3,918,784 results match your criteria Surgical Reversal of Presbyopia - A Comprehensive Video Text

Laparoscopy Offers Better Clinical Outcomes and Long-term Survival in Patients With Right Colon Cancer: Experience From National Cancer Center.

Ann Coloproctol 2021 Jun 24. Epub 2021 Jun 24.

Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.

Purpose: Laparoscopic approach to colonic tumor requires skill set and resources to be established as routine standard of care in most centers around the world. It presents particular challenge in country like Pakistan due to economic constrain and lack of teaching and training opportunities available for surgeons to be trained to deliver such service. The aim of this study is to look into changing practice of our institution from conventional approach of open to laparoscopic surgery for right colon cancer. Read More

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Intracardiac EUS-B-Guided FNA for Diagnosing Cardiac Tumors.

Respiration 2021 Jun 24:1-5. Epub 2021 Jun 24.

Department of Respiratory Medicine, Location Academic Medical Center (AMC), Amsterdam University Medical Centers, Amsterdam, The Netherlands.

Primary cardiac tumors are extremely rare. Obtaining a tissue diagnosis is difficult and commonly requires open-heart surgery with associated morbidity. Esophageal endoscopic ultrasound (EUS) and EUS with the EBUS scope (EUS-B) provide real-time sampling of centrally located lung tumors and mediastinal lymph nodes. Read More

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Increased Body Mass Index Is a Risk Factor for Poor Clinical Outcomes after Radical Prostatectomy in Men with International Society of Urological Pathology Grade Group 1 Prostate Cancer Diagnosed with Systematic Biopsies.

Urol Int 2021 Jun 24:1-8. Epub 2021 Jun 24.

Department of Emergency and Organ Transplantation-Urology, Andrology and Kidney Transplantation Unit, University of Bari, Bari, Italy.

Introduction: The association between obesity and clinically significant prostate cancer (PCa) is still a matter of debate. In this study, we evaluated the effect of body mass index (BMI) on the prediction of pathological unfavorable disease (UD), positive surgical margins (PSMs), and biochemical recurrence (BCR) in patients with clinically localized (≤cT2c) International Society of Urological Pathology (ISUP) grade group 1 PCa at biopsy.

Methods: 427 patients with ISUP grade group 1 PCa who have undergone radical prostatectomy and BMI evaluation were included. Read More

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Long-Term Analgesia following a Single Application of Fentanyl Transdermal Solution in Pigs.

Eur Surg Res 2021 Jun 24:1-6. Epub 2021 Jun 24.

Université de Lille, Inserm, CHU Lille, Institut Pasteur Lille, Lille, France.

Introduction: In animal research, obtaining efficient and constant pain control is regulatory but challenging. The gold standard pain management consists of opioid analgesic administration, such as buprenorphine or fentanyl extended-release patches. However, as in all drugs with a short half-life time, repeated buprenorphine administrations are needed, leading to multiple injections that affect the research protocol. Read More

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A model-based source separation algorithm for lung perfusion imaging using electrical impedance tomography.

Physiol Meas 2021 Jun 24. Epub 2021 Jun 24.

Medical Information Technology, RWTH Aachen University, Aachen, Nordrhein-Westfalen, GERMANY.

Objective: Electrical impedance tomography (EIT) for lung perfusion imaging is attracting considerable interest in intensive care, as it might open up entirely new ways to adjust ventilation therapy. A promising technique is bolus injection of a conductive indicator to the central venous catheter, which yields the indicator-based signal (IBS). Lung perfusion images are then typically obtained from the IBS using the maximum slope technique. Read More

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Unexpected diagnosis of acute lymphoblastic leukemia in a 2-year-old with acute appendicitis - Case report.

Int J Surg Case Rep 2021 Jun 9;84:106077. Epub 2021 Jun 9.

Tripler Army Medical Center, Department of Surgery, 1 Jarrett White Rd, Honolulu, HI 96859, United States of America.

Introduction And Importance: Appendicitis is an extremely common surgical problem, especially in the pediatric population. However, leukemic infiltration of the appendix is rare and even more so is having acute appendicitis as the initial manifestation.

Case Presentation: The patient is a 2-year-old female with multiple febrile illnesses since birth, who presented to the emergency department with a 3-day history of abdominal pain, fever, and decreased appetite. Read More

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Fertility-sparing uterine lesion resection in a woman with hemoperitoneum due to invasive mole: A rare case report.

Int J Surg Case Rep 2021 Jun 18;84:106117. Epub 2021 Jun 18.

Department of Radiology, Hamadan University of Medical Science, Hamadan, Iran. Electronic address:

Introduction: Gestational trophoblastic neoplasia comprises a unique group of human neoplastic diseases that derive from fetal trophoblastic tissues. The hydatidiform mole is the most common form of GTD, representing 80 % of cases. An invasive mole is a hydatidiform mole characterized by the enlarged hydropic villi invading into the myometrium, into vascular spaces, or into extrauterine sites. Read More

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Intravaginal 6.5 mg prasterone administration in postmenopausal women with overactive bladder syndrome: A pilot study.

Eur J Obstet Gynecol Reprod Biol 2021 Jun 12;263:67-71. Epub 2021 Jun 12.

Department of General Surgery and Medical Surgical Specialties, Gynecological Clinic University of Catania, Via S. Sofia 78, 95124 Catania, Italy.

Objective: The aim of this study was to evaluate the impact of vaginally prasterone administration on postmenopausal women with genitourinary syndrome of menopause (GSM) affected by overactive bladder syndrome (OAB). A secondary aim of this study was to assess the efficacy of prasterone on VVA and quality of life (QoL).

Study Design: Thirty-two postmenopausal women with GSM and referred OAB symptoms received treatment with daily intravaginal prasterone 6. Read More

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The ergonomic impact of patient body mass index on surgeon posture during simulated laparoscopy.

Appl Ergon 2021 Jun 21;97:103501. Epub 2021 Jun 21.

Leicester Cancer Research Centre, University of Leicester, UK. Electronic address:

Laparoscopy is a cornerstone of modern surgical care, with clear advantages for the patients. However, it has also been associated with inducing upper body musculoskeletal disorders amongst surgeons due to their propensity to assume non-neutral postures. Further, there is a perception that patients with high body mass indexes (BMI) exacerbate these factors. Read More

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Treatment-emergent central sleep apnea associated with non-positive airway pressure therapies in obstructive sleep apnea patients: A systematic review.

Sleep Med Rev 2021 Jun 5;58:101513. Epub 2021 Jun 5.

Department of Pulmonary Medicine, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.

This systematic review summarizes the prevalence of treatment-emergent central sleep apnea (TECSA) occurring with therapies other than positive airway pressure (PAP) for the management of obstructive sleep apnea (OSA). We describe its natural course as well as the proposed underlying pathophysiological mechanisms and the clinical management of affected patients. A systematic search of PubMed, Embase, Web of science, and the Cochrane Library was performed until June 2020. Read More

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Cognitive dysfunction in central disorders of hypersomnolence: A systematic review.

Sleep Med Rev 2021 Jun 3;59:101510. Epub 2021 Jun 3.

IRCCS Istituto Delle Scienze Neurologiche di Bologna, Bologna, Italy; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy. Electronic address:

Central disorders of hypersomnolence (CDH) are characterized by excessive daytime sleepiness not related to comorbid sleep or medical disturbances. We systematically examined scientific literature on cognitive functions in patients suffering from CDH. Forty-eight studies proved eligible and were analyzed separately for Narcolepsy Type 1 (NT1), Narcolepsy Type 2 (NT2), Idiopathic hypersomnia (IH) and Kleine-Levin syndrome (KLS). Read More

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Long-term outcome of Simpson IV meningioma resection: Would it improve with adjuvant SRS?

Clin Neurol Neurosurg 2021 Jun 17;207:106766. Epub 2021 Jun 17.

Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic; First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.

Objective: Subtotal meningioma resection (STR) is often performed to minimize surgical morbidity. Nevertheless, only a few studies have reported on patient outcome after STR. We studied the long-term outcome of SIV (Simpson grade IV) resection and identified predictive factors of overall survival (OS), progression-free survival (PFS) and time to progression (TTP). Read More

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Piezoelectric canalplasty for exostoses and osteoma.

Am J Otolaryngol 2021 Jun 18;42(6):103114. Epub 2021 Jun 18.

Department of Otorhinolaryngology, Helios Hospital Berlin-Buch, Berlin, Germany.

Objective: To evaluate the safety profile and surgical technique for removal of symptomatic exostoses and osteoma of the external auditory canal with a micro-oscillating piezoelectric device.

Method: A chart review was conducted on patients undergoing piezoelectric canalplasty between 2019 and 2021 at tertiary referral hospital. Surgery was performed by two surgeons with varying experience. Read More

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Myringoplasty for pediatric chronic otitis media: An uncritical closure of a natural middle ear drainage?

Am J Otolaryngol 2021 Jun 18;42(6):103122. Epub 2021 Jun 18.

Department of Otolaryngology, Head and Neck Surgery, Friedrich-Alexander University Erlangen-Nuremberg (FAU), Erlangen, Germany.

Background: Performing tympanoplasty for tympanic perforations in children and adolescents is often considered to be less successful than in adults.

Objectives: The aim of our study was to evaluate the surgical outcome of tympanoplasty type I in patients under 15 years of age with chronic otitis media and to identify potential factors that influence the success rate.

Materials Und Methods: The present study was based on a retrospective analysis of the medical records of all patients under the age of 15 who were treated for chronic otitis media by means of type I tympanoplasty between 2005 and 2020. Read More

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Optimal Allocation of Chemotherapy Schemes for Metastatic Colon Cancer in Colombia.

Value Health Reg Issues 2021 Jun 21;26:105-112. Epub 2021 Jun 21.

Facultad de Ciencias de la Salud, Universidad Icesi, Cali, Colombia.

Objectives: This study aims to determine the optimal proportion for different chemotherapy schemes in patients with metastatic colorectal cancer who have undergone surgical resection in Colombia.

Methods: A linear programming model was used to quantify the optimal proportion of the chemotherapy schemes that maximize quality-adjusted life-years (QALYs). The model was evaluated in 6 different scenarios using parametric and dynamic optimization with different budget restriction constraints. Read More

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Management of spaghetti wrist under WALANT surgery.

Hand Surg Rehabil 2021 Jun 21. Epub 2021 Jun 21.

Antalya Training and Research Hospital, Department of Orthopedics and Traumatology, Soguksu district, Kazım Karabekir street, Muratpasa, 07100, Antalya, Turkey. Electronic address:

This study aimed to evaluate the effectiveness of the WALANT technique in managing spaghetti wrist lacerations. Thirteen consecutive patients with spaghetti wrist laceration were operated on under WALANT and followed prospectively. All patients were operated on by the same hand surgeon in a university hospital setting. Read More

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Unifying the Hepatopancreatobiliary Surgery Fellowship Curriculum via Delphi Consensus.

J Am Coll Surg 2021 Jun 15. Epub 2021 Jun 15.

Department of Surgery, University of California San Francisco, San Francisco, CA.

Background: HPB Fellowship training in the Americas consists of three distinctive routes with variable curricula: Surgical Oncology Fellowship via the Society of Surgical Oncology (SSO), Abdominal Transplant Surgery Fellowship via the American Society of Transplant Surgeons (ASTS), and HPB Fellowship via the Americas Hepato-Pancreato-Biliary Association (AHPBA). Our objective was to establish a pan-American consensus among hepatopancreatobiliary (HPB) surgeons, surgical oncologists, abdominal transplant surgeons, and general surgery residency program directors (GSPDs) on a core knowledge curriculum for HPB fellowship and to identify topics appropriate for general surgery residency and subspecialty beyond HPB fellowship.

Study Design: A three-round modified Delphi process was used. Read More

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Biomarker Risk Score Algorithm and Preoperative Stratification of Patients with Pancreatic Cystic Lesions.

J Am Coll Surg 2021 Jun 14. Epub 2021 Jun 14.

Department of Surgery, Indiana University School of Medicine, Indianapolis, IN; Walther Oncology Center, Indianapolis, IN; Indiana University Simon Cancer Center, Indianapolis, IN; Indiana University Health Pancreatic Cyst and Cancer Early Detection Center, Indianapolis, IN; Department of Biochemistry/Molecular Biology, Indiana University School of Medicine, Indianapolis, IN; Center for Outcomes Research in Surgery, Indiana University School of Medicine, Indianapolis, IN. Electronic address:

Introduction: Pancreatic cysts are incidentally detected in up to 13% of patients undergoing radiographic imaging. Of the most frequently encountered types, mucin-producing (mucinous) pancreatic cystic lesions may develop into pancreatic cancer, while non-mucinous ones have little or no malignant potential. Accurate preoperative diagnosis is critical for optimal management but has been difficult to achieve, resulting in unnecessary major surgery. Read More

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Traumatic brain injury related paediatric mortality and morbidity in low- and middle-income countries: a systematic review.

World Neurosurg 2021 Jun 21. Epub 2021 Jun 21.

Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, Medical Sciences Division, University of Oxford, Oxford, UK.

Background: The burden of paediatric traumatic brain injury (pTBI) in low-and-middle-income countries (LMICs) is unknown. To fill this gap, we conducted a review that aimed to characterise the causes of pTBI in LMICs, and their reported associated mortality and morbidity.

Methods: A systematic review was conducted. Read More

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Anterior odontoid screw fixation for pediatric and adolescent odontoid fractures: Single center experience over a decade.

World Neurosurg 2021 Jun 21. Epub 2021 Jun 21.

Professor, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi- 110029, India.

Objective: Management of pediatric odontoid fractures is tricky and controversial. This study will enrich world literature with intricacies of anterior odontoid screw (OS) fixation in the pediatric population learned over the last decade.

Material And Methods: In this retrospective study, all pediatric odontoid fracture patients who underwent anterior odontoid screw fixation from Jan 2010 to December 2019 were included and evaluated for surgical outcome. Read More

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The Effect of Radiation on Meningioma Volume Change.

World Neurosurg 2021 Jun 21. Epub 2021 Jun 21.

Department of Neurosurgery, 417 North 11th Street, PO Box 980631, Virginia Commonwealth University, Richmond, VA 23219. Electronic address:

Background: Radiation therapy is a common treatment for meningiomas. Volume changes of meningiomas in response to radiation are not well-characterized. This study seeks to quantify the volume change of meningiomas following radiation. Read More

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Does COVID-19 affect survival and functional outcome in emergency and urgent neurosurgical procedures? A single center prospective experience during the pandemic.

World Neurosurg 2021 Jun 21. Epub 2021 Jun 21.

Department of Neurosurgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; "Aldo Ravelli" Research Center, Milan, Italy; Department of Medical-Surgical Physiopathology and Transplantation, University of Milan, Milan, Italy.

Objective: To assess the organization and technical difficulties of neurosurgical procedures during the COVID-19 pandemic and their possible impact on survival and functional outcome; in addition, to evaluate the virological exposure risk of the medical personnel.

Methods: We prospectively collected data for all urgent surgical procedures performed in the COVID-19-dedicated theatre. Pre and postoperative variables were gathered: demographics, pathology, KPS and neurological status at admission, type of surgical procedures and their duration, length of in-ward stay(LOS), postoperative KPS and functional outcome comparison, destination at discharge. Read More

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Resection of Benign Osseous Spine Tumors in Pediatric Patients by Minimally Invasive Techniques.

World Neurosurg 2021 Jun 21. Epub 2021 Jun 21.

Department of Neurosurgery, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objectives: Benign osseous tumors of the spine in children are rare cause for surgery. The aim of this study is to describe our experience with resection of pediatric benign osseous spine tumors utilizing a minimally invasive technique through a variety of surgical approaches.

Methods: Retrospective review of prospectively collected data of pediatric patients who underwent minimally invasive resection of benign osseous vertebral tumor from May 2013 through November 2018. Read More

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Commentary: Surgical treatment for atrial fibrillation at the time of cardiac surgery: just do it.

Semin Thorac Cardiovasc Surg 2021 Jun 21. Epub 2021 Jun 21.

Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic. Electronic address:

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A Cavopulmonary Assist Device for long-term Therapy of Fontan Patients.

Semin Thorac Cardiovasc Surg 2021 Jun 21. Epub 2021 Jun 21.

Biofluid Mechanics Laboratory, Institute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany; Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria. Electronic address:

Treatment of univentricular hearts remains restricted to palliative surgical corrections (Fontan pathway). The established Fontan circulation lacks a sub-pulmonary pressure source and is commonly accompanied by progressively declining hemodynamics. A novel cavopulmonary assist device (CPAD) may hold the potential for improved therapeutic management of Fontan patients by chronic restoration of biventricular equivalency. Read More

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"Superior rectal artery embolization for symptomatic grade 2 and 3 hemorrhoidal disease: 6 months follow-up among 43 patients".

J Vasc Interv Radiol 2021 Jun 21. Epub 2021 Jun 21.

UOC Prima Chirurgia, Dipartimento di Chirurgia, Azienda ULSS2 Marca Trevigiana, Treviso, Italia.

Purpose: To assess technical and clinical success rates of superior rectal artery embolization in the treatment of symptomatic grade II and III hemorrhoidal disease.

Material & Methods: Since March 2019, 43 patients (24 males and 19 females; mean age 52 years [18-77 years]) with symptomatic hemorrhoidal disease have been treated and completed the 6-month follow-up with anamnestic questionnaire and disease scores, including French bleeding, Goligher prolapse, VAS for pain, and quality of life. Clinical success was assessed at 7 days, 1 month and 6 months of follow-up by updating the clinical scores. Read More

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Causes of Sudden Cardiac Death in Young Athletes and Non-athletes: Systematic Review and Meta-analysis: Sudden Cardiac Death in the Young.

Trends Cardiovasc Med 2021 Jun 21. Epub 2021 Jun 21.

Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Italy.

Introduction: The etiology of sudden cardiac death (SCD) in young people continues to attract much attention. This meta-analysis aimed to identify the most frequent causes of SCD in individuals aged ≤35 years, the differences between athletes and non-athletes and geographic areas.

Methods: Studies published between 01/01/1990 and 01/31/2020 and evaluating post-mortem the aetiology of SCD in young individuals (≤35 years) were included. Read More

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Rates of pregnancy among levonorgestrel and copper intrauterine emergency contraception initiators: implications for backup contraception recommendations.

Contraception 2021 Jun 21. Epub 2021 Jun 21.

University of Utah School of Medicine, Department of Obstetrics and Gynecology, 30 N 1900 E, Salt Lake City, UT 84132, USA.

Objective: This study assessed the timing, frequency, use of backup method and one-month pregnancy rates among individuals who had an intrauterine device (IUD) placed as emergency contraception and reported intercourse within seven days post-placement.

Study Design: In this secondary analysis of a randomized control trial of IUDs for emergency contraception, 518 individuals reporting unprotected intercourse in the preceding five days had a 52mg levonorgestrel intrauterine system (IUS) or 380mm copper IUD placed outside the first week of their menstrual cycle. All participants were advised to use backup contraception for seven days. Read More

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Interest of Awake Surgery for Ruptured Cerebral Arteriovenous Malformations Close to Speech Areas - Surgical Note.

Neurochirurgie 2021 Jun 21. Epub 2021 Jun 21.

Service de Neurochirurgie, CHU Jean Minjoz, 3 Boulevard Alexandre Fleming, 25030 Besançon Cedex, France. Electronic address:

Background: Cerebral arteriovenous malformations (AVMs) are rare, with incidence of 1.12-1.42 cases per 100,000 person-years(1). Read More

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