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MULTICENTER STUDY
Alexander Romagna, Albert Eckert, Florian Scherg, Kathrin Rothe, Michael Meier, Jens Lehmberg, Christian Blume, Arwin Rezai, Christoph J Griessenauer, Christoph Schwartz
PURPOSE: Surgical site infection (SSI) is a serious complication after cranioplasty. Due to the relatively frequent occurrence of post-cranioplasty SSI, the utility of autologous bone flap swab cultures surrounding cryopreservation as a reliable predictor has been the subject of an ongoing debate. This bicentric study aims to contribute to this topic by conducting an in-depth analysis of bone flaps obtained via decompressive craniectomies. This study had three major aims: assessments of 1) bacterial contamination of bone flaps after decompressive craniotomy, 2) impact of cryoconservation on contamination rates and 3) potential effectiveness of anti-infective treatment to reduce the germ load prior to cranioplasty...
May 21, 2024: Acta Neurochirurgica
#2
JOURNAL ARTICLE
Qiujiang Li, Liang Wang, Huiliang Yang, Xi Yang, Limin Liu, Lei Wang, Yueming Song
OBJECTIVES: Currently, anterior-only (AO), posterior-only, and combined anterior-posterior spinal fusions are common strategies for treating cervical kyphosis in patients with neurofibromatosis-1 NF-1. Nevertheless, the choice of surgical strategy remains a topic of controversy. The aim of our study is to evaluate the safety and effectiveness of anterior decompression and spinal reconstruction for the treatment of cervical kyphosis in patients with NF-1. METHODS: Twelve patients with NF-1-associated cervical kyphotic deformity were reviewed retrospectively between January 2010 and April 2020...
May 20, 2024: Orthopaedic Surgery
#3
JOURNAL ARTICLE
Qi Liu, Jie Jiao, Chengzhen Li, Yunxiang Chen, Baoxuan Wang, Jingbo Shi, Guanying Yu
BACKGROUND: Appendiceal pseudomyxoma peritonei (PMP), a rare tumor from mucinous appendiceal origins, is treated with Cytoreductive Surgery (CRS) and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). However, tubing blockages during HIPEC treatment pose a common challenge, impeding the smooth progression of therapy. Few studies to date have explored the incidence and risk factors of tube occlusion during HIPEC in patients with appendiceal PMP, as well as its adverse impact on postoperative complications...
May 21, 2024: World Journal of Surgical Oncology
#4
REVIEW
Jad El Masri, Hani Chanbour, Maya Ghazi, Diala El Masri, Pascale Salameh, Campbell Liles, J Bradford Hill, Scott L Zuckerman
INTRODUCTION: Whether endoscopic carpal tunnel release (ECTR) versus open carpal tunnel release (OCTR) has superior outcomes remains a controversial topic. Therefore, we sought to perform an umbrella review and meta-analysis to compare ECTR and OCTR with regards to (1) postoperative functional ability, (2) operative outcomes, and (3) time to return to work. METHODS: A PubMed, Scopus, and Cochrane database search was conducted for all meta-analyses comparing ECTR and OCTR performed between 2000 and 2022 in accordance to PRISMA and Joanna Briggs Institute guidance for umbrella reviews...
June 1, 2024: Annals of Plastic Surgery
#5
JOURNAL ARTICLE
Cheng Qiu, Lin Cheng, Jingwei Liu, Zhiguo Ding, Musen Sun, Yanyong Yu, Dingling An, Lianlei Wang, Xianlei Gao, Xin Pan, Xinyu Liu, Songgang Wang
OBJECTIVE: Thoracolumbar fractures are one of the most common fractures in clinical practice. Surgical intervention is recommended to restore spinal alignment or decompress the nerves when there are unstable fractures or neurological injuries. However, after excessive forward thrust force restoration, facet joint dislocation often occurs between the upper vertebra and the fractured vertebra, which usually leads to unsatisfactory reduction outcomes. Herein, we propose a novel spinal facet joint toothed plate to assist in fracture reduction...
May 20, 2024: Orthopaedic Surgery
#6
JOURNAL ARTICLE
Liangbin Zhou, Ki-Wai Kevin Ho, Lizhen Zheng, Jiankun Xu, Ziyi Chen, Xiangdong Ye, Li Zou, Ye Li, Liang Chang, Hongwei Shao, Xisheng Li, Jing Long, Yangyi Nie, Martin J Stoddart, Yuxiao Lai, Ling Qin
Osteochondral defect (OCD) is a common but challenging condition in orthopaedics that imposes huge socioeconomic burdens in our aging society. It is imperative to accelerate the R&D of regenerative scaffolds using osteochondral tissue engineering concepts. Yet, all innovative implant-based treatments require animal testing models to verify their feasibility, biosafety, and efficacy before proceeding to human trials. Rabbit models offer a more clinically relevant platform for studying OCD repair than smaller rodents, while being more cost-effective than large animal models...
2024: Frontiers in Bioengineering and Biotechnology
#7
JOURNAL ARTICLE
Sheng-Jian Lu, Bo Yu, Wen-Can Wu
No abstract text is available yet for this article.
2024: International Journal of Ophthalmology
#8
JOURNAL ARTICLE
Wen-Long Gao, Gang Li, Dong-Sheng Zhu, Yuan-Jie Niu
BACKGROUND: Up until now, no research has been reported on the association between the clinical growth rate of multilocular cystic renal neoplasm of low malignant potential (MCRNLMP) and computed tomography (CT) imaging characteristics. Our study sought to examine the correlation between them, with the objective of distinguishing unique features of MCRNLMP from renal cysts and exploring effective management strategies. AIM: To investigate optimal management strategies of MCRNLMP...
May 16, 2024: World Journal of Clinical Cases
#9
Kelcie Lushefski, Christian H Summa, Camden Zemp, Timothy Farrell
Ogilvie's syndrome is a colonic pseudo-obstruction that results in colonic dilation without a mechanical obstruction. We discuss a 33-year-old, 36-week pregnant, G1P0L0A0 female who presented with severe pre-eclampsia. Less than 24 hours after induction by vaginal delivery, she developed significant abdominal pain and distention. On a CT scan of the abdomen and pelvis, she was diagnosed with Ogilvie's syndrome due to a finding of large bowel dilation with an abrupt transition point at the splenic flexure without a noted mass...
April 2024: Curēus
#10
Ahmed Eldeib, Omar Eldeib, Abdullah Alshammari, Mohammad Aburahmah
Nasogastric tube decompression is a common technique used after abdominal surgery as it is widely accepted to play a role in the management of postoperative ileus and possibly reduce anastomotic leaks after gastrointestinal surgery. However, the routine practice of nasogastric/nasoenteric tube decompression in elective abdominal surgeries has been challenged due to the increased incidence of pulmonary complications and the argued lack of expected benefit. Here, we present a rare complication of nasogastric tube drainage following a routine total gastrectomy for signet-ring cell adenocarcinoma of the cardia in a 43-year-old female...
April 2024: Curēus
#11
JOURNAL ARTICLE
Mohammad Daher, Joseph E Nassar, Christopher L McDonald, Mariah Balmaceno-Criss, Bassel G Diebo, Alan H Daniels
STUDY DESIGN: Meta-analysis. OBJECTIVE: This meta-analysis investigates the outcomes of laminoplasty (LP) and laminectomy with fusion (LF) to guide effective patient selection for these two procedures. BACKGROUND: While LF traditionally offers the ability for excellent posterior decompression, it may alter cervical spine biomechanics and increase the risk of adjacent segment degeneration. LP aims to preserve the natural kinematics of the spine but has not been universally accepted, and may be associated with inadequate decompression, neck pain, and recurrent stenosis...
May 20, 2024: Spine
#12
JOURNAL ARTICLE
Borriwat Santipas, Kanyakorn Veerakanjana, Piyalitt Ittichaiwong, Piya Chavalparit, Sirichai Wilartratsami, Panya Luksanapruksa
STUDY DESIGN: A retrospective study. PURPOSE: This study aimed to develop machine-learning algorithms for predicting survival in patients who underwent surgery for spinal metastasis. OVERVIEW OF LITERATURE: This study develops machine-learning models to predict postoperative survival in spinal metastasis patients, filling the gaps of traditional prognostic systems. Utilizing data from 389 patients, the study highlights XGBoost and CatBoost algorithms̓ effectiveness for 90, 180, and 365-day survival predictions, with preoperative serum albumin as a key predictor...
May 20, 2024: Asian Spine Journal
#13
REVIEW
Jianying Zhang, Sisi Wang, Ying Jiang, Yue Zhang
BACKGROUND Symptoms caused by developmental venous anomalies (DVAs) are usually mild and unspecific. Despite the benign nature of DVAs, they can occasionally be symptomatic. CASE REPORT A 67-year-old woman presented with sudden diplopia and left eyelid ptosis for 10 days. A neurologic examination revealed left complete oculomotor nerve palsy. Other neurologic deficits, including eye pain or pulsatile tinnitus, were not detected. Furthermore, the visual acuity was normal. Additionally, no retinal hemorrhage, venous dilatation, or fundus tortuosity were observed...
May 19, 2024: American Journal of Case Reports
#14
JOURNAL ARTICLE
Nifesimi Olojede, Emanuel Cassimatis, Henry Tsao
BACKGROUND: Abdominal compartment syndrome (ACS) is typically attributed to critically unwell patients with trauma, burns, post surgery, and massive ascites. A rare but fatal cause of ACS is bulimia nervosa (BN), which is an eating disorder characterized by bingeing, followed by methods to avoid weight gain, including purging. CASE REPORT: We present a case of a 20-year-old woman who presented with abdominal pain and distension after consuming a large quantity of food the previous night and was unable to purge...
January 21, 2024: Journal of Emergency Medicine
#15
JOURNAL ARTICLE
Jürgen Beck, Christian Fung, Daniel Strbian, Lukas Bütikofer, Werner J Z'Graggen, Matthias F Lang, Seraina Beyeler, Jan Gralla, Florian Ringel, Karl Schaller, Nikolaus Plesnila, Marcel Arnold, Werner Hacke, Peter Jüni, Alexander David Mendelow, Christian Stapf, Rustam Al-Shahi Salman, Jenny Bressan, Stefanie Lerch, Arsany Hakim, Nicolas Martinez-Majander, Anna Piippo-Karjalainen, Peter Vajkoczy, Stefan Wolf, Gerrit A Schubert, Anke Höllig, Michael Veldeman, Roland Roelz, Andreas Gruber, Philip Rauch, Dorothee Mielke, Veit Rohde, Thomas Kerz, Eberhard Uhl, Enea Thanasi, Hagen B Huttner, Bernd Kallmünzer, L Jaap Kappelle, Wolfgang Deinsberger, Christian Roth, Robin Lemmens, Jan Leppert, Jose L Sanmillan, Jonathan M Coutinho, Katharina A M Hackenberg, Gernot Reimann, Mikael Mazighi, Claudio L A Bassetti, Heinrich P Mattle, Andreas Raabe, Urs Fischer
BACKGROUND: It is unknown whether decompressive craniectomy improves clinical outcome for people with spontaneous severe deep intracerebral haemorrhage. The SWITCH trial aimed to assess whether decompressive craniectomy plus best medical treatment in these patients improves outcome at 6 months compared to best medical treatment alone. METHODS: In this multicentre, randomised, open-label, assessor-blinded trial conducted in 42 stroke centres in Austria, Belgium, Finland, France, Germany, the Netherlands, Spain, Sweden, and Switzerland, adults (18-75 years) with a severe intracerebral haemorrhage involving the basal ganglia or thalamus were randomly assigned to receive either decompressive craniectomy plus best medical treatment or best medical treatment alone...
May 14, 2024: Lancet
#16
JOURNAL ARTICLE
Catharina Jm Klijn, Ruben Dammers, Nikola Sprigg
No abstract text is available yet for this article.
May 14, 2024: Lancet
#17
JOURNAL ARTICLE
Shelly Olin, Julie Schildt, Michael Lane, Adesola Odunayo, Cary Springer, Dana Call, Selene Jones, Dennis Geiser, Daryl Millis, Marti Drum
OBJECTIVE: To assess the effect of hyperbaric oxygen therapy (HBOT) on Crotalinae envenomation-induced wound swelling and severity and pain in dogs, and to describe the safety and complications of HBOT. DESIGN: Prospective, randomized, controlled, blinded study (2017-2021). SETTING: University teaching hospital, private veterinary practice. ANIMALS: Thirty-six client-owned dogs presenting within 24 hours of a confirmed or suspected naturally occurring Crotalinae snake bite injury were enrolled between 2017 and 2021...
May 18, 2024: Journal of Veterinary Emergency and Critical Care
#18
JOURNAL ARTICLE
Mert Karabacak, Pemla Jagtiani, Carl Moritz Zipser, Lindsay Tetreault, Benjamin Davies, Konstantinos Margetis
STUDY DESIGN: Topic modeling of literature. OBJECTIVES: Our study has 2 goals: (i) to clarify key themes in degenerative cervical myelopathy (DCM) research, and (ii) to evaluate the current trends in the popularity or decline of these topics. Additionally, we aim to highlight the potential of natural language processing (NLP) in facilitating research syntheses. METHODS: Documents were retrieved from Scopus, preprocessed, and modeled using BERTopic, an NLP-based topic modeling method...
May 17, 2024: Global Spine Journal
#19
JOURNAL ARTICLE
Matias Costa, Mauricio J Avila, Juan Vivanco-Suarez, Patrick Karas, Stephen Monteith, Akshal Patel
BACKGROUND: Chiari I malformation, marked by severe headaches and potential brainstem/spinal cord issues, often requires surgical intervention when conservative methods fail. This study introduces a minimally invasive surgery (MIS) Chiari decompression technique utilizing a 3-blade retractor, aiming to reduce post-operative discomfort and optimize outcomes. METHODS: Chiari type 1 malformation patients who underwent a MIS technique were included. Technique consisted of a minimal- soft tissue opening using a 3-blade retractor, suboccipital craniectomy, C1 laminectomy, and resection of the atlantooccipital band without a durotomy...
May 15, 2024: World Neurosurgery
#20
JOURNAL ARTICLE
Huihui Xu, Haipeng Huang, Chang Shao, Peijian Tong, Hongting Jin
No abstract text is available yet for this article.
May 17, 2024: International Journal of Surgery
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