experience with current markers of surgical proficiency for durable and reproducible outcomes.
    Can J Urol 2017 Aug;24(4):8922-8931
    CHUM Section of Urology, Department of Surgery, Université de Montréal, Montreal, Quebec, Canada.
    Introduction: This study aims at analyzing the impact of reaching current markers of proficiency on intra and postoperative clinical outcomes of laser vaporization with 180W GreenLight XPS in the treatment of benign prostatic hyperplasia.

    Materials And Methods: A retrospective analysis was conducted on a prospectively collected database of 328 consecutive patients who underwent photoselective vaporization of the prostate (PVP) using Greenlight XPS performed by a single experienced laser surgeon. A logarithmic model was used to evaluate the case number to attain benchmark criteria for durable treatment. Read More

    Surgical technique for removal of tined lead for InterStim.
    Can J Urol 2017 Aug;24(4):8918-8920
    Department of Urology, University of California, Irvine, California, USA.
    Introduction: We aimed to introduce our technique describing the removal of a chronic implanted tined-lead in patients with a sacral neuromodulator implant.

    Materials And Methods: We performed a retrospective review of patients who had chronic sacral neuromodulator (InterStim) implanted by a single surgeon from 2001 through 2015. This simple surgical technique was developed and successfully performed to remove the leads. Read More

    A Clinical Study of the Modified Thread Carpal Tunnel Release.
    Hand (N Y) 2017 Sep 12;12(5):453-460. Epub 2016 Sep 12.
    1 BayCare Clinic, Green Bay, WI, USA.
    Background: Previous studies have indicated that the thread carpal tunnel release (TCTR) is a safe and effective technique. Through a study on 11 cadaveric wrists, the TCTR procedure was modified and the needle control accuracy was improved to 0.15 to 0. Read More

    Postoperative Nasal Septal Abscess Following Use of 2-Octylcyanoacrylate and Polydioxanone Plate in Open Septorhinoplasty: A Case Series.
    Ann Otol Rhinol Laryngol 2017 Aug 1:3489417727013. Epub 2017 Aug 1.
    2 Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
    Background: The employment of 2-octylcyanoacrylate adhesive (Dermabond) to assist graft placement in open septorhinoplasty has been increasingly used to stabilize cartilage grafts. Literature regarding this application has been mixed, with some showing the possibility of increased rates of inflammation, if not infection. We present an original comparative case series involving postoperative septal abscess formation adjacent to caudal strut grafting where both Dermabond and an absorbable polydioxanone (PDS) plate were used. Read More

    Robotic radical prostatectomy with concomitant repair of inguinal hernia: is it safe?
    J Robot Surg 2017 Aug 22. Epub 2017 Aug 22.
    Serviço de Cirurgia Geral, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
    Robotic radical prostatectomy (RARP) is well established as a safe and effective treatment for prostate cancer. According to published studies, patients undergoing RARP are at increased risk of being diagnosed with an inguinal hernia after RARP and are four times more likely to have an inguinal hernia repair (IHR) following RARP. Several studies have demonstrated the effectiveness and safety of IHR during RARP. Read More

    Petersen's hernia after living donor liver transplantation.
    Surg Case Rep 2017 Aug 23;3(1):89. Epub 2017 Aug 23.
    Division of Organ Transplantation, Hokkaido University Hospital, Sapporo, Japan.
    Background: Hepaticojejunostomy may be used for biliary reconstruction in certain cases of liver transplantation. In this occasion, Roux-en-Y biliary reconstruction is predominantly performed. Petersen's hernia is an internal hernia that can occur after Roux-en-Y reconstruction, and it may lead to extensive ischemic changes affecting incarcerated portions of the small bowel or Roux limb resulting in severe complications with a poor prognosis. Read More

    Treatment of stable slipped capital femoral epiphysis: systematic review and exploratory patient level analysis.
    J Orthop Traumatol 2017 Aug 22. Epub 2017 Aug 22.
    Royal Manchester Children's Hospital, Central Manchester Hospitals Foundation Trust, Oxford Road, Manchester, UK.
    Background: Several aspects of slipped capital femoral epiphysis (SCFE) treatment remain controversial. Loder's work has been instrumental in changing our understanding and approach to the management of the condition when he introduced the concept of "slip instability" and showed that avascular necrosis (AVN) developed in 47% of unstable slips but none of the stable slips. As the two types of SCFE behave differently in terms of presentation, progress and complications, we approached them as two different conditions to highlight these differences. Read More

    Prognostic impact of hospital volume on familial adenomatous polyposis: a nationwide multicenter study.
    Int J Colorectal Dis 2017 Aug 22. Epub 2017 Aug 22.
    Department of Surgical Oncology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
    Purpose: Many studies have shown that hospital volume is significantly associated with short- and long-term outcomes in various diseases, including cancer. However, there have been no reports discussing the relationship between hospital volume and familial adenomatous polyposis (FAP). This study aimed to clarify whether hospital volume affects short- and long-term outcomes in FAP patients. Read More

    [Redo urethroplasty with buccal mucosa].
    Urologe A 2017 Aug 22. Epub 2017 Aug 22.
    Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
    Urethral strictures can occur on the basis of trauma, infections, iatrogenic-induced or idiopathic and have a great influence on the patient's quality of life. The current prevalence rate of male urethral strictures is 0.6% in industrialized western countries. Read More

    [Management of traumatic intestinal injury of mass casualties].
    Chirurg 2017 Aug 22. Epub 2017 Aug 22.
    Klinik & Poliklinik für Allgemein- und Viszeralchirurgie, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.
    While intestinal injury is relatively rare in blunt abdominal trauma, it is common in penetrating abdominal trauma. Intestinal injury cannot be detected effectively by computed tomography (CT); therefore penetrating abdominal injury or abdominal signs in blunt trauma require liberal indications for explorative laparotomy. In mass casualty situations patients with hemodynamic instability and abdominal signs should be prioritized for surgery. Read More

    AQUACEL® Ag Surgical Dressing Reduces Surgical Site Infection and Improves Patient Satisfaction in Minimally Invasive Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study.
    Biomed Res Int 2017 2;2017:1262108. Epub 2017 Aug 2.
    Department of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan.
    The use of modern surgical dressings to prevent wound complications and surgical site infection (SSI) after minimally invasive total knee arthroplasty (MIS-TKA) is lacking. In a prospective, randomized, controlled study, 240 patients were randomized to receive either AQUACEL Ag Surgical dressing (study group) or a standard dressing (control group) after MIS-TKA. The primary outcome was wound complication (SSI and blister). Read More

    Comparative Study of Prepectoral and Subpectoral Expander-Based Breast Reconstruction and Clavien IIIb Score Outcomes.
    Plast Reconstr Surg Glob Open 2017 Jul 26;5(7):e1433. Epub 2017 Jul 26.
    Boston University Medical School, Boston, Mass.; Department of Surgery, Stanford University Medical Center, Stanford University School Stanford University Medical Center, Stanford School of Medicine, Stanford, Calif.; Department of Surgery Kaiser Permanente Medical Center San Jose, San Jose, Calif.; Adjunct Clinical Faculty, Division of Plastic Surgery, Department of Surgery, Stanford University, Stanford, Calif.; Columbia University, School of Professional Studies, Graduate Studies in Bioethics, New York, N.Y.; Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
    Prepectoral breast reconstruction is increasingly popular. This study compares complications between 2 subpectoral and 1 prepectoral breast reconstruction technique.

    Methods: Between 2008 and 2015, 294 two-staged expander breast reconstructions in 213 patients were performed with 1 of 3 surgical techniques: (1) Prepectoral, (2) subpectoral with acellular dermal matrix (ADM) sling ("Classic"), or (3) subpectoral/subserratus expander placement without ADM ("No ADM"). Read More

    Critical Evaluation of Risk Factors of Infection Following 2-Stage Implant-Based Breast Reconstruction.
    Plast Reconstr Surg Glob Open 2017 Jul 5;5(7):e1386. Epub 2017 Jul 5.
    Division of Plastic and Reconstructive Surgery, Stanford Health Care, Stanford, Calif.; and Stanford University School of Medicine, Stanford, Calif.
    Infection is a dreaded complication following 2-stage implant-based breast reconstruction that can prolong the reconstructive process and lead to loss of implant. This study aimed to characterize outcomes of reconstructions complicated by infection, identify patient and surgical factors associated with infection, and use these to develop an infection management algorithm.

    Methods: We performed a retrospective review of all consecutive implant-based breast reconstructions performed by the senior author (2006-2015) and collected data regarding patient demographics, medical history, operative variables, presence of other complications (necrosis, seroma, hematoma), and infection characteristics. Read More

    Simultaneous Surgical Treatment for Smile Dysfunction and Lagophthalmos Involving a Dual Latissimus Dorsi Flap.
    Plast Reconstr Surg Glob Open 2017 Jul 25;5(7):e1370. Epub 2017 Jul 25.
    Department of Plastic and Reconstructive Surgery, Graduate School of Science, Tokyo Medical and Dental University, Tokyo, Japan.
    Paralytic lagophthalmos and smile dysfunction are serious complications of facial paralysis and various reconstructive procedures have been developed to treat them. Among these procedures, there is no doubt that dynamic procedures are more effective than static ones. The 1-stage simultaneous surgical treatment of these 2 dysfunctions with a dynamic procedure involving a single muscle would be ideal, but no such methods have been reported. Read More

    Oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature.
    Breast Cancer (Dove Med Press) 2017 4;9:521-530. Epub 2017 Aug 4.
    Department of Surgery, New Victoria Hospital Glasgow.
    Oncoplastic breast conservation surgery (OBCS) is increasingly becoming part of routine breast cancer surgical management. OBCS may be viewed as an extension of standard breast conservation surgery for resecting tumors of larger sizes without compromising on cosmetic outcome, or as an alternative to mastectomy. High quality evidence to support the oncological safety and benefits of OBCS is lacking. Read More

    Benign heart murmurs as a predictor for complications following total joint arthroplasty.
    J Orthop 2017 Dec 1;14(4):470-474. Epub 2017 Aug 1.
    Department of Orthopedics, University of Pennsylvania, Philadelphia PA, United States.
    Background: There is scant literature examining the predictive role of heart murmurs in the absence of suspected structural heart disease on complications of non-cardiac surgery. We hypothesize the detection of heart murmurs in the absence of structural heart disease will help identify patients at risk for complications following total joint arthroplasty (TJA) surgery.

    Method: This was a prospective cohort of patients undergoing TJA over a twenty-month period. Read More

    Remifentanil: A help in topical strabismus surgery.
    Arch Soc Esp Oftalmol 2017 Aug 19. Epub 2017 Aug 19.
    Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital General de Segovia, Segovia, España.
    Objective: To analyze the analgesic effect of remifentanil, side effects and complications in topical strabismus surgery. To study the results of strabismus surgery with this type of anesthesia.

    Material And Method: Retrospective descriptive study. Read More

    Oncological and functional results of the surgical treatment of vertebral metastases in patients with multiple myeloma".
    BMC Surg 2017 Aug 23;17(1):92. Epub 2017 Aug 23.
    Orthopedic Oncology Department of the Podkarpacki Oncology Hospital, Bielawskiego 18, 36-200, Brzozów, Poland.
    Background: In nearly 30% of patients with myeloma, pathological fractures are found to occur in the spine. If the patients are not treated promptly and satisfactorily, the quality of their lives diminishes. Currently, the standard treatment for metastatic lesions of the spine is radiotherapy, but surgical intervention is becoming more frequent. Read More

    BiClamp® vessel-sealing device for open hepatic resection of malignant and benign liver tumours: a single-institution experience.
    BMC Cancer 2017 Aug 22;17(1):554. Epub 2017 Aug 22.
    Department of Hepatopancreatobiliary Surgery II, the First Affiliated Hospital of Anhui Medical University, No. 218 Jixi Road, Hefei, Anhui Province, 230022, China.
    Background: Intraoperative blood loss during hepatectomy worsens prognosis, and various tools have been used to improve perioperative safety and feasibility. We aimed to retrospectively evaluate the feasibility and safety of the BiClamp® device for open liver resection.

    Methods: We included 84 patients undergoing liver resection from a single centre, with all patients operated by the same surgical group. Read More

    Minilaparoscopic versus single incision cholecystectomy for the treatment of cholecystolithiasis: a meta-analysis and systematic review.
    BMC Surg 2017 Aug 22;17(1):91. Epub 2017 Aug 22.
    Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, HuaZhong University of Science and Technology, Wuhan, 430022, China.
    Background: Over the past decade, mini-laparoscopic cholecystectomy (MLC) and single-port laparoscopic cholecystectomy (SILC) have been the two main successful mini-invasive surgical interventions for the treatment of cholecystolithiasis since the advent of laparoscopic cholecystectomy (LC). In this study, we conducted a meta-analysis to compare the two treatment alternatives.

    Methods: We searched PubMed, CNKI and the Cochrane library for trials that compared MLC and SILC. Read More

    Impact of intrathecal morphine analgesia on the incidence of pulmonary complications after cardiac surgery: a single center propensity-matched cohort study.
    BMC Anesthesiol 2017 Aug 22;17(1):109. Epub 2017 Aug 22.
    Department of Anesthesiology, Pharmacology and Intensive Care, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, -1211, Geneva, CH, Switzerland.
    Background: Acute pain and systemic opioids may both negatively impact respiratory function after cardiac surgery. This study analyzes the local practice of using intrathecal morphine analgesia (ITMA) with minimal parenteral opioid administration in cardiac surgery, specifically the impact on postoperative pulmonary complications (PPCs).

    Methods: Data from adult patients who underwent elective cardiac surgery between January 2002, and December 2013 in a single center were analyzed. Read More

    Naja atra snakebite in Taiwan.
    Clin Toxicol (Phila) 2017 Aug 23:1-8. Epub 2017 Aug 23.
    b Division of Clinical Toxicology and Occupational Medicine, Department of Medicine , Taipei Veterans General Hospital , Taipei , Taiwan.
    Background: Naja atra snakebite is uncommon in Taiwan and causes distinct effects on its victims. Although the Taiwan government produces its own specific antivenom, little information on the management of N. atra snakebite is available. Read More

    Closed reduction and percutaneous "periarticular" single K-wire fixation for displaced unstable transverse fractures of the proximal phalanx in elderly osteoporotic women: A case series of five patients.
    Int J Surg Case Rep 2017 Aug 10;39:110-114. Epub 2017 Aug 10.
    Department of Surgery at King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Division of Plastic and Hand Surgery at King Saud University, Riyadh, Saudi Arabia. Electronic address:
    Introduction: A literature review did not reveal any study investigating the results of surgical management of fractures of the proximal phalanx in elderly osteoporotic women. We present a case series of five patients.

    Patients And Methods: Five consecutive cases with seven fractures of the shaft/base of the proximal phalanx were retrospectively reviewed. Read More

    Solo-Surgeon Single-Port Laparoscopic Anterior Resection for Sigmoid Colon Cancer: Comparative Study.
    J Laparoendosc Adv Surg Tech A 2017 Aug 22. Epub 2017 Aug 22.
    Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Daejeon, Republic of Korea.
    Background: To report our experience with solo-surgeon, single-port laparoscopic anterior resection (solo SPAR) for sigmoid colon cancer.

    Materials And Methods: Data from sigmoid colon cancer patients who underwent anterior resections (ARs) using the single-port, solo surgery technique (n = 31) or the conventional single-port laparoscopic technique (n = 45), between January 2011 and July 2016, were retrospectively analyzed. In the solo surgeries, making the transumbilical incision into the peritoneal cavity was facilitated through the use of a self-retaining retractor system. Read More

    Laparoscopic Distal Gastrectomy is Feasible in Very Elderly Patients as Compared with Open Distal Gastrectomy.
    J Invest Surg 2017 Aug 22:1-7. Epub 2017 Aug 22.
    b Department of Minimally Invasive Surgery , Tokyo Medical and Dental University , Bunkyo , Tokyo , Japan.
    Laparoscopic gastrectomy was shown to be feasible even in elderly patients in many retrospective case-controlled studies. However, the definition of elderly differed among those studies, such as an age of 65, 70, or 75 years or older. This study was conducted to elucidate the advantages of laparoscopic distal gastrectomy (LDG) in very elderly (≥80 years) patients, and comprised 70 patients, 45 of whom underwent LDG and 25 underwent open distal gastrectomy (ODG) between 2004 and September 2016. Read More

    Experiences with Osteoligamentoplasty According to Weiss for the Treatment of Scapholunate Dissociation.
    J Invest Surg 2017 Aug 22:1-8. Epub 2017 Aug 22.
    a BG Trauma Center, Department of Plastic, Reconstructive, Hand and Burn Surgery , Tuebingen , Baden Wuerttemberg , Germany.
    Background: In post-traumatic, dynamic, or static scapholunate (SL) instability, an SL ligament reconstruction is advisable to avoid long-term complications. However, a sufficient primary reconstruction is best achieved in acute injuries. For chronic SL dissociation, there is still no satisfying standard surgical technique. Read More

    Past, Present and Future of Surgical Meshes: A Review.
    Membranes (Basel) 2017 Aug 22;7(3). Epub 2017 Aug 22.
    Mechanical Engineering Department, The University of Texas Rio Grande Valley, Edinburg, TX 78539, USA.
    Surgical meshes, in particular those used to repair hernias, have been in use since 1891. Since then, research in the area has expanded, given the vast number of post-surgery complications such as infection, fibrosis, adhesions, mesh rejection, and hernia recurrence. Researchers have focused on the analysis and implementation of a wide range of materials: meshes with different fiber size and porosity, a variety of manufacturing methods, and certainly a variety of surgical and implantation procedures. Read More

    Customized titanium mesh based on the 3D printed model vs. manual intraoperative bending of titanium mesh for reconstructing of orbital bone fracture: a randomized clinical trial.
    Rev Recent Clin Trials 2017 Aug 21. Epub 2017 Aug 21.
    Ahvaz Jundishapur University of Medical Sciences, Ahvaz. Iran.
    Background: This study was aimed to compare the efficacy of customized patient-specific titanium mesh based on 3D printed model with intra-operative bending of titanium mesh for reconstructing of orbital floor fracture.

    Methods: This study was prospectively conducted on 10 patients with unilateral orbital floor fractures caused by accident or falls. In intervention group (n=5), the CT-scan slices were used for generating 3D reconstruction of both affected and unaffected orbits. Read More

    Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth.
    Cochrane Database Syst Rev 2017 Aug 21;8:CD006966. Epub 2017 Aug 21.
    Academic Unit of Oral Health and Development, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, UK, S10 2TA.
    Background: Palatally displaced canines or PDCs are upper permanent canines, commonly known as 'eye' teeth, that are displaced in the roof of the mouth. This can leave unsightly gaps, cause damage to the surrounding roots (which can be so severe that neighbouring teeth are lost or have to be removed) and, occasionally, result in the development of cysts. PDCs are a frequent dental anomaly, present in 2% to 3% of young people. Read More

    Pregnancy in Women with Congenital Heart Disease.
    Curr Treat Options Cardiovasc Med 2017 Aug 22;19(9):73. Epub 2017 Aug 22.
    Cardiac Ultrasound Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
    Opinion Statement: Advances in cardiac surgical interventions in infancy and childhood have led to an increased number of women with congenital heart disease of childbearing age. For these women, individualized preconception counseling and pregnancy planning should be a vital component of their medical management, and presentation for obstetric care may even be an opportunity to re-establish cardiovascular care for patients who have been lost to follow-up. These patients have unique cardiovascular anatomy and physiology, which is dependent upon the surgical intervention they may have undergone during childhood or adolescence. Read More

    The changing sella: internal carotid artery shift during transsphenoidal pituitary surgery.
    Pituitary 2017 Aug 21. Epub 2017 Aug 21.
    Department of Neurosurgery, University Hospital of Zürich, University of Zürich, Zurich, Switzerland.
    Purpose: Injuries to the internal carotid artery (ICA) are potentially lethal complications in transsphenoidal surgery (TSS) for pituitary lesions. The intercarotid distance (ICD) is thus a major parameter, determining the width of the surgical corridor in TSS. The purpose of the study is to investigate changes in ICD at different levels of the ICA during and after TSS using high definition intraoperative MRI (3T-iMRI). Read More

    Kidney autotransplantation: long-term outcomes and complications. Experience in a tertiary hospital and literature review.
    Int Urol Nephrol 2017 Aug 21. Epub 2017 Aug 21.
    Urology Department, Hospital Ramón y Cajal, IRYCIS, Alcalá University, Ctra Colmenar km 9,100, 28034, Madrid, Spain.
    Objective: To analyze indications, surgical technique, complications and long-term outcomes of kidney autotransplantation (KAT) after 26-year experience at a single institution.

    Materials And Methods: A retrospective observational study of patients who underwent KAT at our institution (January 1990-December 2016) was carried out. Data collected included indications, surgical technique, complications (Clavien-Dindo), hospital stay and long-term outcomes. Read More

    Three-flap umbilicoplasty: a novel and preliminary method of laparoendoscopic single-site transumbilical surgical approach for urachal remnants.
    Int Urol Nephrol 2017 Aug 21. Epub 2017 Aug 21.
    Department of Urology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
    Purpose: Symptomatic urachal remnants are rare benign anomalies affecting young adults. For these patients, both curative treatment and acceptable postoperative aesthetic outcomes are important. Here, we describe a novel transumbilical approach, using Y-shaped incisions and three-flap umbilicoplasty techniques, to improve repair and aesthetic outcomes. Read More

    Comparison of Renal Growth, Proteinuria and Graft Survival between Recipients of Pediatric and Adult Cadaveric Kidney Transplants.
    Int J Organ Transplant Med 2017 1;8(2):97-103. Epub 2017 May 1.
    Shahid Labbafinejad Medical Center, Tehran, Iran.
    Background: The shortage of cadaveric kidney donors has prompted transplant teams to expanding the donor selection criteria. The usage of pediatric cadaveric kidneys is one of those expanded criteria. But the main concern is the probability of hyperfiltration syndrome due to small renal mass of pediatric donors. Read More

    Outcomes and Surgical Complications in Kidney Transplantation.
    Int J Organ Transplant Med 2017 1;8(2):78-84. Epub 2017 May 1.
    University Hospital "Dr. José Eleuterio González", Autonomous University of Nuevo León, Monterrey, México.
    Background: Kidney transplantation is the most cost-effective therapy for end-stage renal disease. Post-operative complications account for 15%-17% of all cases and are associated with significant morbidity. Currently 4. Read More

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