Tsukasa Aritake, Tetsuya Abe, Eiji Higaki, Takuya Nagao, Takahiro Hosoi, Waki Hosoda, Shoko Sakamoto, Seiji Ito, Koji Komori, Yasuhiro Shimizu
Few reports have demonstrated robotic surgery for large tumors in the upper esophagus. We report a case of a 52-year-old woman with a giant submucosal tumor in the upper esophagus successfully enucleated using robotic surgery. She presented with odynophagia and dysphagia, with subsequent evaluation revealing a submucosal mass measuring approximately 10 cm in diameter in the upper esophagus. The mass was compressing the trachea and enlarged over 3 years. Endoscopic ultrasound fine needle aspiration of the tumor was non-diagnostic...
July 29, 2021: Asian Journal of Endoscopic Surgery
Heather E Whitson, Donna Crabtree, Carl F Pieper, Christine Ha, Sandra Au, Miles Berger, Harvey J Cohen, Jody Feld, Patrick Smith, Katherine Hall, Daniel Parker, Virginia Byers Kraus, William E Kraus, Kenneth Schmader, Cathleen Colón-Emeric
BACKGROUND: Older adults with similar health conditions often experience widely divergent outcomes following health stressors. Variable recovery after a health stressor may be due in part to differences in biological mechanisms at the molecular, cellular, or system level, that are elicited in response to stressors. We describe the PRIME-KNEE study as an example of ongoing research to validate provocative clinical tests and biomarkers that predict resilience to specific health stressors...
July 29, 2021: Journal of the American Geriatrics Society
Sasha Gulati, Vetle Vangen-Lønne, Øystein P Nygaard, Agnete M Gulati, Tommy A Hammer, Tonje O Johansen, Wilco C Peul, Øyvind O Salvesen, Tore K Solberg
BACKGROUND: Indications and optimal timing for surgical treatment of degenerative cervical myelopathy (DCM) remain unclear, and data from daily clinical practice are warranted. OBJECTIVE: To investigate clinical outcomes following decompressive surgery for DCM. METHODS: Data were obtained from the Norwegian Registry for Spine Surgery. The primary outcome was change in the neck disability index (NDI) 1 yr after surgery. Secondary endpoints were the European myelopathy score (EMS), quality of life (EuroQoL 5D [EQ-5D]), numeric rating scales (NRS) for headache, neck pain, and arm pain, complications, and perceived benefit of surgery assessed by the Global Perceived Effect (GPE) scale...
July 29, 2021: Neurosurgery
Matthew M Pier, Luke J Pasick, Daniel A Benito, Juan Nogues, Punam Thakkar, Arjun S Joshi, Joseph F Goodman
OBJECTIVE: Thyroid and parathyroid surgeries are frequently performed with the aid of electromyogram endotracheal tubes. However, the most common adverse events have not been reported comprehensively. This study aimed to summarize the device adverse events, patient complications, and subsequent interventions related to electromyogram endotracheal tubes. METHODS: In this retrospective cross-sectional analysis, the US Food and Drug Administration's Manufacturer and User Facility Device Experience database was queried for electromyogram endotracheal tube adverse events between 2010 and 2020...
July 29, 2021: Journal of Patient Safety
Leander Mancel, Kathleen Van Loon, Ana M Lopez
PURPOSE OF REVIEW: Enhanced Recovery After Surgery (ERAS) protocols and interventional locoregional anesthesia (LRA) techniques continuously evolve. This review outlines the latest recommendations for the use of regional anesthesia in ERAS protocols and emerging interventional analgesia techniques. RECENT FINDINGS: Research in ultrasound-guided regional anesthesia has led to a refinement of the traditional techniques and the introduction of a number of new approaches to complement ERAS strategies...
July 27, 2021: Current Opinion in Anaesthesiology
Levin Garip, Angela L Balocco, Sam Van Boxstael
PURPOSE OF REVIEW: To provide an update on pain management options with regional anesthesia for patients with hip fractures at the emergency department (ED). RECENT FINDINGS: Patients who sustain a hip fracture are typically admitted and diagnosed in the ED before being transferred to the operating room for surgery. Studies have clearly demonstrated the ability of the fascia iliaca compartment blocks (FICBs) and femoral nerve blocks (FNBs) to reduce pain and the risk of an acute confusional state...
July 27, 2021: Current Opinion in Anaesthesiology
Ali Shariat, Berend Marcus, Malikah Latmore
PURPOSE OF REVIEW: The trend in the perioperative management of patients having orthopedic surgery in the ambulatory setting emphasizes time-efficiency and rapid turnovers. Anesthetic techniques and management continue to evolve to increase efficiency and decrease time spent in recovery. RECENT FINDINGS: Minimizing time patients spend in phase 1 recovery or bypassing phase 1 altogether, known as fast-tracking, has become an important goal in containing costs in high turnover, ambulatory settings...
July 28, 2021: Current Opinion in Anaesthesiology
Joseph B Kahan, Don T Li, Christopher A Schneble, Ahmed Elabd, Elsayed Attia, Rachel Esparza, Jonathan J Cui, Eric Li, Jay Moran, Brian G Smith, Daniel R Cooperman
BACKGROUND: Accurate assessments of skeletal maturity is of critical importance to guide type and timing of orthopaedic surgical interventions. Several quantitative markers of the proximal tibia were recently developed using historical knee radiographs. The purpose of the present study was to determine which marker would be most effective in assessment of full-length radiographs in a modern pediatric patient population. METHODS: All full-length radiographs at our institutions between 2013 and 2018 were reviewed...
July 29, 2021: Journal of Pediatric Orthopedics
Jillian Mattioni, Sarah Azari, Travis Hoover, Daniel Weaver, Sri Kiran Chennupati
INTRODUCTION: Thyroglossal duct cysts (TGDCs) are the most common form of congenital neck cysts. They may become infected causing dysphagia or respiratory distress. Accordingly, the treatment is always surgical removal. OBJECTIVES: The objectives of this article were to examine complications following TGDC excision by surgical specialty, demographics, and comorbid conditions. METHODS: A retrospective review of the National Surgical Quality Improvement Program database was performed...
July 29, 2021: ORL; Journal for Oto-rhino-laryngology and its related Specialties
Florin Ioan Elec, Sorana D Bolboacă, Adriana Muntean, Alina Daciana Elec, Cristina Cismaru, Mihaela Lupşe, Mihai Oltean
BACKGROUND: The present study examined whether patient characteristics, management, and outcome of kidney transplant recipients (KTx) with COVID-19 changed in the second versus the first pandemic wave. METHODS: We reviewed all available data (demographics, medical history, comorbidities, therapeutic interventions, and outcome) on our KTx with COVID-19 during the first wave (March-September 2020, n = 33) and the second wave (October 2020-February 2021, n = 149) of the COVID-19 pandemic...
July 29, 2021: European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
Li-Anne Audet, Lysane Paquette, Stéphanie Bordeleau, Mélanie Lavoie-Tremblay, Kelley Kilpatrick
BACKGROUND: Empirical findings have shown significant and non-significant effects of advanced practice nursing roles within postoperative cardiac settings. The inconsistencies of the current literature preclude the identification of a significant effect of advanced practice nursing roles on patient and organizational outcomes. OBJECTIVE: 1) identify patient and organizational outcomes of advanced practice nursing roles in postoperative cardiac surgery and 2) synthesize the evidence of current roles of advanced practice nurses in postoperative cardiac surgery to provide the best quality of care for patients...
July 3, 2021: International Journal of Nursing Studies
Ye Ren, Shuwei Zhang, Yicun Wang, Daniel S Jacobson, Ramona L Reisdorf, Tomoyuki Kuroiwa, Atta Behfar, Steven L Moran, Scott P Steinmann, Chunfeng Zhao
Exosomes have multiple therapeutic targets, but the effects on healing rotator cuff tear (RCT) remain unclear. As a circulating exosome, purified exosome product (PEP) has the potential to lead to biomechanical improvement in RCT. Here, we have established a simple and efficient approach that identifies the function and underlying mechanisms of PEP on cell-cell interaction using a co-culture model in vitro. In the in vivo trial, adult female Sprague-Dawley rats underwent unilateral surgery to transect and repair the supraspinatus tendon to its insertion site with or without PEP...
July 23, 2021: Biomaterials
Sigit Purbadi, Gatot Purwoto, Hariyono Winarto, Kartiwa H Nuryanto, Laurensia Scovani, Gilbert Elia Sotarduga
INTRODUCTION AND IMPORTANCE: Caesarean scar endometriosis (CSE) is a rare form of endometriosis due to previous surgical scars from obstetrical and gynecological procedures. The incidence of CSE was 0.08% and quite difficult to diagnose. CASE PRESENTATION: A 37-year-old multiparous woman came with intermittent pain in her lower left abdominal region and lump with a bluish color and solid consistency on the left side of the caesarean scar. Ultrasounds findings show a solid mass, measured 45 × 40 × 39 mm with neovascularization color score: 4...
July 16, 2021: International Journal of Surgery Case Reports
F El Miski, A Touimi Benjelloun, M Bouab, A Lamrissi, K Fichtali, S Bouhya
INTRODUCTION: Spontaneous uterine rupture in the first trimester is a redoubtable obstetric emergency that carries a high risk for both mother and fetus. CASES PRESENTATION: We present the case of a spontaneous uterine rupture in a patient with a scarred uterus at 9 weeks' gestation treated by laparotomy in emergency obstetrical department of Ibn Rochd University Hospital of Casablanca; whose histological examination of the removed material found a partial mole...
July 22, 2021: International Journal of Surgery Case Reports
Colin Forde, Crispin Mortimer, Mark Haddad, Shashivadan P Hirani, Mark A Williams, David J Keene
OBJECTIVE: Synthesize evidence on objectively quantified lower limb strength recovery in people treated surgically or non-surgically after patellar dislocation. METHODS: MEDLINE, EMBASE, Cochrane Library, SPORTDiscus, PEDro, AMED and CINAHL databases were last searched on July 30th, 2020 for randomized controlled trials and observational studies that objectively quantified lower limb strength in people (any age or sex) treated surgically or non-surgically after patellar dislocation...
June 12, 2021: Physical Therapy in Sport
Munise Yildiz, Betul Kozanhan, Mehmet S Iyisoy, Ahmet Canıtez, Nergis Aksoy, Aysenur Eryigit
STUDY OBJECTIVE: Laparoscopic cholecystectomy (LC) causes moderate-to-severe postoperative pain. Postoperative pain is one of the leading contributors to respiratory dysfunction following surgery. This study investigated the effect of erector spinae plane (ESP) block on postoperative analgesia and respiratory function in patients undergoing LC. DESIGN: Prospective, randomized, controlled trial. SETTING: University of Health Science. PATIENTS: Sixty-eight adult patients undergoing LC...
July 26, 2021: Journal of Clinical Anesthesia
Dong Hoon Kang, Jong Woo Kim, Sung Hwan Kim, Seong Ho Moon, Jun Ho Yang, Jae Jun Jung, Ho Jeong Cha, Jun Young Choi, Chung Eun Lee, Won Heo, Sung Dae Lim, Joung Hun Byun
A 34-year-old man developed severe hypoxemia and hypercapnia due to acute respiratory distress during ventilator care after surgery with acute intracranial hemorrhage. Severe hypoxemia had not been corrected even with maximum extracorporeal membrane oxygenation (ECMO) flow and full ventilator settings. We applied a novel technique for the serial connection of two veno-venous ECMO circuits for optimal oxygen delivery and CO2 removal and could wean VV ECMO. The use of serial connection of two VV ECMO circuits may be considered worthwhile when severe hypoxemia or hypercapnia are not improved and the use of protective ventilators is not permitted...
July 26, 2021: Heart & Lung: the Journal of Critical Care
Lizeth Zertuche-Ortuño, Nayeli Oropeza-Bustos, Daniel Crail-Meléndez, Elisa Bribiesca-Contreras, Mario A Sebastián-Díaz, Verónica Martínez-Bustos, Andrea Santos-Peyret, Salvador Martínez-Medina, Adriana Ochoa, Aurelio Jara-Prado, Iris E Martínez-Juárez
BACKGROUND: In patients with epilepsy, regular follow-up is vital for adequate seizure control, antiseizure drugs' (ASDs) side effects, psychiatric comorbidities, and planning for epilepsy surgery. Non-attendance creates barriers to adequate patient care, inefficient allocation of resources, loss of income, and unnecessary emergency department visits due to lack of seizure control. This study aimed to determine the causes and sociodemographic characteristics of the non-attendant population at the Epilepsy Clinic...
July 26, 2021: Epilepsy & Behavior: E&B
Takuji Nishida, Naotaka Usui, Yushi Inoue, Yukitoshi Takahashi
OBJECTIVE: We performed a prospective, longitudinal, 2-year follow-up study to clarify psychiatric courses and outcomes after temporal lobe epilepsy surgery. METHODS: We assessed 141 patients (68 men, 73 women) aged 16 or older with structured interviews and psychiatric rating scales before surgery and 3 months, 1 year, and 2 years afterward. RESULTS: Fifty-two patients (36.9%) had a psychiatric condition before surgery or during the follow-up period or both...
July 26, 2021: Epilepsy & Behavior: E&B
Xueying Shi, Yueming Jin, Qi Dou, Pheng-Ann Heng
Surgical workflow recognition is a fundamental task in computer-assisted surgery and a key component of various applications in operating rooms. Existing deep learning models have achieved promising results for surgical workflow recognition, heavily relying on a large amount of annotated videos. However, obtaining annotation is time-consuming and requires the domain knowledge of surgeons. In this paper, we propose a novel two-stage Semi-Supervised Learning method for label-efficient Surgical workflow recognition, named as SurgSSL...
July 8, 2021: Medical Image Analysis
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