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Is Penicillin Allergy a Risk Factor for Surgical Site Infection After Oral and Maxillofacial Surgery?

J Oral Maxillofac Surg 2021 Aug 19. Epub 2021 Aug 19.

Attending Surgeon, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA.

Purpose: The selection of perioperative antibiotics for prevention of surgical site infection (SSI) is often limited by the presence of a reported penicillin allergy. The purpose of this study was to determine if oral and maxillofacial surgery patients who report allergy to penicillin are at an increased risk of developing SSI.

Methods: A retrospective cohort study was performed of patients who underwent oral and maxillofacial surgical procedures in the operating room setting at a single institution between 2011 and 2018. Read More

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Contamination by antimicrobial-resistant enterobacteria isolated from cell phones and hands in a veterinary hospital.

Acta Vet Hung 2021 Sep 21. Epub 2021 Sep 21.

1 Department of Veterinary Clinic and Surgery, Faculty of Agrarian and Veterinary Sciences, São Paulo State University (UNESP), Via de Acesso Prof. Paulo Donato Castellane, s/n, Jaboticabal, SP, 14884-900,Brazil.

Hospital infections are of great relevance in human and animal health, and fomites are important in the spread of pathogens in hospital units. The aim of this study was to investigate the frequency of enterobacteria in the operating room of a veterinary hospital, the potential cross-contamination of samples, and to characterise the susceptibility profile of the isolates to antimicrobials. Sixty-five samples were collected from five different surgical procedures. Read More

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September 2021

Live surgery of colorectal endometriosis broadcasted from a surgeon's routine operating theater is not associated with higher complications rate.

Acta Obstet Gynecol Scand 2021 Sep 21. Epub 2021 Sep 21.

Department of Surgery, Rouen University Hospital, Rouen, France.

Introduction: Although live surgeries are routinely included in surgical congress programs, they are the subject of an ongoing debate in terms of patient safety and teaching value. The goal of our study was to assess the risk of postoperative complications related to live surgery broadcast from the surgeon's routine theater, in patients managed for deep endometriosis infiltrating the digestive tract.

Material And Methods: We report a retrospective comparative study, enrolling women managed for colorectal endometriosis by a gynecologic surgeon, from September 2013 to March 2020 in two referral centers. Read More

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September 2021

Pediatric upper extremity firearm injuries: an analysis of demographic factors and recurring mechanisms of injury.

World J Pediatr 2021 Sep 21. Epub 2021 Sep 21.

Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, 100138, Gainesville, FL 32610, USA.

Background: Little is known regarding risk factors specific to pediatric upper extremity firearm injuries. The purpose of this study is to evaluate pediatric patients treated for these injuries to identify at-risk populations and recurring mechanisms of injury.

Methods: A 20-year retrospective review was conducted. Read More

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September 2021

Primary Repair of Upper Extremity Peripheral Nerve Injuries: An NSQIP Analysis From 2010 to 2016.

Hand (N Y) 2021 Sep 21:15589447211044768. Epub 2021 Sep 21.

Medical University of South Carolina, Charleston, USA.

Background: To identify the rate of 30-day complications after primary repair of upper extremity peripheral nerve injuries, associated diagnoses, and postoperative complication rate.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was reviewed from 2010 to 2016. Current Procedural Terminology codes consistent with primary nerve repair of the upper extremity were identified and included in the analysis. Read More

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September 2021

Eyebrow Reconstruction With Temporal Hairline Relay Flap.

J Craniofac Surg 2021 Sep 20. Epub 2021 Sep 20.

No. 14 Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Abstract: Eyebrow is one of the most important features of the face; the absence of eyebrows will cause a heavy psychological burden to patients. Existing brow reconstruction techniques are not perfect for every case of eyebrow defect. In this study, a patient who suffered from eyebrows loss after radiotherapy for hemangioma underwent eyebrow reconstruction with the relay transfer of a temporal hairline flap. Read More

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September 2021

Approaching the airway in prehospital emergency is a common and potentially life-saving practice.

Rev Esp Anestesiol Reanim 2021 Sep 17. Epub 2021 Sep 17.

Department of Intensive Care, Centro Hospitalar e Universitário São João, EPE, Porto, Portugal.

Management by the environment is complex, which means a much higher percentage of difficult airways than in a regulated environment such as the operating room. Failure or prolonged attempt to tracheal intubation is associated with unfavorable outcomes and serious complications. Acute epiglottitis is a life-threatening disorder, classified as a medical emergency within the diseases of the upper respiratory airway and characterized by its sudden and deadly evolution if rapid intubation is not achieved to allow oxygenation of the patient. Read More

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September 2021

In-office Endonasal Minor Revision Rhinoplasty.

Facial Plast Surg 2021 Sep 20. Epub 2021 Sep 20.

Section of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.

The revision rhinoplasty presents many unique challenges to the facial plastic surgeon. While many cases will require a full revision in the operating room, there are several isolated deformities which may be repaired in the office via an endonasal approach. This provides many benefits to the patient and surgeon including decreased cost, shorter recovery time, avoidance of general anesthesia, and less discomfort. Read More

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September 2021

Image-guided confirmation of a precision pull-through procedure during laparoscopically assisted anorectoplasty in an open MRI operating theater: first application in an infantile case with anorectal malformation.

Surg Case Rep 2021 Sep 20;7(1):211. Epub 2021 Sep 20.

Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima City, 890-8520, Japan.

Background: Image-guided surgery with an open magnetic resonance imaging (MRI) system is applied for brain tumors in the neurosurgery field, but has rarely been reported in pediatric surgery. We report our initial experience of intraoperative confirmation of precision rectal pull-through during laparoscopically assisted anorectoplasty (LAARP) in an open MRI operating theater for pediatric patients with anorectal malformation (ARM).

Case Presentation: A 3. Read More

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September 2021

Association of Occupational Exposure to Inhaled Agents in Operating Rooms With Incidence of Chronic Obstructive Pulmonary Disease Among US Female Nurses.

JAMA Netw Open 2021 Sep 1;4(9):e2125749. Epub 2021 Sep 1.

Department of Global Health, Boston University School of Public Health, Boston, Massachusetts.

Importance: Employment in operating rooms (ORs) may involve exposure to several inhaled agents, including surgical smoke and disinfectants, which are associated with adverse respiratory health effects. However, the association of long-term employment in ORs and chronic obstructive pulmonary disease (COPD) remains unknown.

Objective: To examine the association of working in an OR with incidence of COPD among female nurses in the US. Read More

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September 2021

Motivations Influencing the Surgeon's Healthcare Unit Choice to Perform Surgery: A Confirmatory Study in Portugal.

Eur J Investig Health Psychol Educ 2019 Oct 24;10(1):143-158. Epub 2019 Oct 24.

Department of Mathematics (DM. UTAD), University of Trás-os-Montes and Alto Douro, Quinta de Prados, 5001-801 Vila Real, Portugal.

Quality surgical practice is a fundamental subject in health institutions, and it is important to understand the structural and organizational conditions of the operating room (OR). The present exploratory study sought to understand the motivations that underlie the choice of surgeons for the best healthcare unit to perform surgery, as well as the characteristics of those professionals regarding age, years of work experience, and sex. A questionnaire survey was administered to a convenience sample of 99 surgeons, 67. Read More

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October 2019

Effects of different corticosteroid therapy on severe COVID-19 patients: a meta-analysis of randomized controlled trials.

Expert Rev Respir Med 2021 Sep 18. Epub 2021 Sep 18.

Department of Hepatobiliary and Pancreatic Surgery, Union Shenzhen Hospital, Huazhong University of Science and Technology, Shenzhen, Guangdong, China.

Background: To assess the efficacy and safety of corticosteroids in COVID-19 patients compared with standard care or placebo.

Methods: Electronic databases were searched to identify relevant studies. The mortality, adverse events, and other data from studies were pooled for statistical analysis. Read More

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September 2021

printing of growth factor-eluting adhesive scaffolds improves wound healing.

Bioact Mater 2022 Feb 5;8:296-308. Epub 2021 Jul 5.

Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.

Acute and chronic wounds affect millions of people around the world, imposing a growing financial burden on patients and hospitals. Despite the application of current wound management strategies, the physiological healing process is disrupted in many cases, resulting in impaired wound healing. Therefore, more efficient and easy-to-use treatment modalities are needed. Read More

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February 2022

Virtual Reality as an Affirmative Spin-Off to Laparoscopic Training: An Updated Review.

Cureus 2021 Aug 17;13(8):e17239. Epub 2021 Aug 17.

School of Medicine, Universidad del Rosario, Bogota, COL.

Latest advancements in science lead to drastic improvements in patient health care. Techniques and technology evolved in surgery over the years have resulted in the improvement of patient outcomes by leaps and bounds. Open surgeries previously done for procedures like appendectomy and cholecystectomy evolved into laparoscopic minimally invasive procedures. Read More

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The effects of uncut Roux-en-Y anastomosis on laparoscopic radical gastrectomy patients' postoperative complications and quality of life.

Am J Transl Res 2021 15;13(8):9530-9537. Epub 2021 Aug 15.

Department of Intensive Care Unit, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology Wuhan 430030, China.

Objectives: This study discusses and analyzes the effects of uncut Roux-en-Y anastomosis on the postoperative complications and quality of life of gastric cancer patients after they undergo laparoscopic total gastrectomies.

Methods: 86 patients admitted to our hospital for laparoscopic digestive tract reconstruction after distal gastrectomies were recruited as the study cohort and divided into group A (n=41) or group B (n=45) on the basis of the different digestive tract reconstruction surgery each patient underwent. The group-A patients underwent traditional Roux-en-Y anastomosis, and the group-B patients underwent uncut Roux-en-Y anastomosis. Read More

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Effects of situation-background-assessment-recommendation handover combined with detail nursing intervention on patients with infections.

Am J Transl Res 2021 15;13(8):9056-9062. Epub 2021 Aug 15.

Operating Room, The Fifth People's Hospital of Suzhou Suzhou, Jiangsu, China.

Objective: To analyze the nursing effects of situation-background-assessment-recommendation (SBAR) handover combined with detailed nursing intervention on patients with contagious diseases.

Methods: A total of 106 patients with infectious diseases who were hospitalized from April 2018 to April 2020 were selected and randomly divided into a control group (n=53, SBAR handover model) and an experimental group (n=53, SBAR handover model, combined with detailed nursing intervention) based on a random number table method. The nursing quality, professional recognition of nursing staff, patients' psychological status, and the quality of life of patients between the two groups were compared. Read More

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The Use of Robotics Coupled With Navigation for Pediatric Congenital Spine Deformity.

HSS J 2021 Oct 23;17(3):289-293. Epub 2021 Jul 23.

Department of Orthopedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

: Spinal instrumentation in children with congenital spine deformity poses challenges to the surgeon, given the small patient size and the anomalous anatomy often encountered. : We aimed to investigate the accuracy of screw placement when robotics coupled with real-time navigation was used for surgical treatment of pediatric congenital spine deformity at 1 institution. : We conducted a retrospective search of our institution's database for all patients younger than 18 years of age with congenital spine deformity who were treated with the robotics surgical platform coupled with navigation between June 2019 and December 2020. Read More

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October 2021

Head and Neck Surgery During COVID-19 Pandemic: Experience from a Tertiary Care in India.

Indian J Surg Oncol 2021 Sep 12:1-11. Epub 2021 Sep 12.

Department of Otorhinolaryngology and,Head and Neck Surgery, All India Institute of Medical Sciences, 110029 New Delhi, India.

Head and neck pathologies requiring surgical intervention are considered a high-risk subsite in the context of COVID-19 pandemic by virtue of its close proximity to the mucosa of the upper aerodigestive tract. Retrospective review of all head and neck surgical procedures is undertaken during the pandemic from 23rd April 2020 to 30th September 2020. One hundred procedures were performed on 98 patients. Read More

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September 2021

Comparing Time to Diagnosis and Treatment of Patients with Ruptured Ectopic Pregnancy Based on Type of Ultrasound Performed: A Retrospective Inquiry.

J Emerg Med 2021 Sep 16. Epub 2021 Sep 16.

Department of Emergency Medicine, Spectrum Health, Grand Rapids, Michigan.

Background: Hemorrhage from ruptured ectopic pregnancy is the leading cause of first trimester mortality in North America.

Objectives: Our objective was to compare patients with a ruptured ectopic pregnancy who had an emergency department (ED) point-of-care ultrasound (PoCUS) with those who received a radiology department-performed ultrasound (RADUS). Four time intervals were measured: ED arrival to ultrasound interpretation, obstetric consultation, operating room (OR) arrival, and ultrasound interpretation to OR arrival. Read More

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September 2021

Cardiopulmonary resuscitation during the COVID-19 pandemic in Spain.

Rev Esp Anestesiol Reanim (Engl Ed) 2021 Sep 15. Epub 2021 Sep 15.

Clínica Universidad de Navarra, Madrid, Spain.

Objectives: The disease COVID-19 produces serious complications that can lead to cardiorespiratory arrest. Quality cardiopulmonary resuscitation (CPR) can improve patient prognosis. The objective of this study is to evaluate the performance of the specialty of Anesthesiology in the management of CPR during the pandemic. Read More

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September 2021

Role of Anesthesia in Endoscopic Operations.

Authors:
Yoon-Jeong Cho

Gastrointest Endosc Clin N Am 2021 Oct 20;31(4):759-772. Epub 2021 Jul 20.

Department of General Anesthesiology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address:

Utilization of anesthesia service in endoscopic operations can facilitate the procedural conditions and improve patient satisfaction. Comprehensive preprocedural/preanesthetic assessment should be preceded with focus on medical history, disorders that increase risk of aspiration, NPO status, ASA status, and airway evaluations, as these play an important role in perioperative complications. Preanesthetic assessment should serve as a guide to determining the appropriate depth of sedation for the patient, and indications for general anesthesia with endotracheal intubation should be reviewed. Read More

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October 2021

Clinical value of miR-135 and miR-20a combined with multi-detector computed tomography in the diagnosis of gastric cancer.

World J Surg Oncol 2021 Sep 18;19(1):283. Epub 2021 Sep 18.

Department of CT Room, Dongying People's Hospital, No. 317 NanYi Road, Dongying, 257091, China.

Background: To study the clinical value of miR-135 and miR-20a combined with multi-detector computed tomography (MDCT) in the diagnosis of gastric cancer (GC).

Method: A total of 146 patients with GC admitted to our hospital from January 2017 to June 2019 were selected and enrolled in the GC group. Another 103 patients with gastritis received in the same period were selected for the non-GC group. Read More

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September 2021

Aerosolization risk during endoscopic transnasal surgery: a prospective qualitative and quantitative microscopic analysis of particles spreading in the operating room.

J Neurosurg 2021 Sep 17:1-9. Epub 2021 Sep 17.

1Division of Otorhinolaryngology, Department of Surgical Specialties, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

Objective: The coronavirus disease 2019 (COVID-19) pandemic represents the greatest public health emergency of this century. The primary mode of viral transmission is droplet transmission through direct contact with large droplets generated during breathing, talking, coughing, and sneezing. However, the virus can also demonstrate airborne transmission through smaller droplets (< 5 μm in diameter) generated during various medical procedures, collectively termed aerosol-generating procedures. Read More

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September 2021

A multicenter study to evaluate the pharmacokinetics and safety of liposomal bupivacaine for postsurgical analgesia in pediatric patients aged 6 to less than 17 years (PLAY).

J Clin Anesth 2021 Sep 14;75:110503. Epub 2021 Sep 14.

Cleveland Clinic, Cleveland, OH, United States of America.

Study Objective: To evaluate the pharmacokinetics and safety of liposomal bupivacaine in pediatric patients undergoing spine or cardiac surgery.

Design: Multicenter, open-label, phase 3, randomized trial (PLAY; NCT03682302).

Setting: Operating room. Read More

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September 2021

Noise levels during cesarean delivery: a prospective observational study.

Int J Obstet Anesth 2021 Aug 14;48:103211. Epub 2021 Aug 14.

Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas, USA. Electronic address:

Background: Excessive noise has negative implications for both clinicians and patients. Emergency cesarean deliveries require rapid co-ordination and communication, possibly increasing noise pollution. We aimed to determine if noise levels in the Labor and Delivery operating room were higher during emergency cesarean deliveries than during non-emergency cesarean deliveries. Read More

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The minimum effective concentration (MEC90) of ropivacaine for ultrasound-guided caudal block in anorectal surgery. A dose finding study.

PLoS One 2021 17;16(9):e0257283. Epub 2021 Sep 17.

Department of Anesthesiology, and Laboratory of Anesthesia and Intensive Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, China.

Background: Caudal epidural block (CEB) provides reliable anesthesia for adults undergoing anorectal surgery. Despite the widely utilization, the minimum effective concentration for 90% patients (MEC90) of ropivacaine for CEB remains unknown.

Objective: To estimate MEC of ropivacaine for CEB in anorectal surgery. Read More

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September 2021

Reliability and validity of PSQI among frontline health care workers of COVID-19 using classical test theory and item response theory.

J Clin Sleep Med 2021 Sep 21. Epub 2021 Sep 21.

Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.

Study Objectives: The applicability of sleep-related scale in frontline medical staff of COVID-19 epidemic has not been fully proved, so the sleep survey results lack credibility and accuracy, which brings difficulties to the guidance and treatment of frontline medical staff with sleep disorders, and is not conducive to the prevention and control of COVID-19 epidemic. This study sought to analyze the reliability and validity of the Pittsburgh Sleep Quality Index (PSQI) among the frontline medical staff fighting against COVID-19 epidemic.

Methods: A network questionnaire survey was used to investigate PSQI among frontline medical staff who fought against COVID-19 in Wuhan from March 19 to April 15, 2020. Read More

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September 2021

Transmission Possibility of COVID-19 via Surgical Smoke Generated by the Use of Laparoscopic Approaches: A Subject of Debate During the Pandemic.

J Laparoendosc Adv Surg Tech A 2021 Sep 17. Epub 2021 Sep 17.

Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

The smoke created by energy-based devices during surgery may have the potential to transmit viral components to operating room staff. The COVID-19 pandemic has changed staff safety regulations. However, it is not clearly understood whether it can be transmitted via surgical smoke. Read More

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September 2021

A Smoke Evacuator Equipped With a Filter Contributes Enough to Safe Gas Exhaustion From the Abdominal Cavity.

Asian J Endosc Surg 2021 Sep 16. Epub 2021 Sep 16.

Department of Next Generation Endoscopic Intervention, Osaka University Graduate School of Medicine, Osaka, Japan.

Surgical plume (SP) carries biological risks such as virus transmission. An evacuation system can remove SP from the surgical field, but is it safe to release evacuated gas into the operating room (OR) atmosphere? We examined this using a commercially available evacuator equipped with a filter under a laparoscopic porcine surgery model. SP was generated by activating an electrocautery or ultrasonic scalpel on the surface of the liver, and we evaluated whether DNA fragments derived from porcine tissue were present in the exhausted gas from the evacuation system into the atmosphere. Read More

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September 2021