2,050 results match your criteria post-surgical follow

Automated detection of hippocampal sclerosis: Comparison of a composite MRI-based index with conventional MRI measures.

Epilepsy Res 2021 Apr 9;174:106638. Epub 2021 Apr 9.

Department of Radiology, Sanbo Brain Hospital, Capital Medical University, China. Electronic address:

Purpose: This study aims to compare the performance of an MRI-based composite index (HSI) with conventional MRI-based measures in hippocampal sclerosis (HS) detection and postoperative outcome estimation.

Methods: Seventy-two temporal lobe epilepsy (TLE) patients with pathologically confirmed HS and fifteen TLE patients without HS were included retrospectively. The T1-weighted and FLAIR images of these patients were processed with AccuBrain to quantify the hippocampal volume (HV) and the hippocampal FLAIR signal. Read More

View Article and Full-Text PDF

Temporal Lobectomy: Does It Worsen or Improve Presurgical Psychiatric Disorders?

Luis Pintor

Curr Top Behav Neurosci 2021 May 7. Epub 2021 May 7.

University of Barcelona, Barcelona, Spain.

Temporal lobe epilepsy (TLE) is the type of epilepsy most frequently associated with psychiatric morbidity. Respective surgery for focal epilepsy remains the preferred treatment for medically resistant epilepsy. The aim of this chapter is to review what happens with psychiatric disorders once patients have undergone surgery. Read More

View Article and Full-Text PDF

The role of treatment delays in surgical site infection after appendicectomy in a South African rural regional hospital.

S Afr Med J 2021 Mar 2;111(3):271-275. Epub 2021 Mar 2.

Department of Surgery, Worcester Regional Hospital, Western Cape Department of Health, South Africa; Ukwanda, Centre for Rural Health, Stellenbosch University, Worcester Campus, South Africa; Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Background: Delays to surgery for acute appendicitis in low- and middle-income countries lead to significant morbidity.

Objectives: To investigate the role of time to surgery in the development of complicated appendicitis and surgical site infection (SSI) in a rural referral hospital in South Africa (SA).

Methods: A prospective cohort study was conducted of all patients presenting to a regional hospital in SA with acute appendicitis during 2017. Read More

View Article and Full-Text PDF

Anatomical subpial resection of tumors in the amygdala and hippocampus.

World Neurosurg 2021 Apr 30. Epub 2021 Apr 30.

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona. Electronic address:

Objective: Surgical techniques to achieve complete resection of mesial-basal temporal tumors should be pursued by neurosurgical oncologists. We describe the anatomical subpial amygdalohippocampectomy (SpAH) technique for tumor resection.

Methods: The key anatomical landmarks and critical steps of the SpAH technique were outlined and emphasized with medical illustrations and intraoperative photographs. Read More

View Article and Full-Text PDF

Comparison of short- and long-term postoperative occurrences after robotic single-incision cholecystectomy versus multiport laparoscopic cholecystectomy.

Surg Endosc 2021 May 3. Epub 2021 May 3.

Department of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Background: Long-term outcomes of SIRC are not well established. Furthermore, SIRC is only now being considered more frequently for patients with independent risk factors for PSH, such as obesity. As such, the paucity of data on longer-term post-surgical outcomes of SIRC is particularly notable as it pertains to obese patients. Read More

View Article and Full-Text PDF

Surgical Treatment of Clubfoot in Children with Moebius Syndrome.

Children (Basel) 2021 Apr 19;8(4). Epub 2021 Apr 19.

Pediatric Orthopedic and Traumatology Unit, San Raffaele Hospital, 20132 Milan, Italy.

Moebius syndrome (MS) is a rare disease, with paralysis of the VI and VII cranial nerves, frequently associated with clubfoot (CF). The aim of this study was to evaluate surgical treatment of CF in MS, providing its peculiarities. Between 1990 and 2019, we collected data of 11 MS patients with unilateral ( = 5) or bilateral ( = 6) CF, for a total of 17 feet (9R,8L). Read More

View Article and Full-Text PDF

Long-term outcomes of grade I/II skull base chondrosarcoma: an insight into the role of surgery and upfront radiotherapy.

J Neurooncol 2021 Apr 27. Epub 2021 Apr 27.

Departments of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.

Purpose: To clarify the need for post-operative radiation treatment in skull base chondrosarcomas (SBCs).

Methods: A retrospective analysis of patients with grade I or II SBC. Patients were divided according to post-surgical treatment strategies: (A) planned upfront radiotherapy and (B) watchful waiting. Read More

View Article and Full-Text PDF

Transcription factor immunohistochemistry in the diagnosis of pituitary tumours.

Eur J Endocrinol 2021 Apr 1. Epub 2021 Apr 1.

A McCormack, Department of Endocrinology, St Vincent's Hospital Sydney, Darlinghurst, Australia.

Objective: The clinical utility and prognostic value of WHO 2017 lineage-based classification of pituitary tumours have not been assessed. This study aimed to (1) determine the clinical utility of transcription factor analysis for classification of pituitary tumours and (2) determine the prognostic value of improved lineage-based classification of pituitary tumours.

Methods: This was a retrospective evaluation of patients who underwent surgical resection of pituitary tumours at St Vincent's Public and Private Hospitals, Sydney, Australia between 1990 and 2016. Read More

View Article and Full-Text PDF

Urethral plate quality assessment and its impact on hypospadias repair outcomes: A systematic review and quality assessment.

J Pediatr Urol 2021 Feb 23. Epub 2021 Feb 23.

Pediatric Urology Division, Surgery Department, Sidra Medicine, Doha, Qatar.

Background: The variability of the urethral plate (UP) characteristics is one of the factors that influence technical choices for hypospadias correction. However, it is difficult to objectively evaluate the UP, leading to controversies in this subject, and vague terms utilized in the literature to describe its characteristics.

Objective: We aim to analyze the previously described methods used to characterize and evaluate UP quality, emphasizing the pros and cons of each system, and highlighting its possible influence on different postoperative outcomes. Read More

View Article and Full-Text PDF
February 2021

Percutaneous ablation of post-surgical solitary early recurrence of colorectal liver metastases is an effective "test-of-time" approach.

Updates Surg 2021 Apr 12. Epub 2021 Apr 12.

Division of Hepatobiliary and General Surgery, Department of Surgery, IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089, Rozzano, Milan, Italy.

Standard treatment of early recurrence of colorectal liver metastases (CLM) after liver resection (LR) is chemotherapy followed by loco-regional therapy. We reviewed the outcome of a different strategy ("test-of-time" approach): upfront percutaneous ablation without chemotherapy. Twenty-six consecutive patients with early solitary liver-only recurrence amenable to both resection and ablation (< 30 mm, distant from vessels) undergone "test-of-time" approach were analyzed. Read More

View Article and Full-Text PDF

Unicompartmental knee arthroplasty: the Italian version of the Forgotten Joint Score-12 is valid and reliable to assess prosthesis awareness.

Knee Surg Sports Traumatol Arthrosc 2021 Apr 10. Epub 2021 Apr 10.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128, Rome, Italy.

Purpose: Unicompartmental Knee Arthroplasty (UKA) recorded an increased incidence of around 30% per year in the United States. Patient's experience and satisfaction after surgery were traditionally assessed by pre, and post-surgical scores and Patient-Reported Outcome Measures (PROMs) scales. Traditional scales as Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and Oxford Knee Score (OKS) reported high ceiling effect. Read More

View Article and Full-Text PDF

Non-functioning pituitary macroadenomas: factors affecting postoperative recurrence, and pre- and post-surgical endocrine and visual function.

Endocrine 2021 Apr 6. Epub 2021 Apr 6.

Department of Endocrinology & Metabolism, Royal Preston Hospital, The Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.

Background: Non-functioning pituitary macroadenomas (NFPAs) with visual field defects are ideally managed by transsphenoidal tumour resection to improve vision, and long-term postsurgical follow up is necessary to monitor for tumour recurrence. Regular updates from global data are necessary for developing optimal management strategies of these tumours.

Methods: Pre- and postoperative visual and endocrine profile, imaging characteristics and details of surgical interventions among patients with NFPAs managed between 2008 and 2019 in a UK regional centre were assessed. Read More

View Article and Full-Text PDF

Achieve Closed Reduction of Irreducible, Unilateral Vertically Displaced Pelvic Ring Disruption with an Unlocking Closed Reduction Technique.

Orthop Surg 2021 Apr 4. Epub 2021 Apr 4.

The Department of Orthopaedic Trauma, Chinese PLA General Hospital (301 Hospital), Beijing, China.

Objective: To be able to treat irreducible unilateral vertically displaced pelvic ring disruption (UVDPRD) using closed reduction, we introduced a technique named Unlocking Closed Reduction Technique (UCRT) and evaluated its effectiveness with improved pelvic closed reduction system (PCRS).

Methods: A retrospective study was performed in our department. Between January 2014 and December 2017, 43 patients whose UVDPRD were not successfully reduced using transcondylar traction. Read More

View Article and Full-Text PDF

STarT-Lower Extremity Screening Tool at Six-weeks Predicts Pain and Physical Function 12-months after Traumatic Lower Extremity Fracture.

Injury 2021 Mar 26. Epub 2021 Mar 26.

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN; Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN; Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN; Osher Center for Integrative Medicine, Vanderbilt University Medical Center, Nashville, TN.

Background: Patients with lower extremity fracture requiring surgical fixation often have poor long-term pain and disability outcomes. This indicates the need for a risk stratification tool that can inform patient prognosis early in recovery. The purpose of this study was to determine the predictive validity of the STarT-Lower Extremity Screening Tool (STarT-LE) in patients with lower extremity fracture requiring surgical fixation. Read More

View Article and Full-Text PDF

Role of Narrow Band Imaging Technology in the Diagnosis and Follow up of Laryngeal Lesions: Assessment of Diagnostic Accuracy and Reliability in a Large Patient Cohort.

J Clin Med 2021 Mar 16;10(6). Epub 2021 Mar 16.

Institute of Otorhinolaryngology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.

Background: The aim of this study was to assess diagnostic accuracy and reliability of narrow band imaging (NBI) in the differential diagnosis of laryngeal premalignant lesion, early cancers and recurrences.

Material And Methods: We enrolled 231 patients who underwent endoscopic examination with white light endoscopy (WLE) + NBI and divided them into two groups, group A, without previous radiochemotherapy and group B, with previous radiochemotherapy. When indicated, we performed surgical biopsies to evaluate sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy and likelihood of endoscopic examination comparing WLE alone and WLE + NBI. Read More

View Article and Full-Text PDF

Detection of Urothelial Bladder Cancer Based on Urine and Tissue Telomerase Activity Measured by Novel RT-TRAP-2PCR Method.

J Clin Med 2021 Mar 4;10(5). Epub 2021 Mar 4.

Institute for Urology and Reproductive Health, Sechenov University, 119435 Moscow, Russia.

Purpose: To assess the diagnostic performance of urine telomerase activity (TA) in detecting bladder cancer (BCa) using the modified Telomeric Repeat Amplification Protocol (TRAP) and the Real Time Telomeric Repeat Amplification Protocol with double Polymerase Chain Reaction (RT-TRAP-2PCR).

Methods: In this case-control study, matching urine (in the pre- and post-surgical period) and tissue samples from 68 patients with BCa were assessed for TA. As a control, 45 urine samples were examined from non-BCa patients. Read More

View Article and Full-Text PDF

Sleeve Gastrectomy Is Associated with a Greater Reduction in Plasma Liver Enzymes Than Bypass Surgeries-A Registry-Based Two-Year Follow-Up Analysis.

J Clin Med 2021 Mar 9;10(5). Epub 2021 Mar 9.

Department of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University of Jerusalem-Hadassah Medical School, Jerusalem 91120, Israel.

Bariatric surgeries may lead to an improvement in metabolic fatty liver disease, and a reduction in the levels of the hepatic enzyme Alanine Aminotransferase (ALT). We compared the effects of Sleeve Gastrectomy (SG), Roux en Y Gastric Bypass (RYGB) and One Anastomosis Gastric Bypass (OAGB) on the levels of ALT by analysis of two-year follow-up data from 4980 patients in the Israeli Bariatric Registry that included laboratory tests and demographic information. Pre-operative characteristics of patients, and particularly levels of liver enzymes, were similar across surgery types. Read More

View Article and Full-Text PDF

SEOM clinical guideline for management of adult medulloblastoma (2020).

Clin Transl Oncol 2021 May 1;23(5):940-947. Epub 2021 Apr 1.

Department of Medical Oncology, Hospital Universitario Vall D'Hebron, Barcelona, Spain.

Recent advances in molecular profiling, have reclassified medulloblastoma, an undifferentiated tumor of the posterior fossa, in at least four diseases, each one with differences in prognosis, epidemiology and sensibility to different treatments. The recommended management of a lesion with radiological characteristics suggestive of MB includes maximum safe resection followed by a post-surgical MR < 48 h, LCR cytology and MR of the neuroaxis. Prognostic factors, such as presence of a residual tumor volume > 1. Read More

View Article and Full-Text PDF

Dextrose Prolotherapy to Treat Pain, Improve Activities of Daily Living, and Improve Quality of Life in an Ewing's Sarcoma Patient Following Radiation and Chemotherapy Treatment.

Andre Panagos

Cureus 2021 Feb 25;13(2):e13549. Epub 2021 Feb 25.

Rehabilitation Medicine, New York University (NYU) Grossman School of Medicine, New York, USA.

Advances in the treatment and survival of Ewing's sarcoma patients create a need to treat underlying symptoms that limit activities of daily living and quality of life. This case describes the treatment of pain in a 25-year-old female pediatric nurse with Ewing's sarcoma of the pelvis that was in remission following radiation and chemotherapy. She reported medication side effects and limitations in her activities of daily living and quality of life with the chronic use of topical and oral pain medications. Read More

View Article and Full-Text PDF
February 2021

Promising proteins detected by Western blot from Echinococcus granulosus protoscoleces for predicting early post-surgical outcomes in CE-affected Tunisian children.

Parasit Vectors 2021 Mar 30;14(1):180. Epub 2021 Mar 30.

Département de Biologie Clinique B, Faculté de Pharmacie, Laboratoire de Parasitologie-Mycologie Médicale Et Moléculaire, LR12ES08, Université de Monastir, 1 Rue Avicenne, 5000, Monastir, Tunisie.

Background: Cystic echinococcosis (CE) affects predominantly young patients in highly endemic areas. Improved serological methods are needed for the follow-up of CE cases, especially given the high rates of post-surgical relapse that require detection as soon as possible.

Methods: We designed a study to investigate the value of antigenic proteins extracted from Echinococcus granulosus (E. Read More

View Article and Full-Text PDF

Imaging surveillance after open aortic repair: a feasibility study of three-dimensional growth mapping.

Eur J Cardiothorac Surg 2021 Mar 29. Epub 2021 Mar 29.

Department of Radiology, University of Michigan, Ann Arbor, MI, USA.

Objectives: Confident growth assessment during imaging follow-up is often limited by substantial variability of diameter measurements and the fact that growth does not always occur at standard measurement locations. There is a need for imaging-based techniques to more accurately assess growth. In this study, we investigated the feasibility of a three-dimensional aortic growth assessment technique to quantify aortic growth in patients following open aortic repair. Read More

View Article and Full-Text PDF

The microbiology of ulcerative skin cancers: does the presence of pathogenic bacteria increase the risk of postoperative complications?

S Afr J Surg 2021 Mar;59(1):25a-25e

Department of General Surgery, Greys Hospital, University of KwaZulu-Natal, South Africa.

Background: To document the microbiology of ulcerative skin cancers, histological types, anatomical distribution and post-surgical complications among patients in KwaZulu-Natal and to determine whether a link exists between the presence of these bacteria and postoperative complications after resectional surgery and reconstruction.

Methods: One hundred swabs from ulcerative cancer wounds were collected from October 2015 to August 2017. The swabs were taken on admission according to swabbing protocol in the ward. Read More

View Article and Full-Text PDF

Patient experience and satisfaction of surgically assisted rapid maxillary expansion and mandibular midline distraction.

J Craniomaxillofac Surg 2021 Feb 6. Epub 2021 Feb 6.

Consultant at the Department of Oral and Maxillofacial Surgery, Erasmus MC, University Medical Center Rotterdam, the Netherlands.

Little is known regarding patient experience and satisfaction with surgically assisted rapid maxillary expansion (SARME) and mandibular midline distraction (MMD). This study therefore aimed to assess patient experience and satisfaction with these techniques in two different groups. The first group answered the post-surgical patient satisfaction questionnaire on a 7-point Likert scale during a long-term follow-up recall. Read More

View Article and Full-Text PDF
February 2021

Buccal mucosa graft in surgical management of Peyronie's disease: Ultrasound features and clinical outcomes.

Arch Ital Urol Androl 2021 Mar 22;93(1):107-110. Epub 2021 Mar 22.

Urology Unit, Surgical Department, ASUR Marche Area Vasta 3, Macerata.

Introduction: Plaque incision and grafting represent the best surgical approach to the Peyronie's Disease (PD). The grafting procedures must be restricted to patients with normal preoperative status, excessive curvature and/or deformities. However, the ideal graft has not been identified yet. Read More

View Article and Full-Text PDF

Quality of life long after temporal lobe epilepsy surgery.

Acta Neurol Scand 2021 Jun 10;143(6):629-636. Epub 2021 Mar 10.

Center for Applied Neurosciences, University Hospital (HU), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.

Objectives: To identify variables independently associated with a meaningful improvement in QOL long after surgical treatment of drug-resistant MTLE-HS patients.

Material & Methods: We prospectively evaluated 72 consecutive MTLE-HS surgically treated patients and analyzed pre and post-surgical variables independently associated with a meaningful improvement in QOL evaluated by the Quality of Life in Epilepsy-31 (QOLIE-31) overall score, and its domain scores determined at follow-up after 36 to 131 months (mean 93 months) after surgery.

Results: The mean overall QOLIE-31 score and its subdomain scores improved significantly after surgery (p < 0. Read More

View Article and Full-Text PDF

Neuropsychological outcomes following supratotal resection for high-grade glioma: a review.

J Neurooncol 2021 May 21;152(3):429-437. Epub 2021 Mar 21.

Department of Neurological Surgery, Lenox Hill Hospital/Donald and Barbara Zucker School of Medicine at Hofstra, New York, NY, USA.

Purpose: Supratotal resection (SpTR) of high-grade glioma (HGG), in which surgical removal of the tumor is extended outside the margins of the preoperative radiographic abnormality, has been suggested to improve overall survival (OS) and progression free survival (PFS) in patients harboring tumors of non-eloquent cortex when compared to gross total resection (GTR). While current literature demonstrates these findings without an increase in post-operative complications or neurological deficits, there remains a paucity of data examining the neuropsychological outcomes of SpTR for HGG. As quality of life dramatically influences survival rates in these patients, it is crucial for neurosurgeons, neuro-oncologists, and neuropsychiatrists to understand the behavioral and cognitive outcomes following SpTR, such that optimal treatment strategies can be tailored for each patient. Read More

View Article and Full-Text PDF

Patient perceived barriers to surgical follow-up: Study of 6-month post-operative trichiasis surgery follow-up in Tanzania.

PLoS One 2021 19;16(3):e0247994. Epub 2021 Mar 19.

Dana Center for Preventive Ophthalmology, Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, United States of America.

Background: Post-surgical follow-up is a challenge in low- and middle-income countries. Understanding barriers to trachomatous trichiasis (TT) surgical follow-up can inform program improvements. In this study, patient perceived barriers and enabling factors to follow-up after TT surgery are identified. Read More

View Article and Full-Text PDF

Comparison of Ceramic-on-Ceramic and Ceramic-on-Highly-Crosslinked-Polyethylene in Primary Total Hip Arthroplasty: Findings of a Meta-Analysis.

Cureus 2021 Feb 12;13(2):e13304. Epub 2021 Feb 12.

Orthopaedic Surgery, King Saud University, Riyadh, SAU.

Introduction An optimal hip implant is biocompatible, durable, and resistant to chemical and mechanical wear. This analysis aimed to compare failure (revision) and complication rates between ceramic-on-ceramic (CoC) and ceramic-on-highly-crosslinked-polyethylene (CoHXLPE) implants. Methods This review comprised of scientific literature published between 1995 and 2019. Read More

View Article and Full-Text PDF
February 2021

Solid pseudopapillary neoplasm-diagnostic approach and post-surgical follow up: Three case reports and review of literature.

World J Clin Cases 2021 Mar;9(7):1682-1695

Department of Gastroenterology, St. Elizabeth Medical Center, Brighton, MA 02135, United States.

Background: Solid pseudopapillary neoplasm (SPN) is a rare tumor that was first described by Frantz in 1959. Although this tumor is benign, some may have malignant potential that can be predicted based on demographics, imaging characteristics, and pathologic evaluation. This case series presents 3 SPN cases with discussion on gender differences, preoperative predictors of malignancy, and a suggested algorithm for diagnostic approach as well as post-surgical follow up. Read More

View Article and Full-Text PDF

Depression, anxiety, and associated psychological outcomes in living organ transplant donors: A systematic review.

Gen Hosp Psychiatry 2021 Mar 6;70:51-75. Epub 2021 Mar 6.

Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address:

With increasing demands for living organ donations, understanding the prevalence of depression and anxiety, which are the commonest psychiatric disorders in donors following organ transplantation, will serve to improve psychiatric care to safeguard donors' mental wellbeing. This descriptive systematic review examines all observational studies in English investigating prevalence of depression and anxiety in adult transplant donors using bibliographic databases. Sixty-two papers were included (kidney, n = 25; liver, n = 25; bone marrow, n = 7; uterus, n = 2; lung, n = 1; kidney and lung concurrently, n = 2). Read More

View Article and Full-Text PDF