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Quarterly published in print and online "Inventi Impact: Surgery (Formerly Inventi Impact: Cosmetic Surgery)" publishes high quality unpublished as well as high impact pre-published research and reviews catering to the needs of researchers and professionals. The journal features state-of-the-art cosmetic surgery procedures, topics and breakthroughs. It accepts articles in all the areas pertaining to aesthetic surgery including otolaryngology, plastic and reconstructive surgery, dermatology, obstetrics/gynecology, general surgery, ophthalmology and oral and maxillofacial surgery.
In cases of auricular surgery, postoperative dressings are thought to be important for\nkeeping auricular contour and in helping to prevent from dressing failures due to\nedema or subcutaneous hematoma, which may result in fibrous or cartilaginous proliferation.\nHowever, it is often difficult to achieve success with standard dressings\nbecause of the complicated shape of the auricle. We used 2-octyl-cyanoacrylate skin\nadhesive to dress the auricle after different types of auricular procedures (five cases\nof cryptotia, two of prominent ear, two of severe auricular laceration, two of skin\ngrafting and one of flap repair of the partial auricle defect). The 2-octyl-cyanoacrlaate\nskin adhesive was applied to the suture line and the operated and peripheral\nareas for wider coverage. No dressing materials were placed over the surface. In all\ncases, the desired outcome was achieved, without subcutaneous hematoma, wound\ndehiscence, and wound infection. Contact dermatitis caused by the skin adhesive was\nnot observed in any of the cases. Dressing and splinting after auricular surgery can be\nsimply and successfully achieved using 2-octyl-cyanoacrylate skin adhesive. There is\nno need for more complicated dressings and post-surgical dressing changes, resulting\nin higher patient satisfaction....
Over the past years, minimally invasive procedures have been developed to reduce surgical
trauma after cardiac surgery. The value of patient-centered outcomes, including the quality
of recovery after hospital discharge, is increasingly recognized. Identifying meaningful changes in
postoperative function that might have a negative impact on patients without noticeable complications
can provide a more comprehensive understanding of the impact on the patient’s life. In total,
209 patients were included in this trial. Of these, 193 patients underwent totally endoscopic cardiac
surgery, 8 underwent cardiac surgery through a sternotomy, and 8 underwent transcatheter aortic
valve implantation. Patients who previously underwent cardiac surgery were excluded. Quality of
life was determined through the Short Form 36 and European Quality of Life-5 Dimensions questionnaires
before the surgery and 14, 30, and 90 days afterward. In patients who underwent totally
endoscopic cardiac surgery, the quality of life improved over the three time periods. The different
domains of the questionnaire evolved in a positive manner. However, 14 days postoperatively, a
decline in quality of life was noted, followed by a return to baseline at 30 days and an increase
at 90 days. In conclusion, totally endoscopic cardiac surgery improves the quality of life 90 days
A 65-year-old man was admitted to our hospital following 6 months of dysphagia.\nAt first, conventional endoscopy showed a reddish and depressed lesion\nin the stomach and an elevated lesion in the posterior wall of the hypopharynx.\nAn endoscopic biopsy showed adenocarcinoma in the stomach, and\nsquamous cell carcinoma in the hypopharynx. On the further examination,\ntrans-nasal endoscopy with narrow band imaging (NBI) was performed.\nDuring the trumpet maneuver, a huge protruded lesion was observed and it\nreached to the orifice of the esophagus. Other superficial lesion located at left\npyriform sinus was detected by NBI system as brownish area with brown dots.\nFurthermore, superficial esophageal cancer in the cervical esophagus was detected.\nFinally, 4 carcinomas in upper gastrointestinal tract were detected.\nAmong them, the hypopharyngeal cancer was the most advanced (T3N0). The\npatient hoped to preserve his voice and swallowing function, endoscopic laryngo-\npharyngeal surgery (ELPS) was performed for the hypopharyngeal\ncancer. Endoscopic mucosal resection (EMR) was performed for the esophageal\ncancer, and Endoscopic submucosal dissection (ESD) was performed for\nthe gastric cancer. Under collaboration between a head and neck surgeon and\nan endoscopist, the tumor was resected en-bloc. The histopathological find-ings of hypopharyngeal cancer were squamous cell carcinoma, subeipthelial\ninvasion, 29 Ã?â?? 28 Ã?â?? 4.2 mm. The others were diagnosed as mucosal cancers.\nThe patient is currently alive with no recurrence at 28 months after the surgery;\nthere is no stricture at the cervical esophagus. Endoscopic laryngopharyngeal\nsurgery for the tumor of pharyngo-esophageal junction can provide a\nless invasive treatment....
Background: The clinical incidence of appendiceal mucinous adenocarcinoma is low. Moreover, the case reports of\npostoperative relapse after surgery are rarely based on literature search results. Here, we report such a case\nspanning nearly 7 years and and review the relevant literature.\nCase presentation: A 50-year-old female underwent additional surgery after appendectomy, and pathological\nexamination confirmed mucinous adenocarcinoma. The patients underwent HIPEC (hyperthermic intraoperative\nchemotherapy) and adjuvant chemotherapy. Twenty-six months after the previous surgeries, another surgery, HIPE\nC, and adjuvant chemotherapy were performed again due to tumour recurrence. To date, the follow-up time is 43\nmonths, and no recurrence or metastasis has been found.\nConclusions: Appendix mucinous adenocarcinoma has a poor prognosis and the diagnosis depends on\npathological and immunohistochemical examinations. Its clinical manifestations are non-specific, and CRS + HIPEC\nshould be used for treatment, which is safe and effective....
Objective. To compare the asymmetry displayed by Philippine, Colombian, and Ethiopian unaffected parents of patients with\r\nnonsyndromic cleft palate (NSCLP) and a control population. Methods. Facial measurements were compared between unaffected\r\nparents of NSCLP patients and those in the control group for three populations from South America, Asia, and Africa by\r\nanthropometric and photographic measurements. Fluctuating and directional asymmetries, height and width proportions, were\r\nanalyzed and compared. Results. Fluctuating asymmetries (ear length, middle line to Zigion perpendicular for left and right sides)\r\nand variations in the facial thirds demonstrated statistical significance in the study group of unaffected parents from Colombia and\r\nPhilippines, while increased interorbital distance was evident in the unaffected Ethiopian parents of NSCLP patients. Conclusions.\r\nThe facial differences in unaffected parents could indicate an underlying genetic liability. Identification of these differences has\r\nrelevance in the understanding of the etiology of NSCLP....
Background: Burr hole craniostomy is a widely used method for the evacuation of CSDH. However it is not clear\nwhether the irrigation during operation improves the prognosis or gives rise to additional complications instead.\nThis retrospective cohort study was conducted to determine this issue.\nMethods: Patients attending two medical centers in China who underwent burr hole drainage with irrigation (BHDI)\nor burr hole drainage without irrigation (BHD) for unilateral CSDH during January 2013 to December 2016\nwere included in this study. The patientsÃ¢â?¬â?¢ clinical information and follow-up data were retrospectively reviewed, and\nthe radiologic findings were processed using the 3D Slicer software. The differences in outcomes were identified using\nt-test, chi-square test, or FisherÃ¢â?¬â?¢s exact test.\nResults: A total of 151 patients comprising 63 patients in the BHD group and 88 patients in the BHDI group were\nincluded. Patients in the BHDI group had a higher volume of pneumocrania on the first postoperative day than that of\npatients in the BHD group (p < 0.05). No significant differences were observed between the two approaches in rates of\nrebleeding, recurrence and other complications (p > 0.05).\nConclusions: Irrigation had no improvement in the long-term curative effect on CSDH, but it increased the risk of\nshort-term complication in terms of pneumocrania. Therefore, this study suggests that irrigation is not an obligatory\nprocedure during burr hole drainage....
Studies of psychological outcomes of cosmetic surgery generally provide low standards of \r\nevidence due to significant methodological limitations and few studies have explored the \r\noutcomes of surgery types other than breast reduction or have compared post-operative \r\noutcomes for different surgery types. This study therefore aimed to explore the psychological \r\noutcomes and post-operative satisfaction of cosmetic surgery and compare the outcomes and \r\nsatisfaction of participants undergoing different procedures. Surveys were administered to a \r\nsample of 142 elective cosmetic surgery patients prior to surgery and six months after surgery. \r\nThe surveys included standardised measures of body image (appearance evaluation, \r\nappearance orientation, body areas satisfaction), self-esteem, and mental health (psychiatric \r\ndisturbance, anxiety, depression, dysmorphic concerns). The findings revealed high rates of \r\npost-operative satisfaction and significant improvements in several dimensions of body image \r\n(appearance evaluation and body area satisfaction) and mental health (anxiety, depression, and \r\ndysmorphic concerns), but not self-esteem. Breast augmentation patients reported significantly \r\nhigher improvement on appearance evaluation, significantly higher ratings of how likely they \r\nthought it was that they had achieved, or would achieve, what they were looking for in having \r\nthe procedure, and a trend to report that the overall result of surgery was better than or as \r\nexpected than rhinoplasty patients. It is recommended that future research clarifies the degree \r\nto which self-esteem and indices of mental health improve after cosmetic surgery and fully \r\nestablishes the impact of different procedures on psychological outcomes. Level of Evidence. \r\nTherapeutic Study, Level II....
A growing number of specialists are now beginning to ascertain that treatment of individuals with\ndescending aortic atherosclerotic aneurysms must be provided by cardiologists on a scheduled\nbasis. Surgery is feasible when there is a risk of aneurysm rupture. It requires for the development\nof conservative treatments and elaboration of indications for surgery. A total of 97 patients with\nthoracic aortic atherosclerotic aneurysms (TAAA) and abdominal aortic aneurysms (AAA) have\nbeen examined over a 5-year period. They received multifaceted anti-inflammatory medical\ntreatment to strengthen the aortic wall and control its possible expansion. Operative treatment\nwas offered only if there was a risk of aneurysm rupture. One of the principal factors adversely affecting\nmortality is the presence of co-morbidities requiring permanent medical corrective treatment\nirrespective of surgical or medical treatment provided. It is also important to outline the indications\nfor surgery based on multifactorial pathogenetic manifestations. Treatment aiming at\nthe reversal of ethiopathogenic mechanisms of disease progression contributes to a significant\nlonger survival in DAA patients....
Background Surgical site infection (SSI) is the most common complications in spinal surgery. In SSI, non-superficial
surgical site infections are more likely to result in poor clinical outcomes. It has been reported that there are multiple
factors contributing to postoperative non-superficial SSI, but still remains controversial. Therefore, the aim of this
meta-analysis is to investigate the potential risk factors for non-superficial SSI following spinal surgery.
Methods A systematic database search of PubMed, Embase, Web of Science, Cochrane Library and Clinical Trials was
performed for relevant articles published until September 2022. According to the inclusion and exclusion criteria,
two evaluators independently conducted literature screening, data extraction and quality evaluation of the obtained
literature. The Newcastle–Ottawa Scale (NOS) score was used for quality evaluation, and meta-analysis was performed
by STATA 14.0 software.
Results A total of 3660 relevant articles were initially identified and 11 articles were finally included in this study
for data extraction and meta-analysis. The results of meta-analysis showed that the diabetes mellitus, obesity, using
steroids, drainage time and operative time were related to the non-superficial SSI. The OR values (95%CI) of these five
factors were 1.527 (1.196, 1.949); 1.314 (1.128, 1.532); 1.687(1.317, 2.162); 1.531(1.313, 1.786) and 4.255(2.612, 6.932)
Conclusions Diabetes mellitus, obesity, using steroids, drainage time and operative time are the current risk factors
for non-superficial SSI following spinal surgery. In this study, operative time is the most important risk factor resulting
in postoperative SSI....
The creation of musculoskeletal tissue represents an alternative for the replacement of soft tissue in reconstructive surgery.\nHowever, most of the approaches of creating artificial tissue have their limitations in the size as the maximally obtainable dimension\nof bioartificial tissue (BAT) is limited due to the lack of supporting vessels within the 3-dimensional construct. The seeded\nmyoblasts require high amounts of perfusion, oxygen, and nutrients to survive. To achieve this, we developed a 3-dimensional\nscaffold which features the epigastric artery as macroscopic core vessel inside the BAT in a rat model (perfused group, n = 4) and a\ncontrol group (n = 3) without the epigastric vessels and, therefore, without perfusion. The in vivo monitoring of the transplanted\nmyoblasts was assessed by bioluminescence imaging and showed both the viability of the epigastric artery within the 3-dimensional\nconstruct and again that cell survival in vivo is highly depending on the blood supply with the beginning of capillarization within\nthe BAT seven days after transplantation in the perfused group. However, further studies focussing on the matrix improvement\nwill be necessary to create a transplantable BAT with the epigastric artery as anastomosable vessel....
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