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Surgical Technology International

Nicole E George, Cheryle Gurk-Turner, Iciar M Dávila Castrodad, Jennifer I Etcheson, Nequesha S Mohamed, Chukwuweike U Gwam, Alexandra N Passarrello, Chiemena U Ohanale, Ronald E Delanois
Despite the success of total hip arthroplasty (THA), postoperative pain management remains a concern. Although the nonsteroidal anti-inflammatory drug (NSAID) intravenous (IV) diclofenac is a promising addition, its impact on THA outcomes has not been investigated. This study evaluates the effects of adjunctive IV diclofenac on: 1) postoperative pain intensity; 2) opioid consumption; 3) discharge destination; 4) length of stay; and 5) patient satisfaction in primary THA patients. A retrospective study was performed for patients who underwent primary THA by a single surgeon between May 1 and September 31, 2017...
February 11, 2019: Surgical Technology International
Kieran Gallagher, Shayan Bahadori, Jop Antonis, Tikki Immins, Thomas W Wainwright, Robert Middleton
OBJECTIVE: To assess the face, content and construct validity of a virtual reality hip arthroscopy simulator (Arthros™, VirtaMed AG, Schlieren, Switzerland). DESIGN: Participants were divided into Expert and Novice groups depending on whether or not they had assisted with or performed more than 50 hip arthroscopy procedures. Participants were given a standardized introduction and shown a video on how to use the simulator. To familiarise themselves with the equipment, they were then given a 5-minute diagnostic task to complete...
February 11, 2019: Surgical Technology International
Nipun Sodhi, Anton Khlopas, Zachary Berliner, Kristina Dushaj, Jon E Minter, Brandon Naylor, Robert Marchand, Matthew S Hepinstall, Michael A Mont
INTRODUCTION: A variety of highly porous materials have been used to obtain biological acetabular fixation after total hip arthroplasty (THA). Due to their improved surface-coated properties, new highly porous titanium metal implants have shown potential to promote prosthesis osseointegration. Therefore, the purpose of this multicenter study was to evaluate: 1) overall acetabular cup survivorship; 2) postoperative complications; and 3) radiographic signs of loosening and radiolucencies in patients who received a new highly porous titanium metal cup...
February 11, 2019: Surgical Technology International
Logan T Mellert, Maureen E Cheung, John G Zografakis, Adrian G Dan
PURPOSE: Self-fixating mesh has been introduced to further improve the quality results already seen with laparoscopic inguinal hernia repair. An observational study was undertaken to evaluate the technical learning curve and mid-term outcomes associated with the use of ProGrip™ (Medtronic, Minneapolis, MN, USA) laparoscopic self-fixating mesh in transabdominal preperitoneal (TAPP) inguinal herniorrhaphy. METHODS: Patients who underwent elective laparoscopic TAPP inguinal herniorrhaphy by a single surgeon using ProGrip™ laparoscopic self-fixating mesh within a one-year period were studied...
February 11, 2019: Surgical Technology International
Danielle Gurin, Assem A Sultan, Mark Berkowitz, Sara Lyn Miniaci-Coxhead
This paper presents two patients who sustained spontaneous closed Achilles tendon ruptures following minimally invasive ultrasonic energy therapy for non-insertional Achilles tendinopathy. In both cases, the patients underwent minimally invasive ultrasonic energy therapy using a commercially available device. In addition, the current evidence, through available literature, has been reviewed and presented.
February 11, 2019: Surgical Technology International
Assem A Sultan, Linsen T Samuel, Anton Khlopas, Nipun Sodhi, Manoshi Bhowmik-Stoker, Antonia Chen, Fabio Orozco, Frank Kolisek, Ormonde Mahoney, Langan Smith, Arthur Malkani, Robert M Molloy, Michael A Mont
INTRODUCTION: Despite the demonstrated success of modern total knee arthroplasty (TKA), it remains a procedure that involves sophisticated preoperative planning and meticulous technique to reconstruct the mechanical axis, achieve ideal joint balance, and restore maximal range-of-motion (ROM). Recently, robotic-arm assisted TKAs have emerged as a promising new technology offering several technical advantages, and it is achieving excellent radiological results, including establishing the posterior condylar offset ratio (PCOR) and the Insall-Salvati Index (ISI)...
February 11, 2019: Surgical Technology International
Morteza Meftah, Peter B White, Ahmed Siddiqi, Vinay H Siddappa, Ira Kirschenbaum
BACKGROUND: While tranexamic acid (TXA) has been well shown to reduce blood loss after joint replacement surgery, little is known regarding its effectiveness in obese patients. The aim of this study was to evaluate the effect of TXA changes in hematocrit and hemoglobin levels as well as incidence of packed red blood cell (pRBC) transfusions in obese patients undergoing total joint arthroplasty (TJA). MATERIAL AND METHODS: Between January 2014 and May 2015, 420 consecutive primary joint replacements were performed by two surgeons at our institution...
February 1, 2019: Surgical Technology International
Paul L Tenzel, Robert G Johnson, Jordan A Bilezikian, William F Powers, William W Hope
A common technique for ventral and incisional hernia repair is the retrorectus repair (Rives-Stoppa). The posterior rectus sheath is incised bilaterally, and mesh is placed retromuscularly. There is little information on how this component separation technique affects abdominal wall tension. We evaluated abdominal wall tension in patients undergoing retrorectus repair of abdominal wall hernias. Patients undergoing retrorectus repair of their ventral hernias were enrolled in a prospective, Institutional Review Board-approved protocol to measure abdominal wall tension from 8/1/2013 to 8/2/2017...
February 1, 2019: Surgical Technology International
Alberto Mangano, Eduardo Fernandes, Federico Gheza, Roberto Bustos, Liaohai Leo Chen, Mario Masrur, Pier Cristoforo Giulianotti
BACKGROUND: Leakage of the anastomosis after colorectal surgery is a severe complication, and one of the most important causes is poor vascular supply. However, a microvascular deficit is often not detectable during surgery under white light. Near-infrared indocyanine green (ICG)-enhanced fluorescence may be useful for assessing microvascular deficits and conceivably preventing anastomotic leakage. OBJECTIVES: This paper presents a preliminary retrospective case series on robotic colorectal surgery...
February 1, 2019: Surgical Technology International
Robin Schmitz, Frank Willeke, Justin Barr, Michael Scheidt, Heike Saelzer, Ibrahim Darwich, Sabino Zani, Dietmar Stephan
INTRODUCTION: This retrospective study was performed to evaluate the safety and feasibility of the new Senhance™ Robotic System (TransEnterix Inc., Morrisville, North Carolina) for inguinal hernia repairs using the transabdominal preperitoneal approach. MATERIALS AND METHODS: From March to September 2017, 76 inguinal hernia repairs in 64 patients were performed using the Senhance™ Robotic System. Patients were between 18 and 90 years of age, eligible for a laparoscopic procedure with general anesthesia, had no life-threatening disease with a life expectancy of less than 12 months, and a body mass index (BMI) < 35...
February 1, 2019: Surgical Technology International
(no author information available yet)
January 18, 2019: Surgical Technology International
Anton Khlopas, Nipun Sodhi, Hiba K Anis, Joseph Ehiorobo, Assem A Sultan, Michael A Mont
Over time, various materials and techniques have been developed for superficial and deep wound closure. However, potential complications, such as infections and dehiscences, can still occur, driving the development of new closure modalities. As wound closure technology continues to advance and change, the need to continuously evaluate the current techniques and materials persists. Therefore, the purpose of this systematic review was to evaluate the current literature on the various closure materials and techniques utilized for total knee arthroplasty...
January 18, 2019: Surgical Technology International
Munir Patel, John C Lantis
At least 15% of patients with critical limb ischemia are not candidates for standard revascularization. In this day and age, with new techniques-including retrograde access to the foot-and numerous angioplasty and atherectomy techniques available, the critical limb ischemia patient can still be faced without options. Distal bypass surgery may still remain the gold standard, and likely permits the patient to have the best options for healing, but carries significant comorbidities after undergoing the procedure...
January 18, 2019: Surgical Technology International
Markus Kofler, Axel Unbehaun, Christoph Klein, Alexander Meyer, Semih Buz, Matthias Hommel, Volkmar Falk, Jörg Kempfert
Transcatheter aortic valve implantation has dramatically changed the treatment of valvular heart disease over the past decade. At the same time, the indications for bioprosthesis implantation have been continuously extended toward younger patients, driven by excellent clinical results and improved durability. While the omission of oral anticoagulation reduces the risk of severe bleeding complications, the long-term durability of bioprostheses is still limited. In light of the growing number of elderly transcatheter aortic valve replacement (TAVR) patients, the prevalence of patients with failed bioprostheses and advanced comorbidities is expected to rise...
January 18, 2019: Surgical Technology International
Hui Sun, Che-Wei Wu, Daqi Zhang, Özer Makay, Yishen Zhao, Paolo Carcofaro, Hoon Yub Kim, Gianlorenzo Dionigi, Antonella Pino, Ettore Caruso, Alessandro Pontin, Vincenzo Pappalardo
Intraoperative neuromonitoring (IONM) in thyroid gland surgery provides real-time feedback to the endocrine surgeon regarding the electrophysiological consequences of surgical manipulation of the laryngeal nerves. The goal of monitoring modalities is to detect surgical or physiological insults to the recurrent laryngeal nerve (RLN) while they are still reversible or, in cases where prevention is not an option, to minimize the damage done to these structures during thyroidectomy. In recent decades, monitoring of the RLN has become a fundamental part of endocrine surgery...
January 18, 2019: Surgical Technology International
Simona Macina, Mikaela Imperatore, Cosimo Feleppa, Francesco Sucameli, Giuseppina Talamo, Emilio Falco, Stefano Berti
BACKGROUND: Laparoscopic colectomy represents a safe, effective and well-established procedure for both benign and malignant colic disease. Transanal anastomosis (TA) with a circular stapler is the most commonly performed anastomotic technique in laparoscopic left hemicolectomy (LLH). We report our experience with side-to-side anastomosis (STSA) and side-to-end anastomosis (STEA) in selected patients with both emergency and elective LLH. METHODS: A systematic review of the PubMed database was performed on recent studies that compared different anastomotic techniques after LLH...
December 20, 2018: Surgical Technology International
Mahir Gachabayov, Roberto Bergamaschi, Luigi Boni, Selman Uranues, Abe Fingerhut
OBJECTIVE: There is no consensus regarding whether splenic flexure mobilization (SFM) should be performed selectively or routinely for sigmoid and rectal resections. The aim of this study was to evaluate the impact of SFM on anastomotic leak and surgical site infection rates in sigmoid and rectal resections. METHODS: PubMed, MEDLINE, EMBASE, Cochrane Library, and Scopus databases were searched by two independent researchers. Anastomotic leak was the primary endpoint...
December 20, 2018: Surgical Technology International
Zachary J Hartley-Blossom, Terrance T Healey
Lung cancer remains the leading cause of cancer death in the United States, and accounts for more deaths than breast, colon, and prostate cancer combined. Over the past decade, percutaneous thermal ablative therapy (PTA) has become a useful adjunctive therapy in combination with longer-standing methods, or as a standalone treatment. The physiologic basis of thermal ablation is that coagulative necrosis and cell death occur at temperatures above 60°C. During treatment, PTA of lung tumors routinely achieves temperatures above 70°C...
December 20, 2018: Surgical Technology International
Nicholas J Greco, Gary J E Cook, Adolph V Lombardi, Joanne B Adams, Keith R Berend
BACKGROUND: Treatment of isolated lateral compartment arthritic disease with partial knee arthroplasty remains underutilized in comparison to medial unicompartmental arthroplasty. This study examines the survival and outcome of lateral unicompartmental arthroplasty utilizing the first implant specifically developed for the lateral compartment. MATERIALS AND METHODS: A retrospective review was performed to detect lateral unicompartmental arthroplasty procedures performed in our practice between January 2013 and May 2016...
December 20, 2018: Surgical Technology International
Ahmed Siddiqi, Salvador Forte, Andrew J Collier, John J McPhilemy
BACKGROUND: Bilateral hip fractures after low-energy mechanism are a rare phenomenon. Most published case reports include presentations of bilateral hip fractures in the elderly with low-energy mechanism. There is no report, to our knowledge, that illustrates this rare occurrence in middle-aged individuals after a low-energy fall from standing height. CASE PRESENTATION: We present a case of a 50-year-old female with history of cerebrovascular accident (CVA) who presented to our institution with bilateral valgus-impacted femoral neck fractures after a mechanical fall from standing height...
December 20, 2018: Surgical Technology International
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