Open Access Surgery最新文献

{"title":"Tattoo preservation during surgical procedures","authors":"S. Tenna, Pietro Francesco Delle Femmine, A. L. Pendolino, B. Brunetti, P. Persichetti","doi":"10.2147/OAS.S36884","DOIUrl":"https://doi.org/10.2147/OAS.S36884","url":null,"abstract":": In recent years, the number of people getting tattoos has continued to increase. Tattoos are much more than cultural fads and cosmetic complements, and nowadays often rep-resent events that express the patient’s personality without words. The presence of a tattoo in the surgical field may be a problem for both the patient and the surgeon. However, the relevant literature is mostly based on complications related to application of tattoos or methods used to remove them. To date, few reports have focused on the importance of preserving a tattoo during a surgical procedure, and no organized studies could be found. The aim of this paper is to provide an overview of the range of solutions that surgeons can use to preserve tattoos during surgery. A PubMed database search was done to assess other surgeons’ experience. The terms “tattoo” in combination with “incision”, “surgery”, “surgical”, or “operative” were used as key words. Following a review of the literature, photographs of patients presenting with a tattoo in the last 5 years at University Campus Bio-Medico of Rome were identified in order to determine the frequency of patients presenting with tattoos in our department. The patients were classified according to sex, age, type of surgery, number of tattoos, and tattoo location. Specific requests to preserve tattoos were recorded. Finally, an algorithm of treatment according to tattoo dimension and location is proposed. Knowledge of all the strategies available for saving tattoos is important for plastic and cosmetic surgeons. If a tattooed area needs to be operated on, surgeons should attempt, when possible, to avoid altering the tattoo in order to maximize the final cosmetic result.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"7 1","pages":"19-27"},"PeriodicalIF":1.0,"publicationDate":"2014-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S36884","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68423626","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":"randomized clinical trial comparing manual suture and different models of mechanical suture in the mimicking of bariatric surgery in swine","authors":"M. A. Fernandes, Bruno M. T. Pereira, A. Paganelli","doi":"10.2147/OAS.S53366","DOIUrl":"https://doi.org/10.2147/OAS.S53366","url":null,"abstract":"© 2014 Fernandes et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"7 1","pages":"11-18"},"PeriodicalIF":1.0,"publicationDate":"2014-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S53366","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68424806","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":"Available and emerging technologies for assessing intraoperative tissue perfusion during complex ventral hernia repair procedures","authors":"S. Ferzoco","doi":"10.2147/OAS.S55335","DOIUrl":"https://doi.org/10.2147/OAS.S55335","url":null,"abstract":"License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php Open Access Surgery 2014:7 1–10 Open Access Surgery Dovepress","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"7 1","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2013-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S55335","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68424674","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":"Current and future developments in the treatment of chronic wounds","authors":"K. Chin, Suresh M Anandan, K. Koshal, Prashant Gujadhur","doi":"10.2147/OAS.S35065","DOIUrl":"https://doi.org/10.2147/OAS.S35065","url":null,"abstract":"Chronic wounds are common and their incidence has been on the increase. They place an enormous burden on health care services and have a major impact on several aspects of patients' wellbeing. It is vital for clinicians to recognize the complexity of the underlying processes leading to the development of a chronic wound. With this knowledge, the key factors that led to their development in each patient can be identified and appropriate steps taken to address modifiable factors. There is currently a wide range of treatments available for treatment of chronic wounds, with a range of exciting new treatments being developed. This paper aims to give an overview of the common etiology and pathophysiology of chronic wounds followed by a discussion of a range of current and future developments in their treatment.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"6 1","pages":"43-53"},"PeriodicalIF":1.0,"publicationDate":"2013-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S35065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68423304","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":"Oral bisphosphonates in a postmenopausal population: a systemic review study","authors":"Chia-Chi Chu, Hirofumi Haga","doi":"10.2147/OAS.S39616","DOIUrl":"https://doi.org/10.2147/OAS.S39616","url":null,"abstract":"License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php Open Access Surgery 2013:6 37–41 Open Access Surgery Dovepress","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"6 1","pages":"37-41"},"PeriodicalIF":1.0,"publicationDate":"2013-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S39616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68423811","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":"The use of pectoralis major flaps during axillary dissection for bulky axillary lymphadenopathy","authors":"N. Mohan, S. Brar, Jason T Rich, F. Wright, K. Higgins","doi":"10.2147/OAS.S37063","DOIUrl":"https://doi.org/10.2147/OAS.S37063","url":null,"abstract":"There are a multitude of flaps and advanced techniques employed in reconstructive surgery during axillary dissections. The pectoralis major flap has proven, in our experience, to be favored as it provides excellent access to level III of the axilla and vessel coverage.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"6 1","pages":"33-36"},"PeriodicalIF":1.0,"publicationDate":"2013-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S37063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68423706","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":"Ventral hernia: retrospective cost analysis of primary repair, repair with synthetic mesh, and repair with acellular xenograft implant","authors":"G. Denoto, N. Reaven, S. Funk","doi":"10.2147/OAS.S44647","DOIUrl":"https://doi.org/10.2147/OAS.S44647","url":null,"abstract":"Correspondence: George DeNoto III Division of General Surgery, St Francis Hospital and Hofstra North Shore-LIJ School of Medicine, 139 Plandome Road, Manhasset, NY 11030, USA Tel +1 516 627 5262 Fax +1 516 627 0641 Email george.denoto@chsli.org Background: The purpose of this study was to evaluate resource utilization and costs of repair of potentially contaminated/infected complex ventral hernias using primary repair, synthetic mesh, or acellular xenograft. Methods: We used 2008–2009 insurance claims (Truven Health Analytics MarketScan) to identify patients who underwent grade 3 or 4 ventral hernia repair between January 1 and June 30, 2008. Patients were categorized into synthetic mesh or xenograft groups based on Current Procedural Terminology and Healthcare Common Procedure Coding System codes, with primary repair identified by the absence of mesh or xenograft codes. Claims were reviewed for an 18-month post-procedure period to identify the incidence of medical complications, number of post-index events, and hospital costs. Results: A total of 740 patients were included. Complication rates in grade 3 patients were significantly lower with xenograft (18%) and primary repair (24%) versus synthetic mesh (37%, P = 0.001). There were minimal differences between grade 4 patients. In grade 3 patients, synthetic mesh was associated with hospital returns for complications about three times as often as those with xenograft repairs and significantly more often than those with primary repairs (P , 0.0001). The average treatment cost for a xenograft repair in grade 3 patients was $33,266 versus a primary repair at $34,948 and synthetic mesh at $35,891 (difference not statistically significant). In grade 4 patients, there was no statistically significant difference between the study arms in the rate of returns for treatment of complications or costs. Conclusion: In this analysis of grade 3 and 4 hernia repair, total 18-month costs were similar across the three study arms despite some significant differences in complications favoring xenograft and primary repair over synthetic mesh.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"6 1","pages":"23-32"},"PeriodicalIF":1.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S44647","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68424461","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":"Comparison of two ultrasonic coagulating shears in sealing pulmonary vessels","authors":"Devanathan Raghavan, J. Howington, Duan Broughton, C. Henderson, J. Clymer","doi":"10.2147/OAS.S42968","DOIUrl":"https://doi.org/10.2147/OAS.S42968","url":null,"abstract":"Ultrasonic cutting and coagulating devices have been used successfully in thoracic applications such as pulmonary resection or artery harvesting, but few studies have evaluated their use in sealing pulmonary vessels. In this study we compared two commercially available devices, Harmonic Ace+ (HAR, Ethicon Endo-Surgery, Inc., Cincinnati OH, USA) and Sono- Surg (SS, Olympus America, Center Valley, PA, USA), in a canine preclinical model. There were three sections to the study: acute, survival, and ex vivo (burst pressure). Hemostasis of sealed pulmonary arteries and veins was assessed for the initial application and during a simu- lated hypertensive crisis, both immediately after vessel sealing and after a survival period of 30 days. Other intraoperative measures were also evaluated, including transection time, tissue sticking, tissue tags, and char on the seal. Histological evaluation was performed both after initial sealing and after the survival period. Burst pressure of sealed vessels was measured ex vivo. For both devices, hemostasis was excellent, including those measurements made under simulated hypertensive crisis. There were no differences in any of the intraoperative measures or thermal damage evaluated histologically. Wound healing was normal. The burst pressures for ex vivo vessels sealed by HAR (median 619.2 mmHg) were significantly higher than those of SS (350.3 mmHg, P = 0.022). Both devices displayed acceptable characteristics in sealing canine pulmonary arteries and veins. The only difference observed was that HAR produced burst pressures 76.8% greater than SS, which may lead to a lower percentage of failures in the region of physiological interest. Use of ultrasonic devices in thoracic applications provides a high rate of initial hemostasis, supraphysiological burst pressures, and durable seals that heal normally.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"6 1","pages":"15-21"},"PeriodicalIF":1.0,"publicationDate":"2013-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S42968","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68424390","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":"Bilateral scrotoschisis with crossed ectopy of the right testis","authors":"V. Onuora, E. Irekpita, U. Alili, A. Ajekweneh, Ihuoma N Amaechi","doi":"10.2147/OAS.S41468","DOIUrl":"https://doi.org/10.2147/OAS.S41468","url":null,"abstract":"Correspondence: Vincent C Onuora Department of Surgery, ISTH, PMB 0008, Irrua, Edo State, Nigeria Email vconuora@gmail.com Abstract: Scrotoschisis is an uncommon congenital anomaly in which the testis descends to an extracorporeal position through a defect in the scrotum. Bilateral scrotoschisis is extremely rare. We present a case of a 16-hour old neonate who was referred to our center with both testes protruding through a defect in the left hemiscrotum.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"6 1","pages":"13-14"},"PeriodicalIF":1.0,"publicationDate":"2013-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S41468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68424476","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":"Maternal morbidity at first repeat cesarean: a sub-analysis of Interceed™ barrier placed at primary cesarean section","authors":"H. Chapa, G. Venegas","doi":"10.2147/OAS.S41447","DOIUrl":"https://doi.org/10.2147/OAS.S41447","url":null,"abstract":"Correspondence: Hector O Chapa Women’s Specialty Center Dallas, Chapa Medical Consulting, 2042 Marydale Rd, Dallas, TX 75208, USA Tel +1 214 334 8116 Email chapamd@gmail.com Objective: The aim of this study was to compare maternal morbidity at repeat cesarean section (CS) between use of a Gynecare InterceedTM Absorbable Adhesion Barrier (Gynecare, Somerville, NJ, USA) and non-use at primary cesarean delivery. Design: This was a retrospective study of patients in whom an absorbable adhesion barrier was/was not used at their primary CS. Methods: Mean and excessive blood loss, the need for adhesiolysis, and postoperative fever were compared between those in whom a barrier was used at first CS and those in whom a barrier was not used. Visceral injury at repeat cesarean was also compared between the two groups. Results: No statistically significant difference in mean blood loss was noted between the two groups. However, significantly more patients in whom a barrier was not used had excessive intraoperative blood loss (barrier group, 1/53 [1.9%]; no-barrier group, 6/59 [10.1%]; P = 0.04). All seven cases of excessive blood loss had adhesiolysis. Significantly more patients in the no-barrier group underwent adhesiolysis (no-barrier group, 35/59 [59.3%]; barrier group, 7/53 [13.2%]; P = 0.03). No statistical difference in postoperative metritis was noted (1/59 [1.8%] in the barrier group and 1/59 [1.7%] in the no-barrier group; P = 0.99). Only one deserosalization of the bladder dome occurred in a patient in the no-barrier group. Conclusion: Those in whom a barrier was not used at primary CS were more likely to have adhesiolysis and excessive blood loss (.1250 mL) at repeat CS. No significant difference in postoperative metritis/fever was noted between groups. Adhesion barrier at primary CS may reduce some aspects of maternal morbidity at repeat CS.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"6 1","pages":"7-12"},"PeriodicalIF":1.0,"publicationDate":"2013-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S41447","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68424420","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}