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JOURNAL ARTICLE
Kayla Wiebe, Simon Kelley, Annie Fecteau, Mark Levine, Iram Blajchman, Randi Zlotnik Shaul, Roxanne Kirsch
Globally exacerbated surgical waitlists have provided the opportunity to reflect on prioritization and resource allocation decisions. The unique circumstances of paediatric surgery and consequences of surgical delay prompted the study reported in this paper. As part of a larger project to attend to prioritization in our surgical waitlists, we conducted a Quality Improvement study, the purpose of which is to understand surgeon's perspectives regarding the ethical and practical realities of surgical prioritization at our institution...
May 2024: Paediatrics & Child Health
#22
Nilton Salles Rosa Neto, Rosa Maria Rodrigues Pereira, Emily Figueiredo Neves Yuki, Fernando Henrique Carlos de Souza, Liliam Takayama, Maria Inez da Silveira Carneiro, Luiz Guilherme Cernaglia Aureliano de Lima, Augusto Ishy, Alexandre José Reis Elias
Tumor-induced osteomalacia is caused by excessive fibroblast growth factor 23 production mainly from phosphaturic mesenchymal tumors. Surgical excision or tumor ablation are the preferred treatment. Information on bone microarchitecture parameters assessed by high-resolution peripheral quantitative computed tomography is limited. We report a woman with hypophosphatemic osteomalacia with generalized pain, weakness and recurrent fractures, and a large thoracic vertebral mass extending to the posterior mediastinum...
June 2024: Bone Reports
#23
JOURNAL ARTICLE
Chong-Shou Li, Xiao-Fang Li, Xiao-Yan Huang, Fang-Fang Chen
Echocardiographic guidance in left atrial appendage (LAA) closure procedures is increasingly recognized for its potential to enhance patient outcomes in atrial fibrillation (AF). This retrospective study assesses its impact on hospital stay duration, readmission rates and surgical site wound complications in 200 AF patients. Divided equally into an echocardiographically guided group (Group E) and a non-guided group (Group N), the analysis focused on detailed patient data encompassing hospital stay, 30-day readmission and wound complications...
April 2024: International Wound Journal
#24
JOURNAL ARTICLE
Jonathan Carter, Fayyaz Ahamed, Jackly Juprasert, Mark Anderson, Matthew Lin, Carter Lebares, Ian Soriano
PURPOSE: To compare outcomes of robotic and open repair for uncomplicated, moderate-sized, midline ventral hernias. METHODS: From 2017 to 2021, patient characteristics and 30 day outcomes for all ventral hernias at our center were prospectively collected. We studied hernias potentially suitable for robotic repair: elective, midline, 3-10 cm rectus separation, no prior mesh, and no need for concomitant procedure. Robotic or open repair was performed by surgeon or patient preference...
March 30, 2024: Journal of Robotic Surgery
#25
REVIEW
Caleb W Barnhill, Mark A Greyson, Matthew L Iorio
The superficial circumflex iliac artery perforator (SCIP) flap is thin, pliable tissue well suited for reconstruction of injuries of the hand and upper extremity. Based upon perforators from the superficial circumflex iliac artery, the SCIP flap has advantages over the traditional groin flap due to reduced need for secondary procedures and improved donor site morbidity This article offers a detailed exploration of the SCIP flap design and technique, its advantages over traditional methods, and its potential applications in reconstructive surgery...
May 2024: Hand Clinics
#26
JOURNAL ARTICLE
Torsten P Vahl, Vinod H Thourani, Raj R Makkar, Nadira Hamid, Omar K Khalique, David Daniels, James M McCabe, Lowell Satler, Mark Russo, Wen Cheng, Isaac George, Gabriel Aldea, Brett Sheridan, Dean Kereiakes, Harsh Golwala, Firas Zahr, Stanley Chetcuti, Pradeep Yadav, Susheel K Kodali, Hendrik Treede, Stephan Baldus, Nicholas Amoroso, Lauren S Ranard, Duane S Pinto, Martin B Leon
BACKGROUND: Surgery remains the only recommended intervention for patients with native aortic regurgitation. A transcatheter therapy to treat patients at high risk for mortality and complications with surgical aortic valve replacement represents an unmet need. Commercial transcatheter heart valves in pure aortic regurgitation are hampered by unacceptable rates of embolisation and paravalvular regurgitation. The Trilogy transcatheter heart valve (JenaValve Technology, Irvine, CA, USA) provides a treatment option for these patients...
March 26, 2024: Lancet
#27
JOURNAL ARTICLE
Nicholas C King, Jane M Tsui, Maria Bejar-Chapa, Michael S Marshall, Ann S Kogosov, Yingfang Fan, Marek A Hansdorfer, Joseph J Locascio, Mark A Randolph, Jonathan M Winograd
BACKGROUND: Nerve xenografts harvested from transgenic α1,3-galactosyltransferase knockout (GalT-KO) pigs lack the epitope responsible for hyperacute rejection in pig-to-primate transplants. It is unknown whether these cold preserved nerve grafts support axonal regeneration in another species during and after immunosuppression. In this study, we compare outcomes between autografts and cold preserved xenografts in a rat sciatic model of nerve gap repair. METHODS: Fifty male Lewis rats had a 1 cm sciatic nerve defect repaired using either: autograft and suture (n=10); 1-week or 4-week cold preserved xenograft and suture (n=10 per group); 1-week or 4-week cold preserved xenograft and photochemical tissue bonding using a human amnion wrap (PTB/HAM) (n=10 per group)...
March 29, 2024: Plastic and Reconstructive Surgery
#28
Doru-Florian-Cornel Moga, Gabriela-Ariadna Gavrilă, Andreea-Alina Dan, Cătălin-Gabriel Smarandache
INTRODUCTION: Spontaneous tumor regression is an extremely rare phenomenon in the oncology field. PRESENTATION OF CASE: We present the case of a 72-years-old male patient presenting with a bulky hepatic tumor mass located in segment V and extending into segments IVb and VI with MRI features of atypical cholangiocarcinoma with a liver metastasis in segment III. In first surgical step, excision of the metastasis, and ligation of the right portal vein was done. A new MRI examination performed 5 weeks later shows significant tumor regression, and 2 weeks later, during the second surgery, the tumor was not found...
March 24, 2024: International Journal of Surgery Case Reports
#29
REVIEW
Joseph Larvin, Mark Edwards, Daniel S Martin, Martin Feelisch, Michael P W Grocott, Andrew F Cumpstey
Oxygen is the most used drug in anaesthesia. Despite such widespread use, optimal perioperative oxygen administration remains highly controversial because of concerns about the competing harms of both hyperoxia and hypoxia. Notwithstanding a Cochrane review concluding that routinely administering a fractional inspired oxygen concentration (FiO2 ) >0.6 intraoperatively might increase postoperative morbidity and mortality, the World Health Organization (WHO) currently recommends all anaesthetised patients receive 0...
June 2024: BJA Open
#30
JOURNAL ARTICLE
Marius Heitzer, Philipp Winnand, Mark Ooms, Anna Bock, Marie Sophie Katz, Florian Peters, Kristian Kniha, Stephan Christian Möhlhenrich, Frank Hölzle, Ali Modabber
Background: The high volume of the fasciomyocutaneous anterolateral thigh flaps (ALT) is suitable for the reconstruction of pronounced soft tissue defects. At the same time, harvesting ALT results in a drastic change in thigh shape. Here, we present an optical three-dimensional imaging method for thigh comparison, which can be an objective and reproducible method for evaluating donor sites after ALT harvesting. Methods: In total, 128 thighs were scanned with an optical three-dimensional scanner, Vectra XT ® ...
March 21, 2024: Journal of Clinical Medicine
#31
JOURNAL ARTICLE
Kimiyasu Yamazaki, Hiromi Date, Ryohei Watanabe, Kiyotaka Mochizuki, Yoshihiko Tashiro, Makoto Watanabe, Takeshi Aoki
No abstract text is available yet for this article.
February 28, 2024: Journal of Gastrointestinal Surgery
#32
JOURNAL ARTICLE
Caroline Melhado, Rachelle Durand, Katie W Russell, Natalya E Polukoff, John Rampton, Rajiv R Iyer, Shannon N Acker, Richele Koehler, Connor Prendergast, Nicholas Stence, Brent O'Neill, Benjamin E Padilla, Ramin Jamshidi, Jennifer A Vaughn, Jennifer S Ronecker, Leigh Selesner, Katrine Lofberg, Michael Regner, Jaclyn Thiessen, Christine Sayama, Ryan G Spurrier, Erin E Ross, Chia-Shang Jason Liu, Jason Chu, Kathryn McNevin, Catherine Beni, Bryce R H Robinson, Ken Linnau, Robert T Buckley, Stephanie D Chao, Akanksha Sabapaty, Elizabeth Tong, Laura M Prolo, Romeo Ignacio, Gretchen Floan Sachs, Peter Kruk, David Gonda, Mark Ryan, Samir Pandya, Korgun Koral, Bruno P Braga, Kurtis Auguste, Aaron R Jensen
INTRODUCTION: Clinical clearance of a child's cervical spine after trauma is often challenging due to impaired mental status or an unreliable neurologic examination. Magnetic resonance imaging (MRI) is the gold standard for excluding ligamentous injury in children but is constrained by long image acquisition times and frequent need for anesthesia. Limited-sequence MRI (LSMRI) is used in evaluating the evolution of traumatic brain injury and may also be useful for cervical spine clearance while potentially avoiding the need for anesthesia...
March 25, 2024: Journal of Trauma and Acute Care Surgery
#33
JOURNAL ARTICLE
Satoshi Narihiro, Syunsuke Nakashima, Mutsumi Kazi, Tomotaka Kumamoto, Kazuo Kitagawa, Naoki Toya, Ken Eto
PURPOSE: Tattoo markings are often used as preoperative markers for colorectal cancer. However, scattered ink markings adversely affect tumor site recognition intraoperatively; therefore, interventions for rectal cancer may lead to an inaccurate distal resection margin (DRM) and incomplete total mesorectal excision (TME). This is the first case series of fluorescence-guided robotic rectal surgery in which near-infrared fluorescence clips (NIRFCs) were used to localize rectal cancer lesions...
March 23, 2024: International Journal of Colorectal Disease
#34
JOURNAL ARTICLE
Paul L Swiecicki, Emily Bellile, Aleksandar F Dragovic, Jonathan McHugh, Aaron Udager, Michelle Lynn Mierzwa, Jennifer Shah, Molly Heft Neal, Andrew Rosko, Kelly M Malloy, Keith Casper, Steven Bennett Chinn, Andrew G Shuman, Chaz Stucken, Douglas B Chepeha, Gregory T Wolf, Carol Rossier Bradford, Avraham Eisbruch, Mark E P Prince, Francis P Worden, Matthew E Spector
PURPOSE: Locoregionally advanced HPV+ oropharyngeal squamous cell carcinoma (OPSCC) has excellent cure rates, although current treatment regimens are accompanied by acute and long-term toxicities. We designed a phase II de-escalation trial for patients with HPV+OPSCC to evaluate the feasibility of an upfront neck dissection to individualize definitive treatment selection to improve quality of life without compromising survival. METHODS: Patients with T1-3, N0-2 HPV+ OPSCC underwent an upfront neck dissection with primary tumor biopsy...
March 22, 2024: Clinical Cancer Research
#35
JOURNAL ARTICLE
James Lucocq, James Halle-Smith, Beate Haugk, Nejo Joseph, Jake Hawkyard, Jonathan Lye, Daniel Parkinson, Steve White, Omar Mownah, Yoh Zen, Krishna Menon, Takaki Furukawa, Yosuke Inoue, Yuki Hirose, Naoki Sasahira, Anubhav Mittal, Jas Samra, Amy Sheen, Michael Feretis, Anita Balakrishnan, Carlo Ceresa, Brian Davidson, Rupaly Pande, Bobby V M Dasari, Lulu Tanno, Dimitrios Karavias, Jack Helliwell, Alistair Young, Kate Marks, Quentin Nunes, Tomas Urbonas, Michael Silva, Alex Gordon-Weeks, Jenifer Barrie, Dhanny Gomez, Stijn van Laarhoven, Hossam Nawara, Joseph Doyle, Ricky Bhogal, Ewen Harrison, Marcus Roalso, Debora Ciprani, Somaiah Aroori, Bathiya Ratnayake, Jonathan Koea, Gabriele Capurso, Ruben Bellotti, Stefan Stättner, Tareq Alsaoudi, Neil Bhardwaj, Srujan Rajesh, Fraser Jeffery, Saxon Connor, Andrew Cameron, Nigel Jamieson, Kjetil Soreide, Anthony J Gill, Keith Roberts, Sanjay Pandanaboyana
OBJECTIVE: The aim of the present study was to compare long-term post-resection oncological outcomes between A-IPMN and PDAC. SUMMARY BACKGROUND DATA: Knowledge of long term oncological outcomes (e.g recurrence and survival data) comparing between adenocarcinoma arising from intraductal papillary mucinous neoplasms (A-IPMN) and pancreatic ductal adenocarcinoma (PDAC) is scarce. METHODS: Patients undergoing pancreatic resection (2010-2020) for A-IPMN were identified retrospectively from 18 academic pancreatic centres and compared with PDAC patients from the same time-period...
March 22, 2024: Annals of Surgery
#36
REVIEW
Kenneth Aleman Paredes, Julio C Selaya Rojas, Jose R Flores Valdés, Jaqueline L Castillo, Mauricio Montelongo Quevedo, Francisco J Mijangos Delgado, Hernán A de la Cruz Durán, Carina L Nolasco Mendoza, Edgar J Nuñez Vazquez
Burn injuries, a major global health concern, result in an estimated 180,000 fatalities annually. Despite tremendous progress in treatment methods over the years, the morbidity and mortality associated with burns remain significant. Autologous skin grafting, particularly split-thickness skin grafting (STSG), has been a cornerstone in burn reconstruction, and it has facilitated survival and functional recovery for total body surface area (TBSA) significantly. However, the requirement for primary closure at the donor site due to the constraints of full-thickness donor harvesting continues to pose challenges...
February 2024: Curēus
#37
Mwayi Kachapila, Mark Monahan, Adesoji O Ademuyiwa, Yakubu Momohsani Adinoyi, Bruce M Biccard, Christina George, Dhruva N Ghosh, James Glasbey, Dion G Morton, Osaheni Osayomwanbo, Rupert Pearse, Tracy E Roberts, Atul Suroy, Saidu Yusuf Yakubu, Raymond Oppong
[This corrects the article DOI: 10.1016/j.bjao.2023.100207.].
June 2024: BJA Open
#38
JOURNAL ARTICLE
Isabel DeLaura, Jeremy Sharib, John M Creasy, Samuel I Berchuck, Dan G Blazer, Michael E Lidsky, Kevin N Shah, Sabino Zani
Robotic pancreaticoduodenectomy (RPD) has a learning curve of approximately 30-250 cases to reach proficiency. The learning curve for laparoscopic pancreaticoduodenectomy (LPD) at Duke University was previously defined as 50 cases. This study describes the RPD learning curve for a single surgeon following experience with LPD. LPD and RPD were retrospectively analyzed. Continuous pathologic and perioperative metrics were compared and learning curve were defined with respect to operative time using CUSUM analysis...
March 16, 2024: Journal of Robotic Surgery
#39
JOURNAL ARTICLE
Seven Johannes Sam Aghdassi, Selin Saydan, Michael Behnke, Jörg Clausmeyer, Petra Gastmeier, Christine Geffers
BackgroundSurveillance of lower respiratory tract infections (LRTI) of operated patients conventionally focuses on intubated patients in intensive care units (ICU). Post-operative immobilisation increases the risk of LRTI not associated with ventilators. Operated patients, however, have thus far not been a primary target for LRTI surveillance.AimWe aimed to describe the applied LRTI surveillance method in the German surveillance module for operated patients (OP-KISS) and to report data between 2018 and 2022...
March 2024: Euro Surveillance
#40
JOURNAL ARTICLE
Yu-Ying Lu, Ying-Chang Tung, Ming-Yun Ho, Jih-Kai Yeh, Cheng-Hung Lee, Hsin-Fu Lee, Shing-Hsien Chou, Chao-Yung Wang, Chun-Chi Chen, Ming-Lung Tsai
OBJECTIVES: Manual compression (MC) or vascular closure devices (VCDs) are used to achieve hemostasis after percutaneous transluminal angioplasty (PTA). However, limited data on the comparative safety and effectiveness of VCDs vs MC in patients with end-stage renal disease (ESRD) undergoing PTA are available. Accordingly, this study compared the safety and effectiveness of VCD and MC in patients with ESRD undergoing PTA. METHODS: This single-center retrospective cohort study included the data of patients with ESRD undergoing peripheral intervention at Chang Gung Memorial Hospital, Taiwan, from January 1, 2019, to June 30, 2022...
March 13, 2024: Vascular and Endovascular Surgery
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