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Military surgery

M Qi, H J Chen, C Xu, W Yuan
Objective: To investigate the clinical application value of using laminoplasty combine with short-segment pedicle screw fixation in the treatment of cervical spine trauma patients with ossification of posterior longitudinal ligament (OPLL). Methods: Fifty-four cervical spine trauma patients with OPLL from June 2014 to June 2016 were retrospectively analyzed of Department of Spine Surgery, Changzheng Hospital, Naval Military Medical University. There were 31 males and 23 females, aging (68.4±4.3) years (rang: 46 to 82 years)...
March 1, 2019: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Matthew Alan Pieper, Mark J Vonderharr, Tristan L Knutson, James L Sullivan, Chris G Allison, Zachary Englert
The military conflicts of the past 17 years have taught us many lessons, including the evolution of the tiered trauma system with en route resuscitation. The evolution of the conflict has begun to limit the reach of this standard trauma system. Recent evidence suggests that 95% of early deaths resulting from traumatic injuries may be prevented if the patient can undergo damage control surgery within 23 minutes of injury. US Military Surgical Resuscitation Teams have been developed to shorten this time from injury to surgical care, as illustrated by this case report...
2019: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
Markos Nikolopoulos, Zoi Pallantza, Maria Dalamaga
Xenophon J Contiades was born in Marseille in 1903. After a brilliant career as a surgeon and Chef de Clinique in Paris receiving numerous awards and publishing more than 100 manuscripts, Contiades returned to Greece to become Professor of Surgery at the University of Athens being appointed as Director of the Surgery Clinic at the "Hippokration" General Hospital of Athens. At the beginning of the Second World War, Professor Contiades exhorted his students to defend their country. He concluded his final lecture by saying: "Gentlemen, you know what happened to our homeland...
March 11, 2019: Journal of Medical Biography
Brice Malgras, Olivier Aoun, Ghislain Pauleau, Guillaume Boddaert, Emmanuel Hornez, Renaud Dulou, Jean-Marc Delmas, Pierre Haen, Sophie Laversanne, Anna Crambert, Paul Balandraud
INTRODUCTION: The military operations carried out by the French armed forces, occasionally require the use of the Surgical Life-saving Module (SLM), to ensure the surgical support of its soldiers. Due to its extreme mobility and capacity of fast deployment, SLM is particularly useful in small-scale military operations, such as Special Forces missions. In 2017, the French SLM was for the first time used to ensure surgical support of allied forces, which were lacking forward surgical capabilities...
March 4, 2019: Injury
Thomas Weiss, Peter Zhu, Hannah White, Matthew Posner, J Kenneth Wickiser, Michael A Washington, Jason Barnhill
Lyme disease is a continuing threat to military personnel operating in arboriferous and mountainous environments. Here we present the case of a 24-year-old Second Lieutenant, a recent graduate from the United States Military Academy, with a history of Lyme disease who developed recurrent knee effusions following surgery to correct a hip impingement. Although gonococcal arthritis was initially suspected from preliminary laboratory results, a comprehensive evaluation contradicted this diagnosis. Despite antibiotic therapy, aspiration of the effusions, and steroid treatment to control inflammation, the condition of the patient deteriorated to the point where he was found to be unfit for duty and subsequently discharged from active military service...
March 6, 2019: Military Medicine
Syeda Rifaat Qamar Naqvi, Syeda Saima Qamar Naqvi, Muhammad Misbah Rashid, Irfan Ali Sheikh, Muhammad Ali, Abu Ul Ala Nafees
Background: A range of surgical options from banding to open haemorrhoidectomy are available for the treatment of haemorrhoids. Haemorrhoidal artery ligation operation (HALO) with or without Doppler guidance is a newer option with claims of having better efficacy. We aimed to study the efficacy of HALO without Doppler guidance in terms of presence of postoperative complications including pain, bleeding, prolapse and overall patient satisfaction. Methods: This interventional study was conducted in the Department of Surgery Combined Military Hospital Rawalpindi, from 1st September 2013 to 31st July 2015...
October 2018: Journal of Ayub Medical College, Abbottabad: JAMC
Sean E Slaven, John T Richards, Sean M Wade, Sameer K Saxena, Alan T Vanier, John P Cody
INTRODUCTION: Prior to being largely abandoned due to unacceptably high failure rates and the adverse physiologic reactions to metal ions, metal-on-metal (MoM) total hip arthroplasty (THA) and hip resurfacing (HR) were in widespread use throughout the USA, and the potential benefit of decreased volumetric wear rates made it of particular interest to those who serve a young active population, such as military surgeons. The aim of our study was to determine the revision rate of metal on metal hip implants performed at our military institution and obtain current patient reported outcomes from this cohort...
February 27, 2019: Military Medicine
Kimberly Spahn, Marilynn P Wyatt, Julianne M Stewart, Brittney N Mazzone, Adam J Yoder, Kevin M Kuhn
BACKGROUND: Surgical attempts at lower limb preservation after trauma may be complicated by pain and gait disturbances, which can impact the activity level of a military service member. It is unclear how later transtibial amputation (TTA) might affect patients who elect this option after attempts at limb preservation. QUESTIONS/PURPOSES: The purposes of the study were to compare preamputation and postamputation (1) the numeric rating scale for pain and pain medication use; (2) self-reported activity level, Four Square Step Test (FSST) results, and assistive device use; and (3) spatiotemporal variables measured with instrumented gait analysis in individuals who elected TTA after multiple attempts at limb preservation...
August 30, 2018: Clinical Orthopaedics and related Research
Yao-Fa Lin, Zheng Xie, Jun Zhou, Hui-Hao Chen, Wan-Wan Shao, Hao-Dong Lin
Polyethylene glycol can connect the distal and proximal ends of an injured nerve at the cellular level through axonal fusion to avoid Wallerian degeneration of the injured distal nerve and promote peripheral nerve regeneration. However, this method can only prevent Wallerian degeneration in 10% of axons because the cytoskeleton is not repaired in a timely fashion. Reconstruction of the cytoskeletal trunk and microtubule network has been suggested to be the key for improving the efficiency of axonal fusion. As a microtubule-severing protein, spastin has been used to enhance cytoskeletal reconstruction...
July 2019: Neural Regeneration Research
Feng Qian, Qian Chen, Junyan Liu, Junyan Fan, Chuan Li, Jiajia Liu
OBJECTIVE: To explore the feasibility and safety of robotic surgical system for radical gastrectomy after liver transplantation. METHODS: A 65-year-old male patient with gastric cancer after liver transplantation underwent radical distal subtotal gastrectomy using Da Vinci surgical system at the General Surgery Department of Southwest Hospital Affiliated to the Army Military Medical University on October 23,2018. The placement of Trocars was arranged using five-hole method...
February 25, 2019: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
M Y Rong, C Y Jia
Objective: To explore the characteristics of patients with tuberculous wounds and non-tuberculous chronic refractory wounds in single center. Methods: From January 2010 to June 2017, 43 patients with tuberculous wounds and 44 patients with non-tuberculous chronic refractory wounds admitted to the Department of Burns and Plastic Surgery of the Eighth Medical Center of the General Hospital of the Chinese People's Liberation Army were conforming to the inclusion criteria. The patients were assigned to tuberculous wound group and non-tuberculous wound group, respectively, and their clinical records were retrospectively analyzed...
February 20, 2019: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
Mansoor Khan
The UK military commitment to United Nations operations has led to a new challenge in identifying and developing skill sets required for humanitarian operations. The last two decades have concentrated on kinetic operations, with haemorrhage control being the main driver. The austere location and prolonged evacuation timelines have led to identifying management strategies of conditions that would previously have been evacuated to higher echelons of care. The Defence Medical Services have a multifaceted approach to training military personnel for operations, varying from regular exposure to high-acuity trauma and general surgery within their host NHS Trust, to validated training platforms that evolve continually to address the training needs demanded by differing fields of conflict...
February 20, 2019: Journal of the Royal Army Medical Corps
Zhao-Wen Zong, Hao Qin, Si-Xu Chen, Jia-Zhi Yang, Lei Yang, Lin Zhang, Wen-Qiong Du, Xin Zhong, Ren-Jie Zhou, Dan Tan, Hao Wu
The battlefield treatments of spinal and spinal cord injury vary from civilian settings. However, there is no unified battlefield treatment guidelines for spine trauma in PLA. An expert consensus is reached, based on spine trauma epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since the specialized treatment for spine trauma are no significant difference between civilian settings and modern war, the first aid, emergency treatment and early treatment of spine trauma are introduced separately in three levels in this consensus...
February 20, 2019: Military Medical Research
Liang Qu, Shunnan Ge, Nan Li, Wei Wang, Kaijun Yang, Ping Wu, Xuelian Wang, Jie Shi
INTRODUCTION: Deep brain stimulation (DBS) is a new potential surgical treatment for opioid dependence. However, the implement of DBS treatment in addicted patients is currently controversial due to the significant associated risks. The aim of this study was mainly to investigate the therapeutic efficacy and safety of bilateral DBS of nucleus accumbens and the anterior limb of the internal capsule (NAc/ALIC-DBS) in patients with refractory opioid dependence (ROD). METHODS AND ANALYSIS: 60 patients with ROD will be enrolled in this multicentre, prospective, double-blinded study, and will be followed up for 25 weeks (6 months) after surgery...
February 13, 2019: BMJ Open
Evangelos N Symeonidis, Chrysovalantis Gkekas, Ioannis Tsifountoudis, Asterios Symeonidis, Christos Georgiadis, Vasileios Kalyvas, Apostolos Malioris, Michail Papathanasiou
BACKGROUND: Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal vesicle cysts, ejaculatory duct obstruction and renal agenesis. Patients can be either asymptomatic or symptomatic. Recently, minimally invasive surgical techniques have emerged, superseding traditional surgery for select symptomatic cases. Our case highlights the finding of a rare clinical syndrome that was incidentally detected during a routine mass screening of military recruits in the Greek Armed Forces...
February 14, 2019: Military Medical Research
William W Chang, Devon N Hawkins, Joel R Brockmeyer, Byron J Faler, Samuel W Hoppe, Balakrishna M Prasad
BACKGROUND: Bariatric surgery provides sustained weight loss and improves comorbidities. However, long term data has shown that patients gradually regain weight after 1 year. Several factors have been associated with poor weight loss after bariatric surgery. OBJECTIVE: Our goal is to investigate factors associated with poor weight loss following laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). SETTING: Military academic medical center...
January 9, 2019: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
John Synovec, K Aaron Shaw, Ivan J Antosh, Jason Grassbaugh, Christopher J Tucker, Stephen A Parada, Edward Arrington
Introduction: The subject of anterior cruciate ligament reconstruction (ACLR) contains a large volume of research but very little consensus for ideal surgical technique, graft implementation, and fixation strategy for improved clinical outcome. Previous studies have assessed surgeon preferences for ACLR in civilian populations, but no study to date has examined ACLR trends in military surgeons caring for a unique, high functional demand population. Materials and Methods: A 20 question survey was distributed to all members of the Society of Military Orthopaedic Surgeons (SOMOS) practicing orthopedic surgery at an Army medical treatment facility...
January 1, 2019: Military Medicine
William A Robinson, Mario Hevesi, Bayard C Carlson, Spencer Schulte, Joseph L Petfield, Brett A Freedman
Introduction: Back pain related to spinal degenerative disease is one of the most common causes of missed duty days and medical separation for active service members. While the topic of operative versus non-operative treatment of degenerative spine conditions in active military personnel has received more and much needed attention in the last few years, there remains a paucity of data examining the expanded demographics and clinical findings of those undergoing spinal fusion in which validated outcome measures are used to assess post-operative results...
January 1, 2019: Military Medicine
Andrew G Chan, Kelly G Kilcoyne, Stephen Chan, Jonathan F Dickens, Brian R Waterman
BACKGROUND: The Instability Severity Index (ISI) score is a preoperative risk stratification tool used to identify patients at heightened risk of recurrent anterior instability after an arthroscopic Bankart procedure. The primary objective of this study was to validate the utility of the ISI score in predicting failure of primary arthroscopic Bankart surgery in an active-duty military population. METHODS: A retrospective study was performed to compare all military service members undergoing primary arthroscopic Bankart repairs at a single military treatment facility between 2007 and 2014...
January 23, 2019: Journal of Shoulder and Elbow Surgery
D Penchev, G Kotashev, V Mutafchiyski
BACKGROUND: Primary or incisional ventral hernia repair is one of the most common surgical procedures, addressed to general surgeons. The enhanced view-totally extraperitoneal technique (eTEP) was first described by Deas for inguinal hernias, but lately it has been applied to ventral hernias by Belyansky et al. So far, results are promising and data about the procedure are rising. METHODS: Retrospective comparative analysis of 27 recruited eTEP procedures and 27 IPOM operations for the period between April 2017 and June 2018 at the department of Endoscopic surgery of Military Medical Academy, Sofia...
January 24, 2019: Surgical Endoscopy
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