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    Nineteen Years of Adult Congenital Heart Surgery in a Single Center.
    World J Pediatr Congenit Heart Surg 2017 Mar;8(2):182-188
    1 Department of Cardiothoracic Surgery, Aarhus University Hospital, Aarhus, Denmark.
    Background: Adults with congenital heart disease are a growing population. We describe surgical interventions, short- and long-term mortality and morbidity, and risk factors for adverse events in a population-based cohort.

    Methods: Patients over or equal to 18 years with congenital heart disease who underwent cardiac surgery at Aarhus University Hospital, Denmark, from 1994 to 2012 were included in the study. Read More

    Costs and Consequences of Early Hospital Discharge After Major Inpatient Surgery in Older Adults.
    JAMA Surg 2017 Mar 22:e170123. Epub 2017 Mar 22.
    Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire7Geisel School of Medicine, Hanover, New Hampshire.
    Importance: As prospective payment transitions to bundled reimbursement, many US hospitals are implementing protocols to shorten hospitalization after major surgery. These efforts could have unintended consequences and increase overall surgical episode spending if they induce more frequent postdischarge care use or readmissions.

    Objective: To evaluate the association between early postoperative discharge practices and overall surgical episode spending and expenditures for postdischarge care use and readmissions. Read More

    Surgical septal myectomy or alcohol septal ablation: which approach offers better outcomes for patients with hypertrophic obstructive cardiomyopathy?
    Interact Cardiovasc Thorac Surg 2017 Feb 28. Epub 2017 Feb 28.
    Division of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA.
    A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether surgical septal myectomy (SM) is more beneficial than alcohol septal ablation (ASA) in patients with hypertrophic obstructive cardiomyopathy. Altogether 218 articles were found using the reported search, of which 15 studies represented the best evidence to answer the clinical question. Read More

    Short- and long-term results after prosthetic mitral valve implantation in patients with severe mitral annulus calcification†.
    Interact Cardiovasc Thorac Surg 2017 Mar 1. Epub 2017 Mar 1.
    Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Israel.
    Objectives: To investigate short- and long-term outcomes of a conservative decalcification approach in mitral valve replacement (MVR) surgery in the presence of mitral annulus calcification (MAC).

    Methods: Of the 1038 patients who underwent MVR, 133 (13%) had significant MAC with at least 30% of the annular circumference heavily calcified. In most patients, the surgical approach to MAC included conservative decalcification, supra-annular prosthesis implantation and insertion of a pericardial patch between the MV annulus and the prosthesis. Read More

    Resection rate and operability of elderly patients with non-small cell lung cancer: Nationwide study from 1991 to 2014.
    Interact Cardiovasc Thorac Surg 2017 Jan 31. Epub 2017 Jan 31.
    Department of Cardiothoracic Surgery, Landspitali University Hospital, Reykjavik, Iceland.
    Objectives: An increasing number of elderly patients are diagnosed with non-small cell lung cancer (NSCLC). We compared the surgical resection rate, operability and survival in this age group (≥75 years) to younger patients using centralized databases in Iceland.

    Methods: The study population comprised all patients diagnosed with NSCLC in Iceland from 1991 to 2014. Read More

    Removal of a giant left ventricular thrombus after myocardial infarction due to dissection of left anterior descending artery.
    Interact Cardiovasc Thorac Surg 2017 Feb 27. Epub 2017 Feb 27.
    Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, Germany.
    Left ventricular thrombus is a frequent complication after myocardial infarction and is associated with high risk for arterial embolic complications. In addition to oral anticoagulation, surgical thrombectomy may be a promising treatment for large and mobile thrombus. We report the rare case of a 27-year-old patient who presented with a giant left ventricular thrombus after expanded and silent myocardial infarction caused by spontaneous dissection of the left anterior descending coronary artery. Read More

    Isolated severe leftward displacement of the septum primum: anatomic and 3D echocardiographic findings and surgical repair.
    Interact Cardiovasc Thorac Surg 2017 Feb 16. Epub 2017 Feb 16.
    Department of Cardiology, Children's Hospital Boston, Harvard Medical School, Boston, MA, USA.
    Objectives: Leftward displacement of the septum primum is usually described as associated with hypoplastic left heart syndrome or visceral heterotaxy. This rare malformation results in partially or totally anomalous pulmonary venous drainage with a normal connection of the pulmonary veins to the left atrium, depending on the degree of septal shift. We report the 3D echocardiographic and anatomic findings as well as the surgical repair in a series of isolated severe leftward displacement of the septum primum, responsible for totally anomalous pulmonary venous drainage. Read More

    Postoperative pulmonary complications and rehabilitation requirements following lobectomy: a propensity score matched study of patients undergoing video-assisted thoracoscopic surgery versus thoracotomy†.
    Interact Cardiovasc Thorac Surg 2017 Mar 8. Epub 2017 Mar 8.
    Department of Thoracic Surgery, Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham, UK.
    Objectives: : Video-assisted thoracoscopic surgical (VATS) lobectomy is increasingly used for curative intent lung cancer surgery compared to open thoracotomy due to its minimally invasive approach and associated benefits. However, the effects of the VATS approach on postoperative pulmonary complications (PPC), rehabilitation and physiotherapy requirements are unclear; our study aimed to use propensity score matching to investigate this.

    Methods: Between January 2012 and January 2016 all consecutive patients undergoing lobectomy via thoracotomy or VATS were prospectively observed. Read More

    Surgery for prosthetic valve endocarditis: a retrospective study of a national registry†.
    Eur J Cardiothorac Surg 2017 Mar 13. Epub 2017 Mar 13.
    Italian Group for Research on Surgical Outcomes (GIROC), Italian Society of Cardiac Surgery (SICCH), Rome, Italy.
    Objectives: We described clinical-epidemiological features of prosthetic valve endocarditis (PVE) and assessed the determinants of early surgical outcomes in multicentre design.

    Methods: Data regarding 2823 patients undergoing surgery for endocarditis at 19 Italian Centers between 1979 and 2015 were collected in a database. Of them, 582 had PVE: in this group, the determinants of early mortality and complications were assessed, also taking into account the different chronological eras encompassed by the study. Read More

    Concomitant therapy: off-pump coronary revascularization and transcatheter aortic valve implantation.
    Interact Cardiovasc Thorac Surg 2017 Mar 10. Epub 2017 Mar 10.
    Department of Cardiovascular Surgery, Robert Bosch Hospital, Stuttgart, Germany.
    Objectives: Significant coronary artery disease (CAD) is common among patients evaluated for transcatheter aortic valve implantation (TAVI). Only little data exist on outcome of patients undergoing concomitant off-pump coronary revascularization and TAVI. The goal of this study was to analyse the impact of concomitant off-pump revascularization on early clinical outcome and 2-year follow-up of patients undergoing TAVI. Read More

    Medtronic Duran AnCore versus Edwards MC3 rings for tricuspid annuloplasty.
    Interact Cardiovasc Thorac Surg 2017 Feb 17. Epub 2017 Feb 17.
    Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
    Objectives: Ring annuloplasty is now regarded as the standard surgical technique for the correction of tricuspid regurgitation (TR). However, comparative research on the durability of commercially available annuloplasty rings is limited. We reviewed early and late surgical results of tricuspid annuloplasty using the Duran AnCore and Edwards MC3 rings. Read More

    Hypoplastic left heart syndrome: a novel surgical strategy for small-volume centres?†.
    Eur J Cardiothorac Surg 2017 Feb 17. Epub 2017 Feb 17.
    Department of Pediatric Cardiac Surgery, University Paris Descartes and Necker Sick Children Hospital, Paris, France.
    Objectives: We describe in a prospective study, a novel surgical technique for the management of hypoplastic left heart syndrome inspired by the hybrid Norwood approach.

    Methods: This new neonatal palliation comprises replacement of the patent ductus arteriosus (PDA) and aortic arch plasty with a pulmonary homograft associated with the banding of both pulmonary arteries and atrial septectomy, under cardiopulmonary bypass without aortic clamping and cardioplegia. Initial results led to tightening of the pulmonary artery band from 3. Read More

    Surgical outcomes of laparoscopic versus open liver resection for hepatocellular carcinoma for various resection extent.
    Medicine (Baltimore) 2017 Mar;96(12):e6460
    aDepartment of Hepatic Surgery bDepartment of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
    Although the number of laparoscopic liver resections (LRRs) has increased, studies of surgical outcomes in comparison with the conventional open approach are limited. The purpose of this study was to analyze the surgical outcomes (safety and efficacy) of LLR versus open liver resection (OLR) for hepatocellular carcinoma (HCC).We collected data on all patients who received liver resection for HCC between April 2015 and September 2016 in our institution, and retrospectively investigated the demographic and perioperative data, and also surgical outcomes. Read More

    Prevalence of complications after surgery in treatment for cervical compressive myelopathy: A meta-analysis for last decade.
    Medicine (Baltimore) 2017 Mar;96(12):e6421
    aDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University bHebei Provincial Key Laboratory of Orthopedic Biomechanics, Shijiazhuang, China.
    Purpose: We aim to perform a meta-analysis on prevalence of all kinds of operation-related complications following surgery treating cervical compressive myelopathy (CCM) and to provide reference for surgeons making surgical plan.

    Methods: An extensive search of literature was performed in PubMed/MEDLINE, Embase, the Cochrane library, CNKI, and WANFANG databases on incidence of operation-related complications from January 2007 to November 2016. Data was calculated and data analysis was conducted with STATA 12. Read More

    The distal classification and management of choledochal cyst in adults: Based on the relation between cyst and pancreatic duct.
    Medicine (Baltimore) 2017 Mar;96(12):e6350
    aDepartment of Hepatobiliary Surgery, Qilu Hospital of Shandong University bDepartment of Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
    Todani classification is extensively used to guide the surgical strategy of choledochal cysts, but no systematic investigations on the distal management of intrapancreatic choledochal cysts have been conducted. This study reports the distal classification and management of choledochal cysts in adults based on the relation between the cyst and pancreatic duct. Patients with choledochal cyst who underwent operation, including distal management, in our department from January 2009 to December 2014 were retrospectively reviewed. Read More

    Enterocolitis in a Child With Hirschsprung Disease.
    Pediatr Emerg Care 2017 Mar 21. Epub 2017 Mar 21.
    From the Department of Emergency Medicine, Lehigh Valley Hospital and Health Network/USF MCOM, Allentown, PA.
    Hirschsprung disease is a congenital abnormality that can be surgically corrected. However, Hirschsprung-associated enterocolitis can be a life-threatening sequela. Very little has been published in the emergency medicine literature about the risk of enterocolitis and shock in patients with a history of Hirschsprung disease. Read More

    Clinical, Biomechanical, and Anatomic Investigation of Colles Fascia and Pubic Ramus Periosteum for Use During Medial Thighplasty.
    Ann Plast Surg 2017 Mar 21. Epub 2017 Mar 21.
    From the *Tulane University School of Medicine, †Division of Plastic Surgery, Tulane University School of Medicine, New Orleans, LA; ‡Division of Plastic Surgery, Mount Sinai Hospital, New York, NY; §Louisiana State University Health Sciences Center; ∥Center for Anatomical and Movement Sciences, Tulane University; and ¶Department of Cell Biology and Anatomy, Louisiana State University Health Sciences Center, New Orleans, LA.
    Introduction: The medial thighplasty is a procedure where patients may attain superior mobility, hygiene, and cosmesis. Most surgeons use attachment of the superficial fascial system (SFS) of the thigh flap to the Colles fascia, whereas others attach the SFS to the pubic ramus periosteum. Because of a high complication profile, we aim to elucidate the clinical, biomechanical, and anatomic qualities of the Colles fascia versus the pubic ramus periosteum. Read More

    Unilateral Versus Bilateral Breast Reconstruction: Is Less Really More?
    Ann Plast Surg 2017 Mar 21. Epub 2017 Mar 21.
    From the *Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, †Morsani College of Medicine, and §Department of Internal Medicine, Morsani College of Medicine, University of South Florida; and ‡Comprehensive Breast Program, Department of Women's Oncology, H. Lee Moffitt Cancer Center, Tampa, FL.
    Objective: Over the recent years, there has been an increase in prophylactic mastectomies with an associated increase in bilateral breast reconstruction. We aimed to compare outcomes in terms of patient satisfaction with unilateral versus bilateral breast reconstruction after deep inferior epigastric perforator (DIEP) flap and implant-based reconstruction.

    Methods: Patients who underwent breast reconstruction by a single surgeon between July 2011 and July 2015 were surveyed using the independently validated BREAST-Q questionnaire. Read More

    Intracranial Anatomic Landmarks for Endoscopic Endonasal Transcribriform Approach to Anterior Skull Base.
    J Craniofac Surg 2017 Mar 21. Epub 2017 Mar 21.
    *Department of Neurosurgery, Affiliated Cancer Hospital of Guangxi Medical University †Department of Otolaryngology, Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine ‡Department of Radiation Oncology, Affiliated Cancer Hospital of Guangxi Medical University §Department of Radiology, Affiliated Cancer Hospital of Guangxi Medical University, Nanning, China.
    Objectives: To help surgeons locating anatomic landmarks when performing endoscopic endonasal transcribriform approach to anterior skull base.

    Methods: High-resolution axial computed tomography (CT) images at thickness of 0.6 mm, and reconstructed 0. Read More

    Case Report of a Patient With Idiopathic Hypersomnia and a Family History of Malignant Hyperthermia Undergoing General Anesthesia: An Overview of the Anesthetic Considerations.
    A A Case Rep 2017 Mar 17. Epub 2017 Mar 17.
    From the *Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada; †Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; ‡Toronto Sleep and Pulmonary Centre, Toronto, Ontario, Canada; and §Women's College Hospital, Toronto, Ontario, Canada.
    The pathophysiologic underpinnings of idiopathic hypersomnia and its interactions with anesthetic medications remain poorly understood. There is a scarcity of literature describing this patient population in the surgical setting. This case report outlines the anesthetic considerations and management plan for a 55-year-old female patient with a known history of idiopathic hypersomnia undergoing an elective shoulder arthroscopy in the ambulatory setting. Read More

    Treatment of Unstable Versus Stable Slipped Capital Femoral Epiphysis Using the Modified Dunn Procedure.
    J Pediatr Orthop 2017 Mar 21. Epub 2017 Mar 21.
    Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, OH.
    Background: The modified Dunn procedure (open subcapital realignment via a surgical dislocation approach) has been shown to be a safe and effective way of treating acute, unstable slipped capital femoral epiphysis (SCFE). There is a paucity of literature comparing the modified Dunn procedure in stable SCFE. The purpose of this study was to compare acute, unstable versus chronic, stable SCFE managed with the modified Dunn procedure. Read More

    Association of Pediatric Cardiac Surgical Volume and Mortality after Cardiac ECMO.
    ASAIO J 2017 Mar 20. Epub 2017 Mar 20.
    †Seattle Children's Hospital, University of Washington, Assistant Professor Pediatric Critical Care Medicine ‡ Intermountain Healthcare Data Analyst § University of Utah, Professor Pediatric Critical Care Medicine ¶ Boston Children's Hospital and Harvard Medical School, Associate Professor of Pediatrics.
    Centers with higher surgical and ECMO volume have improved survival for children undergoing pediatric cardiac surgery and ECMO respectively. We examined the relationship between both cardiac surgical and cardiac ECMO volumes, with survival. Using data from the Pediatric Health Information System, we reviewed patients who underwent ECMO during the hospitalization for cardiac surgery or heart transplantation from January 2003- June 2014. Read More

    Lumbar Fusion for Degenerative Disease: A Systematic Review and Meta-Analysis.
    Neurosurgery 2017 Mar 17. Epub 2017 Mar 17.
    Department of Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Canada.
    Background: Due to uncertain evidence, lumbar fusion for degenerative indications is associated with the greatest measured practice variation of any surgical procedure.

    Objective: To summarize the current evidence on the comparative safety and efficacy of lumbar fusion, decompression-alone, or nonoperative care for degenerative indications.

    Methods: A systematic review was conducted using PubMed, MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials (up to June 30, 2016). Read More

    Long-term Outcome After Multiple Burr Hole Surgery in Children With Moyamoya Angiopathy: A Single-Center Experience in 108 Hemispheres.
    Neurosurgery 2017 Feb 20. Epub 2017 Feb 20.
    Université René Descartes, PRES Sorbonne Paris Cité, Paris, France.
    Background: Multiple burr hole (MBH) surgery is a simple, safe, and effective indirect technique of revascularization in moyamoya angiopathy (MM). However, it is not yet recognized as a first-line treatment.

    Objective: To assess the long-term outcome and perioperative complications in a large single-center cohort of children with MM who underwent burr hole surgery. Read More

    Factors Associated With Pre- and Postoperative Seizures in 1033 Patients Undergoing Supratentorial Meningioma Resection.
    Neurosurgery 2017 Mar 15. Epub 2017 Mar 15.
    Background: Risk factors for pre- and postoperative seizures in supratentorial meningiomas are understudied compared to other brain tumors.

    Objective: To report seizure frequency and identify factors associated with pre- and postoperative seizures in a large single-center population study of patients undergoing resection of supratentorial meningioma.

    Methods: Retrospective chart review of 1033 subjects undergoing resection of supratentorial meningioma at the author's institution (1991-2014). Read More

    The Nationwide Burden of Neurological Conditions Requiring Emergency Neurosurgery.
    Neurosurgery 2017 Mar 10. Epub 2017 Mar 10.
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
    Background: Neurosurgical emergencies are an important cause of disability and mortality.

    Objective: To examine the nationwide burden of neurological conditions requiring emergency neurosurgery.

    Methods: The Nationwide Inpatient Sample database (2002-2011) was queried to identify adult patients with a primary discharge diagnosis of a neurosurgical condition who were admitted urgently/emergently or through a trauma center and underwent surgical intervention within 2 days of admission. Read More

    Thirty-Day Readmission Rates Following Deep Brain Stimulation Surgery.
    Neurosurgery 2017 Mar 15. Epub 2017 Mar 15.
    Background: Deep brain stimulation (DBS) has emerged as a safe and efficacious surgical intervention for several movement disorders; however, the 30-day all-cause readmission rate associated with this procedure has not previously been documented.

    Object: To perform a retrospective cohort study to estimate the 30-day all-cause readmission rate associated with DBS.

    Methods: We reviewed medical records of patients over the age of 18 who underwent DBS surgery at Pennsylvania Hospital of the University of Pennsylvania between 2009 and 2014. Read More

    Abdominal wall reconstruction after desmoid type fibromatosis radical resection: Case series from a single institution and review of the literature.
    Int J Surg Case Rep 2017 Mar 1;33:167-172. Epub 2017 Mar 1.
    Departament of Surgery, Division of Surgical Clinic III, Hospital das Clínicas, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
    Background: Abdominal wall desmoid type fibromatosis management has been changing over recent years, from an aggressive approach towards a more conservative one. When radical resection is indicated, the surgical team faces the challenge of abdominal wall reconstruction, for which optimal technique is still debated. The present study reports the experience from a single center with abdominal closures after desmoid type fibromatosis resection. Read More

    Appositional bone graft tunneled: Technical note.
    Int J Surg Case Rep 2017 Feb 20;33:143-147. Epub 2017 Feb 20.
    Department of Oral and Maxillofacial Surgery of the Federal University of Bahia, Av. Araújo Pinho, 62, Salvador, Canela, Bahia 40100-150, Brazil. Electronic address:
    Introduction: A satisfactory positioning of the dental implants is very important in the cosmetic and functional outcome in this treatment for edentulous. Insertion of an endosseous implant in the correct positioning requires sufficient bone volume. Therefore, bone-grafting procedures are becoming increasingly common, especially for the augmentation of horizontally deficient ridges. Read More

    Physician extenders on surgical services: a systematic review.
    Can J Surg 2017 Apr 1;60(2):1516. Epub 2017 Apr 1.
    From the Department of Orthopedic Surgery, University of Calgary, Calgary, Alta.
    Background: With the introduction of resident duty hour restrictions and the resulting in-house trainee shortages, a long-term solution to ensure safe and efficient patient care is needed. One solution is the integration of nurse practitioners (NPs) and physician assistants (PAs) in a variety of health care settings. We sought to examine the use of NPs and PAs on surgical/trauma services and their effect on patient outcomes and resident workload. Read More

    Evaluation of short-term outcomes of laparoscopic-assisted surgery for colorectal cancer in elderly patients aged over 75 years old: a multi-institutional study (YSURG1401).
    BMC Surg 2017 Mar 21;17(1):29. Epub 2017 Mar 21.
    Department of Surgery, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
    Background: The short-term outcomes of laparoscopic-assisted surgery for colorectal cancer (LAC) have not been fully evaluated in elderly patients. The aim of this study was to compare the short term surgical outcomes of LAC between the patients older than 75 years and those with non-elderly patients.

    Methods: This retrospective multi-institutional study selected patients who underwent LAC between April 2013 and March 2014 at Yokohama City University Hospital and its related general hospitals. Read More

    Study-protocol for a randomized controlled trial comparing clinical and radiological results after three different posterior decompression techniques for lumbar spinal stenosis: the Spinal Stenosis Trial (SST) (part of the NORDSTEN Study).
    BMC Musculoskelet Disord 2017 Mar 21;18(1):121. Epub 2017 Mar 21.
    Kysthospitalet in Hagevik, Orthopedic Clinic, Haukeland University Hospital, Bergen, Norway.
    Background: There are several posterior decompression techniques for lumbar spinal stenosis (LSS). There is a trend towards performing less invasive surgical procedures, but no multicentre randomized controlled trials have evaluated the relative efficacy of these techniques at short and long-term.

    Method/design: A multicentre randomized controlled trial [the Spinal Stenosis Trial (SST) (part of the NORDSTEN study)] including 465 patients aged 18-80 years with neurogenic claudication or radiating pain and MRI findings indicating lumbar spinal stenosis without spondylolisthesis is performed to compare three posterior decompression techniques: unilateral laminotomy with crossover, bilateral laminotomy and spinous process osteotomy. Read More

    Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.
    BMC Surg 2017 Mar 21;17(1):27. Epub 2017 Mar 21.
    Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.
    Background: Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection. Read More

    [Accuracy of computer-guided implant placement and influencing factors].
    Hua Xi Kou Qiang Yi Xue Za Zhi 2017 Feb;35(1):93-98
    State Key Laboratory of Oral Diseases, Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
    Digital technology is a new trend in implant dentistry and oral medical technology. Stereolithographic surgical guides, which are computer-guided implant placement, have been introduced gradually to the market. Surgeons are attracted to this approach because of it features visualized preoperative planning, simple surgical procedure, flapless implant, and immediate restoration. Read More

    Restoring full-thickness defects with spray skin in conjunction with dermal regenerate template and split-thickness skin grafting: a pilot study.
    J Tissue Eng Regen Med 2017 Mar 22. Epub 2017 Mar 22.
    Plastic Surgery, The Ohio State Wexner Medical Center, Columbus, OH, USA.
    Complex, full-thickness soft tissue defects secondary to large burns, trauma and war-related injuries continue to challenge reconstructive surgeons. To achieve positive surgical outcomes in these patient populations, novel approaches are needed to restore the functional, protective and aesthetic properties of skin. Herein, we provide the first report describing the staged use of a dermal regenerate template (DRT) with a spray-on epidermal regenerative modality (spray skin) in addition to autologous split-thickness skin grafting (STSG) in non-burn trauma and compare these results with those of patients treated with DRT and STSG alone. Read More

    Analysis of Blood Flow Characteristics in a Model of a Mature Side-to-Side Arteriovenous Fistula.
    Artif Organs 2017 Mar 21. Epub 2017 Mar 21.
    School of Mechanical and Manufacturing Engineering, The University of New South Wales, Sydney, Australia.
    The creation of an arteriovenous fistula (AVF) is a common surgical procedure in hemodialysis patients suffering from end-stage renal disease (ESRD). However, several complications may occur after surgery, including thrombosis, stenosis, and aneurysm. These complications are attributed to hemodynamics perturbations including pathophysiological wall shear stress (WSS) and flow recirculation zones. Read More

    Labour in women with gestational diabetes mellitus.
    Ginekol Pol 2017 ;88(2):81-86
    1st Department of Obstetrics and Gynaecology, Medical University of Warsaw..
    Objectives: Gestational diabetes mellitus (GDM) constitutes one of the most common pregnancy complications and affects 3-5% of all pregnancies, with its incidence still growing. Due to possible maternal and fetal complications, the peripartum management of GDM patients continues to be a debatable issue. The aim of the study was to analyse the course and final way of delivery in women with gestational diabetes mellitus. Read More

    Duodenal Atresia: Open versus MIS Repair-Analysis of Our Experience over the Last 12 Years.
    Biomed Res Int 2017 23;2017:4585360. Epub 2017 Feb 23.
    Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza, Italy.
    Objective. Duodenal atresia (DA) routinely has been corrected by laparotomy and duodenoduodenostomy with excellent long-term results. We revisited the patients with DA treated in the last 12 years (2004-2016) comparing the open and the minimally invasive surgical (MIS) approach. Read More

    Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess.
    Case Rep Otolaryngol 2017 23;2017:7054943. Epub 2017 Feb 23.
    Faculty of Life Sciences, University of Manchester, Manchester M13 9PL, UK.
    Squamous cell carcinoma of the temporal bone is a rare and destructive malignancy and represents both diagnostic and therapeutic challenge. The complex regional anatomy of the temporal bone requires equally intricate surgical techniques to adequately resect the tumour mass during surgical excision. Adjuvant radiotherapy is offered to patients with advanced disease and has been showed to confer a survival benefit in carefully selected patients. Read More

    Differences in Surgical Management of Corneal Perforations, Measured over Six Years.
    J Ophthalmol 2017 23;2017:1582532. Epub 2017 Feb 23.
    Clinical Departament of Ophthalmology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, District Railway Hospital, Panewnicka 65 St., 40760 Katowice, Poland.
    Purpose. To report the surgical approach, anatomical and functional results, and complications in the group of patients with corneal perforation. Materials and Methods. Read More

    Carcinosarcoma of the bladder following local schistosomiasis infection.
    BMJ Case Rep 2017 Mar 21;2017. Epub 2017 Mar 21.
    Department of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
    A young patient from central Africa presented acute renal insufficiency due to extrinsic compression of the distal ureters by a pelvic mass. After initial medical management, a biopsy revealed poorly differentiated bladder cancer and Schistosoma haematobium eggs embedded in the bladder wall. The initial workup showed evidence of locoregional disease. Read More

    Emerging Roles of Coblation in Rhinology and Skull Base Surgery.
    Otolaryngol Clin North Am 2017 Mar 18. Epub 2017 Mar 18.
    Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University, 801 Welch Road, MC 5739, Stanford, CA 94305, USA. Electronic address:
    Coblation is a technology that incorporates bipolar radiofrequency energy to ablate tissue at relatively low temperatures. Its use for sinonasal surgery is actively being investigated, including applications for turbinate reduction, sinus surgery, skull base surgery, and adenoidectomy. Potential benefits include reduction in blood loss, improved endoscopic surgical visualization, and reduction in postoperative pain. Read More

    Japanese Clinical Practice Guideline for Head and Neck Cancer.
    Auris Nasus Larynx 2017 Mar 18. Epub 2017 Mar 18.
    Department of Otolaryngology, Kyushu Medical Center, Japan.
    Objective: The first revision of "Japanese Clinical Practice Guideline for Head and Neck Cancer" was made in 2013 by the clinical practice guideline committee of Japan Society for Head and Neck Cancer, in response to the revision of the TNM classification.

    Methods: 34 CQs (Clinical Questions) were newly adopted to describe the diagnosis and treatment methods currently considered most appropriate, and offered recommendation grade made by the consensus of the committee. A comprehensive literature search was performed for studies published between 2001 and 2012 using PubMed. Read More

    Impact of the method and success of pharyngeal reconstruction on the outcome of treating laryngeal and hypopharyngeal cancers with pharyngolaryngectomy: A national analysis.
    J Plast Reconstr Aesthet Surg 2017 Jan 9. Epub 2017 Jan 9.
    Department of Plastic & Reconstructive Surgery, Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, UK.
    Background: Surgical treatment of cancers that arise from or invade the hypopharynx presents major reconstructive challenges. Reconstructive failure exposes the airway and neck vessels to digestive contents.

    Methods: We performed a national N = near-all analysis of the administrative dataset to identify pharyngolaryngectomies in England between 2002 and 2012. Read More

    Midline Extraperitoneal Approach to Retroperitoneal Lymph Node Dissection in Testicular Cancer: Minimizing Surgical Morbidity.
    Eur Urol 2017 Mar 18. Epub 2017 Mar 18.
    USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:
    Background: Retroperitoneal lymph node dissection (RPLND) is an important component of the management of testicular germ cell tumor (GCT) but carries significant surgical morbidity.

    Objective: To describe our experience with a midline extraperitoneal (EP) approach to RPLND for seminomatous and nonseminomatous GCT.

    Design, Setting, And Participants: From 2010 to 2015, 122 consecutive patients underwent RPLND from a prospective database. Read More

    Buttressing of the EEA stapler during gastrojejunal anastomosis decreases rate of bleeding-related complications for laparoscopic gastric bypass.
    Surg Obes Relat Dis 2017 Jan 11. Epub 2017 Jan 11.
    Section of Bariatric and Minimally Invasive Surgery, Stanford University Hospital and Clinics, Stanford, California. Electronic address:
    Background: Bariatric surgery is a well-tolerated and effective treatment for severe obesity. Newer surgical techniques and equipment have improved safety standards surrounding bariatric surgery. In particular, buttressing of the staple line in sleeve gastrectomy has decreased rates of clinically significant postoperative bleeding. Read More

    Craniotomy for Treatment of Chronic Subdural Hematoma.
    Neurosurg Clin N Am 2017 Apr;28(2):229-237
    Department of Neurological Surgery, Harborview Medical Center, University of Washington, 325 9th Avenue, Box 359924, Seattle, WA 98104, USA; Department of Radiology, Harborview Medical Center, University of Washington, 325 9th Avenue, 1st floor, 1 West Hospital, Seattle, WA 98104, USA.
    Chronic subdural hematomas are commonly encountered pathologies in neurologic surgery. Primary management for a symptomatic lesion usually entails surgical intervention. There is controversy regarding ideal modality selection among twist drill craniostomy, bur hole craniostomy, and craniotomy. Read More

    Surgical management of closed, isolated proximal phalanx fractures in the long fingers: Functional outcomes and complications of 87 fractures.
    Hand Surg Rehabil 2017 Apr 7;36(2):127-135. Epub 2017 Feb 7.
    Service de Chirurgie Orthopédique et Traumatologique, Hôpital de la Cavale Blanche, Boulevard Tanguy Prigent, 29200 Brest, France.
    Finger fractures are the most common skeletal injuries of the upper limbs. The purpose of this study was to evaluate the functional outcomes and complications after surgical management of isolated, closed fractures of the proximal phalanx (PP) of the hand (thumb excluded). Surgical management was indicated in 87 PP fractures. Read More

    Treatment of scaphotrapeziotrapezoid osteoarthritis with the Pyrocardan(®) implant: Results with a minimum follow-up of 2 years.
    Hand Surg Rehabil 2017 Apr 28;36(2):113-121. Epub 2017 Feb 28.
    Institut de la main Nantes-Atlantique, clinique Jeanne-d'Arc, 21, rue des Martyrs, 44100 Nantes, France. Electronic address:
    The aim of this study was to report the results of arthroplasty using a mobile pyrocarbon implant (Pyrocardan(®)) for isolated scaphotrapeziotrapezoid (STT) osteoarthritis. The hypothesis was that this arthroplasty leads to functional improvement without carpal instability. Twenty patients (22 implants) were included with a minimum follow-up of 2 years and an average age of 59. Read More

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