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Surgical Removal

Goichiro Tamura, Takayuki Inagaki
INTRODUCTION: Spontaneous parenchymal hemorrhage of term neonates is usually asymptomatic and does not require surgical intervention. However, there is no consensus on the management of cases with severe life-threatening symptoms, including repeated apnea, respiratory failure with severe cyanosis, severe bradycardia, or uncontrolled seizures. CASES: Our medical records of term neonates with intracranial hemorrhage who underwent surgical intervention were retrospectively reviewed...
March 16, 2019: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Willem-Maarten P F Bosman, Benjamin L Emmink, Abhiram R Bhashyam, R Marijn Houwert, Jort Keizer
PURPOSE: Olecranon fractures are common and typically require surgical fixation due to displacement generated by the pull of the triceps muscle. The most common techniques for repairing olecranon fractures are tension-band wiring or plate fixation, but these methods are associated with high rates of implant-related soft-tissue irritation. Another treatment option is fixation with an intramedullary screw, but less is known about surgical results using this strategy. Thus, the purpose of this study was to report the clinical and functional outcomes of olecranon fractures treated with an intramedullary cannulated screw...
March 16, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Beatriz Sainz de Baranda, Francisco-Javier Silvestre, Javier Silvestre-Rangil
PURPOSE: To determine whether the Pederson scale is a good predictor of the surgical difficulty of third molar extraction and establish whether such surgical difficulty is directly related to the postoperative course as assessed from clinical (pain, inflammation, and trismus) and blood (C-reactive protein, interleukin-6 [IL-6], and fibrinogen) parameters. MATERIALS AND METHODS: A prospective observational study was conducted of 2 groups of patients who underwent simple or surgical third molar extraction under local anesthesia...
February 20, 2019: Journal of Oral and Maxillofacial Surgery
William A Byrd, Joseph J Kavolus, Colin T Penrose, Samuel S Wellman
BACKGROUND: There are numerous studies in the literature that have recognized the importance of the glove-gown interface as a potential source of intraoperative bacterial contamination. It has been demonstrated that the methods with which one dons their surgical gown and gloves can alter the level of gown contamination. We hypothesize that donning undergloves before the surgical gown will decrease if not eliminate sleeve contamination. METHODS: We performed a comparative study to assess the differences in gown contamination between three different gown and glove donning techniques...
January 16, 2019: Journal of Arthroplasty
Chakapan Promsopa, Usaporn Prapaisit
BACKGROUND: Lodgment of a bullet within the orbit is uncommon. The decision to remove these objects poses a challenge to surgeons due to a high risk of complications. Currently, endoscopic transnasal surgery with navigator assistance facilitates the localization of foreign bodies allowing their safe removal with minimal surrounding tissue damage or optic nerve injury. CASE PRESENTATION: We describe a case of a 26-year-old Thai woman with a chronic intraorbital foreign body located within her medial intraconal space...
March 17, 2019: Journal of Medical Case Reports
Samar M Alsaleh, Angelica I Aviles-Rivero, James K Hahn
Minimally invasive surgical and diagnostic systems are commonly used in clinical practices. However, the accuracy and robustness of these systems depend heavily on computer based processes such as tracking, detecting or segmenting clinically meaningful regions of interest, which are significantly affected by the inherent specular reflections that appear on the organs' surfaces. Restoration of the acquired data for clinical purposes still presents challenges because of the high texture and color variations across the image...
March 4, 2019: Computerized Medical Imaging and Graphics: the Official Journal of the Computerized Medical Imaging Society
Xiaowei Peng, Zan Li, Hui Li, Wen Peng, Xiao Zhou, Dajiang Song, Bo Zhou, Chunliu Lv
BACKGROUND: Transoral endoscopic thyroidectomy vestibular approach is the natural orifice surgery to avoid surgical scars. However, mental nerve injury is a characteristic complication. Herein, we report the development of a novel method to dissect the mental nerve proactively during surgery to minimize the morbidity from mental nerve injury. METHODS: In this study, a total of 105 patients from June 2016 to February 2018 were categorized as the mental nerve dissection group (MND) or not mental nerve dissection group (NMND)...
March 14, 2019: Surgical Endoscopy
Wouter Broos, Maurits Wondergem, Friso van der Zant, Remco Knol
18 F-fluorocholine (FCH) PET/CT is a promising and increasingly used scan technique in preoperative imaging of parathyroid adenoma. Several acquisition methods have been evaluated in literature but the optimal image acquisition time point after administration of the tracer is still under debate. Methods: Patients with hyperparathyroidism, who received a dual-time-point FCH PET/CT (image acquisition 5 min and 60 min post injection) with histologically proven pathological parathyroid glands were retrospectively included in the study...
March 15, 2019: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
Alvin Y Chan, Kamran Urgun, Diem Kieu Tran, Thomas Kyong, Frank Pk Hsu, Sumeet Vadera
BACKGROUND: Hemispherectomy is a successful and well described treatment option for pediatric patients with hemispheric ictal onset, but adult outcomes have been far less studied. We describe the outcomes for adult patients with medically refractory epilepsy and hemispheric disease and the relationship to cerebral peduncle volume. CASE DESCRIPTIONS: We retrospectively reviewed adult hemispherectomy patients at our institution from 2015 to 2018. Patient data including demographic information, pathology, seizure-free outcomes, and ipsilateral (i...
March 12, 2019: World Neurosurgery
Xun Xu, Hai-Long Zhang, Qiu-Ping Liu, Shu-Wen Sun, Jing Zhang, Fei-Peng Zhu, Guang Yang, Xu Yan, Yu-Dong Zhang, Xi-Sheng Liu
BACKGROUND & AIMS: Microvascular invasion (MVI) impairs surgical outcomes in hepatocellular carcinoma (HCC) patients. As a single highly reliable factor to preoperatively predict MVI is lacking, we developed a computational approach integrating large-scale clinical and imaging modalities, especially radiomic features from contrast-enhanced CT, to predict MVI and clinical outcomes in HCC patients. METHODS: In total, 495 surgically resected patients were retrospectively included...
March 12, 2019: Journal of Hepatology
Mert Doğan, Mertcan Koçak, Özge Onursal Kılınç, Fatma Ayvat, Gülşah Sütçü, Ender Ayvat, Muhammed Kılınç, Özgür Ünver, Sibel Aksu Yıldırım
BACKGROUND: Functional range of motion is defined as the required range of motions for individuals to maintain maximal independence, along with optimal conditions for activities of daily living. Intervention plans for rehabilitation are directed towards the acquisition of anatomical range of motion. However, this isn't always possible based on person's etiology, prognosis, or severity of disease. RESEARCH QUESTION: The aim of this study is to determine functional range of motion during different unilateral, bilateral symmetrical and bimanual asymmetrical tasks of activities of daily living...
February 25, 2019: Gait & Posture
Tunç Özdemir, Ali Sayan, Belce Candan, Gizem Orhan, Gökhan Köylüoğlu
OBJECTIVE: Male circumcision is one of the most common surgical procedures worldwide. Although it is widely performed because of health issues, in Muslim-majority countries, the primary motivation yielding to male circumcision is religious. It is a relatively safe procedure with a low overall complication rate. We herein report an underrated complication of circumcision that can be termed as "secondary phimosis." MATERIAL AND METHODS: The medical records of 25 boys with post-circumcision secondary phimosis were reviewed...
January 22, 2019: Turkish Journal of Urology
Orestis Lyros, Yusef Moulla, Matthias Mehdorn, Katrin Schierle, Robert Sucher, Arne Dietrich
INTRODUCTION: Intraoperative pathologic findings during bariatric surgery are relatively rare. Gastrointestinal stromal tumors (GISTs) are commonly located in the stomach and account for < 1% of all neoplasms of the alimentary tract. Coincidental detection of GISTs during bariatric surgery has been reported around 0.8%. We analyzed the incidence of GISTs in bariatric patients and investigated whether simultaneous resection can be oncologically adequate. MATERIAL/METHODS: A single-center retrospective study of 707 morbidly obese patients, who underwent bariatric surgery (either Roux-en-Y gastric bypass (RYGB), One Anastomosis Gastric Bypass (OAGB), or sleeve resection (LSG) between January 2012 and August 2018)...
March 14, 2019: Obesity Surgery
Qiqi Peng, Yunsheng Ou, Yong Zhu, Zenghui Zhao, Wei Luo, Xing Du, Jianxiao Li
Objective: To explore the feasibility of posterior debridement, decompression, bone grafting, and fixation in treatment of thoracic spinal tuberculosis with myelopathy, and investigate the effects of surgical timing on postoperative outcomes. Methods: The clinical data of 26 patients with thoracic spinal tuberculosis with myelopathy between August 2012 and October 2015 was retrospectively analyzed. All patients underwent posterior unilateral transpedicular debridement, decompression, bone grafting, and fixation and were divided into two groups according to surgical timing...
March 1, 2019: Chinese Journal of Reparative and Reconstructive Surgery
Ken Matsushima, Michihiro Kohno, Hitoshi Izawa, Yujiro Tanaka
The surgical management of trigeminal schwannomas often requires complicated skull base approaches based on detailed anatomical understanding because of the involvement of multiple compartments of the trigeminal nerve from its root to the peripheral branches. When there is vital anatomical anomaly around the tumor, this can make the surgical management and anatomical understanding more difficult.1,2 This video demonstrates the microsurgical removal of a dumbbell-shaped trigeminal schwannoma via the anterior transpetrosal transtentorial approach in a patient with a persistent primitive trigeminal artery, the most common persistent embryonic carotid-vertebrobasilar anastomosis...
March 15, 2019: Operative Neurosurgery (Hagerstown, Md.)
Chang Ding, Wei Chen, Fujun Liu, Moli Xiong, Jing Chen
BACKGROUND: Ollier disease (OD) is a rare, nonhereditary bone disease that is characterized by the presence of multiple enchondromatosis (3 or more) with a typical asymmetrical distribution and mainly confined to the appendicular skeleton. Ollier disease's most serious complication is the transformation of an enchondroma into chondrosarcoma. The most common sites for chondrosarcoma are in the pelvic and shoulder bones, the superior metaphyseal and diaphyseal regions of the extremities...
March 11, 2019: World Neurosurgery
Elisa M Jorgensen, Anna M Modest, Hye-Chun Hur, Michele R Hacker, Christopher S Awtrey
OBJECTIVE: To characterize long-term national trends in surgical approach for hysterectomy after the U.S. Food and Drug Administration (FDA) warning against power morcellation for laparoscopic specimen removal. METHODS: This was a descriptive study using data from the American College of Surgeons National Surgical Quality Improvement Program from 2012 to 2016. We identified hysterectomies using Current Procedural Terminology codes. We used an interrupted time-series analysis to evaluate abdominal and supracervical hysterectomy trends surrounding The Wall Street Journal article first reporting morcellation safety concerns and the FDA safety communication...
March 11, 2019: Obstetrics and Gynecology
Marie Kjaergaard Larsen, Thomas Kofod, Thomas Starch-Jensen
The objective was to test the hypothesis of no difference in facial swelling, pain, trismus and immediate quality of life after surgical removal of mandibular third molars, with or without postoperative cryotherapy. A MEDLINE (PubMed), Embase database and Cochrane library search in combination with a hand search of relevant journals was conducted by including human randomized controlled trials published in English until the 17th of July 2018. The search identified 37 titles. Six studies with low or unclear risk of bias fulfilled the inclusion criteria...
March 14, 2019: Journal of Oral Rehabilitation
Shiping Wei, Fan Cheng, Weiming Yu
OBJECTIVE: To investigate the safety and efficacy of the combination of suprapubic prostatectomy with transurethral resection of the prostate (TURP) for the treatment of large volume benign prostatic hyperplasia (BPH). METHODS: We retrospectively analyzed the clinical data of two methods of treatment with 60 cases of a large volume BPH (>100 g) from January 2011 to 2017; the methods were suprapubic prostatectomy and suprapubic prostatectomy combination with TURP, in which the single open group comprised 30 cases, treated using the former method, and the combined open group comprised the other 30 cases, treated using the latter method...
March 14, 2019: Urologia
Jianxing Niu, Jianzhen Wang, Daizhong Wang, Xin He, Zhongming Li, Xin Li, Fan Su, Wang Jia
Intraorbital meningoencephalocele is a rare manifestation of neurofibromatosis type 1 (NF1) caused by secondary changes in sphenoid dysplasia, and it seriously affects patients' vision and facial appearance. We retrospectively analyzed the clinical data of 23 patients with NF1 and intraorbital meningoencephalocele, summarized the surgical strategies employed, and evaluated their clinical efficacy in order to better understand its management in clinical practice, establish a reasonable surgical strategy, and assess prognosis...
March 13, 2019: Neurological Sciences
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