Saana E-M Andersson, Ilkka K Ilonen, Otto H Pälli, Jarmo A Salo, Jari V Räsänen
BACKGROUND: Robotic assistance in lung lobectomy has been suggested to enhance the adoption of minimally invasive techniques among surgeons. However, little is known of learning curves in different minimally invasive techniques. We studied learning curves in robotic-assisted versus video- assisted lobectomies for lung cancer. METHODS: A single surgeon performed his first 75 video-assisted thoracic surgery (VATS) lobectomies from April 2007 to November 2012, and his 75 first robotic-assisted thoracic surgery (RATS) lobectomies between August 2011 and May 2018...
April 2, 2021: Cancer Treatment and Research Communications
Ellen Marise Lima, Juliana Gois, Maria Luisa Paiva, Silvia Vincentiis, Sylvie Moschetta, Kette Dualibi Ramos Valente
PURPOSE: It is established that the severity of depressive and anxiety symptoms is associated with poorer quality of life (QOL) in persons with drug-resistant epilepsy. We aimed to verify the presence of subsyndromic depressive episodes (SDEs) and subsyndromic anxiety episodes (SAEs) in persons with temporal lobe epilepsy with hippocampal sclerosis (TLE-HS) compared to healthy controls and to determine the impact of depressive and anxiety symptoms on patients' QOL. METHODS: We prospectively evaluated 35 persons with TLE-HS and 90 healthy controls...
March 23, 2021: Seizure: the Journal of the British Epilepsy Association
Saar Aharoni, Emad Matanes, Roy Lauterbach, Omer Mor, Zeev Weiner, Lior Lowenstein
OBJECTIVE: The objective of this study was to compare surgical and short-term postoperative outcomes of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) versus conventional vaginal (CV) uterosacral ligament suspension (USLS) surgery. STUDY DESIGN: A retrospective cohort study was conducted on 135 patients who underwent hysterectomy with USLS via CV (n = 70) or via vNOTES (n = 65). Patients' baseline characteristics, surgical characteristics, and surgical outcomes were retrieved...
April 3, 2021: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Burhan Dost, Cengiz Kaya, Emine Ozdemir, Yasemin Burcu Ustun, Ersin Koksal, Sezgin Bilgin, Yakup Bostancı
STUDY OBJECTIVE: The aim of this study was to evaluate the effect of ultrasound-guided erector spinae plane (ESP) block on postoperative pain in radical prostatectomy, which leads to both visceral and somatic pain. DESIGN: Prospective, randomized, placebo controlled, double-blinded. SETTING: University hospital. PATIENTS: A total of ASA I-III, 50 patients aged 18-65 who were scheduled for elective open radical prostatectomy surgery...
April 7, 2021: Journal of Clinical Anesthesia
MiHye Park, Kangha Jung, Woo Seog Sim, Duk Kyung Kim, In Sun Chung, Ji Won Choi, Eun Jee Lee, Nam Young Lee, Jie Ae Kim
STUDY OBJECTIVE: We evaluated the feasibility of use and effects on postoperative atelectasis and complications of lower inspired oxygen fraction (FIO2 ) compared to conventional oxygen therapy. DESIGN: Single center, randomized clinical trial. SETTING: University hospital, operating room and postoperative recovery area. PATIENTS: One hundred ninety patients aged ≥50 with an American Society of Anesthesiologists physical status of I-III who underwent abdominal surgery with general anesthesia...
April 7, 2021: Journal of Clinical Anesthesia
Çiğdem Vural, Umay Kiraz, Gupse Turan, Sevgiye Kaçar Özkara, Mehmet Sözen, Berrin Çetinarslan
INTRODUCTION: Solid variant papillary thyroid cancer (SVPTC) is a rare variant of papillary thyroid carcinoma (PTC) and its prognostic value is still unclear. Therefore, we re-evaluate the histopathological and clinicopathological features of 28 patients with SVPTC in the light of current literature. MATERIAL-METHODS: Of the 1308 cases were previously diagnosed with PTC and 28 (2,1%) of them which had been diagnosed with SVPTC were re-evaluated retrospectively. RESULTS: Of the 28 patients with SVPTC, 85...
March 31, 2021: Annals of Diagnostic Pathology
Matthias Mehdorn, Sebastian Ebel, Hannes Köhler, Ines Gockel, Boris Jansen-Winkeln
INTRODUCTION AND IMPORTANCE: Acute mesenteric ischemia is a challenging acute condition which is often caused by occlusion of an intestinal vessel. Therapeutic algorithms include revascularization of the occluded vessel and a surgical procedure to remove necrotic intestine. Sometimes necrotic intestine is hard to identify visually. Therefore, tools such as hyperspectral imaging (HSI) and indocyanine green fluorescence angiography (ICGFA) might be helpful for objective intraoperative evaluation of intestinal perfusion...
April 1, 2021: International Journal of Surgery Case Reports
Fernandi Moegni, Surahman Hakim, Gita Nurul Hidayah, Suskhan, Tyas Priyatini, Alfa Putri Meutia, Budi Iman Santoso
INTRODUCTION: Cervical elongation could lead to cervical elongation thus worsen the descent of uterine prolapse. In certain cases, this hypertrophic and hyperplastic mass could have fragile surface with some bleeding and necrotic, resembling cervical cancer. As case of cervical elongation due to cervical fibroid is quite rare, such cases are valuable to be reported. We present two cases of cervical fibroid with cervical elongation resembling cervical malignancy. PRESENTATION OF CASE: First case was A 59-year-old lady with intractable vaginal mass since one day before admission...
March 29, 2021: International Journal of Surgery Case Reports
Yunia Irawati, Marsha Alyssa Razief Fitri, Michelle Eva Rebeca Natalia, Parintosa Atmodiwirjo, Mohamad Rachadian Ramadan, Sara Ester Triatmoko
INTRODUCTION AND IMPORTANCE: Ocular injury is second mostly caused by motor vehicle accident (MVA) and often leads to severe ocular injury even to visual loss and various aesthetic problems. The outcome is determined by the magnitude of the initial damage and treatment availability. Treating ocular and facial injury due to MVA is challenging given the scope of the damage and may result in various outcomes. CASE PRESENTATION: This case presented a 22-years old woman with a history of car accident assessed with total upper eyelid avulsion with corneal perforation and involvement of multiple facial fractures on the left side...
April 1, 2021: International Journal of Surgery Case Reports
K Chaker, M Beghdad, M A Mennouni, A Mkhatri, Y Oukessou, M Mahtar
INTRODUCTION: Primary lymphoma of the larynx is extremely rare, representing less than 1% of all primary laryngeal neoplasms. It consists mainly of non-Hodgkin lymphomas (NHLs), represented particularly by diffuse large B-cell. Extranodal natural killer/T-cell lymphoma, presented in larynx is a rare condition that accounts for less than 11% of all lymphomas without distinctive clinicopathologic features, as well as challenging pathologic diagnosis. CASE REPORT: We report here a case of a 64-years-old man who presented with primary lymphoma type T of the subglottic larynx...
April 2, 2021: International Journal of Surgery Case Reports
Mika Takeuchi, Masamitsu Kuwahara, Junji Ando, Riyo Miyata, Masayuki Harada, Saori Kanagawa
INTRODUCTION: Implant-based breast reconstruction is a widely performed procedure. However, prostheses are susceptible to infection and there are currently no established guidelines on treatment. In the present case, a prosthesis was salvaged by changing from continuous irrigation and suction to continuous irrigation and intermittent suction. This case report has been reported in line with the SCARE criteria [1]. PRESENTATION OF CASE: A 50-year-old female patient underwent implant-based breast reconstruction following surgery for breast cancer...
April 5, 2021: International Journal of Surgery Case Reports
Khadija Salama, Boutaina Merzouki, Omar Berrada, Youssef Oukessou, Sami Rouadi, Redallah Larbi Abada, Mohamed Roubal, Mohamed Mahtar
INTRODUCTION: Leiomyosarcoma is a rare mesenchymal tumor that originates from smooth muscle cells. Head and neck LMSs represent only 3% of all leiomyosarcomas with less than 50 cases of laryngeal LMS reported in the literature till now. CASE PRESENTATION: We report a case of 50-year-old male presented at our ENT department for a chronic hoarseness. Clinical examination investigations found small submucosal lesion in the right vocal cord. Treatment consisted of CO2 Laser excision of the lesion...
March 23, 2021: International Journal of Surgery Case Reports
Talisa Ross, Vikas Acharya, Arran Patel, Taran Tatla
INTRODUCTION AND IMPORTANCE: Craniofacial necrotising fasciitis is a complex condition, with high mortality given its propensity to descend via the deep neck spaces into the chest and mediastinum. Management requires optimal antimicrobial therapy with associated aggressive surgical debridement. PRESENTATION OF CASE: A 64-year-old man presented to ENT with a posterior neck swelling. Despite incision and drainage of the swelling following a trial of antimicrobial therapy, it increased in size, with areas of overlying necrosis demonstrated...
April 1, 2021: International Journal of Surgery Case Reports
Nur Rasyid, Hoshea Jefferson Nainggolan, Prinnisa Almanda Jonardi, Putu Angga Risky Raharja, Budi Wiweko, Widi Atmoko, Ponco Birowo
INTRODUCTION AND IMPORTANCE: Spontaneous migration of a contraceptive intrauterine device (IUD) to the bladder is very rare. It usually takes years for the IUD to migrate completely from the uterine cavity to the bladder. We report a case of early-onset complete spontaneous migration of contraceptive IUD to the bladder in a post C-section patient. CASE PRESENTATION: A 30-year-old woman presented with suprapubic pain and dysuria three weeks prior to hospitalization...
April 1, 2021: International Journal of Surgery Case Reports
Vikas S Gupta, Ioannis N Liras, Myron Allukian, Bryan A Cotton, Charles S Cox, Matthew T Harting
BACKGROUND: Although physiologic differences exist between younger and older children, pediatric trauma analyses are weighted toward older patients. Trauma-induced coagulopathy, determined by rapid thrombelastography (rTEG), is a predictor of outcome in trauma patients, but the significance of rTEG values among very young trauma patients remains unknown. Our objective was to identify the prehospital or physiologic factors, including rTEG values, that were associated with mortality in trauma patients younger than 5 y old...
April 7, 2021: Journal of Surgical Research
Jonathan Dismukes, Jessica Fazendin, Ruth Obiarinze, Gianina C Hernández Márquez, Kimberly M Ramonell, Erin Buczek, Brenessa Lindeman, Herbert Chen
BACKGROUND: Central neck dissection (CND) remains a controversial intervention for papillary thyroid carcinoma (PTC) patients with clinically negative nodes (cN0) in the central compartment. Proponents state that CND in cN0 patients prevents locoregional recurrence, while opponents deem that the risks of complications outweigh any potential benefit. Thus, there remains conflicting results amongst studies assessing oncologic and surgical outcomes in cN0 PTC patients who undergo CND. To provide clarity to this controversy, we sought to evaluate the efficacy, safety, and oncologic impact of CND in cN0 PTC patients at our institution...
April 7, 2021: Journal of Surgical Research
Negin Sedaghat, Corinna Chiong, Richard Tjahjono, Jeremy Hsu
BACKGROUND: Randomized controlled trials have demonstrated that surgical stabilization of rib fractures (SSRF) in selected trauma patients is associated with potential benefits. This study evaluates the real-world outcomes of SSRF since its implementation at Westmead Hospital, Australia. We hypothesize these outcomes to be similar to that reported by best-evidence in the literature. MATERIALS AND METHODS: A retrospective analysis of data on all consecutive SSRF performed between January 2013 to December 2018 was completed...
April 7, 2021: Journal of Surgical Research
Scott K Odorico, Nikita O Shulzhenko, Weifeng Zeng, Aaron M Dingle, David O Francis, Samuel O Poore
BACKGROUND: Peripheral nerve damage is a frequent problem, with an estimated 2.8%-5.0% of trauma admissions involving peripheral nerve injury. End-to-end, tension-free microsurgical repair (neurorrhaphy) is the current gold standard treatment for complete transection (neurotmesis). While neurorrhaphy reapproximates the nerve, it does not address the complex molecular regenerative process. Evidence suggests that botulinum toxin A (BTX) and nimodipine (NDP) may improve functional recovery, but mechanisms of action remain unknown...
April 7, 2021: Journal of Surgical Research
Adrienne N Christopher, Viren Patel, Sammy Othman, Hanna Jia, Joseph A Mellia, Robyn B Broach, John P Fischer
BACKGROUND: While mesh re-enforcement and advanced surgical techniques are cornerstones of complex ventral hernia repair (CVHR), the risk of complications and recurrence is common. We aim to evaluate the efficacy, safety, and patient reported outcomes (PROs) of patients undergoing CVHR with onlay Poly-4-hydroxybutyrate (P4HB). METHODS: Adult (>18 y old) patients undergoing VHR with P4HB (Phasix) in the onlay plane by a single surgeon from 01/2015 to 05/2020 were reviewed...
April 7, 2021: Journal of Surgical Research
Adel Elkbuli, Saamia Shaikh, Kelly McKenney, Hunter Shanahan, Mark McKenney, Kimberly McKenney
BACKGROUND: Traumatic Brain Injury (TBI) is a leading cause of mortality in the trauma population. Accurate prognosis remains a challenge. Two common Computed Tomography (CT)-based prognostic models include the Marshall Classification and the Rotterdam CT Score. This study aims to determine the utility of the Marshall and Rotterdam scores in predicting mortality for adult patients in coma with severe TBI. METHOD: Retrospective review of our Level 1 Trauma Center's registry for patients ≥ 18 years of age with blunt TBI and a Glasgow Coma Scale (GCS) of 3-5, with no other significant injuries...
April 7, 2021: Journal of Surgical Research
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