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Rehabilitative Exercise Training for Burn Injury.

Sports Med 2021 Aug 2. Epub 2021 Aug 2.

KBR, Human Physiology, Performance, Protection and Operations Laboratory, NASA Johnson Space Center, 2101 NASA Parkway, Houston, TX, 77058, USA.

Due to improvements in acute burn care over the last few decades, most patients with severe burns (up to 90% of the total body surface) survive. However, the metabolic and cardiovascular complications that accompany a severe burn can persist for up to 3 years post injury. Accordingly, there is now a greater appreciation of the need for strategies that can hasten recovery and reduce long-term morbidity post burn. Read More

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Reassessment of Prostate Biopsy Specimens for Patients Referred for Robot-assisted Radical Prostatectomy Rarely Influences Surgical Planning.

Eur Urol Open Sci 2021 Jun 27;28:36-42. Epub 2021 Apr 27.

Department of Urology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.

Background: The minimum volume standard is 100 robot-assisted radical prostatectomy (RARP) procedures per hospital in the Netherlands, so patients have to be referred to high-volume surgical centers for RARP. During preoperative work-up, prostate biopsies taken elsewhere are reassessed, with upgrading or downgrading of the initial Gleason grade group a possible consequence.

Objective: To determine if prostate biopsy reassessment leads to adjustment of the surgical plan regarding a nerve-sparing approach and extended pelvic lymph node dissection (ePLND) during RARP. Read More

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Patterns of Perioperative Treatment and Survival of Localized, Resected, Intermediate- or High-Grade Soft Tissue Sarcoma: A 2000-2017 Netherlands Cancer Registry Database Analysis.

Sarcoma 2021 22;2021:9976122. Epub 2021 Jul 22.

Department of Radiotherapy, The Netherlands Cancer Institute, Amsterdam, Netherlands.

Background: Standard therapy for localized soft tissue sarcoma (STS) is wide, limb-sparing resection. For intermediate- or high-grade tumors, (neo)adjuvant therapies are frequently added to the treatment plan. In this study, data from a Dutch nationwide database are used to (1) assess whether perioperative management of STS follows ESMO guidelines, (2) characterize prognostic factors for overall survival (OS), and (3) assess the association between perioperative treatment and survival. Read More

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Atlas and feature based 3D pathway visualization enhancement for skull base pre-operative fast planning from head CT.

Proc SPIE Int Soc Opt Eng 2015 Feb 18;9415. Epub 2015 Mar 18.

Electrical Engineering Department, University of Washington, Seattle, WA, USA 98195-2500.

Minimally invasive neuroendoscopic surgery provides an alternative to open craniotomy for many skull base lesions. These techniques provides a great benefit to the patient through shorter ICU stays, decreased post-operative pain and quicker return to baseline function. However, density of critical neurovascular structures at the skull base makes planning for these procedures highly complex. Read More

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February 2015

A New 3-Stage Approach for the Reoperative Hypospadias.

Ann Plast Surg 2021 Jul 29. Epub 2021 Jul 29.

From the Departments of Plastic Surgery Urology, Geisinger Medical Center, Danville, PA.

Background: Most hypospadias patients undergo 1 surgical procedure and go on to live normal lives. However, there is a small subset of patients who have remaining functional complications after their repair. Patients presenting with diffuse scarring of the urethral plate and a shortage of penile skin for closure are referred to as "hypospadias cripples. Read More

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[Application value of three-dimensional reconstruction in preoperative evaluation of precise hepatectomy for complex primary liver cancer].

Zhonghua Yi Xue Za Zhi 2021 Jul;101(28):2210-2215

Department of Hepatobiliary Surgery, Peking University People's Hospital, Beijing 100044, China.

To explore the application value of three-dimensional reconstruction of liver based on computer software in preoperative evaluation of precise hepatectomy for complex primary liver cancer. The clinical data of patients in Peking University People's Hospital Hepatobiliary surgery with complicated primary liver cancer from September 17, 2019 to December 20, 2020 were analyzed retrospectively. Preoperative enhanced CT/MR data of patients were collected, and 3D reconstruction of liver was performed in IQQA􀳏-3D Liver system. Read More

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The Use of Augmented Reality to Guide the Intraoperative Frozen Section During Robot-assisted Radical Prostatectomy.

Eur Urol 2021 Jul 28. Epub 2021 Jul 28.

Division of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna; Università degli Studi di Bologna.

Background: Multiparametric magnetic resonance imaging (mpMRI) can guide the surgical plan during robot-assisted radical prostatectomy (RARP), and intraoperative frozen section (IFS) can facilitate real-time surgical margin assessment.

Objective: To assess a novel technique of IFS targeted to the index lesion by using augmented reality three-dimensional (AR-3D) models in patients scheduled for nerve-sparing RARP (NS-RARP).

Design, Setting, And Participants: Between March 2019 and July 2019, 20 consecutive prostate cancer patients underwent NS-RARP with IFS directed to the index lesion with the help of AR-3D models (study group). Read More

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Slipped Capital Femoral Epiphysis in an Adult with Panhypopituitarism: A Case Report.

JBJS Case Connect 2021 07 30;11(3). Epub 2021 Jul 30.

Tallahassee Primary Care Associates, Tallahassee, Florida.

Case: Our patient was a 31-year-old woman with previously undiagnosed panhypopituitarism who presented with bilateral slipped capital femoral epiphysis (SCFE). Together with endocrinology, her treatment plan involved medical management of her panhypopituitarism and surgical correction with femoral neck osteotomy. Hormone deficiencies were corrected 6 weeks after replacement therapy began, and the patient was cleared for surgery. Read More

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Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from Syria.

Case Rep Obstet Gynecol 2021 15;2021:5578686. Epub 2021 Jul 15.

Department of Pathology, Cancer Research Centre, Tishreen University, Lattakia, Syria.

Endometrial stromal sarcoma (ESS) is a rare and challenging type of endometrial tumor, constituting only about 0.2% of all uterine malignancies and occurring in women 42-58 years of age. ESS is usually misdiagnosed as leiomyoma. Read More

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Nonsyndromic with Recurrent Idiopathic Gingival Fibromatosis: A Rare Case Report.

Int J Clin Pediatr Dent 2021 Jan-Feb;14(1):158-160

Department of Periodontology, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India.

Idiopathic gingival fibromatosis is a genetic rare disorder, which is characterized by a progressive enlargement of the gingiva. Gingival enlargement is an overgrowth of the gingiva, which can be caused by various etiological factors such as poor oral hygiene, plaque accumulation, inadequate nutrition, hormonal stimulation, several blood dyscrasias, or long-term intake of certain drugs like phenytoin, nifedipine, or cyclosporine. A 14-year-old female patient reported to the Department of Periodontology, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan with her chief complaint of swollen gums in both upper and lower arches since 3 years, which was gradual in onset and increased in size since 4 months which covered almost half of the surface of each tooth. Read More

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Evaluating preferences for colorectal cancer screening in individuals under age 50 using the Analytic Hierarchy Process.

BMC Health Serv Res 2021 Jul 29;21(1):754. Epub 2021 Jul 29.

Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, USA.

Background: In 2021, the United States Preventive Services Task Force updated their recommendation, stating that individuals ages 45-49 should initiate screening for colorectal cancer. Since several screening strategies are recommended, making a shared decision involves including an individual's preferences. Few studies have included individuals under age 50. Read More

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The myth of pre-operative isolation during the COVID-19 pandemic.

Sci Prog 2021 Jul-Sep;104(3):368504211026155

Princess Royal University Hospital, Orpington, UK.

The SARS-CoV-2 (COVID-19) pandemic called for the restructuring of National Health Service (NHS) surgical departments across the country. Initial guidance advised that patients undergoing elective surgery isolate for 14 days prior to their operation. As we learnt more about COVID-19 and its incubation period, at the Princess Royal University Hospital this guidance has been decreased to 72 h. Read More

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Preoperative stereotactic radiosurgery for brain metastases: the STEP study protocol for a multicentre, prospective, phase-II trial.

BMC Cancer 2021 Jul 28;21(1):864. Epub 2021 Jul 28.

INSERM U1240 IMoST, University of Clermont Auvergne, Clermont-Ferrand, France.

Background: Surgery is an important therapeutic option for brain metastases. Currently, postoperative stereotactic radiosurgery (SRT) leads to 6-month and 1-year local control estimated at 70 and 62% respectively. However, there is an increased risk of radio-necrosis and leptomeningeal relapse. Read More

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Fully Guided Zygomatic Implant Surgery.

J Craniofac Surg 2021 Jul 27. Epub 2021 Jul 27.

Tuscan Dental Institute, Private Practice, Vicenza Tuscan Dental Institute, Padova Tuscan Dental Institute, Lido di Camaiore Private Practice, Tuscan Dental Institute, Naples, Italy.

Introduction: Rehabilitating a severely atrophic maxilla is a complex procedure. In case of severe resorption, zygomatic implants are indicated and loading of the implants at the end of the surgery is desirable. We present a new method by means of guided surgery for the placement of zygomatic implants, using specially designed metal templates that should be supported by bone. Read More

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Surgical Management of Bilateral Osteoradionecrosis of the Mandible.

J Craniofac Surg 2021 Jul 27. Epub 2021 Jul 27.

Department of Oral Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine National Clinical Research Center for Oral Disease Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, Shanghai, China.

Purpose: The purpose of this study was to evaluate our 10 years clinical experience in surgical management of patients with bilateral osteoradionecrosis (BORN) of the mandible in head and neck malignancies patients.

Materials And Methods: The authors reviewed 22 patients with bilateral mandibular bone mineral density changed in image who had failed to respond to conservative treatments. They were treated by radical resection and reconstruction with free flaps immediately or second-stage at our institution between January 2008 and January 2018. Read More

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A Crowdsourced Consensus on Supratotal Resection Versus Gross Total Resection for Anatomically Distinct Primary Glioblastoma.

Neurosurgery 2021 Jul 28. Epub 2021 Jul 28.

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Background: Gross total resection (GTR) of contrast-enhancing tumor is associated with increased survival in primary glioblastoma. Recently, there has been increasing interest in performing supratotal resections (SpTRs) for glioblastoma.

Objective: To address the published results, which have varied in part due to lack of consensus on the definition and appropriate use of SpTR. Read More

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Finite element modeling to predict procedural success of thoracic endovascular aortic repair in type A aortic dissection.

JTCVS Tech 2020 Dec 13;4:40-47. Epub 2020 Oct 13.

Cardiology and Aortic Centre, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom.

Objective: Thoracic endovascular aortic repair (TEVAR) is recommended for type B aortic dissection and recently has even been used in selected cases of proximal (Stanford type A) aortic dissections in scenarios of prohibitive surgical risk. However, mechanical interactions between the native aorta and stent-graft are poorly understood, as some cases ended in failure. The aim of this study is to explore and better understand biomechanical changes after TEVAR and predict the result via virtual stenting. Read More

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December 2020

Management of the Most Common Functional Gastrointestinal Disorders in Infancy: The Middle East Expert Consensus.

Pediatr Gastroenterol Hepatol Nutr 2021 Jul 5;24(4):325-336. Epub 2021 Jul 5.

Pediatric Department, Saint George Hospital, Beirut, Lebanon.

The occurrence of functional gastrointestinal disorders (FGIDs) is a formidable challenge for infants, parents, and healthcare professionals. Although data from the Middle East are scarce, experts consider FGIDs a prevalent condition in everyday clinical practice. The new Rome IV criteria revisited the definitions from a clinical perspective to provide a practical and consistent diagnostic protocol for FGIDs. Read More

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Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review.

Occup Ther Int 2021 6;2021:5568513. Epub 2021 Jul 6.

Rehabilitation Association for Hematopoietic Cell Transplantation, Gloucester, UK.

The current paper seeks to inform healthcare professionals on how adapting various components of return to work (RTW) programs that are already in use by other musculoskeletal rehabilitation settings can help optimize return to work process for patients with or without musculoskeletal manifestations, posthematopoietic cell transplantation. Since there is no universally agreed RTW structure for hematopoietic cell transplant patients, a narrative approach has been taken utilizing evidence from the existing musculoskeletal return to work assessment publications to help draw parallel for the hematopoietic cell transplant patients. Databases were searched including PUBMED, CINHAL, AMED, SCOPUS, and Cochrane using keywords RTW, functional restoration program, hematopoietic cell transplant, bone marrow transplant, stem cell transplant, and musculoskeletal functional assessment. Read More

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Diagnostic techniques for diastasis recti.

Authors:
R C Tung S Towfigh

Hernia 2021 Jul 27. Epub 2021 Jul 27.

Beverly Hills Hernia Center, 450 North Roxbury Drive #224, Beverly Hills, CA, 90210, USA.

Diastasis recti (DR) is an abnormality of the anterior abdominal wall, characterized by a separation of the rectus abdominis muscles along the linea alba. A thorough history and physical exam can diagnose most cases of diastasis recti. Classification schemes for diastasis recti have been created based on inter-rectus distance and location of the defect, which can help with management decisions. Read More

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Total Knee Arthroplasty in the Valgus Knee: Can New Operative Technologies Affect Surgical Technique and Outcomes?

Surg Technol Int 2021 Jul 26;39. Epub 2021 Jul 26.

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

Introduction: Valgus knee deformities can sometimes be challenging to address during total knee arthroplasties (TKAs). While appropriate surgical technique is often debated, the role of new operative technologies in addressing these complex cases has not been clearly established. The purpose of this study was to analyze the usefulness of computed tomography scan (CT)-based three-dimensional (3D) modeling operative technology in assisting with TKA planning, execution of bone cuts, and alignment. Read More

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Disaster preparedness should represent an augmentation of the everyday trauma system, but are we prepared?

Trauma Surg Acute Care Open 2021 7;6(1):e000760. Epub 2021 Jul 7.

Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Background: The increased frequency, geographical spread and the heterogenicity in mass casualty incidents (MCIs) challenge healthcare systems worldwide. Trauma systems constitute the base for disaster preparedness. Norway is sparsely populated, with four regional trauma centers (TCs) and 35 hospitals treating trauma (non-trauma centers (NTCs)). Read More

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Economic Analysis of the Prevention and Control of Nosocomial Infections: Research Protocol.

Front Public Health 2021 7;9:531624. Epub 2021 Jul 7.

School of Public Health, University of Montréal, Montreal, QC, Canada.

Nosocomial infections (NIs) are among the main preventable healthcare adverse events. Like all countries, Canada and its provinces are affected by NIs. In 2004, Ministry of Health and Social Services (MSSS) of Quebec instituted a mandatory surveillance NI program for the prevention and control (NIPC) in the hospitals of the province. Read More

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Open Pyelolithotomy in the Presence of a Retro-Renal Colon: A Safe Alternative in Resource-Limited Settings.

Authors:
Adrian R Rhudd

Cureus 2021 Jun 22;13(6):e15827. Epub 2021 Jun 22.

Urology, Mount St John's Medical Center, St John's, ATG.

A retro-renal colon (RRC) is a rare but important anatomical variant to consider when planning percutaneous stone surgery. CT scanning of the abdomen is critical to detect this and to plan the surgical approach to avoid injury to the colon. In this case report, a 38-year-old woman with large obstructing bilateral symptomatic renal stones was found to have a left retro-renal colon on image review prior to left percutaneous nephrolithotomy. Read More

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Malignant Large Bowel Obstruction.

Clin Colon Rectal Surg 2021 Jul 20;34(4):251-261. Epub 2021 Jul 20.

Vanderbilt University Medical Center Nashville, Tennessee.

Large bowel obstruction is a serious and potentially life-threatening surgical emergency which is associated with high morbidity and mortality rate. The most common etiology is colorectal cancer which accounts for over 60% of all large bowel obstructions. Proper assessment, thoughtful decision-making and prompt treatment is necessary to decrease the high morbidity and mortality which is associated with this entity. Read More

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[The treatment progress of obstructive sleep apnea in children].

Authors:
Yang Zhang Yong Fu

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Aug;35(8):756-760

Obstructive sleep apnea(OSA) is a common disease in otolaryngology in children, and its incidence rate is increasing gradually, which seriously endangers children's growth and development, behavior cognition and so on. There are many etiologies of OSA in children. Besides tonsil hypertrophy and/or adenoid hypertrophy, the most common one, there are many different levels of airway obstruction caused by inflammation, dysplasia, obesity and other reasons. Read More

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[Selection and application in the approach of Bonebridge implantation for bilateral congenital malformation of external and middle ear: selection and application].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Jul;35(7):602-607

Department of Otorhinolaryngology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100730,China.

According to whether auricle reconstruction has been performed before the implantation of Bonebridge, the different surgical plan of combination of ear reconstruction and hearing rehabilitation with Bonebridge were respectively applied for the individuals with congenital outer and middle ear malformation. The study aim to explore the feasibility of personalized comprehensive treatment of congenital outer and middle ear malformation. We developed individualized surgical plans of Bonebridge implantation and auricular reconstruction for 35 patients with bilateral external and middle ear malformation. Read More

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Component placement accuracy in two generations of handheld robotics-assisted knee arthroplasty.

Arch Orthop Trauma Surg 2021 Jul 25. Epub 2021 Jul 25.

Division of Adult Reconstructive Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.

Introduction: Total knee arthroplasty (TKA) is the gold standard for treatment of end-stage osteoarthritis. Previous studies have shown that successful outcomes following TKA depend on accurate implant alignment and soft tissue balancing. Robotic-assisted TKA have demonstrated improved accuracy in component placement and have been associated with better outcomes and patient satisfaction. Read More

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Rationale and study design of an early care, therapeutic education, and psychological intervention program for the management of post-intensive care syndrome and chronic pain after COVID-19 infection (PAIN-COVID): study protocol for a randomized controlled trial.

Trials 2021 Jul 24;22(1):486. Epub 2021 Jul 24.

Pain Medicine Section, Department of Anaesthesiology, Critical Care and Pain Treatment, Hospital Clínic de Barcelona, Barcelona, Spain.

Background: Critically ill patients with COVID-19 are an especially susceptible population to develop post-intensive care syndrome (PICS) due to acute respiratory distress syndrome (ARDS). Patients can suffer acute severe pain and may have long-term mental, cognitive, and functional health deterioration after discharge. However, few controlled trials are evaluating interventions for the prevention and treatment of PICS. Read More

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