148,206 results match your criteria duration surgery


A case report on non-specific synovitis of the knee due to septic foreign body in the Hoffa fat pad causing diagnostic dilemma.

Int J Surg Case Rep 2021 Jun 18;84:106124. Epub 2021 Jun 18.

Teaching Hospital-Batticaloa, Sri Lanka.

Introduction & Importance: Recurrent chronic synovitis due to foreign body is a rare entity and it may progress into chronic septic arthritis. Chronic recurrent synovitis or septic arthritis may leave permanent damage to the articular cartilage and renders the child with permanent disabilities.

Case Presentation: A 03-year-old girl has been transferred to a tertiary centre with a history of recurrent pain and swelling of the right knee and on and off limping for six weeks duration. Read More

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Predictors of Difficult Laparoscopic Cholecystectomy on Humanitarian Missions to Peru Difficult LC in Surgical Missions.

J Surg Res 2021 Jun 19;267:102-108. Epub 2021 Jun 19.

Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.

Background: Laparoscopic cholecystectomy (LC) is the gold standard treatment of gallstone disease. On short-term surgical missions (STSMs), it is unclear what factors can predict safety of LC. This study evaluates patient risk factors of difficult LC in Northern Peru, towards optimizing outcomes. Read More

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The "STARS - CT-MADE" Study: Advanced Rehearsal and Intraoperative Navigation for Skull Base Tumors.

World Neurosurg 2021 Jun 19. Epub 2021 Jun 19.

Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta, Milan, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta, Milan, Italy; EANS Training Committee; Department of Neurological Surgery, Johns Hopkins Medical School, Baltimore, MD, USA.

Background: Skull base meningiomas represent a challenge for neurosurgeons and the procedures are typically performed by experienced neurosurgeons, thus limiting resident training. A new simulation and rehearsal device can be used as an aid for senior surgeons during these operations and serve as a training tool for junior surgeons.

Methods: 40 patients harboring an anterior/middle fossa meningioma were recruited. Read More

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Long term outcomes in fellow eyes comparing DSAEK and DMEK for treatment of Fuchs Corneal Dystrophy.

Am J Ophthalmol 2021 Jun 19. Epub 2021 Jun 19.

Department of Surgery, Ophthalmology Division Michigan State University College of Human Medicine Eye Grand Rapids Michigan Verdier Center, Grand Rapid, MI, USA. Electronic address:

Purpose: To compare the long term results of Descemet's stripping automated endothelial keratoplasty (DSAEK) and Descemet's membrane endothelial keratoplasty (DMEK) in fellow eyes for treatment of Fuchs endothelial corneal dystrophy (FED).

Methods: Two-centered, retrospective case series of 64 patients (128 eyes) with DSAEK followed by DMEK. The main outcomes measured were BSCVA and duration of time to achieve BSCVA as well as eye preference. Read More

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Short-term changes in radiographic joint space width after jiggling exercise as conservative treatment for hip osteoarthritis: A retrospective case series of nine patients.

PLoS One 2021 22;16(6):e0253643. Epub 2021 Jun 22.

Department of Orthopedic Surgery, Yatsushiro Keijin Hospital, Yatsushiro City, Kumamoto, Japan.

Jiggling exercise is a conservative treatment for hip osteoarthritis, which involves continuous shaking of the foot and leg in small oscillations while seated. Previous studies have shown beneficial effects of jiggling exercises for outpatients with advanced- and terminal-stage hip osteoarthritis when performed for longer than 1 year, including increases in joint space width and remission of symptoms. We aimed to use the data from our own treatment to evaluate the short-term impact of intensive jiggling exercises on inpatients with hip osteoarthritis to further examine the clinical utility of this exercise. Read More

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Radial nerve palsy following humeral shaft fracture: a theoretical PNF rehabilitation approach for tendon and nerve transfers.

Physiother Theory Pract 2021 Jun 22:1-11. Epub 2021 Jun 22.

Athletic Training Program, Kosair Charities College of Health and Natural Sciences, Spalding University, Louisville, KY, USA.

Humerus fracture-induced radial nerve injury can create severe and permanent disabilities. Surgical management often relies on either tendon or nerve transfer. Regardless of which procedure is selected, physical therapists are challenged to restore functional outcomes without jeopardizing repair healing. Read More

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Randomized clinical trial "olfactory dysfunction after COVID-19: olfactory rehabilitation therapy vs. intervention treatment with Palmitoylethanolamide and Luteolin": preliminary results.

Eur Rev Med Pharmacol Sci 2021 Jun;25(11):4156-4162

Department of Head and Neck Surgery, Institute of Otorhinolaryngology, Santa Croce Hospital AORMN, Fano, Italy.

Objective: Approximately 30% of patients with confirmed COVID-19 report persistent smell or taste disorders as long-term sequalae of infection. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection is associated with inflammatory changes to the olfactory bulb, and treatments with anti-inflammatory properties are hypothesized to attenuate viral injury and promote recovery of olfaction after infection. Our study investigated the efficacy of a supplement with Palmitoylethanolamide (PEA) and Luteolin to support recovery of olfaction in COVID-19 patients. Read More

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Pituitary apoplexy induced by gonadotropin-releasing hormone (GnRH) agonist administration for treatment of prostate cancer: a systematic review.

J Cancer Res Clin Oncol 2021 Jun 22. Epub 2021 Jun 22.

Division of Medical Oncology, Department of Internal Medicine, University of Kentucky, Lexington, KY, 40536, USA.

Objective: We aimed to review of literature on the clinical presentation, management and outcomes of pituitary apoplexy following gonadotrophic release hormone (GnRH) agonist administration for the treatment of prostate cancer.

Methods: We used PRISMA guidelines for our systematic review and included all English language original articles on pituitary apoplexy following GnRH agonist administration among prostate cancer patients from Jan 1, 1995 to Dec 31, 2020. Data on patient demographics, prostate cancer type, Gleason score at diagnosis, history of pituitary adenoma, clinical presentation, GnRH agonist, interval to pituitary apoplexy, laboratory evaluation at admission, radiologic findings, treatment of pituitary apoplexy, time to surgery if performed, pathology findings, and clinical/hormonal outcomes were collected and analyzed. Read More

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Operative variations in temporal lobe epilepsy surgery and seizure and memory outcome in 226 patients suffering from hippocampal sclerosis.

Neurol Res 2021 Jun 22:1-10. Epub 2021 Jun 22.

Department of Neurosurgery, Medical University Vienna, Vienna, Austria.

: The aim of this retrospective cohort study was to assess seizure and memory outcomes following temporal lobe surgery in patients suffering from medically refractory temporal lobe epilepsy (TLE) and hippocampal sclerosis (HS).: A retrospective monocentric data analysis was performed in consecutive patients who were operated on during 2002-2018. In the first decennium, standard temporal lobe resections (TLR) were predominately performed, and later, antero-temporal lobe resections (ATLR) were mainly performed. Read More

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Ankle-brachial index to monitor limb perfusion in patients with femoral venoarterial extracorporeal membrane oxygenation.

J Card Surg 2021 Jun 21. Epub 2021 Jun 21.

Division of Cardiac Surgery, Department of Surgery, Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Background: Limb ischemia is a major complication of femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO). Use of ankle-brachial index (ABI) to monitor limb perfusion in VA-ECMO has not been described. We report our experience monitoring femoral VA-ECMO patients with serial ABI and the relationships between ABI and near infrared spectroscopy (NIRS). Read More

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Outcome of unstable pertrochanteric fractures in high-risk geriatric treated with external fixators.

Eur J Orthop Surg Traumatol 2021 Jun 21. Epub 2021 Jun 21.

Department of Orthopaedics, Panzhihua Municipal Central Hospital, Panzhihua, No. 34 on the Street of Yi kang, Panzhihua City, Province Sichuan, China.

Purpose: To review the outcome of high-risk geriatrics with unstable pertrochanteric fractures treated with external fixator.

Methods: Eighteen consecutive patients with pertrochanteric fractures were operated with external fixator by using closed reduction technique. AO type, accompanying diseases, operating time, transfused blood units, duration of hospitalization, complications, healing time and mortality were recorded. Read More

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Dilemma in diagnosis and management of rare primary pleural Ewing's sarcoma with synchronous limited metastatic disease.

BMJ Case Rep 2021 Jun 21;14(6). Epub 2021 Jun 21.

Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India.

We present a case of a 34-year-old woman who presented with complaints of fever, cough and dyspnoea of 2 months' duration. On evaluation, she was diagnosed with a rare entity primary pleural Ewing's sarcoma with synchronous metastases to mediastinal, supraclavicular nodes and single vertebra. Due to the rarity of this entity and lack of treatment guidelines on extraosseous Ewing's sarcoma, the patient was managed with a combination of multiagent chemotherapy, surgery and radiotherapy as per standard guidelines for skeletal Ewing's sarcoma. Read More

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Évaluation médico-economique de l’impact de mesures d’adaptation au virage de la chirurgie robot-assistée en urologie.

Prog Urol 2021 Jun 18. Epub 2021 Jun 18.

Service d'Urologie, Andrologie, Transplantation Rénale, Hôpital Pasteur 2, CHU de Nice.

Introduction: The development of robot-assisted urological surgery is held back by the lack of robust medico-economic analyses and their heterogeneity. We conducted a medico-economic study to evaluate the implementation of measures to optimize the transition to robotic surgery.

Method: We carried out a single-center, controlled study from the point of view of the public healthcare establishment for 4 years. Read More

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Perception of Proton Pump Inhibitor Side Effects Among Members of the American Broncho-Esophagological Association.

J Voice 2021 Jun 19. Epub 2021 Jun 19.

Sean Parker Institute for the Voice, Department of Otolaryngology, Head & Neck Surgery, Weill Cornell Medical College, New York, NY.

Objectives: To investigate awareness of proton pump inhibitor (PPI) side effects and the resulting changes in reflux mana management among members of the American Broncho-Esophagological Association (ABEA) caring for adult patients in light of increasing concern for PPIs long-term adverse effects.

Study Design: Cross-sectional survey study METHODS: Online surveys were electronically distributed to ABEA members assessing awareness of PPI side effects and current practice in reflux management.

Results: 374 ABEA members were contacted, of whom, 43 (11. Read More

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Treadmill versus overground gait training in patients with lower limb burn injury: A matched control study.

Burns 2021 Apr 24. Epub 2021 Apr 24.

Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey.

Introduction: Gait impairment is commonly seen in patients with a lower limb burn injury (LLBI). Therefore, the aim of this study was to investigate the effects of two different gait training modes on gait symmetry, functional mobility and kinesiophobia in patients with LLBI.

Methods: This matched control study was conducted between January 2017 and August 2018. Read More

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Incidence and risk factors of medical device-related pressure injuries among patients undergoing prone position spine surgery in the operating room.

J Tissue Viability 2021 Jun 13. Epub 2021 Jun 13.

Orthopaedic Surgeon, Department of Orthopaedic Surgery, Spine Center, Busan Korea Hospital, Busan, South Korea.

Aim: We aimed to investigate the incidence rate and risk factors of medical device-related pressure injuries (MDRPIs) among patients undergoing prone position spine surgery.

Materials And Methods: This was a prospective observational study of 147 patients who underwent spine surgery in an orthopaedic hospital in Korea. The incidence of MDRPI according to intrinsic and extrinsic factors was assessed using the independent t-, χ -, or Fisher's exact tests. Read More

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Lateral entry pins and Slongo's external fixation: which method is more ideal for older children with supracondylar humeral fractures?

J Orthop Surg Res 2021 Jun 21;16(1):396. Epub 2021 Jun 21.

Department of Orthopedics, Affiliated Hospital of Chengde Medical College, 36 Nanyingzi Street, Shuangqiao District, Chengde, Hebei, 067000, People's Republic of China.

Objective: The standard surgical treatment for supracondylar humeral fractures in children is closed reduction and percutaneous pinning. Given the need for greater fixation strength and higher risk of joint stiffness for children older than 8 years, external fixation is often performed for treating supracondylar humeral fractures in older children. The aim of this study was to compare the efficacy of lateral entry pins and Slongo's external fixation for treating supracondylar humeral fractures in older children. Read More

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Malignant transformation of hepatic endometriosis: a case report and literature review.

BMC Womens Health 2021 Jun 21;21(1):249. Epub 2021 Jun 21.

Department of Pathology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.

Background: Extrapelvic endometriosis is defined as the presence of ectopic endometrial tissue in structures outside the pelvis. Although extra-pelvic endometriosis is generally considered benign conditions, malignant potential within endometriotic foci occurs even after definitive surgery. Malignant transformation of hepatic endometriosis is extremely rare. Read More

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Calcitonin Stimulation Tests: Rationale, Technical Issues and Side Effects: A Review.

Horm Metab Res 2021 Jun 21;53(6):355-363. Epub 2021 Jun 21.

"C.I. Parhon" National Institute of Endocrinology, Bucharest, Romania.

Calcitonin (CT) stimulation tests have great value and could help to: differentiate thyroid causes of elevated CT apart from non-thyroid sources, determine whether the patients with slightly elevated basal CT could/could not be candidates for surgery, and indicate the right moment for prophylactic thyroidectomy in children with MEN syndromes when with normal basal CT. This triggered the requests for development of CT stimulation tests, taking into consideration their safety and aimed us to write a systematic review of literature regarding the rationale, technical issues, and side effects of CT stimulating tests used for diagnosis of MTC. After a thorough review of the literature, we classified the reported side effects by severity, as defined by United States Food and Drug Administration. Read More

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Management of myelopathy due to anterior soft tissue compression in vertebral hemangioma.

World Neurosurg 2021 Jun 18. Epub 2021 Jun 18.

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Objective: - Vertebral hemangiomas (VH) are benign but highly vascular lesions and are one of the most common lesions of the vertebral column. Anterior soft tissue compression of spinal cord due to vertebral body hemangioma are challenging to manage. Authors' objective was to assess long term clinical and radiological effects of direct transpedicular absolute alcohol embolization, laminectomy and short segment instrumented fusion on resolution of extra osseous epidural soft tissue and improvement in myelopathy in cases of vertebral hemangioma causing anterior soft tissue compression. Read More

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Role of Superficial Cervical Plexus Nerve Block as an Adjuvant to Local Anesthesia in the Maxillofacial Surgical Practice.

J Oral Maxillofac Surg 2021 May 15. Epub 2021 May 15.

Assistant professor, Department of Oral Medicine and Radiology, Government Dental College and Hospital, Mumbai.

Purpose: Infiltration techniques are used as an adjuvant to regional anesthesia. In this study, we evaluated the efficacy of the superficial cervical plexus nerve block; as an alternative to local infiltration techniques; in the management of mandibular fractures and peri-mandibular space infections.

Methods: A prospective randomized controlled trial was conducted on 24 patients having either mandibular fractures or peri-mandibular space infections; and were scheduled for surgery under regional anesthesia (eg, inferior alveolar nerve block, long buccal nerve block). Read More

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Maxillofacial Trauma in the Ultimate Fighting Championship.

J Oral Maxillofac Surg 2021 May 18. Epub 2021 May 18.

Professor and Program Director, Oral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, San Juan, Puerto Rico.

Purpose: The Ultimate Fighting Championship (UFC) is an American mixed martial art (MMA) company. This study aims to characterize patterns and trends of maxillofacial injuries in MMA.

Materials And Methods: The study design is a retrospective cohort study. Read More

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Differential effects of acute cerebellectomy on cough in spontaneously breathing cats.

PLoS One 2021 21;16(6):e0253060. Epub 2021 Jun 21.

Department of Physiological Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, United States of America.

The role of the cerebellum in controlling the cough motor pattern is not well understood. We hypothesized that cerebellectomy would disinhibit motor drive to respiratory muscles during cough. Cough was induced by mechanical stimulation of the tracheobronchial airways in anesthetized, spontaneously breathing adult cats (8 male, 1 female), and electromyograms (EMGs) were recorded from upper airway, chest wall, and abdominal respiratory muscles. Read More

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What Is the Mid-Term Survivorship of Infected Rotating-Hinge Implants Treated with One-stage-exchange?

Clin Orthop Relat Res 2021 Jun 21. Epub 2021 Jun 21.

Department of Orthopedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.

Background: Despite the growing number of studies reporting on periprosthetic joint infection (PJI), there is little information on one-stage exchange arthroplasty for the revision of infected rotating-hinge prostheses, which can be among the most difficult PJI presentations to treat.

Questions/purposes: After one-stage direct exchange revision for an infected rotating-hinge TKA prosthesis, and using a multimodal approach for infection control, we asked: (1) What is the survivorship free from repeat revision for infection and survivorship free from reoperation for any cause? (2) What is the clinical outcome, based on the Oxford Knee Score, of these patients at the latest follow-up?

Methods: Between January 2011 and December 2017, we treated 101 patients with infected rotating-hinge knee prostheses at our hospital. All patients who underwent a one-stage exchange using another rotating-hinge implant were potentially eligible for this retrospective study. Read More

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Intrathecal 2-Chloroprocaine 3% Versus Hyperbaric Bupivacaine 0.75% for Cervical Cerclage: A Double-Blind Randomized Controlled Trial.

Anesth Analg 2021 Jun 21. Epub 2021 Jun 21.

From the Department of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons, New York, New York.

Background: Cervical cerclage is a short ambulatory procedure. For spinal anesthesia, local anesthetic agents with rapid postoperative resolution are desired. We hypothesized that in combination with fentanyl, intrathecal 2-chloroprocaine would produce earlier resolution of motor block, resulting in shorter time to meet recovery room discharge criteria than hyperbaric bupivacaine. Read More

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Analysis of Later Stage Morbidity and Mortality after Pancreatic Surgery Because of Abdominal Trauma.

Surg Infect (Larchmt) 2021 Jun 21. Epub 2021 Jun 21.

Department of General Surgery, Jinling Hospital, Jiangsu Nanjing, China.

Pancreatic trauma surgery is a complicated surgical procedure for severe pancreatic injuries, accompanied by a high incidence of complications and mortality. This study was designed to explore the long-term prognosis of pancreatic surgery because of abdominal trauma. The clinical data of 103 patients who were admitted to Jinling Hospital between August 2012 and August 2019 who had pancreatic trauma surgery were analyzed retrospectively. Read More

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Systematic review of Meckel's diverticulum in pregnancy.

ANZ J Surg 2021 Jun 21. Epub 2021 Jun 21.

Western Sussex Hospitals NHS Trust, Chichester, UK.

Introduction: Meckel's diverticulum (MD) is the most common congenital malformation in the gastrointestinal tract. Limited up-to-date evidence is available regarding MD in pregnancy. We aim to review the available pertinent literature to help support clinical decision making and patient management in the future. Read More

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Long-Term Patient-Centred Follow-up in a Prospective Cohort of Patients with COVID-19.

Infect Dis Ther 2021 Jun 21. Epub 2021 Jun 21.

Infectious Diseases Division, Diagnostics and Public Health Department, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.

Introduction: To better define COVID-19 long-term impact we prospectively analysed patient-centred outcomes, including general health and symptom duration.

Methods: Barthel index (BI), St. George's Respiratory Questionnaire adapted to patients with COVID-19 (aSGRQ) and WHO Clinical Progression Scale (CPS) were measured at enrolment and at 6 weeks from the onset of symptoms. Read More

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Perioperative Outcomes of Robot-Assisted Radical Cystectomy with Intracorporeal Versus Extracorporeal Urinary Diversion.

Ann Surg Oncol 2021 Jun 21. Epub 2021 Jun 21.

S.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.

Purpose: This study was designed to investigate and compare the perioperative outcomes of intracorporeal urinary diversion (ICUD) versus extracorporeal urinary diversion (ECUD) following robotic-assisted radical cystectomy (RARC) in patients with localized bladder cancer from the Asian Robot-Assisted Radical Cystectomy (RARC) Consortium.

Methods: The Asian RARC registry was a multicenter registry involving nine centers in Asia. Consecutive patients who underwent RARC were included. Read More

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Comparison of intracorporeal and extracorporeal anastomosis and resection in right colectomy: a systematic review and meta-analysis.

Langenbecks Arch Surg 2021 Jun 21. Epub 2021 Jun 21.

Department of Emergency, The Second Hospital of Jiaxing, Jiaxing, 314000, Zhejiang Province, China.

Purpose: Laparoscopic surgery is the standard surgical approach for colon cancer. However, there is no standard surgery for right colectomy. Selection between total laparoscopic right colectomy (TLRC) and laparoscopic-assisted right colectomy (LARC) is a topic of interest. Read More

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