Eva Lysell, Axel Wolf
BACKGROUND: Aortic stenosis (AS) is the most common valvular disease in western countries. Unless treated, it is associated with a poor prognosis. Surgical aortic valve replacement, the gold-standard approach, aims to increase survival and improve quality of life. In recent years, though, transcatheter aortic valve implantation (TAVI) has become the treatment of choice in elderly, high-risk patients who are denied open surgery. To date, however, little is known about their personal psychological experience after undergoing TAVI...
August 11, 2020: Scandinavian Journal of Caring Sciences
Sofie Jakobsson, Kristina Alexanderson, Agneta Wennman-Larsen, Charles Taft, Karin C Ringsberg
BACKGROUND: There are difficulties in clinical assessment of patients' health, and there is a need for evaluating instruments that measures self-rated health over time and that are based on the patient's own experiences of their health situation. AIM: To describe the trajectory of self-rated health given in a retrospective health-line and its correspondence with the ratings of health given at six different time points during 2 years following a first breast cancer surgery...
August 11, 2020: Scandinavian Journal of Caring Sciences
Marta Rodríguez-Carrasco, Eduardo Albéniz, Pradeep Bhandari, Torsten Beyna, Michael Bourke, Min Ahyeon, Philip Chiu, Simon Chu, Hon Chi Yip, Pierre Deprez, Fabian Emura, Alessandro Repici, Noriko Suzuki, Naohisa Yahagi, Yoko Kubosawa, Cesare Hassan, Mario Dinis-Ribeiro
INTRODUCTION: We aimed to report the impact of pandemic lockdown period on the treatment and prognosis of superficial gastrointestinal neoplastic lesions. METHODS: a survey was completed by 11 centers from 4 continents, regarding postponements during early lockdown period of the pandemic, and the same period in 2019. RESULTS: In 2020, 55% of the scheduled procedures were deferred which was eleven times higher than those in 2019, and the main reasons were directly related to COVID-19...
August 11, 2020: Endoscopy
Virginie Forget, Jérôme Fauconnier, Sandrine Boisset, Patricia Pavese, Céline Vermorel, Jean-Luc Bosson, Dominique Saragaglia, Jérôme Tonetti, Marie-Reine Mallaret, Caroline Landelle
BACKGROUND: Surgical site infections (SSI) after orthopaedic surgery are responsible for reduced quality of life, increased length of hospital stay and costs. The most commonly identified organism is Staphylococcus aureus but risk factors for S. aureus SSI are not well-known. The aim of this study was to evaluate the incidence rate trend of S. aureus SSI over the years and risk factors of these infections in a French University Hospital. METHODS: SSI rates were expressed as cumulative incidence rates per year...
August 8, 2020: International Journal of Hygiene and Environmental Health
Kuan Luan, Zeyu Li, Jin Li
The application of ultrasound (US) imaging in orthopedic surgery has always been a research direction. However, the various problems of US imaging hinder the development of computer assisted orthopedic surgery guided by US. US bone segmentation has been an important yet challenging task for many clinical applications. We propose a new end-to-end fully convolution network called BoneNet for real-time and accurate segmentation of bone surface from US image. The BoneNet employs the squeeze-and-excitation residual to realize a robust feature learning...
July 22, 2020: Computerized Medical Imaging and Graphics: the Official Journal of the Computerized Medical Imaging Society
Lisa Schäfer, Ricarda Schmidt, Silke M Müller, Arne Dietrich, Anja Hilbert
Research documented the effectiveness of obesity surgery (OS) for long-term weight loss and improvements in medical and psychosocial sequelae, and general cognitive functioning. However, there is only preliminary evidence for changes in attentional processing of food cues after OS. This study longitudinally investigated visual attention towards food cues from pre- to 1-year post-surgery. Using eye tracking (ET) and a Visual Search Task (VST), attentional processing of food versus non-food cues was assessed in n = 32 patients with OS and n = 31 matched controls without weight-loss treatment at baseline and 1-year follow-up...
July 26, 2020: Journal of Psychiatric Research
Justin L Rush, Grant E Norte, Adam S Lepley
OBJECTIVE: To compare inter-limb differences in hamstring strength, muscle volume, and neural activity between individuals with anterior cruciate ligament reconstruction (ACLR) and healthy controls, and to identify associations between hamstring neuromuscular function and subjective knee function. DESIGN: Cross-sectional. SETTING: Laboratory. PARTICIPANTS: Eleven participants with a history of ACLR (69.45 ± 22.48 months from surgery) and eleven healthy matched controls...
July 25, 2020: Physical Therapy in Sport
Nelson Wolosker, Marcelo Fiorelli Alexandrino da Silva, Dafne Braga Diamante Leiderman, Nickolas Stabellini, Wellington Araujo Nogueira, Claudia Szlejf, Edson Amaro Junior, Marcelo Passos Teivelis
INTRODUCTION: Worldwide, PAD (peripheral arterial disease) is a disease with high morbidity, affecting more than 200 million people. Our objective was to analyze the surgical treatment for PAD performed in the Unified Health System of the city of São Paulo during the last 11 years based on publicly available data. METHODS: The study was conducted with data analysis available on the TabNet platform, belonging to the DATASUS. Public data (government health system) from procedures performed in São Paulo between 2008 and 2018 were extracted...
August 8, 2020: Annals of Vascular Surgery
Anand Brahmandam, Navid Gholitabar, Yawei Zhang, XiaoXu Wang, Jonathan Cardella, Timur Sarac, Cassius Iyad Ochoa Chaar
OBJECTIVES: Vascular surgery interest groups (VSIG) raise awareness and attract medical students to the specialty. There has been a plateauing of applicants interested in integrated programs. The goal of this survey is to assess the activities of VSIGs and identify factors associated with matriculation into vascular surgery residency. METHODS: A survey was administered to members of the association of program directors in vascular surgery (APDVS). It inquired about the presence of a VSIG at the corresponding medical schools...
August 8, 2020: Annals of Vascular Surgery
Y Allieu
The author relates his 40 years of experience in the field of functional surgery of the tetraplegic upper limb (FSTUL). After having introduced and developed this specialty in France, he disseminated it to various countries where he saw a large number of patients and acquired extensive experience. He presents his personal progression and discusses the recent therapies in this field. FSTUL is a personalize surgery, with each case being unique. It must, first and foremost, take into consideration the real wishes of a motivated and well-informed patient and consider the type of spinal cord injury (not only the upper level of the lesional segment but also the extent of the sub-lesional segment)...
August 8, 2020: Hand Surgery and Rehabilitation
K Van Royen, B Vanmierlo, C Ki Goorens, J Goubau
Painful instability due to proximal migration of the first metacarpal remains a challenging problem in patients who have undergone multiple surgeries for trapeziometacarpal osteoarthritis. The objective of this study was to investigate whether scaphometacarpal (SMC) arthrodesis with a structural bone graft is an acceptable and definitive salvage procedure for the multioperated patient. Three patients underwent SMC arthrodesis using a structural iliac crest bone graft. All patients had symptomatic instability of the thumb base and had undergone three to four surgeries prior to the arthrodesis...
August 8, 2020: Hand Surgery and Rehabilitation
Alla Vash-Margita, Levent Mutlu, Oz Harmanli
BACKGROUND: Currently, there is no commercially available soft vaginal mold designed for reconstructive surgeries for congenital vaginal anomalies. Stricter operating room regulations discourage the use of make-shift molds from foams and gloves. Colpo-pneumo-occluder balloon is designed to maintain pneumoperitoneum after colpotomy in laparoscopic hysterectomies and is approved for use in vaginal surgeries. CASE: A 17-year-old female with a congenital transverse vaginal septum experienced recurrent obstruction and hematocolpos...
August 8, 2020: Journal of Pediatric and Adolescent Gynecology
Sherif M Shehata, Ahmed Elgendy, Ahmed A Elhaddad, Mohamed E Awad, Mohamed M Shalaby, Ahmed M AboElyazeed
OBJECTIVE: To present our experience of laparoscopic resection of pediatric benign ovarian teratomas with gonadal preservation, using homemade glove retrieval bag. DESIGN: Review of all girls with benign ovarian teratomas who managed by laparoscopic ovarian sparing surgery (OSS) at our hospital between January 2013 and December 2018. RESULTS: Eleven patients were included for analysis with a mean age of 6.1 years. Ten cases were operated electively, while one patient was managed at emergency due to ovarian torsion...
August 8, 2020: Journal of Pediatric and Adolescent Gynecology
Daiji Takeuchi, Keiko Toyohara, Yoshimichi Kudo, Tomomi Nishimura, Morio Shoda
BACKGROUND: Little is known about the effects of preoperative electrophysiological study (EPS) and catheter ablation (CA) in Fontan surgery candidates with supraventricular tachycardia (SVT). OBJECTIVE: This study aimed to investigate the clinical impact of EPS-guided intervention in Fontan surgery candidates with preceding SVT events. METHODS: A total of 109 consecutive patients with a history of SVT before Fontan surgery were divided into three groups: 44, in whom EPS with CA was attempted (CA group);21,in whom EPS without CA was attempted (EPS group); and 44,in whom EPS was not performed (N group)...
August 8, 2020: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Yong Ahn
As an essential component of minimally invasive spine surgery (MISS), endoscopic spine surgery (ESS) has continuously developed and been accepted as a practical procedure among the worldwide spine community. Especially for the lumbar disc herniation (LDH), the percutaneous endoscopic or full-endoscopic discectomy technique is now scientifically proven, through randomized controlled trials and meta-analyses, to be a good alternative to the open discectomy. The initial concept of endoscopic spine discectomy was concerned with indirect disc decompression using various instruments such as blind forceps, a nucleotome, laser, radiofrequency coblation, and some chemical agents...
August 8, 2020: World Neurosurgery
Narayanam Anantha Sai Kiran, Vivek Raj, Laxminadh Sivaraju, Kanneganti Vidyasagar, Dilip Mohan, Alangar S Hegde
OBJECTIVE: To evaluate the results of microsurgical clipping for single (SIA) and multiple (MIA) intracranial aneurysms and compare the outcomes. METHODS: All the patients with intracranial aneurysms(IA) operated at our Institute during 3 years period (June 2013 to May 2016) were included in this study. RESULTS: All 157 patients with 225 IA operated during the study period were included. Forty one of these patients had MIA (109 IA, mean-2...
August 8, 2020: World Neurosurgery
Martin Pilonieta, Monica Martin, Juan M Revuelta Barbero, Douglas A Hardesty, Ricardo L Carrau, Bradley A Otto, Jose Otero, Luma Ghalib, Daniel M Prevedello
BACKGROUND: Cystic lesions in the sellar region include a variety of entities as craniopharyngioma, Rathke's cleft cyst, intrasellar arachnoid cyst, cystic pituitary adenomas, cholesterol granulomas and xanthogranulomas The distinction among them remains a preoperative challenge due to similarities in their clinical and radiological findings. CASE DESCRIPTION: We describe three cases with cystic sellar lesions. The first patient is a woman who presented with headache and hormonal disturbances including high levels of prolactin, with a sellar and suprasellar cystic lesion discovered on the MRI...
August 8, 2020: World Neurosurgery
Thomas E Cowling, David A Cromwell, Linda D Sharples, Jan van der Meulen
OBJECTIVE: To examine an approach for selecting small sets of diagnosis codes with high prediction performance in large datasets of electronic medical records. STUDY DESIGN AND SETTING: Modelling study using national hospital and mortality records for patients with myocardial infarction (n=200 119), hip fracture (n=169 646), or colorectal cancer surgery (n=56 515) in England in 2015-17. One-year mortality was predicted from ICD-10 codes recorded for at least 0.5% of patients using logistic regression ('full' models)...
August 8, 2020: Journal of Clinical Epidemiology
Leo D Dreyfuss, Viraj A Master, Jay D Raman, Philippe E Spiess, Shane A Wells, Suzanne B Merrill, Charles C Peyton, Dhyana Sankar, Brian Sohl, Dattatraya Patil, Daniel D Shapiro, Glenn O Allen, E Jason Abel
OBJECTIVES: To evaluate postoperative recurrence patterns for high-risk non-metastatic renal cell carcinoma (RCC) and to identify prognostic factors associated with site-specific metastatic recurrence using a multi-institutional contemporary cohort. METHODS: Data for non-metastatic ≥pT3a RCC patients treated with surgery at 4 independent centers was analyzed. Initial recurrence locations were identified, and imaging templates were defined by anatomic landmarks using radiologic definitions...
August 8, 2020: Urology
Katharina Boehm, Anita Thomas, Axel Bex, Peter C Black, Michael Coburn, Axel Haferkamp, Freddie Hamdy, Ronald P Kaufman, Laurence Klotz, Seth P Lerner, Dmitry Pushkar, Jacob Ramon, Barak Rosenzweig, Igor Tsaur
OBJECTIVE: To assess the outreach and influence of the main recommendations of surgical governing bodies on adaptation of minimally invasive laparoscopic surgery (MIS) procedures during the COVID-19 pandemic in an anonymized multi-institutional survey. MATERIALS AND METHODS: International experts performing MIS were selected on the basis of the contact database of the speakers of the Friends of Israel Urology Symposium. A 24-item questionnaire was built using main recommendations of surgical societies...
August 8, 2020: Urology
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