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Jay K Ferrell, Michael C Singer, D Gregory Farwell, Brendan C Stack, Maisie Shindo
BACKGROUND: There is currently a lack of evidence-based guidelines regarding postoperative opioids after thyroid and parathyroid surgery. This study aimed to objectively characterize contemporary postoperative pain management practices via a national survey of head and neck endocrine surgeons. METHODS: A standardized electronic survey was distributed to the membership of the American Head and Neck Society's Endocrine section. RESULTS: A total of 102 surgeons completed the survey representing a 34% response rate...
February 13, 2019: Head & Neck
S A Sumi, S Z Sultana, S Mannan, U K Paul, M S Khan, M O Faruque, M Rahman, N Sultana, N J Khan, L Jabeen, T Jannat, S K Bose
This cross sectional descriptive study was performed on 70 postmortem vermiform appendices (male 34 and female 36) to find out the various positions of vermiform appendix of Bangladeshi people. The specimens were collected from autopsy laboratory of the Department of Forensic Medicine, Mymensingh Medical College, Mymensingh, Bangladesh by purposive sampling technique from October 2016 to March 2017. The collected samples were divided into four age groups. They were Group A (upto 20 years), Group B (21 to 40 years), Group C (41 to 60 years) and Group D (above 60 years)...
January 2019: Mymensingh Medical Journal: MMJ
Nicolas K Khattar, Shawn Wc Adams, Alexandra S Schaber, Andrew C White, Mohammed Al Ghamdi, Rob T Hruska, Jesse J Savage, Richard K Downs, Eyas M Hattab, Brian J Williams
Cavernous hemangiomas with an intrasellar extension are very rare, generally benign lesions that manifest by the compression of nearby structures. The presenting symptoms usually range from visual disturbances to an endocrine imbalance. Occasional extension into the cavernous sinus has been reported, which can cause cranial nerve compression. We present the case of a 69-year-old man presenting with facial pain and decreased libido. On investigation, a lesion was identified and the parasellar region was homogeneously hyper-intense on gadolinium-enhanced magnetic resonance imaging (MRI)...
November 30, 2018: Curēus
Vincent A Lizzio, Jacob Blanchett, Peter Borowsky, Jason E Meldau, Nikhil N Verma, Stephanie Muh, Vasilios Moutzouros, Eric C Makhni
Background: Pay-for-performance reimbursement models are becoming increasingly popular, but the implementation of a routine patient-reported outcome (PRO) collection system places additional burden on both the patient and the provider. The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed in an effort to make PRO collection more practical and efficient, but providers may be reluctant to embrace a transition to a PROMIS-based clinical outcome registry. Hypothesis: PROMIS can be successfully incorporated into daily clinical practice, with an overall patient compliance rate of 80%...
January 2019: Orthopaedic Journal of Sports Medicine
Dan G O'Neill, Aoife M O'Sullivan, Erin A Manson, David B Church, Paul D McGreevy, Amanda K Boag, Dave C Brodbelt
Canine dystocia is a relatively common veterinary presentation. First opinion emergency care clinical data from 50 Vets Now clinics across the UK were used to explore dystocia management and outcomes in bitches. Caesarean section (CS) was performed on 341/701 (48.6 per cent (95 per cent CI 44.9 to 52.4)) of dystocia cases. The bulldog (OR 7.60, 95 per cent CI 1.51 to 38.26, P=0.014), Border terrier (OR 4.89, 95 per cent CI 0.92 to 25.97, P=0.063) and golden retriever (OR 4.07, 95 per cent CI 0.97 to 17...
February 4, 2019: Veterinary Record
A L Corter, B Speller, F C Wright, M L Quan, N N Baxter
AIM: International guidelines highlight the importance of implementation supports and quality monitoring of multidisciplinary care for breast cancer. In Canada, Ontario has standards for formal multidisciplinary cancer conferences (MCCs), but other provinces/territories do not. This study aimed to stocktake MCCs for breast cancer in Canadian sites participating in the RUBY cohort study (Reducing the Burden of Breast Cancer in Young Women) to better understand variations in multidisciplinary care across Canada and to add to the international literature...
January 25, 2019: Breast: Official Journal of the European Society of Mastology
Kristen D Pitts, Alberto A Arteaga, Benjamin P Stevens, William C White, Dan Su, Christopher Spankovich, Gina D Jefferson, Lana L Jackson
OBJECTIVES: To understand measures of frailty among preoperative patients and explain how these can predict perioperative outcomes among patients with head and neck cancer. STUDY DESIGN: Retrospective cross-sectional case series with chart review. SETTING: Academic tertiary medical center. SUBJECTS AND METHODS: A retrospective review was performed of patients presenting to an academic hospital following a surgical procedure for a head and neck cancer diagnosis...
January 29, 2019: Otolaryngology—Head and Neck Surgery
Deeyar A Itayem, C Lane Anzalone, James R White, John F Pallanch, Erin K O'Brien
OBJECTIVE: To determine whether using image guidance technology with 3-dimensional image segmentation increases the endoscopic surgeon's accuracy, efficiency, and confidence in identifying the anterior ethmoidal artery. METHODS: This is a cross-sectional study of attending physicians and residents at an academic medical center. Because identification of the anterior ethmoidal artery during image-guided surgery can be challenging, we studied the effect of anterior ethmoidal artery image segmentation (ie, partitioning and coloring) on surgeon test performance...
January 29, 2019: Otolaryngology—Head and Neck Surgery
Shilpa Sharma, Manoj Joshi, Devendra K Gupta, Mohan Abraham, Praveen Mathur, J K Mahajan, A N Gangopadhyay, Simmi K Rattan, Ravindra Vora, G Raghavendra Prasad, N C Bhattacharya, Ram Samuj, K L N Rao, A K Basu
The need for successful management of posterior urethral valves always captivates the minds of pediatric surgeons. Its success, however, depends on several factors ranging from prenatal preservation of upper tracts to postoperative pharmacological compliance. Regardless of measures available, some cases do not respond and progress to end stage. The management depends on several issues ranging from age and severity at presentation to long-term follow-up and prevention of secondary renal damage and managing valve bladder syndrome...
January 2019: Journal of Indian Association of Pediatric Surgeons
Michael J Dan, James McMahon, William C H Parr, David Broe, Phil Lucas, Meryvn Cross, William R Walsh
Background: Patellar tendinopathy is an overuse condition often affecting athletes. It has been postulated that patellar tendinopathy is associated with patella alta; however, this and any other anatomic risk factors have not been identified. Purpose: To explore whether lever arm differences from radiographic measurements exist between patients with and without tendinopathy. This may provide surgeons with a simple radiographic means to identify patients at risk...
December 2018: Orthopaedic Journal of Sports Medicine
S Yarar-Schlickewei, K H Frosch, C Schlickewei
Nonunion of the scaphoid is a severe complication of often insufficiently treated scaphoid fractures or those which have been diagnosed too late. The treatment of scaphoid nonunion is challenging und should be performed by experienced hand surgeons. The anatomical shape, the retrograde blood supply and the biomechanics of the scaphoid complicate the healing process. A delayed union or nonunion of the fractured scaphoid leads to persistent pain, restricted mobility and degenerative changes of carpal bones and wrist...
January 7, 2019: Der Unfallchirurg
Syarifah N Al-Yahya, Rohaizak Muhammad, Shahrun N A Suhaimi, Mawaddah Azman, Abdullah S Mohamed, Marina M Baki
OBJECTIVES: Selective laryngeal examination for patients undergoing thyroidectomy is recommended for patients with voice alterations, history of prior cervical or chest surgery, and patients with proven or suspected thyroid malignancy. The study objective is to measure the sensitivity of surgeons in detecting voice abnormalities in patients undergoing thyroidectomy, parathyroidectomy complicated with laryngeal nerve paralysis, or patients with known vocal cords palsy (VCP) due to other neck surgeries...
January 3, 2019: Journal of Voice: Official Journal of the Voice Foundation
David C Ludwig, Thomas B Dodson, Shane D Morrison
With a growing number of individuals seeking gender-affirming surgery, there is a greater need for providers, including oral and maxillofacial surgeons, experienced in the surgical care of transgender people. The aim of this study was to evaluate oral and maxillofacial surgery (OMS) residents' exposure to the care of transgender people and their perceived importance of education in gender-affirming surgery. All 1,174 OMS residents in accredited U.S. training programs were invited to participate in this cross-sectional study between July 1, 2017, and January 30, 2018...
January 2019: Journal of Dental Education
Nikoletta Rapti, Dionysios Katsaounis, Georgios Rallis, Stella Ioannou, Dimosthenis Rammos, Dimitrios Filippou, Panagiotis Skandalakis
BACKROUND: Abdominal wall endometrioma is a rare condition, which usually develops in surgical scar of a Cesarean section (C-section) or of a hysterectomy. Scar endometriosis is a misdiagnosed condition in general surgery, since it mimics other surgical conditions. Diagnosis is mainly based upon a high index of suspicion. AIM: The purpose of this study is to highlight the characteristics of this rare pathology and assess the diagnostic algorithm and therapeutic options...
2018: Annali Italiani di Chirurgia
Joshua I Vincent, Joy C MacDermid, Graham J W King, Ruby Grewal, Emily Lalone
STUDY DESIGN: Systematic review. INTRODUCTION: The Patient-Rated Elbow Evaluation (PREE) and the self-report section of the American Shoulder and Elbow Surgeons-elbow form (pASES-e) are 2 patient-reported outcome measures (PROMs) commonly used to assess pain and disability arising from elbow disorders. PURPOSE OF THE STUDY: To systematically review and summarize the quality and content of the evidence that is available on the psychometric properties of the PREE and pASES-e...
December 23, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
M T Jesse, L Shkokani, A Eshelman, C De Reyck, M Abouljoud, J Lerut
Burnout (emotional exhaustion, depersonalization, and low personal accomplishment) is the enervation an individual experiences from a chronically taxing work environment. Little research has examined the demands of the sandwich generation (both children and older adults in the home) on burnout and marital satisfaction. METHODS: This is a cross-sectional survey of American and European transplant surgeons on the effects of sandwich generation-related demands on burnout and marital satisfaction, covarying for transplant surgeon age...
December 2018: Transplantation Proceedings
Joseph S Tramer, Mohsin S Fidai, Omar Kadri, Toufic R Jildeh, Zamaan Hooda, Eric C Makhni, Terrence Lock
Background: A proposed mechanism for recurrent instability following anterior cruciate ligament (ACL) reconstruction is failure of the anterolateral ligament (ALL). Presently, there are a number of approaches to treating ALL pathology. Purpose: To determine practice patterns among orthopaedic surgeons regarding ALL during ACL reconstruction. Study Design: Cross-sectional study. Methods: An online 7-question survey was sent to all physicians registered with the American Orthopaedic Society for Sports Medicine between June and July 2017...
December 2018: Orthopaedic Journal of Sports Medicine
Yarah M Haidar, Sartaaj Walia, Tjoson Tjoa, Edward C Kuan, Julie A Goddard
PURPOSE: In the field of head and neck microvascular surgery, there are currently no clear, universally accepted recommendations on the intraoperative, preoperative, and postoperative management of these patients. MATERIALS AND METHODS: A 23-question cross-sectional survey was distributed to otolaryngologists who perform microvascular reconstruction. Information about practice setting, fellowship training background, intraoperative practice, postoperative practice, and surgical complications were analyzed...
August 30, 2018: Journal of Cranio-maxillo-facial Surgery
S R Brown, N S Fearnhead, O D Faiz, J F Abercrombie, A G Acheson, R G Arnott, S K Clark, S Clifford, R J Davies, M M Davies, W J P Douie, M G Dunlop, J C Epstein, M D Evans, B D George, R J Guy, R Hargest, A B Hawthorne, J Hill, G W Hughes, J K Limdi, C A Maxwell-Armstrong, P R O'Connell, T D Pinkney, J Pipe, P M Sagar, B Singh, M Soop, H Terry, J Torkington, A Verjee, C J Walsh, J H Warusavitarne, A B Williams, G L Williams, R G Wilson
AIM: There is a requirement of an expansive and up to date review of surgical management of inflammatory bowel disease (IBD) that can dovetail with the medical guidelines produced by the British Society of Gastroenterology. METHODS: Surgeons who are members of the ACPGBI with a recognised interest in IBD were invited to contribute various sections of the guidelines. They were directed to produce a procedure based document using literature searches that were systematic, comprehensible, transparent and reproducible...
December 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Daniel C Cullinane, Randeep S Jawa, John J Como, Ashlee Moore, David S Morris, Jerry Cheriyan, Oscar D Guillamondegui, Stephanie R Goldberg, Laura Petrey, Gregory Schaefer, Kosar A Khwaja, Susan E Rowell, Ronald R Barbosa, Gary A Bass, George Kasotakis, Bryce Rh Robinson
BACKGROUND: The management of penetrating colon injuries in civilians has evolved over the last four decades. The objectives of this meta-analysis are to evaluate the current treatment regimens available for penetrating colon injuries and assess the role of anastomosis in damage control surgery to develop a practice management guideline for surgeons. METHODS: Using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology, a subcommittee of the Practice Management Guidelines section of EAST conducted a systematic review using MEDLINE and EMBASE articles from 1980 through 2017...
November 20, 2018: Journal of Trauma and Acute Care Surgery
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