1,596 results match your criteria Surgical technology international[Journal]


Adjunctive Intravenous Diclofenac Decreases Opioid Consumption and Increases Satisfaction in the Primary Total Hip Arthroplasty Population.

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement Sinai Hospital of Baltimore, Baltimore, Maryland.

Despite the success of total hip arthroplasty (THA), postoperative pain management remains a concern. Although the nonsteroidal anti-inflammatory drug (NSAID) intravenous (IV) diclofenac is a promising addition, its impact on THA outcomes has not been investigated. This study evaluates the effects of adjunctive IV diclofenac on: 1) postoperative pain intensity; 2) opioid consumption; 3) discharge destination; 4) length of stay; and 5) patient satisfaction in primary THA patients. Read More

View Article

Download full-text PDF

Source
February 2019

Validation of the Hip Arthroscopy Module of the VirtaMed Virtual Reality Arthroscopy Trainer.

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

The Royal Bournemouth and, Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK.

Objective: To assess the face, content and construct validity of a virtual reality hip arthroscopy simulator (Arthros™, VirtaMed AG, Schlieren, Switzerland).

Design: Participants were divided into Expert and Novice groups depending on whether or not they had assisted with or performed more than 50 hip arthroscopy procedures. Participants were given a standardized introduction and shown a video on how to use the simulator. Read More

View Article

Download full-text PDF

Source
February 2019

Survivorship and Radiographic Analysis of Highly Porous Acetabular Cups Designed for Improved Osseointegration Potential.

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York.

Introduction: A variety of highly porous materials have been used to obtain biological acetabular fixation after total hip arthroplasty (THA). Due to their improved surface-coated properties, new highly porous titanium metal implants have shown potential to promote prosthesis osseointegration. Therefore, the purpose of this multicenter study was to evaluate: 1) overall acetabular cup survivorship; 2) postoperative complications; and 3) radiographic signs of loosening and radiolucencies in patients who received a new highly porous titanium metal cup. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

Laparoscopic Inguinal Hernia Repair Using ProGrip™ Self-Fixating Mesh: Technical Learning Curve and Mid-Term Outcomes.

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Advanced Laparoscopic and Bariatric Surgery Fellowship, Associate Professor of Surgery, Northeast Ohio Medical University, Summa Health, Akron, OH.

Purpose: Self-fixating mesh has been introduced to further improve the quality results already seen with laparoscopic inguinal hernia repair. An observational study was undertaken to evaluate the technical learning curve and mid-term outcomes associated with the use of ProGrip™ (Medtronic, Minneapolis, MN, USA) laparoscopic self-fixating mesh in transabdominal preperitoneal (TAPP) inguinal herniorrhaphy.

Methods: Patients who underwent elective laparoscopic TAPP inguinal herniorrhaphy by a single surgeon using ProGrip™ laparoscopic self-fixating mesh within a one-year period were studied. Read More

View Article

Download full-text PDF

Source
February 2019

Spontaneous Closed Rupture of Achilles Tendon Following Minimally Invasive Ultrasonic Energy Therapy: A Report of Two Cases.

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

This paper presents two patients who sustained spontaneous closed Achilles tendon ruptures following minimally invasive ultrasonic energy therapy for non-insertional Achilles tendinopathy. In both cases, the patients underwent minimally invasive ultrasonic energy therapy using a commercially available device. In addition, the current evidence, through available literature, has been reviewed and presented. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

Robotic-Arm Assisted Total Knee Arthroplasty More Accurately Restored the Posterior Condylar Offset Ratio and the Insall-Salvati Index Compared to the Manual Technique; A Cohort-Matched Study.

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York.

Introduction: Despite the demonstrated success of modern total knee arthroplasty (TKA), it remains a procedure that involves sophisticated preoperative planning and meticulous technique to reconstruct the mechanical axis, achieve ideal joint balance, and restore maximal range-of-motion (ROM). Recently, robotic-arm assisted TKAs have emerged as a promising new technology offering several technical advantages, and it is achieving excellent radiological results, including establishing the posterior condylar offset ratio (PCOR) and the Insall-Salvati Index (ISI). Studies have demonstrated that these parameters are surgically modifiable, and their accurate restoration (fewer mean differences) correlate with improved final joint range-of-motion. Read More

View Article

Download full-text PDF

Source
February 2019

Tranexamic Acid Reduces Transfusion Rates in Obese Patients Undergoing Total Joint Arthroplasty.

Surg Technol Int 2019 Feb 1;34. Epub 2019 Feb 1.

BronxCare Hospital Center, Bronx, New York.

Background: While tranexamic acid (TXA) has been well shown to reduce blood loss after joint replacement surgery, little is known regarding its effectiveness in obese patients. The aim of this study was to evaluate the effect of TXA changes in hematocrit and hemoglobin levels as well as incidence of packed red blood cell (pRBC) transfusions in obese patients undergoing total joint arthroplasty (TJA).

Material And Methods: Between January 2014 and May 2015, 420 consecutive primary joint replacements were performed by two surgeons at our institution. Read More

View Article

Download full-text PDF

Source
February 2019
2 Reads

A Preliminary Assessment of Abdominal Wall Tension in Patients Undergoing Retromuscular Hernia Repair.

Surg Technol Int 2019 Feb 1;34. Epub 2019 Feb 1.

epartment of Surgery, New Hanover Regional Medical Center, Wilmington, North Carolina.

A common technique for ventral and incisional hernia repair is the retrorectus repair (Rives-Stoppa). The posterior rectus sheath is incised bilaterally, and mesh is placed retromuscularly. There is little information on how this component separation technique affects abdominal wall tension. Read More

View Article

Download full-text PDF

Source
February 2019
6 Reads

Near-Infrared Indocyanine Green-Enhanced Fluorescence and Evaluation of the Bowel Microperfusion During Robotic Colorectal Surgery: a Retrospective Original Paper.

Surg Technol Int 2019 Feb 1;34. Epub 2019 Feb 1.

Division of Minimally Invasive, General & Robotic Surgery; Department of Surgery University of Illinois at Chicago, Chicago, IL.

Background: Leakage of the anastomosis after colorectal surgery is a severe complication, and one of the most important causes is poor vascular supply. However, a microvascular deficit is often not detectable during surgery under white light. Near-infrared indocyanine green (ICG)-enhanced fluorescence may be useful for assessing microvascular deficits and conceivably preventing anastomotic leakage. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

Robotic Inguinal Hernia Repair (TAPP)—First Experience with the New Senhance™ Robotic System.

Surg Technol Int 2019 Feb 1;34. Epub 2019 Feb 1.

Gastroenterological Surgery, Saitama Medical University, International Medical Center, Yamane, Japan, Department of General, Visceral and Vascular Surgery, Section Minimal Invasive Surgery and Robotics, St. Marien - Krankenhaus, Siegen, Germany.

Introduction: This retrospective study was performed to evaluate the safety and feasibility of the new Senhance™ Robotic System (TransEnterix Inc., Morrisville, North Carolina) for inguinal hernia repairs using the transabdominal preperitoneal approach.

Materials And Methods: From March to September 2017, 76 inguinal hernia repairs in 64 patients were performed using the Senhance™ Robotic System. Read More

View Article

Download full-text PDF

Source
February 2019
2 Reads

Authors:

Surg Technol Int 2019 Jan 18;34. Epub 2019 Jan 18.

. Read More

View Article

Download full-text PDF

Source
January 2019
2 Reads

A Systematic Review of Suture Technologies in Total Knee Arthroplasty.

Surg Technol Int 2019 Jan 18;34. Epub 2019 Jan 18.

Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York.

Over time, various materials and techniques have been developed for superficial and deep wound closure. However, potential complications, such as infections and dehiscences, can still occur, driving the development of new closure modalities. As wound closure technology continues to advance and change, the need to continuously evaluate the current techniques and materials persists. Read More

View Article

Download full-text PDF

Source
January 2019
10 Reads

Management of Non-Reconstructable Critical Limb Ischemia.

Surg Technol Int 2019 Jan 18;34. Epub 2019 Jan 18.

Mount Sinai St. Luke's - West Hospitals New York, New York.

At least 15% of patients with critical limb ischemia are not candidates for standard revascularization. In this day and age, with new techniques-including retrograde access to the foot-and numerous angioplasty and atherectomy techniques available, the critical limb ischemia patient can still be faced without options. Distal bypass surgery may still remain the gold standard, and likely permits the patient to have the best options for healing, but carries significant comorbidities after undergoing the procedure. Read More

View Article

Download full-text PDF

Source
January 2019
3 Reads

Transcatheter Valve-in-Valve and Valve-in-Ring Interventions for Failing Bioprostheses and Annuloplasty Rings.

Surg Technol Int 2019 Jan 18;34. Epub 2019 Jan 18.

Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany, DZHK (German Center for Cardiovascular Research), partner site Berlin, Germany.

Transcatheter aortic valve implantation has dramatically changed the treatment of valvular heart disease over the past decade. At the same time, the indications for bioprosthesis implantation have been continuously extended toward younger patients, driven by excellent clinical results and improved durability. While the omission of oral anticoagulation reduces the risk of severe bleeding complications, the long-term durability of bioprostheses is still limited. Read More

View Article

Download full-text PDF

Source
January 2019
5 Reads

New Paradigms for Neural Monitoring in Thyroid Surgery.

Surg Technol Int 2019 Jan 18;34. Epub 2019 Jan 18.

Ospedale di Circolo di Varese, Varese, Italy.

Intraoperative neuromonitoring (IONM) in thyroid gland surgery provides real-time feedback to the endocrine surgeon regarding the electrophysiological consequences of surgical manipulation of the laryngeal nerves. The goal of monitoring modalities is to detect surgical or physiological insults to the recurrent laryngeal nerve (RLN) while they are still reversible or, in cases where prevention is not an option, to minimize the damage done to these structures during thyroidectomy. In recent decades, monitoring of the RLN has become a fundamental part of endocrine surgery. Read More

View Article

Download full-text PDF

Source
January 2019
11 Reads

Side-to-Side Anastomosis In Left Hemicolectomy, Why and When: A Single-Center Experience.

Surg Technol Int 2018 Dec 20;34. Epub 2018 Dec 20.

Department of General Surgery, Sant'Andrea Hospital ASL5, La Spezia, Italy.

Background: Laparoscopic colectomy represents a safe, effective and well-established procedure for both benign and malignant colic disease. Transanal anastomosis (TA) with a circular stapler is the most commonly performed anastomotic technique in laparoscopic left hemicolectomy (LLH). We report our experience with side-to-side anastomosis (STSA) and side-to-end anastomosis (STEA) in selected patients with both emergency and elective LLH. Read More

View Article

Download full-text PDF

Source
December 2018
2 Reads

Splenic Flexure Mobilization in Sigmoid and Rectal Resections: A Systematic Review and Meta-Analysis of Observational Studies.

Surg Technol Int 2018 Dec 20;34. Epub 2018 Dec 20.

Medical University of Graz, Graz, Austria.

Objective: There is no consensus regarding whether splenic flexure mobilization (SFM) should be performed selectively or routinely for sigmoid and rectal resections. The aim of this study was to evaluate the impact of SFM on anastomotic leak and surgical site infection rates in sigmoid and rectal resections.

Methods: PubMed, MEDLINE, EMBASE, Cochrane Library, and Scopus databases were searched by two independent researchers. Read More

View Article

Download full-text PDF

Source
December 2018
1 Read

Percutaneous Thermal Ablation for Lung Cancer: An Update.

Surg Technol Int 2018 Dec 20;34. Epub 2018 Dec 20.

Department of Diagnostic Imaging, Rhode Island Hospital, Providence, RI.

Lung cancer remains the leading cause of cancer death in the United States, and accounts for more deaths than breast, colon, and prostate cancer combined. Over the past decade, percutaneous thermal ablative therapy (PTA) has become a useful adjunctive therapy in combination with longer-standing methods, or as a standalone treatment. The physiologic basis of thermal ablation is that coagulative necrosis and cell death occur at temperatures above 60°C. Read More

View Article

Download full-text PDF

Source
December 2018
7 Reads

Lateral Unicompartmental Knee Arthroplasty Utilizing a Modified Surgical Technique and Specifically Adapted Fixed-Bearing Implant.

Surg Technol Int 2018 Dec 20;34. Epub 2018 Dec 20.

Joint Implant Surgeons, Inc., New Albany, Ohio, White Fence Surgical Suites, LLC New Albany, Ohio, Mount Carmel Health System, Columbus, Ohio.

Background: Treatment of isolated lateral compartment arthritic disease with partial knee arthroplasty remains underutilized in comparison to medial unicompartmental arthroplasty. This study examines the survival and outcome of lateral unicompartmental arthroplasty utilizing the first implant specifically developed for the lateral compartment.

Materials And Methods: A retrospective review was performed to detect lateral unicompartmental arthroplasty procedures performed in our practice between January 2013 and May 2016. Read More

View Article

Download full-text PDF

Source
December 2018
8 Reads

Bilateral Femoral Neck Fractures in a Middle-Aged Female After a Low-Energy Fall.

Surg Technol Int 2018 Dec 20;34. Epub 2018 Dec 20.

Department of Orthopedics, Orthopedic Surgery Residency Program Chairman Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.

Background: Bilateral hip fractures after low-energy mechanism are a rare phenomenon. Most published case reports include presentations of bilateral hip fractures in the elderly with low-energy mechanism. There is no report, to our knowledge, that illustrates this rare occurrence in middle-aged individuals after a low-energy fall from standing height. Read More

View Article

Download full-text PDF

Source
December 2018
16 Reads

Tying and Tearing in Robotic and Laparoscopic Intracorporeally Hand-Sewn Ileocolic Anastomoses. A Propensity Score-Matched Prospective Study.

Surg Technol Int 2018 Dec 20;34. Epub 2018 Dec 20.

Division of Colon and Rectal Surgery, State University of New York, Stony Brook, NY.

Aim: The aim of this study was to evaluate the impact of the ergonomics of laparoscopy as well as the lack of tactile feedback in robotic surgery on intracorporeal suturing.

Methods: This was a prospective cohort study that compared the first 12 consecutive robotic hand-sewn ileocolic anastomoses to matched laparoscopic cases performed by the same surgeon. The endpoints were interrupted suturing and tying time, and the numbers of interrupted sutures placed and torn. Read More

View Article

Download full-text PDF

Source
December 2018
2 Reads

A Viable Osteochondral Allograft for Articular Cartilage Replacement of the First Metatarsal Head — A Case Series.

Surg Technol Int 2018 Dec 20;34. Epub 2018 Dec 20.

American Board of Foot and Ankle Surgery, Department of Foot and Ankle Surgery Scripps Mercy San Diego Hospital, San Diego, CA.

Few reports in the literature have described the use of an osteochondral allograft for the treatment of articular cartilage damage of the 1st metatarsal phalangeal joint. We present here the clinical outcomes and detailed surgical technique of four cases in which we used a cryopreserved, viable, osteochondral allograft (CVOCA) for full cartilage replacement of the first metatarsal head to address degenerative articular cartilage damage. At 10-22 months of follow-up, patients reported clinical improvement, with VAS pain-scale scores decreasing from an average of 8. Read More

View Article

Download full-text PDF

Source
December 2018
1 Read

Stratum-Specific Likelihood Ratio Analysis: An Evidence-Based and Pragmatic Approach to Meaningful Thresholds in Lower Extremity Arthroplasty.

Surg Technol Int 2018 Dec 20;34. Epub 2018 Dec 20.

Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, Ohio.

Background: With the transition toward a value-based care delivery model, an evidence-based approach to quantify the effect of procedural volume on outcomes and cost presents an opportunity to understand and optimize the delivery of lower extremity arthroplasty. Stratum-specific likelihood ratio (SSLR) analysis has been recently applied to define benchmarks which confer a significant advantage in value at the hospital or surgeon level.

Materials And Methods: In this report, the role, statistical technique, and future applications of SSLR analysis are described with an example outlined for total hip arthroplasty (THA). Read More

View Article

Download full-text PDF

Source
December 2018
1 Read

Long-term Results of Robotic Modified Belsey (Gastroesophageal Valvuloplasty) Fundoplication.

Surg Technol Int 2018 Nov 30;34. Epub 2018 Nov 30.

University of Arizona Medical Center, Tucson, AZ.

Purpose: Nissen fundoplication is associated with poor long-term durability, as well as dysphasia and gas bloat. We report here the long-term results of modified Belsey fundoplication (Gastroesophageal Valvuloplasty; GEV) performed laparoscopically using a surgical robot.

Methods: Patients who underwent robotic GEV were reviewed retrospectively. Read More

View Article

Download full-text PDF

Source
November 2018
136 Reads

Enterocele Reduction in the Prone Position: New Horizons for Safer Stapled Transanal Rectal Resections.

Surg Technol Int 2018 Nov 30;34. Epub 2018 Nov 30.

Rectal Surgery Residency Program, Department of Colon and Rectal Surgery, St. Mark's Hospital, Salt Lake City, UT.

Aim: The presence of enterocele may interfere with the surgical approach for obstructed defecation syndrome (ODS) as it may represent a contraindication to stapled transanal rectal resection (STARR), and tactics to overcome this problem have been debated. A change in the patient's position during surgery may be a means to overcome an enterocele. We sought to determine whether an enterocele could be completely reduced when the patient is placed in the prone position during fluoroscopic defecography (FD). Read More

View Article

Download full-text PDF

Source
November 2018
4 Reads

Outcomes of Dual Mobility Acetabular Cups in Total Hip Arthroplasty Patients.

Surg Technol Int 2018 11 30;34. Epub 2018 Nov 30.

Department of Orthopaedic Surgery, Lenox Hill Hospital Northwell Health, New York, New York.

Background: Instability can account for over 20% of all revision total hip arthroplasties (THAs). Although a number of surgical techniques have been developed to limit the number of dislocations, prevention still remains a challenge. More recently, dual mobility (DM) cups have been developed to potentially target this problem. Read More

View Article

Download full-text PDF

Source
November 2018
11 Reads

Operative Applications of Placental Tissue Matrix in Orthopaedic Sports Injuries: A Review of the Literature.

Surg Technol Int 2018 Nov 23;34. Epub 2018 Nov 23.

Strategic Initiatives, Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York, Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

Introduction: Placental and amniotic membrane-based tissues have gained widespread popularity for their ability to promote healing and tissue regeneration and have manifested multiple applications in wound care, burn treatment, and management of various ocular conditions. Recently, there have been multiple studies that investigated the nonoperative uses of placental tissue-based products in orthopaedic sports injuries. However, there is a relative paucity of studies that have attempted to evaluate their adjuvant operative uses. Read More

View Article

Download full-text PDF

Source
November 2018
16 Reads

Shared Decision-Making to Improve Patient Engagement in Minimally Invasive Hysterectomy.

Surg Technol Int 2018 Nov 23;34. Epub 2018 Nov 23.

Health Economics and Reimbursement, Edwards Lifesciences, Irvine, California.

Shared decision-making (SDM) between the patient and physician is receiving increased attention as a way to improve patient satisfaction and value of care. Having a readily implemented tool available to inform conversation may enable SDM at a high-volume gynecologic surgery practice. Our objective was to evaluate the impact of an SDM tool on patients' decision to have minimally invasive gynecology surgery. Read More

View Article

Download full-text PDF

Source
November 2018
20 Reads

Incisional Application of Negative Pressure for Nontraumatic Lower Extremity Amputations: A Review.

Surg Technol Int 2018 Nov 23;34. Epub 2018 Nov 23.

eorgetown University School of Medicine, Vice Chair of Research for MedStar Plastic and Reconstructive Surgery, Center for Wound Healing, MedStar Georgetown University Hospital, Washington, DC.

In the environment of diabetes and peripheral vascular disease (PVD), there is a high risk of incisional complications following amputation, including seroma, hematoma, infection, and dehiscence. Incisional negative-pressure wound therapy (iNPWT) is a novel application of negative-pressure wound therapy (NPWT) that may be able to mitigate these complications and reduce the need for revisional surgery (including higher-level major lower-extremity amputations). It may also facilitate an increased rate of healing and earlier return to function. Read More

View Article

Download full-text PDF

Source
November 2018
5 Reads

Estimating the Incidence of Stray Energy Burns during Laparoscopic Surgery based on Two Statewide Databases and Retrospective Rates: An Opportunity to Improve Patient Safety.

Surg Technol Int 2018 Nov 23;34. Epub 2018 Nov 23.

Jordan Valley Medical Center, Minimally Invasive and Bariatric Surgeons, Minimally Invasive Gastrointestinal, Bariatric, and Trauma Surgery IASIS Healthcare, Salt Lake City, UT.

Background: The growth of laparoscopic surgery has increased the use of laparoscopic electrosurgical devices based on radiofrequency current. Despite an improvement in most post-operative outcomes, the use of these devices can be associated with inadvertent thermal or mechanical injuries, also called accidental punctures and lacerations (APLs). APLs can occur through either operator error or system error, including insulation failure or capacitive coupling resulting in stray energy burns. Read More

View Article

Download full-text PDF

Source
November 2018
13 Reads

A Comparison of Pain Management Protocols Following Total Knee Arthroplasty: Femoral Nerve Block versus Periarticular Injection of Liposomal Bupivacaine with an Adductor Canal Block.

Surg Technol Int 2018 Nov 3;34. Epub 2018 Nov 3.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

Background: Total knee arthroplasty (TKA) results in significant postoperative pain and a demanding postoperative path for recovery. This study was conducted to determine whether a femoral nerve block (FNB) or a periarticular injection of liposomal bupivacaine with an adductor canal block (LB+ACB) is superior for pain management.

Materials And Methods: A total of 557 consecutive primary TKA cases performed at a single hospital between 2010-2014 were retrospectively reviewed. Read More

View Article

Download full-text PDF

Source
November 2018
2 Reads

Use of Growth Factors for Vulvo/Vaginal Bio-Stimulation.

Surg Technol Int 2018 Nov 3;34. Epub 2018 Nov 3.

Urogynecology and Minimally Invasive Surgery Unit, Department of Obstetrics and Gynecology, Hospital Universitario San Jorge, Pereira, Colombia.

Vulvo-vaginal atrophy as a main symptom of the Genito Urinary Syndrome of Menopause (GSM) is a consequence of aging, particularly after menopause as a result of follicular ovarian follicle depletion and consequently low estrogen levels. Anatomical structures derived from the urogenital sinus, such as the distal urethra trigone and vestibule, are the most affected areas because of the high concentrations of alfa- and beta-estrogen receptors. The most common symptoms associated with vulvo-vaginal atrophy are dyspareunia, vaginal dryness, irritation, recurrent urinary tract infection and urinary incontinence, which negatively affect the patient's quality of life and sexuality. Read More

View Article

Download full-text PDF

Source
November 2018
2 Reads

An Algorithm for Detection and Correction of Pelvic Tilt in Total Hip Replacement.

Surg Technol Int 2018 Nov 3;34. Epub 2018 Nov 3.

Department of Orthopedics, New England Baptist Hospital, Boston, Massachusetts.

Successful joint replacement surgery requires precise preoperative planning and intraoperative placement of implants such that the function of the joint is optimized biomechanically and biologically. The five-step "pelvic tilt algorithm" will enhance the outcome of hip replacement surgery as a result of improved acetabular component alignment. It will solve the problem of pelvic tilt as an unknown variable during hip replacement surgery, and will allow for more consistent and accurate acetabular component placement. Read More

View Article

Download full-text PDF

Source
November 2018
2 Reads

Medical Applications of Drones for Disaster Relief: A Review of the Literature.

Surg Technol Int 2018 Nov;33:17-22

University of Central Florida College of Medicine Orlando, FL.

Introduction: Rapid progress has been made with unmanned aerial systems (UAS), which are now used in a wide variety of different fields, including media, agriculture, wildlife, and infrastructure. However, the application of UAS for medical purposes, and in particular disaster relief efforts, has been slower to develop. This paper will review and present pertinent studies in the literature. Read More

View Article

Download full-text PDF

Source
November 2018
2 Reads

Comparing the Cumulative Incidence of Pressure Injuries Using Multilayer Foam Dressings in Seriously Ill and Frail Patients: A Quality Improvement Project.

Surg Technol Int 2018 Nov;33:53-57

School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University Kingston, Ontario.

Maintaining skin integrity is benchmarked for patient safety and quality of care. The purpose of this quality improvement project was to evaluate the incidence of pressure ulcers in high-risk, seriously ill patients from critical care areas comparing the number of hospital-acquired pressure injuries (HAPIs) after implementation of a new silicone multi-layer foam dressing with the number of HAPIs developed during a period in the previous year within which other silicone multi-layer foam dressings were used for prevention. This study took place in three intensive care units (ICUs) including 326 patients from three community-based hospitals in Massachusetts. Read More

View Article

Download full-text PDF

Source
November 2018
17 Reads

McCarus Minimally Invasive Hysterectomy: 20 Years' Experience-Lessons Learned.

Authors:
Steven D McCarus

Surg Technol Int 2018 Nov;33:207-214

Division of Gynecologic Surgery, Florida Hospital Celebration Health, Department of OB/GYN, University of Central Florida, McCarus Surgical Specialists for Women, Orlando, Florida.

The advancement of surgical innovation for both devices and techniques has directly impacted the number of hysterectomy options available to patients. These advancements have led to an expansion of options that has been exceptionally impactful for minimally invasive surgery. For individuals who are diagnosed with a health condition or disease that requires a hysterectomy, these advances allow the surgeon to consider an expanded variety of procedures that may improve patients' outcomes and accommodate patient preferences. Read More

View Article

Download full-text PDF

Source
November 2018
22 Reads

Tolerance of Biofilms to Antimicrobials and Significance to Antibiotic Resistance in Wounds.

Surg Technol Int 2018 Nov;33:59-66

5D Health Protection Group Ltd, Centre of Excellence in Biofilm Science (CEBS), Liverpool Bio-Innovation Hub, Liverpool, United Kingdom.

A biofilm is a community of microorganisms that adhere to each other and to surfaces and secrete extracellular polymeric substances (EPS) encasing themselves in a matrix. Biofilms are a major healthcare concern, as they can form on medical devices leading to infection. Additionally, there is growing evidence to show their ability to form in chronic wounds, which leads to delayed wound healing and inflammation. Read More

View Article

Download full-text PDF

Source
November 2018
23 Reads

Accurately Predicting Total Knee Component Size without Preoperative Radiographs.

Surg Technol Int 2018 Nov;33:337-342

Orthopaedic Service, Madigan Healthcare System, Tacoma, Washington.

Background: Preoperative templating of total knee arthroplasty (TKA) components can help in choosing appropriate implant size prior to surgery. While long limb radiographs have been shown to be beneficial in assessing alignment, disease state, and previous pathology or trauma, their accuracy for size prediction has not been proven. In an attempt to improve templating precision, surgeons have looked to develop other predictive models for component size determination utilizing patient characteristics. Read More

View Article

Download full-text PDF

Source
November 2018
10 Reads

Clinical Results of Direct Anterior Approach THA with Minimal Fluoroscopic Exposure Optimization Techniques.

Surg Technol Int 2018 Nov;33:277-280

Department of Orthopedics, Charleston Institute for Advanced, Orthopedics, Charleston, South Carolina.

Purpose: To determine if low-level intraoperative fluoroscopy usage is associated with increased complications during an initial series for an experienced surgeon transitioning to direct anterior approach (DAA) for total hip arthroplasty (THA).

Materials And Methods: Subjects who underwent DAA were eligible for analysis. Inclusion criteria included the first 50 subjects who underwent DA hip arthroplasty by a single surgeon (January 2013 to December 2014). Read More

View Article

Download full-text PDF

Source
November 2018
3 Reads

Intracorporeal Anastomosis in Both Elective and Emergency Right Hemicolectomy: Our Experience.

Surg Technol Int 2018 Nov;33:133-136

Department of General Surgery, Sant'Andrea Hospital, La Spezia, Italy.

Purpose: The aim of this study was to examine whether intracorporeal anastomosis (IA) after laparoscopic right hemicolectomy (LRH) is a safe procedure in both emergency and elective settings.

Methods: A retrospective review of all consecutive adult patients (age > 17 years) who underwent LRH from November 2014 to May 2018 at S. Andrea Hospital, La Spezia, was performed. Read More

View Article

Download full-text PDF

Source
November 2018
1 Read

Pain Reduction with Negative Pressure on Surgical Site Incisions.

Surg Technol Int 2018 Nov;33:47-51

Board Certified Foot and Ankle Reconstruction, American Board of Foot and Ankle Surgery, Scripps Mercy Hospital, San Diego, CA.

Postoperative pain management for surgery in the lower extremities has historically been managed mechanically through the use of elevation, ice, compression and drains. Pharmacological management includes the use of nerve blocks and analgesics. Due to the current opioid crisis, new methods are being sought to reduce post-operative pain so that patients are at lower risk for opioid addiction. Read More

View Article

Download full-text PDF

Source
November 2018
2 Reads

Can the General Surgeon Use Quilting Sutures to Prevent Seromas Following Abdominal Wall Surgery?

Surg Technol Int 2018 Nov;33:149-157

Department of General Surgery, Queen Elizabeth Hospital, Lewisham & Greenwich NHS Trust, London, UK.

A common post-operative complication of many operations is seroma formation, which, while generally considered to be relatively minor, can be problematic for patients and a drain on healthcare resources due to the need for frequent outpatient reviews and repeated aspirations. Several mechanisms have been implicated in the development of seromas, and drains have traditionally been used as a preventative strategy. However, drains are falling out of favour, not least because the evidence to support their use is limited and conflicting. Read More

View Article

Download full-text PDF

Source
November 2018
4 Reads

A Surgical Case of Inferior Mesenteric Arteriovenous Malformation.

Surg Technol Int 2018 Nov;33:101-104

Department of Clinical Oncology, Kochi Health Sciences Center, Kochi, Japan.

The treatment option for inferior mesenteric arteriovenous malformations is under debate because of the number of cases. We, herein, report about a 35-year-old man with congenital inferior mesenteric artery malformation (AVM) presenting with mucous stool and severe abdominal pain. The radical operation, after building the diverting stoma, minimized the extent of the resection. Read More

View Article

Download full-text PDF

Source
November 2018
1 Read

Linear Wear Rates of a Highly Cross-Linked Polyethylene Hip Liner.

Surg Technol Int 2018 Nov;33:265-270

Department of Orthopaedic Surgery OrthoIndy, Greenwood, Indiana.

Introduction: To help limit wear, newer polyethylene liners, such as the highly cross-linked polyethylene (HXLPE) liners, have been developed. These newer liners undergo an alternating irradiation process, resulting in a stronger, longer-lasting liner. The purpose of this study was to analyze the wear rates of patients who underwent THA and received a newer generation HXLPE acetabular insert. Read More

View Article

Download full-text PDF

Source
November 2018
3 Reads

Scoping Review of Clinical Outcomes Related to Advanced Training in Wound Care.

Surg Technol Int 2018 Nov;33:67-73

Queen's University, School of Nursing/School of, Rehabilitation Therapy, Kingston, Ontario.

Introduction: There are different levels of wound education which exist amongst healthcare providers treating wounds. It is unknown if advanced wound training can lead to improved clinical outcomes.

Purpose: To review and summarize existing literature focused on the impact of different healthcare professionals with advanced wound care training and the associated effect of clinical outcomes. Read More

View Article

Download full-text PDF

Source
November 2018
1 Read

Latest Advances in Transcatheter Cardiac Valvular Treatment.

Surg Technol Int 2018 Nov;33:219-237

Cardiology Division, European Hospital, Rome, Italy.

When the original monograph on valvular prostheses was published in Surgical Technology International, back in 1993, transcatheter technology had not yet been invented. These techniques have been gradually revealed in subsequent issues. When we first considered writing a paper that described both surgical and transcatheter prosthesis, we realized that such a combined paper would be impractically large. Read More

View Article

Download full-text PDF

Source
November 2018
4 Reads

Favorable Management of Low Colorectal Anastomotic Leakage with Transanal Conventional and Endoscopic Drainage (GelPOINT® Path Transanal Access Platform).

Surg Technol Int 2018 Nov;33:119-126

Surgical Oncology Division, Department of Human Pathology of Adult and Evolutive Age University Hospital of Messina, Messina, Italy.

Objective: We describe our experience with transanal-laparoscopic treatment of anastomotic leakage.

Summary Of Background Data: Anastomotic leakage leads to high mortality rates, morbidity, a complicated post-operative course and increased cost. The management of low anastomotic leakage after anterior resection of rectal cancer is not standardized. Read More

View Article

Download full-text PDF

Source
November 2018
5 Reads

Prevention of Parastomal Hernia.

Surg Technol Int 2018 Sep 11;33. Epub 2018 Sep 11.

Lichtenstein Amid Hernia Clinic, David Geffen School of Medicine at University, of California, Los Angeles, Santa Monica, CA.

Parastomal hernia (PSH), defined as an incisional hernia at the abdominal wall defect resulting from stoma formation, is a frequent complication of enterostomy (ileostomy and jejunostomy), colostomy, and urostomy. A growing body of evidence supports the use of prophylactic mesh at the time of stoma creation to prevent the development of PSH. In particular, the use of permanent mesh has been supported in the creation of an end colostomy, and prophylactic mesh has been studied for use in other types of stoma. Read More

View Article

Download full-text PDF

Source
September 2018
20 Reads

Blended Learning Methods for Surgical Education.

Surg Technol Int 2018 Nov;33:127-132

Lichtenstein Amid Hernia Clinic, David Geffen School of Medicine at University, of California, Los Angeles, Santa Monica, CA.

The emergence and maturation of the concept of blended learning in public and military education may prove equally valuable in CME surgical education and training. Creating a learner-centric environment in which multiple modes of education are encouraged, available, integrated, and accredited can increase the level of competence achieved in CME courses. This paper defines a framework for blended surgical training using principles developed for the military and it is applied in courses at a major post-graduate surgical education center. Read More

View Article

Download full-text PDF

Source
November 2018
1 Read

Surgical Treatment of Sacral Chordoma: En Bloc Resection with Negative Margins is a Determinant of the Long-Term Outcome.

Surg Technol Int 2018 Nov;33:343-348

Department of Orthopedic Surgery, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Study Design: Retrospective case series.

Objective: To report the outcome of a series of patients with sacral chordoma who were surgically treated at a single center.

Summary: Chordomas are low-grade malignant tumors that arise from remnants of the notochord. Read More

View Article

Download full-text PDF

Source
November 2018
4 Reads