1,614 results match your criteria Surgical technology international[Journal]


Injection Alternatives for the Management of Knee Osteoarthritis Pain.

Surg Technol Int 2019 Mar 19;34. Epub 2019 Mar 19.

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

Introduction: There has been a rapid increase in opioid-related morbidity and mortality worldwide, and the dangers of excessive opioid use have been observed in patients with chronic musculoskeletal pain, including those diagnosed with knee osteoarthritis. Pain management is an important component of nonoperative treatment in knee osteoarthritis and frequently entails the use of opioids. However, this management technique is not without risks, such as addiction, morbidity, and mortality. Read More

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March 2019
1 Read

Clinicopathologic Features and Surgical Outcomes of Neuroendocrine Carcinoma of the Gallbladder.

Surg Technol Int 2019 Mar 19;34. Epub 2019 Mar 19.

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

Neuroendocrine carcinoma (NEC) of the gallbladder is highly aggressive and has a poor prognosis even after curative resection. The purpose of this study was to collate and analyze published data to clarify the surgical outcome of NEC of the gallbladder and the relationships between potential prognostic factors and survival after surgery. We surveyed worldwide literature from 1981 to 2018 and obtained clinicopathological data for 65 patients who had undergone surgical resection for NEC of the gallbladder. Read More

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March 2019
2 Reads

Endometriosis of the Bladder: Clinical and Surgical Outcomes after Laparoscopic Surgery.

Surg Technol Int 2019 Mar 19;34. Epub 2019 Mar 19.

Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Porto, Portugal, Department of Gynecology, Centro Hospitalar Universitário do Porto, Porto, Portugal.

Background/aims: Urinary tract endometriosis is rare. The bladder is the most common site affected. The nonspecific symptoms can make a diagnosis difficult. Read More

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March 2019
1 Read

Transperineal Excision of Rectal Gastrointestinal Stromal Tumor.

Surg Technol Int 2019 03 19;34. Epub 2019 Mar 19.

Sechenov First Moscow State Medical University, Moscow, Russia.

Gastrointestinal stromal tumors (GIST) of the rectum occur in approximately 4% of patients with rectal malignancies. Herein, we demonstrate a transperineal approach as a safe surgical technique for GISTs located anterior to the rectum. The proposed technique allows safe and effective excision of a tumor without disturbing the rectal anterior wall. Read More

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March 2019
2 Reads

Effects of Time to Application of Negative Pressure Therapy on Abdominal Infections After Colonic Perforation.

Surg Technol Int 2019 Mar 19;34. Epub 2019 Mar 19.

Department of Human Pathology, in Adulthood and Childhood, University of Messina, Messina, Italy.

Background: Negative pressure therapy (NPT) seems to improve surgical outcomes in open abdomen (OA) management of severe intra-abdominal infections (IAIs). The aim of this study was to compare the effects of immediate vs. delayed application of NPT on outcomes in patients with IAIs after colonic perforation. Read More

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Uterine Fibroids - Current Trends and Strategies.

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

Department of Women's Health, University of Tübingen, Tübingen, Germany.

Fibroids are the most common benign tumors in women of childbearing age and can be found in almost 80-90% of all women by age 50 years. They can cause pain, excessive menstrual bleeding or infertility. The development of fibroids increases with age. Read More

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March 2019
2 Reads

Multimodal Treatment in Pelvic Ewing Sarcoma: A Prognostic Factor Analysis.

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

Department of Orthopaedic Oncology and Reconstructive Surgery, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.

Background: Although multidisciplinary therapies have improved local control and overall survival in Ewing sarcoma (ES), the prognosis of pelvic lesions remains markedly worse than that of limb ES.

Methods: We retrospectively evaluated the influence of the type of local treatment, margins, necrosis and sacrum involvement on overall survival (OS) and disease-free survival (DFS) in a series of 21 non-metastatic pelvic ES.

Results: The average follow-up was 46. Read More

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Robotic-Assisted Total Knee Arthroplasty in the Presence of Extra-Articular Deformity.

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

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

Introduction: Tibial or femoral extra-articular deformities complicate the goal achieving optimal mechanical axis alignment for successful total knee arthroplasty (TKA) outcomes. In the presence of these extra-articular deformities, standard operative techniques and instruments may not be reliable. Robotic-arm assisted technology was developed to help achieve a well-aligned and balanced knee in a variety of clinical scenarios. Read More

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Perioperative Use of Anti-TNFa Biological Agents in Open and Laparoscopic Surgery for Inflammatory Bowel Disease.

Surg Technol Int 2019 03 18;34. Epub 2019 Mar 18.

1st Division of Internal Medicine & Hepato-Gastroenterology Unit University of Ioannina School of Medicine, Ioannina, Greece.

Inflammatory bowel disease (IBD) consists of two disorders: Crohn's disease (CD) and ulcerative colitis (UC). Over the past few decades, a great body of knowledge has accumulated regarding the pathogenesis of IBD, and effective pharmaceutical agents, such as inhibitors of tumor necrosis factor (anti-TNF), have been introduced. Although these agents have dramatically improved the outcome of IBD, up to 70% of patients with CD and 10-30% of those with UC still undergo surgery within 10 years from diagnosis. Read More

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March 2019
1 Read

THD Doppler: A Reliable Surgical Procedure to Treat Hemorrhoids.

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

Department of Surgery, New York Medical College, Westchester Medical Center Valhalla, NY, USA.

The search for alternatives to excisional surgery for internal hemorrhoids has been motivated by a desire to reduce postoperative pain and its associated disability as well as chronic sequelae. Among several non-excisional procedures, Doppler-guided transanal hemorrhoidal dearterialization (THD Doppler) has emerged as an alternative that offers minimal postoperative pain. However, there is some skepticism regarding the ligation of hemorrhoidal arteries, the usefulness of Doppler guidance, and the recurrence rates after THD Doppler. Read More

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Benefits of Robotic Camera Assistance in Minimally Invasive Bariatric Procedures: Prospective Clinical Trial Using a Joystick-Guided Camera-Holder.

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

Department of General and Visceral Surgery, Hospital Bietigheim-Vaihingen, Bietigheim-Vaihingen, Germany.

Background: While minimally invasive surgery is a growing sector in medicine, camera assistance remains a problem. Especially in bariatric surgery, the assistant holding the camera faces certain challenges. Furthermore, unless the surgeon controls the camera movement themselves, they will be challenged by an unstable image. Read More

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March 2019
5 Reads

Laparoscopic Ventral Hernia Repair with a Non-Woven Hernia Mesh.

Surg Technol Int 2019 Mar 13;34. Epub 2019 Mar 13.

Department of Mechanical, Aerospace and Biomedical Engineering, Tickle College of Engineering, University of Tennessee, Knoxville, Tennessee.

Introduction: Laparoscopic ventral hernia repair is a commonly performed procedure with a variety of mesh options. A relatively new mesh option is a non-woven polypropylene mesh with a silicone barrier designed for intraabdominal placement. This non-woven randomly oriented polypropylene microfiber hernia mesh may have benefits with potentially better biocompatibility compared with other ventral hernia repair mesh options. Read More

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March 2019
5 Reads

Comparative Thermal Effects of J-Plasma®, Monopolar, Argon, and Laser Electrosurgery in a Porcine Tissue Model.

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

Las Vegas Minimally Invasive Surgery and Women's Pelvic Health Center, WellHealth Quality Care, a DaVita Medical Group, Obstetrics and Gynecology, University of Nevada, Las Vegas, School of Medicine, Las Vegas, Nevada.

Introduction: The objective of this study was to understand how J-Plasma® (Bovie Medical Corporation, Clearwater, Florida) surgical energy compares to monopolar, argon beam, and CO2 laser devices in terms of depth of penetration and lateral thermal spread in a porcine tissue model.

Materials And Methods: Using a porcine animal model, we applied the thermal energy of the J-Plasma® laser, Bovie Monopolar Pencil™ (Bovie Medical Corporation, Clearwater, Florida), argon beam coagulator, and CO2 laser to porcine small bowel, bladder, and peritoneal tissues at equivalent settings. Tissue was excised and sent to pathology for histologic evaluation. Read More

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March 2019
1 Read

Primary Posterior Cruciate Ligament Repair With The Novel Suture Tape Augmentation Technique.

Surg Technol Int 2019 03 1;34. Epub 2019 Mar 1.

Department of Radiology, Antwerp University Hospital, Edegem, Belgium.

Background: A posterior cruciate ligament (PCL) rupture is less common than an anterior cruciate ligament (ACL) rupture. PCL reconstruction remains controversial with variable outcomes and problems. The encouraging results of the novel ACL repair techniques led to renewed interest in PCL repair. Read More

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Preoperative Functional Status Predicts Increased Morbidity Following Total Knee Arthroplasty.

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

Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, Michigan.

Introduction: Dependent functional status (DEP) has been associated with higher postoperative adverse events and mortality compared to patients with independent functional status (IND). However, the association between preoperative functional status and perioperative outcomes after primary TKA has not been well reported. Therefore, the purpose of this study was to evaluate this association. Read More

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The Epidemiology, Pathophysiology, and Novel Treatment of Calcific Arterial Disease.

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

Division of Vascular Surgery, Icahn School of Medicine at Mount Sinai The Mount Sinai Medical Center, New York, New York.

Endovascular treatment of arterial diseases has become first-line in most cases due to improved technology. However, until recently, excessive atherosclerotic calcification has been a major limiting factor in the endovascular management of peripheral arterial disease, as well as vascular access for endovascular aneurysm repair (EVAR) and transcatheter aortic valve replacement (TAVR). The Peripheral Intravascular Lithotripsy (IVL) System (Shockwave Medical, Inc. Read More

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March 2019
2 Reads

Development and Verification of a Porous Acetabular Shell Design Manufactured Using Additive Technology.

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

Stryker, Mahwah, New Jersey.

Introduction: Porous surface acetabular shells have been successfully used in cementless total hip arthroplasty. Recent advances in additive manufacturing have provided opportunities to optimize the shell designs. The current study describes the design and verification of a new acetabular shell design. Read More

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March 2019
1 Read

Fibonacci's Golden Ratio-An Innovative Approach to the Design and Management of Extra-Corporeal Circulation.

Surg Technol Int 2019 Feb 27;34. Epub 2019 Feb 27.

Department of Cardiac Surgery, Anthea Hospital GVM Care & Research, Bari, Italy.

Technological advances in the field of extracorporeal circulation (ECC) over the past decade have led to numerous methods for monitoring metabolism and coagulation during cardiopulmonary bypass (CPB), as well as materials with improved biocompatibility, which has reduced the risk associated with cardiopulmonary bypass. However, ECC is still predominantly based on a traditional design that involves the use of roller pumps. This exposes the patient to a variety of pathophysiological consequences, both intra- and postoperative, such as postoperative cognitive disorders, hemolysis and hemodilution, systemic inflammation and changes in coagulation. Read More

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February 2019
2 Reads

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

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February 2019
12 Reads

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

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February 2019
7 Reads

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

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February 2019
3 Reads

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

Surg Technol Int 2019 02 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

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February 2019
1 Read

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

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February 2019
3 Reads

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

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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

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February 2019
13 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

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February 2019
13 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

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February 2019
2 Reads

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

Surg Technol Int 2019 02 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

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February 2019
14 Reads

Authors:

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

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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

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January 2019
15 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

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January 2019
6 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

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January 2019
9 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

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January 2019
23 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

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December 2018
3 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

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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

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December 2018
12 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

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December 2018
14 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

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December 2018
26 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

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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

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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

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December 2018
2 Reads

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

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November 2018
208 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

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November 2018
5 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

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November 2018
17 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

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November 2018
23 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

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November 2018
26 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

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November 2018
10 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

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November 2018
21 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

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November 2018
4 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

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November 2018
2 Reads