Current Issue : July - September Volume : 2019 Issue Number : 3 Articles : 5 Articles
Purpose. To validate the potential of bioresorbable implantation in secondary revisional reconstruction after inadequate primary\norbital fracture repair, with assessment of pre- and postoperative clinical characteristics and computed tomography image\nfindings. Methods. A retrospective chart review was conducted on 16 consecutive patients treated for orbital fractures at Shanghai\nNinth Peopleâ??s Hospital, Shanghai Jiao Tong University School of Medicine, with inadequate prior surgeries between July 2010\nand June 2017; patients who had suffered orbital blowout fractures had undergone primary surgeries elsewhere. Secondary repair\nof orbital fractures used bioresorbable material following unsatisfactory primary orbital repair. Patientsâ?? demographics, degree of\nenophthalmos, ocular motility, diplopia test results, primary implants, and surgical complications were reviewed. Results. All 16\npatients had primary orbital implants consisting of Medpor, titanium mesh, hydroxyapatite, or poly-L-lactide. Of the 16 cases, 14\nhad malpositioned implants posteriorly and two had implant infections. Findings following primary surgery included\nenophthalmos (12/16), diplopia (9/16), intraorbital abscess (2/16), and ocular movement pain (1/16). Mean preoperative\nenophthalmos........................
Aim: To investigative the efficacy of carbon nanoparticles (CNs) to identify\nthe lymph nodes during radical surgery in colorectal cancer. Method: The\nMEDLINE, EMBASE and Cochrane Library databases were searched electronically\nto identify the studies that compared the use of CNs (CN group)\nwith control group in patients undergoing colorectal cancer radical surgery\n(from January 2009 to November 2018). The primary outcome was the number\nof retrieved central lymph nodes. Results: This meta-analysis identified 2\nrandomized controlled trials and 5 non-randomized controlled trials. Compared\nwith the control group, the CN group resulted in an average of 7.16\nmore lymph nodes removed per patient (WMD = 7.16, 95% CI = 3.76 to\n10.57, p < 0.01), 7.26 minutes less required for retrieving lymph nodes (WMD\n=-7.26, 95% CI =-13.43 to-1.09, p = 0.02), and 15.1 ml less blood loss \nduring operation (WMD =-15.11, 95% CI =-23.15 to-7.06, p < 0.01). Although\nthere was no significant difference in the metastatic lymph nodes between\nthe two groups (OR = 1.02, 95% CI = 0.79 to 1.31, p = 0.87), there was\n1.45 times more metastatic lymph of the stained nodes in CN group than in\nthe control group (OR = 1.45, 95% CI = 1.13 to 1.85, p < 0.01). In addition,\nlymph nodes less than 5 mm were detected significantly more in the CN\ngroup than in the control group (OR = 2.15, 95% CI = 1.77 to 2.63, p < 0.01).\nConclusions: The technique of CNs labeled lymph node staining in curative\ncolorectal carcinoma is easy and effective, which can improve the retrieved\nnumber of lymph nodes, especially for nodes < 5 mm. The black stained\nlymph node indicates higher risk of metastasis. Further high quality RCT is\nneeded to verify these conclusions....
Cystic lymphangiomas are benign tumors originating mainly in the head and neck of the pediatric population. The authors report a\nrare case of cystic lymphangioma in the right elbow of an 8-month-old baby treated successfully by complete surgical resection....
Objectives: The radial artery is used as a second arterial conduit in coronary\nartery bypass surgery. However, concerns exist about the thermal injury incurred\nto the radial artery during endoscopic harvest. We sought to assess\nthis effect both histologically and radiologically. Methods: From February\n2015 to March 2016, 50 consecutive patients undergoing coronary artery bypass\nsurgery utilizing endoscopically harvested radial artery were prospectively\nstudied. Computerized tomography coronary angiography scan was\nperformed randomly in 8 patients who also had their respective radial artery\nanalyzed histologically at the time of harvest. Standard coronary angiography\nwas also performed in 4 additional patients driven by symptoms recurrence.\nResults: All patients were available for follow up at 1 year following the surgery.\nThere was no mortality during follow-up. Three patients (6%) developed\ntransient complications in the harvest arm which resolved. All radial\narteries were patent on follow-up imaging. Histological examination showed\nintegrity of the arterial wall, intact endothelial lining, patent lumens and no\nsignificant pathological abnormalities.Conclusion: The use of endoscopic\nradial artery harvest was associated with few self-limiting morbidities and excellent\npatency rates. In addition, there was no evidence of any thermal or\ntraumatic injuries sustained to the radial arteries when examined histologically.\nThe use of endoscopically harvested radial arteries appears safe with\nexcellent results....
Aim: To evaluate the incidence of surgical site infection in the Urology Department\nof Brazzaville teaching hospital. Methods: This was a prospective\nstudy performed in the Urology Department and operating room of the\nBrazzaville teaching hospital during six months from February 2nd to July 2nd\n2017. The study concerned all patients who had undergone surgery, selected\nduring the operating program and those who had been in emergency and\nthen hospitalized in the urology department. These patients were followed for\none month after the intervention date. Results: 209 patients were operated on\nof whom 48 had surgical site infection, a cumulative incidence of 22.96%. The\naverage age of infected patients was 58.3 years����....
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