Surgical technology international最新文献_第6页

Risk Factors Portending a Total Hip Arthroplasty for Patients Who Have Osteonecrosis of the Femoral Head. 股骨头骨坏死患者接受全髋关节置换术的风险因素。

IF 0.8

Surgical technology international Pub Date : 2024-07-15 DOI: 10.52198/24.STI.44.OS1756

Zhongming Chen, Jeremy A Dubin, Sandeep S Bains, Daniel Hameed, Mallory C Moore, Ronald E Delanois, Michael A Mont, James Nace

{"title":"Risk Factors Portending a Total Hip Arthroplasty for Patients Who Have Osteonecrosis of the Femoral Head.","authors":"Zhongming Chen, Jeremy A Dubin, Sandeep S Bains, Daniel Hameed, Mallory C Moore, Ronald E Delanois, Michael A Mont, James Nace","doi":"10.52198/24.STI.44.OS1756","DOIUrl":"10.52198/24.STI.44.OS1756","url":null,"abstract":"Introduction: Osteonecrosis of the femoral head (ONFH) poses a substantial burden to orthopaedic surgeons. However, the exact risk attributed by each specific patient factor for those who end up receiving a total hip arthroplasty (THA) are not well known. We assessed: (1) patient demographics (age and sex); (2) blood cell dyscrasias (sickle-cell disease and hypercoagulable states); and (3) substance use (oral corticosteroid use, tobacco use, and alcohol abuse).Materials and methods: A retrospective search examined all patients who had a primary THA (n=715,100) between January 1, 2010 and April 30, 2020 using a national, all-payer database. Risk factors studied included age, sex, sickle-cell, hypercoagulable state, oral corticosteroid use, tobacco use, and alcohol abuse.Results: Several risk factors were found to be significantly predictive for ONFH requiring THA: age <55 years (odds ratio [OR] 1.02, 95% confidence interval [CI] of 1.01 to 1.02, p<0.001), men (OR 1.07, 95% CI of 1.04 to 1.10, p<0.001), oral corticosteroid use (OR 1.21, 95% CI of 1.17 to 1.25, p<0.001), tobacco use (OR 1.15, 95% CI of 1.11 to 1.18, p<0.001), and alcohol abuse (OR 1.05, 95% CI of 1.01 to 1.08, p=0.009).Conclusions: Based on the results of this study, young age, men, oral corticosteroid use, tobacco use, and alcohol abuse are risk factors for patients who have ONFH and had a THA. The degree of risk from greatest to least were: oral corticosteroid use, tobacco use, men, alcohol abuse, and age <55 years old.","PeriodicalId":22194,"journal":{"name":"Surgical technology international","volume":"44 ","pages":"271-275"},"PeriodicalIF":0.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Overview of Research for the Application of a Novel Biofilm-Preventing Surgical Irrigation System for Total Joint Arthroplasty Procedures in Order to Reduce the Risk of Periprosthetic Infection. 在全关节成形术中应用新型生物膜预防手术冲洗系统以降低假体周围感染风险的研究综述。

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Surgical technology international Pub Date : 2024-07-15 DOI: 10.52198/24.STI.44.OS1780

Sean B Sequeira, Matthew F Myntti, Jeanne Lee, Michael A Mont

{"title":"An Overview of Research for the Application of a Novel Biofilm-Preventing Surgical Irrigation System for Total Joint Arthroplasty Procedures in Order to Reduce the Risk of Periprosthetic Infection.","authors":"Sean B Sequeira, Matthew F Myntti, Jeanne Lee, Michael A Mont","doi":"10.52198/24.STI.44.OS1780","DOIUrl":"10.52198/24.STI.44.OS1780","url":null,"abstract":"Periprosthetic joint infection (PJI) is a serious postoperative complication in joint arthroplasty procedures that carries substantial morbidity and mortality associated with it. Several strategies have been developed both in the preoperative, perioperative, and postoperative periods to both combat and prevent the development of this devastating complication. Intraoperative irrigation is an important modality used during arthroplasty procedures prior to the implantation of final components that seeks to eradicate any biofilm formation. In this updated review, we discuss the XPERIENCE™ Advanced Surgical Irrigation solution (Next Science, Jacksonville, Florida) and the various completed, ongoing, and planned basic science and clinical investigations associated with it. Although there is already an impressive body of literature supporting its widespread utilization, future basic and clinical trials will continue to be performed to comprehensively characterize the effect this antimicrobial solution has on eliminating the risk of PJI following arthroplasty procedures.","PeriodicalId":22194,"journal":{"name":"Surgical technology international","volume":"44 ","pages":"320-325"},"PeriodicalIF":0.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Synthetic Extracellular Matrices in Combination Therapy with Amniotic Allografting in the Treatment of Diabetic Foot Wounds: A Case Series. 合成细胞外基质与羊膜异体移植联合疗法在治疗糖尿病足伤口中的影响：病例系列。

IF 0.8

Surgical technology international Pub Date : 2024-07-15 DOI: 10.52198/24.STI.44.WH1770

Arthur Evensen, Jodi Walters, James Dancho, Valarie Samoy, David Jolley

{"title":"Impact of Synthetic Extracellular Matrices in Combination Therapy with Amniotic Allografting in the Treatment of Diabetic Foot Wounds: A Case Series.","authors":"Arthur Evensen, Jodi Walters, James Dancho, Valarie Samoy, David Jolley","doi":"10.52198/24.STI.44.WH1770","DOIUrl":"10.52198/24.STI.44.WH1770","url":null,"abstract":"Synthetic extracellular matrices are artificial polymers that are elongated and deposited as a matrix of nanofibers which mimic the native extracellular matrix. RenovoDerm® Anthem™ Wound Matrix (Columbus, Ohio) is comprised of polyglycolic acid and poly (L-lactide-co-caprolactone) which degrade by hydrolysis into a-hydroxy and fatty acids, lowering the pH and promoting regenerative cellular activity including angiogenesis. Amniotic allografts contain growth factors, cytokines, amino acids, extracellular matrix proteins, and hyaluronic acid which are recognized as intrinsic to the wound healing process. Synthetic extracellular matrices alone or in combination with amnio allografts do not have large bodies of evidence which demonstrate their effectiveness in the treatment of wounds. Presently, no prior studies have been performed to assess what impact these therapies may have on wound healing when used concurrently. The aim of this investigation was to assess whether a synergistic effect is produced with combination therapy using synthetic extracellular matrix and amniotic allografting. In this article, we present four cases of diabetic foot ulcerations treated with combination therapy. An amniotic fluid allograft, and/or membrane amniotic allograft, was implanted with a synthetic extracellular matrix dressing over top of the graft(s) at weekly intervals. All wounds demonstrated a greater than 80% decrease in wound size within four applications and achieved more than 95% wound closure after six applications.","PeriodicalId":22194,"journal":{"name":"Surgical technology international","volume":"44 ","pages":"53-60"},"PeriodicalIF":0.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Perspectives of Robotic Surgeons. 机器人外科医生的观点。

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Surgical technology international Pub Date : 2024-07-15 DOI: 10.52198/24.STI.44.SO1785

Agostino Cervone, Joshua Rainey, Nipun Sodhi, Michael A Mont

引用次数: 0

The Cosmetic Management of Mons Pubis Ptosis. 耻骨下垂的美容治疗。

IF 0.8

Surgical technology international Pub Date : 2024-07-15 DOI: 10.52198/24.STI.44.GY1797

Marco Pelosi, Marco Pelosi, Marianne Pelosi

{"title":"The Cosmetic Management of Mons Pubis Ptosis.","authors":"Marco Pelosi, Marco Pelosi, Marianne Pelosi","doi":"10.52198/24.STI.44.GY1797","DOIUrl":"10.52198/24.STI.44.GY1797","url":null,"abstract":"Introduction: Achieving excellent cosmetic monsplasty results consistently can be difficult. Undertreatment or overtreatment of the fatty ptotic mons pubis will yield suboptimal results. A stepwise tactical approach to the monsplasty eliminates these problems and produces excellent aesthetic results.Materials and methods: The surgical management of monsplasty requires individualization and careful surgical planning. The authors' approach illustrating the steps and tactics to perform monsplasty is presented. Based on our experience with 1,200 cases, a comprehensive clinical classification of mons pubis ptosis with surgical guidelines for treatment was created.Results: Over 1200 patients have undergone monsplasty using the authors' stepwise tactical approach to mons rejuvenation. No complications associated with the monsplasty occurred. Patient satisfaction with the monsplasty was very high.Conclusion: In the authors' experience, the preoperative grading of the mons pubis ptosis and the use of guidelines produces consistently excellent aesthetic results. Monsplasty is associated with high aesthetic and functional patient satisfaction.","PeriodicalId":22194,"journal":{"name":"Surgical technology international","volume":"44 ","pages":"189-194"},"PeriodicalIF":0.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modular Revision System for Complex Hip Revisions: A Case Series. 用于复杂髋关节翻修的模块化翻修系统：病例系列。

IF 0.8

Surgical technology international Pub Date : 2024-07-15 Epub Date: 2024-03-01 DOI: 10.52198/24.STI.44.OS1757

Daniel Hameed, Brittany Oster, Bryan D Springer, Arthur L Malkani, Michael A Mont

引用次数: 0

Advancements in Donation after Circulatory Death Heart Procurement and Preservation: A Comprehensive Review of Recent Innovations. 循环死亡后心脏采集和保存捐赠的进展：近期创新的全面回顾。

IF 0.8

Surgical technology international Pub Date : 2024-07-15 DOI: 10.52198/24.STI.44.CV1801

Ignazio Condello

{"title":"Advancements in Donation after Circulatory Death Heart Procurement and Preservation: A Comprehensive Review of Recent Innovations.","authors":"Ignazio Condello","doi":"10.52198/24.STI.44.CV1801","DOIUrl":"10.52198/24.STI.44.CV1801","url":null,"abstract":"Introduction: The persistent shortage of donor hearts for transplantation has prompted exploration into Donation after Circulatory Death (DCD) as a promising avenue for organ procurement. This comprehensive review aims to examine recent advancements in DCD heart procurement and preservation techniques to address the critical need for donor organs and improve transplant outcomes.Materials and methods: A systematic review was conducted to identify relevant studies and innovations related to DCD heart procurement and preservation. Electronic databases including PubMed, MEDLINE, and Google Scholar were searched using keywords such as \"DCD heart donation,\" \"organ preservation,\" and \"transplantation.\" Studies with statistical analyses on transplant outcomes were included for further evaluation.Results: A meta-analysis of DCD heart transplantation outcomes revealed a statistically significant increase in successful transplants utilizing hearts procured after circulatory death (p<0.05). Normothermic machine perfusion demonstrated a 20% reduction in ischemic time compared to traditional cold storage methods, leading to improved post-transplant cardiac function and reduced rates of primary graft dysfunction. These findings highlight the potential of DCD heart procurement and preservation techniques to address the critical shortage of donor hearts while enhancing transplant outcomes.Conclusion: Recent innovations in DCD heart procurement and preservation techniques show promise in overcoming the challenges of donor organ scarcity and improving transplant success rates. Continued research and development in this field are essential to further optimize these techniques and meet the growing demand for donor hearts worldwide.","PeriodicalId":22194,"journal":{"name":"Surgical technology international","volume":"44 ","pages":"230-234"},"PeriodicalIF":0.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Clinical Utility of Powdered and Flowable Matrices in Wound Repair and Tissue Regeneration. 粉末和可流动基质在伤口修复和组织再生中的临床应用

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Surgical technology international Pub Date : 2024-07-15 DOI: 10.52198/24.STI.44.WH1788

Allegra L Fierro, Nour Hijazi, Carolyn Foley, Lauren Rodio, John C Lantis

{"title":"The Clinical Utility of Powdered and Flowable Matrices in Wound Repair and Tissue Regeneration.","authors":"Allegra L Fierro, Nour Hijazi, Carolyn Foley, Lauren Rodio, John C Lantis","doi":"10.52198/24.STI.44.WH1788","DOIUrl":"10.52198/24.STI.44.WH1788","url":null,"abstract":"Cellular and matrix-like products come in many forms. Among them, powdered and micronized formulations have become increasingly available and popular owing to their unique properties and advantages. Powders have increased tissue contact which many believe can enhance granulation tissue formation, they fill irregular and deep cavities, and they can be used in concert with sheet-like products and skin grafts for improved healing. Despite their advantages, powdered products do have certain limitations that hinder their use, including poor insurance coverage and a lack of CPT coding for adequate reimbursement in an outpatient setting, making their use primarily limited to the operating room. Also, most published data on powdered products consists of smaller case studies and case series, with few reports evaluating the efficacy and utility of powdered formulations compared to their sheet-like progenitors. In this manuscript, we organize available powdered matrix products by type of substrate: xenograft, allograft, placental-based, and synthetic, and review the data in support of various products in specific wound types. This review of the supporting literature provides the current body of evidence on the utility of powdered matrices in wounds.","PeriodicalId":22194,"journal":{"name":"Surgical technology international","volume":"44 ","pages":"71-86"},"PeriodicalIF":0.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Twenty First Century Technological Toolbox Innovation for Transanal Minimally Invasive Surgery (TAMIS). 经肛门微创手术 (TAMIS) 的二十一世纪技术工具箱创新。

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Surgical technology international Pub Date : 2024-07-15 DOI: 10.52198/24.STI.44.GS1760

Alice Moynihan, Patrick Boland, Ronan A Cahill

{"title":"Twenty First Century Technological Toolbox Innovation for Transanal Minimally Invasive Surgery (TAMIS).","authors":"Alice Moynihan, Patrick Boland, Ronan A Cahill","doi":"10.52198/24.STI.44.GS1760","DOIUrl":"10.52198/24.STI.44.GS1760","url":null,"abstract":"Transanal minimally invasive surgery (TAMIS) is an effective procedure that plays an important role in the care of patients with significant rectal neoplasia and polyps including early-stage cancers. However, it is perhaps underutilised and under threat from both advanced flexible endoscopic procedures and proceduralists (who often act as gatekeepers for referral to colorectal surgeons), as well as from robotic surgery proponents. TAMIS advocates can learn and adopt practice insights from both these fields and incorporate available technological innovations building on the huge accomplishments already delivered in this area. Evolved practice through technology has the potential to offset current limitations regarding technical constraints and indeed patient selection (via artificial intelligence methods). Potential target areas for advances are considered in this review from different perspectives: (1) Access (2) Insufflation (3) Visualisation (4) Disease Characterization in situ, and (5) Tissue Handling and Suturing. While a bundle approach may be most useful, the advances for each component are potentially useful in their own right and could be applied without depending on the other practices detailed so that more accurate (and perhaps even numerically more) TAMIS procedures can be performed globally to improve patient care.","PeriodicalId":22194,"journal":{"name":"Surgical technology international","volume":"44 ","pages":"91-98"},"PeriodicalIF":0.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Science of Stapling: Staple Form. 订书的科学：订书钉的形式

IF 0.8

Surgical technology international Pub Date : 2024-07-15 Epub Date: 2024-03-19 DOI: 10.52198/24.STI.44.GS1773

Prachi Rojatkar, Anil K Nalagatla, Crystal D Ricketts, Jeffrey W Clymer, Emily Yosh

引用次数: 0