1,012 results match your criteria reopening surgery

The Glenn procedure: Clinical outcomes in patients with congenital heart disease in pakistan.

Ann Card Anaesth 2021 Jan-Mar;24(1):30-35

Cardiothoracic Section, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Objectives: Congenital heart defects (CHDs) affect more than 40,000 children annually in Pakistan. Approximately 80' of patients require at least one surgical intervention to achieve a complete or palliative cardiac repair. The Glenn shunt, a palliative procedure is established between superior vena cava (SVC) and the right pulmonary artery to provide an anastomosis offering minimal risk to patients with univentricular heart disease. Read More

View Article and Full-Text PDF

Robotics and AI for Teleoperation, Tele-Assessment, and Tele-Training for Surgery in the Era of COVID-19: Existing Challenges, and Future Vision.

Front Robot AI 2021 14;8:610677. Epub 2021 Apr 14.

Department of Electrical and Computer Engineering, New York University, New York, NY, United States.

The unprecedented shock caused by the COVID-19 pandemic has severely influenced the delivery of regular healthcare services. Most non-urgent medical activities, including elective surgeries, have been paused to mitigate the risk of infection and to dedicate medical resources to managing the pandemic. In this regard, not only surgeries are substantially influenced, but also pre- and post-operative assessment of patients and training for surgical procedures have been significantly impacted due to the pandemic. Read More

View Article and Full-Text PDF

Re-opening the severely contracted lens capsular bag post phaco-vitrectomy by injecting viscoelastic agent and removing the fibro-proliferative membranous material.

J Cataract Refract Surg 2021 Apr 22. Epub 2021 Apr 22.

Department of Ophthalmology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, China.

Implantation of intraocular lens after combined procedure of vitrectomy and cataract surgery is usually required to reduce the postoperative refraction errors. However, because of the severe fibrosis of the anterior capsule and the adhesion between the anterior and posterior capsules, it is difficult to reopen the capsular bag to complete the secondary IOL implantation. We describe here a surgical approach for reopening the severe adhesion between capsules and removing the significant fibro-proliferative membranous material by injecting viscoelastic agent into the periphery of the capsular bag to separate the anterior and posterior capsules. Read More

View Article and Full-Text PDF

Evaluation of Public Interest in Mohs Surgery and Other Elective Surgical Procedures During the COVID-19 Pandemic.

Dermatol Surg 2021 Apr 27. Epub 2021 Apr 27.

Massachusetts Dermatology Associates, Beverly, Massachusetts; Mass General Brigham Salem Hospital, Salem, Massachusetts; Harvard Combined Dermatology Residency Training Program, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Background: The reallocation of health care resources to focus on the acute care needs of COVID-19 patients leads to a delay and deferral of outpatient surgical procedures such as Mohs surgery.

Objective: Planning for the resumption of regular outpatient surgical care and preparing for future surges in COVID-19 cases requires identifying surrogate markers of health care demand.

Materials And Methods: United States national and state-based Google search data for "Mohs surgery" and other common elective surgical and cosmetic procedures were evaluated. Read More

View Article and Full-Text PDF

Considerations and Strategies for Restarting Elective Spine Surgery in the Midst of a Pandemic of COVID-19.

Spine Surg Relat Res 2021 21;5(2):52-60. Epub 2020 Dec 21.

Department of Orthopaedic Surgery, the National Hospital Organization Hokkaido Medical Center, Sapporo, Japan.

The 2019 coronavirus disease (COVID-19) pandemic outbreak has rapidly spread to the globe, causing severe global socioeconomic disruption on an unprecedented scale. As the first wave of COVID-19 pandemic is now going to settle down, many medical organizations are in the process of reopening surgical services. This paper describes a few key factors that spine surgeons should consider prior to resuming elective spine services namely, local outbreak situations, availability of hospital resources, manpower and personal protective equipment (PPE). Read More

View Article and Full-Text PDF
December 2020

Clinical use of indocyanine green during nerve-sparing surgery for deep endometriosis.

Fertil Steril 2021 Apr 8. Epub 2021 Apr 8.

Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.

Objective: To describe the anatomic and technical highlights of a novel nerve-sparing surgery in deep endometriosis (DE) using near-infrared (NIR) fluorescence technology and indocyanine green (ICG).

Design: Stepwise demonstration of this method with narrated video footage.

Setting: An urban general hospital. Read More

View Article and Full-Text PDF

Financial Decisions and Reopening Your Practice During the COVID-19 Pandemic: A Survey of California Plastic Surgeons.

Ann Plast Surg 2021 Mar 18. Epub 2021 Mar 18.

From the Division of Plastic Surgery, University of California San Diego, La Jolla School of Medicine, University of California Riverside, Riverside Cosmetic and Reconstructive Surgery, La Jolla, CA.

Background: On March 11, 2020, the World Health Organization declared COVID-19 as a global pandemic. As a response, the United States shut down public gatherings and businesses in an effort to quarantine. This included the stopping of elective operations, which greatly affected plastic surgeons and their practices during the initial shutdown. Read More

View Article and Full-Text PDF

Efficacy of Infection Control Measures in Managing Outbreaks of Multidrug-Resistant Organisms in Burn Units.

Ann Plast Surg 2021 Mar 18. Epub 2021 Mar 18.

From the Joseph M. Still Burn and Reconstruction Center, Jackson, MS Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Background: Multidrug-resistant organisms (MDROs) pose a significant threat to severe burn victims and represents a clear epidemic hazard in burn units. Several infection control measures have been implemented to control and manage the outbreaks of MDRO. The efficiency of those measures, however, remains controversial and an area of debate. Read More

View Article and Full-Text PDF

Treatment of Inflammatory Macular Hole: Case Series and Review of Literature.

Ocul Immunol Inflamm 2021 Apr 7:1-7. Epub 2021 Apr 7.

Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

: To present the success rate of nonsurgical management of full-thickness inflammatory macular hole (IMH): Retrospective case series of five patients with IMH.: Five eyes from five patients with IMH enrolled in the current case series. All five eyes had successful closure with corticosteroid in the form of topical, periocular, or intravitreal injections. Read More

View Article and Full-Text PDF

Effect of Concomitant Tricuspid Annuloplasty on Early Outcomes of Mitral Valve Replacement: A Study on Rheumatic Heart Disease Patients.

Cureus 2021 Mar 1;13(3):e13646. Epub 2021 Mar 1.

Cardiothoracic Surgery, Rehman Medical Institute, Peshawar, PAK.

Introduction Mitral valve abnormalities in rheumatic heart disease commonly lead to functional tricuspid regurgitation. Tricuspid annuloplasty (TA) is often performed in these cases along with mitral valve replacement (MVR). Our aim was to compare the perioperative morbidity and mortality among those patients that underwent mitral valve replacement with tricuspid annuloplasty versus those that underwent isolated mitral valve replacement. Read More

View Article and Full-Text PDF

Upper mini sternotomy approach for pulmonary artery banding: A single centre experience.

J Card Surg 2021 Apr 2. Epub 2021 Apr 2.

Department of Global Health, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: Pulmonary artery banding (PAB) remains a crucial technique in modern cardiac surgery. Left lateral thoracotomy, median sternotomy, and left anterior thoracotomy are well-known approaches. With significant scarce reports addressing the application of the upper mini sternotomy approach for PAB, this study aims to share experience and report outcomes of patients operated upon using this approach and its impact on facilitating the redo surgery. Read More

View Article and Full-Text PDF

Mental health in Japanese children during school closures due to the COVID-19.

Pediatr Int 2021 Mar 31. Epub 2021 Mar 31.

Department of Pediatrics, Haga Red Cross Hospital, 271 Nakagou Mouka, Tochigi, 321-4306, Japan.

Background: Changes in relationships, sleep rhythms, and physical activity caused by school closures instituted to curb the spread of COVID-19 influenced children's mental health. We explored changes in children's daily life and effects on their mental health during school closures.

Methods: Participants included elementary and junior high school students 9 years of age and older seen in the outpatient clinic during school closures and were required to complete the Japanese version of WHO Five Well-Being Index (WHO-5-J). Read More

View Article and Full-Text PDF

Long-term survival after surgical aortic valve replacement in patients aged 80 years and over.

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

Wessex Cardiothoracic Centre, University Hospital Southampton, Southampton, UK.

Objectives: Surgical aortic valve replacement can be safely performed in people aged 80 years and older with early benefits on both symptomatic and prognostic ground. While new approaches are advocated to treat this elderly and frail population, data on long-term outcomes are not available.

Methods: We conducted a retrospective analysis of 1870 patients aged 80 years and over who underwent first time surgical aortic valve replacement during the period 2000-2019. Read More

View Article and Full-Text PDF

Resumption of Sport at the United States Olympic and Paralympic Training Facilities During the COVID-19 Pandemic.

Sports Health 2021 Mar 12:19417381211002761. Epub 2021 Mar 12.

Cardiovascular Performance Program, Massachusetts General Hospital, Boston, Massachusetts.

In this brief report, we describe the safety of reopening US Olympic and Paralympic Training facilities (USOPTFs) during the coronavirus disease 2019 (COVID-19) pandemic from July 2020 through October 2020. We evaluated the prevalence of COVID-19 infection at the time of reentry and cardiopulmonary sequelae of COVID-19 in elite athletes. All athletes returning to a USOPTF were required to go through a reentry protocol consisting of an electronic health history, a 6-day quarantine including twice-daily symptom surveys, COVID-19 polymerase chain reaction and antibody testing, physical examination, 12-lead electrocardiogram, high-sensitivity cardiac troponin I, and pulmonary function testing. Read More

View Article and Full-Text PDF

Minimally invasive redo aortic valve replacement with a sutureless valve implant.

Multimed Man Cardiothorac Surg 2021 03 2;2021. Epub 2021 Mar 2.

Santa Maria Hospital Bari, Italy; University "Luigi Vanvitelli Napoli" & Faculty of Medicine, Italy

Reoperations for a dysfunctional mechanical aortic valve prosthesis are usually performed with a repeat sternotomy. Reopening the chest may be associated with a heart structure tear, bleeding, excessive transfusion, and a possible unfavorable outcome. Experience performing a redo aortic valve replacement with a minimally invasive approach and avoiding lysis of the pericardial adhesions is growing. Read More

View Article and Full-Text PDF

Influence of the COVID-19 Pandemic on Dental Emergency Admissions in an Urgent Dental Care Service in North Italy.

Int J Environ Res Public Health 2021 02 12;18(4). Epub 2021 Feb 12.

Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Freiburgstrasse 7, 3012 Bern, Switzerland.

A retrospective study was performed to verify if the number of admissions for urgent dental care in the Urgent Dental Care Service of San Paolo Hospital in Milan (Italy) was directly related to the different phases of the COVID-19 pandemic. Different periods were analyzed: 25 March-5 April 2019 (pre-COVID); 23 March-3 April 2020 (lockdown); 8 June-19 June 2020 (reopening); and November 9-November 20 (second wave). Raw data regarding admissions, diagnoses, and treatments were extracted. Read More

View Article and Full-Text PDF
February 2021

Outcomes of Primary versus Secondary Delayed Sternal Closure in Pediatric Cardiac Surgery.

Ann Thorac Surg 2021 Mar 1. Epub 2021 Mar 1.

Department of Cardiovascular Surgery. Electronic address:

Background: Delayed sternal closure (DSC) is a management strategy for hemodynamic instability and severe coagulopathy after complex congenital heart surgery. We hypothesized that DSC results in better outcomes than perioperative sternal reopening.

Methods: We reviewed patients <18 years old undergoing cardiac surgery 2007-2017 at our institution. Read More

View Article and Full-Text PDF

Reopening Interventional Pain Practices during the Early Phase of the COVID-19 Global Pandemic.

Pain Med 2021 Feb 24. Epub 2021 Feb 24.

Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.

Objective: Examine how interventional pain physicians navigated the early phase of reopening practices during the coronavirus disease 2019 (COVID-19) pandemic.

Methods: In June/July 2020, Spine Intervention Society members were queried about practice demographics, perception of COVID-19 prevalence, financial impact, and implementation of new tools and procedures when re-opening practices.

Results: Of the 2,295 members approached, 195 (8%) completed the survey. Read More

View Article and Full-Text PDF
February 2021

A Dual Pandemic: The Influence of Coronavirus Disease 2019 on Trends and Types of Firearm Violence in California, Ohio, and the United States.

J Surg Res 2021 Feb 2;263:24-33. Epub 2021 Feb 2.

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California Irvine, Orange, California. Electronic address:

Background: This study sought to determine the impact of coronavirus disease 2019 stay-at-home (SAH) and reopening orders on trends and types of firearm violence in California, Ohio, and the United States, hypothesizing increased firearm violence after SAH.

Materials And Methods: Retrospective data (January 1, 2018, to July 31, 2020) on firearm incidents/injuries/deaths and types of firearm violence were obtained from the Gun Violence Archive. The periods for SAH and reopening for the US were based on dates for California. Read More

View Article and Full-Text PDF
February 2021

The impact of confirmed coronavirus disease 2019 (COVID-19) infection on ambulatory procedures and associated delays in care for asymptomatic patients.

Surgery 2021 Jan 20. Epub 2021 Jan 20.

Northwell Health Department of Orthopedic Surgery, North Shore-Long Island Jewish Medical Center Residency Program, New Hyde Park, NY; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

Background: Since the reopening of ambulatory centers, minimal data has been reported regarding positive tests among patients undergoing ambulatory procedures, associated delays in care, and outcomes of patients previously positive for coronavirus disease 2019.

Methods: A retrospective observational case series of ambulatory procedures was performed. Records since the reopening of ambulatory centers in New York were searched for patients with positive coronavirus disease 2019 nasal swab results who underwent ambulatory procedures. Read More

View Article and Full-Text PDF
January 2021

The burden of proximal femur fractures and other skeletal injuries during the Covid-19 pandemic lockdown: a retrospective comparative study.

Acta Biomed 2020 12 30;91(14-S):e2020001. Epub 2020 Dec 30.

Department of Orthopaedics and Traumatology, University of Verona.

Limiting people's movement is one of the main preventive measures deployed for the control of coronavirus 2019‑nCoV pandemic. This study aims to assess the impact of COVID-19 lockdown on the incidence of the most common skeletal injuries and to provide a management algorithm specific for hospitalized fractured patients.We comparatively analysed the Emergency Department (ED) admissions between March 9th and May 4th 2020 with the same period in 2019. Read More

View Article and Full-Text PDF
December 2020

Low Incidence of Asymptomatic Positive Patients Detected During Preoperative Testing for Total Joint Arthroplasty During the COVID-19 Pandemic.

J Am Acad Orthop Surg 2021 Feb 4. Epub 2021 Feb 4.

From the Rowan School of Osteopathic Medicine (Zangrilli), Department of Orthopaedics, Stratford, NJ, and the Rothman Orthopaedic Institute at Thomas Jefferson University (Hameed, Chisari, Vannello, Courtney, and Krueger), Philadelphia, PA.

Introduction: Although the pause in elective surgery was necessary to preserve healthcare resources at the height of the novel coronavirus disease 2019 (COVID-19) pandemic, recent data have highlighted the worsening pain, decline in physical activity, and increase in anxiety among cancelled total hip and knee arthroplasty patients. The purpose of this study was to evaluate the effectiveness of our staged reopening protocol and the incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among elective arthroplasty patients.

Methods: We identified all elective hip and knee arthroplasty patients who underwent our universal COVID-19 testing protocol during our phased reopening between May 1, 2020, and July 21, 2020, at our institution. Read More

View Article and Full-Text PDF
February 2021

Emergency deep hypothermic circulatory arrest in a 1-year-old undergoing cardiac surgery in a Nigerian hospital - anaesthesia and critical care interventions.

Pan Afr Med J 2020 5;37:221. Epub 2020 Nov 5.

Anaesthesia Department, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria.

Deep Hypothermic Circulatory Arrest (DHCA) is a technique used to obtain optimal operating conditions while providing cerebral protection. The case report presented a DHCA on an infant that was basically done as an emergency in an attempt to correct a previously unrecognized anomaly. We report a case of a 1-year-old that had surgery for Ventricular Septal Defect (VSD) and Patent Ductus Arteriosus (PDA) ligation but following closure was noted to have no palpable peripheral pulses, only carotid pulsation. Read More

View Article and Full-Text PDF

Migration of PFO closure device and entrapment within tricuspid valve leading to tricuspid regurgitation: surgical correction of an extremely rare complication after transcutaneous PFO closure.

BMJ Case Rep 2021 Jan 26;14(1). Epub 2021 Jan 26.

Cardiothoracic Surgery, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.

A 41-year-old woman was referred to tertiary cardiothoracic surgery centre following embolisation of the Amplatzer patent foramen ovale (PFO) closure device to septal leaflet of tricuspid valve with reopening of PFO. Two years earlier, she presented with thalamic stroke, and she was found to have a PFO following investigations. The following year she underwent transcatheter closure. Read More

View Article and Full-Text PDF
January 2021

Impact of the COVID-19 Pandemic on the Practice of Hand and Upper Extremity Surgeons.

Cureus 2020 Dec 14;12(12):e12072. Epub 2020 Dec 14.

Hand Surgery, Kleinert Kutz and Associates for Hand and Microsurgery, Louisville, USA.

Objective The purpose of this study was to determine the impact of the coronavirus disease 2019 (COVID-19) pandemic on the practice of hand and upper extremity surgeons. Methods We assessed how the pandemic affected the practice on multiple fronts including professional, personal, and practice aspects. The survey was conducted through an online questionnaire that had six sections: demographics, clinic, elective surgery, emergency surgery, urgent surgery, and human resources. Read More

View Article and Full-Text PDF
December 2020

Combined versus Sequential Phacoemulsification and Pars Plana Vitrectomy: A Meta-Analysis.

Ophthalmol Retina 2021 Jan 20. Epub 2021 Jan 20.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canada; Department of Ophthalmology, St. Michael's Hospital/Unity Health Toronto, Toronto, Canada. Electronic address:

Topic: It is unclear whether differences exist in efficacy and safety between combined versus sequentially performed phacoemulsification and pars plana vitrectomy (phaco-PPV).

Clinical Relevance: This meta-analysis aimed to compare the efficacy and incidence of complications between these surgical methods.

Methods: Ovid MEDLINE, EMBASE, and Cochrane CENTRAL were searched for articles reporting the efficacy and safety of combined versus sequential phaco-PPV for any indication. Read More

View Article and Full-Text PDF
January 2021

Novel mouse model for cholestasis-induced liver fibrosis resolution by cholecystojejunostomy.

J Gastroenterol Hepatol 2021 Jan 15. Epub 2021 Jan 15.

Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Background And Aim: Studies on the resolution of liver fibrosis are becoming more important in this era of etiologic eradication. In contrast to the extensive research on the recovery of liver fibrosis induced by hepatotoxic injuries, regression of cholestatic liver fibrosis has been insufficiently examined owing to the limited availability of animal models.

Methods: We examined our novel recanalization mice model of biliary obstruction, involving anastomosis between the gallbladder and jejunum (G-J anastomosis) by invagination. Read More

View Article and Full-Text PDF
January 2021

Association of In-Hospital Surgical Bleeding Events with Prolonged Hospital Length of Stay, Days Spent in Critical Care, Complications, and Mortality: A Retrospective Cohort Study Among Patients Undergoing Neoplasm-Directed Surgeries in English Hospitals.

Clinicoecon Outcomes Res 2021 8;13:19-29. Epub 2021 Jan 8.

Department of Cardiovascular Science, University of Sheffield, Sheffield, UK.

Purpose: To evaluate the association of in-hospital surgical bleeding events with the outcomes of hospital length of stay (LOS), days spent in critical care, complications, and mortality among patients undergoing neoplasm-directed surgeries in English hospitals.

Patients And Methods: This is a retrospective cohort study using English hospital discharge data (Hospital Episode Statistics [HES]) linked to electronic health records (Clinical Practice Research Datalink [CPRD]). HES includes information on patient demographics, admission and discharge dates, diagnoses and procedures, days spent in critical care, and discharge status. Read More

View Article and Full-Text PDF
January 2021

Placental growth factor promotes tumour desmoplasia and treatment resistance in intrahepatic cholangiocarcinoma.

Gut 2021 Jan 11. Epub 2021 Jan 11.

Center for Computational and Integrative Biology, Massachusetts General Hospital, Boston, Massachusetts, USA.

Objective: Intrahepatic cholangiocarcinoma (ICC)-a rare liver malignancy with limited therapeutic options-is characterised by aggressive progression, desmoplasia and vascular abnormalities. The aim of this study was to determine the role of placental growth factor (PlGF) in ICC progression.

Design: We evaluated the expression of PlGF in specimens from ICC patients and assessed the therapeutic effect of genetic or pharmacologic inhibition of PlGF in orthotopically grafted ICC mouse models. Read More

View Article and Full-Text PDF
January 2021

Resuscitative Thoracotomy for Multiple Gunshot Wounds With Cardiac Tamponade Despite Pericardial Window.

Cureus 2020 Dec 4;12(12):e11907. Epub 2020 Dec 4.

Trauma and Acute Care Surgery, Osceola Regional Medical Center, Kissimmee, USA.

This report reviews the indications and complications of resuscitative thoracotomy in the trauma patient as seen with the clinical course of a 19-year-old male who experienced postoperative pericardial tamponade after a bilateral resuscitative thoracotomy with pericardiotomy. This patient presented to the hospital in critical condition with 31 gunshot wounds (GSWs) distributed over the chest, abdomen, and extremities. After undergoing an initially successful resuscitative thoracotomy, the patient continued to bleed into his chest at a greater rate than the chest tubes were able to adequately evacuate. Read More

View Article and Full-Text PDF
December 2020