3,468,929 results match your criteria Surgical Neurology [Journal]


Nodules and masses are associated with malignant pleural effusion in dogs and cats but many other intrathoracic CT features are poor predictors of the effusion type.

Vet Radiol Ultrasound 2018 Dec 17. Epub 2018 Dec 17.

Department of Clinical Studies New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, 19348.

Thoracic CT may be used in the workup of patients with pleural effusion. In humans, certain pleural features on CT aid in diagnosing an underlying cause for pleural effusion, whereas this is not well studied in veterinary medicine. This retrospective cross-sectional analytical study assessed pleural and other intrathoracic abnormalities on CT in dogs and cats with pleural effusion and explored potential discriminatory features between effusion types. Read More

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December 2018

Safe delayed procedure of nipple reconstruction in poorly circulated nipple.

Breast J 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

Nipple-areolar complex reconstruction represents the final step in breast reconstruction. However, there is no gold standard nipple reconstruction technique that addresses the issue of blood circulation in the flap, which is the most basic complication. Nipple reconstruction was performed in 21 patients. Read More

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December 2018

The Role of Toll-Like Receptors in the Production of Cytokines by Human Lung Macrophages.

J Innate Immun 2018 Dec 17:1-11. Epub 2018 Dec 17.

Département des Maladies Respiratoires, Hôpital Foch, Suresnes, France.

Background: The Toll-like receptor (TLR) family is involved in the recognition of and response to microbial infections. These receptors are expressed in leukocytes. TLR stimulation induces the production of proinflammatory cytokines and chemokines. Read More

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December 2018

EDUCATIONAL SERIES IN CONGENITAL HEART DISEASE: Tetralogy of Fallot: diagnosis to long-term follow-up.

Authors:
R Bedair X Iriart

Echo Res Pract 2019 Mar;6(1):R9-R23

Department of Pediatric and Adult Congenital Cardiology, Hôpital Cardiologique du Haut-Lévêque, CHU de Bordeaux, Pessac, France.

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect, affecting 3 in 10,000 live births. Surgical correction in early childhood is associated with good outcomes, but lifelong follow-up is necessary to identify the long-term sequelae that may occur. This article will cover the diagnosis of TOF in childhood, the objectives of surveillance through adulthood and the value of multi-modality imaging in identifying and guiding timely surgical and percutaneous interventions. Read More

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Epilepsy and seizures in children with congenital heart disease: A prospective study.

Seizure 2018 Nov 26;64:50-53. Epub 2018 Nov 26.

Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montreal, Canada.

Purpose: Children with complex congenital heart disease (CHD) experience high incidence of perioperative seizures. Population-based studies also report high epilepsy co-morbidity in CHD. Given the increasing survival of patients with CHD and the interference of seizures and epilepsy with the long-term outcomes, characterizing them in this population is of high relevance. Read More

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November 2018

Hemopatch as a new dural sealant: A clinical observation.

Clin Neurol Neurosurg 2018 Dec 11;176:133-137. Epub 2018 Dec 11.

Department of Neurosurgery, United States.

Objectives: We analyzed our results using Hemopatch as a new dural sealant after durotomy in cranial and spinal neurosurgical procedures.

Patients And Methods: In our prospective single center study, we analyzed all patients who received Hemopatch used as a dural sealant between October 2016 and May 2017. 34 patients received Hemopatch used as a dural sealant in the study period. Read More

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December 2018

Current management of pediatric chiari type 1 malformations.

Clin Neurol Neurosurg 2018 Dec 10;176:122-126. Epub 2018 Dec 10.

Department of Neurosurgery, Albany Medical College, Albany, NY, USA.

Objectives: Pediatric Chiari Type 1 Malformations (CM1) are commonly referred for neurosurgical opinion. The ideal management in children regarding surgical and radiographic decision making is not clearly delineated.

Patients And Methods: We retrospectively reviewed our cohort of patients age 18 years and younger referred to a single neurosurgeon for CM1. Read More

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December 2018

Mapping whole brain connectivity changes: The potential impact of different surgical resection approaches for temporal lobe epilepsy.

Cortex 2018 Nov 17;113:1-14. Epub 2018 Nov 17.

Neuroscience and Aphasia Research Unit, Division of Neuroscience and Experimental Psychology, School of Biological Sciences, University of Manchester, UK; MRC Cognition and Brain Sciences Unit, University of Cambridge, UK. Electronic address:

In neurosurgery there are several situations that require transgression of the temporal cortex. For example, a subset of patients with temporal lobe epilepsy require surgical resection (most typically, en-bloc anterior temporal lobectomy). This procedure is the gold standard to alleviate seizures but is associated with chronic cognitive deficits. Read More

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November 2018
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Jaccoud's Arthropathy and Jaundice in a Young Female.

Clin Gastroenterol Hepatol 2018 Dec 14. Epub 2018 Dec 14.

Division of Gastroenterology and hepatology, Virginia Commonwealth University, Richmond Virginia.

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December 2018

Cellular responses to thermoresponsive stiffness memory elastomer nanohybrid scaffolds by 3D-TIPS.

Acta Biomater 2018 Dec 14. Epub 2018 Dec 14.

Centre for Biomaterials in Surgical Reconstruction and Regeneration, Division of Surgery & Interventional Science, University College London, London, NW3 2PF, United Kingdom. Electronic address:

Increasing evidence suggests the contribution of the dynamic mechanical properties of the extracellular matrix (ECM) to regulate tissue remodeling and regeneration. Following our recent study on a family of thermoresponsive 'stiffness memory' elastomeric nanohybrid scaffolds manufactured via an indirect 3D printing guided thermo-induced phase separation process (3D-TIPS), this work reports in vitro and in vivo cellular responses towards these scaffolds with different initial stiffness and hierarchical interconnected porous structure. The viability of mouse embryonic dermal fibroblasts in vitro and the tissue responses during the stiffness softening of the scaffolds subcutaneously implanted in rats for three months were evaluated by immunohistochemistry and histology. Read More

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December 2018

Association between excreta management and extended-spectrum β-lactamase producing Enterobacteriaceae incidence rate: Role of health-care worker's knowledge and practices.

J Hosp Infect 2018 Dec 14. Epub 2018 Dec 14.

MiHAR Lab (www.mihar.univ-nantes.fr), University of Nantes, Nantes, FR-44000; Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, FR-44000. Electronic address:

Background: The spread of extended-spectrum β-lactamase producing Enterobacteriaceae (ESBL-PE) in healthcare environments has become a major public health threat in recent years.

Aim: To assess how healthcare workers (HCWs) manage excreta and the possible association with ESBL-PE incidence.

Methods: 800 HCWs and 74 nurse-supervisors were questioned through 2 self-report questionnaires in order to assess their knowledge and practices, and to determine the equipment utilized for excreta management in 74 healthcare departments. Read More

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December 2018

Safety of robotic-assisted gynecologic surgery and early hospital discharge in elderly patients.

Am J Obstet Gynecol 2018 Dec 14. Epub 2018 Dec 14.

New York University Langone Medical Center. Electronic address:

Background: A minimally invasive surgical approach has proven to decrease peri- and post-operative complications and shorten duration of hospital stay, however there is limited data evaluating the safety of robotic-assisted surgery and early hospital discharge in the elderly population. As age is a well-known, independent risk factor for peri-operative morbidity and gynecologists treat many elderly patients, this is an important area of study.

Objective: To evaluate discharge timing and surgical outcomes in elderly compared to younger patients undergoing robotic-assisted gynecologic surgery. Read More

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December 2018
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The Optimal Treatment for Stage IIIA-N2 Non-small-cell Lung Cancer: A Network Meta-analysis.

Ann Thorac Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Thoracic Surgery and Oncology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China; Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou, China. Electronic address:

Background: The optimal treatment for stage IIIA-N2 non-small-cell lung cancer (NSCLC) is controversial. We aimed to address this important issue through a Bayesian network meta-analysis.

Methods: We performed a search of electronic databases for randomized controlled trials comparing the following treatments: surgery, radiotherapy, chemotherapy and their multiple combinations before March 25, 2018. Read More

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December 2018

Physician gender differences in processing surgical risk features in videos of standardized patients.

Ann Thorac Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Medicine, University of Chicago.

Background: Physician gender differences exist for estimating surgical risk and recommending lung resection. We assessed gender differences in perceived importance of health characteristics portrayed by standardized patients posing as lung resection candidates.

Methods: Physicians read a clinical vignette categorized as low, average, or high surgical risk, then viewed a video of a standardized patient exhibiting vigorous, normal, or frail behavior. Read More

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December 2018

Mediastinoscopy for staging of Non-Small Cell Lung Cancer: surgical performance in the Netherlands.

Ann Thorac Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Surgery, Northwest Clinics, Alkmaar, the Netherlands.

Background: To determine optimal treatment options in non-small cell lung cancer (NSCLC), accurate staging of the mediastinal lymph nodes is of great importance. In case of suspected mediastinal metastases, EUS/EBUS combined with mediastinoscopy is the gold standard. Diagnostic value of these procedures stands or falls by how they are technically performed. Read More

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December 2018

Vitrectomy for diabetic macular edema: optical coherence tomography criteria and pathology of the vitreomacular interface.

Am J Ophthalmol 2018 Dec 14. Epub 2018 Dec 14.

Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.

Purpose: To correlate spectral-domain optical coherence tomography (SD-OCT) criteria and clinical data with pathology of the vitreomacular interface (VMI) in eyes with diabetic macular edema (DME).

Design: Retrospective cross-sectional study and laboratory investigation.

Methods: We included specimens of 27 eyes of 26 patients with center-involved DME that underwent vitrectomy with peeling of the internal limiting membrane (ILM). Read More

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December 2018

A Novel Approach for Total Nasal Reconstruction.

J Oral Maxillofac Surg 2018 Nov 22. Epub 2018 Nov 22.

Assistant Clinical Professor, Department of Oral and Maxillofacial Surgery, Louisiana State University Health and Sciences Center, New Orleans, LA.

A 61-year-old woman who lost her nose, upper lip, and most of her midface bony structures because of cancer 20 years previously underwent advanced surgical reconstruction. This patient previously underwent multiple reconstructive surgeries that failed to satisfactorily restore her nose. Therefore, a multistage reconstruction was performed to recreate a complete nose and increase her upper lip length. Read More

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November 2018

Role of serum levels of intraoperative brain natriuretic peptide for predicting acute kidney injury in living donor liver transplantation.

PLoS One 2018 17;13(12):e0209164. Epub 2018 Dec 17.

Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background: Patients with end-stage liver disease frequently experience acute kidney injury (AKI) after living donor liver transplantation (LDLT). Serum levels of brain natriuretic peptide (BNP) have increasingly been accepted as a predictor of AKI in clinical settings. This study investigated the predictive role of intraoperative BNP levels in the early development of AKI after LDLT. Read More

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December 2018

Use of C-reactive protein for the early prediction of anastomotic leak after esophagectomy: Systematic review and Bayesian meta-analysis.

PLoS One 2018 17;13(12):e0209272. Epub 2018 Dec 17.

Department of Biomedical Sciences for Health, Division of General Surgery, University of Milan, IRCCS Policlinico San Donato, Milan, Italy.

Background: Early suspicion, diagnosis, and timely treatment of anastomotic leak after esophagectomy is essential. Retrospective studies have investigated the role of C-reactive protein (CRP) as early marker of anastomotic leakage. The aim of this systematic review and meta-analysis was to evaluate the predictive value of CRP after esophageal resection. Read More

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December 2018

Surgery and protontherapy in Grade I and II skull base chondrosarcoma: A comparative retrospective study.

PLoS One 2018 17;13(12):e0208786. Epub 2018 Dec 17.

AP-HP, Hôpital Lariboisière, Department of Otorhinolaryngology and Paris Diderot University, Paris, France.

Objective: Skull base chondrosarcoma is a rare tumour usually treated by surgery and proton therapy. However, as mortality rate is very low and treatment complications are frequent, a less aggressive therapeutic strategy could be considered. The objective of this study was to compare the results of surgery only vs surgery and adjuvant proton therapy, in terms of survival and treatment adverse effects, based on a retrospective series. Read More

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December 2018

Assessment of degenerative cervical myelopathy differs between specialists and may influence time to diagnosis and clinical outcomes.

PLoS One 2018 17;13(12):e0207709. Epub 2018 Dec 17.

Academic Neurosurgery Unit, Department of Clinical Neurosurgery, University of Cambridge, Cambridge, United Kingdom.

Introduction: Degenerative Cervical Myelopathy [DCM] often presents with non-specific symptoms and signs. It progresses insidiously and leads to permanent neurological dysfunction. Decompressive surgery can halt disease progression, however significant delays in diagnosis result in increased disability and limit recovery. Read More

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December 2018
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Voluntary medical male circumcision service delivery in South Africa: The economic costs and potential opportunity for private sector involvement.

PLoS One 2018 17;13(12):e0208698. Epub 2018 Dec 17.

Project SOAR (Supporting Operational AIDS Research), Avenir Health, Washington, DC, United States of America.

Background: In 2010, the South African Government initiated a voluntary medical male circumcision (VMMC) program as a part of the country's HIV prevention strategy based on compelling evidence that VMMC reduces men's risk of becoming HIV infected by approximately 60%. A previous VMMC costing study at Government and PEPFAR-supported facilities noted that the lack of sufficient data from the private sector represented a gap in knowledge concerning the overall cost of scaling up VMMC services. This study, conducted in mid-2016, focused on surgical circumcision and aims to address this limitation. Read More

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December 2018

Identification of long intergenic non-coding RNAs (lincRNAs) deregulated in gastrointestinal stromal tumors (GISTs).

PLoS One 2018 17;13(12):e0209342. Epub 2018 Dec 17.

Institute for Digestive Research, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Long intergenic non-coding RNAs (lincRNAs) are >200 nucleotides long non-coding RNAs, which have been shown to be implicated in carcinogenic processes by interacting with cancer associated genes or other non-coding RNAs. However, their role in development of rare gastrointestinal stromal tumors (GISTs) is barely investigated. Therefore, the aim of this study was to define lincRNAs deregulated in GIST and find new GIST-lincRNA associations. Read More

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December 2018
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L1 Cell Adhesion Molecule (L1CAM) expression in endometrioid endometrial carcinomas: A possible pre-operative surrogate of lymph vascular space invasion.

PLoS One 2018 17;13(12):e0209294. Epub 2018 Dec 17.

Department of Pathology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.

Background: Risk stratification of endometrial carcinomas is primarily based on surgical staging that requires extensive retroperitoneal lymph node dissection. One of the most powerful predictor of lymph node involvement is the lymph vascular space invasion (LVSI). The objective of this study was to determine the potential of L1 Cell Adhesion Molecule (L1CAM) to predict LVSI and its association with other risk factors in endometrioid endometrial carcinomas. Read More

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December 2018

The authors reply.

Crit Care Med 2019 Jan;47(1):e66-e67

Department of Cardiology, Heart Institute (InCor), Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Surgical Intensive Care Unit and Department of Anesthesiology, Heart Institute (InCor), Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Milan, Italy.

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January 2019

The authors reply.

Crit Care Med 2019 Jan;47(1):e64-e66

UMR 1137 - IAME Team 5 - DeSCID: Decision SCiences in Infectious Diseases, control and care Inserm/University Paris Diderot, Sorbonne Paris Cité, F-75018, Paris, France, and Medical Intensive Care Unit, Bichat University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France Medical-Surgical Intensive Care Unit, André Mignot Hospital, 177, rue de Versailles, 78000, Le Chesnay, France ICUREsearch, Department of Biostatistics, Paris, France Medical Intensive Care Unit, Saint-Louis University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France UMR 1137 - IAME Team 5 - DeSCID: Decision SCiences in Infectious Diseases, control and care Inserm/University Paris Diderot, Sorbonne Paris Cité, F-75018, Paris, France, and Medical Intensive Care Unit, Bichat University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.

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January 2019

Assessment of Pulmonary Arterial Pressure Using Critical Care Echocardiography: Dealing With the Yin and the Yang?

Authors:
Philippe Vignon

Crit Care Med 2019 Jan;47(1):126-128

Medical-Surgical Intensive Care Unit, and Inserm CIC 1435, Dupuytren Teaching Hospital; and University of Limoges, Limoges, France.

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January 2019

Home-based Cognitive Prehabilitation in Older Surgical Patients: A Feasibility Study.

J Neurosurg Anesthesiol 2018 Dec 14. Epub 2018 Dec 14.

Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI.

Background: Cognitive training is beneficial in various clinical settings, although its perioperative feasibility and impact remain unknown. The objective of this pilot study was to determine the feasibility of home-based cognitive prehabilitation before major surgery in older adults.

Materials And Methods: Sixty-one patients were enrolled, randomized, and allocated to either a home-based preoperative cognitive training regimen or no training before surgery. Read More

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December 2018

Surgical Management of Migraine Headaches: A Systematic Review and Meta-analysis.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India.

Background: The aim of the present study was to systematically review and analyze the available evidence on the role of surgery in improving outcomes in patients with migraine headaches.

Methods: An electronic search of PubMed, Scopus, CENTRAL (Cochrane Central Register of Controlled Trials), and Google Scholar databases was performed for English-language articles reporting results of peripheral nerve surgery for migraine headaches.

Results: The search strategy revealed a total of 1528 records, of which 23 studies were included in the review. Read More

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December 2018

Quantifying Burn Injury-Related Disability and Quality of Life in the Developing World: A Primer for Patient-Centered Resource Allocation.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

From the Department of Plastic Surgery, The University of Virginia, Charlottesville, VA.

Background: Untreated or undertreated burns are commonly encountered by plastic surgeons on medical trips in India and represent a major cause of disability. We sought to utilize validated patient-reported outcomes instruments to identify the patient population with the greatest burn-related disability in order to appropriately allocate plastic surgery resources to those in greatest need.

Methods: The Quick Disability of the Arm, Shoulder, and Hand, RAND 36-Item Short Form Health Survey, and Burn-Specific Health Scale-Revised, Brief, and Adapted questionnaires were administered via an interpreter during a plastic surgery trip to Jharkhand, India, in January 2018. Read More

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December 2018
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Origins of Gender Affirmation Surgery: The History of the First Gender Identity Clinic in the United States at Johns Hopkins.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Office of Diversity and Inclusion, Johns Hopkins Medical Institutions, Baltimore, MD.

Background: Gender-affirming care, including surgery, has gained more attention recently as third-party payers increasingly recognize that care to address gender dysphoria is medically necessary. As more patients are covered by insurance, they become able to access care, and transgender cultural competence is becoming recognized as a consideration for health care providers. A growing number of academic medical institutions are beginning to offer focused gender-affirming medical and surgical care. Read More

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December 2018

The Medial Pillar Island Flap for Oncoplastic Breast Reconstruction of Upper Pole Defects.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Surgical Oncology, Department of Surgery, University of Massachusetts Medical School, Worcester, MA.

Background: Breast deformity is common following lumpectomy. Use of ptotic lower pole tissue for restoration of volume in the upper pole is quite appealing since it allows for a concomitant lift. This study presents the medial pillar island flap technique of oncoplastic breast reconstruction of upper pole defects. Read More

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December 2018

A Comprehensive Analysis of the Association Between Gleason Score at a Positive Surgical Margin and the Risk of Biochemical Recurrence After Radical Prostatectomy.

Am J Surg Pathol 2018 Dec 14. Epub 2018 Dec 14.

Departments of Urology.

Our objective was to identify the best of the existing definitions of Gleason score (GS) at a positive surgical margin (PSM) by validating them in our radical prostatectomy cohort. We analyzed 251 patients who had mixed (3+4, 3+5, 4+3 or 5+3) pathologic GS and PSM. We used 5 definitions to record GS at a PSM. Read More

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December 2018

Clinicopathologic and Molecular Features of Metastatic Follicular Thyroid Carcinoma in Patients Presenting With a Thyroid Nodule Versus a Distant Metastasis.

Am J Surg Pathol 2018 Dec 14. Epub 2018 Dec 14.

Department of Pathology, University of Chicago Medical Center.

Metastatic follicular thyroid carcinoma (FTC) is rare. The aim of this study was to determine the clinical, histologic, and molecular differences between patients with metastatic FTC who present with distant metastatic (DM) disease versus those who present with a primary thyroid nodule (PT). Clinical and pathologic information was extracted from the medical record and surgical pathology report. Read More

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December 2018

The Outcome of Patients With Localized Undifferentiated Pleomorphic Sarcoma of the Lower Extremity Treated at Stanford University.

Am J Clin Oncol 2018 Dec 15. Epub 2018 Dec 15.

Oncology.

Background: As a diagnosis of exclusion, Undifferentiated Pleomorphic Sarcoma (UPS) has unclear clinical characteristics. The objective of this retrospective cohort study is to investigate which clinical and prognostic factors of primary lower-extremity UPS will determine failure.

Methods: We retrospectively reviewed 55 primary lower-extremity UPS cases treated at Stanford between 1998 and 2015. Read More

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December 2018

Radiologist-rheumatologist multidisciplinary approach in the management of axial spondyloarthritis: a Delphi consensus statement.

Clin Exp Rheumatol 2018 Nov 16. Epub 2018 Nov 16.

Department of Medical, Surgical and Neurosciences, Diagnostic Imaging, University of Siena, Azienda Ospedaliera Universitaria Senese, Siena, Italy.

Objectives: The aim of this study was to develop a Delphi consensus statement between rheumatologists and radiologists for the diagnosis and monitoring of axial spondyloarthritis (axial-SpA).

Methods: Following an extensive literature search to identify unmet needs and potential goals for a multidisciplinary approach, a scientific board comprising 28 Italian hospital-based rheumatologists (n=19) and radiologists (n=9) identified 8 "starting points", resulting in the development of 23 consensus statements covering issues from current practice guidelines to specific MRI protocols for the assessment of axial-SpA. Each participant anonymously expressed a level of agreement for each statement using a 5-point Likert scale (1="strongly disagree"; 5="strongly agree") via an online Delphi method. Read More

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November 2018

Surgical site infections after craniotomy: a matched health-care cost and length of stay study.

J Wound Care 2018 Dec;27(12):885-890

Clinical Nurse Instructor, Faculty of Nursing, Adult Health Nursing Department, Jordan University of Science and Technology, Jordan.

Objective:: To assess the extra health-care costs and length of stay resulting from surgical site infection (SSI), as well as to identify the most frequent aetiological microorganisms of SSIs among Jordanian craniotomy surgery patients.

Method:: A retrospective, descriptive, correlational and nested 1:1 matched case-control design was used. A computerised list of patients, who underwent surgery between May 2009 and March 2015, was generated in the targeted hospital. Read More

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December 2018

Greek nurses' knowledge on the prevention of surgical site infection: an investigation.

J Wound Care 2018 Dec;27(12):876-884

Professor, Department of Nursing, University of West Attica.

Objective:: The aim of the study was to investigate nurses' knowledge regarding the prevention of surgical site infection (SSI), and to examine the relationship between nurses' demographic characteristics and educational level and their level of knowledge in prevention of SSIs. A further aim was to examine the differences in nurses' knowledge with respect to selected variables and to identify the most significant predictors of nurses' knowledge regarding the prevention of SSIs, to support the provision of high-quality nursing care.

Method:: A prospective, observational study of a convenience sample of nurses and assistant nurses working in surgical departments, in a public general hospital for adults in Attica, during May to August 2016. Read More

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December 2018

Effects of simultaneous steroid injection after percutaneous trigger finger release: a randomized controlled trial.

J Hand Surg Eur Vol 2018 Dec 17:1753193418813771. Epub 2018 Dec 17.

4 Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

The purpose of this study was to test the hypothesis that an improved outcome can be achieved by employing simultaneous steroid injection after percutaneous A1 pulley release. One hundred and twelve digits were randomized to either percutaneous A1 pulley release alone or release of the A1 pulley with a steroid injection. The visual analogue scale score for pain, modified patient global impression of improvement and modified Quinnell grade were assessed at 3 weeks and 3 months after surgery. Read More

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December 2018

Breast reconstruction with a dermal sling: a systematic review of surgical modifications.

J Plast Surg Hand Surg 2018 Dec 17:1-12. Epub 2018 Dec 17.

a Department of clinical sciences , University of Gothenburg. The Sahlgrenska Academy , Gothenburg , Sweden.

A dermal sling (DS) is used to cover the implant with two layers of tissue when immediate breast reconstruction is performed in women with large and ptotic breasts. It works as an autologous acellular dermal matrix/mesh that can be used to control the implant pocket and inframammary fold, without inferring an extra foreign material and higher costs. There is relatively little published about the DS technique. Read More

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December 2018

Improvement in Functional Outcome Scores Despite Persistent Pain With 1 Year of Nonsurgical Management for Acetabular Labral Tears With or Without Femoroacetabular Impingement.

Am J Sports Med 2018 Dec 17:363546518814484. Epub 2018 Dec 17.

Department of Orthopaedic Surgery, Mass General Hospital, Boston, Massachusetts, USA.

Background:: Acetabular labral tears are increasingly recognized as a source of hip pain in a younger active population. Given the significant focus on surgical intervention, there has been limited investigation on the nonsurgical management and natural history of such injuries.

Hypothesis:: Patients undergoing nonsurgical treatment for symptomatic acetabular labral tears experience functional improvement based on patient-reported outcome measures over the course of 1 year. Read More

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December 2018

CT-guided minimally-invasive penile fracture repair.

Int Braz J Urol 2018 Dec 15;44. Epub 2018 Dec 15.

Department of Traditional Chinese Medicine, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China.

We present the case of a 28 year old patient with an incomplete tear of the tunica albuginea occurred after having sexual intercourse in the female superior position. The diagnostic assessment was performed first clinically, then with CT, owing to its high resolution, allowed to exactly detect the tear location leading to precise preoperative planning. After adequate diagnosis through imaging and proper planning, the patient was performed a selective minimally invasive surgical approach to repair the lesion. Read More

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December 2018

Geometric Calibration of Markerless Optical Surgical Navigation System.

Int J Med Robot 2018 Dec 17:e1978. Epub 2018 Dec 17.

Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, uangdong Academy of Medical Science, Guangzhou, China.

Background: Patient-to-image registration is required for image-guided surgical navigation, but marker-based registration is time consuming and subject to manual error. Markerless registration is an alternative solution to avoid these issues.

Methods: This study designs a calibration board and proposes a geometric calibration method to calibrate the near infrared tracking and structured light components of the proposed optical surgical navigation system simultaneously. Read More

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December 2018

Distal nerve transfer from the median nerve lumbrical fibers to the distal ulnar nerve motor branches in the palm: An anatomical cadaveric study.

Microsurgery 2018 Dec 17. Epub 2018 Dec 17.

University of Turin School of Medicine, Clinical & Biological Sciences, Turin, Italy.

Background: The aim of the current study is to investigate the first and second lumbrical nerves as potential fibers donors to the deep motor branch of the ulnar nerve to avoid intrinsic atrophy in high ulnar nerve injuries.

Methods: Sixteen fresh frozen cadaveric hands were dissected, the radial lumbrical nerves accessed, and a coaptation, either in reverse end-to-side or in double end-to-side through a bridge nerve graft, was created to the deep motor branch of ulnar nerve. Semithin sections were taken from samples of donor and recipient nerves for qualitative (nerve architecture) and quantitative studies (fiber count and donor/recipient ratio). Read More

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December 2018

99mTc-diphosphonates bone scintigraphy for vitality evaluation in cleft palate.

Eur Rev Med Pharmacol Sci 2018 Dec;22(23):8497-8501

Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari Aldo Moro, Bari, Italy.

Cleft of the lip, palate and alveolus are congenital oro-maxillofacial malformation with an established treatment protocol. At present, there is great interest in the alveolar bone grafting procedures that involve the use of platelet-rich-plasma (PRP), to enhance bone formation and specifically to promote bone graft healing in head and neck tissues regeneration. The aim of this retrospective case report study was to assess the condition and viability of the standard bone grafting in association with PRP (platelet rich plasma) to enhance osteogenesis and maintain osteointegration in alveolar cleft with a follow up of eight years from the surgical procedure. Read More

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December 2018

Is microbiome a target for the management of allergy associated diseases in children?

Eur Rev Med Pharmacol Sci 2018 Dec;22(23):8061-8062

Department of Surgical Sciences, University of Turin, Turin, Italy.

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December 2018

Dancing Dorsal Quadrilaterals: A Novel Peripherally Induced Movement Disorder.

JAMA Neurol 2018 Dec 17. Epub 2018 Dec 17.

The Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, Division of Neurology, University of Toronto, Toronto, Ontario, Canada.

Importance: Recognized peripherally induced movement disorders include the painful legs moving toes syndrome, postamputation dyskinesias, and belly dancer dyskinesias.

Objective: To introduce and characterize the dancing dorsal quadrilaterals, a novel peripherally induced movement disorder that predominantly affects dorsal quadrilateral muscles (trapezius and rhomboids) after upper spine instrumentation.

Design, Setting, And Participants: Between 1990 and 2015, a total of 4 patients who developed abnormal movements of the dorsal quadrilateral muscles after upper spine instrumentation were referred to movement disorders clinics at 3 academic medical centers in the United States, Canada, and Argentina. Read More

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December 2018
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Modified No-Touch Technique for Removal of a Dexamethasone Implant that has Migrated to the Anterior Chamber.

Authors:
Jay M Stewart

Ocul Immunol Inflamm 2018 Dec 17:1-2. Epub 2018 Dec 17.

a Department of Ophthalmology , University of California , San Francisco , California , USA.

The dexamethasone intravitreal implant poses a risk to the cornea if it migrates into the anterior chamber. Because it tends to fracture if grasped with surgical instruments, no-touch techniques represent the most successful means of removing the device from the eye. The present report describes a new approach in which the implant is aspirated into the lumen of a needle, providing the surgeon with greater control in accessing the device within the anterior chamber. Read More

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December 2018

Robot-Assisted Repair of E Biliary Ductal Injury with Roux-en-Y Hepaticojejunostomy.

J Laparoendosc Adv Surg Tech A 2018 Dec 14. Epub 2018 Dec 14.

Department of Surgery, Rutgers, New Jersey Medical School , Newark, New Jersey.

Background: Common bile duct (CBD) injury is a serious complication of laparoscopic and open cholecystectomy. Early identification and minimally invasive repair, when possible, can prevent much of the morbidity associated with this injury.

Materials And Methods: A 36-year-old woman referred in the immediate perioperative period for CBD injury at the time of laparoscopic cholecystectomy. Read More

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December 2018

Merkel Cell Carcinoma: A Case Series

Ir Med J 2018 Oct 11;111(9):826. Epub 2018 Oct 11.

Introduction Merkel cell carcinoma (MCC) is a rare cutaneous tumour that is clinically aggressive with a high local, regional, and distant metastatic potential. Cases Three male patients presented to University Hospital Limerick (UHL) in 2015 with cutaneous lesions of the thorax, buttock and forearm. Once MCC was confirmed, management included surgical wide local excision (WLE) with regional lymph node dissection followed by adjuvant radiotherapy. Read More

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October 2018
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