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    Complications and Cost of Syndactyly Reconstruction in the United States: Analysis of the Pediatric Health Information System.
    Hand (N Y) 2017 Jul 12;12(4):327-334. Epub 2016 Sep 12.
    1 Boston Children's Hospital, MA, USA.
    Background: Syndactyly is one of the most common congenital differences of the upper extremity and offers an exceptional opportunity to evaluate value-based care in pediatric orthopedic surgery. We designed a study to characterize complications and cost associated to syndactyly surgery among US pediatric hospitals.

    Methods: A total of 2047 patients were identified for syndactyly surgery at 38 pediatric hospitals from 2009 to 2012 using the Pediatric Health Information System (PHIS) database. Read More

    Preoperative Epoxy Embolization Facilitates the Safe and Effective Resection of Venous Malformations in the Hand and Forearm.
    Hand (N Y) 2017 Jul 16;12(4):335-341. Epub 2016 Sep 16.
    1 The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
    Background: The standard of care for treatment of low-flow venous malformations (VMs) is percutaneous sclerotherapy. These lesions are seldom surgically resected, especially if the malformation is in an anatomically difficult location. Percutaneous sclerotherapy is safe and effective. Read More

    Contemporary treatment of renal tumors: a questionnaire survey in the Nordic countries (the NORENCA-I study).
    Scand J Urol 2017 Jun 23:1-7. Epub 2017 Jun 23.
    j Department of Urology , Haukeland University Hospital , Bergen , Norway.
    Objective: The five Nordic countries comprise 25 million people, and have similar treatment traditions and healthcare systems. To take advantage of these similarities, a collaborative group (Nordic Renal Cancer Group, NORENCA) was founded in 2015.

    Materials And Methods: A questionnaire of 17 questions on renal tumor management and surgical education was designed and sent to 91 institutions performing renal tumor surgery in 2015. Read More

    Completion lymph node dissection in patients with melanoma and positive sentinel lymph node biopsy.
    JAAPA 2017 Jul;30(7):31-34
    Jacqueline Link practices melanoma surgical oncology at Brigham and Women's Hospital/Dana Farber Cancer Institute in Boston, Mass. The author has disclosed no potential conflicts of interest, financial or otherwise.
    Melanoma is a highly aggressive cancer that represents a significant disease burden, making diagnosis and appropriate control of disease vital for improving morbidity and mortality. The most recent guidelines for melanoma treatment advise performing a sentinel lymph node biopsy for intermediate thickness melanomas, with subsequent completion lymph node dissection (CLND) if sentinel nodes are positive. This guideline is controversial due to the limited availability of data on this topic. Read More

    Enzymatic Versus Traditional Surgical Debridement of Severely Burned Hands: A Comparison of Selectivity, Efficacy, Healing Time, and Three-Month Scar Quality.
    J Burn Care Res 2017 Jul/Aug;38(4):e745-e755
    From the *Department of Plastic Surgery, Hand Surgery, Burn Center, Cologne-Merheim Medical Center (CMMC), University of Witten/Herdecke, Cologne, Germany; and †Department of Plastic and Reconstructive Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Be'er-Sheva, Israel.
    Severe burns of the hands are extremely challenging, given their anatomic complexity and vulnerability. Although excisional debridement with autografting remains the standard of care (SOC), previous studies have shown that use of enzymatic debridement with bromelain (NexoBrid, EDNX) enables rapid, selective enzymatic debridement, preserving viable tissue. To date, only two studies accruing data on EDNX in this setting have been published. Read More

    Perioperative Blood Management in Pediatric Spine Surgery.
    J Am Acad Orthop Surg 2017 Jul;25(7):480-488
    From the Department of Orthopaedic Surgery and Sports Medicine, Children's National Medical Center, Washington, DC.
    Blood management strategies are integral to successful outcomes in many types of orthopaedic surgery. These strategies minimize blood loss and transfusion requirements, ultimately decreasing complications, improving outcomes, and potentially eliminating risks associated with allogeneic transfusion. Practices to achieve these goals include preoperative evaluation and optimization of hemoglobin, the use of pharmacologic agents or anesthetic methods, intraoperative techniques to improve hemostasis and cell salvage, and the use of predonated autologous blood. Read More

    Clinical Case of the Month: A 57-Year-Old Man with an Axillary Mass.
    J La State Med Soc 2017 May-Jun;169(3):78-82. Epub 2017 Jun 23.
    Department of Medicine, LSUHSC - New Orleans.
    A 57-year-old man presented to the surgical oncology clinic with a mildly tender mass under his right arm. Four years prior, the patient had a melanoma removed from his right shoulder along with an ipsilateral right axillary sentinel lymph sampling. Computed tomography (CT) scan was negative for metastatic disease at that time. Read More

    Transvenous Before Surgical Hybrid Procedure.
    J La State Med Soc 2017 May-Jun;169(3):71-77. Epub 2017 Jun 23.
    Louisiana State University Health Sciences Center - New Orleans, LA.
    Background: Historically, persistent atrial fibrillation (PeAF) and long standing persistent atrial fibrillation (LSPeAF) have demonstrated limited clinical success despite hybrid approaches.

    Objective: We describe our experience with the endocardial-before-epicardial approach defined by a comprehensive endovascular approach preceding and guiding the epicardial approach which includes an extensive posterior wall ablation.

    Methods: 40 patients were followed over a 12 month period. Read More

    Assessment of drainage techniques for evacuation of chronic subdural hematoma: a consecutive population-based comparative cohort study.
    J Neurosurg 2017 Jun 23:1-7. Epub 2017 Jun 23.
    Department of Neurosurgery, St. Olavs University Hospital, Trondheim, Norway.
    OBJECTIVE Surgery for chronic subdural hematoma (CSDH) is one of the most common neurosurgical procedures. The benefit of postoperative passive subdural drainage compared with no drains has been established, but other drainage techniques are common, and their effectiveness compared with passive subdural drains remains unknown. METHODS In Scandinavian population-based cohorts the authors conducted a consecutive, parallel cohort study to compare different drainage techniques. Read More

    The thermoexpandable nitinol stent: a long-term alternative in patients without nephropathy or malignancy.
    Scand J Urol 2017 Jun 23:1-4. Epub 2017 Jun 23.
    a Department of Urology , Eberhard-Karls-University , Tuebingen , Germany.
    Objective: The aim of this study was to investigate the long-term outcome of a thermoexpandable nickel-titanium nitinol ureteral stent (Memokath 051™) and to identify individual risk factors for failure.

    Materials And Methods: This retrospective single-centre study included 125 patients who underwent implantation of the self-expandable Memokath 051 stent. Complications, indwelling time and reason for explantation were recorded. Read More

    Dexmedetomidine and general anesthesia: a narrative literature review of its major indications for use in adults undergoing non-cardiac surgery.
    Minerva Anestesiol 2017 Jun 22. Epub 2017 Jun 22.
    Department of Anesthesiology, Foch Hospital, Suresnes, France.
    Background: In Europe, dexmedetomidine has marketing approval only for sedation in intensive care units. However, its use during general anesthesia has been widely reported. The aim of this narrative review is to draw a picture of potential indications in anesthesia. Read More

    [Hiatal hernia : current diagnostic and therapeutic management].
    Rev Med Suisse 2017 Jun;13(567):1248-1252
    Service de chirurgie viscérale, CHUV, 1011 Lausanne.
    Hiatal hernia is a frequent pathology. Two types have been described : sliding hernia and paraesophageal hernia (PEH). The first one is the most frequent and is associated with reflux disease. Read More

    The role of surgery in delayed local treatment for INSS 4 neuroblastoma.
    Pediatr Int 2017 Jun 23. Epub 2017 Jun 23.
    Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
    Purpose: The aim of the present study was to compare the efficacy, complications and outcomes of the following two different surgical strategies, in patients receiving delayed local treatment for INSS 4 neuroblastoma (NB): complete resection (CR; period A), and gross total resection (GTR)/subtotal resection (STR) with local irradiation (period B).

    Methods: We retrospectively analyzed 17 patients with INSS 4 neuroblastoma (NB) who received delayed local treatment (period A, n=11; period B, n=6).

    Results: Eleven patients in period A received CR. Read More

    Evaluation of a new technique of prophylactic cervical cerclage simplified from the Shirodkar cerclage: A pilot study.
    J Gynecol Obstet Hum Reprod 2017 Apr 3;46(4):343-347. Epub 2017 Feb 3.
    Pôle femme mère nouveau-né, hôpital Jeanne-de-Flandre, CHRU de Lille, 59000 Lille, France; EA 2694, PRES University of Lille Nord de France, 59000 Lille, France; Clinique d'obstétrique, hôpital Jeanne-de-Flandre, 59000 Lille, France.
    Introduction: In terms of prophylactic cerclage, the simplest and most commonly used technique is the McDonald cervical cerclage. Cervico-isthmic cerclage techniques may have better results, but are more difficult to achieve. A simplified Shirodkar technique would have the advantage of being "cervical high" while remaining easy to achieve. Read More

    Glue mesh fixation: Feasibility, tolerance and complication assessment. Results 24months after laparoscopic sacrocolpopexy.
    J Gynecol Obstet Hum Reprod 2017 Apr 4;46(4):333-338. Epub 2017 Mar 4.
    Hôpital André-Mignot, 177, rue de Versailles, 78150 Le Chesnay, France. Electronic address:
    Aim: This study aims to assess short- and mid-term feasibility, strength and tolerance of glue mesh fixation for laparoscopic sacrocolpopexy, as well as postoperative quality of sexual activity.

    Patients And Methods: This original prospective clinical study was carried out in multiple university surgical centres between 2012 and 2013. Data were obtained during immediate postoperative hospitalisation, at 3 and at 24 months postoperatively. Read More

    Novel Simulation Device for Targeting Tumors in Laparoscopic Ablation: A Learning Curve Study.
    Surg Innov 2017 Jun 1:1553350617715833. Epub 2017 Jun 1.
    4 Washington University School of Medicine in St Louis, St Louis, MO, USA.
    Introduction: A novel 3-dimensional (3D) guidance system was developed to aid accurate needle placement during ablation.

    Methods: Five novices and 5 experienced hepatobiliary surgeons were recruited. Using an agar block with analog tumor, participants targeted under 4 conditions: in-line with the ultrasound plane using ultrasound, in-line using 3D guidance, 45° off-axis using ultrasound, and off-axis using 3D guidance. Read More

    Hemodynamic stability during laryngeal electromyography procedures.
    Acta Otolaryngol 2017 Jun 23:1-5. Epub 2017 Jun 23.
    a Department of Otolaryngology , Chang Gung Memorial Hospital at Linkou , Taoyuan , Taiwan.
    Background: Laryngeal electromyography (LEMG) is accepted as safe, with minimal side effects. However, patient hemodynamic stability, during these procedures, has not been reported. This study aimed to investigate the hemodynamics in patients undergoing LEMG and determine the risk factors for hemodynamic changes. Read More

    Long-term failure of Amplatzer plugs in the treatment of aortic pathology.
    J Card Surg 2017 Jun 23. Epub 2017 Jun 23.
    Division of Cardiothoracic Surgery, New York Presbyterian Hospital, Columbia College of Physicians and Surgeons, New York, New York.
    We present two cases of Amplatzer® device deployment that exhibited long-term failure necessitating surgical correction. The first case illustrates recanalization of a ruptured Valsalva aneurysm with worsening aortic insufficiency after percutaneous repair with the Amplatzer Vascular Plugs and Amplatzer duct occluder, while the second case illustrates recanalization after deployment of the Amplatzer septal occluder in a patient with a pseudoaneursym in a bovine aorta after type I aortic dissection repair. These two cases illustrate the potential long-term complications and limitations in durability with these devices. Read More

    [Anatomical strategies of Henle trunk in laparoscopic right hemi-colectomy for right colon cancer].
    Zhonghua Wei Chang Wai Ke Za Zhi 2017 Jun;20(6):635-638
    Department of Gastrointestinal Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine; Shanghai Minimally Invasive Surgery Clinical Medical Center, Shanghai 200025, China.
    The advancement of laparoscopic surgery serves as a trigger for better understanding of the vascular structure at the inferior border of the pancreas, especially Henle trunk. Henle trunk was first found as convergence to superior mesenteric vein (SMV) conjoined by sub-right colon vein (SRCV) and right gastroepiploic vein (RGEV), but decades later, anterior superior pancreatic duodenal vein (ASPDV) was described as another conjoint vein of Henle trunk. These tributaries are the basic elements of Henle trunk in early years' study. Read More

    The Perioperative Surgical Home: Improving the Value and Quality of Care in Total Joint Replacement.
    Curr Rev Musculoskelet Med 2017 Jun 22. Epub 2017 Jun 22.
    Ochsner Clinical School, University of Queensland School of Medicine, New Orleans, LA, USA.
    Purpose Of Review: The perioperative surgical home (PSH) is a patient-centered, physician-led, multidisciplinary care pathway developed to deliver value-based care based on shared decision-making. Physician and hospital reimbursement will be tied to providing quality care at lower cost, and the PSH model has been used in providing care to patients undergoing lower extremity arthroplasty. The purpose of this review is to discuss the rationale, definition, development, current state, and future direction of the PSH. Read More

    Preoperative evaluation of left common iliac vein in oblique lateral interbody fusion at L5-S1.
    Eur Spine J 2017 Jun 22. Epub 2017 Jun 22.
    Department of Orthopaedic Surgery, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon, Geyounggi-do, 16499, South Korea.
    Purpose: Oblique lateral interbody fusion (OLIF) L5-S1 is essentially to perform an anterior lumbar interbody fusion (ALIF) in the lateral position. Because the surgical procedures are performed "obliquely" over the left common iliac vein (LCIV), ensuring that the vein is protected which is particularly important. We aimed to evaluate the configuration of LCIV and its risk of mobilization during anterior approach at L5-S1 segment. Read More

    Similar Clinical Outcomes with Preoperative and Postoperative Start of Thromboprophylaxis in THA: A Register-based Study.
    Clin Orthop Relat Res 2017 Jun 22. Epub 2017 Jun 22.
    Department of Orthopaedics, Oslo University Clinic, Rikshospitalet, Norway.
    Background: Elective THA is associated with a high risk of thromboembolic events. Although these events may be less common now than they were in the past, they can be serious, and most patients undergoing the procedure therefore still receive thromboprophylaxis. However, controversy remains regarding whether to begin thromboprophylaxis before THA or after to best balance the risks of clotting and bleeding. Read More

    Forgotten biliary stents: ignorance is not bliss.
    Surg Endosc 2017 Jun 22. Epub 2017 Jun 22.
    Department of Surgical Gastroenterology, King George's Medical University, Lucknow, UP, India.
    Background: Endoscopic biliary stenting is a common procedure in routine gastroenterology practice. Plastic stents are the most common type of stents used and are indicated mainly for short-term biliary drainage. Prolonged indwelling plastic stents can result in disastrous complications. Read More

    Laparoscopic revision of Billroth II with Braun anastomosis into Roux-en-Y anatomy in a patient with intestinal malrotation.
    Surg Endosc 2017 Jun 22. Epub 2017 Jun 22.
    Département de Chirurgie, Division de Chirurgie Bariatrique, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, 5400 boul. Gouin ouest, Montreal, QC, H4J 1C5, Canada.
    Introduction: Various reconstructions of the gastro-intestinal tract have been described in the past after distal gastrectomy. Among these, a Billroth II (BII) anastomosis can be performed with the addition of the Omega entero-enterostomy that may theoretically reduce the alkaline reflux. Given the significant complications associated with this procedure such as biliary reflux, marginal ulceration, and afferent loop syndrome, a revision into a Roux-en-Y anatomy is generally recommended. Read More

    Deep neuromuscular blockade improves surgical conditions during low-pressure pneumoperitoneum laparoscopic donor nephrectomy.
    Surg Endosc 2017 Jun 22. Epub 2017 Jun 22.
    Division of Vascular and Transplant Surgery, Department of Surgery, Radboud University Medical Centre, Geert Grooteplein-Zuid 10, 6525 GA, Nijmegen, The Netherlands.
    Background: Evidence indicates that low-pressure pneumoperitoneum (PNP) reduces postoperative pain and analgesic consumption. A lower insufflation pressure may hamper visibility and working space. The aim of the study is to investigate whether deep neuromuscular blockade (NMB) improves surgical conditions during low-pressure PNP. Read More

    Prevalence and risk factors for cardiac arrest and myocardial infarction after pelvic reconstructive surgery: a national, multi-institutional, surgical database study.
    Int Urogynecol J 2017 Jun 22. Epub 2017 Jun 22.
    Case Western Reserve University School of Medicine, Cleveland, OH, USA.
    Introduction And Hypothesis: There is limited data available regarding the risk for perioperative cardiac morbidity following pelvic reconstructive surgery (PRS). We sought to determine the incidence of cardiac arrest and myocardial infarction within 30 days of pelvic organ prolapse (POP) surgery and determine which factors may contribute to an increased risk of these complications.

    Methods: Using the American College of Surgeons National Quality Improvement Program (NSQIP) database, we identified patients who underwent PRS procedures between 2010 to 2015 using Current Procedural Terminology (CPT) codes. Read More

    Complications of Fat Transfer for Breast Augmentation.
    Aesthetic Plast Surg 2017 Jun 22. Epub 2017 Jun 22.
    DrK Medical Group, Athens, Greece.
    Autologous fat grafting is quite common for breast augmentations as well as for reconstructive breast surgery. Coleman has described the surgical technique of fat grafting. Fat is harvested, and after centrifugation and refinement, blunt infiltration cannulas are used to place the fat through small incisions. Read More

    Surgical outcomes of 27-gauge pars plana vitrectomy with short-term postoperative tamponade of perfluorocarbon liquid for repair of giant retinal tears.
    Int Ophthalmol 2017 Jun 22. Epub 2017 Jun 22.
    State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54S Xianlie Road, Guangzhou, 510060, China.
    Purpose: To investigate the use of 27-gauge pars plana vitrectomy (PPV) with short-term tamponade of perfluorocarbon liquid (PFCL) for repair of giant retinal tears (GRT).

    Methods: Retrospective case series study. Consecutive patients with GRT were treated with 27-gauge PPV and short-term tamponade of PFCL for 7-10 days. Read More

    Adolescent idiopathic scoliosis: surgical treatment and quality of life.
    Acta Ortop Bras 2017 May-Jun;25(3):85-89
    Faculdade de Medicina do ABC, Santo André, SP, Brazil.
    Objectives: The purpose of this study was to determine the influence of perioperative factors and their impact on clinical and functional outcomes in Brazilian patients with adolescent idiopathic scoliosis (AIS).

    Methods: We performed a prospective study with 49 consecutive AIS patients who underwent spine fusion and had a minimum 2 year follow-up. Clinical and radiographic data were correlated to SRS-30 scores in order to predict postoperative results. Read More

    Surgical treatment results for dupuytren's disease.
    Acta Ortop Bras 2017 May-Jun;25(3):71-73
    Metin Sabancı Baltalimanı Bone Diseases Training and Research Hospital, Department of Hand Surgery, Istanbul, Turkey.
    Objective: To present the results of our cases of Dupuytren's disease treated with regional selective fasciectomy in light of the literature.

    Methods: Patients diagnosed with Dupuytren's contracture and surgically treated with regional selective fasciectomy at our institution with adequate follow-up data were included in the study. All patients were routinely followed after surgery to assess results and complications. Read More

    NEGATIVE-PRESSURE WOUND THERAPY IN THE TREATMENT OF COMPLEX INJURIES AFTER TOTAL KNEE ARTHROPLASTY.
    Acta Ortop Bras 2017 Mar-Apr;25(2):85-88
    Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, Knee Surgery Division, São Paulo, Brazil.
    Objective: To present an experience with negative-pressure wound therapy (NPWT) in the treatment of surgical wounds in patients treated for infections after total knee arthroplasty (TKA) with or without dehiscence and prophylaxis in wounds considered at risk of healing problems.

    Methods: We prospectively evaluated patients with TKA infection with or without surgical wound dehiscence and patients with risk factors for infection or surgical wound complications treated with Pico((r)) device for NPWT in addition to standard treatment of infection or dehiscence in our institution. We considered as an initial favorable outcome the resolution of the infectious process and the closure of the surgical wound dehiscences in the treated cases and the good progression of the wound without complicating events in the prophylactic cases. Read More

    DIAGNOSIS AND TREATMENT OF POSTERIOR INTEROSSEOUS NERVE ENTRAPMENT: SYSTEMATIC REVIEW.
    Acta Ortop Bras 2017 Jan-Feb;25(1):52-54
    . Universidade de São Paulo, Escola Paulista de Medicina, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.
    Compressive syndromes of the radial nerve have different presentations. There is no consensus on diagnostic and therapeutic methods. The aim of this review is to summarize such methods. Read More

    Foregut Duplication Cysts in Children.
    JSLS 2017 Apr-Jun;21(2)
    Department of Surgery, Division of Pediatric Surgery, NY Medical College, Maria Fareri Children's Hospital, Valhalla, New York.
    Background And Objectives: Duplications of the alimentary tract are rare anomalies. We report our experience with foregut duplication cysts including their clinical presentation, diagnostic modalities, and surgical management.

    Methods: We report a 20-year retrospective review of all foregut duplication cysts managed at our institution. Read More

    Laparoscopic Surgery for Focal Adenomyosis.
    JSLS 2017 Apr-Jun;21(2)
    Department of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Ulsan University Hospital, Ulsan, Republic of Korea.
    Background And Objectives: For conservative surgical treatment of focal uterine adenomyosis, laparoscopic adenomyomectomy has been increasingly performed, so that reassessment to determine the safety and efficacy of the laparoscopic surgical technique in a larger number of cases and reevaluation for reproducibility for laparoscopic adenomyomectomy is needed. We evaluate the clinical outcomes of laparoscopic adenomyomectomy with transient occlusion of uterine arteries (TOUA) for focal uterine adenomyosis performed by a single surgeon at a single institute.

    Methods: Patients (N = 105) with symptomatic focal uterine adenomyosis underwent laparoscopic adenomyomectomy with TOUA by a single surgeon at Ulsan University Hospital from May 1, 2011, through September 30, 2016. Read More

    Applications of 3D orbital computer-assisted surgery (CAS).
    J Stomatol Oral Maxillofac Surg 2017 Jun 19. Epub 2017 Jun 19.
    Division of Oral and Maxillofacial Surgery, Department of Surgery, Hôpitaux Universitaire de Genève, Faculty of Medicine, 1211 Genève Switzerland. Electronic address:
    Introduction: The purpose of the present report is to describe the indications for use of 3D orbital computer-assisted surgery (CAS).

    Patients And Methods: We analyzed the clinical and radiological data of all patients with orbital deformities treated using intra-operative navigation and CAD/CAM techniques at the Hôpitaux Universitaires de Genève, Switzerland, between 2009 and 2016. We recorded age and gender, orbital deformity, technical and surgical procedure and postoperative complications. Read More

    Complications associated with surgically assisted rapid palatal expansion without pterygomaxillary separation.
    J Stomatol Oral Maxillofac Surg 2017 Jun 19. Epub 2017 Jun 19.
    Istanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Istanbul Turkey.
    Introduction: The purpose of this retrospective clinical study was to evaluate the surgical complications associated with the surgically assisted rapid palatal expansion (SARPE) which not involve pterygomaxillary separation (PMS).

    Patients And Methods: A total of 40 (25 female, 15 male) skeletally mature patients who had the diagnosis of maxillary transverse maxillary deficiency (TMD) were treated surgically under local or general anesthesia. The mean follow-up time was 6 months. Read More

    Vaginal Sacral Colpopexy: A Natural Orifice Approach To A Gold Standard Procedure.
    J Minim Invasive Gynecol 2017 Jun 19. Epub 2017 Jun 19.
    Mobile, Alabama, Adjunct Associate Professor, University of South Alabama Medical School, Department of Obstetrics and Gynecology, Address: Urogynecology of Southern Alabama. 3 Mobile Infirmary Circle, Suite 401, Mobile, AL 36607. Electronic address:
    Objective: A transvaginal approach to sacral colpopexy has a natural appeal to those interested in minimally invasive pelvic reconstructive surgery. Development of an effective technique has been frustrated because of the technical difficulty of confining the dissection and placement of mesh to the retroperitoneal space. The objective of this prospective study is to describe the technique and report the outcomes of a transvaginal, retroperitoneal sacral colpopexy. Read More

    Severe and resistant hypertension in an older woman with claudication.
    J Am Soc Hypertens 2017 Jun 1. Epub 2017 Jun 1.
    Division of Hypertension and Clinical Pharmacology, Calhoun Cardiology Center, University of Connecticut School of Medicine, Farmington, CT, USA. Electronic address:
    Coarctation of the aorta is an uncommon cause of treatment-resistant hypertension in adults. It is typically detected and treated in infancy or childhood with surgical or endovascular procedures. Most cases of recurrence of coarctation after repair occur in childhood or early adulthood; recurrence in older persons (>70 years) has rarely been reported. Read More

    Microsurgically assisted inguinal hernia repair and simultaneous male fertility procedures: Rationale, technique and outcomes.
    J Urol 2017 Jun 19. Epub 2017 Jun 19.
    Departments of Urology, and Institute for Reproductive Medicine; Weill Cornell Medicine, New York, NY. Electronic address:
    Purpose: Inguinal herniorrhaphy is the most common general surgical procedure. It is associated with frequent complications such as recurrence (1.9% with mesh), post-operative hematoma (4. Read More

    Total Laparoscopic Resection Surgery for a Cervical Carcinoma that Recurred in the Pelvic Sidewall After Radical Hysterectomy and Adjuvant Concurrent Chemoradiotherapy.
    J Minim Invasive Gynecol 2017 Jun 19. Epub 2017 Jun 19.
    Department of Gynecologic Oncology, Cancer Institute Hospital, Tokyo, Japan.
    Study Objective: To show total laparoscopic resection of a cervical carcinoma that recurred at the left pelvic sidewall after radical hysterectomy and concurrent chemoradiotherapy (CCRT).

    Design: A step-by-step demonstration of the technique in a surgical video, including the strategy for achieving complete surgical resection with negative margins (R0 resection) (Canadian Task Force Classification III).

    Setting: For high-risk cervical carcinoma, radical hysterectomy and adjuvant CCRT is the standard treatment, but even this multimodal therapy cannot prevent recurrence. Read More

    Evaluation of a Device Combining an Inferior Vena Cava Filter and a Central Venous Catheter for Preventing Pulmonary Embolism Among Critically Ill Trauma Patients.
    J Vasc Interv Radiol 2017 Jun 20. Epub 2017 Jun 20.
    Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Thrombosis Research Group, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
    Purpose: To evaluate efficacy and safety of a novel device that combines an inferior vena cava (IVC) filter and central venous catheter (CVC) for prevention of pulmonary embolism (PE) in critically ill patients.

    Materials And Methods: In a multicenter, prospective, single-arm clinical trial, the device was inserted at the bedside without fluoroscopy and subsequently retrieved before transfer from the intensive care unit (ICU). The primary efficacy endpoint was freedom from clinically significant PE or fatal PE 72 hours after device removal or discharge, whichever occurred first. Read More

    Uterine Artery Embolization and Surgical Methods for the Treatment of Symptomatic Uterine Leiomyomas: A Systemic Review and Meta-Analysis Followed by Indirect Treatment Comparison.
    Clin Ther 2017 Jun 19. Epub 2017 Jun 19.
    Department of Gynecology, Federal University of Sao Paulo, São Paulo, Brazil.
    Purpose: There is significant discussion and uncertainty about the optimal management of symptomatic uterine leiomyomas (SULs). Nonsurgical procedures such as uterine artery embolization (UAE) have been developed. The goal of this study was to conduct a meta-analysis and an indirect treatment comparison to examine the comparative efficacy and safety of the surgical procedures to treat SULs compared with UAE. Read More

    Equal Primary Fixation of Resurfacing Stem, but Inferior Cup Fixation With Anterolateral vs Posterior Surgical Approach. A 2-Year Blinded Randomized Radiostereometric and Dual-energy X-Ray Absorptiometry Study of Metal-on-Metal Hip Resurfacing Arthroplasty.
    J Arthroplasty 2017 May 25. Epub 2017 May 25.
    Department of Orthopaedics, THG, Aarhus University Hospital, Aarhus, Denmark.
    Background: The anterolateral (AntLat) surgical approach may spare the blood supply to the femoral head and improve the accuracy of cup positioning in metal-on-metal hip resurfacing arthroplasty. Thereby, potentially lessen complications such as avascular head necrosis, femoral neck narrowing and fracture, improve implant fixation, and lessen periprosthetic bone mineral density (BMD) loss.

    Methods: Between November 2008 and January 2012, a randomized clinical trial was performed at Aarhus University Hospital. Read More

    Comorbidities Have a Greater Impact Than Age Alone in the Outcomes of Octogenarian Total Knee Arthroplasty.
    J Arthroplasty 2017 May 31. Epub 2017 May 31.
    Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
    Background: Increasing age and various comorbidities are known risk factors for complications after total knee arthroplasty (TKA), but data on the impact of total comorbidity burden is scarce. We investigated the effect of age and total comorbidity burden on outcomes after primary TKA in octogenarians (OGs).

    Methods: A matched-pair comparison study was conducted using prospectively collected TKA registry data in a large tertiary institution. Read More

    Combined vaginoplasty technique for male-to-female sex reassignment surgery: Operative approach and outcomes.
    J Plast Reconstr Aesthet Surg 2017 May 27. Epub 2017 May 27.
    Department of Plastic Surgery, University Teaching Hospital Rotkreuzklinikum München, Munich Technical University, Munich, Germany.
    Background: Several therapy options exist for male-to-female (MTF) transgenders desiring sex reassignment. Surgery includes numerous different procedures. Of those, vaginoplasty is predominant and aims at providing attractive esthetics and fully functional genitals. Read More

    Complications in tissue expansion: A logistic regression analysis for risk factors.
    Burns 2017 Jun 19. Epub 2017 Jun 19.
    Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 29, A-8036 Graz, Austria.
    Background: Tissue expansion is frequently used in reconstructive surgery. Although the surgical procedure is typically considered simple, reported complication rates of tissue expansions exceed 40%. There is little evidence concerning risk factors for complications in tissue expansion in body regions other than breast. Read More

    Is fusion superior to non-fusion for the treatment of thoracolumbar burst fracture? A systematic review and meta-analysis.
    J Orthop Sci 2017 Jun 19. Epub 2017 Jun 19.
    Department of Spine Surgery, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, 518035, PR China. Electronic address:
    Objective: The purpose of this meta-analysis was to compare the efficacy and safety between patients with thoracolumbar burst fracture who underwent posterior fixation alone (non-fusion) and supplemented with fusion.

    Methods: A comprehensive search of related literature was performed in PubMed, Embase and the Cochrane library. Clinical outcomes (LBOS and VAS), surgical outcomes (operation time, blood loss, hospital stay and perioperative complications), and radiographic outcomes (kyphotic angle, decreased vertebral body height and segmental motion) were assessed in the meta-analysis. Read More

    Laparoscopic versus robotic surgery for hepatocellular carcinoma: the first 46 consecutive cases.
    J Surg Res 2017 May 8. Epub 2017 May 8.
    Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy. Electronic address:
    Background: Hepatocellular carcinoma has a growing incidence worldwide, and represents a leading cause of death in patients with cirrhosis. Nowadays, minimally invasive approaches are spreading in every field of surgery and in liver surgery as well.

    Materials And Methods: We retrospectively reviewed demographics, clinical, and pathologic characteristics and short-term outcomes of patients who had undergone minimally invasive resections for hepatocellular carcinoma at our institution between June 2012 and May 2016. Read More

    [Surgical Treatment of Pseudotumours of the Lung].
    Zentralbl Chir 2017 Jun 22. Epub 2017 Jun 22.
    Abteilung für Thoraxchirurgie, Universitätsklinikum Regensburg, Deutschland.
    Introduction Pseudotumour of the lung is a collective term for various subentities. Some subgroups are considered to be intermediary malignant tumours. A pseudotumour is a rare condition, which makes it difficult to estimate its incidence and prevalence. Read More

    The Impact of Gender on Tumour Stage in In-House Complications and Choice of Urinary Diversion: Results of the Austrian Cystectomy Registry.
    Urol Int 2017 Jun 23. Epub 2017 Jun 23.
    Department of Urology, Krankenhaus Wiener Neustadt, Wiener Neustadt, Austria.
    Introduction And Objectives: Bladder cancer is characterized by gender-dependent disparities. To further address this issue, we analysed a prospective, multicentre cystectomy registry.

    Methods: An online database was developed that included patient demographics, intra/perioperative data, surgical data and in-house complications. Read More

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