206,247 results match your criteria surgical experience


The impact of different gas mixtures on inflammatory responses in advanced recreational divers.

Diving Hyperb Med 2021 Jun;51(2):140-146

Department of Surgical and Medical Science and Translation Medicine, Sapienza University, Rome, Italy.

Introduction: Decompression sickness (DCS) is considered a 'bubble disease'. Intravascular bubbles activate inflammatory responses associated with endothelial dysfunction. Breathing gas has been proposed as a potential risk factor but this is inadequately studied. Read More

View Article and Full-Text PDF

Ultrasonographic 3D Evaluation in the Diagnosis of Bladder Endometriosis: A Prospective Comparative Diagnostic Accuracy Study.

Gynecol Obstet Invest 2021 Jun 22:1-8. Epub 2021 Jun 22.

Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genova, Genova, Italy.

Objective: The use of three-dimensional (3D) transvaginal ultrasonography (TVS) has been investigated for the diagnosis of deep endometriosis (DE). This study aimed to evaluate if 3D reconstructions improve the performance of TVS) in assessing the presence and characteristics of bladder endometriosis (BE).

Design: This was a single-center comparative diagnostic accuracy study. Read More

View Article and Full-Text PDF

What are women's experiences of immediate skin-to-skin contact at caesarean section birth? An integrative literature review.

Midwifery 2021 Jun 10;101:103063. Epub 2021 Jun 10.

Senior Lecturer School of Nursing, RN/RM/PhD, University of Wollongong. Electronic address:

Background: Skin-to-skin is a well-established practice at vaginal births promoting the health of women and babies. Facilitation of skin-to-skin at caesarean section birth is growing despite environmental and historical challenges. This is led by the expectancy of women and of health professionals increasingly understanding its importance. Read More

View Article and Full-Text PDF

TEVAR and periscope graft technique to treatment of huge aneurysm of aortic isthmus: Case report.

Int J Surg Case Rep 2021 Jun 19;84:106129. Epub 2021 Jun 19.

Vascular Surgery Unit - AOmUP Policlinico 'P. Giaccone', Palermo, Italy; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Italy.

Introduction: Thoracic endovascular aortic repair (TEVAR) has revolutionized the treatment of thoracic aortic aneurysms. Innovative techniques as chimney and periscope grafts can improve the outcomes of procedure. Herein, we report a case in emergency of huge Thoracic aortic aneurism. Read More

View Article and Full-Text PDF

Subgroups of failure after surgery for pelvic organ prolapse and associations with quality of life outcomes: a longitudinal cluster analysis.

Am J Obstet Gynecol 2021 Jun 19. Epub 2021 Jun 19.

NICHD.

Background: Treatment outcomes after pelvic organ prolapse (POP) surgery are often presented as dichotomous 'success or failure' based upon anatomic and symptom criteria. However, clinical experience suggests some women with outcome 'failures' are asymptomatic and perceive their surgery to be successful, while others have anatomic resolution, but continue to report symptoms. Characterizing failure types could be a useful step to refine definitions of success, understand mechanisms of failure, and identify individuals who may benefit from specific therapies. Read More

View Article and Full-Text PDF

Airway events in obese vs. non-obese elective surgical patients: a cross-sectional observational study.

Anaesthesia 2021 Jun 22. Epub 2021 Jun 22.

University College Hospital London, London, UK.

Obesity is an increasingly prevalent comorbidity within the UK population. The aim of this study was to determine the proportion of obese patients in an elective surgical population. The second aim was to determine the choice of airway equipment and incidence of airway events in obese vs. Read More

View Article and Full-Text PDF

Initial experience with a suprapubic single-port robotic right hemicolectomy in patients with colon cancer.

Tech Coloproctol 2021 Jun 22. Epub 2021 Jun 22.

Colorectal Cancer Center, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, 807 Hogukro, Buk-gu, Daegu, 41404, Republic of Korea.

Background: We developed a novel suprapubic single-port robotic right hemicolectomy (spRHC) procedure for patients with right colon cancer using a da Vinci SP Surgical System. The aim of this study was to determine the safety and feasibility of this technique.

Methods: We performed the spRHC procedure on five patients with right colon cancers between July and September 2020. Read More

View Article and Full-Text PDF

[Lateral retropleural and retrodiaphragmatic approach in patients with spine trauma and diseases: a systematic review and meta-analysis].

Zh Vopr Neirokhir Im N N Burdenko 2021 ;85(3):94-103

City Clinical Hospital No. 13, Moscow, Russia.

Background: Retropleural and/or retrodiaphragmatic approach is one of the options for anterolateral access to the thoracic spine and thoracolumbar region. This technique has no disadvantages associated with thoracotomy or extensive tissue dissection following posterolateral approaches.

Objective: Systematic analysis of foreign and national researches devoted to the possibility, safety and effectiveness of lateral retropleural approach to the thoracic spine and meta-analysis of the most common complications associated with this approach. Read More

View Article and Full-Text PDF
January 2021

Robot-assisted partial nephrectomy with 3D preoperative surgical planning: video presentation of the florentine experience.

Int Braz J Urol 2021 Jun 20;47. Epub 2021 Jun 20.

Department of Experimental and Clinical Medicine, University of Florence - Unit of Oncologic Minimally-Invasive Urology and Andrology, Careggi Hospital, Florence, Italy.

View Article and Full-Text PDF

Resident Involvement in Posterior Lumbar Interbody Fusion is Associated With Increased Readmissions and Operative Time, But No Increased Short-term Risks.

Clin Spine Surg 2021 Jul;34(6):E364-E369

Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH.

Study Design: A retrospective cohort study.

Objective: The aim was to compare rates of adverse events and additional posterior lumbar interbody fusion (PLIF) cases assisted by residents versus cases performed solely by an orthopedic attending.

Summary Of Background Data: PLIF is a widely accepted surgical technique for the management of a variety of spinal conditions requiring spinal stabilization and fusion. Read More

View Article and Full-Text PDF

TRANSCATHETER VERSUS SURGICAL AORTIC VALVE REPLACEMENT: FIRST EXPERIENCE WITH A NEW TAVI SYSTEM.

Wiad Lek 2021 ;74(4):856-863

UKRAINIAN CHILDREN'S CARDIAC CENTER, KYIV, UKRAINE.

Objective: The aim: to reveal early results after transapical TAVI with a new self-manufactured XPand system, comparing them with SAVR and common transfemoral TAVI outcomes.

Patients And Methods: Materials and methods: Eighty-four patients (mean age 79,5±10,2 years) with severe aortic stenosis were operated on from January 2016 to February 2019. Nine patients had undergone the TAVI (two with transfemoral access route and seven with transapical, using the XPand system). Read More

View Article and Full-Text PDF
January 2021

Proposal for developing treatment algorithms of women with symptomatic adenomyosis: A single-center experience.

J Obstet Gynaecol Res 2021 Jun 21. Epub 2021 Jun 21.

Department of Obstetrics and Gynecology, Nara Medical University, Nara, Japan.

Aims: The most common symptoms of adenomyosis include heavy menstrual bleeding and dysmenorrhea. A variety of medical or surgical techniques are utilized for the treatment of adenomyosis, but there are currently no specific treatment guidelines and best practice recommendations for management. The aim of this study is to summarize current treatment strategies for women with symptomatic adenomyosis in a single-center university hospital in order to provide reliable information for developing treatment algorithms. Read More

View Article and Full-Text PDF

The struggle against endometrial cancer: ten years of experience of a tertiary center.

Ginekol Pol 2021 Jun 22. Epub 2021 Jun 22.

Department of Obstetrics and Gynecology, Selcuk University Medicine Faculty, Selçuklu, Konya, Turkey.

Objectives: We aimed to investigate the clinical and pathological factors of our patients who were diagnosed with endometrial cancer in terms of prognosis. With this study, we present our 10 years of surgical experience in endometrial carcinoma cases.

Material And Methods: Four hundred twelve patients with endometrial carcinoma who applied to our center between 2010-2019 and that we followed up were evaluated retrospectively. Read More

View Article and Full-Text PDF

Variant type of leiomyomas: 13 years of experience in a single institution.

Ginekol Pol 2021 Jun 22. Epub 2021 Jun 22.

Health Science University, Department of Obstetics and Gynegology, İstanbul Training and Research Hospital, Turkey.

Objectives: Our understanding of a variant type of leiomyoma lags far behind of leiomyoma/leiomyosarcoma of the uterus. The rarity of variant type leiomyomas limits epidemiologic study, evidence-based guidance for diagnosis and treatment. We aimed to analyze clinical, pathologic and radiological features of variant type of leiomyomas in women who underwent surgical therapy for symptomatic disease in a tertiary center. Read More

View Article and Full-Text PDF

Percutaneous Endoscopic Gastrostomy in Children: An Update to the ESPGHAN Position Paper.

J Pediatr Gastroenterol Nutr 2021 Jun 22. Epub 2021 Jun 22.

Faculty of Medicine, University Children's Hospital, University of Ljubljana, Ljubljana, Slovenia KidZ Health Castle UZ Brussel, Brussels, Belgium Department of Human Pathology in Adulthood and Childhood "G. Barresi"- University of Messina, Italy Al Jalila Children's Specialty Hospital, Dubai, UAE Digestive Endoscopy and Surgery Unit, Bambino Gesù Children's Hospital IRCCS, Rome. Italy University Lille, CHU Lille, Infinite U1286, Lille, F-59000, France Children's Hospital Zagreb, University of Zagreb School of Medicine, Zagreb Croatia, University J.J. Strossmayer, School of Medicine, Osijek, Croatia Sheffield Children's Hospital NHS Foundation Trust, Sheffield, South Yorkshire, UK Université Libre de Bruxelles, Hôpital Universitaire des Enfants Reine Fabiola, Belgium University Children's Hospital Basel, Division of Pediatric Gastroenterology & Nutrition, University of Basel, Switzerland Maternal and Child Health Department, Sapienza, University of Rome, Italy Centro Hospitalar S. João, Porto, Portugal.

Background: The ESPGHAN position paper from 2015 on percutaneous endoscopic gastrostomy (PEG) required updating in the light of recent clinical knowledge and data published in medical journals since 2014.

Methods: A systematic review of medical literature from 2014 to 2020 was carried out. Consensus on the content of the manuscript, including recommendations, was achieved by the authors through electronic and virtual means. Read More

View Article and Full-Text PDF

Holmium laser en-bloc enucleation of the prostate: Bi-centric prospective evaluation of 109 consecutive cases.

Prog Urol 2021 Jun 18. Epub 2021 Jun 18.

Department of urology, Pellegrin hospital, Bordeaux, France.

Introduction: Holmium laser enucleation of the prostate (HoLEP) is a validated alternative to transurethral resection of the prostate (TURP) and open prostatectomy (OP) for surgical treatment of bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH). The surgical technique may vary considerably from one surgeon to another. The three-lobe technique remains the reference procedure, but some surgeons claim "en bloc" enucleation could help to shorten enucleation time. Read More

View Article and Full-Text PDF

A surgical technique for lymphovenous bypass in patients with advanced lymphedema: Initial experience in a tertiary care center.

Asian J Surg 2021 Jun 19. Epub 2021 Jun 19.

Department of Breast and Endocrine Surgery, Hallym University Sacred Heart Hospital, Anyang, 14068, South Korea. Electronic address:

View Article and Full-Text PDF

Factors Involved in Delaying Initiation of Adjuvant Chemotherapy After Breast Cancer Surgery.

Clin Breast Cancer 2021 May 24. Epub 2021 May 24.

Pôle de Chirurgie, Institut Universitaire du Sein et de Cancérologie Gynécologique.

Background: Delays in initiating adjuvant chemotherapy after breast cancer surgery seems to have an impact on patients' risk of relapse and their survival rate. The aim of this retrospective study was to identify factors delaying initiation of adjuvant chemotherapy after breast surgery.

Material And Methods: All patients undergoing surgical treatment for mammary cancer between June 2014 and June 2015 and receiving adjuvant chemotherapy were selected retrospectively. Read More

View Article and Full-Text PDF

The role of technology in the perioperative management of bladder cancer patients.

Urol Oncol 2021 Jun 18. Epub 2021 Jun 18.

Department of Urology, University of Kansas Medical Center, Kansas City, KS.

Consumer technology in the form of personal computers, mobile devices, and wearable technology, despite current underutilization, has the potential to greatly enhance the practice of urologic oncology and the surgical care of bladder cancer patients, particularly through the dissemination of educational videos, telemedicine, and the use of wearable technology for patient monitoring. A comprehensive healthcare application can unite all of these features, providing curated educational videos at different timepoints in surgical care, facilitating communication between the patient and the care team, and interfacing with wearable technology and other peripherals to allow for nonintrusive patient monitoring to help facilitate early identification of complications and to follow post-operative patient progress. Here we seek to review the available literature on this topic, discuss our institutional experience, and provide future perspectives in the perioperative management of bladder cancer patients. Read More

View Article and Full-Text PDF

Sutureless intrascleral fixation using a uniquely designed intraocular lens.

J Fr Ophtalmol 2021 Jun 18. Epub 2021 Jun 18.

Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France.

We report our experience in the surgical technique of sutureless intrascleral posterior chamber intraocular lens (PC IOL) fixation in patients with insufficient capsular support using a uniquely designed, foldable, acrylic Carlevale IOL. It is specifically designed for sutureless scleral fixation and is equipped with a small plug attached to each of two haptics to anchor the lens to the sclera with a self-retaining mechanism. This surgery does not require creation of a scleral tunnel or transscleral exposure or excessive manipulation of the haptics. Read More

View Article and Full-Text PDF

Muscle Hernias in the Upper Limb: Treatment and Literature Review.

J Hand Surg Am 2021 Jun 19. Epub 2021 Jun 19.

Radiology Department, Cairo University, Cairo, Egypt.

Purpose: A muscle hernia is defined as a protrusion of the muscle belly through an acquired or congenital fascial defect. A nontraumatic herniation may occur through congenital fascial defects or be acquired by means of exertion, blunt trauma, or a penetrating injury. In this study, our aim was to review our experience with this rare condition and report the results of surgical treatment of these cases. Read More

View Article and Full-Text PDF

Single-center experience of 105-minimalistc transfemoral transcatheter aortic valve replacement and its outcome.

Indian Heart J 2021 May-Jun;73(3):301-306. Epub 2021 Feb 3.

Cardiology, Eternal Hospital, Jaipur, India.

Introduction: Transcatheter aortic valve replacement (TAVR) increases worldwide, and indications expand from high-risk aortic stenosis patients to low-risk aortic stenosis. Studies have shown that minimalistic TAVR done under conscious sedation is safe and effective. We report single-operator, the single-center outcome of 105 minimalist transfemoral, conscious sedation TAVR patients, analyzed retrospectively. Read More

View Article and Full-Text PDF
February 2021

Anomalous origin of coronary artery from the opposite aortic sinus of Valsalva-a single center experience with a therapeutic conundrum.

Indian Heart J 2021 May-Jun;73(3):289-294. Epub 2021 Apr 3.

Department of Cardiology, Seth G.S. Medical College & King Edward Memorial Hospital, Mumbai, India.

Background: Coronary artery anomalies are rare congenital abnormalities, most often found incidentally on conventional coronary angiography and CT angiography (CTA). CTA better delineates the origin and course of anomalous coronaries. Anomalous origin of coronary artery from the opposite aortic sinus of Valsalva (ACAOS) has a prevalence of 1% with a very few having an interarterial (malignant) course. Read More

View Article and Full-Text PDF

Endovascular treatment of aortic coarctation with a novel BeGraft aortic stent in children and young adults: a single-centre experience with short-term follow-up results.

Cardiol Young 2021 Jun 21:1-8. Epub 2021 Jun 21.

Department of Pediatric Cardiac Surgery, University of Health Sciences, İzmir Dr. Behçet Uz Pediatric Diseases and Surgery Training and Research Hospital, İzmir, Turkey.

Objectives: We present our experience and outcomes with the BeGraft in the treatment of aortic coarctation in a predominantly paediatric population.

Methods: This study includes a retrospective analysis of patients who had Begraft aortic stent implantation between 2018 and 2020 from a single centre.

Results: The BeGraft aortic stent was used in 11 patients (7 males, 4 females) with a median age of 14 (13-21) years and a median weight of 65 (46-103) kg. Read More

View Article and Full-Text PDF

Determinants of knowledge, attitude, and practice towards first aid among kindergarten and elementary school teachers in Gondar city, Northwest Ethiopia.

BMC Emerg Med 2021 Jun 21;21(1):73. Epub 2021 Jun 21.

Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: Injuries continue to be an important cause of morbidity and mortality in the developed and developing world. School-age children are more likely to experience unintentional injuries in the school, while they are playing and teachers are the primarily responsible body for keeping the welfare of the students. Knowing the knowledge, attitude, and practice of kindergarten and elementary school teachers towards first aid will be used as an input for policymakers to intervene and provide training. Read More

View Article and Full-Text PDF

Assessment of Preoperative Functional Status Prior to Major Head and Neck Surgery: A Pilot Study.

Otolaryngol Head Neck Surg 2021 Jun 22:1945998211019306. Epub 2021 Jun 22.

Massachusetts Eye and Ear, Boston, Massachusetts, USA.

Objective: To demonstrate feasibility of a recently developed preoperative assessment tool, the Vulnerable Elders Surgical Pathways and Outcomes Analysis (VESPA), to characterize the baseline functional status of patients undergoing major head and neck surgery and to examine the relationship between preoperative functional status and postoperative outcomes.

Study Design: Case series with planned data collection.

Setting: Two tertiary care academic hospitals. Read More

View Article and Full-Text PDF

The use of computational models in the management and prognosis of refractory epilepsy: A critical evaluation.

Seizure 2021 Jun 10;91:132-140. Epub 2021 Jun 10.

Department of Physiology, Anatomy and Genetics, Sherrington Building, University of Oxford, United Kingdom. Electronic address:

Purpose: Drug resistant epilepsy (DRE) affects approximately 30 percent of individuals with epilepsy worldwide. Surgery remains the most effective treatment for individuals with DRE, but referral to surgery is low and only about 60 percent of individuals who undergo surgery experience seizure control postoperatively. The present paper evaluates the evidence for using computational models in the prediction of surgical resection sites and surgical outcomes for patients with DRE. Read More

View Article and Full-Text PDF

Perioperative Complications in Endoscopic Endonasal versus Transcranial Resections of Adult Craniopharyngiomas.

World Neurosurg 2021 Jun 18. Epub 2021 Jun 18.

University of Miami Miller School of Medicine, Department of Neurological Surgery, Miami, Florida, USA; Sylvester Comprehensive Cancer Center, University of Miami Health System, Miami, Florida, USA. Electronic address:

Introduction: Adult craniopharyngiomas are low-grade tumors of the pituitary infundibulum that can be locally aggressive and frequently present with profound visual deficits and endocrinopathies. Surgical resection remains the preferred initial treatment for these lesions and recently endoscopic endonasal approaches (EEAs) have become increasingly utilized. However, minimal data exists comparing these techniques to traditional transcranial (TC) methods. Read More

View Article and Full-Text PDF

Chronic Intravenous Inotropic Support as Palliative Therapy and Bridge Therapy for Advanced Heart Failure Patients: A Single-Center Experience.

J Card Fail 2021 Jun 18. Epub 2021 Jun 18.

Department of Medicine, Georgetown University School of Medicine, Washington, DC; Section of Palliative Care, Department of Medicine, MedStar Washington Hospital Center, Washington, DC.

Background: Many patients with ACC/AHA Stage D (advanced) HF are discharged home on chronic intravenous inotropic support (CIIS) as bridge to surgical therapy or as palliative therapy. This study analyzed the clinical trajectory of patients with advanced heart failure (HF) on home CIIS.

Methods: We conducted a single-institution, retrospective cohort study of patients on CIIS between 2010 and 2016 (n=373), stratified by indication for initiation of inotropic support. Read More

View Article and Full-Text PDF

SOCIETY FOR VASCULAR SURGERY CLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF EXTRACRANIAL CEREBROVASCULAR DISEASE.

J Vasc Surg 2021 Jun 18. Epub 2021 Jun 18.

Management of carotid bifurcation stenosis in stroke prevention has been the subject of extensive investigations, including multiple randomized controlled trials. The proper treatment of patients with carotid bifurcation disease is of major interest to vascular surgeons and other vascular specialists. In 2011, the Society for Vascular Surgery published guidelines for treatment of carotid artery disease. Read More

View Article and Full-Text PDF