Videosurgery and Other Miniinvasive Techniques最新文献

{"title":"Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra-articular tenodesis using an all-suture anchor: a modified mini-open technique.","authors":"Jakub Erdmann, Maria Zabrzyńska, Przemysław Pękala, Szymon Nowak, Filip Gołębiewski, Gazi Huri, Jan Zabrzyński","doi":"10.20452/wiitm.2025.17938","DOIUrl":"10.20452/wiitm.2025.17938","url":null,"abstract":"<p><strong>Introduction: </strong>The anterior cruciate ligament (ACL) rupture frequently leads to instability of the knee joint, which subsequently damages other intra‑articular structures. The combination of ACL reconstruction (ACLR) with concurrent lateral extra‑articular tenodesis (LET) improves rotational stability and reduces the risk of subsequent ACL rupture. However, there is not much research that specifically outlines LET hardware and surgical methods.</p><p><strong>Aim: </strong>This study aimed to describe and evaluate clinical outcomes of a mini‑open modified Lemaire technique using a self‑punching all‑suture anchor.</p><p><strong>Materials and methods: </strong>In this study, 32 patients underwent primary or revision ACLR combined with LET via the mini‑open modified Lemaire technique using a self‑punching all‑suture anchor. All individuals completed the following pre‑ and postoperative questionnaires to evaluate their functional performance: the Knee Injury and Osteoarthritis Outcome Score, assessing several domains, the International Knee Documentation Committee subjective knee evaluation form, the Lysholm knee scoring scale, and the Western Ontario and McMaster Universities Arthritis Index. Complication rates were also assessed.</p><p><strong>Results: </strong>Each patient's functional score values increased, as compared with preoperative measure‑ ments. There were no early post‑ or intraoperative complications associated with the technique described.</p><p><strong>Conclusions: </strong>This is the first study that evaluated clinical outcomes, intraoperative, and early post‑ operative complications of the mini‑open modified Lemaire technique using a self‑punching all‑suture anchor. Our study indicates that this procedure is effective, safe, and associated with better cosmesis than classic LET techniques.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"76-83"},"PeriodicalIF":1.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning curve for laparoscopic radical prostatectomy.","authors":"Anna Barnaś, Tomasz Milecki, Agnieszka Ida, Michał Kasperczak, Adam Lipski, Andrzej Antczak, Wojciech A Cieślikowski","doi":"10.20452/wiitm.2025.17933","DOIUrl":"10.20452/wiitm.2025.17933","url":null,"abstract":"<p><strong>Introduction: </strong>While robotic prostatectomies are gaining popularity, laparoscopic and open surgeries remain prevalent in Central and Eastern Europe due to their cost‑effectiveness. In Poland, many urology residents report insufficient laparoscopic training. This study retrospectively evaluated the learning curve for laparoscopic radical prostatectomy (LRP).</p><p><strong>Aim: </strong>This paper aimed to assess the learning curve of a single resident performing extraperitoneal LRP.</p><p><strong>Materials and methods: </strong>We analyzed 72 patients who underwent LRP between 2016 and 2020 at a single center, divided into 5 groups (G1-G5) according to chronological order. The procedures were per‑ formed by a single urologist without on‑site supervision. Outcomes included operative duration, length of hospital stay, complications, transfusion rates, histopathology findings, biochemical recurrence, and urinary incontinence.</p><p><strong>Results: </strong>Patient characteristics were similar across all groups. The median (interquartile range [IQR]) age ranged from 61 (54-66) to 68 (66-70) years, and the median (IQR) prostate‑specific antigen con‑ centration, from 6.7 (5.4-8.5) to 15 (6.3-19.3) ng/ml. Higher Gleason scores were more common in the G3 and G4 groups (P = 0.05) than in the other groups. Surgery time decreased from 183 minutes in the G1 group to 130 minutes in the G5 group (P <0.001). The rates of positive surgical margins were the highest in the G3 and G4 groups (53.3% and 46.7%, respectively; P = 0.02). The rate of urinary continence improved from 66.7% in the G1 group to 86.7% in the G4 group (P = 0.36); however, without any significant difference among all groups. Biochemical recurrence rates tended to be lower in the G4 and G5 groups (6.7% and 8.3%, respectively), but the difference across all groups was nonsignificant. Grade III-V complications occurred only in the G1 group.</p><p><strong>Conclusions: </strong>Surgical outcomes improved after 15 procedures, and the oncological outcomes, after 45, with functional improvement observed later. Performing hundreds of surgeries may be required to achieve high proficiency in performing LRP.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"69-75"},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of sex on the outcomes of uniportal video‑assisted thoracoscopic sympathicotomy for primary palmar hyperhidrosis.","authors":"Turkan Dubus, Gokce Cangel, Fatih Kesmezacar","doi":"10.20452/wiitm.2025.17934","DOIUrl":"10.20452/wiitm.2025.17934","url":null,"abstract":"<p><strong>Introduction: </strong>Primary palmar hyperhidrosis (PPH) impairs the quality of life. Video‑assisted thoracoscopic sympathicotomy is an effective treatment method; however, the impact of sex on surgical outcomes accord‑ ing to the denervation level (T3 vs T3-T4 sympathicotomy) remains unclear.AIM This study investigated the efficacy, complications, and symptom relief rates of isolated T3 vs combined T3-T4 sympathicotomy for PPH, focusing on sex differences.</p><p><strong>Materials and methods: </strong>A retrospective analysis of 327 patients undergoing bilateral uniportal video‑assisted thoracoscopic sympathicotomy for PPH between 2012 and 2022 was performed. The patients were divided into 2 groups depending on the procedure type (isolated T3 sympathicotomy [n = 167] vs T3-T4 combined sympathicotomy [n = 160]). Demographic data, procedure outcomes, and complications were compared.</p><p><strong>Results: </strong>Success rates were 95.8% in the T3 sympathicotomy group and 93.8% in the T3-T4 sympathicotomy group, with no significant difference. The most common complication was dryness of the hands. The overall complication rate was lower in the T3 than in the T3-T4 sympathicotomy group (9.6% vs 14.4%; P = 0.04). Compensatory sweating occurred in 2.4% and 3.1% of the participants in the T3 and T3-T4 sympathicotomy groups, respectively (P = 0.52). The frequency of compensatory sweating, chest pain, and dryness of the hands was significantly higher in men. Age, sex, and duration of surgery had no independent influence on the occurrence of complications.</p><p><strong>Conclusions: </strong>Isolated T3 sympathicotomy is an effective and safe option for the treatment of PPH, and is associated with fewer complications than combined T3-T4 sympathicotomy. Higher complication rates in men emphasize the need for sex‑specific surgical planning and patient counseling.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"55-60"},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic hand suturing after advanced endoscopic procedures: early outcomes of 31 cases in the upper and lower gastrointestinal tract (with video).","authors":"Zofia Orzeszko, Przemysław Kasprzyk, Urszula Zawada, Mirosław Szura, Michał Spychalski","doi":"10.20452/wiitm.2025.17928","DOIUrl":"10.20452/wiitm.2025.17928","url":null,"abstract":"<p><strong>Introduction: </strong>Endoscopic hand suturing (EHS) has emerged as a promising modality in gastrointestinal (GI) endoscopic procedures. Reports on its effectiveness in clinical practice remain limited due to its recent adoption.</p><p><strong>Aim: </strong>This study aimed to describe a single- center experience regarding EHS and its outcomes.</p><p><strong>Materials and methods: </strong>This single -center retrospective study analyzed individuals that underwent advanced endoscopic procedures in the upper and lower GI tract followed by EHS. Defined features (suturing time and speed) and outcomes (postprocedural bleeding, abdominal pain) were assessed.</p><p><strong>Results: </strong>Thirty- one patients were included in the analysis. The median (interquartile range [IQR]) size of the resected lesions was 20 (20-30) mm, and the median (IQR) diameter of the sutured defects was 25 (20-31) mm. The overall suturing time was 25 minutes, with a mean (SD) speed of 1.12 (0.5) mm/min. It varied in different locations, with the fastest closure in the proximal stomach (mean [SD], 25 [13.1] min; 1.27 [0.32] mm/min) and the longest in the rectum (mean [SD], 33 [16.2] min; 0.92 [0.4] mm/min). No symptoms of GI bleeding were reported during early and 4-week follow-up. One case (4.5%) of abdominal pain was reported for the upper GI tract, and none for the lower GI tract.</p><p><strong>Conclusions: </strong>EHS is a safe and effective technique for managing defects in both gastric and rectal advanced endoscopic procedures. Its potential application in preventing post-endoscopic submucosal dissection bleeding in high-risk patients is promising. The duration and complexity of the procedure remain the challenges that may limit its broader adoption. Further research and standardized training are imperative to optimize EHS outcomes and establish it as a routine practice in endoscopic surgery.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"44-50"},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polish Expert Consensus on Metabolic and Bariatric Surgery: 2025 update.","authors":"Piotr Major, Michał Orłowski, Piotr Małczak, Natalia Dowgiałło-Gornowicz, Artur Binda, Paweł Bogdański, Andrzej Budzyński, Dorota Budzyńska, Michał Janik, Paweł Jaworski, Krzysztof Kaseja, Łukasz Kaska, Bartosz Katkowski, Tomasz Koszutski, Grzegorz Kowalski, Dominika Krakowczyk, Andrzej Kwiatkowski, Paweł Lech, Tomasz Lewandowski, Wojciech Lisik, Wojciech Makarewicz, Maciej Matyja, Wojciech Milanowski, Rafał Mulek, Piotr Myśliwiec, Lucyna Ostrowska, Maciej Pastuszka, Krzysztof Paśnik, Michał Pędziwiatr, Monika Proczko-Stepaniak, Hady Razak Hady, Tomasz Rogula, Anna Różańska-Walędziak, Jerzy Sieńko, Jacek Sobocki, Michał Spychalski, Jacek Szeliga, Tomasz Szewczyk, Michał Szymański, Paweł Szymański, Wiesław Tarnowski, Maciej Walędziak, Mateusz Wityk, Mariusz Wyleżoł, Michał Wysocki","doi":"10.20452/wiitm.2025.17950","DOIUrl":"10.20452/wiitm.2025.17950","url":null,"abstract":"<p><p>This document presents a comprehensive update to the Polish national recommendations on metabolic and bariatric surgery, developed by a panel of experts based on the latest clinical and scientific evidence. In light of a nearly 500% increase in the number of bariatric procedures in Poland since 2014 and significant technological advancements, it became necessary to revise national guidelines in line with international standards set by the International Federation for the Surgery of Obesity and Metabolic Disorders and the American Society for Metabolic and Bariatric Surgery. A pivotal development in Poland was the implementation of the Comprehensive Specialist Care in Bariatrics (KOS‑BAR) program in 2021, which ensured more accessible and safer care for patients with severe obesity through a structured and multidisciplinary approach. The consensus covers the full scope of care: from the epidemiology of obesity, surgical eligibility criteria, and preoperative preparation, to the choice of surgical technique, postoperative care, management of complications, and revisional procedures. The document also includes guidance on pharmacological treatment as an addition or alternative to surgery, and addresses the needs of specific patient groups, such as pediatric patients, elderly individuals, women of reproductive age, and those with comorbid conditions. The aim of this update is to provide Polish patients with access to safe, effective, and evidence‑based treatment for obesity, while also aligning the health care system with the growing public health challenge posed by the obesity epidemic.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 2","pages":"125-143"},"PeriodicalIF":1.9,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative localization of pulmonary nodules: virtual bronchoscopic navigation vs a 4‑hook localization needle.","authors":"Xiaofeng Li, Xuepeng Bai, Li Xu, Jiankun Zhu, Fan Zhang, Changming Shen, Feng Jin, Yunzeng Zhang","doi":"10.20452/wiitm.2025.17930","DOIUrl":"10.20452/wiitm.2025.17930","url":null,"abstract":"<p><strong>Introduction: </strong>Both virtual bronchoscopic navigation (VBN) and puncture with a 4‑hook localization needle are viable methods for localizing pulmonary nodules. However, there is a paucity of research that compares these 2 approaches.</p><p><strong>Aim: </strong>This study aimed to assess and compare the efficacy of and complications associated with these 2 approaches to pulmonary nodule localization.</p><p><strong>Materials and methods: </strong>We analyzed 223 patients who underwent VBN (n = 98) or needle localization (n = 125) of pulmonary nodules between April 2020 and December 2022. Each study group was divided into 2 subgroups, namely the solitary‑nodule group and the 2‑nodule group. We collected and analyzed data on localization time, accuracy, success rate, and complications in each group.</p><p><strong>Results: </strong>In the solitary‑nodule subgroup, the mean (SD) distance between the localization point and the pulmonary nodule was 6.2 (6.1) mm for the needle‑localization group and 8.6 (4.8) mm for the VBN‑localization group (P = 0.01). In the 2‑nodule subgroup, the mean (SD) distance did not significantly differ and amounted to 8.7 (4.6) mm for the needle‑localization group and 8.4 (4.4) mm for the VBN‑localization group. However, the mean (SD) time required for localization was shorter in the VBN‑localization group (17.2 [2.6] min) than in the needle‑localization group (26.6 [3.9] min; P <0.001), which indicated that VBN was more efficient in 2‑nodule localization. The solitary nodule- and 2‑nodule-localization procedures differed significantly in terms of complications, such as pneumothorax and bleeding, with fewer complications reported in the VBN‑localization group.</p><p><strong>Conclusions: </strong>In comparison with needle localization, VBN localization was associated with fewer complications. In the case of 2 pulmonary nodules, VBN localization outperformed the needle approach, with shorter localization time, fewer complications, and no radiation exposure.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"61-68"},"PeriodicalIF":1.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and risk factors of portal vein thrombosis following hepatectomy: a systematic review and meta‑analysis.","authors":"Yang Qun, Feng Meiying, Yao Weiming, He Dan","doi":"10.20452/wiitm.2025.17929","DOIUrl":"10.20452/wiitm.2025.17929","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence and risk factors of portal vein thrombosis (PVT) are largely unclear, with an increasing number of studies reporting inconsistent results.</p><p><strong>Aim: </strong>The current study aimed to evaluate the prevalence and risk factors of PVT following hepatectomy through a systematic review and meta‑analysis.</p><p><strong>Materials and methods: </strong>A comprehensive literature search was conducted across multiple databases (PubMed, Embase, and the Cochrane Library) to identify relevant studies. Prospective and retrospective studies reporting on PVT following hepatectomy were included. The Newcastle‑Ottawa Scale (NOS) was used to assess study quality, and the random effects model was used to analyze the prevalence and risk factors.</p><p><strong>Result: </strong>A total of 15 studies involving 5145 patients were included in the current meta‑analysis. The pooled prevalence of PVT following hepatectomy was 9% (95% CI, 7%-12%) with substantial heterogeneity (I2 = 93.1%). Subgroup analyses showed that a prospective design and larger sample size were associated with lower prevalence rates. PVT prevalence was higher among the patients undergoing simultaneous splenectomy and hepatectomy. Liver cirrhosis (odds ratio [OR], 5.18; 95% CI, 1.85-14.47), portal vein resection (OR, 5.07; 95% CI, 2.2-11.66), and right‑sided hepatectomy (OR, 6.26; 95% CI, 1.8-21.76) were significant risk factors for PVT.</p><p><strong>Conclusions: </strong>PVT is a notable complication following hepatectomy, with an overall prevalence of 9%. Specific factors that significantly increase the risk of PVT include liver cirrhosis, portal vein resection, and right‑sided hepatectomy.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"36-43"},"PeriodicalIF":1.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for perioperative complications following unilateral biportal endoscopic spine surgery.","authors":"Jiashen Shao, Zhiwu Zhang, Zihan Fan, Hai Meng, Qi Fei","doi":"10.20452/wiitm.2025.17940","DOIUrl":"10.20452/wiitm.2025.17940","url":null,"abstract":"<p><strong>Introduction: </strong>Unilateral biportal endoscopy (UBE) is a minimally invasive technique that has gradually gained popularity in the field of spine surgery.</p><p><strong>Aim: </strong>The aim of this study was to identify independent risk factors associated with the occurrence of perioperative complications following UBE surgery through a comprehensive retrospective analysis.</p><p><strong>Materials and methods: </strong>Consecutive patients who underwent UBE at the Department of Orthopedics of Beijing Friendship Hospital between June 2021 and July 2024 were retrospectively analyzed. Data on demographic characteristics, comorbidities, surgery‑related parameters, and perioperative complications were extracted from medical records, and patients who did and did not develop complications were compared. Potential risk factors for perioperative complications were evaluated using univariable and multivariable logistic regression analyses.</p><p><strong>Results: </strong>In a cohort of 322 patients, perioperative complications were observed in 20 individuals, yielding an overall incidence rate of 6.8%. Occurrence of perioperative complications was associated with higher body mass index (BMI >28 kg/m2; P <0.001), diabetes mellitus (P <0.001), depression (P <0.001), preoperative analgesia (P = 0.03), American Society of Anesthesiologists classifiation (P <0.001), and longer operative time (>180 minutes; P <0.001). In the multivariable logistic regression analysis, surgery duration longer than 180 minutes (odds ratio [OR], 2.8; 95% CI, 1.5-5.4), depression (OR, 2.5; 95% CI, 1.3-4.7), and BMI greater than 28 kg/m2 (OR, 3.1; 95% CI, 1.7-5.9) were identified as independent risk factors for complications.</p><p><strong>Conclusions: </strong>This study demonstrates that UBE surgery is an effective and safe minimally invasive technique for the management of lumbar degenerative diseases, with a relatively low complication rate of 6.8%. Longer operative time, preoperative depression, and a higher BMI were identified as independent risk factors for the occurrence of perioperative complications.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"93-98"},"PeriodicalIF":1.9,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of meniscus injury and chondromalacia on the patient‑reported quality of life, social support, and mental health following knee arthroscopy.","authors":"Bartosz Turoń, Damian Małkowski, Maria Zabrzyńska, Krzysztof Buczkowski, Piotr Błaszak, Jakub Ohla, Michał Wilk, Janet Olagbaju, Agnieszka Witowska, Jan Zabrzyński","doi":"10.20452/wiitm.2025.17923","DOIUrl":"10.20452/wiitm.2025.17923","url":null,"abstract":"<p><strong>Introduction: </strong>Meniscal tears and chondromalacia patellae (CP) are among the most common knee pathologies treated with arthroscopic partial meniscectomy. Chronic knee pain impairs mobility, functionality, and the overall quality of life (QOL).</p><p><strong>Aim: </strong>The study evaluates the relationship between meniscus injury and early-stage CP found intraoperatively, and pre- and postoperative patient-reported QOL, perceived social support, and mental health. MATERIALS AND METHODS Patients who underwent knee arthroscopy for meniscal and cartilage abnormality, without reconstructive or restorative procedures, between 2019 and 2021, were prospectively enrolled in this study.</p><p><strong>Methods: </strong>Patients who underwent knee arthroscopy for meniscal and cartilage abnormality, without reconstructive or restorative procedures, between 2019 and 2021, were prospectively enrolled in this study.</p><p><strong>Results: </strong>We observed a significant rise in the pre- and postoperative scores on the World Health Organization QOL Brief Version (WHOQOL-BREF) scale for various meniscal tears and different types of CP (grade 0-IV) in almost all domains. Education level did not significantly affect the WHOQOL-BREF assessment, and we found no statistical correlation between preoperative WHOQOL-BREF score in all domains and waiting time for surgery. However, there were significant differences between white- and blue-collar employees in the domains 1 and 2, that is, physical and psychological health.</p><p><strong>Conclusions: </strong>The study shows that the measured QOL improves in patients operated at the early stages of CP. Moreover, when both menisci are involved in the pathological process, the clinical outcomes are inferior. The education level and waiting time for surgery had no impact on QOL, contrary to the type of work, as white-collar workers had better outcomes in physical and psychological health domains.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"20 1","pages":"84-92"},"PeriodicalIF":1.6,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long‑term outcomes of adjustable gastric banding: a 15‑year prospective randomized trial comparing 2 band types in 103 patients.","authors":"Žygimantas Juodeikis, Gintautas Brimas","doi":"10.20452/wiitm.2024.17918","DOIUrl":"10.20452/wiitm.2024.17918","url":null,"abstract":"<p><strong>Introduction: </strong>As the use of gastric bands diminishes in bariatric and metabolic surgery, we present the results of a 15-year randomized controlled trial comparing 2 distinct adjustable gastric bands.</p><p><strong>Aim: </strong>The aim of this study was to compare long-term outcomes of bariatric surgery performed using 2 different adjustable gastric band types over a 15-year period.</p><p><strong>Materials and methods: </strong>Between January 1, 2009, and January 31, 2010, a total of 103 patients with obesity underwent randomization to receive treatment with either a Swedish adjustable gastric band (SAGB; n = 49) or a MiniMizer Extra adjustable gastric band (n = 54). Weight loss outcomes, comorbidity resolution, long-term complications, and quality of life measures were assessed at 1, 5, and 15 years postoperatively.</p><p><strong>Results: </strong>Baseline characteristics were similar between the groups, with a mean (SD) patient age of 45.9 (11.7) years and a mean (SD) preoperative body mass index of 47.5 (7.3) kg/m² . Of the 103 patients, 55 (53.3%) completed the 15-year follow-up. After 15 years, the mean total body weight loss was 25.6% in the SAGB group and 20.6% in the MiniMizer Extra group, with no significant difference. Complications occurred in 19 patients (18.4%), including 5 band erosions, 4 port-related issues, 3 cases of band slippage, and 3 instances of band intolerance. Nine bands were removed, and 3 patients underwent conversion to gastric bypass.</p><p><strong>Conclusions: </strong>SAGB and MiniMizer Extra bands demonstrated comparable outcomes at both the 5- and 15-year follow-up with respect to weight loss, resolution of comorbidities, morbidity, and quality of life. However, most of the improvements in comorbidities observed at the 5-year follow-up significantly declined after 15 years.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"19 3","pages":"421-426"},"PeriodicalIF":1.6,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}