Surgeries最新文献_第7页

Surgical Lip Cancer Reconstruction in the COVID-19 Era: Are Free Flaps or Loco-Regional Flaps Better? 新冠肺炎时代的外科唇癌症重建：游离瓣更好还是局部瓣更好？

Surgeries Pub Date : 2023-03-03 DOI: 10.3390/surgeries4010012

Samuel Staglianò, G. Tartaro, C. Boschetti, David Guida, G. Colella, R. Rauso

{"title":"Surgical Lip Cancer Reconstruction in the COVID-19 Era: Are Free Flaps or Loco-Regional Flaps Better?","authors":"Samuel Staglianò, G. Tartaro, C. Boschetti, David Guida, G. Colella, R. Rauso","doi":"10.3390/surgeries4010012","DOIUrl":"https://doi.org/10.3390/surgeries4010012","url":null,"abstract":"Lip carcinoma is one of the most frequent conditions affecting the general population. It is among the ten most common neoplasms, but despite advances in research and therapy, its prognosis has not improved in a significant way in the past few years, making it a challenge in the medical research field and in surgical treatment. This study was conducted with the aim of evaluating the available reconstructive surgical options for the treatment of lip carcinomas in order to define which could be the most appropriate technique to achieve satisfying aesthetic and functional outcomes considering hospital resources in the COVID-19 era. Seventeen patients were included in this retrospective study, which took place between January 2019 and April 2021. There were two groups: seven patients who underwent a radial forearm free flap and ten who underwent locoregional flaps. The statistical analysis was performed to evaluate four different endpoints. Surgical length, ICU stay, and hospitalization time were minor for locoregional flaps. There was no statistically significant difference between the two groups when considering post-operative complications. Locoregional flaps have a more aesthetically pleasing result, but from a functional point of view, the results can be superimposable. Both techniques are associated with adequate speech, mouth opening, sealing, and symmetry. Given the impact of the COVID-19 pandemic on the healthcare system, locoregional flaps have been proven to be a good surgical option in the reconstruction of lip defects both in terms of aesthetics and functional outcome.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41834090","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

Laparoscopic Intraperitoneal Onlay Mesh (IPOM): Short- and Long-Term Results in a Single Center 腹腔镜腹膜内嵌补片(IPOM):在单一中心的短期和长期结果

Surgeries Pub Date : 2023-02-20 DOI: 10.3390/surgeries4010011

M. Giuffrida, M. Rossini, Lorenzo Pagliai, P. Del Rio, F. Cozzani

{"title":"Laparoscopic Intraperitoneal Onlay Mesh (IPOM): Short- and Long-Term Results in a Single Center","authors":"M. Giuffrida, M. Rossini, Lorenzo Pagliai, P. Del Rio, F. Cozzani","doi":"10.3390/surgeries4010011","DOIUrl":"https://doi.org/10.3390/surgeries4010011","url":null,"abstract":"The laparoscopic intraperitoneal onlay mesh repair (IPOM) approach has become the most widely adopted technique in the last decade. The role of laparoscopic IPOM in the last years has been resizing due to several limitations. The aim of the present study is to evaluate short- and long-term outcomes in patients who underwent laparoscopic IPOM. This retrospective single-center study describes 170 patients who underwent laparoscopic IPOM for ventral hernia at the General Surgery Unit of Parma University Hospital from 1 January 2016 to 31 December 2020. We evaluated patient, hernia, surgical and postoperative characteristics. According to the defect size, we divided the patients into Group 1 (Ø < 30 mm), Group 2 (30 < Ø < 50 mm) and Group 3 (Ø > 50 mm). A total of 167 patients were included. The mean defect diameter was 41.1 ± 16.3 mm. The mean operative time was different among the three groups (p < 0.001). Higher Charlson Comorbidity Index, obesity and incisional hernia were related to postoperative seroma and obesity alone with SSO. p < 0.001 Recurrence was significantly higher in larger defects (Group 3) and incisional hernia. p < 0.001. This retrospective study suggests that laparoscopic IPOM is a feasible and safe surgical technique with an acceptable complication rate, especially in the treatment of smaller defects up to 5 cm.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48598247","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

Artificial Intelligence in Surgical Learning 人工智能在外科学习中的应用

Surgeries Pub Date : 2023-02-17 DOI: 10.3390/surgeries4010010

N. Pakkasjärvi, Tanvi Luthra, S. Anand

引用次数: 6

Misunderstood Gastric Perforation of a Pancreatic Acinar Cell Carcinoma: A Wolf in Sheep’s Clothing 胰腺腺泡细胞癌胃穿孔的误区：披着羊皮的狼

Surgeries Pub Date : 2023-02-14 DOI: 10.3390/surgeries4010009

M. Cuoghi, C. Baccaro, N. Zorzetti, A. Fornelli, F. Ferrara, V. Cennamo, G. Navarra

引用次数: 0

Utilizing Additive Manufacturing to Produce Organ Mimics and Imaging Phantoms 利用增材制造制造器官模拟和成像幻影

Surgeries Pub Date : 2023-02-02 DOI: 10.3390/surgeries4010008

Dmitri Karaman, S. Willerth

{"title":"Utilizing Additive Manufacturing to Produce Organ Mimics and Imaging Phantoms","authors":"Dmitri Karaman, S. Willerth","doi":"10.3390/surgeries4010008","DOIUrl":"https://doi.org/10.3390/surgeries4010008","url":null,"abstract":"The complex geometries and material properties necessary for generating accurate organ mimics require new procedures and methods to fully utilize current technologies. The increased accessibility of 3D printers, along with more specialized bioprinters, allow the creation of highly tunable models of various body parts. Three-dimensional printing can reduce lead-time on custom parts, produce structures based on imaging data in patients, and generate a test bench for novel surgical methods. This technical note will cover three unique case studes and offer insights for how 3D printing can be used for lab research. Each case follows a unique design process in comparison to traditional manufacturing workflows as they required significantly more iterative design. The strengths of different printing technologies, design choices, and structural/chemical requirements all influence the design process. Utilization of in-house manufacturing allows for greater flexibility and lower lead-times for novel research applications. Detailed discussions of these design processes will help reduce some of the major barriers to entry for these technologies and provide options for researchers working in the field.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45936163","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 Innovative Comparative Analysis Approach for the Assessment of Laparoscopic Surgical Skills 一种评估腹腔镜手术技能的创新比较分析方法

Surgeries Pub Date : 2023-02-01 DOI: 10.3390/surgeries4010007

Saiteja Malisetty, Hesham H. Ali, E. Rastegari, K. Siu

{"title":"An Innovative Comparative Analysis Approach for the Assessment of Laparoscopic Surgical Skills","authors":"Saiteja Malisetty, Hesham H. Ali, E. Rastegari, K. Siu","doi":"10.3390/surgeries4010007","DOIUrl":"https://doi.org/10.3390/surgeries4010007","url":null,"abstract":"Over the past few decades, surgeon training has changed dramatically. Surgical skills are now taught in a surgical skills laboratory instead of the operating room. Simulation-based training helps medical students improve their skills, but it has not revolutionized clinical education. One critical barrier to reaching such a desired goal is the lack of reliable, robust, and objective methods for assessing the effectiveness of training sessions and the development of students. In this paper, we will develop a new comparative analysis approach that employs network models as the central concept in establishing a new assessment tool for the evaluation of the surgical skills of trainees as well as the training processes. The model is populated using participants electromyography data while performing a simulation task. Furthermore, using NASA Task Load Index score, participants’ subjective overload levels are analyzed to examine the impact of participants’ perception of their mental demand, physical demand, temporal demand, performance, effort, and frustration on how participants perform each simulation task. Obtained results indicate that the proposed approach enables us to extract useful information from the raw data and provides an objective method for assessment the of surgical simulation tasks and how the participants’ perception of task impacts their performance.","PeriodicalId":93623,"journal":{"name":"Surgeries","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44567559","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 Unexpected 12.6 Centimeter Nail in the Thorax Damaging Vital Structures: A Case Report “Nailed It” 一颗12.6厘米的意外钉子在胸腔内破坏重要结构:“钉住它”的病例报告

Surgeries Pub Date : 2023-01-31 DOI: 10.3390/surgeries4010006

Thomas H. Avedissian, D. Thuijs, L. Timmermans, A. Maat, E. Mahtab

引用次数: 0

Acknowledgment to the Reviewers of Surgeries in 2022 对2022年外科医生评审员的认可

Surgeries Pub Date : 2023-01-18 DOI: 10.3390/surgeries4010005

引用次数: 0

Post Laparoscopic Myomectomy Gossypiboma with Cecum and Appendix Invasion: Case Report 腹腔镜子宫肌瘤切除术后伴有盲肠及阑尾侵犯的棉纤维瘤1例

Surgeries Pub Date : 2023-01-17 DOI: 10.35702/surg.10009

Hossein Negahban, Neda Karkeabadi, Mehrdad Gholami, S. Bagheri, Saeid Esmaeilian

引用次数: 0