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pre-op evaluation

Franca Natale, Ester Illiano, Alessandro Marchesi, Chiara La Penna, Elisabetta Costantini
OBJECTIVES: To assess subjective and objective outcomes in incontinent patients following 'out-in' TOT, at >10-year follow-up; to evaluate effect on QoL and other urinary symptoms, late adverse events and predictive factors for failure. METHODS: This single-centre prospective study evaluated women with 'complicated' or 'uncomplicated' stress urinary incontinence (SUI) following 'out-in' TOT between 2003-2007. The pre-op work-up comprised: history; pelvic examination; cough stress test; urodynamic study; UDI-6 and King's Health (KHQ) questionnaires...
March 16, 2019: Urology
Angela M Richardson, David J McCarthy, Jagteshwar Sandhu, Roxanne Mayrand, Christina Guerrero, Cathy Rosenberg, Joanna E Gernsback, Ricardo Komotar, Michael Ivan
BACKGROUND: Shorter hospital stays are associated with decreased complication rates, fewer hospital acquired infections, and lower costs. OBJECTIVE: To evaluate an optimized treatment paradigm for craniotomy patients, allowing for postoperative day one (POD1) discharge if criteria are met. Comparing complication and readmission rates between POD1 patients and those with longer stays, while examining patient and surgical variables for predictors of POD1 discharge...
March 9, 2019: World Neurosurgery
Lora Kahn, Mansour Mathkour, Shu Xian Lee, Edna E Gouveia, Joshua A Hanna, Juanita Garces, Tyler Scullen, Erin McCormack, Jonathan Riffle, Ryan Glynn, David Houghton, Georgia Lea, Erin E Biro, Cuong J Bui, Olawale A Sulaiman, Roger D Smith
OBJECTIVES: Deep brain stimulation (DBS) is the surgical treatment of choice for moderate to severe Parkinson's Disease (PD). However, few studies have assessed its efficacy in severe PD as defined by the modified Hoehn and Yahr scale (HY). This study evaluates long-term and medication outcomes of DBS in severe PD. PATIENTS AND METHODS: We retrospectively collected the data of 15 patients from 2008 to 2014 with severe PD treated with DBS. Retrospective assessment with the modified Hoehn and Yahr scale and motor subset of the Unified Parkinson's Disease Rating Scale (UPDRS III) were used to objectively track severity and motor function improvement, respectively...
April 2019: Clinical Neurology and Neurosurgery
M Hanus, M Handl, A Stančák, T Trč
PURPOSE OF THE STUDY The authors present the clinical use of the new instrumentation set for the anterior cruciate ligament (ACL) reconstruction using the hamstring tendons (HS). The positionning of the femoral tunnel and the fixation of the graft play an important role for the results of the surgery. The aim of the study was to confirm the proposed surgical technique and the methods of the graft fixation, especially from the point of view of the clinical midterm results at the evaluation up to eight years after the surgery...
2019: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Michael D Perloff, Simy K Parikh, Franchesca Fiorito-Torres, Matthew T McAdams, Melissa L Rayhill
BACKGROUND: Although lumbar punctures (LPs) are used for diagnostic evaluation in idiopathic intracranial hypertension (IIH), they can also provide relief from IIH-associated headache. Conversely, low-pressure headache secondary to LP can be debilitating. Low-volume cerebrospinal fluid (CSF) removal to a "high-normal" closing pressure (CP), approximately 18-20 cm H2O, may result in relief of IIH-associated headache with a lowered frequency of post-LP headache. METHODS: We conducted a single-center retrospective analysis from 2011 to 2016 of patients who underwent fluoroscopic LPs aiming for high-normal CPs...
February 18, 2019: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
Keng Meng Jeremy Goh, Ming Han Lincoln Liow, Sheng Xu, William Yeo, Zhixing Marcus Ling, Chee Cheong Reuben Soh, Seang Beng Tan, Chang Ming Guo
INTRODUCTION: Reduction in neuroforaminal height (FH) may diminish the indirect decompression benefit that lateral access surgery (LAS) provides. However, the relationship between postoperative FH reduction in LAS and health-related quality-of-life (HRQoL) outcomes remains unclear. OBJECTIVES: To determine whether FH reduction affects HRQoL outcomes at 2-year follow-up. METHODS: A retrospective review of 45 patients who underwent LAS for degenerative lumbar spine conditions was performed...
January 2019: Journal of Orthopaedic Surgery
Z J Xu, D F Yu, H Xu, G Z Zhou
Objective: To investigate the related risk factors for hemorrhagic transformation (HT) of cerebellar infarction after posterior fossa decompression surgery. Methods: A total of 91 patients with cerebellar infarction were treated by posterior fossa decompression surgery in Department of Neurosurgery of Jinhua Municipal Central Hospital from Jan 2010 to Jan 2018, were selected as study subjects. The HT group included 17 cases, while the Non-HT group included 74 cases. The clinical data of the two groups were analyzed retrospectively, the univariate and non-conditional lgistic regression analysis were performed to detect the relevant risk factors for hemorrhagic transformation of cerebellar infarction after posterior fossa decompression surgery...
January 29, 2019: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Carlo Dall'Oca, Stefano Breda, Nicholas Elena, Roberto Valentini, Elena Manuela Samaila, Bruno Magnan
BACKGROUND AND AIM OF THE WORK: Osteoarthritis will become even more common in the near future since the average life span is steadily growing. Pain and loss of function are the main complaints reported by patients, inevitably leading towards a worsened daily life performance. New modern techniques have been developed with advanced cell based therapies. Mesenchymal stem cells (MSC) have the inner ability to mature into different types of cells depending on the stimuli they undergo. This technique has already been proven successful in the knee and, with this retrospective study, we would like to assess its feasibility in the hip joint...
January 10, 2019: Acta Bio-medica: Atenei Parmensis
Gennaro Pipino, Salvatore Risitano, Francesco Alviano, Edward J Wu, Laura Bonsi, Davide Corrado Vaccarisi, Pier Francesco Indelli
Background: Osteochondral knee defects (OCD) are often symptomatic, causing pain and functional impairment even in young and active patients. Regenerative surgical options, aiming to stimulate natural cartilage healing, have been recently used as a first line treatment. In this study, a new hydrogel is investigated in its capacity to regenerate the ultra-structural quality of hyaline cartilage when combined with a classical microfracture technique. Material and methods: Forty-six patients, affected by grade III and IV knee chondropathies, were consecutively treated between 2013 and 2015 with microfractures followed by application of a modern hydrogel in the lesion site...
January 2019: Journal of Clinical Orthopaedics and Trauma
Arne Jaspers, Tim Op De Beéck, Michel S Brink, Wouter G P Frencken, Filip Staes, Jesse J Davis, Werner F Helsen
PURPOSE: The influence of preceding load and perceived wellness on the future perceived wellness of professional soccer players is unexamined. This paper simultaneously evaluates the external and internal load for different time frames in combination with pre-session wellness to predict future perceived wellness using machine learning techniques. METHODS: Training and match data were collected from a professional soccer team. The external load was measured using global positioning system technology and accelerometry...
January 31, 2019: International Journal of Sports Physiology and Performance
Kourosh Zarghooni, Roslind K Hackenberg, Gunnar Sander, Esther Mahabir
The C-reactive protein (CRP) is still the conventional marker used to diagnose implant-associated infections (IAI) after orthopaedic surgery. However, the CRP level can lead to misdiagnosis since it is up-regulated not only during bacterial infection. In this prospective study, we evaluated the serum cytokine profile before (pre-OP) and after orthopaedic surgery (post-OP) as well as after confirmation of a developed infection (COI) to identify candidate biomarkers for diagnosis of IAI. Sera from 10 controls 7 to 1 days pre-OP and 0 to 22 days post-OP as well as from 5 patients who developed IAI 5 to 1 days pre-OP, 0 to 197 days post-OP and after COI were analyzed for 27 different cytokines using a multiplex cytokine assay...
January 24, 2019: Cytokine
H A Sadeghi, S Sadeghi, B Ghadrdoost
Patients with valvular heart diseases may have more physiological lung derangements and therefore at current study we studied correlation of O2 challenge, A-AG tests and spirometry values of patients who underwent valve surgery on post op respiratory complications. METHOD: 180 adult patients undergoing non-emergency cardiac valvular surgery were studied. On operating room all patients had arterial blood gas profile (ABG) at room air, 20 minutes after putting on ventilator with 100% O2, and pump oxygenator...
July 2018: Current Health Sciences Journal
Tsia-Shu Lo, Sandy Chua, Tomy Wijaya, Chuan Chi Kao, Ma Clarissa Uy-Patrimonio
OBJECTIVE: Vesicovaginal fistulas (VVF) are consequences from obstetric and gynecologic surgery. Treatment approach from either abdominal or vaginal route have its own pros and cons. The study aims to present the anatomical, clinical and lower urinary tract symptom outcomes of women with VVF. MATERIALS AND METHODS: A retrospective case series conducted patients with VVF. Data regarding pre-operative evaluation, surgical treatment, and post-operative follow-ups were collected...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Ceren Golbasi, Cuneyt Eftal Taner, Hakan Golbasi
OBJECTIVE: We aimed to evaluate the long-term outcomes and quality of life of patients who underwent single incision minisling (SIMS) procedure. STUDY DESIGN: 62 patients who were diagnosed with stress urinary incontinence (SUI) and received treatment with SIMS procedure (Ophira, Promedon, Argentina) were included in the study. Mean age was 50.73 ± 9.28 years and mean follow-up duration after surgery was 30.68 ± 7.52 months. Preoperative urological and gynecological features of the patients were recorded...
January 6, 2019: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Abida Fida, Sadia Humayun, Iram Fatima, Imran Basit, Mazhar Ishaq, Fida Hussain
BACKGROUND: This study was conducted to evaluate the safety of accelerated corneal collagen crosslinking (CXL) in keratoconus patients on basis of endothelial cell density measurements. METHODS: We studied 24 patients (42 eyes) with diagnosed keratoconus who underwent accelerated CXL with 9 Mw/cm2 UVA irradiance for 10minutes. All patients underwent detailed examination and video keratography (VKG) for classification and confirmation of keratoconus. Patients with central corneal thickness (CCT) of ≥400μ were included in the study...
October 2018: Journal of Ayub Medical College, Abbottabad: JAMC
Dan Aravot, Yaron D Barac, Efrat Krutzwald-Josefson, Aaron M Allen, Dov Flex, Nir Peled, Mordechai R Kramer, Yuri Peysakhovich, Milton Saute
INTRODUCTION: Advanced non-small cell lung cancer (NSCLC) is still a therapeutic challenge as the 5-year survival is under 30%. The optimal treatment regimen is still under debate. HYPOTHESIS: Neo adjuvant (NA) treatment given pre-pneumonectomy does not increase surgical complexity or peri-OP mortality while it has a potential to increase long term survival. METHODS: We have conducted a retrospective study of 169 patients who underwent a pneumonectomy for NSCLC between January 2005 to December 2015 and focused on stage IIIa patients; a cohort of 51 patients, 30 which received neo adjuvant chemo-radiation (NA group) prior to pneumonectomy and 21 patients who had undergone pneumonectomy followed by adjuvant treatment (Adjuvant group)...
January 9, 2019: Journal of Cardiothoracic Surgery
Rahul Dwivedi, Ian Bruce Marsh
PURPOSE: To report the surgical outcomes of the superior oblique tuck procedure in the management of superior oblique palsies performed at a single centre over a 25-year period. METHODS: A retrospective study of superior oblique tuck performed as a primary and secondary procedure by a single surgeon over a 25-year period between 1992 and 2016. We evaluated patient demographics, the angle of deviation pre- and post-surgery in prism dioptres (PD), amount of muscle tuck surgery performed (mm), complications (iatrogenic Brown's Syndrome) and improvement of diplopia post-operatively...
December 20, 2018: Strabismus
Daniel Burguete, Ali A Mokdad, Mathew M Augustine, Rebecca Minter, John C Mansour, Michael A Choti, Patricio M Polanco
BACKGROUND: Predictive models for nonhome discharge (NHD) have been proposed in major surgical specialties. The rates and risk factors associated with NHD and prolonged length of stay (PLOS) after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) have not been evaluated. The aim of this study is to identify risk factors for NHD and PLOS after CRS/HIPEC in a national cohort of patients. MATERIALS AND METHODS: CRS/HIPEC cases were identified from the National Surgical Quality Improvement Program 2011-2012 data set...
January 2019: Journal of Surgical Research
Mohammadhossein Dadgarnia, Abbasali Rahmani, Mohammadhossein Baradaranfar, Saeid Atighechi, Vahid Zand, Mojtaba Meybodian, Mohammad Mandegari, Sedighe Vaziribozorg
INTRODUCTION: This study was attempted to investigate the relationship between radiologic and endoscopic findings and pre- and post-operative olfactory scores in chronic rhinosinusitis with nasal polyps. MATERIALS AND METHODS: In this study, 40 patients aged 19-64 years with chronic rhinosinusitis with nasal polyps (CRSwNP) undergoing endoscopic sinus surgery were involved. The patients' olfactory status was evaluated using Smell Identification Test (Iran SIT) before and 3 months after the surgery...
November 27, 2018: European Archives of Oto-rhino-laryngology
Daniela Linhares, Pedro Cacho Rodrigues, Manuel Ribeiro da Silva, Rui Matos, Vitorino Veludo, Rui Pinto, Nuno Neves
PURPOSE: To describe and analyze the use of the V-rod technique described by Gillet to repair spondylolysis in both early and late postoperative periods. METHODS: Patients submitted to surgical correction of lumbar spondylolysis with a V-rod system were selected upon exclusion of adjacent disk degenerative changes and high-grade spondylolisthesis. A preoperative clinical (ODI and VAS) and radiological evaluation was performed, along with assessments on the early (clinical evaluation-up to 1 year) and late (clinical and radiological-at least 10 years) postoperative periods...
November 26, 2018: European Spine Journal
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