Surgeries最新文献_第3页

Unmasking Hypoglossal Nerve Schwannomas Mimicking Submandibular Salivary Gland Tumors: Case Report of a Rare Presentation and Surgical Management 模拟下颌唾液腺肿瘤的舌下神经鞘瘤的揭露:一例罕见的表现和外科治疗报告

Surgeries Pub Date : 2023-10-06 DOI: 10.3390/surgeries4040051

Federica Maria Parisi, Antonino Maniaci, Giuseppe Broggi, Lucia Salvatorelli, Rosario Caltabiano, Roberto Lavina

引用次数: 0

Outcomes of Hip Arthroscopy in Patients with Systemic Inflammatory Diseases: A Matched Cohort 5-Year Follow-Up Study 系统性炎性疾病患者髋关节镜检查的结果:一项匹配队列5年随访研究

Surgeries Pub Date : 2023-10-03 DOI: 10.3390/surgeries4040050

Nicole D. Rynecki, Dhruv S. Shankar, Allison M. Morgan, Shalen Kouk, Thomas Youm

{"title":"Outcomes of Hip Arthroscopy in Patients with Systemic Inflammatory Diseases: A Matched Cohort 5-Year Follow-Up Study","authors":"Nicole D. Rynecki, Dhruv S. Shankar, Allison M. Morgan, Shalen Kouk, Thomas Youm","doi":"10.3390/surgeries4040050","DOIUrl":"https://doi.org/10.3390/surgeries4040050","url":null,"abstract":"The purpose of this study was to determine if there is a difference in hip survivorship rates and patient-reported outcomes (PROs) at a 5-year follow-up after arthroscopic treatment of femoroacetabular impingement syndrome (FAIS) between patients with versus without systemic inflammatory diseases (SIDs). A retrospective single-surgeon matched cohort study of FAIS patients who underwent hip arthroscopy and had a minimum of a 5-year follow-up was conducted. Subjects with SIDs were matched at a ratio of 2:3 of age and body mass index (BMI) with respect to controls without SIDs. Subjects completed the modified Harris Hip Score (mHHS) and Non-Arthritic Hip Score (NAHS) prior to surgery and at a 2-year and 5-year follow-up. Survival distributions for time to reoperation and to total hip arthroplasty (THA) were compared between groups using the log-rank test. Fifteen subjects with SIDs (mean age 41.5 years) were matched with twenty-five controls (41.8 years). There were no significant differences in reoperation rates (SIDs 27% vs. controls 20%, p = 0.71) or THA conversion rates (SIDs 7% vs. controls 12%, p = 1.00) at the 5-year follow-up, nor were there differences in survival distributions for reoperations (p = 0.72) or THAs (p = 0.55). There were no significant differences in postoperative mHHS (SIDs 79.3 vs. controls 88.5, p = 0.09) or NAHS (SIDs 82.7 vs. controls 89.3, p = 0.77) by the 5-year follow-up. At the 5-year follow-up, FAIS patients with comorbid SIDs experienced a significant clinical improvement from hip arthroscopy that is comparable to that of FAIS patients without SIDs.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696649","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

Acral Lentiginous Melanoma of the Thumb: Dermoscopy and Treatment 拇指肢端黄斑性黑色素瘤:皮肤镜检查和治疗

Surgeries Pub Date : 2023-09-26 DOI: 10.3390/surgeries4040049

Antonella Tammaro, Ganiyat Adenike Ralitsa Adebanjo, Michail Sorotos, Carmen Cantisani, Camilla Chello, Hans Peter Erasmus, Francesca Romana Grippaudo, Fabio Santanelli Di Pompeo, Giovanni Pellacani

引用次数: 0

Less Is More for Non-Dislocated Femoral Neck Fractures: Similar Results for Two versus Three Cannulated Hip Screws 非脱位股骨颈骨折少即是多:两枚和三枚空心髋关节螺钉效果相似

Surgeries Pub Date : 2023-09-22 DOI: 10.3390/surgeries4040048

Hilde Schutte, Lorenzo Hulshof, Ger van Olden, Paul van Koperen, Tim Timmers, Wouter Kluijfhout

{"title":"Less Is More for Non-Dislocated Femoral Neck Fractures: Similar Results for Two versus Three Cannulated Hip Screws","authors":"Hilde Schutte, Lorenzo Hulshof, Ger van Olden, Paul van Koperen, Tim Timmers, Wouter Kluijfhout","doi":"10.3390/surgeries4040048","DOIUrl":"https://doi.org/10.3390/surgeries4040048","url":null,"abstract":"Cannulated hip screws (CHS) can be used for the minimally invasive fixation of non-dislocated femoral neck fractures. Usually, three screws are inserted. This study aims to determine whether fixation by two CHS leads to similar results as fixation by three CHS. Since January 2019, all patients with an indication for internal fixation by CHS were treated with two CHS and followed prospectively. Results were compared to an equal-sized control group of patients who underwent fixation by three CHS (before 2019). The primary outcome was reoperation, while the secondary outcome was screw dislocation. Since January 2019, 50 patients were treated by two CHS. Of these, 14 patients (28%) underwent reoperation versus 13 patients (26%) in the control group (p = 1.000). Reoperations included screw replacement, hemiarthroplasty, and total hip prosthesis. Three major reasons for reoperation were pain due to osteosynthesis material (n = 15), coxarthrosis (n = 4), and screw cut out (n = 3). Six weeks postoperative X-rays showed a screw dislocation of 2 mm for the two CHS group and 1 mm for the three CHS group (p = 0.330). Clinical outcomes were very similar between the groups. The overall results were good; however, the reoperation rate varied from 26 to 28%. The majority of reoperations were screw replacements. Screw dislocation seems to be more prominent in patients treated with two screws (2 mm versus 1 mm). Fixation by two cannulated hip screws is an acceptable treatment method for non-dislocated femoral neck fractures, and the insertion of a third screw does not lead to superior clinical results.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136098858","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

Extended Overnight Monitoring of Respiratory Events after Bariatric Surgery 减肥手术后呼吸事件的延长夜间监测

Surgeries Pub Date : 2023-09-15 DOI: 10.3390/surgeries4030047

Christopher Popiolek, Giorgio Melloni, Maha Balouch, Ashley Mooney, Christopher DuCoin, Salvatore Docimo, Enrico Camporesi

{"title":"Extended Overnight Monitoring of Respiratory Events after Bariatric Surgery","authors":"Christopher Popiolek, Giorgio Melloni, Maha Balouch, Ashley Mooney, Christopher DuCoin, Salvatore Docimo, Enrico Camporesi","doi":"10.3390/surgeries4030047","DOIUrl":"https://doi.org/10.3390/surgeries4030047","url":null,"abstract":"Introduction: Patients receiving bariatric surgery are at risk for sleep apnea (OSA) and need extensive surveillance in the postoperative period. There is evidence of respiratory events (RE) several hours after leaving PACU. We analyzed the late onset of RE in patients recovering from bariatric surgery and their opiate requirements through the first night after surgery. Methods: We studied 52 patients with OSA and 38 non-OSA patients. Preoperative studies comprised meticulous OSA evaluation for all patients and computing the predictive score PRODIGY to stratify for the risk of RE. All patients received intraoperative multimodal non-opioid anesthesia. After PACU recovery, patients were admitted to a ward and continuously monitored for pulse oximetry, heart rate, and acoustic respiratory rate for up to 18 h using MASIMO RAD-97 and TRACE software (Masimo, USA). Results: All patients showed a progressing reduction in the frequency of RE after admission to the floor. Desaturations and bradypnea, however, increased significantly for a second peak between 14 and 16 h in the OSA group. The opiate doses administered to OSA and non-OSA patients were not different and remained low during the increases in RE. Discussion: After bariatric surgery, patients with OSA show significant late-desaturation and bradypnea events. Opiate administration cannot be invoked as the cause.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135437120","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

Step-by-Step Dissection of the Mediastinum: A Training Protocol 纵隔分步解剖:训练方案

Surgeries Pub Date : 2023-09-13 DOI: 10.3390/surgeries4030046

Vincenzo Verzeletti, Giorgio Cannone, Lena Hirtler, Alessandro Bonis, Andrea Lloret Madrid, Maria Carlotta Marino, Fares Shamshoum, Luigi Lione, Andrea Zuin, Andrea Dell’Amore, Federico Rea

{"title":"Step-by-Step Dissection of the Mediastinum: A Training Protocol","authors":"Vincenzo Verzeletti, Giorgio Cannone, Lena Hirtler, Alessandro Bonis, Andrea Lloret Madrid, Maria Carlotta Marino, Fares Shamshoum, Luigi Lione, Andrea Zuin, Andrea Dell’Amore, Federico Rea","doi":"10.3390/surgeries4030046","DOIUrl":"https://doi.org/10.3390/surgeries4030046","url":null,"abstract":"The understanding of mediastinal anatomy represents a real challenge because of the vital structures inside it and due to its complex relationships with surrounding anatomical regions. Human anatomical specimens are always used both for the teaching of anatomy and the training of young surgeons, thus providing a deep understanding of the most complex anatomical regions and allowing less experienced surgeons to become familiar with surgical instruments and their use on actual human tissues. Despite the spread of these learning practices, there are no principles of dissection to follow for a young physician interested in the anatomy of the mediastinum. Therefore, the main objective of this study is to define a reliable and reproducible protocol for the dissection of the mediastinum. A stratigraphic anatomical dissection on three embalmed human specimens was performed. All steps were documented by high-quality photographs, taken with a professional digital reflex camera, and subsequently edited. A step-by-step anatomical dissection guide was created, detailing every phase, guiding the dissection of the mediastinal anatomy, and leading to the correct identification of its main anatomical structures. We present a step-by-step dissection guide to the mediastinal anatomy with point-by-point explanations and dedicated images, providing an additional tool for the comprehension of this complex anatomical area.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135742244","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

Indwelling Vascular Access Ports: Application, Advantages, and Management in Nonhuman Primates 留置血管通道:在非人灵长类动物中的应用、优势和管理

Surgeries Pub Date : 2023-09-06 DOI: 10.3390/surgeries4030044

S. Oppler, David J. Leishman, Melanie L. Graham

{"title":"Indwelling Vascular Access Ports: Application, Advantages, and Management in Nonhuman Primates","authors":"S. Oppler, David J. Leishman, Melanie L. Graham","doi":"10.3390/surgeries4030044","DOIUrl":"https://doi.org/10.3390/surgeries4030044","url":null,"abstract":"Animals in the veterinary and experimental settings, including nonhuman primates (NHPs), often require repeated and prolonged vascular access for indications including blood sampling or administration of fluids, blood products, medication, or other therapies. A vascular access approach should be tailored to experimental or clinical use meeting the needs of the individual animal such that benefits outweigh risks. The optimal device and placement technique is based on the inherent advantages and disadvantages of specific anatomic sites and planned use. Totally implanted vascular access ports (VAPs) enable reliable central venous access for frequent sample collection and/or intravenous therapies. VAPs minimize discomfort with IV access to facilitate cooperation with handling and minimize stress-induced physiologic changes which can confound biologic data and drug responses. VAPs do not limit species-typical behavior and social group activities and are compatible with animal enrichment programs that include play and swim because there are no externalized components. VAPs are typically used long-term and demonstrate excellent durability with high patency and low complication rates over time, presenting a safe and dependable vascular access approach.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49166186","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

Barbed vs. Conventional Sutures in Bariatric Surgery: Early and Late Outcomes 减肥手术中倒刺缝合线与传统缝合线:早期和晚期结果

Surgeries Pub Date : 2023-09-06 DOI: 10.3390/surgeries4030045

F. Pennestri', L. Sessa, Francesca Prioli, P. Gallucci, Giulia Salvi, P. Procopio, Annamaria Martullo, Eleonora Petrazzuolo, Sofia Di Lorenzo, L. Ciccoritti, P. Giustacchini, Francesco Greco, Luca Revelli, G. Marincola, A. Laurino, C. De Crea, M. Raffaelli

{"title":"Barbed vs. Conventional Sutures in Bariatric Surgery: Early and Late Outcomes","authors":"F. Pennestri', L. Sessa, Francesca Prioli, P. Gallucci, Giulia Salvi, P. Procopio, Annamaria Martullo, Eleonora Petrazzuolo, Sofia Di Lorenzo, L. Ciccoritti, P. Giustacchini, Francesco Greco, Luca Revelli, G. Marincola, A. Laurino, C. De Crea, M. Raffaelli","doi":"10.3390/surgeries4030045","DOIUrl":"https://doi.org/10.3390/surgeries4030045","url":null,"abstract":"The implementation of barbed sutures appears to enhance the process of suturing and knot tying, particularly in the field of bariatric surgery, where they can offer significant advantages. The objective of this study is to evaluate the safety and effectiveness of utilising barbed sutures for gastric pouch-jejunal anastomosis (GPJA) and jejuno-jejunal anastomosis (JJA) anastomosis in Roux-en-Y Gastric Bypass (RYGB). Data from patients who underwent primary RYGB between January 2012 and October 2018 were retrospectively collected using Propensity Score Matching (PSM) to randomise groups (barbed sutures—BS-G and conventional sutures—CS-G). The primary outcome was postoperative early complications. The secondary outcomes were late complications (internal hernias and small bowel obstructions), operative time and postoperative hospital stay. A total of 969 patients were included. After PSM, 322 (161 in BS-G vs. 161 in CS-G) patients were compared (chi-square 0.287, p = 0.862). Postoperative early and late complications were comparable between the two groups. BS-G had a significantly shorter median operative time (65 vs. 95 min p < 0.001). Median postoperative hospital stay was significantly shorter for BS-G (2 vs. 5 days, p < 0.001). Barbed sutures effectively reduce the operation duration and are as safe as conventional sutures for closing anastomotic defects during RYGB.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48227682","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

Outcome of Primary Anterior Cruciate Ligament Reconstruction with Peroneus Longus and Bone–Patellar Tendon–Bone Autografts: A Clinical Comparative Study 腓长肌与自体骨-髌腱-骨移植重建初级前交叉韧带的临床比较研究

Surgeries Pub Date : 2023-08-31 DOI: 10.3390/surgeries4030043

E. Goncharov, O. Koval, E. N. Bezuglov, A. A. Vetoshkin, N. Goncharov, M.J. Encarnacion Ramirez, R. Nurmukhametov, N. Montemurro

{"title":"Outcome of Primary Anterior Cruciate Ligament Reconstruction with Peroneus Longus and Bone–Patellar Tendon–Bone Autografts: A Clinical Comparative Study","authors":"E. Goncharov, O. Koval, E. N. Bezuglov, A. A. Vetoshkin, N. Goncharov, M.J. Encarnacion Ramirez, R. Nurmukhametov, N. Montemurro","doi":"10.3390/surgeries4030043","DOIUrl":"https://doi.org/10.3390/surgeries4030043","url":null,"abstract":"Background: The aim of this study is to compare the mid-term outcomes of primary tear of the anterior cruciate ligament (ACL) reconstruction via the use of peroneus longus tendon (PLT) and bone–patellar tendon–bone (BPTB) autografts. Methods: 53 patients (group 1) received ACL reconstruction via BPTB, whereas 55 patients (group 2) received arthroscopic ACL reconstruction using PLT autograft. Results: In group 1, the mean preoperative and postoperative scores on the Lysholm Knee Questionnaire (LKQ) scale resulted in 69.2 ± 10.7 points and −92.2 ± 6.4 points, respectively. The average preoperative and postoperative value on the International Knee Documentation Committee (IKDC) scale was 68.2 ± 10.6% and −90.1 ± 9.5%, respectively. For KT-1000, according to the results of surgical treatment, it is −3.7 ± 1.4 mm, and for the American Orthopaedic Foot & Ankle Society (AOSAF) it is −95.3 ± 4.5%. The autograft ruptured within 2 years after operation in 4 of 50 patients. In group 2, the mean score on the LKQ scale before the operation was 70.2 ± 11.6 points, after −94.3 ± 0.5 points. The average value on the IKDC scale before surgery was 68.6 ± 8.7%, after −91.5 ± 8.2%. KT-1000 −3.4 ± 1.2 mm. Conclusion: The results in both groups can be assessed as good; peroneus longus muscle tendon autograft is an alternative graft for the primary reconstruction of ACL, preserving the dynamic stabilizers of the knee and has no effect on the formation of flat feet and other disease in the postoperative period.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46115776","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

Extremely Rare Pathologies of the Craniovertebral Junction Region: A Case Series and Review of the Literature 颅椎交界区极为罕见的病变:病例系列及文献回顾

Surgeries Pub Date : 2023-08-28 DOI: 10.3390/surgeries4030042

E. Maiorano, G. Spena, F. Sovardi, P. Dehgani-Mobaraki, F. Pagella, A. Montalbetti, Elisabetta Peppucci, Christian Grasso, C. Zoia

引用次数: 0