3,730,900 results match your criteria Surgical Reversal of Presbyopia - A Comprehensive Video Text


Oral rehabilitation in a patient with Jeune syndrome presenting with multiple teeth agenesis.

Spec Care Dentist 2020 Jul 3. Epub 2020 Jul 3.

Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Jeune syndrome (JS) is a rare disease, with systemic manifestations, such as renal and hepatic insufficiency, retinal pigmentation, and respiratory insufficiency. Etiological factors have not been completely elucidated, but the molecular biology has contributed to the diagnosis and understanding of JS with DNA sequencing, showing the association among polymorphisms in different genes DYNC2H1 (MIM 603297) and TCTEX1D2 (MIM617353), which are the main genes associated with JS. There are a few reports on buccal findings in these patients; here, we present dental anomalies and clinical oral findings in a patient with JS, focusing on a multidisciplinary approach for rehabilitation. Read More

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http://dx.doi.org/10.1111/scd.12493DOI Listing

'Masking the evidence': perspectives of the COVID-19 pandemic.

J Clin Nurs 2020 Jul 3. Epub 2020 Jul 3.

University of Hull, School of Medical Sciences, Hull, UK.

The COVID-19 pandemic presents a severe and acute public health emergency around the world. The event of the pandemic has seen an upsurge in the general public wearing of disposable surgical masks (DSM) and other types of face masks. The World Health Organisation of mask wearing has been widely debated in the press a(WHO) have changed their advice, to now recommend the routine wearing of fabric masks by the general public as a means of preventing the spread of COVID-19 (WHO 2020a). Read More

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http://dx.doi.org/10.1111/jocn.15401DOI Listing

Laparoscopic excision of a cystic vascular malformation of the sigmoid colon mesentery presenting as a retroperitoneal tumour - a video vignette.

Colorectal Dis 2020 Jul 3. Epub 2020 Jul 3.

Klaipeda University Hospital, Klaipeda, Lithuania.

Mesenteric tumours are quite rare and form a heterogeneous group of tumours. Most of the time they are found accidently on computed tomography (CT) causing only vague abdominal symptoms. These tumours can arise from any of the mesenteric components: vessels, peritoneum, lymphatic tissue, fat, and connective tissue [1]. Read More

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http://dx.doi.org/10.1111/codi.15230DOI Listing

Aicardi Syndrome: Key Fetal MRI Features and Prenatal Differential Diagnosis.

Neuropediatrics 2020 Jul 3. Epub 2020 Jul 3.

Department of Pediatric Radiology and Neuroradiology, Children's Hospital V. Buzzi, Milan, Italy.

Objective:  This study was aimed to investigate the prenatal findings in Aicardi syndrome (AIC) by intrauterine magnetic resonance imaging (iuMRI) suggesting possible diagnostic criteria and differential diagnosis.

Methods:  The iuMRI features of nine AIC confirmed cases were described and then compared with those of postnatal MRI. Furthermore, all iuMRI cases with both corpus callosum (CC) agenesis-dysgenesis and cortical malformation (AIC mimickers) were retrospectively reviewed and compared with iuMRI AIC cases, in order to identify possible neuroradiological predictors of AIC syndrome. Read More

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http://dx.doi.org/10.1055/s-0040-1710528DOI Listing

Efficient T cell compartment in HIV+ patients receiving orthotopic liver transplant and immunosuppressive therapy.

J Infect Dis 2020 Jul 4. Epub 2020 Jul 4.

Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.

Background And Aims: In patients undergoing orthotopic liver transplant (OLT), immunosuppressive (IS) treatment is mandatory and infections are leading causes of morbidity/mortality. Thus, it is essential to understand the functionality of cell-mediated immunity after OLT. The aim of the study was to identify changes in T cell phenotype and polyfunctionality in HIV+ and HIV- patients treated with IS after OLT. Read More

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http://dx.doi.org/10.1093/infdis/jiaa395DOI Listing

Bioprinting small diameter blood vessel constructs with an endothelial and smooth muscle cell bilayer in a single step.

Biofabrication 2020 Jul 3. Epub 2020 Jul 3.

Wake Forest Institute for Regenerative Medicine, Winston-Salem, North Carolina, UNITED STATES.

Bioengineered artificial blood vessels have been a major area of interest over the last decade. Of particular interest are small diameter vessels, as surgical options are currently limited. This study aimed to fabricate a small diameter, heterogeneous bilayer blood vessel-like construct in a single step with gelatin methacryloyl (GelMA) bioink using a 3D micro-extrusion bioprinter on a solid platform. Read More

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http://dx.doi.org/10.1088/1758-5090/aba2b6DOI Listing

Earlier radiosurgery leads to better pain relief and less medication usage for trigeminal neuralgia patients: an international multicenter study.

J Neurosurg 2020 Jul 3:1-8. Epub 2020 Jul 3.

1Department of Neurosurgery, New York University Langone Medical Center, New York, New York.

Objective: Trigeminal neuralgia (TN) is a chronic pain condition that is difficult to control with conservative management. Furthermore, disabling medication-related side effects are common. This study examined how stereotactic radiosurgery (SRS) affects pain outcomes and medication dependence based on the latency period between diagnosis and radiosurgery. Read More

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http://dx.doi.org/10.3171/2020.4.JNS192780DOI Listing

Fine configuration of the dural fibrous network and the extradural neural axis compartment in the jugular foramen: an epoxy sheet plastination and confocal microscopy study.

J Neurosurg 2020 Jul 3:1-11. Epub 2020 Jul 3.

1Department of Anatomy and.

Objective: The extradural neural axis compartment (EDNAC) is an adipovenous zone that is located between the meningeal (ML) and endosteal (EL) layers of the dura mater and has been minimally investigated in the jugular foramen (JF) region. In this study, the authors aimed to explore the fine architecture of the EDNAC within the JF and evaluate whether the EDNAC can be used as a component for JF compartmentalization.

Methods: A total of 46 cadaveric heads (31 male, 15 female; age range 54-96 years) and 30 dry skulls were examined in this study. Read More

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http://dx.doi.org/10.3171/2020.4.JNS20811DOI Listing

The utility of brain biopsy in pediatric cryptogenic neurological disease.

J Neurosurg Pediatr 2020 Jul 3:1-8. Epub 2020 Jul 3.

Departments of1Neurosurgery.

Objective: The authors' aim was to characterize a single-center experience of brain biopsy in pediatric cryptogenic neurological disease.

Methods: The authors performed a retrospective review of consecutive brain biopsies at a tertiary pediatric neurosciences unit between 1997 and 2017. Children < 18 years undergoing biopsy for neurological pathology were included. Read More

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http://dx.doi.org/10.3171/2020.4.PEDS19783DOI Listing

Flexible endoscope visualization to assist in the removal of a string of 10 schwannomas at the cauda equina: technical case report.

J Neurosurg Spine 2020 Jul 3:1-4. Epub 2020 Jul 3.

1Department of Neurosurgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China; and.

Bead-like schwannomas at the cauda equina are rare but benign intraspinal tumors. They can involve multiple nerve roots and spread within the spinal canal, and open resection would cause significant trauma. The authors have successfully applied a novel minimally invasive technique for the total removal of such schwannomas. Read More

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http://dx.doi.org/10.3171/2020.4.SPINE191390DOI Listing

Outcomes in single-level posterior cervical spine surgeries performed in the sitting and prone positions.

J Neurosurg Spine 2020 Jul 3:1-7. Epub 2020 Jul 3.

Departments of1Neurologic Surgery and.

Objective: The sitting or semisitting position in neurosurgery allows for several technical advantages, including improved visualization of the surgical field. However, it has also been associated with an increased risk of venous air embolisms and positioning-related complications that limit its commonplace adoption. The authors report a large, single-center series of cervical spine procedures performed with patients in the sitting or prone position in order to assess the perceived risk of intraoperative and postoperative complications associated with the sitting position. Read More

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http://dx.doi.org/10.3171/2020.4.SPINE191323DOI Listing

Language network reorganization before and after temporal lobe epilepsy surgery.

J Neurosurg 2020 Jul 3:1-9. Epub 2020 Jul 3.

Departments of1Biomedical Imaging and Image-guided Therapy.

Objective: Epilepsy surgery is the recommended treatment option for patients with drug-resistant temporal lobe epilepsy (TLE). This method offers a good chance of seizure freedom but carries a considerable risk of postoperative language impairment. The extremely variable neurocognitive profiles in surgical epilepsy patients cannot be fully explained by extent of resection, fiber integrity, or current task-based functional MRI (fMRI). Read More

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http://dx.doi.org/10.3171/2020.4.JNS193401DOI Listing

A light on the dark side: in vivo endoscopic anatomy of the posterior third ventricle and its variations in hydrocephalus.

J Neurosurg 2020 Jul 3:1-9. Epub 2020 Jul 3.

2Department of Neurosciences, Neurosurgical Unit, University of Modena.

Objective: Despite the technological advancements of neurosurgery, the posterior part of the third ventricle has always been the "dark side" of the ventricle. However, flexible endoscopy offers the opportunity for a direct, in vivo inspection and detailed description of the posterior third ventricle in physiological and pathological conditions. The purposes of this study were to describe the posterior wall of the third ventricle, detailing its normal anatomy and surgical landmarks, and to assess the effect of chronic hydrocephalus on the anatomy of this hidden region. Read More

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http://dx.doi.org/10.3171/2020.4.JNS20493DOI Listing

Branch pulmonary artery stent placement in a dog with heart base neoplasia.

J Vet Cardiol 2020 May 23;30:17-22. Epub 2020 May 23.

Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy.

A 7-year-old French bulldog was presented for evaluation of cardiac neoplasia. Two-dimensional transthoracic echocardiography revealed a mass on the base of the heart, compressing the right pulmonary artery. Computed tomography exam confirmed that a surgical approach to remove the mass would not be viable. Read More

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http://dx.doi.org/10.1016/j.jvc.2020.05.002DOI Listing

Transoral thyroidectomy (TOETVA): Complications, surgical time and learning curve.

Oral Oncol 2020 Jun 30;110:104871. Epub 2020 Jun 30.

Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, Sao Paulo, Brazil; Head and Neck Surgery, University of São Paulo Medical School, Sao Paulo, Brazil.

Background: Since 2018, transoral endoscopic thyroidectomy vestibular approach (TOETVA) has emerged as a true scarless thyroid surgery. In this study, we explore early outcomes and learning curve of this new approach.

Methods: A retrospective cohort including conventional thyroidectomies and TOETVAs performed in a cancer center was designed. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2020.104871DOI Listing

Clinicopathological features of 50 mismatch repair (MMR)-deficient endometrial carcinomas, tested by immunohistochemistry: A single institutional feasibility study, India.

Ann Diagn Pathol 2020 Jun 20;47:151558. Epub 2020 Jun 20.

Department of Radiation Oncology (Gynecology, Disease Management group), Tata Memorial Hospital, HBNI University, Mumbai, India.

There are few comprehensive studies from Asia on clinicopathologic features of mismatch repair (MMR)-deficient endometrial carcinomas, including rarely from our country. One hundred and four cases of endometrial carcinomas were tested for four MMR proteins by immunohistochemistry. Among 50 MMR-deficient (MMRd) tumors(48%), age-range was 27-68 years(median = 53) and tumor size(n = 34) varied from 1. Read More

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http://dx.doi.org/10.1016/j.anndiagpath.2020.151558DOI Listing

Novel FEMASK-score, a histopathologic assessment for destructive Charcot neuropathic arthropathy, reveals intraneural vasculopathy and correlates with progression and best treatment.

Ann Diagn Pathol 2020 Mar 23;47:151509. Epub 2020 Mar 23.

Penn State College of Medicine, Penn State Health, Milton S. Hershey Medical Center, Hershey, PA, USA; Department of Orthopedic Surgery, Hershey, PA, USA.

Background: Charcot neuropathic arthropathy is a debilitating, rapidly destructive degenerative joint disease that occurs in diabetic, neuropathic midfoot. Clinicoradiologic assessment for Charcot neuropathic arthropathy previously relied on Eichenholtz stage. There is limited histopathologic data on this entity. Read More

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http://dx.doi.org/10.1016/j.anndiagpath.2020.151509DOI Listing

Extended endonasal endoscopic approach for anterior midline skull base lesions.

Clin Neurol Neurosurg 2020 Jun 20;196:106024. Epub 2020 Jun 20.

Department of Neurosurgery, University of Health Sciences, Gulhane School of Medicine, Ankara, Turkey. Electronic address:

Aim: In recent years, extended endoscopic endonasal approach (EEEA) has been used as an alternative to transcranial approaches in the treatment of anterior midline skull base lesions. We retrospectively reviewed our cases operated using this technique and compared the results with current literature.

Method: The data of 24 patients who were operated using EEEA in our department between 2010-2018 were retrospectively analyzed. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.106024DOI Listing

Spinal anesthesia in surgical treatment of lumbar spine tumors.

Clin Neurol Neurosurg 2020 Jun 20;196:106023. Epub 2020 Jun 20.

Okan University, Department of Neurosurgery, Istanbul, Turkey.

Objective: This study aims to show the feasibility of spinal anesthesia in lumbar spinal tumor surgery; share our data and experience.

Patients And Methods: A retrospective review of 14 patients with high risk for general anesthesia due to severe comorbidities was carried out. Patients who underwent surgeries under spinal anesthesia for lumbar vertebral column or spinal cord tumors at a single center between 2007-2019 were evaluated. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.106023DOI Listing

Surgical outcomes in traumatic brain injuries with bilateral mass occupying lesions. Analysis of prognostic factors.

Clin Neurol Neurosurg 2020 Jun 20;196:106017. Epub 2020 Jun 20.

Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka 560029, India. Electronic address:

Introduction: Traumatic brain injury is a silent epidemic with major impacts on national productivity as it affects the economically productive age group. Bilateral injuries are usually severe with no clearly defined predictors of outcome as per current available literature.

Methods: We retrospectively assessed 102 consecutive cases of post traumatic intracranial mass lesions operated bilaterally, either simultaneously or sequentially, between January 2011 and April 2019. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.106017DOI Listing

Isolated limb perfusion for soft tissue sarcoma: Current practices and future directions. A survey of experts and a review of literature.

Cancer Treat Rev 2020 Jun 19;88:102058. Epub 2020 Jun 19.

Sarcoma Unit, Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.

Soft tissue sarcomas constitute 1% of adult malignant tumors. They are a heterogeneous group of more than 50 different histologic types. Isolated limb perfusion is an established treatment strategy for locally advanced sarcomas. Read More

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http://dx.doi.org/10.1016/j.ctrv.2020.102058DOI Listing

The 5 and 11 Factor Modified Frailty Indices are Equally Effective at Outcome Prediction Using TQIP.

J Surg Res 2020 Jun 30;255:456-462. Epub 2020 Jun 30.

Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

Background: The 5-factor modified frailty index (mFI-5) and the 11-factor modified frailty index (mFI-11) are equally effective in predicting adverse outcomes in the American College of Surgeons National Surgical Quality Improvement Program database. The similarly structured American College of Surgeons Trauma Quality Improvement Program (TQIP) database has not been studied with these two frailty indices. We hypothesized that the mFI-5 and mFI-11 could similarly predict adverse outcomes with TQIP data. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.090DOI Listing

Predictive Model for Operative Intervention after Blunt Abdominal Trauma in Children with Equivocal CT Findings: A Pilot Study.

J Surg Res 2020 Jun 30;255:449-455. Epub 2020 Jun 30.

Department of Pediatric Surgery, John R. Oishei Children's Hospital, Buffalo, New York; Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York.

Background: To study the clinical and radiologic factors predicting the need for surgical intervention after blunt abdominal trauma (BAT) in children with equivocal computed tomography (CT) scan findings.

Methods: We performed a retrospective review of the trauma database at our level I pediatric trauma center between 2011 and 2019. We selected patients with BAT and equivocal findings for surgical intervention on CT scan. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.088DOI Listing

Association of Trauma Center Level and Patient Volume with Outcomes for Penetrating Thoracic Trauma.

J Surg Res 2020 Jun 30;255:442-448. Epub 2020 Jun 30.

Trauma Service, Department of Surgery, Scripps Mercy Hospital, San Diego, California. Electronic address:

Background: We investigated the potential link between trauma center American College of Surgeons verification level and institutional volume of penetrating thoracic trauma with outcomes for patients with penetrating thoracic trauma.

Methods: Penetrating thoracic injuries were identified in the National Trauma Data Bank from 2013 to 2016. Primary exposures were trauma center American College of Surgeons verification level and annual penetrating trauma caseload by center. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.089DOI Listing

The Unintended Consequences of Nonoperative Management of Acute Appendicitis.

J Surg Res 2020 Jun 30;255:436-441. Epub 2020 Jun 30.

Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.

Background: Appendicitis has traditionally been treated surgically. Recently, nonoperative management is emerging as a viable alternative to the traditional operative approach. This raises the question of what are the unintended consequences of nonoperative management of appendicitis with respect to cost and patient burden. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.018DOI Listing

Registry-Based Randomized Controlled Trials: A New Paradigm for Surgical Research.

J Surg Res 2020 Jun 30;255:428-435. Epub 2020 Jun 30.

Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

Background: Randomized controlled trials (RCTs) are the gold standard to establish evidence for surgical practice but can be hindered by high costs, complexity, and time requirements. Recently, observational registries have been leveraged as platforms for clinical trials to address these limitations, though few registry-based surgical RCTs have been conducted. Here, we present our group's approach to surgical registry-based RCTs and early results. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.069DOI Listing

Characterizing Early Inpatient Death After Trauma.

J Surg Res 2020 Jun 30;255:405-410. Epub 2020 Jun 30.

Division of Trauma, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio. Electronic address:

Background: There is a paucity of data to predict early death or futility after trauma. The objective of this study was to characterize the laboratory values, blood product administration, and hospital disposition for patients with trauma who died within 72 h of admission.

Methods: All deaths within 72 h of admission over a 5-y period at a level I trauma center were reviewed. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.083DOI Listing

Peripheral cytokines are not influenced by the type of surgical approach for non-small cell lung cancer by four weeks postoperatively.

Lung Cancer 2020 Jun 27;146:303-309. Epub 2020 Jun 27.

Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, United States. Electronic address:

Objectives: The influence of surgical approach on systemic inflammatory response and the subsequent oncologic impact for non-small cell lung cancer is debated. We aimed to measure the effects of thoracic surgical approach on peripheral cytokine milieu over time.

Methods: Patients undergoing primary lung resection without neoadjuvant therapy (2016-2018) were evaluated. Read More

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http://dx.doi.org/10.1016/j.lungcan.2020.06.022DOI Listing

Performance of preoperative breast MRI based on breast cancer molecular subtype.

Clin Imaging 2020 May 27;67:130-135. Epub 2020 May 27.

Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA. Electronic address:

Purpose: To assess the performance of preoperative breast MRI biopsy recommendations based on breast cancer molecular subtype.

Methods: All preoperative breast MRIs at a single academic medical center from May 2010 to March 2014 were identified. Reports were reviewed for biopsy recommendations. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.05.017DOI Listing

How to I manage treatment failure in prosthetic joint infection.

Clin Microbiol Infect 2020 Jun 30. Epub 2020 Jun 30.

Department of Surgery, Epworth Healthcare, The University of Melbourne, Victoria, Australia.

Background: Management for prosthetic joint infections remains a challenging area for both infectious diseases and orthopaedic surgery, particularly in the setting of treatment failure. This is compounded by a lack of level 1 evidence to guide approaches. The optimal management of prosthetic joint infections requires a multidisciplinary approach combined with shared decision making with the patient. Read More

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http://dx.doi.org/10.1016/j.cmi.2020.06.022DOI Listing

Clinical characteristics and postoperative symptoms of adolescent endometriosis among 85 cases.

J Pediatr Adolesc Gynecol 2020 Jun 30. Epub 2020 Jun 30.

Department of General Gynecological Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Study Objective: Endometriosis is the most common cause of secondary dysmenorrhea among adolescents. Data on postoperative symptoms of the disease in adolescents are limited. This study aims to describe the clinical characteristics and postoperative symptoms of adolescent endometriosis in our center. Read More

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http://dx.doi.org/10.1016/j.jpag.2020.06.021DOI Listing

Differences in 30-day outcomes between inpatient and outpatient total elbow arthroplasty (TEA).

J Shoulder Elbow Surg 2020 Jun 30. Epub 2020 Jun 30.

Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Background: As the healthcare system in the United States shifts towards value-based care, there has been increased interest in performing total joint arthroplasty (TJA) in the outpatient setting to optimize costs, outcomes, and patient satisfaction. Several studies have demonstrated success in performing ambulatory total knee and hip arthroplasty. The purpose of this study was to compare short-term outcomes and complications following total elbow arthroplasty (TEA) across the inpatient and outpatient operative settings. Read More

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http://dx.doi.org/10.1016/j.jse.2020.06.009DOI Listing

Laparoscopic VS. Open splenectomy and oesophagogastric devascularisation for liver cirrhosis and portal hypertension: A retrospective cohort study.

Int J Surg 2020 Jun 30. Epub 2020 Jun 30.

Department of Hepatobiliary Surgery, Jiangyin Hospital Affiliated to Nantong University, Jiangyin, 214400, Jiangsu Province, China. Electronic address:

Background: We compared laparoscopic splenectomy combined with oesophagogastric devascularisation vs. open splenectomy combined with oesophagogastric devascularisation in patients with portal hypertension secondary to liver cirrhosis.

Materials And Methods: This study included 192 patients diagnosed with portal hypertension and severe gastroesophageal varices at our hospital between January 2002 and December 2018;62 patients underwent laparoscopic splenectomy combined with oesophagogastric devascularisation (laparoscopic group), and 130 patients underwent the open procedure(open group). Read More

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http://dx.doi.org/10.1016/j.ijsu.2020.06.026DOI Listing

Long-Term Implications of Tracheostomy in Cardiac Surgery Patients: Decannulation and Mortality.

Ann Thorac Surg 2020 Jun 30. Epub 2020 Jun 30.

Department of Thoracic and Cardiovascular Surgery, University of Virginia, PO Box 800678, Charlottesville, Virginia, 22908.

Background: The long-term implications of tracheostomy in cardiac surgical patients are largely unknown. We sought to investigate outcomes including decannulation and long-term mortality in a population of post-cardiac surgery patients.

Methods: All patients undergoing cardiac surgery at a single institution between 1997-2016 were evaluated for postoperative tracheostomy placement, time to decannulation and mortality. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.05.052DOI Listing

Echocardiographic predictors of recoarctation following surgical repair - a Swedish national study.

Ann Thorac Surg 2020 Jun 30. Epub 2020 Jun 30.

Lund University, Skane University Hospital, Department of Clinical Sciences Lund, Pediatric Cardiology, Lund, Sweden.

Background: Following surgical repair of aortic coarctation (CoA) there is a risk for restenosis (reCoA), particularly in the first year of life. It was the aim of this study to identify reCoA risk factors by analyzing postoperative pre-discharge echocardiograms.

Methods: Retrospective analysis of echocardiograms of children born operated for CoA in Sweden 2011-2017. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.05.062DOI Listing

A Systematic Review and Meta-Analysis of Biceps Tenodesis Fixation Strengths: Fixation Type and Location Are Biomechanically Equivalent.

Arthroscopy 2020 Jun 30. Epub 2020 Jun 30.

Steadman Philippon Research Institute, Vail, CO; The Steadman Clinic, Vail, CO. Electronic address:

Purpose: The purpose of this meta-analysis and systematic review was to critically evaluate the biomechanical outcomes of different fixation constructs for a variety of biceps tenodesis techniques in cadaveric models based on both type of fixation as well as location.

Methods: A PROSPERO registered systematic review (CCRD42018109243) was conducted of the current literature with the terms "long head of biceps" AND "tenodesis" AND "biomechanics" and numerous variations thereof in PubMed, EMBASE, and Cochrane yielding 1460 abstracts. After screening by eligibility criteria, 18 full-text articles were included. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.05.055DOI Listing

Assessment of advanced peri-operative outcomes to identify the true learning curve of robotic-assisted partial nephrectomy.

Urology 2020 Jun 30. Epub 2020 Jun 30.

Department of Urology, Mayo Clinic, Jacksonville, FL. Electronic address:

Objectives: To evaluate the learning curve of robotic-assisted partial nephrectomy (RAPN) as it pertains to operative time (OT) and advanced peri-operative variables such as achievement of trifecta, post-operative complications, 30-day readmission rates (RR), warm ischemia time (WIT) and functional volume loss (FVL).

Methods: We evaluated 418 consecutive RAPN performed by a single surgeon between February 2008 and April 2019. Multivariable log-log regression models were used to evaluate the associations between case number and continuous outcomes (OT, WIT, FVL). Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.031DOI Listing

Outpatient Extraperitoneal Single-port Robotic Radical Prostatectomy.

Urology 2020 Jun 30. Epub 2020 Jun 30.

Glickman Urology and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Objective: To assess the safety and feasibility of extraperitoneal single-port robotic assisted laparoscopic radical prostatectomy using the da Vinci SP robotic platform for same-day surgery.

Methods: Extraperitoneal single-port robotic prostatectomy (ESRP) using the da VinciⓇ SP platform was performed on 60 patients with clinically localized prostate cancer and no prior definitive therapy. An enhanced recovery protocol was used in the perioperative period and minimal to no opiates were used in these patients. Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.029DOI Listing

For the AAO "The IOL Issue" Intraocular Lenses: Overview of Designs, Materials, and Pathophysiology.

Authors:
Liliana Werner

Ophthalmology 2020 Jun 30. Epub 2020 Jun 30.

Professor of Ophthalmology and Visual Sciences, Co-Director, Intermountain Ocular Research Center. Electronic address:

The aim of this article was to provide an overview of intraocular lenses (IOLs) currently used in cataract surgery. Aspects presented included design features related to IOL construction and sites of fixation, optic, filter, and haptic materials, as well as the pathophysiology of uveal biocompatibility, capsular biocompatibility, and postoperative IOL opacification. This overview also includes supplementary (add-on; piggyback) lenses implanted in eyes that are already pseudophakic, and considerations on IOLs used in the pediatric population. Read More

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http://dx.doi.org/10.1016/j.ophtha.2020.06.055DOI Listing

Metformin prescription associated with reduced AAA growth rate and reduced chemokine expression in a Swedish cohort.

Ann Vasc Surg 2020 Jun 30. Epub 2020 Jun 30.

Department of Surgical Sciences, Vascular Surgery, Uppsala University, Akademiska sjukhuset ing 70, 751 85, Uppsala, Sweden.

Objective: Recent reports suggest that the negative association between diabetes mellitus and abdominal aortic aneurysm (AAA) may be driven by metformin, the world's most common antidiabetic drug, rather than diabetes per se. We sought to investigate the association between AAA growth rate, chemokine profile and metformin prescription in a contemporary Swedish cohort.

Methods: Patients under surveillance for small AAA were identified at four Swedish vascular centers with active AAA screening programs. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.039DOI Listing

Laparoscopic ileocaecal resection versus infliximab for terminal ileitis in Crohn's disease: retrospective long-term follow-up of the LIR!C trial.

Lancet Gastroenterol Hepatol 2020 Jun 30. Epub 2020 Jun 30.

Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.

Background: The LIR!C trial showed that laparoscopic ileocaecal resection is a cost-effective treatment that has similar quality-of-life outcomes to treatment with infliximab, an anti-tumour necrosis factor (TNF) drug. We aimed to compare long-term outcomes of both interventions and identify baseline factors associated with the duration of treatment effect in each group.

Methods: In this retrospective follow-up study, we collected data from patients who participated in the LIR!C trial, a multicentre randomised controlled trial that compared quality of life after surgical resection versus infliximab in adult patients with non-stricturing and immunomodulator-refractory ileocaecal Crohn's disease. Read More

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http://dx.doi.org/10.1016/S2468-1253(20)30117-5DOI Listing

Chronic mandibular hypomobility related to a unilateral accessory condyle. A case report.

Cranio 2020 Jul 3:1-7. Epub 2020 Jul 3.

Research Institute Raúl Vicenelli, Faculty of Dentistry, Central University of Venezuela , Caracas, Venezuela.

Background: Chronic mandibular hypomobility is characterized by a long-standing limitation of the mouth opening related to multiple etiologies, including elongation of the coronoid apophysis. Unlike the most frequent pathologies that cause coronoid elongation, such as hyperplasia, osteoma (OM), and osteochondroma (OC), the accessory mandibular condyle (AMC) is a rare entity. : The AMC shows a configuration similar to a normal mandibular condyle with an articular surface covered by fibrocartilage that articulates with the temporal wall of the zygomatic bone, and histologically, does not show neoplastic growth. Read More

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http://dx.doi.org/10.1080/08869634.2020.1788842DOI Listing

New Insights in Gene Expression Alteration as Effect of Paclitaxel Drug Resistance in Triple Negative Breast Cancer Cells.

Cell Physiol Biochem 2020 Jul;54(4):648-664

Research Center for Functional Genomics, Biomedicine and Translational Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Background/aims: Triple negative breast cancer (TNBC) is a highly aggressive form of cancer which lacks targeted therapy options. Thus, TNBC patients have poor outcomes and a decreased survival rate than patients with other types of breast cancers. Due to the lack of surface receptors, TNBC needs a comprehensive investigation to provide more information regarding patient's therapy, as well as to understand the way how to counteract drug resistance mechanisms. Read More

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http://dx.doi.org/10.33594/000000246DOI Listing

Proteomic and Genomic Methylation Signatures of Idiopathic Subglottic Stenosis.

Laryngoscope 2020 Jul 3. Epub 2020 Jul 3.

Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, U.S.A.

Objective: Idiopathic subglottic stenosis (iSGS) is a chronic inflammatory condition that causes dyspnea and affects middle-aged women of White race and non-Latino or Hispanic ethnicity. To better characterize its phenotype and pathogenesis, we assessed the proteomic and genomic methylation signatures of subglottic tissue collected from iSGS patients compared to controls.

Study Design: Molecular analysis of clinical biospecimens. Read More

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http://dx.doi.org/10.1002/lary.28851DOI Listing

Partners' experiences of living with men who have screening-detected abdominal aortic aneurysms: A qualitative descriptive study.

J Clin Nurs 2020 Jul 3. Epub 2020 Jul 3.

Department of Care Science, Malmö University, Jan Waldenströms gata 25, 205 06, Malmö, Sweden.

Aim: To describe partners' experiences of living with men with a screening-detected abdominal aortic aneurysm (AAA).

Background: Diagnosis of a chronic life-threatening disease affects the patients' as well as their partners' lives in different aspects. Abdominal aortic aneurysm, with rupture as the major consequence, is a life-threatening disease that can affect the whole family. Read More

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http://dx.doi.org/10.1111/jocn.15399DOI Listing

Risk of bowel fistula following surgical management of deep endometriosis of the rectosigmoid: a series of 1102 cases.

Hum Reprod 2020 Jul 3. Epub 2020 Jul 3.

Department of Digestive Surgery, Rouen University Hospital, Rouen, France.

Study Question: What are the risk factors and prevalence of bowel fistula following surgical management of deep endometriosis infiltrating the rectosigmoid and how can it be managed?

Summary Answer: In patients managed for deep endometriosis of the rectosigmoid, risk of fistula is increased by bowel opening during both segmental colorectal resection and disc excision and rectovaginal fistula repair is more challenging than for bowel leakage.

What Is Known Already: Bowel fistula is known to be a severe complication of colorectal endometriosis surgery; however, there is little available data on its prevalence in large series or on specific management.

Study Design, Size, Duration: A retrospective study employing data prospectively recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis (CIRENDO) from June 2009 to May 2019, in three tertiary referral centres. Read More

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http://dx.doi.org/10.1093/humrep/deaa131DOI Listing

Magnetic resonance imaging classification of deep pelvic endometriosis: description and impact on surgical management.

Hum Reprod 2020 Jul 3. Epub 2020 Jul 3.

Sorbonne Université, IUC, 75005 Paris, France.

Study Question: Is an MRI classification of deep pelvic endometriosis (DE) able to correctly predict the risk of DE surgery.

Summary Answer: A new radiological classification, that we have called the deep pelvic endometriosis index (dPEI) classification, is accurate and reproducible to assess the extension of the disease in central and lateral compartments and well correlated with operating time, hospital stay duration and the risk of voiding dysfunction.

What Is Known Already: Few imaging classifications are currently available to predict the extent of DE to help preoperative assessment of surgical outcomes and provide the patient with objective information about the risk of surgical complications. Read More

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http://dx.doi.org/10.1093/humrep/deaa103DOI Listing

Intrinsic Laryngeal Lipoma Treated with Transoral CO₂ Laser Microsurgery: An Unusual Case Report.

Am J Case Rep 2020 Jul 3;21:e920528. Epub 2020 Jul 3.

Ear, Nose and Throat (ENT) Unit, Department of General and Specialized Surgery, AOU University of Campania "Luigi Vanvitelli", Napoli, Italy.

BACKGROUND Lipomas, the most common soft tissue tumors, represent almost half of all benign mesenchymal neoplasms and are characterized by the absence of symptoms. However, if they grow in a laryngeal site, they can cause dyspnea and dysphonia which represents one of the major symptoms of benign laryngeal diseases (such as polyps or nodules); these symptoms are often the first symptom of neoplastic diseases. CASE REPORT We present a case of a 28-year-old female patient with a rounded pseudocyst neoformation located in the left aryepiglottic fold that partially hid the homolateral vocal cord and limited its mobility. Read More

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http://dx.doi.org/10.12659/AJCR.920528DOI Listing

Cosmetic Fat Transplantation: A Review.

Curr Mol Med 2020 Jul 3. Epub 2020 Jul 3.

Centre for Diabetes, Obesity and Endocrinology (CDOE), The Westmead Institute for Medical Research, The University of Sydney. Australia.

Aim: To review current techniques used in fat grafting to optimise graft persistence and achieve optimal cosmetic outcomes.

Background: Fat transplantation has been used extensively in the reconstruction and cosmetic industry for many years. However, there is significant adipocyte loss and reabsorption rates; leading to the loss of external cosmetic volume and the need for repeat procedures. Read More

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http://dx.doi.org/10.2174/1566524020666200703194355DOI Listing

Does cup position differ between trabecular metal and titanium cups? A radiographic propensity score matched study of 300 hips.

Acta Orthop 2020 Jul 3:1-5. Epub 2020 Jul 3.

Swedish Hip Arthroplasty Register, Department of Orthopaedics, Institute of Surgical Sciences, Sahlgrenska University Hospital, Gothenburg, Sweden.

Background and purpose - The use of trabecular metal cups in primary total hip arthroplasty (THA) is increasing, despite the survival of Continuum cups being slightly inferior compared with other uncemented cups in registries. This difference is mainly explained by a higher rate of dislocation revisions. Cup malpositioning is a risk factor for dislocation and, being made of a highly porous material, Continuum cups might be more difficult to position. Read More

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http://dx.doi.org/10.1080/17453674.2020.1788290DOI Listing
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