334,570 results match your criteria surgical outcomes


Comparison of Short-term Results after Laparoscopic Complete Mesocolic Excision and Standard Colectomy for Right-Sided Colon Cancer: Analysis of a Western Center Cohort.

Ann Coloproctol 2021 Apr 22. Epub 2021 Apr 22.

Division of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynecology, and Pediatrics, University of Verona Hospital Trust, University of Verona, Italy.

Purpose: Laparoscopic complete mesocolic excision (CME) right colectomy is a technically demanding procedure infrequently employed in Western centers. This retrospective cohort study aims to analyze the safety of laparoscopic CME colectomy compared to standard colectomy for right-sided colon cancer in a Western series.

Methods: Prospectively collected data from 60 patients who underwent laparoscopic CME right colectomy were compared to the ones of 55 patients who underwent laparoscopic standard right colectomy. Read More

View Article and Full-Text PDF

LONGITUDINAL ELLIPSOID ZONE DYNAMICS AFTER MACULAR HOLE REPAIR IN THE DISCOVER STUDY: Structure-Function Assessment.

Retina 2021 May;41(5):915-920

The Tony and Leona Campane Center for Excellence in Image-Guided Surgery and Advanced Imaging Research, Cole Eye Institute, Cleveland Clinic, Cleveland, OH.

Purpose: To evaluate association of the baseline macular hole (MH) geometric features and longitudinal ellipsoid zone integrity with the visual acuity outcome after surgical repair.

Methods: This was a post-hoc analysis of eyes in the DISCOVER study undergoing vitrectomy repair for MH. Anatomical and functional data were collected through one year postoperatively. Read More

View Article and Full-Text PDF

Initial Outcomes of A Novel Irrigating Wound Protector for Reducing the Risk of Surgical Site Infection in Elective Colectomies.

J Surg Res 2021 Apr 19;265:64-70. Epub 2021 Apr 19.

Department of Surgery, Baylor Scott & White Health - Texas A&M, Temple, Texas. Electronic address:

Background: Surgical site infection (SSI) rates in elective colorectal surgery remain high due to intraoperative exposure of colonic bacteria at the surgical site. We aimed to evaluate 30-day SSI outcomes of a novel wound retractor that combines barrier protection with continuous wound irrigation in elective colorectal resection.

Materials And Methods: A retrospective single-center cohort-matched analysis included all patients undergoing elective colorectal resection utilizing the novel irrigating wound protector (IWP) from April 2015 to July 2019. Read More

View Article and Full-Text PDF

Evaluation of stapes mobilization in the 21st century for conductive hearing loss in the otosclerotic ear.

Am J Otolaryngol 2021 Apr 16;42(5):103059. Epub 2021 Apr 16.

Department of Otolaryngology - Head and Neck Surgery, Drexel University College of Medicine, 219 N. Broad Street, 10th Floor, Philadelphia, PA 19107, United States of America; Lankenau Institute for Medical Research, Philadelphia, PA 19107, United States of America. Electronic address:

Purpose: Compare outcomes of stapes mobilization and stapedectomy performed by a single surgeon for the otosclerosis.

Materials And Methods: A retrospective chart review of adult patients who underwent stapes mobilization or stapedectomy for otosclerosis was performed. Operative notes reviewed; patients included if diagnosed with otosclerosis without another otologic disease that could contribute to their hearing loss and all required data were available. Read More

View Article and Full-Text PDF

Simulation of preoperative flexion contracture in a computational model of total knee arthroplasty: Development and evaluation.

J Biomech 2021 Mar 9;120:110367. Epub 2021 Mar 9.

Department of Biomechanics, Hospital for Special Surgery, Weill Cornell Medicine of Cornell University, New York, NY, USA.

Preoperative flexion contracture is a risk factor for patients' dissatisfaction following primary total knee arthroplasty (TKA). Previous studies utilizing surgical navigation technology and cadaveric models attempted to identify operative techniques to correct knees with flexion contracture and minimize undesirable outcomes such as knee instability. However, no consensus has emerged on a surgical strategy to treat this clinical condition. Read More

View Article and Full-Text PDF

Microscopic navigation-guided fence post technique for maximal tumor resection during glioma surgery.

World Neurosurg 2021 Apr 19. Epub 2021 Apr 19.

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.

Background: The fence post technique, which involves the insertion of catheters as fence posts around a tumor, has been widely used to demarcate the tumor border for maximal resection of intraparenchymal tumors, such as glioma. However, a standard procedure for fence post insertion has not been established yet, and there are some limitations. To overcome this problem, a simple microscopic navigation-guided fence post (NGFP) method was developed. Read More

View Article and Full-Text PDF

Comparison of minimally invasive total versus subtotal resection of spinal tumors: a systematic review and meta-analysis.

World Neurosurg 2021 Apr 19. Epub 2021 Apr 19.

Department of Neurological Surgery, University of California, Irvine, CA, USA. Electronic address:

Objective: With the advent of minimally invasive techniques, minimally invasive spine surgery (MISS) has become a realistic option for many spine cases. This study aims to evaluate the operative and clinical outcomes of MISS for total versus subtotal tumor resection from current evidence.

Methods: A literature search was performed using the search term, (Minimally invasive surgery OR MIS) AND (spine tumor OR spinal tumor). Read More

View Article and Full-Text PDF

Comparable surgical outcomes of abdominal aortic aneurysms in patients with and without Marfan syndrome.

J Vasc Surg 2021 Apr 19. Epub 2021 Apr 19.

Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Gangnam-gu, Seoul-06351, Korea. Electronic address:

Objective: Marfan syndrome (MFS) affects the cardiovascular system. Aortic root aneurysm is a pathognomonic feature of MFS; however, the abdominal aorta is rarely affected. A consensus on surveillance for the abdominal aorta in patients with MFS has not been established. Read More

View Article and Full-Text PDF

The Graft Insertion Length in the Femoral Tunnel during ACL Reconstruction with Suspensory Fixation and Tibialis Anterior Allograft does not Affect Surgical Outcomes, but is Negatively Correlated with Tunnel Widening.

Arthroscopy 2021 Apr 19. Epub 2021 Apr 19.

Arthroscopy and Joint Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea; Department of Orthopedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea. Electronic address:

Purpose: To investigate the surgical outcomes of anterior cruciate ligament (ACL) reconstruction using a low-dose irradiated tibialis anterior allograft with a fixed-loop cortical suspension device for the femur based on the graft insertion length (GIL) in the femoral tunnel.

Methods: Between January 2010 and January 2018, the medical records of consecutive patients who underwent arthroscopic ACL reconstruction using a tibialis anterior allograft fixed with the EndoButton CL for the femur and had at least 2 years of follow-up were retrospectively evaluated. Patients were classified into three groups based on the GIL in the femoral tunnel-Group 1, GIL: <15 mm; Group 2, GIL: 15-20 mm; and Group 3, GIL: >20 mm-and their functional scores, knee stability, and radiographic parameters were evaluated. Read More

View Article and Full-Text PDF

Endoscopic Proximal Hamstring Repair is Safe and Efficacious with High Patient Satisfaction at a Minimum of Two-Year Follow-up.

Arthroscopy 2021 Apr 19. Epub 2021 Apr 19.

Duke University Medical Center, Department of Orthopaedic Surgery.

Purpose: The purpose of this study was to evaluate the short-term outcomes of endoscopic proximal hamstring repair including clinical outcomes, patient reported outcomes, and complications.

Methods: A retrospective analysis was performed on consecutive patients who underwent endoscopic proximal hamstring repair from 2013-2018 by a senior sports medicine orthopaedic surgeon. Demographic, operative, clinical data, complications, and patient reported outcomes were collected and analyzed including the International Hip Outcome Tool-12 (iHOT-12), Single Assessment Numeric Evaluation (SANE), Modified Harris Hip Score (mHHS), and Hip Outcome Score (HOS). Read More

View Article and Full-Text PDF

Nearly One-Third of Published Systematic Reviews and Meta-Analyses Yield Inconclusive Conclusions: A Systematic Review.

Arthroscopy 2021 Apr 19. Epub 2021 Apr 19.

Heartland Orthopedic Specialists, Alexandria, Minnesota, USA.

Purpose: To perform a systematic review that determines the percentage of published Orthopedic Surgery and Sports Medicine systematic reviews and meta-analyses that have a conclusive conclusion.

Methods: A systematic review was performed using PRISMA guidelines. Six high-quality orthopedics journals were chosen for analysis over a ten-year eligibility period. Read More

View Article and Full-Text PDF

Patient-Reported Outcomes in Athletes Following Hip Arthroscopy for Femoroacetabular Impingement with Sub-analysis on Return to Sport and Competition Level: A Systematic Review.

Arthroscopy 2021 Apr 19. Epub 2021 Apr 19.

American Hip Institute Research Foundation, Chicago, IL 60018; AMITA Health St. Alexius Medical Center, Hoffman Estates, IL 60169; American Hip Institute, Chicago, IL 60018. Electronic address:

Purpose: To identify present trends in demographics, surgical indications, preoperative findings, and surgical treatment of athletes undergoing hip arthroscopy for FAI and (2) to investigate the outcomes in this patient population, including patient-reported outcome scores (PROS), return-to-sport (RTS), complications, and reoperation data at minimum 2-year follow-up in the athletic population.

Methods: Cochrane, Embase, and Pubmed databases were searched according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines to distinguish articles that reported PROS after hip arthroscopy in athletes. Athletes were defined as anyone who played a sport for minimum 2-years at any level. Read More

View Article and Full-Text PDF

Massive burns: retrospective analysis of changes in outcomes indicators across 18 years.

J Burn Care Res 2021 Apr 22. Epub 2021 Apr 22.

Department of Plastic, Reconstructive and Hand Surgery, Lausanne University Hospital, Switzerland.

Background: The treatment and management of massive burns, defined as burns affecting≥ 50% of total body surface area (TBSA) has considerably changed since the 90s. This study aimed at analyzing if the length of intensive care unit (ICU) stay, the success of skin grafting operations and the mortality changed in the last 18 years.

Methods: Between 2000 and 2018, 77 patients were admitted for massive burns to the ICU of a university hospital. Read More

View Article and Full-Text PDF

Root canal retreatment: a retrospective investigation using regression and data mining methods for the prediction of technical quality and periapical healing.

J Appl Oral Sci 2021 19;29:e20200799. Epub 2021 Apr 19.

Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Odontologia, Programa de Pós-graduação em Odontologia, Porto Alegre, Brasil.

Objectives: This study aimed to investigate patterns and risk factors related to the feasibility of achieving technical quality and periapical healing in root canal non-surgical retreatment, using regression and data mining methods.

Methodology: This retrospective observational study included 321 consecutive patients presenting for root canal retreatment. Patients were treated by graduate students, following standard protocols. Read More

View Article and Full-Text PDF

Changes in the management and clinical outcomes of critically ill patients without COVID-19 during the pandemic.

Rev Bras Ter Intensiva 2021 Jan-Mar;33(1):68-74

Unidade de Terapia Intensiva, Hospital Italiano de Buenos Aires - Buenos Aires, Argentina.

Objective: To analyze whether changes in medical care due to the application of COVID-19 protocols affected clinical outcomes in patients without COVID-19 during the pandemic.

Methods: This was a retrospective, observational cohort study carried out in a thirty-eight-bed surgical and medical intensive care unit of a high complexity private hospital. Patients with respiratory failure admitted to the intensive care unit during March and April 2020 and the same months in 2019 were selected. Read More

View Article and Full-Text PDF

Optimal Prosthesis Sizing for Radial Head Arthroplasty: A Review of Current Evidence and Guidelines.

JBJS Rev 2021 Apr 22;9(4). Epub 2021 Apr 22.

Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri.

»: Radial head arthroplasty is a viable surgical option when a radial head fracture cannot be reconstructed. Radial head arthroplasty provides a load-bearing articular structure against the capitellum in unstable fractured elbows.

»: Studies have emphasized the importance of choosing the correct implant size to replicate the native radial head anatomy, citing various consequences of improperly sized radial head prostheses. Read More

View Article and Full-Text PDF

Surgical Outcomes in Urogynecology-Assessment of Perioperative and Postoperative Complications Relative to Preoperative Hemoglobin A1c-A Fellow's Pelvic Research Network Study.

Female Pelvic Med Reconstr Surg 2021 Apr 21. Epub 2021 Apr 21.

From the Female Pelvic Medicine and Reconstructive Surgery, MedStar Washington Hospital Center and Georgetown University School of Medicine, Washington, DC Division of Urogynecology, University of New Mexico HSC, Albuquerque, NM Complete Women Care, Long Beach, CA Female Pelvic Medicine and Reconstructive Surgery, Women and Infants Hospital of Rhode Island, Providence, RI Female Pelvic Medicine and Reconstructive Surgery, Mount Auburn Hospital, Cambridge, MA Beth Israel Deaconess Medical Center, Boston, MA Division of Urogynecology, Mayo Clinic, Rochester, MN Division of Urogynecology, Houston Methodist Hospital, Houston, TX Division of Urogynecology, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA Female Pelvic Medicine and Reconstructive Surgery, Vanderbilt University Medical Center, Nashville, TN Female Pelvic Medicine and Reconstructive Surgery, Cooper University Hospital, Camden, NJ Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Harbor-UCLA Medical Center, Torrance, CA Medstar Health Research Institute, Washington, DC.

Objectives: Poor control of diabetes mellitus is a known predictor of perioperative and postoperative complications. No literature to date has established a hemoglobin A1c (HbA1c) cutoff for risk stratification in the urogynecology population. We sought to identify an HbA1c threshold predictive of increased risk for perioperative and postoperative complications after pelvic reconstructive surgery. Read More

View Article and Full-Text PDF

Treatment Strategies and Outcomes for Osteochondritis Dissecans of the Capitellum.

Am J Sports Med 2021 Apr 22:3635465211000763. Epub 2021 Apr 22.

Brighton and Sussex University Hospital, Brighton, UK.

Background: The optimum management of osteochondritis dissecans (OCD) of the capitellum is a widely debated subject.

Purpose: To better understand the efficacy of different surgical modalities and nonoperative treatment of OCD as assessed by radiological and clinical outcomes and return to sports.

Study Design: Systematic review; Level of evidence, 4. Read More

View Article and Full-Text PDF

Additional Inferior Extensor Retinaculum Augmentation After All-Inside Arthroscopic Anterior Talofibular Ligament Repair for Chronic Ankle Instability Is Not Necessary.

Am J Sports Med 2021 Apr 22:3635465211008097. Epub 2021 Apr 22.

Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Republic of Korea.

Background: Although several arthroscopic surgical techniques for the treatment of chronic ankle instability (CAI) have been introduced recently, the effect of inferior extensor retinaculum (IER) augmentation remains unclear.

Purpose: To compare the clinical outcomes after arthroscopic anterior talofibular ligament (ATFL) repair according to whether additional IER augmentation was performed or not.

Study Design: Cohort study; Level of evidence, 3. Read More

View Article and Full-Text PDF

Modified K-line in Neck Extension is a Prognostic Indicator of the Surgical Outcome at 5 Years after Cervical Laminoplasty for Cervical Spondylotic Myelopathy.

Spine (Phila Pa 1976) 2021 Feb 15. Epub 2021 Feb 15.

aDepartment of Orthopedic Surgery, Odate Municipal General Hospital, Odate, Japan bDepartment of Orthopaedic Surgery, Hirosaki University School of Medicine, Hirosaki, Japan cDepartment of Orthopaedic Surgery, Mutsu General Hospital, Mutsu, Japan.

Study Design: A retrospective comparison of the surgical outcome after cervical laminoplasty for cervical spondylotic myelopathy (CSM) using a modified K-line based on lordosis in neck extension as a predictor: in K-line Back CSM (KB group), the K-line crosses the ventral edge of any of the spinous processes, whereas in K-line Front CSM (KF group), the K-line does not.

Objective: To investigate the neurological and radiological outcomes 5 years after surgery and the contact between the spinal cord and posterior elements after laminoplasty for CSM using the modified K-line.

Summary Of Background Data: No indicators on a lateral radiograph can predict the neurological outcome after laminoplasty for CSM. Read More

View Article and Full-Text PDF
February 2021

Single-level fusion without decompression for high-grade spondylolithesis in adolescents: a novel surgical strategy.

Spine Deform 2021 Apr 22. Epub 2021 Apr 22.

Department of Orthopaedic Surgery, Children's Hospital, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, Box T6-7, New Orleans, LA, 70112, USA.

Purpose: There is no consensus on the optimal surgical treatment for high-grade spondylolisthesis (HGS) in adolescents. The purpose of this study was to assess the radiographic and clinical outcomes of a novel surgical approach to HGS consisting of a single-level anterior reduction, placement of a lordotic cage, and circumferential fixation without decompression.

Methods: This was a retrospective consecutive case series of 11 adolescents who underwent anterior reduction through placement of a lordotic cage followed by posterior fusion using pedicle screws and rods confined to L5-S1. Read More

View Article and Full-Text PDF

The growth rate and clinical outcomes of radiation induced meningioma undergoing treatment or active monitoring.

J Neurooncol 2021 Apr 22. Epub 2021 Apr 22.

Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.

Introduction: Radiation induced meningioma (RIM) incidence is increasing in line with improved childhood cancer survival. No optimal management strategy consensus exists. This study aimed to delineate meningioma growth rates from tumor discovery and correlate with clinical outcomes. Read More

View Article and Full-Text PDF

Short-term outcomes of robotic-assisted versus conventional laparoscopic-assisted surgery for rectal cancer: a propensity score-matched analysis.

J Robot Surg 2021 Apr 22. Epub 2021 Apr 22.

Department of Surgery, Osaka Rosai Hospital, 1179-3 Nagasone-kitaku, Sakai, Osaka, 591-8025, Japan.

It remains controversial whether the advantages of robotic-assisted surgery are beneficial for rectal cancer (RC). The study aimed to evaluate the short-term outcomes of robotic-assisted rectal surgery (RARS) compared with those of conventional laparoscopic-assisted rectal surgery. We retrospectively analyzed 539 consecutive patients with stage I-IV RC who had undergone elective surgery between January 2010 and December 2020, using propensity score-matched analysis. Read More

View Article and Full-Text PDF

Regional citrate anti-coagulation dose titration: impact on dose of continuous renal replacement therapy.

Clin Exp Nephrol 2021 Apr 22. Epub 2021 Apr 22.

Department of Renal Medicine, Changi General Hospital, 2 Simei Street 3, Singapore, 529889, Singapore.

Background: Regional citrate anti-coagulation (RCA) is the recommended anti-coagulation for continuous renal replacement therapy (CRRT). Citrated replacement fluids provide convenience but may compromise effluent delivery when adjusted to maintain circuit ionised calcium levels (circuit-iCa). This study aims to evaluate the effect of RCA titration on the delivered CRRT effluent dose. Read More

View Article and Full-Text PDF

It was just mind blowing to be honest: a qualitative phenomenological study exploring cancer survivor's experiences of indocyanine green lymphography used to inform lymphedema therapy management.

Support Care Cancer 2021 Apr 22. Epub 2021 Apr 22.

Princess Alexandra Hospital, Brisbane, QLD, Australia.

Purpose: A diagnosis of secondary lymphedema following cancer treatment can necessitate lifelong therapy. Indocyanine green (ICG) lymphography is a technique for visualising lymphatics to enable individualised lymphedema diagnosis, staging and therapy prescription. The participant experience of undergoing the procedure and the impact of imaging findings on lymphedema management is unknown. Read More

View Article and Full-Text PDF

Author's Reply: Outcomes of Laparoscopic Splenectomy for the treatment of Splenomegaly: A Systematic Review and Meta-analysis.

World J Surg 2021 Apr 22. Epub 2021 Apr 22.

Gastrointestinal and Hematological Surgical Unit, Service of General and Digestive Surgery, Hospital de La Santa Creu I Sant Pau, Autonomous University of Barcelona (UAB) Medical School, Carrer Sant Antoni Ma Claret, 167, 08025, Barcelona, Spain.

View Article and Full-Text PDF

Intraoperative Seizure Detection During Active Resection of Glioblastoma Through a Novel Hollow Circular Electrocorticography Array.

Oper Neurosurg (Hagerstown) 2021 Apr 22. Epub 2021 Apr 22.

Department of Neurology, Mayo Clinic, Jacksonville, Florida, USA.

Background And Importance: Data supporting the use of electrocorticography (ECoG) monitoring during electrical stimulation in awake craniotomies for resection of supratentorial neoplasms is robust, but its applicability during active resection is often limited by the inability to keep the array in place. Given the known survival benefit of gross total resection in glioma surgery, novel approaches to surgical monitoring are warranted to maximize safe resection and optimize surgical outcomes in patients with glioblastoma.

Clinical Presentation: A 68-yr-old right-handed woman presented to the emergency department with confusion. Read More

View Article and Full-Text PDF

Postoperative Photoreceptor Integrity Following Pneumatic Retinopathy vs Pars Plana Vitrectomy for Retinal Detachment Repair: A Post Hoc Optical Coherence Tomography Analysis From the Pneumatic Retinopexy Versus Vitrectomy for the Management of Primary Rhegmatogenous Retinal Detachment Outcomes Randomized Trial.

JAMA Ophthalmol 2021 Apr 22. Epub 2021 Apr 22.

Newcastle Eye Centre, Royal Victoria Infirmary, Newcastle upon Tyne, England.

Importance: Pneumatic retinopexy (PnR) is associated with superior visual acuity and reduced vertical metamorphopsia compared with pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD). It is important to determine postoperative photoreceptor integrity with both surgical techniques.

Objective: To compare photoreceptor integrity on spectral domain-optical coherence tomography (SD-OCT) between PnR and PPV at 12 months postoperatively. Read More

View Article and Full-Text PDF

Efficacy and Safety of First-line Single-Agent Carboplatin vs Carboplatin Plus Paclitaxel for Vulnerable Older Adult Women With Ovarian Cancer: A Randomized Clinical Trial.

JAMA Oncol 2021 Apr 22. Epub 2021 Apr 22.

GINECO and Centre Hospitalier Lyon-Sud, Lyon, France.

Importance: Single-agent carboplatin is often proposed instead of a conventional carboplatin-paclitaxel doublet in vulnerable older patients with ovarian cancer. Such an approach could have a detrimental effect on outcomes for these patients.

Objective: To compare the feasibility, efficacy, and safety of single-agent carboplatin every 3 weeks, weekly carboplatin-paclitaxel, or conventional every-3-weeks carboplatin-paclitaxel in vulnerable older patients with ovarian cancer. Read More

View Article and Full-Text PDF

Association of Demographic and Geospatial Factors With Treatment Selection for Laryngeal Cancer.

JAMA Otolaryngol Head Neck Surg 2021 Apr 22. Epub 2021 Apr 22.

Department of Otolaryngology-Head and Neck Surgery, Washington University in St Louis, St Louis, Missouri.

Importance: Guidelines for many head and neck cancers, especially laryngeal cancers, allow for multiple treatment options. Currently, inequitable provision of surgery may contribute to outcome disparities. However, the role of geospatial factors remains understudied. Read More

View Article and Full-Text PDF