J Avian Med Surg 2017 Jun;31(2):156-164

A 3-month-old male umbrella cockatoo (Cacatua alba) was presented because of acute non-weight-bearing lameness of the right leg. Marked soft tissue swelling was present around the femorotibiotarsal (stifle) joint, and the radiographic diagnosis was right medial femorotibiotarsal subluxation. Surgical management was elected, and the stifle joint was approached via a lateral parapatellar incision. Read More

Khirurgiia (Mosk) 2017 (6):37-40

Department of General Surgery, Pavlov Ryazan State Medical University, Ministry of Health of the Russian Federation, Ryazan, Russia.

Aim: To assess experimentally different laparotomy closure techniques.

Material And Methods: Experimental research on laboratory animals was performed. Laboratory animals underwent laparotomy followed by aponeurosis suturing by using of interrupted, continuous suture and continuous suture with an arrangement of stitches at different levels. Read More

J Invest Surg 2017 Jun 21:1-7. Epub 2017 Jun 21.

d Surgery Teaching and Research Section of Department of Education , Peking University People's Hospital , Beijing , 100044 PR China.

Background: Clinical-simulated training has shown benefit in the education of medical students. However, the role of clinical simulation for surgical basic skill training such as suturing techniques remains unclear.

Materials And Methods: Forty-two medical students were asked to perform specific suturing tasks at three stations with the different settings within four minutes (Station 1: Synthetic suture pad fixed on the bench, Station 2: Synthetic suture pad fixed on the standardized patient, Station 3: Pig skin fixed on the standardized patient); the OSATS (Objective Structured Assessment of Technical Skill) tool was used to evaluate the performance of students. Read More

Int Urogynecol J 2017 Jun 20. Epub 2017 Jun 20.

Obstetrics and Gynecology Department, Female Pelvic Medicine and Reconstructive Surgery Division, University of Massachusetts Medical School, Worcester, MA, USA.

Introduction And Hypothesis: Surgeons use a variety of sutures and knot-tying methods during pelvic reconstructive procedures. We hypothesized that knot-strength integrity will be similar with regards to type of knot, type of suture, and the knot-tying process.

Methods: Using six different suture materials, flat square knots and slip knots were tied robotically and by hand by two surgeons. Read More

Clin Spine Surg 2017 Jul;30(6):272-275

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.

Study Design: Open-label laboratory investigational study; non-animal surgical simulation.

Objective: The authors perform a comparison of dural closure strength in a durotomy simulator across 2 different suture materials.

Summary Of Background Data: Incidental durotomy leading to persistent cerebrospinal fluid leak adds considerable morbidity to spinal procedures, often complicating routine elective lumbar spinal procedures. Read More

Med Sci Monit 2017 Jun 20;23:3010-3018. Epub 2017 Jun 20.

Department of Trauma and Orthopaedics, Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, China (mainland).

BACKGROUND The main purpose of this study was to compare the effects of various lavage techniques - traditional saline lavage (SL), pulse lavage (PL), closed drainage (CD), and iodine lavage (IL) - on preventing incision-related infection after posterior lumbar interbody fusion. MATERIAL AND METHODS Patients with prolapsed lumbar (intervertebral) discs (PLID) undergoing posterior lumbar interbody fusion surgery (PLIF) over the course of 2 years were included and were randomly allocated into 4 groups: the SL group, the PL group, the CD group, and the IL group. Relevant data were recorded, including preoperative conditions, intraoperative lavage time, lavage fluid volume, incision outlook, pain perception, results of routine blood tests, and postoperative infection rate. Read More

Arthrosc Tech 2015 Jun 11;4(3):e201-e205. Epub 2015 May 11.

Orthopaedic and Traumatologic Department, University of Parma, Parma, Italy.

Transosseous rotator cuff tear repair was first described in 1944. Over the years, it has represented the gold standard for such lesions. Through open and mini-open approaches, as well as the arthroscopic approach, the transosseous repair system represents one of the most reliable surgical techniques from a biological and mechanical perspective. Read More

J Orthop Sci 2017 Jun 15. Epub 2017 Jun 15.

Department of Orthopedic Surgery, Osaka Medical College, Takatsuki, Japan.

Background: Inconsistent tension distribution may decrease the biomechanical properties of the rotator cuff tendon after double-row repair, resulting in repair failure. The purpose of this study was to compare the tension distribution along the repaired rotator cuff tendon among three double-row repair techniques.

Methods: In each of 42 fresh-frozen porcine shoulders, a simulated infraspinatus tendon tear was repaired by using 1 of 3 double-row techniques: (1) conventional double-row repair (no bridging suture); (2) transosseous-equivalent repair (bridging suture alone); and (3) compression double-row repair (which combined conventional double-row and bridging sutures). Read More

J Med Case Rep 2017 Jun 18;11(1):162. Epub 2017 Jun 18.

Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Background: Spontaneous colonic perforations are scarce, and cecal perforations even more so. Preoperative diagnosis of the latter in a pregnant woman is particularly difficult because of physiologic changes and restrictions on some diagnostic imaging techniques, such as X-rays. Furthermore, management of these patients is a big challenge. Read More

J Thorac Dis 2017 May;9(5):1265-1272

Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background: Uniportal video-assisted thoracoscopic surgery (VATS) is an alternative modality for treatment of primary spontaneous pneumothorax (PSP) with its less invasiveness and acceptable surgical outcomes. However, a few reports have been introduced for wound management to achieve better cosmetic wound healing and for placement of the chest tube in uniportal VATS. Thus, we aimed to evaluate the feasibility of our novel method for wound closure and concomitant tube placement using continuous barbed suture material in uniportal VATS for PSP. Read More

Eur J Plast Surg 2017 29;40(2):149-152. Epub 2016 Nov 29.

Division of Plastic Surgery, National (Care) Hospital, Riyadh, Saudi Arabia.

We report on two unusual cases of Cosman (question mark) ear; both required modifications of the standard techniques for surgical correction. The first patient presented with a unilateral question mark ear and concurrent ear prominence and bulging of the cartilage of the anti-helix. Simultaneous correction was done using a combination of cartilage suturing/scoring (for the prominence and the cartilage bulge) as well as Al-Qattan's "v-y skin flap-cartilage graft-z-plasty" technique (for the correction of the ear cleft deformity). Read More

J Obstet Gynaecol Res 2017 Jun 14. Epub 2017 Jun 14.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.

Improved surgical techniques and immunosuppressant medications for organ transplantation have resulted in a significant increase in the number of women undergoing renal transplantation. Peritoneal dialysis (PD), a common supportive therapy for chronic renal failure, is also used in cases of renal transplantation failure. Herein, we report the first case of a rare total conventional laparoscopic gynecologic hysterectomy performed for endometrial cancer in a patient undergoing life-supportive PD as a result of renal transplantation failure. Read More

Int J Oral Maxillofac Surg 2017 Jun 10. Epub 2017 Jun 10.

Department of Oral and Maxillofacial Surgery, RWTH Aachen University Hospital, Aachen, Germany.

Surgically assisted rapid palatal expansion (SARPE) is a common treatment to correct transverse maxillary deficiencies. Finite element analysis was simulated for six designs of SARPE based on a computed tomography scan of a human skull: median osteotomy with palatal (type A) or alveolar ridge (type B) bone-borne force, additional lateral osteotomy with palatal (type C) or alveolar ridge (type D) bone-borne force, and additional pterygomaxillary separation with palatal (type E) or alveolar ridge (type F) bone-borne force. The transverse expansion was about 1. Read More

BMC Musculoskelet Disord 2017 Jun 13;18(1):257. Epub 2017 Jun 13.

AUVA Trauma Center Vienna Meidling, Kundratstraße 37, 1120, Vienna, Austria.

Background: One of the currently used surgical techniques in isolated type II SLAP lesions is arthroscopic SLAP repair. Postoperatively, patients tend to suffer from a prolonged period of pain and are restricted in their sports activities for at least 6 months. The aim of this study was to prospectively evaluate the clinical outcome as well as the postoperative course of pain after arthroscopic type II SLAP repair. Read More

Tissue Eng Part B Rev 2017 Jun 13. Epub 2017 Jun 13.

The University of Hong Kong, Dental Materials Science, Faculty of Dentistry, Hong Kong, Hong Kong ;

Sutures are synarthroses connecting the bones of the head each other through a fibrous sutural ligament. The knowledge of their biomechanical properties is relevant in the application of regenerative techniques for the treatment of craniofacial conditions, such as the sutural distraction osteogenesis (SDO). However, their mechanical characterisation has not received a systematic approach, and both clinical treatments and virtual simulations lack of clear mechanical parameters. Read More

Cochrane Database Syst Rev 2017 Jun 13;6:CD006672. Epub 2017 Jun 13.

Faculty of Health Sciences, Oslo and Akershus University College, PB4, St.Olavs plass, Oslo, Norway, N-0130.

Background: Most vaginal births are associated with trauma to the genital tract. The morbidity associated with perineal trauma can be significant, especially when it comes to third- and fourth-degree tears. Different interventions including perineal massage, warm or cold compresses, and perineal management techniques have been used to prevent trauma. Read More

Orthop J Sports Med 2017 May 30;5(5):2325967117708308. Epub 2017 May 30.

Department of Orthopedic Surgery, Sports Medicine, and Rehabilitation, Wright State University, Dayton, Ohio, USA.

Background: Triceps tendon ruptures are rare orthopaedic injuries that almost always require surgical repair. This study tests the biomechanical properties of an original anchorless double-row triceps repair against a previously reported knotless double-row repair.

Hypothesis: The anchorless double-row triceps repair technique will yield similar biomechanical properties when compared with the knotless double-row repair technique. Read More

Orthop J Sports Med 2017 May 30;5(5):2325967117707477. Epub 2017 May 30.

Department of Orthopaedic Surgery, Wright State University, Dayton, Ohio, USA.

Background: Acute midsubstance Achilles tendon ruptures are a common orthopaedic problem for which the optimal repair technique and suture type remain controversial. Head-to-head comparisons of current fixation constructs are needed to establish which stitch/suture combination is most biomechanically favorable.

Hypothesis: Of the tested fixation constructs, Giftbox repairs with Fiberwire will exhibit superior stiffness and strength during biomechanical testing. Read More

Indian J Otolaryngol Head Neck Surg 2017 Jun 9;69(2):239-243. Epub 2017 Mar 9.

Department of ENT, Medical College and Hospital Kolkata, 88, College Street, Kolkata, 700073 West Bengal India.

Larynx is the second most common site for cancer in the upper aerodigestive tract. One of the dreaded complications following total laryngectomy has been pharyngo cutaneous fistula (PCF). PCF merits special attention due to its significant negative impact on the recovery process. Read More

Plast Reconstr Surg Glob Open 2017 May 25;5(5):e1346. Epub 2017 May 25.

Department of Plastic and Reconstructive Surgery, Kansai Electric Power Hospital, Osaka, Japan.

In unilateral cleft lip repair, the vermilion triangular flap technique reported by Noordhoff(1) and its modification are widely accepted for the augmentation of the vermilion height on the medial side of the cleft; however, these techniques do not focus on the deformity of the labial tubercle. In this article, we herein report a modified technique for vermilion repair that is focused on the labial tubercle. The muco-vermilion quadrangular flap was elevated from the lateral lip to augment the labial tubercle. Read More

J Plast Reconstr Aesthet Surg 2017 May 20. Epub 2017 May 20.

Warwick Medical School, The University of Warwick, Coventry CV4 7AL, United Kingdom; Department of Plastic Surgery, University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom. Electronic address:

Background: There is great diversity in reported post-operative outcomes for otoplasty, with the incidence of haematoma or infection ranging from 0% to 15.6% and 0%-10%, respectively. With such variability, it is difficult to determine an overall 'average' incidence of common post-operative complications. Read More

Instr Course Lect 2017 Feb;66:275-280

Orthopaedic Surgery Foot and Ankle Fellow, Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

The management of sports-related Lisfranc injuries is optimized by a detailed understanding of the relevant anatomy, mechanisms of injury, clinical diagnostic maneuvers, imaging, and treatment options for patients with this disabling injury. A lower energy ligamentous variant Lisfranc injury, which was first observed in professional football players, has recently been described. The treatment options for patients with a Lisfranc injury include nonsurgical management, open reduction and internal fixation, suture-button fixation techniques, and arthrodesis. Read More

J Cutan Pathol 2017 Jun 7. Epub 2017 Jun 7.

Dermatology department, Bristol Royal Infirmary.

Background: There is limited data on nail histopathology techniques. The objective of this study was to examine nail histopathology techniques currently in use internationally.

Methods: An online survey was sent to the European Nail Society and Council for Nail Disorders during 2015-16. Read More

Shoulder Elbow 2017 Jul 5;9(3):153-159. Epub 2017 Apr 5.

University of Colorado School of Medicine, Department of Orthopedics, University of Colorado, Aurora, CO, USA.

Background: The present study aimed to review the biomechanical outcomes of subscapularis repair techniques during total shoulder arthroplasty (TSA) to assist in clinical decision making.

Methods: A systematic review of multiple databases was performed by searching PubMed, Scopus, Cochrane Library, Google Scholar, and all databases within EBSCOhost to find biomechanical studies of subscapularis repair techniques in cadaveric models of TSA.

Results: Nine studies met the inclusion criteria. Read More

J Craniofac Surg 2017 Jun 2. Epub 2017 Jun 2.

*Department of Otorhinolaryngology, Chosun University College of Medicine, Kwangju, Republic of Korea †Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, University of California Davis Medical Center, Sacramento, CA.

Objectives: There are limited data on the effect of otoplasty on health-related quality of life (HRQoL) in prominent ears. There are no data on the effect of otoplasty on Glasgow Benefit Inventory (GBI) of otoplasty using hybrid techniques in adult patients.

Methods: This study involved 28 patients who underwent otoplasty using combined procedures. Read More

Childs Nerv Syst 2017 Jun 3. Epub 2017 Jun 3.

Department of Neurosurgery C. Besta" Neurological Institute, Milan, Italy.

Purpose: Skull radiography (SR) and Computed Tomography (CT) are still proposed as the first-line imaging choice for the diagnosis of craniosynostosis (CS) in children with abnormal head shape, but both techniques expose infants to ionizing radiation. Several studies shown that ultrasound may play an important role in the diagnosis of craniosynostosis. The aim of our study is to assess the diagnostic accuracy of cranial ultrasound scan (CUS) and confirm if it is a reliable first step imaging evaluation for the diagnosis of craniosynostosis in newborn. Read More

Indian J Ophthalmol 2017 May;65(5):365-370

Department of Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India.

Purpose: To report the outcomes of surgical refixation of posteriorly dislocated intraocular lens (IOL) using scleral-tuck method, and to compare the "scleral groove" and the "scleral flap" techniques used.

Study Design: Single-center, retrospective, interventional, comparative study.

Methods: Medical records of patients undergoing closed globe scleral refixation of posteriorly dislocated posterior chamber IOL (PCIOLs) by scleral-tuck method using two different techniques ("scleral groove" vs. Read More

Arch Cardiovasc Dis 2017 May 26;110(5):325-333. Epub 2017 May 26.

Marie-Lannelongue Hospital, Department of Pediatric and Congenital Heart Disease, 92330 Le Plessis Robinson, France.

Background: Ebstein's anomaly is a complex malformation. Justification of a procedure in mildly symptomatic adults is debatable: repair techniques are demanding and valve replacement is associated with poorer outcome.

Objectives: We report our initial experience with the cone procedure versus medical follow-up. Read More

Clin Endosc 2017 Jun 1. Epub 2017 Jun 1.

Department of Gastroenterology and Gastrointestinal Oncology, Göttingen University Hospital, Göttingen, Germany.

Gastrointestinal (GI) bleeding is a common complication after heart assist device placement. Reasons for bleeding are multifactorial. Endoscopic therapy is the treatment of choice, whereas invasive procedures are avoided in these critically ill patients. Read More

Photomed Laser Surg 2017 May 26. Epub 2017 May 26.

2 Department of Biological Sciences (Anatomy), Bauru School of Dentistry, University of São Paulo , Bauru, Brazil .

Objective: Evaluate the efficacy of low-level laser therapy (LLLT) on qualitative, quantitative, and functional aspects in the facial nerve regeneration process.

Materials And Methods: Forty-two male Wistar rats were used, randomly divided into a control group (CG; n = 10), in which the facial nerve without lesion was collected, and four experimental groups: (1) suture experimental group (SEG) and (2) fibrin experimental group (FEG), consisting of 16 animals in which the buccal branch of the facial nerve was sectioned on both sides of the face; an end-to-end epineural suture was performed on the right side, and a fibrin sealant was used on the left side for coaptation of the stumps; and (3) laser suture experimental group (LSEG) and (4) laser fibrin experimental group (LFEG), consisting of 16 animals that underwent the same surgical procedures as SEG and FEG with the addition of laser application at three different points along the surgical site (pulsed laser of 830 nm wavelength, optical output power of 30 mW, power density of 0.2586 W/cm(2), energy density of 6. Read More

Vet Surg 2017 May 29. Epub 2017 May 29.

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

Objective: To compare upper extremity muscle activity and workload between simulated open surgery, multiple port laparoscopic surgery (MLS), and single incision laparoscopic surgery (SLS) techniques in veterinary students.

Study Design: Pilot study.

Population: Veterinary students (n = 10) from years 1 to 4. Read More

Acta Bioeng Biomech 2017 ;19(1):167-172

Hand Surgery Department, W. Dega University Hospital, Poznań University of Medical Sciences, Poznań, Poland.

Purpose: Flexor injuries are most common in the hand and require special attention and experience from the surgeon. Both quality and technique affect the stability of the suture. The selection of the optimum method will influence the process of rehabilitation. Read More

Rev Bras Anestesiol 2017 May 24. Epub 2017 May 24.

Centro Hospitalar de Trás-dos-Montes e Alto Douro, Departamento de Anestesiologia e Terapêutica da Dor, Vila Real, Portugal.

Background And Objectives: The superior gluteal nerve is responsible for innervating the gluteus medius, gluteus minimus and tensor fascia latae muscles, all of which can be injured during surgical procedures. We describe an ultrasound-guided approach to block the superior gluteal nerve which allowed us to provide efficient analgesia and anesthesia for two orthopedic procedures, in a patient who had significant risk factors for neuraxial techniques and deep peripheral nerve blocks.

Clinical Report: An 84-year-old female whose regular use of clopidogrel contraindicated neuraxial techniques or deep peripheral nerve blocks presented for urgent bipolar hemiarthroplasty in our hospital. Read More

Surgery 2017 May 24. Epub 2017 May 24.

General Surgery Unit, Azienda Ospedaliero-Universitaria Pisana, Ospedale Nuovo Santa Chiara, Cisanello, Pisa, Italy.

Background: Parenchyma-sparing hepatectomy techniques allow a lesser volume resection (<3 adjacent segments) for tumors involving the hepatic veins at the hepatocaval confluence, assuring adequate volume of the future liver remnant. We report the ability to perform parenchyma-sparing hepatectomy as planned from the preoperative imaging and the type of vascular intervention used to preserve hepatic outflow.

Methods: We analyzed 60 consecutive parenchyma-sparing hepatectomies in 54 patients for 7 primary and 53 metastatic tumors (48 colorectal), located in segments I, VII, VIII, or IVa and involving the hepatocaval confluence. Read More

Asian J Endosc Surg 2017 May;10(2):216-218

Ayatollah Kashani Social Security Hospital, Tehran, Iran.

Introduction: Trocar dislodgment can occur frequently during minimally invasive surgery. Closing the entry port at the fascial layer after the end of a long laparoscopic surgery is time-consuming. Here, I introduce Tehran's Tie, a simple trick to overcome these problems. Read More

Int Braz J Urol 2017 May 23;43. Epub 2017 May 23.

Department of Andrology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Introduction: Penile curvature (PC) can be surgically corrected by either corporoplasty or plication techniques. These techniques can be complicated by post-operative: penile shortening, recurrent PC, painful/palpable suture knots and erectile dysfunction.

Objective: To avoid the complications of corporoplasty and plication techniques using a new technique: combined plication-incision (CPI). Read More

Chin J Cancer Res 2017 Apr;29(2):93-99

Center for Gastric Cancer.

Although a number of feasibility studies for sentinel node (SN) concepts in gastric cancer have been conducted since 2000, there remains a debate regarding detailed detection techniques and oncological safety. Two important multicenter phase II clinical trials were performed in Japan that used different methods and reached different conclusions; one confirmed acceptable results with a false-negative rate of 7%, and the other showed an unacceptably high false-negative rate of 46.4%. Read More

Mater Sci Eng C Mater Biol Appl 2017 Aug 30;77:1302-1315. Epub 2017 Mar 30.

Centre for Biomaterials, Cellular and Molecular Theranostics, VIT University, Vellore 632014, Tamilnadu, India. Electronic address:

The treatment of nerve injuries has taken a new dimension with the development of tissue engineering techniques. Prior to tissue engineering, suturing and surgery were the only options for effective treatment. With the advent of tissue engineering, it is now possible to design a scaffold that matches the exact biological and mechanical properties of the tissue. Read More

Acta Otorhinolaryngol Ital 2017 May 22. Epub 2017 May 22.

Department of Otolaryngology, University of Rome "Tor Vergata", Italy.

The drooping tip deformity is both a bothersome aesthetic feature and functional impairment of the nose. Both static and dynamic factors may affect tip appearance and it seems logical to take into account these factors when planning correction of drooping tip. Many studies have examined this topic, but its treatment remains controversial. Read More

Acta Otorhinolaryngol Ital 2017 May 22. Epub 2017 May 22.

Department of Maxillo-Facial Surgery, S. Camillo Hospital, Rome, Italy.

Nasal tip under projection is often found in rhinoplasty cases both for congenital or post-traumatic deformity. Nasal trauma may result in alteration of the external and internal nasal structures with following aesthetic impairment and difficulties in breathing. Post-traumatic surgery is frequent, but restoration of pre-traumatic form and function remains a challenge. Read More

Asian Cardiovasc Thorac Ann 2017 Jan 1:218492317712309. Epub 2017 Jan 1.

Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland.

Background Permanent pacemaker implantation after surgical aortic valve replacement depends on patient selection and risk factors for conduction disorders. We aimed to identify risk criteria and obtain a selected group comparable to patients assigned to transcatheter aortic valve implantation. Methods Isolated sutured aortic valve replacements in 994 patients treated from 2007 to 2015 were reviewed. Read More

Ann Thorac Surg 2017 May 17. Epub 2017 May 17.

Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, Georgia. Electronic address:

Background: Surgical repair of functional tricuspid regurgitation (FTR) is an increasingly common practice, but annuloplasty suture dehiscence remains a significant problem. Quantitative and mechanistic understanding of annular suture holding strength can support more effective techniques for tricuspid valve device anchoring.

Methods: Suture holding strength of ovine tricuspid annuli (n = 15) was quantified ex vivo by pullout testing at 12 positions around their circumference. Read More

Oral Maxillofac Surg 2017 May 19. Epub 2017 May 19.

Department of General Surgery, Faculty of Medicine, Ein-Shams University, Cairo, Egypt.

Background: Tongue resection is a surgical challenge because of its adverse effects on language articulation, swallowing, respiration, the eventual quality of life, and poor prognosis of advanced disease. To date, the currently accepted standard treatment has been based on excision of the primary lesion with a 1.5-2-cm circumferential macroscopic margin. Read More

Surg Endosc 2017 May 18. Epub 2017 May 18.

Department of General Surgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing, 100053, China.

Background: Hiatus hernia (HH) contributes to the pathophysiology of gastroesophageal reflux disease (GERD). Mesh-augmentation of surgical repair might be associated with a reduced risk of recurrence and GERD. However, recurrence rates, mesh-associated complications and quality of life (QOL) after mesh versus suture repair are debated. Read More

Pol Przegl Chir 2017 Feb;89(1):16-21

Uniwersytet Jagielloński Collegium Medicum; Klinika Chirurgii Endoskopowej, Metabolicznej oraz Nowotworów Tkanek Miękkich II Katedra Chirurgii Ogólnej.

Aim: The goal of this work was to present our experiences and results of treatment of gastric tumors using the per oral specimen extraction (POSE) technique.

Material And Methods: A retrospective analysis a group of patients treated with laparoscopic stomach wedge resection of gastrointestinal stromal tumor (GIST). During that time 50 patients underwent laparoscopy due to the suspicion of GIST. Read More

Hand Surg Rehabil 2017 Jun 3;36(3):151-172. Epub 2017 May 3.

SOS main Grenoble, unité de chirurgie réparatrice, de la main et des brûlés, hôpital A.-Michallon, CHU de Grenoble, avenue du Marquis-de-Grésivaudan, BP 217, 38043 Grenoble cedex 09, France.

While upper limb nerve transfers were first described and performed several years ago, they have seen expanded use in the past 20 years. Initially indicated for surgical repair of brachial plexus injuries with nerve root avulsion, the indications have been extended to post-ganglionic lesions because of the excellent results of certain intraplexus nerve transfers. The traditional nerve repair techniques - primary suture and nerve grafting - form the basis of nerve surgery. Read More

J Clin Diagn Res 2017 Mar 1;11(3):QD01-QD03. Epub 2017 Mar 1.

Professor, Department of Obstetrics and Gynaecology, İzmir Katip Çelebi University, School of Medicine, İzmir, Karabağlar, Turkey.

Total Laparoscopic Hysterectomy (TLH) represents one of the most performed gynaecological procedures nowadays. The closure of the vaginal cuff is the most diffucult part of TLH because of the difficulty of laparoscopic suturing techniques. Our aim was to evaluate the efficacy and safety of vaginal cuff closure by vaginal route on patients submitted to TLH. Read More

Curr Treat Options Gastroenterol 2017 Jun;15(2):268-284

Endoscopy Unit, Humanitas Clinical and Research Center, Via Manzoni, 56, Rozzano, 20089, Milan, Italy.

Opinion Statement: Esophageal leaks (EL) and ruptures (ER) are rare conditions associated with a high risk of mortality and morbidity. Historically, EL and ER have been surgically treated, but current treatment options also include conservative management and endoscopy. Over the last decades, interventional endoscopy has evolved as an effective and less invasive alternative to primary surgery in these cases. Read More

Bull Emerg Trauma 2017 Apr;5(2):129-131

Clinical Center Fuerth, Bavaria, Germany.

Due to an adenocarcinoma of the right upper lobe with infiltration of the main bronchus a 49-years-old female patient underwent an upper bilobectomy with sleeve resection. After two completed chemotherapy bouts and signs of sepsis another thoracotomy was inevitable.  As a complicating factor a supracarinal, necrotic and perforating lesion of the trachea appeared. Read More

JSLS 2017 Apr-Jun;21(2)

Florida Hospital Celebration Health, Celebration, Florida, USA.

Background And Objectives: We hypothesized that high school students can be subjected to the same laparoscopic surgical training curriculum used by surgeons and successfully complete it. The goal of this study was to evaluate the appropriateness of early training in minimally invasive surgical techniques.

Methods: Thirteen high school students, ages 15-18, participated in the validated Top Gun Surgeon Laparoscopic Skills and Suturing program. Read More