3,508,366 results match your criteria Surgical Reversal of Presbyopia - A Comprehensive Video Text


Cardiac Complications Related to Spine Surgery: Timing, Risk Factors, and Clinical Effect.

J Am Acad Orthop Surg 2019 Apr;27(7):256-263

From the Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT (Mr. Bovonratwet, Mr. Malpani, Ms. Haynes, Dr. Rubio, Mr. Ondeck, Mr. Shultz, Mr. Mahal, and Dr. Grauer), and Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, (Dr. Bohl).

Introduction: Large cohort studies evaluating cardiac complications in patients undergoing spine surgery are lacking. The purpose of this study was to determine the incidence, timing, risk factors, and effect of cardiac complications in spine surgery by using a national database, the American College of Surgeons National Surgical Quality Improvement Program.

Methods: Patients who underwent spine surgery in the 2005 to 2012 National Surgical Quality Improvement Program database were identified. Read More

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http://Insights.ovid.com/crossref?an=00124635-900000000-9951
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http://dx.doi.org/10.5435/JAAOS-D-17-00650DOI Listing

Gunshot Wounds to the Upper Extremity.

J Am Acad Orthop Surg 2019 Apr;27(7):e301-e310

From the Department of Orthopaedic Surgery, University of Southern California, Keck School of Medicine, Los Angeles, CA.

Upper extremity gunshot wounds result in notable morbidity for the orthopaedic trauma patient. Critical neurovascular structures are particularly at risk. The fractures are often comminuted and may be associated with a variable degree of soft-tissue injury. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00676DOI Listing
April 2019
1 Read

Heterotopic ossification after arthroscopy for hip impingement syndrome.

Chin Med J (Engl) 2019 Apr;132(7):827-833

Institute of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, Beijing 100191, China.

Background: Heterotopic ossification (HO) is a known complication of hip arthroscopy. We investigated incidence of HO after hip arthroscopy and determined whether revision for HO improved outcome.

Methods: A retrospective study was conducted on 242 patients (140 men and 102 women, mean age: 36. Read More

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http://dx.doi.org/10.1097/CM9.0000000000000153DOI Listing
April 2019
1.016 Impact Factor

Evolution of transmaxillary approach to tumors in pterygopalatine fossa and infratemporal fossa: anatomic simulation and clinical practice.

Chin Med J (Engl) 2019 Apr;132(7):798-804

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China.

Background: The endoscopic transnasal approach has been proven to have advantages on the removal of the tumors in pterygopalatine fossa (PPF) and infratemporal fossa (ITF). Herein, this study aimed to describe a modified approach for resection of the tumors in these areas, both in cadaveric specimen and clinical patients.

Methods: The 20 adult cadaveric specimens and five patients with tumors in PPF and ITF were enrolled in this study. Read More

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http://dx.doi.org/10.1097/CM9.0000000000000142DOI Listing

Pancreatic Neuroendocrine Tumours: The Role of Endoscopic Ultrasound Biopsy in Diagnosis and Grading Based on the WHO 2017 Classification.

Dig Dis 2019 Mar 21:1-9. Epub 2019 Mar 21.

Humanitas Clinical and Research Center, IRCCS, Digestive Endoscopy Unit, Division of Gastroenterology, Milan, Italy.

Background: One of the controversial issues in the diagnosis of pancreatic neuroendocrine tumours (pNETs) is the accurate prediction of their clinical behaviour.

Objectives: The aim of the study was to evaluate the role of endoscopic ultrasound (EUS) biopsy in the diagnosis and grading of pNETs in a certified ENETS Center.

Methods: A prospectively maintained database of EUS biopsy procedures was retrospectively reviewed to identify all consecutive patients referred to a certified ENETS Center with a suspicion of pNET between June 2014 and April 2017. Read More

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http://dx.doi.org/10.1159/000499172DOI Listing

Relief of Procedural Pain in Critically Ill Patients by Music Therapy: A Randomized Controlled Trial.

Complement Med Res 2019 Mar 20:1-9. Epub 2019 Mar 20.

Department of Surgical Nursing, Faculty of Nursing, Ataturk University, Erzurum, Turkey.

Background: This study aimed to determine the effectiveness of music listening for procedural pain relief using two different observational pain tools during endotracheal suctioning.

Materials And Methods: This study was a randomized controlled trial. The sample of the study included 98 patients with mechanical ventilation support who met the selection criteria. Read More

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http://dx.doi.org/10.1159/000495301DOI Listing

Accuracy in Deep Brain Stimulation Electrode Placement: A Single-Surgeon Retrospective Analysis of Sterotactic Error in Overlapping and Non-Overlapping Surgical Cases.

Stereotact Funct Neurosurg 2019 Mar 21:1-7. Epub 2019 Mar 21.

Background: Many surgeons utilize assistants to perform procedures in more than one operating room at a given time using a practice known as overlapping surgery. Debate has continued as to whether overlapping surgery improves the efficiency and access to care or risks patient safety and outcomes.

Objective: To examine effects of overlapping surgery in deep brain stimulation (DBS) for movement disorders. Read More

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http://dx.doi.org/10.1159/000497150DOI Listing
March 2019
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Utility Measures in Pediatric Temporary Health States: Comparison of Prone Positioning Valuation Through 5 Assessment Tools.

Value Health Reg Issues 2019 Mar 18;18:97-105. Epub 2019 Mar 18.

Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Assessment of health-related quality of life (HRQOL or utility) is a complex issue especially in children with temporary health states.

Objectives: To assess the utility of prone positioning as a prophylactic postsurgical approach with the aid of 5 frequently used general instruments.

Methods: Visual analogue scale (VAS), time trade-off (TTO), modified TTO (m-TTO), standard gamble (SG), and chain of gambles (ChGs) instruments and interview with the parent caregivers were used to measure the HRQOL (utility value) of patients who were admitted in the surgical wards of Children's Medical Center Hospital between July and November 2015. Read More

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http://dx.doi.org/10.1016/j.vhri.2019.01.003DOI Listing

Evolution of obstructive sleep apnea syndrome, nasal flow and systolic pressure of the pulmonary artery in children with indication for adenoidectomy and/or tonsillectomy over 18 months.

Int J Pediatr Otorhinolaryngol 2019 Feb 20;120:210-214. Epub 2019 Feb 20.

Department of Ophthalmology and Otorhinolaryngology, School of Medicine, University of Minas Gerais (UFMG), Brazil.

Background: Obstructive sleep apnea syndrome in childhood has aroused great interest due to its cardiovascular repercussions and its adverse effects on the quality of life of the affected individuals. However, fundamental aspects of the syndrome remain unknown.

Objective: Herein we prospectively assessed pulmonary artery systolic pressure (PASP) and nasal flow in children with obstructive oral breathing with an indication for adenoidectomy and/or tonsillectomy and their relationship to the obstructive apnea and hypopnea index (OAHI). Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.02.024DOI Listing
February 2019

Outcomes of Ventral Hernia Repair in Solid Organ Transplant Patients: A Regression Analysis of the National Inpatient Sample.

J Surg Res 2019 Mar 18;239:284-291. Epub 2019 Mar 18.

Department of Surgery, Rutgers, New Jersey Medical School, Newark, New Jersey. Electronic address:

Background: Solid organ transplant has been identified as an independent risk factor in ventral hernia repair. Previous studies have generally focused on case studies or small samples. We sought to investigate the impact of liver or kidney transplant on ventral hernia repair outcomes using a nationally representative sample. Read More

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http://dx.doi.org/10.1016/j.jss.2019.02.016DOI Listing

Side of Hamstring Harvest Does Not Affect Performance, Return-to-Sport Rate, or Future Hamstring Injuries After Ulnar Collateral Ligament Reconstruction Among Professional Baseball Pitchers.

Am J Sports Med 2019 Mar 21:363546519829473. Epub 2019 Mar 21.

Rothman Orthopaedic Institute, New York, New York, USA.

Background:: Ulnar collateral ligament reconstruction (UCLR) is a successful procedure among professional baseball pitchers. It is unclear if hamstring tendon harvest side for UCLR affects the outcome or alters the risk for subsequent hamstring injury.

Hypothesis:: Players with prior UCLR with ipsilateral (drive leg) hamstring autograft will have the same return-to-sport (RTS) rate and performance upon RTS but a higher number of subsequent lower extremity injuries than those with contralateral (landing leg) hamstring autograft. Read More

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http://dx.doi.org/10.1177/0363546519829473DOI Listing

[Cystic nephroma : a rare kidney neoplasm].

Rev Med Liege 2019 Mar;74(3):125-128

Service d'Urologie, CHU Liège, Belgique.

Cystic nephroma is a rare kidney neoplasm belonging to the entity of cystic tumours. It is a slow-growing tumour, which develops insidiously, sometimes reaching a considerable size. The diagnosis is more often accidental (except for mass syndrome in children). Read More

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Sustained release of levofloxacin from thermosensitive chitosan-based hydrogel for the treatment of postoperative endophthalmitis.

J Biomed Mater Res B Appl Biomater 2019 Mar 21. Epub 2019 Mar 21.

National Yang-Ming University School of Medicine, Taipei, Taiwan.

In the field of ophthalmology, postoperative endophthalmitis (POE) is a serious surgical complication, which may lead to poor visual outcome even after the infection has been controlled. In the study, we develop a sustained drug releasing system loaded with levofloxacin which is expected to be effective against common pathogens responsible for POE for at least 7 days after single application at the end of surgery. The results of study showed that the sol-gel transition temperature of the levofloxacin-loaded chitosan-gelatin-based solution was ~34°C. Read More

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http://dx.doi.org/10.1002/jbm.b.34359DOI Listing

Prophylactic onlay reinforcement with absorbable mesh (polyglactin) is associated with less early wound complications after kidney transplantation: A preliminary study.

J Biomed Mater Res B Appl Biomater 2019 Mar 21. Epub 2019 Mar 21.

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.

Incidence of wound complications after kidney transplantation (KTx) is still considerable. Here, we report the impact of prophylactic absorbable polyglactin (Vicryl®) mesh reinforcement on the incidence of short-term post-KTx wound complications. Sixty-nine patients were analyzed; 23 with and 46 without preventive onlay mesh reinforcement. Read More

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http://dx.doi.org/10.1002/jbm.b.34366DOI Listing
March 2019
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Sphincter-sparing surgery for complex anal fistulas: Radiofrequency-thermo-coagulation of the tract is of no help.

Colorectal Dis 2019 Mar 21. Epub 2019 Mar 21.

Department of Gastroenterology, University Hospital of Rennes, Pontchaillou, France.

Aim: To compare the rate of failure of radiofrequency-thermo-coagulation for anal fistula to that of rectal advancement flap in a case-matched study.

Method: Patients who underwent radiofrequency treatment were compared with Crohn's disease, age and sex-matched patients who underwent a rectal-flap procedure. Fistula features, general characteristics, and main clinical events were recorded in a prospective database. Read More

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http://dx.doi.org/10.1111/codi.14618DOI Listing

Ringlike pattern as a dermatoscopy sign for vulvar melanosis does not preclude synchronous existence of vulvar melanoma.

J Eur Acad Dermatol Venereol 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgical Oncology, Institute of Oncology and Radiology of Serbia, University of Belgrade, Serbia.

Vulvar melanoma (VM) accounts for 1-3% of all melanoma arising in women with poor long-term clinical outcome. VM can be uni- or multifocal. Multifocality is defined as multiple foci of melanoma separated by intact epithelium, or arising on follow-up, outside the vicinity of the surgical scar. Read More

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http://dx.doi.org/10.1111/jdv.15589DOI Listing

Clinical Value of Fused PET/MRI for Surgical Planning in Patients With Oral/Oropharyngeal Carcinoma.

Laryngoscope 2019 Mar 21. Epub 2019 Mar 21.

Department of Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Objectives/hypothesis: To evaluate the usefulness of fused positron emission tomography (PET)/magnetic resonance (MR) images for surgical planning in patients with oral/oropharyngeal cancer and suspected mandibular invasion.

Study Design: Individual cohort study.

Methods: Eleven of 17 patients with suspected mandibular invasion of squamous cell carcinoma of the lower gingiva, oropharynx, and buccal mucosa who underwent 18F-fluorodeoxyglucose (FDG) PET/computed tomography (CT) and contrast-enhanced MR imaging (MRI) and had fused PET/MR images were enrolled in this study. Read More

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http://dx.doi.org/10.1002/lary.27911DOI Listing

Assessing Anxiety and its correlates in Amyotrophic Lateral Sclerosis: the State-Trait Anxiety Inventory.

Muscle Nerve 2019 Mar 21. Epub 2019 Mar 21.

Department of Psychology, University of Campania "Luigi Vanvitelli", Viale Ellittico 31, 81100, Caserta, Italy.

Introduction: We evaluated: i) psychometric properties of State-Trait Anxiety Inventory Form Y (STAI Form Y); ii) clinical correlates of state and trait anxiety; iii) associations of anxiety with Quality of Life (QoL) dimensions.

Methods: We assessed 159 patients with ALS on STAI Form Y and on tests and questionnaires for depression, apathy, QoL, and cognitive abilities.

Results: Clinically diagnosed anxiety (by Mini International Neuropsychiatric Inventory) occurred in 30 (19%) patients. Read More

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http://dx.doi.org/10.1002/mus.26475DOI Listing

Impact of preservation of the latissimus dorsi muscle through a left anteroaxillary thoracotomy on spinal cord protection in descending thoracic and thoraco-abdominal aortic operations†.

Eur J Cardiothorac Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Cardiovascular Surgery, Tokyo Medical University, Tokyo, Japan.

Objectives: The presence of collateral network circulation to the spinal cord, which is reflected in the repair of a descending thoracic aortic aneurysm (dAo) and a thoraco-abdominal aortic aneurysm (TAAo), has been demonstrated in clinical and animal experimental data. The latissimus dorsi muscle (LDM) including the thoracodorsal artery might be one of the major sources of this collateral network. The objective of this study was to evaluate the impact on spinal cord safety of a left anteroaxillary thoracotomy with minimal muscle division including preservation of the LDM in surgery for dAo and TAAo. Read More

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http://dx.doi.org/10.1093/ejcts/ezz087DOI Listing

Double orifice and atrioventricular septal defect: dealing with the zone of apposition†.

Eur J Cardiothorac Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Pediatric Cardiac Surgery, Necker Sick Children Hospital-M3C, University Paris Descartes, Paris, France.

Objectives: A double orifice of the left atrioventricular valve (LAVV) associated with atrioventricular septal defects (AVSD) can significantly complicate surgical repair. This study reports our experience of AVSD repair over 3 decades, with special attention to the zone of apposition (ZoA) of the main orifice, and presents a technique of hemivalve pericardial extension in specific situations.

Methods: We performed a retrospective study from 1987 to 2016 on 1067 patients with AVSD of whom 43 (4%) had a double orifice, plus 2 additional patients who required LAVV pericardial enlargement. Read More

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http://dx.doi.org/10.1093/ejcts/ezz085DOI Listing

Surgery for anomalous aortic origin of coronary arteries: a multicentre study from the European Congenital Heart Surgeons Association†.

Eur J Cardiothorac Surg 2019 Mar 20. Epub 2019 Mar 20.

Section of Pediatric and Congenital Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Medical School, Padova, Italy.

Objectives: We sought to describe early and late outcomes in a large surgical series of patients with anomalous aortic origin of coronary arteries.

Methods: We performed a retrospective multicentre study including surgical patients with anomalous aortic origin of coronary arteries since 1991. Patients with isolated high coronary takeoff and associated major congenital heart disease were excluded. Read More

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http://dx.doi.org/10.1093/ejcts/ezz080DOI Listing

Refractory ascites and graft dysfunction in early renal transplantation.

J Bras Nefrol 2019 Mar 18. Epub 2019 Mar 18.

Serviço de Nefrologia e Transplantação Renal do Centro Hospitalar do Porto, Porto, Portugal.

The occurrence of ascites after Renal Transplant (RT) is infrequent, and may be a consequence of surgical or medical complications. Case report: 61 year-old, male, history of arterial hypertension, tongue carcinoma and alcoholic habits 12-20g/day. He had chronic kidney disease secondary to autosomal dominant polycystic kidney disease, without hepatic polycystic disease. Read More

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http://dx.doi.org/10.1590/2175-8239-JBN-2018-0175DOI Listing

Two-photon fluorescence and second harmonic generation characterization of extracellular matrix remodeling in post-injury murine temporomandibular joint osteoarthritis.

PLoS One 2019 21;14(3):e0214072. Epub 2019 Mar 21.

University of Illinois at Chicago, Department of Oral Biology, Chicago, United States of America.

End stage temporomandibular joint osteoarthritis (TMJ-OA) is characterized by fibrillations, fissures, clefts, and erosion of the mandibular condylar cartilage. The goal of this study was to define changes in pericellular and interterritorial delineations of the extracellular matrix (ECM) that occur preceding and concurrent with the development of this end stage degeneration in a murine surgical instability model. Two-photon fluorescence (TPF) and second harmonic generation (SHG) microscopy was used to evaluate TMJ-OA mediated changes in the ECM. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214072PLOS

[Bioethical issues on the access to drugs in the practice of ophthalmology in Colombia].

Medwave 2019 Mar 8;19(2):e7585. Epub 2019 Mar 8.

Semillero de investigación Formar Mentes bioéticas, Facultad de Medicina, Universidad de La Sabana, Cundinamarca, Colombia.

Ophthalmology is a high-cost specialty in terms of medical, surgical and technological innovation and treatment. It is worrisome that in some countries patients are affected in their visual health, and therefore in their quality of life because they do not have the necessary resources for timely access to medications, medical appointments or surgical procedures. We searched in four electronic databases (ScienceDirect, MEDLINE/PubMed, ClinicalKey and SciELO), as well as in books on bioethics and Colombian laws, for articles related to bioethical issues and access to medicines in the exercise of ophthalmology. Read More

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http://dx.doi.org/10.5867/medwave.2019.02.7585DOI Listing

Case 264: A Case of Osseous Sarcoidosis.

Radiology 2019 Apr;291(1):261-266

From the Department of Radiology, CHU Toulouse-Purpan, Place du docteur Baylac, 31059 Toulouse Cedex 9, France.

History A 28-year-old woman presented to the emergency department with painful swelling of the third finger on her right hand, which developed quickly. She had no relevant medical or surgical history. Her pain was worse at night, with stiffness decreasing during the morning. Read More

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http://dx.doi.org/10.1148/radiol.2019162264DOI Listing

Comparison of Outcomes Based on Graft Type and Tunnel Configuration for Primary Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers.

Am J Sports Med 2019 Mar 21:363546519831705. Epub 2019 Mar 21.

Division of Sports Medicine, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background:: Professional baseball pitchers are at high risk for tears of the ulnar collateral ligament (UCL) of the elbow, often requiring surgical reconstruction. Despite acceptable published return-to-play outcomes, multiple techniques and graft types have been described.

Purpose:: This study compares UCL reconstruction (UCLR) outcomes based on tunnel configuration and graft type. Read More

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http://dx.doi.org/10.1177/0363546519831705DOI Listing

Portal milieu and the interplay of multiple anti-diabetic effects after gastric bypass surgery.

Am J Physiol Gastrointest Liver Physiol 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, United States.

Aims: Diabetes is a worldwide health problem. Roux-en-Y-Gastric-Bypass (RYGB) leads to rapid resolution of Type-2-Diabetes (T2D). Decreased hepatic insulin resistance is key but underlying mechanisms are poorly understood. Read More

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http://dx.doi.org/10.1152/ajpgi.00389.2018DOI Listing

Surface-enhanced resonance Raman scattering guided brain tumor surgery showing prognostic benefit in rat models.

ACS Appl Mater Interfaces 2019 Mar 21. Epub 2019 Mar 21.

Glioma is the most frequent form of malignant brain tumors. Surgical debulking is a major strategy for glioma treatment. However, there is a great challenge for the neurosurgeons to intra-operatively identify the true margins of glioma due to its infiltrative nature. Read More

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http://dx.doi.org/10.1021/acsami.9b00227DOI Listing

Overexpression of c-Ski promotes cell proliferation, invasion and migration of gastric cancer associated fibroblasts.

Kaohsiung J Med Sci 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgical Oncology, Provincial Clinical College, Fujian Medical University, Fuzhou, China.

The present study aimed to investigate the effects of c-Ski on cell proliferation, invasion and migration of gastric cancer associated fibroblasts (CAFs). Expression of c-Ski in gastric cancer (GC) tissues was determined using immunohistochemistry. Both CAFs and non-cancerous gastric fibroblasts (NGFs) were isolated and cultured. Read More

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http://dx.doi.org/10.1002/kjm2.12042DOI Listing

Pioglitazone prevents sevoflurane‑induced neuroinflammation and cognitive decline in a rat model of chronic intermittent hypoxia by upregulating hippocampal PPAR‑γ.

Mol Med Rep 2019 Mar 18. Epub 2019 Mar 18.

Department of Anesthesiology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, P.R. China.

Post‑operative cognitive dysfunction is a common complication after anesthesia and surgery. Sevoflurane (SEV), a widely used inhalational anesthetic, can exaggerate neuroinflammation and cause cognitive dysfunction under chronic intermittent hypoxia (CIH) conditions by downregulating hippocampal peroxisome proliferator‑activated receptor‑γ (PPAR‑γ). In the present study, it was examined whether treatment with PPAR‑γ agonist pioglitazone (PIO) is beneficial in counteracting SEV‑induced neuroinflammation and cognitive decline in a rat model of CIH. Read More

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http://dx.doi.org/10.3892/mmr.2019.10052DOI Listing

Outcomes Associated With Sustained-Release Intraocular Fluocinolone Implants in a Case of Melanoma-Associated Retinopathy Treated Without Systemic Immunosuppression.

JAMA Ophthalmol 2019 Mar 21. Epub 2019 Mar 21.

Royal Surrey County Hospital, Guildford, United Kingdom.

Importance: Melanoma-associated retinopathy (MAR) is a paraneoplastic syndrome in which antiretinal antibodies crossreact with retinal ON-bipolar cells, resulting in night blindness and progressive visual field loss. Current therapeutic options include cytoreductive surgery in combination with immunoglobulin, corticosteroids, or plasmapheresis, but their effectiveness is limited and may be contraindicated, given the possible protective role of circulating autoantibodies against metastatic spread. We report 3-year follow-up of the first case (to our knowledge) of MAR treated with intravitreal long-acting steroid implants. Read More

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http://dx.doi.org/10.1001/jamaophthalmol.2019.0284DOI Listing

Sentinel node biospy using intravital blue dye: An useful technique for identification of skip metastases in gastric cancer.

Medicine (Baltimore) 2019 Mar;98(12):e14951

Department of Surgery.

As the lymph node status remains the main prognostic factor of gastric cancer (GC), several lymph node-based staging systems have been recently proposed for an appropriate postoperative therapy. The identification of sentinel lymph nodes (SLNs) might improve the postoperative protocols. The aim of this study was to present our experience in detecting SLNs in GC using methylene blue dye. Read More

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http://dx.doi.org/10.1097/MD.0000000000014951DOI Listing

Three-dimensional assessment of condylar position following orthognathic surgery using the centric relation bite and the ramal reference line: A retrospective clinical study.

Medicine (Baltimore) 2019 Mar;98(12):e14931

Department of Oral and Maxillofacial Surgery, Hallym University College of Medicine Sacred Heart Hospital, Anyang-Si.

Orthognathic surgery (OGS) is a relatively common procedure for solving functional and aesthetic problems in facial and jaw areas in patients with dentofacial deformities. The positioning of the mandibular condylar segment during OGS has an impact on the surgical outcome. This study aimed to investigate the changes in the condyle-fossa relationship three dimensionally after OGS using the centric relation (CR) bite and the ramal reference line (RRL). Read More

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http://dx.doi.org/10.1097/MD.0000000000014931DOI Listing

The efficacy and safety of opening-wedge high tibial osteotomy in treating unicompartmental knee osteoarthritis: Protocol for a systematic review and meta-analysis.

Medicine (Baltimore) 2019 Mar;98(12):e14927

The Second People's Hospital of Foshan (Affiliated Foshan Hospital of Southern Medical University), Foshan.

Background: High tibial osteotomy (HTO) is an effective surgical technique that can stop or inhibit the progression of unicompartmental knee osteoarthritis (KOA) to avoid or postpone the need for knee arthroplasty in patients. Whether opening-wedge high tibial osteotomy (OWHTO) is superior to closing-wedge high tibial osteotomy (CWHTO) in treating unicompartmental KOA remains controversial.

Methods: Databases (Cochrane Library, EMBASE, and PubMed) were searched from their establishment to July 1, 2018 for randomized controlled trials comparing the application of OWHTO to CWHTO in patients with unicompartmental KOA. Read More

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http://Insights.ovid.com/crossref?an=00005792-201903220-0004
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http://dx.doi.org/10.1097/MD.0000000000014927DOI Listing
March 2019
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Comparison of efficacy and safety of different fixation devices for anterior cruciate ligament reconstruction: A Bayesian network meta-analysis protocol.

Medicine (Baltimore) 2019 Mar;98(12):e14911

Department of Orthopaedics, First Hospital of Lanzhou University, Lanzhou, China.

Background: Anterior cruciate ligament (ACL) injury is a common ligament injury to the knee joint, and often lead to limited function, osteoarthritis after knee trauma, secondary damage to meniscus and cartilage, and impaired quality of life. ACL reconstruction is the gold standard surgical treatment for ACL injury, and ligament fixation after reconstruction is the key factor of ACL reconstruction success. However, the optimal fixation device for ACL reconstruction remains unclear. Read More

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http://dx.doi.org/10.1097/MD.0000000000014911DOI Listing

Removal of an infant's gastric duplication cyst through endoscopic submucosal dissection: A case report.

Medicine (Baltimore) 2019 Mar;98(12):e14820

Zhongshan Hospital, Fudan University, Shanghai, China.

Rationale: Gastric duplication cyst is an anomaly that primarily occurs to children. Apart from the conventional use of surgical resection, few cases using endoscopic treatment have been reported.

Patient Concerns: A 5-month-old female infant was hospitalized with the chief complaint of gastric cyst. Read More

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http://dx.doi.org/10.1097/MD.0000000000014820DOI Listing

Screw view model of navigation in posterior corrective surgery for adolescent idiopathic scoliosis: A case report and technique note.

Medicine (Baltimore) 2019 Mar;98(12):e14804

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, Jilin Province, China.

Rationale: The purpose of this study is to introduce the application of screw view model of navigation (SVMN) for adolescent idiopathic scoliosis (AIS). It is a challenge to insert pedicle screw into the vertebral body of scoliosis, and the misplaced screw may lead to neurovascular injury. In order to minimize surgical complications, we used a novel method of SVMN technology to facilitate pedicle screw insertion. Read More

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http://dx.doi.org/10.1097/MD.0000000000014804DOI Listing

Lymph node metastasis outside of a tumor-bearing lobe in primary lung cancer and the status of interlobar fissures: The necessity for removing lymph nodes from an adjacent lobe.

Medicine (Baltimore) 2019 Mar;98(12):e14800

Institute of Oncology, Shandong Provincial Hospital Affiliated to Shandong University.

The new Tumor Node Metastasis staging system does not recognize fissure status with respect to adjacent lobe invasion (ALI) in lung cancer. Furthermore, no specific surgical strategies have been recommended for lymph node dissections around adjacent nontumor-bearing lobes (NTBLs) according to fissure status. Therefore, this study was undertaken to investigate the necessity of removing additional adjacent lobe lymph nodes in patients with nonsmall cell lung cancer (NSCLC) for lesions limited to in the vicinity of the interlobar fissure. Read More

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http://dx.doi.org/10.1097/MD.0000000000014800DOI Listing

Effect of chronic kidney disease in ischemic cardiomyopathy: Long-term follow-up - REVISION-DM2 trial.

Medicine (Baltimore) 2019 Mar;98(12):e14692

Division of Clinical Cardiology, Heart Institute (InCor), University of São Paulo School of Medicine, São Paulo, Brazil.

A strong association exists between chronic kidney disease (CKD) and coronary artery disease (CAD). The role of CKD in the long-term prognosis of CAD patients with versus those without CKD is unknown. This study investigated whether CKD affects ventricular function. Read More

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http://dx.doi.org/10.1097/MD.0000000000014692DOI Listing

Surgical treatment of progressive cauda equina compression caused by spontaneous spinal subdural hematoma: A case report.

Medicine (Baltimore) 2019 Mar;98(12):e14598

Department of Orthopedic Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou.

Rationale: Spontaneous spinal subdural hematoma (SSDH) without an underlying pathology is a very rare condition. The treatment protocol for SSDH is early diagnosis and treatment before irreversible damage to neural tissue. However, there is no agreement on the etiopathogenesis, as well as the need for surgery to treat spontaneous SSDH. Read More

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http://dx.doi.org/10.1097/MD.0000000000014598DOI Listing

Organogenesis: need of the current world.

Chin Med J (Engl) 2019 Apr;132(7):849-852

Department of Paeds Medical &Surgical, Mayo Hospital, Lahore 54000, Pakistan.

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http://dx.doi.org/10.1097/CM9.0000000000000048DOI Listing

Regional Left Ventricular Myocardial Dysfunction After Cardiac Surgery Characterized by 3-Dimensional Strain.

Anesth Analg 2019 Mar 20. Epub 2019 Mar 20.

From the Departments of Anesthesiology and Perioperative Medicine.

Background: Three-dimensional (3D) strain is an echocardiographic modality that can characterize left ventricular (LV) function with greater accuracy than ejection fraction. While decreases in global strain have been used to predict outcomes after cardiac surgery, changes in regional 3D longitudinal, circumferential, radial, and area strain have not been well described. The primary aim of this study was to define differential patterns in regional LV dysfunction after cardiac surgery using 3D speckle tracking strain imaging. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003785DOI Listing

Ability of an Arterial Waveform Analysis-Derived Hypotension Prediction Index to Predict Future Hypotensive Events in Surgical Patients.

Anesth Analg 2019 Mar 20. Epub 2019 Mar 20.

Department of Anaesthesiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

Background: Intraoperative hypotension is associated with worse perioperative outcomes for patients undergoing major noncardiac surgery. The Hypotension Prediction Index is a unitless number that is derived from an arterial pressure waveform trace, and as the number increases, the risk of hypotension occurring in the near future increases. We investigated the diagnostic ability of the Hypotension Prediction Index in predicting impending intraoperative hypotension in comparison to other commonly collected perioperative hemodynamic variables. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004121DOI Listing

Awake Fiberoptic Intubation Protocols in the Operating Room for Anticipated Difficult Airway: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Anesth Analg 2019 Mar 20. Epub 2019 Mar 20.

From the Department of Anaesthesia and Intensive Care, Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele Scientific Institute, Milan, Italy.

Awake fiberoptic intubation is one of the recommended strategies for surgical patients with anticipated difficult airway, especially when concurrent difficult ventilation is expected. We performed the first systematic review of randomized controlled trials assessing different protocols for awake fiberoptic intubation in anticipated difficult airway, including studies investigating elective awake fiberoptic intubation for scheduled surgery; randomized controlled trials comparing different methods for performing awake fiberoptic intubation; and adult patients with anticipated difficult airway. We excluded studies in the nonoperating theater settings, randomized controlled trials comparing awake fiberoptic intubation with other techniques, and studies based on simulation. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004087DOI Listing

Association of Testosterone Replacement Therapy and the Incidence of a Composite of Postoperative In-Hospital Mortality and Cardiovascular Events in Men Undergoing Cardiac Surgery.

Anesth Analg 2019 Mar 14. Epub 2019 Mar 14.

Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Background: Data on testosterone replacement therapy and cardiovascular outcomes are conflicting, with the Food and Drug Administration requiring prescription testosterone preparations to indicate a possible increased cardiovascular risk. Whether patients on testosterone replacement therapy undergoing cardiac surgery have an increased risk of postoperative in-hospital mortality and cardiovascular events remains unknown. We therefore sought to identify the impact of testosterone replacement on the incidence of a composite of postoperative in-hospital mortality and cardiovascular events in men undergoing cardiac surgery. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004115DOI Listing

Prospective Investigation of the Operating Room Time-Out Process.

Anesth Analg 2019 Mar 14. Epub 2019 Mar 14.

From the Departments of Anesthesiology.

Background: Although the surgical pause or time-out is a required part of most hospitals' standard operating procedures, little is known about the quality of execution of the time-out in routine clinical practice. An interactive electronic time-out was implemented to increase surgical team compliance with the time-out procedure and to improve communication among team members in the operating room. We sought to identify nonroutine events that occur during the time-out procedure in the operating room, including distractions and interruptions, deviations from protocol, and the problem-solving strategies used by operating room team members to mitigate them. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004126DOI Listing

Development of Deployable Predictive Models for Minimal Clinically Important Difference Achievement Across the Commonly Used Health-Related Quality of Life Instruments in Adult Spinal Deformity Surgery.

Spine (Phila Pa 1976) 2019 Mar 13. Epub 2019 Mar 13.

Center for Research in Health and Economics, Universitat Pompeu Fabra, Barcelona, Spain.

Study Design: Retrospective analysis of prospectively-collected, multicenter adult spinal deformity (ASD) databases.

Objective: To predict the likelihood of reaching minimum clinically important differences in patient-reported outcomes after ASD surgery.

Summary Of Background Data: Adult spinal deformity (ASD) surgeries are costly procedures that do not always provide the desired benefit. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003031DOI Listing
March 2019
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Shark mouth pancreaticojejunostomy: a new enteric reconstruction procedure of pancreatic stump.

Chin Med J (Engl) 2019 Mar 19. Epub 2019 Mar 19.

Department of General Surgery, Peking University Third Hospital, Beijing 100191, China.

Background: The enteric reconstruction procedure of pancreatic stump after pancreaticoduodenectomy remains to be the critical factor influencing the mortality and morbidity. No widely accepted surgical procedure for the pancreaticojejunostomy has been erected yet. We have developed a new technique of pancreaticojejunostomy named "shark mouth pancreaticojejunostomy". Read More

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http://dx.doi.org/10.1097/CM9.0000000000000219DOI Listing
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