S. Walter, M. Lenz, P. Knöll, K. Zarghooni, J. Jakob, D. Andreou, B. Beck-Broichsitter, Jens Bedke, W. Budach, D. Denschlag, H. Dürr, M. Felcht, M. Follmann, S. Frese, T. Gösling, T. Graeter, V. Gruenwald, R. Gruetzmann, Jürgen Hoffmann, P. Hohenberger, Vlada Kogosov, W. Knoefel, M. Lehnhardt, B. Lehner, L. Lindner, C. Matthies, P. Reichardt, J. Sehouli, S. Ugurel, B. Kasper, D. Gruyter
{"title":"Abstract DGOOC","authors":"S. Walter, M. Lenz, P. Knöll, K. Zarghooni, J. Jakob, D. Andreou, B. Beck-Broichsitter, Jens Bedke, W. Budach, D. Denschlag, H. Dürr, M. Felcht, M. Follmann, S. Frese, T. Gösling, T. Graeter, V. Gruenwald, R. Gruetzmann, Jürgen Hoffmann, P. Hohenberger, Vlada Kogosov, W. Knoefel, M. Lehnhardt, B. Lehner, L. Lindner, C. Matthies, P. Reichardt, J. Sehouli, S. Ugurel, B. Kasper, D. Gruyter","doi":"10.1515/iss-2023-9005","DOIUrl":"https://doi.org/10.1515/iss-2023-9005","url":null,"abstract":"Results: 10,029 cases were included into final analysis (Group I: 3,007; Group II: 7,022). There was no significant difference between both groups regarding age or gender distribution. Average morbidity of patients was significantly elevated in Group I (p < 0.05) and the rates of invasive surgery were significantly increased in this group (p < 0.001). Overall complication rates were reported with 12.0% (Group I) and 8.5% (Group II). There were significantly more epidural hematoma (p < 0.001) and motor dysfunction (p = 0.049) as well as deep wound infections (p < 0.001) in Group I.","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"52 1","pages":"123 - 128"},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90603578","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}
R. Jabbarli, M. Oppong, L. Rauschenbach, O. Gembruch, P. Dammann, U. Sure, K. Wrede
{"title":"Abstract DGNC","authors":"R. Jabbarli, M. Oppong, L. Rauschenbach, O. Gembruch, P. Dammann, U. Sure, K. Wrede","doi":"10.1515/iss-2023-9003","DOIUrl":"https://doi.org/10.1515/iss-2023-9003","url":null,"abstract":"The robot-assisted systems are increasingly used in operations to improve the accuracy of pedicle screws in spinal surgery. Surgeons can use robotic systems in almost all spinal procedures such as degenerative, fracture, stenosis, scoliosis and at any vertebral level. A 3D or 4D scanning provides real-time information necessary for planning the screw placement and enables the insertion of accurate screws even in the presence of severe degeneration or anatomical variations. Studies on robot-assisted spine surgeries demonstrate an overall accuracy level of 98 percent in these operations","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"1 1","pages":"19 - 30"},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83117304","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}
{"title":"Abstract DGPRÄC","authors":"L. Prantl, Oliver Felthaus, Andreas Eigenberger","doi":"10.1515/iss-2023-9002","DOIUrl":"https://doi.org/10.1515/iss-2023-9002","url":null,"abstract":"The perioperative use of vasopressors in free flap surgeries is controversially debated. The predominant concern is pedicle blood supply will be negatively affected, thus leading to increased post-operative complications. However, little is known about the relationship between vasopressor use and its impact on intrinsic blood supply of free flaps. Comorbidities that diminish blood circulation may cause a higher risk of necrosis from vasopressor use due to the decreased intrinsic free flap blood supply. The aim of this study is to establish the role of peri-operative vasopressors in free flap necrosis based on flap localization and patients’ comorbidities","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"210 1","pages":"10 - 18"},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89107969","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}
J. Köppe, J. Stolberg-Stolberg, K. Fischhuber, J. Iking, U. Marschall, A. Faldum, M. Raschke, J. Katthagen
{"title":"Abstract DGU","authors":"J. Köppe, J. Stolberg-Stolberg, K. Fischhuber, J. Iking, U. Marschall, A. Faldum, M. Raschke, J. Katthagen","doi":"10.1515/iss-2023-9007","DOIUrl":"https://doi.org/10.1515/iss-2023-9007","url":null,"abstract":"Postoperative early mobilization is critical to prevent postoperative complications in elderly patients with hip fractures. Postoperative mobility varies vastly among orthogeriatric patients. To predict postoperative mobility, it is essential to take multiple and patient-specific factors into account. Malnutrition can be frequently found in geriatric patients and was shown to be a risk factor for postoperative complications. The prognostic nutritional index (PNI) has been widely used as an indicator to assess the nutritional and immunological condition of patients. This study aimed to investigate the predictive value of the PNI for early postoperative mobility in geriatric patients with pertrochanteric femur fractures. We hypothesized that patients with a lower PNI have impaired postoperative mobility.","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"75 1","pages":"137 - 147"},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80938607","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}
Marco Stefano Demarchi, Wolfram Karenovics, Benoît Bédat, Frédéric Triponez
{"title":"Near-infrared fluorescent imaging techniques for the detection and preservation of parathyroid glands during endocrine surgery.","authors":"Marco Stefano Demarchi, Wolfram Karenovics, Benoît Bédat, Frédéric Triponez","doi":"10.1515/iss-2021-0001","DOIUrl":"https://doi.org/10.1515/iss-2021-0001","url":null,"abstract":"<p><strong>Objectives: </strong>In over 30% of all thyroid surgeries, complications arise from transient and definitive hypoparathyroidism, underscoring the need for real-time identification and preservation of parathyroid glands (PGs). Here, we evaluate the promising intraoperative optical technologies available for the identification, preservation, and functional assessment of PGs to enhance endocrine surgery.</p><p><strong>Methods: </strong>We performed a review of the literature to identify published studies on fluorescence imaging in thyroid and parathyroid surgery.</p><p><strong>Results: </strong>Fluorescence imaging is a well-demonstrated approach for both <i>in vivo</i> and <i>in vitro</i> localization of specific cells or tissues, and is gaining popularity as a technique to detect PGs during endocrine surgery. Autofluorescence (AF) imaging and indocyanine green (ICG) angiography are two emerging optical techniques to improve outcomes in thyroid and parathyroid surgeries. Near-infrared-guided technology has significantly contributed to the localization of PGs, through the detection of glandular AF. Perfusion through the PGs can be visualized with ICG, which can also reveal the blood supply after dissection.</p><p><strong>Conclusions: </strong>Near infrared AF and ICG angiography, providing a valuable spatial and anatomical information, can decrease the incidence of complications in thyroid surgery.</p>","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"7 3-4","pages":"87-98"},"PeriodicalIF":1.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10422012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maxime Gerard, Alexander N Flaris, Marco Demarchi, Ilies El Boukili, Laure Maillard, Françoise Borson-Chazot, Myriam Decaussin-Petrucci, Jean-Christophe Lifante
{"title":"Thyroid liposarcoma: a case report.","authors":"Maxime Gerard, Alexander N Flaris, Marco Demarchi, Ilies El Boukili, Laure Maillard, Françoise Borson-Chazot, Myriam Decaussin-Petrucci, Jean-Christophe Lifante","doi":"10.1515/iss-2021-0037","DOIUrl":"https://doi.org/10.1515/iss-2021-0037","url":null,"abstract":"<p><strong>Objectives: </strong>Thyroid liposarcoma is a rare tumor. Its low prevalence accounts for the scarcity of data in the literature, which consists mostly of small studies and case reports.</p><p><strong>Case presentation: </strong>We present the case of a 60 years old male with no past medical or past surgical history and presented with neck discomfort and a large left thyroid nodule. Thyroid ultrasound and CT scan were performed and confirmed the existence of a thyroid nodule most probably inside the left inferior thyroid lobe. In the posterior mediastinum, two fatty formations were found. To complete, an MRI was performed, showing a mixed lesion, of the lower neck and upper chest. The patient underwent an extended resection which consisted of an en bloc resection of the lesion (left thyroid lobectomy and isthmus resection) by an anterior transverse cervical incision and a sternotomy. Tracheal and laryngeal shaving and esophageal shaving with resection of the esophageal muscularis was performed as well. The pathological evaluation of the specimen showed a grade II dedifferentiated liposarcoma with an inflammatory component.</p><p><strong>Conclusions: </strong>Thyroid liposarcoma is a rare lesion of the thyroid. Its management requires an exhaustive workup followed by an en bloc resection of the lesion. Depending on the histology, postoperative radiation therapy may or may not be necessary.</p>","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"7 3-4","pages":"133-137"},"PeriodicalIF":1.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10427790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christos K Stefanou, Georgios Papathanakos, Stefanos K Stefanou, Kostas Tepelenis, Aikaterini Kitsouli, Alexandra Barbouti, Periklis Tsoumanis, Panagiotis Kanavaros, Panagiotis Kitsoulis
{"title":"Surgical tips and techniques to avoid complications of thyroid surgery.","authors":"Christos K Stefanou, Georgios Papathanakos, Stefanos K Stefanou, Kostas Tepelenis, Aikaterini Kitsouli, Alexandra Barbouti, Periklis Tsoumanis, Panagiotis Kanavaros, Panagiotis Kitsoulis","doi":"10.1515/iss-2021-0038","DOIUrl":"https://doi.org/10.1515/iss-2021-0038","url":null,"abstract":"<p><strong>Objectives: </strong>Surgery of the thyroid takes place in a body part with complicated anatomy and several vital physiologic functions. Thyroidectomy is rarely associated with mortality but can be followed by significant complications, (i.e. hypoparathyroidism, hemorrhage, upper airway obstruction, laryngeal nerve injuries and thyrotoxic storm). This review aims to indicate surgical tips and techniques to sustain a low level of complications.</p><p><strong>Content: </strong>MEDLINE database (PubMed) platform was used as a search engine and the articles related to the topic were selected using the keywords combination \"thyroid surgery and complications\".</p><p><strong>Summary and outlook: </strong>The most common complication of total thyroidectomy with an occurrence ranging between 0.5 and 65% is hypoparathyroidism. Damage to recurrent laryngeal nerves can be temporary or permanent, unilateral or bilateral; bilateral lesion is associated with severe episodes of breathlessness. Thus, intraoperative monitoring of nerve function is essential to prevent damage. Ιn addition, hematoma formation can lead to breathing difficulties due to airway obstruction; preventive hemostasis during surgery is essential. The surgeon must have a complete anatomical understanding of not only the normal anatomy of the central visceral compartment of the neck, but also the common variations of the laryngeal nerves and parathyroid glands in order to keep the complication rate at a very low level.</p>","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"7 3-4","pages":"115-123"},"PeriodicalIF":1.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10422014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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