Search our Database of Scientific Publications and Authors

I’m looking for a

    923975 results match your criteria Surgical Complications

    1 OF 18480

    Comparison of Dorsal Intercostal Artery Perforator Propeller Flaps and Bilateral Rotation Flaps in Reconstruction of Myelomeningocele Defects.
    Turk Neurosurg 2018 Apr 9. Epub 2018 Apr 9.
    Mersin University Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Mersin, Turkey.
    Aim: Bilateral rotation flaps are considered the workhorse flaps in reconstruction of myelomeningocele defects. Since the introduction of perforator flaps in the field of reconstructive surgery, perforator flaps have been used increasingly in the reconstruction of various soft tissue defects all over the body because of their appreciated advantages. The aim of this study was to compare the complications and surgical outcomes between bilateral rotation flaps and dorsal intercostal artery perforator (DICAP) flaps in the soft tissue reconstruction of myelomeningocele defects. Read More

    Technique of localizing the central sulcus under awaking anesthesia for treatmeat of gliomas in/or near motor areas.
    Turk Neurosurg 2018 Apr 6. Epub 2018 Apr 6.
    Kowloon Hospital of Suzhou Affiliated to Shanghai Jiao Tong University, Department of Neurosurgery, Suzhou, China.
    Aim: This study aimed to study the protective effect of intraoperative awakening and central sulcus location on motor function for patients with gliomas located in motor areas.

    Methods: A total of 68 patients with gliomas in motor areas were intubated with a laryngeal mask and rapidly underwent craniotomy without scalp clips and awakening, followed by localization of the central sulcus by somatosensory evoked potential. To protect brain function, we resected the greatest degree of tumor as possible and then finished the close-skull under an awakened state or general anesthesia. Read More

    Prosthetic valve endocarditis: clinical, bacteriological and therapeutic aspects.
    Tunis Med 2017 Jul;95(7):461-465
    Background: The prosthetic valve endocarditis(PVE) is a serious complication of valve replacement surgery. The aim of this work was to analyze the clinical and echocardiography characters of the PVE, deduce surgery indication, and determinate the prognostic factors Methods :We presented a retrospective descriptive study from 2000 to 2014 which included 30 patients hospitalized in department of cardiology in la Rabta hospital for certain PVE according to DUCKES criteria.

    Results: Our study consisted of 18 male patients with sex ratio of 1. Read More

    Quantitative analysis of the perimeniscal position of the inferior lateral genicular artery (ILGA): magnetic resonance imaging study.
    Surg Radiol Anat 2018 Apr 24. Epub 2018 Apr 24.
    Department of Orthopedic Surgery, Seoul National University Bundang Hospital, 82, Gumi-ro 173, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea.
    Purpose: The inferior lateral genicular artery (ILGA) passes around the lateral knee joint, adjacent to the lateral meniscus (LM). ILGA injuries in total knee arthroplasty or arthroscopic surgery can result in recurrent hemarthrosis or painful pseudoaneurysms. Detailed information about the perimeniscal position of the ILGA relative to the LM is necessary to avoid these complications. Read More

    Criminal liability of medical professionals in the São Paulo State Court of Appeals.
    Einstein (Sao Paulo) 2018 23;16(1):eAO4060. Epub 2018 Apr 23.
    Universidade Federal do Rio de Janeiro, Macaé, RJ, Brazil.
    Objective To collect criminal justice data involving medical professionals in the São Paulo State Court of Appeals and to establish the number of criminal proceedings involving said professionals, the content of the accusations and the conviction rate per specialty. Methods A keyword search was carried out in the State Appellate Court case law website with the term "medical error" for decisions rendered from January 1st, 2011 to December 31st, 2016, and the subject "criminal law" was selected. Results A total of 34 cases met the inclusion criteria and were analyzed. Read More

    Point-of-care Abdominal Ultrasound.
    Masui 2017 May;66(5):503-507
    Point-of-care ultrasound (POCUS) in the diagnoses of postoperative complications is discussed. POCUS is useful in many situations such as abdominal distension, elevated liver enzymes, abdominal pain, and fever, which are the common complications encountered after surgical operations. In the patients with abdominal distention, bowel distention or ascites can be easily detected by POCUS. Read More

    Feasibility of Optical Coherence Tomography (OCT) for Intra-Operative Detection of Blood Flow during Gastric Tube Reconstruction.
    Sensors (Basel) 2018 Apr 25;18(5). Epub 2018 Apr 25.
    Department of Biomedical Engineering & Physics, Academic Medical Center, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
    In this study; an OCT-based intra-operative imaging method for blood flow detection during esophagectomy with gastric tube reconstruction is investigated. Change in perfusion of the gastric tube tissue can lead to ischemia; with a high morbidity and mortality as a result. Anastomotic leakage (incidence 5⁻20%) is one of the most severe complications after esophagectomy with gastric tube reconstruction. Read More

    Single piece fronto-temporo-orbito-zygomatic craniotomy: a personal experience and review of surgical technique.
    Br J Neurosurg 2018 Apr 25:1-7. Epub 2018 Apr 25.
    b MCh Neurosurgery , Army Hospital (Research and Referral) , Delhi , India.
    Background: Fronto-Temporo-Orbito-Zygomatic (FTOZ) craniotomy has progressed from its humble beginnings. Numerous variations including one piece, two piece and even three piece FTOZ craniotomies have been described. The ideal technique still remains elusive and its use remains restricted to a few specialised centres even when benefits far outweigh the surgical difficulties. Read More

    Segmental Ureterectomy is Acceptable for High-risk Ureteral Carcinoma Comparing to Radical Nephroureterectomy.
    J Invest Surg 2018 Apr 25:1-8. Epub 2018 Apr 25.
    a Department of Urology , Peking University People's Hospital , Beijing , P. R. China.
    Purpose: To determine if segmental ureterectomy (SU) could be chosen for wider oncological indications than low-risk ureteral carcinoma, given the difficulties in accurate preoperative risk stratification determination and kidney-sparing needs for successive therapy.

    Methods: Data from ureteral carcinoma patients who underwent open SU or laparoscopic radical nephroureterectomy (RNU) between 2011 and 2016 were retrospectively reviewed. Kaplan-Meier survival analysis and Cox regression model with patients' baseline characteristics (age, bladder cancer history, hydronephrosis), procedure type, and tumor characteristics (site, size, pathological features) as covariates were used to evaluate oncological outcomes. Read More

    Establishing a Reproducible Murine Animal Model of Single Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy (SADl-S).
    Obes Surg 2018 Apr 25. Epub 2018 Apr 25.
    Department of General and Digestive Surgery, University Hospital Bichat-Claude Bernard, 46, rue Henri Huchard, 75877, Cedex 18 Paris, France.
    Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a simplified biliopancreatic diversion. The objective of this study was to develop a reproducible animal model for SADI-S. We used three techniques for duodenal exclusion and duodenoileal anastomosis: (a) surgical clip and side-to-side anastomosis, (b) ligation and side-to-side anastomosis and (c) sectioning the duodenum, closing the duodenal stump and end-to-side anastomosis. Read More

    Preliminary experience with SpineEOS, a new software for 3D planning in AIS surgery.
    Eur Spine J 2018 Apr 24. Epub 2018 Apr 24.
    Department of Pediatric Orthopaedics, Robert Debré Hospital, Paris 7 University, AP-HP, 48 boulevard Sérurier, 75019, Paris, France.
    Purpose: Preoperative planning of scoliosis surgery is essential in the effective treatment of spine pathology. Thus, precontoured rods have been recently developed to avoid iatrogenic sagittal misalignment and rod breakage. Some specific issues exist in adolescent idiopathic scoliosis (AIS), such as a less distal lower instrumented level, a great variability in the location of inflection point (transition from lumbar lordosis to thoracic kyphosis), and sagittal correction is limited by both bone-implant interface. Read More

    Prevention and Management of Complications in Laparoscopic Myomectomy.
    Biomed Res Int 2018 5;2018:8250952. Epub 2018 Mar 5.
    European Society Gynaecological Endoscopy, Leuven, Belgium.
    Myomectomy aims to preserve fertility, treat abnormal uterine bleeding, and alleviate pain. It should cause minimal damage to the endometrium, while being tolerable and durable, and reduce the incidence of myoma recurrence and complications including bleeding, hematoma, adhesions, and gravid uterus perforation. Training and experience are crucial to reduce complications. Read More

    Management of Cesarean Scar Pregnancy: A Single-Institution Retrospective Review.
    Biomed Res Int 2018 5;2018:6486407. Epub 2018 Mar 5.
    Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy.
    Objective: Cesarean scar pregnancy (CSP) is a rare condition that occurs when the pregnancy implants in a cesarean scar. An early diagnosis and a proper management are fundamental to prevent maternal complications. We review and discuss the different treatment employed in our unit to reduce morbidity, preserve fertility, and predict possible complications. Read More

    Primary total hip arthroplasty: Staying out of trouble intraoperatively.
    Ann Med Surg (Lond) 2018 May 4;29:30-33. Epub 2018 Apr 4.
    Professor and Head, Department of Orthopaedics, University of British Columbia, Vancouver, Canada.
    Total hip Arthroplasty is one of the most successful and commonly performed procedures in Orthopaedic Surgery. Meticulous preoperative planning allows to surgeon anticipate potential problems to reduce postoperative complications and optimize patient outcomes. Currently, the posterior approach is the most common approach utilized in the United States. Read More

    What are the optimum components in a care bundle aimed at reducing post-operative pulmonary complications in high-risk patients?
    Perioper Med (Lond) 2018 17;7. Epub 2018 Apr 17.
    7Intensive Care Unit, Royal Surrey County Hospital, Guildford, GU2 7XX UK.
    Background: Post-operative pulmonary complications (POPC) are common, predictable and associated with increased morbidity and mortality, independent of pre-operative risk. Interventions to reduce the incidence of POPC have been studied individually, but the use of a care bundle has not been widely investigated. The purpose of our work was to use Delphi consensus methodology and an independently chosen expert panel to formulate a care bundle for patients identified as being at high of POPC, as preparation towards an evaluation of its effectiveness at reducing POPC. Read More

    Comparison of the efficiency and complications of Lumenis and Wolf morcellators after holmium laser enucleation of the prostate.
    Indian J Urol 2018 Apr-Jun;34(2):140-143
    Department of Urology, Fortis Hospital Mulund, Mumbai, Maharashtra, India.
    Introduction: Holmium laser enucleation of the prostate (HoLEP) is a recognized option for the surgical management of benign prostatic hyperplasia. While the laser parameters and enucleation techniques have been widely studied, the morcellation techniques still remain under-evaluated. The current study evaluates the two commonly used morcellation devices for their efficiency and patient safety. Read More

    Robot-assisted laparoscopic radical cystectomy with extracorporeal urinary diversion: Initial experience and outcomes.
    Indian J Urol 2018 Apr-Jun;34(2):122-126
    Department of Urology, AIIMS, New Delhi, India.
    Introduction: Open radical cystectomy (ORC) is the most common surgical approach for invasive carcinoma of the urinary bladder, but robot-assisted radical cystectomy (RARC) has recently gained popularity. There is limited data from the Indian subcontinent on RARC. The aim of this study was to assess the perioperative, pathological, and oncological outcomes of RARC and follow-up in our initial 63 cases. Read More

    Perioperative outcomes of minimally invasive versus open radical cystectomy: A single-center experience.
    Indian J Urol 2018 Apr-Jun;34(2):115-121
    Department of Pathology, PGIMER, Chandigarh, India.
    Introduction: Open radical cystectomy (RC) is associated with significant morbidity and the role of minimally invasive surgery (MIS) in reducing morbidity of RC is controversial A direct comparison of various surgical modalities on perioperative outcomes is lacking in the Indian literature. We evaluated outcomes of minimally invasive (robotic and laparoscopic) versus open RC with pelvic lymph node dissection (PLND) performed at our institute from 2014 to 2016.

    Methods: Eighty-three patients of RC with PLND were prospectively analyzed from December 2014 to February 2016. Read More

    Overcoming wound complications in head and neck salvage surgery.
    Auris Nasus Larynx 2018 Apr 21. Epub 2018 Apr 21.
    Coordinator of The International Head and Neck Scientific Group, Italy. Electronic address:
    Background: Loco-regional treatment failure after radiotherapy with or without chemotherapy and/or prior surgery represents a significant portion of head and neck cancer patients. Due to a wide array of biological interactions, these patients have a significantly increased risk of complications related to wound healing.

    Methods: Review of the current literature was performed for wound healing pathophysiology, head and neck salvage surgery, and wound therapy. Read More

    Gauzoma in A Scleroderma Patient following Open Heart Surgery: A Case Report.
    Curr Rheumatol Rev 2018 Apr 22. Epub 2018 Apr 22.
    Shiraz University of Medical Sciences - Shiraz Geriatric Research Center Shiraz. Iran.
    Introduction: Gauzoma is an iatrogenic complication, which occurs rarely due to surgical team negligence. Depending on the sterility of the retained tissue, it can lead to life threatening surgical complications or may remain asymptomatic for many years and be detected incidentally in imaging studies. It may be mistaken as tumors or aneurysms. Read More

    Use of the embedded peritoneal dialysis catheter.
    Ann R Coll Surg Engl 2018 Apr 25:1-11. Epub 2018 Apr 25.
    Royal Free London NHS Foundation Trust , UK.
    Introduction The use of embedded peritoneal dialysis (PD) catheters is purported to offer numerous benefits over standard placement. However, the optimum period of embedment and the effect of prolonged embedment on subsequent catheter function remain unclear. Methods This retrospective observational study looked at adult patients undergoing embedded PD catheter insertion in a large tertiary referral centre in the UK. Read More

    [The influence of the local preemptive anesthesia on postoperative pain after open reduction and internal fixation of distal radius fractures].
    Przegl Lek 2016;73(9):615-20
    Background: Severe postoperative pain is one of the causes of prolonged hospitalization, rehabilitation and complications after surgical treatment of distal radius fractures. Preemptive local anesthesia is effective in reduction of postoperative pain in general surgery, neurosurgery, gynecology and orthopedic surgery. The aim of the study was to assess the role and effectiveness of preoperative local anesthetic infiltration of the surgical site in open reduction and internal fixation (ORIF) of distal radius fractures under general anesthesia. Read More

    The Disparities of Coronary Artery Bypass Grafting Surgery Outcomes by Insurance Status: A Retrospective Cohort Study, 2007-2014.
    World J Surg 2018 Apr 24. Epub 2018 Apr 24.
    Department of Anesthesiology, Weill Cornell Medicine/New York Presbyterian Hospital, 525 East 68th Street, Box 124, New York, NY, 10065, USA.
    Background: Coronary artery bypass grafting (CABG) surgery is the gold standard treatment for complex coronary artery disease. Social determinants of health, including primary payer status, are disproportionately associated with adverse outcomes following surgical operations. We sought to examine associations between insurance status, in particular having Medicaid public insurance, and postoperative outcomes following isolated CABG surgeries. Read More

    Clinical Impact of Preoperative Sarcopenia on the Postoperative Outcomes After Pancreas Transplantation.
    World J Surg 2018 Apr 24. Epub 2018 Apr 24.
    Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka E-2, Suita, Osaka, 565-0871, Japan.
    Background: The importance of evaluating sarcopenia is increasingly being recognized in the field of transplantation because sarcopenia can have an adverse effect on the treatment outcomes. However, the clinical significance of preoperative sarcopenia on the postoperative outcomes following pancreas transplantation (PTx) has been largely unknown. The objective of this study was to investigate the role of preoperative sarcopenia in predicting the postoperative outcomes following PTx in recipients with type 1 diabetes mellitus (T1D). Read More

    Laparoscopic Proximal Gastrectomy Maintains Body Weight and Skeletal Muscle Better Than Total Gastrectomy.
    World J Surg 2018 Apr 24. Epub 2018 Apr 24.
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
    Background: Laparoscopic proximal gastrectomy (LPG) is performed as a function-preserving surgery for patients with early proximal gastric malignant tumors; however, whether LPG has advantages postoperatively compared with laparoscopic total gastrectomy (LTG) is debatable, especially with regard to nutritional outcomes.

    Methods: We evaluated 20 patients who underwent LTG and 10 patients who underwent LPG with double tract reconstruction (LPG-DT) who were diagnosed preoperatively with T1a or T1b N0 Stage IA gastric cancer in our department in the same time period. The statistical relevance of complications, surgical maneuvers, clinical factors and changes in weight, skeletal muscle index (SMI) and serum albumin levels after surgery was compared between the LPG-DT group and the LTG group. Read More

    [Minimally invasive vs. open partial nephrectomy : Perioperative success and complication rates].
    Urologe A 2018 Apr 24. Epub 2018 Apr 24.
    Klinik für Urologie Bochum, Universität Witten/Herdecke, Augusta Kranken-Anstalt gGmbH, Bergstr. 26, 44791, Bochum, Deutschland.
    Background: Solid renal masses are increasingly treated with nephron-sparing surgery. As in other uro-oncological surgical techniques, minimally invasive and robotic-assisted techniques are becoming increasingly popular.

    Objectives: The perioperative results from minimally invasive nephron-sparing surgery versus open surgery were retrospectively compared. Read More

    Common themes in patients requiring urgent cardiothoracic surgery after percutaneous coronary interventions: Case series and review of the literature.
    Cardiovasc Revasc Med 2018 Mar 21. Epub 2018 Mar 21.
    Cardiovascular Department, John Hunter Hospital, Newcastle, Australia. Electronic address:
    Urgent cardiothoracic surgical intervention for the management of complications of percutaneous coronary intervention is uncommon in the stent era. Nonetheless, given increasing procedural complexity, in part reflecting an aging population, an ongoing hazard for urgent surgery remains. We sought to review the incidence and outcome of urgent cardiothoracic surgery in patients undergoing PCI in a contemporary cohort at a tertiary referral centre. Read More

    Ten-Year Mortality and Revision After Total Knee Arthroplasty in Morbidly Obese Patients.
    J Arthroplasty 2018 Apr 4. Epub 2018 Apr 4.
    Division of Orthopaedic Surgery, Department of Surgery, Kingston Health Sciences Centre, Queen's University, Kingston, Canada.
    Background: Although morbid obesity has been associated with early surgical complications after total knee arthroplasty (TKA), evidence of long-term outcomes is limited. We conducted a population-based study to determine the association between morbid obesity and 10-year survival and revision surgery in patients undergoing primary TKA.

    Methods: A cohort study of 9817 patients aged 18-60 years treated with primary TKA from April 1, 2002 to March 31, 2007 was conducted using Ontario administrative health-care databases of universal health-care coverage. Read More

    Perioperative complications and the cost of rescue or failure to rescue in hepato-pancreato-biliary surgery.
    HPB (Oxford) 2018 Apr 21. Epub 2018 Apr 21.
    Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address:
    Background: It is unclear how either the successful or failed rescue of hepato-pancreato-biliary (HPB) patients from complications impacts costs.

    Methods: A retrospective cohort study of HPB surgical patients was performed using claims data from 2013 to 2015 in the Medicare Provider Analysis and Review (MEDPAR) database. Patient demographics, characteristics, outcomes and risk-adjusted Medicare payments were compared. Read More

    First experience of the Egyptian National Cancer Institute using the robot-assisted laparoscopic approach in radical hysterectomies for cervical cancer.
    J Egypt Natl Canc Inst 2018 Apr 21. Epub 2018 Apr 21.
    Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt.
    Aim Of Work: Robotics in surgery led to an improvement of visualization, a better handling of tissues and better suturing. This study aimed to document the first experience of the Egyptian National Cancer Institute (NCI) using the robot-assisted laparoscopic approach in radical hysterectomies for cervical cancer and to highlight observed advantages, disadvantages, morbidity and oncological outcomes.

    Patients And Methods: Data of cases that had either early cervical cancer (stage IB-IIA1 with a tumor ≥2 cm) or locally advanced cervical cancer (Stage IIA2-IIB after chemo-radiotherapy) were collected prospectively. Read More

    Application of pre-contoured anatomic locking plate for treatment of humerus split type greater tuberosity fractures: A prospective review of 68 cases with an average follow-up of 2.5 years.
    Injury 2018 Apr 18. Epub 2018 Apr 18.
    Department of Orthopaedics, Qingpu Branch of Zhongshan Hospital, Fudan University, Shanghai 201700, China. Electronic address:
    Objectives: Although various implants exist for 3- and 4-part proximal humerus fractures, few implants are appropriate for humerus split type greater tuberosity fractures. The goal of this study was to assess the efficacy of pre-contoured anatomic locking plate for humerus split type greater tuberosity fractures.

    Methods: A retrospective review of 68 patients with humerus split type greater tuberosity fractures treated with open reduction and internal fixation using anatomic locking plates between January 2014 and October 2016. Read More

    Role of Percutaneous Cholecystostomy Tube Placement in the Management of Acute Calculus Cholecystitis in High Risk Patients.
    J Coll Physicians Surg Pak 2018 May;28(5):386-389
    Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore.
    Objective: To evaluate the utility of percutaneous cholecystostomy tube in patients with acute calculus cholecystitis, who are considered unfit for immediate surgery.

    Study Design: Observational study.

    Place And Duration Of Study: The Aga Khan University Hospital, Karachi, Pakistan, from January 2010 to December 2014. Read More

    Uniportal video-assisted thoracoscopic surgery following neoadjuvant chemotherapy for locally-advanced lung cancer.
    J Cardiothorac Surg 2018 Apr 24;13(1):33. Epub 2018 Apr 24.
    Department of Thoracic Surgery, Weifang People's Hospital, Shandong Province, Weifang, 261041, China.
    Background: Several retrospective studies have confirmed that video-assisted thoracoscopic surgery (VATS) following neoadjuvant chemotherapy is a safe and feasible treatment for advanced non-small cell lung cancer patients. As a minimally invasive technique, VATS usually leads to better clinical outcomes and better compliance with adjuvant treatment than conventional thoracotomy. Uniportal VATS (U-VATS) as an alternative option to conventional multi-port VATS has attracted much attention recently because reduced number and size of incisions may help to decrease inflammatory response and reduce postoperative pain for patients. Read More

    The need for a patient-tailored Helicobacter pylori eradication protocol prior to bariatric surgery.
    J Int Med Res 2018 Jan 1:300060518769543. Epub 2018 Jan 1.
    3 Institute of Physiology, Faculty of Medicine, University of Ljubljana, Zaloška cesta, Ljubljana, Slovenia.
    Objective High-quality data indicating the advantages of preoperative Helicobacter pylori screening and eradication as well the clinical outcomes of patients with and without H. pylori after bariatric surgery are lacking. Methods In total, 96 morbidly obese patients with H. Read More

    Perioperative surgical home: a new scope for future anesthesiology.
    Korean J Anesthesiol 2018 Apr 25. Epub 2018 Apr 25.
    Department of Anesthesiology and Pain Medicine, Dankook University Hospital, Cheonan, Korea.
    The health care system is changing from 'pay for volume' to 'pay for value.' These changes are turning health care delivery into a more cost-effective and coordinated care setup that drives hospitals to lower costs and greater quality gains. The present perioperative care service in Korea has proven to be costly, fragmented, and neither evidence-based nor patient- centered. Read More

    Transcatheter Technologies for Valvular Replacement: an Update.
    Surg Technol Int 2018 Apr 23;31. Epub 2018 Apr 23.
    Department of Cardiac Surgery, Centre Cardiologique du Nord de Saint-Denis, Paris, France.
    This report provides a brief overview of the basic principles, recent advances, and recommendations for the treatment of severe aortic stenosis with transcatheter aortic valve replacement (TAVR) in adults. Approaches that avoid neurological, cardiac and peripheral vascular complications have been developed. In addition, TAVR can be performed in intermediate- and low-risk patients. Read More

    Extended Length of Stay in Elderly Patients after Anterior Cervical Discectomy and Fusion is Not Attributable to Baseline Illness Severity or Post-Operative Complications.
    World Neurosurg 2018 Apr 21. Epub 2018 Apr 21.
    Department of Neurosurgery, University of Cincinnati, Cincinnati, OH.
    Background: Healthcare systems are increasing efforts to minimize postoperative hospital stays to improve resource use. Common explanations for extended postoperative stay are baseline patient sickness, postoperative complications, or physician practice differences. However, the degree extended length of stay (LOS) represents patient illness or postoperative complications remains unknown. Read More

    In-situ decompression to spinal cord during anterior controllable antedisplacement fusion treating degenerative kyphosis with stenosis: surgical outcomes and analysis of C5 nerve palsy based on 49 patients.
    World Neurosurg 2018 Apr 21. Epub 2018 Apr 21.
    Department of Orthopedics, Changzheng Hospital, Second Military Medical University, Shanghai, 200003, China.
    Objective: To observe outcomes of anterior controllable antedisplacement fusion (ACAF) in the treatment for degenerative kyphosis with stenosis (DKS) and analyze the probability of C5 nerve palsy.

    Methods: In the period from 2016 to 2017, a consecutive cohort of adults with DKS underwent ACAF. All these patients were performed cervical plain films, CT and MRI. Read More

    Peak Timing for Complications Following Adult Spinal Deformity Surgery.
    World Neurosurg 2018 Apr 21. Epub 2018 Apr 21.
    International Spine Study Group Foundation.
    Background: Overall complication rates for adult spinal deformity (ASD) surgery have been reported, however little data exists on the peak timing associated with specific complications. This study quantifies the peak timing for multiple complication types in an ASD cohort at minimum 2-year follow up.

    Methods: Multi-center, prospective analysis of all complications following ASD surgery in a consecutively enrolled cohort was performed. Read More

    Dutch Lung Surgery Audit: A National Audit Comprising Lung and Thoracic Surgery Patients.
    Ann Thorac Surg 2018 Apr 21. Epub 2018 Apr 21.
    Department of Surgical Oncology, Antoni van Leeuwenhoek Hospital / Netherlands Cancer Institute, Amsterdam, The Netherlands; Dutch Institute for Clinical Auditing, Leiden, the Netherlands.
    Background: The nationwide Dutch Lung Surgery Audit (DLSA) started in 2012 to monitor and evaluate the quality of lung surgery in the Netherlands as an improvement tool. This outline describes the establishment, structure and organization of the audit by the Dutch Society of Lung Surgeons (NVvL) and the Dutch Society of Cardiothoracic Surgeons (NVT), in collaboration with the Dutch Institute for Clinical Auditing (DICA). In addition, first four-year results are presented. Read More

    Is Esophagectomy for Benign Conditions Benign?
    Ann Thorac Surg 2018 Apr 21. Epub 2018 Apr 21.
    Department of Surgery, Henry Ford Health System/Wayne State University, Detroit, Michigan, USA. Electronic address:
    Background: Outcomes data on esophagectomy performed for benign conditions is scarce. Using the National Surgical Quality Improvement Program (NSQIP) database, we sought to analyze outcomes of esophagectomy performed for benign conditions.

    Methods: The NSQIP database was queried for all esophagectomies performed from 2005 to 2015. Read More

    Perioperative Complications after Surgery for Thoracic Ossification of Posterior Longitudinal Ligament- Nationwide Multicenter Prospective Study.
    Spine (Phila Pa 1976) 2018 Apr 23. Epub 2018 Apr 23.
    Department of Orthopedic Surgery, Tokyo Medical and Dental University.
    Study Design: Prospective, multicenter, nationwide study OBJECTIVE.: To investigate perioperative complications and risk factors in surgery for thoracic ossification of the posterior longitudinal ligament (T-OPLL) using data from the registry of the Japanese Multicenter Research Organization for Ossification of the Spinal Ligament.

    Summary Of Background Data: There is no prospective multicenter study of surgical complications and risk factors for T-OPLL, and previous multicenter retrospective studies have lacked details. Read More

    Comparison of three surgical treatment options for unicameral bone cysts in humerus.
    J Pediatr Orthop B 2018 Apr 23. Epub 2018 Apr 23.
    Department of Orthopaedic Surgery, Medical University of Graz, Graz, Austria.
    Treatment of unicameral bone cysts (UBC) in the humerus with drainage screws is scarcely reported in the literature. The aim of this retrospective study was to compare drainage screws and alternative treatment methods with respect to the number of required surgical procedures to achieve sufficient UBC healing, postoperative fractures/recurrences/complications, and radiological outcome. Medical archives of two tertiary orthopedic referral centers were screened for all patients who were treated surgically for humeral UBC in the period 1991-2015 with a histologically/cytologically confirmed diagnosis. Read More

    Association of Perioperative Glycemic Control With Deep Postoperative Infection After Shoulder Arthroplasty in Patients With Diabetes.
    J Am Acad Orthop Surg 2018 Apr 23. Epub 2018 Apr 23.
    From the Department of Orthopaedic Surgery, the University of Virginia Health System (Dr. Cancienne), and the Department of Orthopaedic Surgery, the University of Virginia (Dr. Brockmeier and Dr. Werner) Charlottesville, VA.
    Background: Although diabetes mellitus (DM) has been established as a risk factor for infection after lower extremity arthroplasty, no association has been reported with shoulder arthroplasty.

    Methods: We queried a national database for patients with DM who underwent primary shoulder arthroplasty. We identified perioperative hemoglobin A1c (HbA1c) levels and assessed the incidence of wound complications within 6 months and deep infection that required surgical intervention within 1 year for each HbA1c level. Read More

    Surgical Outcomes After Limb-Sparing Resection and Reconstruction for Pelvic Sarcoma: A Systematic Review.
    JBJS Rev 2018 Apr;6(4):e10
    Department of Orthopaedic Surgery and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee.
    Background: Limb-sparing resection and reconstruction for pelvic sarcomas in multiple small studies have been fraught with complications, reoperations, and impaired patient function. However, the non-oncologic complication and reoperation rates and functional outcomes for patients have never been rigorously compiled, to our knowledge. A systematic review was undertaken to more accurately determine the non-oncologic complication and reoperation rates and functional outcomes for patients after pelvic sarcoma resection and reconstruction. Read More

    Combined 23-gauge transconjunctival vitrectomy and scleral fixation of intraocular lens without conjunctival dissection in managing lens complications.
    BMC Ophthalmol 2018 Apr 23;18(1):108. Epub 2018 Apr 23.
    College of Medicine, Chang Gung University, Taoyuan, Taiwan.
    Background: To evaluate the safety and efficacy of combined 23-gauge transconjunctival pars plana vitrectomy and scleral fixation of intraocular lens (IOL) without conjunctival dissection.

    Methods: A retrospective study in Chang Gung Memorial Hospital, Keelung and Taoyuan, Taiwan. Patients receiving combined 23-gauge transconjunctival pars plana vitrectomy and scleral fixation of IOL without conjunctival dissection were enrolled. Read More

    Endovascular Procedures in Treatment of Infrapopliteal Arterial Occlusive Disease: Single Center Experience With 69 Infrapopliteal Procedures.
    Arch Iran Med 2018 Mar 1;21(3):118-121. Epub 2018 Mar 1.
    Department of Radiology, Clinical Centre of Vojvodina, University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
    Background: Peripheral arterial occlusive disease (PAD) includes acute and chronic disorders of the blood supply as a result of obstruction of blood flow in the arteries of the limb. Treatment of PAD can be conservative, surgical and endovascular. Percutaneous transluminal angioplasty with or without stenting has become a recognized method, which is increasingly used in treatment of arterial occlusive disease. Read More

    Stereotactic Radiosurgery for Trigeminal Neuralgia in Patients With Multiple Sclerosis: A Multicenter Study.
    Neurosurgery 2018 Apr 23. Epub 2018 Apr 23.
    Department of Neurosurgery, Univer-sity of Virginia, Charlottesville, Virginia.
    Background: Facial pain response (PR) to various surgical interventions in patients with multiple sclerosis (MS)-related trigeminal neuralgia (TN) is much less optimal. No large patient series regarding stereotactic radiosurgery (SRS) has been published.

    Objective: To evaluate the clinical outcomes of MS-related TN treated with SRS. Read More

    Management of Pouchitis and Other Common Complications of the Pouch.
    Inflamm Bowel Dis 2018 Apr;24(5):989-996
    Division of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee.
    Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) has become the preferred surgical treatment for refractory or complicated ulcerative colitis (UC) and familial adenomatous polyposis (FAP). Pouchitis is the most common complication of this procedure and can occur in about 50% of patients. Treatment of pouchitis depends on the phenotype of disease. Read More

    [Extracranial aneurysms of carotid arteries in the practice of a vascular surgeon].
    Angiol Sosud Khir 2018 ;24(1):180-189
    Moscow Regional Research Clinical Institute named after M.F. Vladimirsky, Moscow, Russia.
    The present study was aimed at retrospectively analysing the results of examination and open surgical treatment of patients diagnosed with extracranial aneurysms of carotid arteries.

    Patients And Methods: We analysed the results of examination and outcomes of surgical treatment in a total of 11 patients (6 men and 5 women) presenting with an aneurysm of the extracranial portion of the carotid artery and undergoing treatment at the Department of Vascular and CAD Surgery of the Moscow Regional Research Clinical Institute from 2005 to 2016. The mean age of the patients amounted to 56. Read More

    1 OF 18480