3,294 results match your criteria case one-stage

[Features and choice of surgical strategy in patients with gastrointestinal fistulas].

Khirurgiia (Mosk) 2021 (5):58-62

Samara State Medical University, Samara, Russia.

Objective: To evaluate the features and choice of surgical strategy in patients with gastrointestinal fistula based on classification of their types.

Material And Methods: There were 398 patients with gastrointestinal fistula. Fistula type 1 was found in 126 (31. Read More

View Article and Full-Text PDF

Single-stage repair of large full thickness lower eyelid defects using free tarsoconjunctival graft and transposition flap: experience and outcomes.

Orbit 2020 Dec 1:1-6. Epub 2020 Dec 1.

Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois, USA.

: Lid-sharing approaches are often advocated for repair of large full thickness lower eyelid defects, however result in temporary visual obstruction and the need for a second-stage procedure. The authors describe and report outcomes using a one-stage technique utilizing a free tarsoconjunctival graft (TCG) and musculocutaneous transposition flap (MCT) to repair defects up to 90% of the lower eyelid.: A retrospective chart review on patients that had undergone full thickness lower eyelid reconstruction using a TCG and MCT between the dates of 1/1/2015 to 3/1/2020 was performed. Read More

View Article and Full-Text PDF
December 2020

Neglected flexor tendon injury for 10 years, un-usual finding and one stage repair without free tendon graft: Case report.

Int J Surg Case Rep 2021 Apr 27;82:105902. Epub 2021 Apr 27.

Hand and Reconstructive Microsurgery, Department of Orthopedic Surgery, Qena Faculty of Medicine, South Valley University, Egypt. Electronic address:

Introduction: In delayed or neglected cases of flexor tendon injury, reconstruction of flexor digitorum profundus (FDP) is usually performed using free tendon graft due to the retraction of tendon ends and shortening of the tendon. Flexor digitorum superficialis (FDS), palmaris longus or plantaris tendons can be used as a free tendon graft [1-3].

Presentation Of Case: This is a case report of female patient 17 years old with neglected cut of her left Ring finger's FDP and FDS tendons zone II with suspected concomitant digital nerve injury, the injury was neglected for 10 years in the patient's non-dominant hand. Read More

View Article and Full-Text PDF

Osteosarcoma of the temporal bone occurring 40 years after radiotherapy: A technical case report presenting resection of intra- and extracranial lesions followed by a one-stage reconstruction.

Surg Neurol Int 2021 14;12:152. Epub 2021 Apr 14.

Department of Pathology, Harasanshin Hospital, Hakata-ku, Fukuoka, Japan.

Background: Osteosarcoma (OS) is a malignant tumor of the bone, which rarely occurs in the head-and-neck regions as a primary or a secondary malignancy. Adequate surgical resection is currently the mainstay of treatment for head-and-neck OS; however, resection and reconstruction can be difficult because the anatomies of these regions are complex. We present a case of an OS arising from the temporal bone 40 years after radiation therapy, which was successfully treated with resection and a one-stage reconstruction using intraoperative tissue expansion technique. Read More

View Article and Full-Text PDF

Unilateral Limited Laminectomy for Debridement to Treat Localized Short-Segment Lumbosacral Spinal Tuberculosis: A Retrospective Case Series.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, China.

Objective: This study aimed to investigate the clinical effects of surgically treating lumbosacral tuberculosis with a modified posterior unilateral limited laminectomy method for debridement.

Methods: This retrospective study enrolled a total of 26 patients who were administered in our institution from January 2010 to December 2016, diagnosed with lumbosacral tuberculosis at the L5/S1 level, and underwent one-stage posterior unilateral limited laminectomy as surgical treatment for debridement, allograft of cortical bone grafting, and fixation. The erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) level, visual analog scale (VAS) score, Oswestry Disability Index (ODI), and lumbosacral angle (LA, Cobb's method) were statistically compared, and the American Spinal Injury Association Impairment (ASIA) Scale was compared between the preoperative and postoperative time points to evaluate the clinical outcomes. Read More

View Article and Full-Text PDF

Fiber-Templated 3D Calcium-Phosphate Scaffolds for Biomedical Applications: The Role of the Thermal Treatment Ambient on Physico-Chemical Properties.

Materials (Basel) 2021 Apr 25;14(9). Epub 2021 Apr 25.

Prosthetics Technology and Dental Materials Department, "Carol Davila" University of Medicine and Pharmacy, 37 Dionisie Lupu Street, RO-020022 Bucharest, Romania.

A successful bone-graft-controlled healing entails the development of novel products with tunable compositional and architectural features and mechanical performances and is, thereby, able to accommodate fast bone in-growth and remodeling. To this effect, graphene nanoplatelets and -fibers were chosen as mechanical reinforcement phase and sacrificial template, respectively, and incorporated into a hydroxyapatite and brushite matrix derived by marble conversion with the help of a reproducible technology. The bio-products, framed by a one-stage-addition polymer-free fabrication route, were thoroughly physico-chemically investigated (by XRD, FTIR spectroscopy, SEM, and nano-computed tomography analysis, as well as surface energy measurements and mechanical performance assessments) after sintering in air or nitrogen ambient. Read More

View Article and Full-Text PDF

Improved Ilizarov method for management of deformity and ulceration on foot and ankle of spina bifida.

J Orthop Translat 2021 May 7;28:140-147. Epub 2021 Apr 7.

Rehabilitation Hospital of National Research Center for Rehabilitation Technical Aids; Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability; Key Laboratory of Human Motion Analysis and Rehabilitation Technology of the Ministry of Civil Affairs, Beijing, China.

Objective: To analyze the characteristics of foot and ankle deformity with ulceration in patients with spina bifida, to conclude experiences on management with improved Ilizarov method in one stage.

Methods: 77 cases suffering foot and ankle deformity with ulceration of spina bifida were included from January 2008 to June 2019, in which 30 male and 47 female, aged 6-46 years with an average age of 22.86 years. Read More

View Article and Full-Text PDF

The Subscapularis Sparing Windowed Anterior Technique (SWAT) Total Shoulder Arthroplasty.

J Shoulder Elbow Surg 2021 Apr 19. Epub 2021 Apr 19.

Florida Orthopedic Institute / Foundation for Orthopaedic Research & Education (FOI/FORE), 13020 Telecom Pkwy N, Tampa, FL 33637, USA.

Background: Traditionally, total shoulder arthroplasty (TSA) involves detaching the subscapularis tendon either through tenotomy or lesser tuberosity osteotomy. A subscapularis sparing approach avoids detachment, but may make recreation of the anatomy more difficult because of limited exposure. The primary aim of this study was to evaluate the ability to recreate the proximal humeral geometry and to assess for osteophyte removal with this technique. Read More

View Article and Full-Text PDF

[One-stage surgery in patients with both cardiac and non-cardiac diseases].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Mar;53(2):327-331

Department of Gynecology, Peking University First Hospital, Beijing 100034, China.

Objective: To investigate the possibility and feasibility of one-stage cardiac and non-cardiac surgery.

Methods: From July 1999 to August 2018, one hundred and eleven patients suffering from cardiac and non-cardiac diseases were treated by one-stage cardiac and non-cardiac operation in Department of Cardiac Surgery and Thoracic Surgery, General Surgery, Urinary Surgery, and Gynecology, Peking University First Hospital. There were 83 males (74. Read More

View Article and Full-Text PDF

Free Graft Augmentation Urethroplasty for Bulbar Urethral Strictures: Which Technique Is Best? A Systematic Review.

Eur Urol 2021 Apr 16. Epub 2021 Apr 16.

Division of Urology, Gent University Hospital, Gent, Belgium.

Context: Four techniques for graft placement in one-stage bulbar urethroplasty have been reported: dorsal onlay (DO), ventral onlay (VO), dorsolateral onlay (DLO), and dorsal inlay (DI). There is currently no systematic review in the literature comparing these techniques.

Objective: To assess if stricture recurrence and secondary outcomes vary between the four techniques and to assess if one technique is superior to any other. Read More

View Article and Full-Text PDF

Intentional internal drainage tube method for nonlocalized persistent pancreatic leakage: a case report.

BMC Surg 2021 Apr 19;21(1):198. Epub 2021 Apr 19.

Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, 2-1-1, Amakubo, Tsukuba-shi, 305-8575, Ibaraki, Japan.

Background: Persistent pancreatic leakage (PL) due to disconnected pancreatic duct syndrome (DPDS) is associated with severe morbidity and mortality and it usually treated with internal drainage. However, in cases without localized fistula formation, internal drainage is challenging to perform. We report an original one-stage surgical approach for nonlocalized persistent PL, namely, the "intentional internal drainage tube method". Read More

View Article and Full-Text PDF

Solitary bone plasmacytoma of the upper cervical spine: A case report.

World J Clin Cases 2021 Apr;9(10):2380-2385

Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China.

Background: Solitary bone plasmacytoma (SBP) of the upper cervical spine is a rare diagnosis. The exact role of surgery for SBP remains unclear.

Case Summary: We present the first case of SBP of the C2. Read More

View Article and Full-Text PDF

lumbar spondylodiscitis contiguous to infected abdominal aortic aneurysm in an intravenous drug user.

BMJ Case Rep 2021 Apr 14;14(4). Epub 2021 Apr 14.

Department of Orthopaedic Surgery, Kudanzaka Hospital, Tokyo, Japan.

While the incidence of spondylodiscitis is rising because of longer life expectancy and the increasing use of immunosuppressant drug, indwelling devices and spinal surgeries, the fungal aetiology remains rare, sometimes affecting intravenous drug users. spondylodiscitis is an extremely rare complication post aortic aneurysm repair. It is potentially fatal due to the risk of aneurysm rupture and septic complications. Read More

View Article and Full-Text PDF

Chimeric Latissimus Dorsi Flap in One-Stage Reconstruction of Depressor Muscle Dysfunction and Depression Deformity in the Perimandibular Area.

J Craniofac Surg 2021 Mar 25. Epub 2021 Mar 25.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo Department of Plastic and Reconstructive Surgery, Graduate School of Science, Tokyo Medical and Dental University, Tokyo, Japan.

Background: Depression deformity and paralysis of depressor muscles (DMs) may occur following tumor resection in the perimandibular region. Obtaining satisfactory results is challenging. The authors report 3 cases of 1-stage reconstruction by transferring neurovascular chimeric latissimus dorsi (LD) musculo-adipose flaps, with satisfactory results. Read More

View Article and Full-Text PDF

Coronary artery aneurysm complicated by pneumothorax with a history of Kawasaki disease.

J Surg Case Rep 2021 Mar 29;2021(3):rjab053. Epub 2021 Mar 29.

Department of Cardiac Surgery, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.

Kawasaki disease (KD) is a common vasculitis disorder of childhood. It can sometimes complicate coronary artery aneurysms, and treatment is required depending on the condition of stenosis. A 20-year-old man was referred for surgery with a coronary artery aneurysm and stenosis in the left coronary artery as sequelae of KD. Read More

View Article and Full-Text PDF

AGA Clinical Practice Update on the Optimal Management of the Malignant Alimentary Tract Obstruction: Expert Review.

Clin Gastroenterol Hepatol 2021 Apr 1. Epub 2021 Apr 1.

Department of Medicine, Case Western Reserve University, and University Hospitals, Cleveland Medical Center, Cleveland, Ohio.

Background & Aims: The purpose of this expert review is to describe the current methodologies available to manage malignant alimentary tract obstructions as well the evidence behind the various methods (including their efficacy and safety), indications, and appropriate timing of interventions.

Methods: This is not a formal systematic review but is based on a review of the literature to provide best practice advice statements. No formal rating of the quality of evidence or strength of recommendation is carried out. Read More

View Article and Full-Text PDF

Associated with Prosthetic Joint Infections: Clinical Features and Genomic Characteristics.

Pathogens 2021 Mar 26;10(4). Epub 2021 Mar 26.

Department of Biomedicine, Aarhus University, 8000 Aarhus, Denmark.

The anaerobic coagulase-negative staphylococcal species is a member of the normal skin microbiota. However, is rarely found in clinical specimens and its pathogenic potential is unclear. The clinical data of prosthetic hip (n = 5) and shoulder (n = 2) joint implant-associated infections where was detected in periprosthetic tissue specimens are described. Read More

View Article and Full-Text PDF

Congenital Fibular Deficiency: Total Knee Arthroplasty with Extraarticular Deformity: A Case Report.

JBJS Case Connect 2021 04 2;11(2). Epub 2021 Apr 2.

Buenos Aires British Hospital, Buenos Aires, Argentina.

Case: A total knee arthroplasty (TKA) was performed on a 35-year-old man with congenital fibular deficiency and a 20° varus and 28° antecurvatum tibial deformity of the left lower limb.

Conclusion: One-stage TKA and correction of the extraarticular deformity by means of intraarticular bone resections and a standard soft tissue release were performed to restore the limb's mechanical axis. Patients with congenital fibular deficiency present a wide range of limb deformities because of bone deficiencies or treatment sequels, which might require a specific surgical technique and small-sized implants to obtain good results during a TKA. Read More

View Article and Full-Text PDF

Does the retention of osseointegrated prosthetic implants during the surgical management of chronic infections following reverse total shoulder arthroplasty (RTSA) influence functional outcomes without impacting the efficacy of the infection treatment?

Orthop Traumatol Surg Res 2021 Mar 28:102906. Epub 2021 Mar 28.

Orthopaedic & Traumatologic Surgery Department, University hospital, 4, rue Larrey, Angers, France.

Introduction: The gold standard (GS) for treating chronic infections following reverse total shoulder arthroplasty (RTSA) is a complete exchange of the prosthesis carried out in one or two stages. This surgical procedure, which may damage the bone stock, can result in poor functional outcomes due to intraoperative complications. The purpose of this study was to compare the GS to a surgical technique that retained osseointegrated implants: the partial one-stage exchange. Read More

View Article and Full-Text PDF

Trunkoplasty after massive weight loss - a case series with a one-stage body contouring procedure for the NHS patient.

J Plast Reconstr Aesthet Surg 2021 Mar 10. Epub 2021 Mar 10.

St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Court Road, Chelmsford, Essex CM1 7ET, United Kingdom. Electronic address:

Body contouring post massive weight loss (MWL) is a considerable task and is often a functional rather than esthetic operation. Clinicians are often encouraged to solve multiple issues in a single setting that can be difficult in the MWL patient. A simple abdominoplasty often does not provide a satisfactory outcome in such patients and may result in disharmony of the esthetic unit of the trunk. Read More

View Article and Full-Text PDF

Transmission and scanning electron microscopy of cutis rhomboidalis of the back of the neck.

An Bras Dermatol 2021 Mar 15. Epub 2021 Mar 15.

Universidade Católica de Pelotas, Pelotas, RS, Brazil.

Cutis rhomboidalis nuchae was assessed in a 65-year-old patient. Optical microscopy showed basophilic agglomerations in the reticular dermis with decreased elastic fibers. Transmission electron microscopy showed elongated, curved and fragmented structures, and in their interior the presence of electron-dense lumps was reduced and irregular, similar to modified elastic fibers, whereas the collagen fibers had a normal aspect. Read More

View Article and Full-Text PDF

One-stage surgery for both hepatic and left ventricular hydatid cysts using transthoracic route.

Clin Case Rep 2021 Mar 21;9(3):1115-1117. Epub 2021 Jan 21.

Faculté de Médecine de Tunis Université de Tunis El Manar Tunis Tunisia.

Hydatid disease is a major health problem. Multiorgan involvement including the heart and the liver is a very rare presentation. Management of multivisceral hydatidosis through a sole incision should be considered when possible. Read More

View Article and Full-Text PDF

Custom-Made Antibiotic Cement-Coated Nail for the Treatment of Infected Bone Defect.

Biomed Res Int 2021 5;2021:6693906. Epub 2021 Mar 5.

Department of Orthopaedics, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.

Background: Longbone infected bone defect remains a great challenge due to multiple surgeries, long-term treatment duration, and uncertain prognosis. Treatment principles include eradication/debridement, stabilization, and antibiotic administration. An antibiotic cement-coated nail has shown great prospects due to both local antibiotic elution and stabilization of bone defects. Read More

View Article and Full-Text PDF

Green tea consumption and risk for esophageal cancer: A systematic review and dose-response meta-analysis.

Nutrition 2021 Feb 12;87-88:111197. Epub 2021 Feb 12.

Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Nanchang University, Jiangxi, China. Electronic address:

Objective: Controversial results of the association between green tea consumption and risk for esophageal cancer (EC) were reported by previous meta-analysis. Thus, the aim of this study was to quantitatively investigate the association.

Methods: The Cochrane Library, PubMed, and EMBASE databases were searched for relevant studies. Read More

View Article and Full-Text PDF
February 2021

Biventricular surgical repair of "Swiss Cheese" ventricular septal defects with two-patch and right ventricle apex excluding technique: preliminary experience and clinical results.

J Cardiothorac Surg 2021 Mar 20;16(1):33. Epub 2021 Mar 20.

Heart Center, Qingdao Women and Children's Hospital, Qingdao University, No.6 Tongfu Road, 266034, Qingdao, People's Republic of China.

Background: "Swiss Cheese" ventricular septal defects (VSDs) is a kind of rare and complex congenital heart defects and the surgical management remains controversial and a challenge. We reviewed our preliminary clinical experience on biventricular surgical repair of "Swiss Cheese" VSDs with two-patch and right ventricle apex excluding technique in 10 cases.

Methods: From May 2014 to December 2019, a series of 10 patients (M/F = 3/7) were admitted in our center. Read More

View Article and Full-Text PDF

Complications, readmission and reoperation rates in one-stage bilateral versus unilateral total hip arthroplasty: a high-volume single center case-control study.

Sci Rep 2021 Mar 18;11(1):6299. Epub 2021 Mar 18.

IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, 20089, Milan, Italy.

The study aimed to assess the safety of one-stage bilateral total hip arthroplasty (THA) compared with unilateral THA. In this retrospective observational case-control study were included patients undergoing unilateral (group 1) and one-stage bilateral (group 2) THA in a high-volume center. The groups were matched for gender, age at surgery, and pre-operative American Society of Anesthesiology score. Read More

View Article and Full-Text PDF

Berry syndrome; a successful one-stage repair in neonate periods, evaluation result after 9 years, a case report.

Ann Med Surg (Lond) 2021 Apr 4;64:102200. Epub 2021 Mar 4.

Division of Pediatric and Congenital Cardiac Surgery, Dept of Thoracic and Cardiovascular Surgery, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.

Backgroud: IAA with an intact ventricular septum is distinctly unusual. Combination with an Aortopulmonary Window (APW), ascending aortic origin of the right pulmonary artery and PDA may be present which is called as Berry syndrome, a rare combination of cardiac anomalies, reported to be 0.046%, lethal combination and die shortly after birth. Read More

View Article and Full-Text PDF

[Simultaneous treatment of traumatic calcaneal osteomyelitis and defect deformity with near-arc bone transport by Ilizarov technique].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Mar;35(3):323-329

No.1 Department of Osteomyelitis, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang Henan, 471002, P.R.China.

Objective: To investigate the effectiveness of simultaneous treatment of traumatic calcaneal osteomyelitis and defect deformity with near-arc bone transport by Ilizarov technique.

Methods: Between January 2014 and August 2020, 6 cases of traumatic calcaneal osteomyelitis with defect deformities were treated by simultaneous treatment of near-arc bone transport by Ilizarov technique. The patients were all male; aged from 40 to 61 years (mean, 49. Read More

View Article and Full-Text PDF

Hair of the Dog? Periprosthetic Joint Infection with .

Arthroplast Today 2021 Apr 27;8:53-56. Epub 2021 Feb 27.

Division of Orthopaedic Surgery, Queen's University and Kingston Health Sciences Centre, Kingston, Ontario, Canada.

A 61-year-old man underwent elective primary total hip arthroplasty at an academic center and presented to the emergency department 2 weeks later with a periprosthetic infection. Intraoperative cultures were positive for He was successfully treated with one-stage revision and 6 weeks of intravenous cefazolin. It was later determined that the patient has a pet dog who frequently licks his legs. Read More

View Article and Full-Text PDF

Two-stage hepatectomy with radioembolization for bilateral colorectal liver metastases: A case report.

World J Hepatol 2021 Feb;13(2):261-269

General Surgery and Transplant Unit, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Sant'Orsola-Malpighi Hospital, Bologna 40138, Italy.

Background: Two-stage hepatectomy (TSH) is a well-established surgical technique, used to treat bilateral colorectal liver metastases (CRLM) with a small future liver remnant (FLR). However, in classical TSH, drop-out is reported to be around 25%-40%, due to insufficient FLR increase or progression of disease. Trans-arterial radioembolization (TARE) has been described to control locally tumor growth of liver malignancies such as hepatocellular carcinoma, but it has been also reported to induce a certain degree of contralateral liver hypertrophy, even if at a lower rate compared to portal vein embolization or ligation. Read More

View Article and Full-Text PDF
February 2021