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JOURNAL ARTICLE
Tatu Juvonen, Igor Vendramin, Giovanni Mariscalco, Mikko Jormalainen, Andrea Perrotti, Amélie Hervé, Enzo Mazzaro, Giuseppe Gatti, Matteo Pettinari, Sven Peterss, Joscha Buech, Francesco Nappi, Angel G Pinto, Javier Rodriguez Lega, Marek Pol, Jan Rocek, Petr Kacer, Andreas Rukosujew, Konrad Wisniewski, Daniela Piani, Till Demal, Lenard Conradi, Luisa Ferrante, Mauro Rinaldi, Eduard Quintana, Robert Pruna-Guillen, Sebastien Gerelli, Dario Di Perna, Antonio Fiore, Thierry Folliguet, Metesh Acharya, Zein El-Dean, Mark Field, Manoj Kuduvalli, Francesco Onorati, Alessandra Francica, Timo Mäkikallio, Angelo M Dell'Aquila, Caius Mustonen, Peter Raivio, Stefano Rosato, Fausto Biancari
BACKGROUND: The benefits and harms associated with femoral artery cannulation over other sites of arterial cannulation for surgical repair of acute Stanford type A aortic dissection (TAAD) are not conclusively established. METHODS: We evaluated the outcomes after surgery for TAAD using femoral artery cannulation, supra-aortic arterial cannulation (i.e., innominate/subclavian/axillary artery cannulation), and direct aortic cannulation. RESULTS: 3751 (96...
April 30, 2024: World Journal of Surgery
#2
JOURNAL ARTICLE
Idean Roohani, Simon Youn, Sarah Alfeerawi, Pasha Shakoori, Collean Trotter, Dylan G Choi, Artur Fahradyan, Mark M Urata, William P Magee, Jeffrey A Hammoudeh
BACKGROUND: Alveolar bone grafting (ABG) using iliac crest bone graft (ICBG) is best practice for children with complete cleft lip and palate. With the advent of recombinant human bone morphogenetic protein (rhBMP-2) and demineralized bone matrix (DBM), excellent results can still be achieved while avoiding donor-site morbidity. This study aims to determine the critical-sized defects by analyzing graft failure rates for ICBG and rhBMP-2/DBM to guide surgeons performing ABG. METHODS: A retrospective review was conducted evaluating patients who underwent ABG from 2016-2022...
April 29, 2024: Plastic and Reconstructive Surgery
#3
REVIEW
Clay Merritt, Paola Maldonado
Fecal ostomy creation is a commonly performed procedure with many indications. Better outcomes occur when preoperative patient education and stoma site marking are provided. Despite a seemingly simple operation, ostomy creation is often difficult and complications are common. Certain risk factors, particularly obesity, are strongly associated with stoma-related complications. The ability to optimize the ostomy and stoma in the operating room and to troubleshoot frequently encountered post-operative stoma-related issues are critical skills for surgeons and ostomy nurses alike...
June 2024: Surgical Clinics of North America
#4
RANDOMIZED CONTROLLED TRIAL
Filippo Carannante, Gianluca Costa, Valentina Miacci, Gianfranco Bianco, Gianluca Masciana, Sara Lauricella, Marco Caricato, Gabriella Teresa Capolupo
BACKGROUND: Protective stoma after rectal surgery has been associated with important complications. The most common is surgical site infection (SSI) high rates after stoma reversal reported in literature. Our study compared the rate of SSI of two skin closure techniques, linear closure, and purse string closure. METHODS: We carried out a single center, prospective, randomized controlled trial in the Department of Colorectal Surgery of Fondazione Policlinico Campus Bio-Medico of Rome between January 2018 through December 2021, to compare LC vs PS closure of ileostomy sites...
April 27, 2024: Langenbeck's Archives of Surgery
#5
JOURNAL ARTICLE
Melodie Fanay Boko, Ashish K Khanna, Frederick D'Aragon, Jessica Spence, David Conen, Ameen Patel, Sabry Ayad, Duminda N Wijeysundera, Manon Choinière, Daniel I Sessler, Francois Martin Carrier, John Harlock, Josèph S H A Koopman, Madeleine Durand, Naeem Bhojani, Alparslan Turan, Gabrielle Pagé, P J Devereaux, Emmanuelle Duceppe
BACKGROUND: The amount of same-day surgery has increased markedly worldwide in recent decades, but there remains limited evidence on chronic postsurgical pain in this setting. METHODS: We assessed pain 90 days after ambulatory surgery in an international, multicentre prospective cohort study of patients ≥45 years old with comorbidities or ≥65 years old. Pain was assessed using the Brief Pain Inventory. Chronic postsurgical pain was defined as a change ≥1 in self-rated average pain at the surgical site between baseline and 90 days, and moderate to severe chronic postsurgical pain as a score ≥4 in self-rated average pain at the surgical site at 90 days...
April 26, 2024: Anesthesiology
#6
JOURNAL ARTICLE
Dimitra M Lotakis, Mark K Wallack, Samir K Gadepalli
INTRODUCTION: We have observed inconsistencies in residents' experiences regarding important procedures and tasks necessary for patient care. We aimed to improve individual motivation to learn and become facile with specific practices earlier in the timeline of the internship years. METHODS: Intern Bingo was implemented in a single general surgery residency. Two sites, both tertiary care centers with institutional practices, were utilized. Twenty-four procedures/tasks important to clinical practice were identified, including but not limited to Nasogastric Tube placement, IV insertion, incision and drainage, laceration repair, vascular doppler exam, and clinical documentation...
April 2024: Journal of Advances in Medical Education & Professionalism
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JOURNAL ARTICLE
Lauren Griffin, Mark Richard Stephen Garren, Patrick Maffe, Sama Ghalei, Elizabeth J Brisbois, Hitesh Handa
Of the 27 million surgeries performed in the United States each year, a reported 2.6% result in a surgical site infection (SSI), and Staphylococci species are commonly the culprit. Alternative therapies, such as nitric oxide (NO)-releasing biomaterials, are being developed to address this issue. NO is a potent antimicrobial agent with several modes of action, including oxidative and nitrosative damage, disruption of bacterial membranes, and dispersion of biofilms. For targeted antibacterial effects, NO is delivered by exogenous donor molecules, like S -nitroso- N -acetylpenicillamine (SNAP)...
April 23, 2024: ACS Applied Bio Materials
#8
JOURNAL ARTICLE
Sevil Guler, Gulcan Eyuboglu, Zehra Gocmen Baykara, Aysel Oren Hin, Hülya Akdemir, Emine Akar, Sezai Leventoglu, Osman Yuksel
OBJECTIVE: To identify the effect of stoma site marking on stoma-related complications. METHODS: The study sample included 639 individuals with stomas who were followed up in a stomatherapy unit in Turkey between January 1, 2017, and June 20, 2021. Researchers collected patient data from nursing records. Data were evaluated using number, percentage, χ2, and logistic regression tests. RESULTS: Of the individuals with stomas, 60.6% (n = 387) were men, and 72...
May 1, 2024: Advances in Skin & Wound Care
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JOURNAL ARTICLE
Mark A Green, Michael C Britt, Sarah Flanagan
BACKGROUND: Supplemental bone grafting is regularly required before dental implant placement in patients with cleft lip and palate (CLP). PURPOSE: The study purpose was to measure and compare implant osseointegration and changes in graft dimensions following lateral incisor onlay cortical bone grafting in CLP and non-CLP patients. STUDY DESIGN, SETTING, SAMPLE: Retrospective cohort study composed of patients who presented to Boston Children's Hospital and underwent autogenous onlay cortical block bone grafting at lateral incisor sites from 2015 through 2023...
April 3, 2024: Journal of Oral and Maxillofacial Surgery
#10
JOURNAL ARTICLE
Kathleen T Fitzgerald, Ciara Lyons, Andrew England, Mark F McEntee, Annemarie Devine, Theresa O'Donovan, Eleanor O'Sullivan
BACKGROUND AND PURPOSES: To assess osteoradionecrosis (ORN) incidence in a population of Irish Head and Neck cancer (HNC) patients, and assess precipitating factors that may contribute to ORN development to aid prevention. MATERIALS AND METHODS: Review of 1050 HNC patients attending the Dental Oncology Clinic, CUDSH between 2010 and 2021 identified 47 cases of ORN. Medical, dental and radiotherapy records of these forty-seven patients were retrospectively reviewed...
April 17, 2024: Radiotherapy and Oncology
#11
JOURNAL ARTICLE
Yannick Van de Weyer, Anna Orlowska, Flavia Zendri, Hayley E Crosby-Durrani
This case series describes the post-mortem findings in 17 bitches (Canis lupus familiaris) with a recent (<7 days) history of caesarean section, most (94%) of which had undergone conservative caesarean section with preservation of the uterus. Brachycephalic breeds accounted for 71% of all cases, with the French Bulldog (35%, n = 6), English Bulldog (18%, n = 3) and Boston Terrier (12%, n = 2) overrepresented. Eleven animals (65%) died between 4 and 48 h after surgery, whereas six (35%) died during the procedure...
April 17, 2024: Journal of Comparative Pathology
#12
JOURNAL ARTICLE
Paolo Morgagni, Maria Bencivenga, Fatima Carneiro, Stefano Cascinu, Sarah Derks, Maria Di Bartolomeo, Claire Donohoe, Clarisse Eveno, Suzanne Gisbertz, Peter Grimminger, Ines Gockel, Heike Grabsh, Paulo Kassab, Rupert Langer, Sara Lonardi, Marco Maltoni, Sheraz Markar, Markus Moehler, Daniele Marrelli, Maria Antonietta Mazzei, Davide Melisi, Carlo Milandri, Paul Stefan Moenig, Bianca Mostert, Gianni Mura, Wojciech Polkowski, John Reynolds, Luca Saragoni, Mark I Van Berge Henegouwen, Richard Van Hillegersberg, Michael Vieth, Giuseppe Verlato, Lorena Torroni, Bas Wijnhoven, Guido Alberto Massimo Tiberio, Han-Kwang Yang, Franco Roviello, Giovanni de Manzoni
BACKGROUND: Many gastric cancer patients in Western countries are diagnosed as metastatic with a median overall survival of less than twelve months using standard chemotherapy. Innovative treatments, like targeted therapy or immunotherapy, have recently proved to ameliorate prognosis, but a general agreement on managing oligometastatic disease has yet to be achieved. An international multi-disciplinary workshop was held in Bertinoro, Italy, in November 2022 to verify whether achieving a consensus on at least some topics was possible...
April 18, 2024: Gastric Cancer
#13
JOURNAL ARTICLE
Anand Brahmandam, Joshua Huttler, Kirthi Bellamkonda, Ocean Setia, Jonathan A Cardella, William Stewart, Raul J Guzman, Cassius Iyad Ochoa Chaar
OBJECTIVE: Common femoral artery (CFA) access is commonly used for endovascular interventions. Access site complications contribute to significant morbidity and mortality. This study characterizes the radiographic variability in the relationship of the femoral head, the inguinal ligament, and the CFA bifurcation, to identify the zone of optimal CFA access. METHODS: Human cadaver dissection of the inguinal ligament and CFA bifurcation was performed. The inguinal ligament and CFA bifurcation were marked with radiopaque pins and plain anteroposterior radiographs were obtained...
2024: Journal of vascular surgery. Vascular science
#14
JOURNAL ARTICLE
Mirjam A Kaijser, Nienke Slagter, Loek J M de Heide, André P van Beek, Jean-Pierre E N Pierie, Marloes Emous
INTRODUCTION: Determining limb length in gastric bypass procedures is a crucial step to ensure significant weight loss without risking malnutrition. This study investigated the effect of ex vivo training on the skills needed to determine limb lengths. MATERIALS AND METHODS: This was a single-center ex vivo training experiment in a teaching hospital in the Netherlands. We designed a training exercise with marked ropes in a laparoscopic trainer box. All ten surgical residents participated and practiced the skill of estimating limb length...
April 16, 2024: Surgical Innovation
#15
REVIEW
Patrick Debs, Robert D Boutin, Stacy E Smith, Maja Babic, Donna Blankenbaker, Venita Chandra, Mark Murphey, Elizabeth Thottacherry, Christopher Kreulen, Laura M Fayad
The diagnosis and management of chronic nonspinal osteomyelitis can be challenging, and guidelines regarding the appropriateness of performing percutaneous image-guided biopsies to acquire bone samples for microbiological analysis remain limited. An expert panel convened by the Society of Academic Bone Radiologists developed and endorsed consensus statements on the various indications for percutaneous image-guided biopsies to standardize care and eliminate inconsistencies across institutions. The issued statements pertain to several commonly encountered clinical presentations of chronic osteomyelitis and were supported by a literature review...
April 2024: Radiology
#16
JOURNAL ARTICLE
Yang Xu, Shuai Shao, HaoNan Kang, ZhaoHui Xu, GuoYi Wen, Yan Shan, ZeZhong Gong, Abdulkarem Al-Sharabi, BoXin Qu, YanYing Ren, Fan Zhang, JinMing Guan, Xin Chen
RATIONALE: Due to the lack of specificity symptoms and site of onset of castleman disease (CD), it is difficult to diagnose and poses unique challenges for both patients and clinicians, leading to confusion in diagnosis and delays in treatment. To enhance understanding, we present 3 cases of CD treated at our hospital, including a single-center, multicenter, and mixed-type CD. PATIENT CONCERNS: Case 1: A 53-year-old female patient was admitted with a chief complaint of "abdominal pain and fever for 10 days...
April 12, 2024: Medicine (Baltimore)
#17
JOURNAL ARTICLE
Mark A Oldham, Bennett Kukla, Patrick Walsh, Hochang B Lee
BACKGROUND: Biological sex influences the risk of depression and cognitive impairment, but its role in relation to postoperative delirium is unclear. This analysis investigates sex differences in delirium risk after coronary artery bypass graft (CABG) surgery and sex-related differences in relation to affective and cognitive symptoms. METHODS: This is a secondary analysis of the Neuropsychiatric Outcomes After Heart Surgery (NOAHS) study, a single-site, observational study of a CABG surgery cohort (n = 149)...
April 11, 2024: Journal of Geriatric Psychiatry and Neurology
#18
JOURNAL ARTICLE
Tingfeng Xiong, Qing Ye
BACKGROUND: The skin-tarsus-skin and orbicularis-tarsus-orbicularis fixation methods are widely used in double-eyelid surgery. Both methods have limitations. In this study, the two surgical methods were integrated and applied to form a stable double eyelid that mimics the natural physiological structure with minimal visible scarring. METHODS: At the inner, middle, and outer sites of the double-eyelid line, 7-0 silk sutures were passed successively through the orbicularis oculi muscle at the lower edge of the incision, the tarsus/anterior tarsus tissue, and the orbicularis oculi muscle at the upper edge of the incision, and the skin was sutured with 8-0 thread...
April 2024: Plastic and Reconstructive Surgery. Global Open
#19
JOURNAL ARTICLE
Michael A Ciaramella, Patric Liang, Allen D Hamdan, Mark C Wyers, Marc L Schermerhorn, Lars Stangenberg
OBJECTIVE: Distal internal carotid artery (ICA) stenting may be employed as a bailout maneuver when an inadequate endpoint or clamp injury is encountered at the time of carotid endarterectomy (CEA) in a surgically inaccessible region of the distal ICA. We sought to characterize the indications, technique, and outcomes for this infrequently encountered clinical scenario. METHODS: We performed a retrospective review of all patients who underwent distal ICA stenting at the time of CEA at our institution between September, 2008 and July, 2022...
April 8, 2024: Annals of Vascular Surgery
#20
JOURNAL ARTICLE
Ingrid Allgoewer, Petr Soukup, Eberhard Ludewig
PURPOSE: The purpose of this study is to describe a simplified, less invasive dacryocystotomy technique that allows for complete inspection of the canine lacrimal sac and to retrospectively evaluate this surgical technique in a larger series of dogs. The anatomical background of the canine nasolacrimal system is described as a basis for the surgical technique. METHODS: Records of dogs from 2003 to 2023 which were diagnosed with dacryocystitis due to presumed foreign body and underwent surgical exploration and removal of foreign bodies within the lacrimal sac using this technique were reviewed...
April 10, 2024: Veterinary Ophthalmology
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