keyword
https://read.qxmd.com/read/38522869/from-surgical-to-total-transcatheter-stage-i-palliation-exploring-evidence-and-perspectives
#21
REVIEW
Rodrigo Zea-Vera, Francesca Sperotto, Pirooz Eghtesady, Nicola Maschietto
Neonates with single ventricle physiology and ductal-dependent systemic circulation, such as those with hypoplastic left heart syndrome, undergo palliation in the first days of life. Over the past decades, variations on the traditional Stage 1 palliation, also known as Norwood operation, have emerged. These include the hybrid palliation and the total transcatheter approach. Here, we review the current evidence and data on different Stage 1 approaches, with a focus on their advantages, challenges, and future perspectives...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38521927/spontaneous-tumor-lysis-syndrome-stls-during-biopsy-for-burkitt-lymphoma-a-case-report
#22
JOURNAL ARTICLE
Sirui Pan, Qiyang Shen, Jianfeng Zhou, Tao Li
BACKGROUND: Tumor lysis syndrome (TLS) is a hematologic oncological emergency characterized by metabolic and electrolyte imbalances. On breakdown of tumor cells, enormous amounts of potassium, phosphate, and nucleic acids are released into systemic circulation. TLS mainly occurs during chemotherapy. However, there are rare incidences of spontaneous tumor lysis syndrome (STLS) prior to commencement of therapy. CASE PRESENTATION: In the case being reported, the child had just undergone a biopsy...
March 23, 2024: BMC Pediatrics
https://read.qxmd.com/read/38520890/massive-intracerebral-hemorrhage-following-methamphetamine-poisoning-in-a-man-a-case-report
#23
Elham Sadat Banimostafavi, Amirmasoud Taheri, Abdollah Malakian, Zakaria Zakariaei
INTRODUCTION AND IMPORTANCE: Methamphetamine (MAP) is a highly addictive stimulant known to have detrimental effects on the brain and various physiological systems, including an elevation in heart rate and blood pressure. Additionally, MAP use has been linked to the development of intracerebral hemorrhage (ICH), a serious and potentially fatal condition that is notably prevalent among young individuals. CASE PRESENTATION: We present the case of a 42-year-old man who suffered a massive ICH due to hypertension resulting from MAP poisoning...
March 14, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38520294/risk-prediction-and-analysis-of-gallbladder-polyps-with-deep-neural-network
#24
JOURNAL ARTICLE
Kerong Yuan, Xiaofeng Zhang, Qian Yang, Xuesong Deng, Zhe Deng, Xiangyun Liao, Weixin Si
The aim of this study is to analyze the risk factors associated with the development of adenomatous and malignant polyps in the gallbladder. Adenomatous polyps of the gallbladder are considered precancerous and have a high likelihood of progressing into malignancy. Preoperatively, distinguishing between benign gallbladder polyps, adenomatous polyps, and malignant polyps is challenging. Therefore, the objective is to develop a neural network model that utilizes these risk factors to accurately predict the nature of polyps...
December 2024: Computer Assisted Surgery (Abingdon, England)
https://read.qxmd.com/read/38519406/risk-factors-patterns-and-outcome-predictors-of-late-recurrence-in-patients-with-hepatocellular-carcinoma-after-curative-resection-a-large-cohort-study-with-long-term-follow-up-results
#25
JOURNAL ARTICLE
Chih-Yang Hsiao, Cheng-Maw Ho, Ming-Chih Ho, Hou-Ying Cheng, Yao-Ming Wu, Po-Huang Lee, Rey-Heng Hu
BACKGROUND: Late recurrence of hepatocellular carcinoma after curative resection significantly influences long-term patient survival outcomes, and yet it remains understudied. This study aims to explore the risk factors and patterns of late recurrence and predictors of subsequent outcome. METHODS: This single-center retrospective study analyzed 1,701 consecutive patients who achieved a disease-free survival period exceeding 2 years after curative resection for hepatocellular carcinoma between 2001 and 2018...
March 21, 2024: Surgery
https://read.qxmd.com/read/38518460/gallstone-ileus-an-unusual-complication-of-cholelithiasis-in-a-42-year-old-female-with-no-comorbidities
#26
Khalil Abuzaina, Sulaiman Fakhouri, Zahra I H Makhamre, Wala' K A Alzatari, Merna A B Hazaza, Leen N Y Jawabreh
INTRODUCTION AND IMPORTANCE: Gallstone ileus is a rare condition, accounting for 0.5 % of mechanical small bowel obstructions. It is a misnomer for mechanical intestinal obstruction caused by one or more gallstones impacted within the gastrointestinal tract lumen, which occurs mostly in the elderly and female population. Treated usually by operative enterolithotomy. Preoperative diagnosis is challenging, but CT, which is investigation of choice, and magnetic resonance imaging (MRI) have made it easier to diagnose...
March 19, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38515943/current-landscape-of-preoperative-neoadjuvant-therapies-for-initial-resectable-colorectal-cancer-liver-metastasis
#27
REVIEW
Xiao-Fei Cheng, Feng Zhao, Dong Chen, Fan-Long Liu
Colorectal cancer liver metastasis (CRLM) presents a clinical challenge, and optimizing treatment strategies is crucial for improving patient outcomes. Surgical resection, a key element in achieving prolonged survival, is often linked to a heightened risk of recurrence. Acknowledging the potential benefits of preoperative neoadjuvant chemotherapy in managing resectable liver metastases, this approach has gained attention for its role in tumor downsizing, assessing biological behavior, and reducing the risk of postoperative recurrence...
February 21, 2024: World Journal of Gastroenterology: WJG
https://read.qxmd.com/read/38515195/clinicopathological-features-and-surgical-procedures-of-adnexal-masses-with-abdominal-pain-in-pediatric-and-adolescent-patients
#28
JOURNAL ARTICLE
Qian Liu, Zhiqiang Li, Huimei Zhou, Dongyan Cao, Jiaxin Yang, Keng Shen, Jinghe Lang
PURPOSE: This study investigated the clinicopathological features and surgical procedures of adnexal masses with abdominal pain in pediatric and adolescent patients. Our objective was to better define the clinical presentation of adnexal torsion and to distinguish characteristics of those with torsion and those with an alternate diagnosis. METHODS: Retrospective cohort study of 212 pediatric and adolescent patients was performed who admitted for abdominal pain and presenting with an adnexal mass between March 2012 to December 2019...
March 21, 2024: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/38515141/textbook-outcome-in-urgent-early-cholecystectomy-for-acute-calculous-cholecystitis-results-post-hoc-of-the-s-p-ri-m-a-c-c-study
#29
JOURNAL ARTICLE
Paola Fugazzola, Silvia Carbonell-Morote, Lorenzo Cobianchi, Federico Coccolini, Juan Jesús Rubio-García, Massimo Sartelli, Walter Biffl, Fausto Catena, Luca Ansaloni, Jose Manuel Ramia
INTRODUCTION: A textbook outcome patient is one in which the operative course passes uneventful, without complications, readmission or mortality. There is a lack of publications in terms of TO on acute cholecystitis. OBJETIVE: The objective of this study is to analyze the achievement of TO in patients with urgent early cholecystectomy (UEC) for Acute Cholecystitis. and to identify which factors are related to achieving TO. MATERIALS AND METHODS: This is a post hoc study of the SPRiMACC study...
March 21, 2024: World Journal of Emergency Surgery: WJES
https://read.qxmd.com/read/38513797/initial-experience-with-the-ambulatory-management-of-acute-iliofemoral-deep-vein-thrombosis-with-may-thurner-syndrome-with-percutaneous-mechanical-thrombectomy-angioplasty-and-stenting
#30
JOURNAL ARTICLE
Daniel Nguyen, Scott S Berman, Joshua A Balderman, Joseph E Sabat, Bernardo Mendoza, Luis R Leon, John P Pacanowski, Cody Kraemer
OBJECTIVE: Patients undergoing intervention for acute iliofemoral deep vein thrombosis (IFDVT) with May-Thurner syndrome (MTS) typically require inpatient (IP) hospitalization for initial treatment with anticoagulation and management with pharmacomechanical thrombectomy. Direct anticoagulants (DOACs) and percutaneous mechanical thrombectomy (PMT) devices offer the opportunity for outpatient (OP) management. Our approach with these patients is described in this report. METHODS: Patients receiving intervention for acute IFDVT from January 2020 through October 2022 were retrospectively reviewed...
March 19, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38513344/long-term-outcomes-and-future-challenges-in-face-transplantation
#31
REVIEW
Annachiara Cavaliere, Umberto Rega, Sebastiano Grimaldi, Giuseppe Esposito, Rosita Pensato, Francesco D'Andrea, Benedetto Longo, Edoardo Coiante, Barbara Hersant, Jean Paul Meningaud, Simone La Padula
Face transplant (FT) has emerged as a groundbreaking option for patients with severe facial deformities, resulting from congenital disorders, trauma, or tumor ablation. Although reconstructive surgery has made significant strides, the challenges of restoring both form and function remain, particularly in centrally located defects. This review explored the long-term outcomes of FT, addressing its challenges and potential pitfalls. A systematic review following the PRISMA guidelines was conducted, encompassing articles published in English from November 2005 to January 2023, which were searched across PubMed, MEDLINE, and EMBASE databases...
February 29, 2024: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/38513265/protocolized-care-pathways-in-emergency-general-surgery-a-systematic-review-and-meta-analysis
#32
JOURNAL ARTICLE
Deena P Harji, Ben Griffiths, Deborah Stocken, Rupert Pearse, Jane Blazeby, Julia M Brown
BACKGROUND: Emergency abdominal surgery is associated with significant postoperative morbidity and mortality. The delivery of standardized pathways in this setting may have the potential to transform clinical care and improve patient outcomes. METHODS: The OVID SP versions of MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials were searched between January 1950 and October 2022. All randomized and non-randomized cohort studies comparing protocolized care streams with standard care protocols in adult patients (>18 years old) undergoing major emergency abdominal surgery with 30-day follow-up data were included...
March 2, 2024: British Journal of Surgery
https://read.qxmd.com/read/38513092/are-quality-scores-in-the-centers-for-medicaid-and-medicare-services-merit-based-incentive-payment-system-associated-with-outcomes-after-outpatient-orthopaedic-surgery
#33
JOURNAL ARTICLE
Derek T Schloemann, Danielle M Wilbur, Paul T Rubery, Caroline P Thirukumaran
BACKGROUND: The Medicare Merit-based Incentive Payment System (MIPS) ties reimbursement incentives to clinician performance to improve healthcare quality. It is unclear whether the MIPS quality score can accurately distinguish between high-performing and low-performing clinicians. QUESTIONS/PURPOSES: (1) What were the rates of unplanned hospital visits (emergency department visits, observation stays, or unplanned admissions) within 7, 30, and 90 days of outpatient orthopaedic surgery among Medicare beneficiaries? (2) Was there any association of MIPS quality scores with the risk of an unplanned hospital visit (emergency department visits, observation stays, or unplanned admissions)? METHODS: Between January 2018 and December 2019, a total of 605,946 outpatient orthopaedic surgeries were performed in New York State according to the New York Statewide Planning and Research Cooperative System database...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38512630/ct-prognostic-signs-of-postoperative-complications-in-emergency-surgery-for-acute-obstructive-colonic-cancer
#34
JOURNAL ARTICLE
Filomena Pezzullo, Rosita Comune, Raffaelle D'Avino, Ylenia Mandato, Carlo Liguori, Giulia Lassandro, Fabio Tamburro, Michele Galluzzo, Mariano Scaglione, Stefania Tamburrini
PURPOSE: To identify CT prognostic signs of poor outcomes in acute obstructive colonic cancer (AOCC). METHODS: Demographic, clinical, laboratory, radiological and surgical data of 65 consecutive patients with AOCC who underwent emergency surgery were analyzed. CT exams were reviewed to assess diameters of cecum, ascending, transverse, descending, and sigmoid proximal to the tumor; colon segments' CD/L1-VD ratios, continence of the ileocecal valve, small bowel overdistension, presence of small bowel feces sign and cecal pneumatosis...
March 21, 2024: La Radiologia Medica
https://read.qxmd.com/read/38511957/adverse-effects-of-deep-brain-stimulation-for-treatment-resistant-depression-a-scoping-review
#35
JOURNAL ARTICLE
Jorge D S Lapa, Joel F S Duarte, Ana Carolina P Campos, Benjamin Davidson, Sean M Nestor, Jennifer S Rabin, Peter Giacobbe, Nir Lipsman, Clement Hamani
Deep brain stimulation (DBS) is an emerging therapy for treatment-resistant depression (TRD). Although adverse effects have been reported in early-phase and a few randomized clinical trials, little is known about its overall safety profile, which has been assumed to be similar to that of DBS for movement disorders. The objective of this study was to pool existing safety data on DBS for TRD. Following PRISMA guidelines, PubMed was searched for English articles describing adverse outcomes after DBS for TRD. Studies were included if they reported at least 5 patients with a minimal follow-up of 6 months...
March 21, 2024: Neurosurgery
https://read.qxmd.com/read/38511023/understanding-the-rising-breast-cancer-among-young-women-biological-insights-projections-and-an-opportunity-window-leading-up-to-2040
#36
JOURNAL ARTICLE
Rakesh Kumar
Breast cancer is the most common cancer affecting women globally, with an increasing incidence of breast cancer in young women in India and worldwide. Despite medical advancements, the lifetime risk of developing breast cancer is still high. The emergence of breast cancer in young women is now acknowledged as a distinct entity characterized by unique clinical and biological features and an overall poor prognosis. This article discusses the changing landscape of breast cancer in young women in India and globally, potential examples of the underlying reasons, and possible strategies to start reversing the current upward trend...
March 2024: Indian Journal of Surgical Oncology
https://read.qxmd.com/read/38510622/single-and-multilevel-corpectomy-and-vertebral-body-replacement-for-treatment-of-spinal-infections-a-retrospective-single-center-study-of-100-cases
#37
JOURNAL ARTICLE
J Neuhoff, O Berkulian, A Kramer, S Thavarajasingam, A Wengert, P Schleicher, A Pingel, F Kandziora
BACKGROUND: The optimal operative approach for treating spinal infections remains a subject of debate. Corpectomy and Vertebral Body Replacement (VBR) have emerged as common modalities, yet data on their feasibility and complication profiles are limited. METHODS: This retrospective single-center study examined 100 consecutive cases (2015-2022) that underwent VBR for spinal infection treatment. A comparison between Single-level-VBR and Multi-level-VBR was performed, evaluating patient profiles, revision rates, and outcomes...
2024: Brain Spine
https://read.qxmd.com/read/38510532/electric-scooter-related-orthopedic-injuries-the-experience-of-an-italian-orthopedic-center-and-literature-review
#38
JOURNAL ARTICLE
Francesco Luceri, Valerio Monteleone, Pietro Simone Randelli
BACKGROUND: With the increasing prevalence of electric scooters, a concomitant increase in the number of specific injuries, emergency department (ED) admissions and hospital admissions have been reported. OBJECTIVES: Analyze patient flow changes in the ED with a focus on e-scooter-related injuries through a case series and a comparison with the contemporary literature. DATA SOURCES: A systematic literature review was performed on Medline/PubMed and Embase using terms related to the topic...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38509817/cardiovascular-disease-healthcare-trajectories-descriptions-similarities-mortality-rates-of-heart-failure-in-france
#39
JOURNAL ARTICLE
Camille Nevoret, Yohann Tran, Soulef Guendouz, Audrey Lavenu, Sandrine Katsahian, Thibaud Damy, Anne-Isabelle Tropeano
AIMS: The primary objectives of this study were to analyse the nationwide healthcare trajectories of heart failure (HF) patients in France, 2 years after their first hospitalization, and to measure sequence similarities. Secondary objectives were to identify the association between trajectories and the risk of mortality. METHODS AND RESULTS: A retrospective, observational study was conducted using data extracted from the Echantillon Généraliste des Bénéficiaires database, covering the period from 1 January 2008 to 31 December 2018...
March 21, 2024: ESC Heart Failure
https://read.qxmd.com/read/38508983/the-economic-and-resource-burden-of-e-scooter-related-orthopaedic-injuries-a-district-general-hospital-s-experience
#40
JOURNAL ARTICLE
M Antonik, S Sankar, J Shepherd, S Hassan
PURPOSE: Electric scooters (e-scooters) are an increasingly popular method of transportation worldwide. However, there are concerns regarding their safety, specifically with regards to orthopaedic injuries. We aimed to investigate the overall burden and financial impact on orthopaedic services as a result of e-scooter-related orthopaedic injuries. METHODS: We retrospectively identified all e-scooter-related injuries requiring orthopaedic admission or surgical intervention in a large District General Hospital in England over a 16-month period between September 2020 and December 2021...
March 11, 2024: Injury
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