Late Survival and Patient-Perceived Health Status of the Congenital Heart Surgeons’ Society dextro-Transposition of the Great Arteries Cohort

ConclusionsArterial switch patients have a lower risk of premature death and better FHS than those with an atrial switch. Increased surveillance in atrial switch patients is warranted because of their increased risk of late death. Presence of symptoms, pacemaker, and lack of employment are associated with reduced FHS.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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ConclusionPre-peritoneal drainage is clinically safe in laparoscopic totally extra-peritoneal hernioplasty and can effectively reduce the size and incidence of seroma. The seroma formation can be further reduced by appropriate use of monopolar energy as preferred dissection approach in lap TEP. Due to limitation in measuring the actual energy time, the result should be further validated by randomized multi-centers trial on its potential benefit in hernia repair by a more accurate measuring device on energy used.
Source: Hernia - Category: Sports Medicine Source Type: research
Authors: Kim JH, Choi PW, Um E, Jung SM, Shin YC, Jung SW, Kim JI, Heo TG, Lee MS, Jun H Abstract Purpose: Since insertion of foreign body (FB) into the anus is considered as taboo practice, the patients may impose therapeutic dilemma on attending surgeon. Herein, we performed present study to evaluate the clinical characteristics of patient with retained rectal FB in Koreans, and to suggest management guideline for such cases. Methods: We retrospectively investigated 14 patients between January 2006 and December 2018. We assessed demographic features, mechanism of FB insertion, clinical course between diagnosi...
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
Publication date: Available online 14 February 2020Source: Arthroscopy TechniquesAuthor(s): Graeme P. WhyteAbstractMassive and retracted tears of the supraspinatus and infraspinatus tendons of the rotator cuff are associated with great pain and disability and may be considered “non-repairable,” depending on the extent of injury and the experience of the treating clinician. The technique of anatomic vector repair of the rotator cuff is a surgical treatment method that enables the surgeon to accurately characterize the injury pattern and successfully repair many of these debilitating injuries anatomically in a st...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Everyone makes mistakes. Here’s how to fix them. You messed up and made a huge mistake. You really blew it, and now your partner is giving you heck about it, seething with disappointment, hurt, and pain. Now you need to apologize so it doesn’t continually affect your relationship — but sometimes, knowing how to apologize in a way that your partner knows you mean it is the tough part. Guilt washes over you as your conscience reminds you that you didn’t keep your word or your end of a commitment. Or quite adversely — a more flippant, “What’s the big deal anyway? Get over it!” a...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Communication General Marriage and Divorce Publishers Relationships YourTango apologize how to say your sorry Source Type: blogs
This study included 226 patients who underwent arthroscopic repair of anterosuperior rotator cuff tears (n = 107, group A) and rotator cuff tears with subscapularis involvement (n = 119, group B). The visual analog scale (VAS) pain score, subjective shoulder value (SSV), American Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles (UCLA) shoulder score, and active range of motion (ROM) were assessed. Modified belly press test was performed t o assess the strength of the subscapularis muscle. Cuff integrity was evaluated using magnetic resonance arthrography or compu...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
ConclusionSeptal myectomy is safe and effective. Concomitant mitral operations do not increase morbidity and mortality.
Source: General Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
To compare the efficacy of a subacromial injection (SAI) to a single-shot interscalene block (ISB) for immediate postoperative pain relief following outpatient arthroscopic rotator cuff repair (ARCR).
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Source Type: research
Publication date: Available online 8 February 2020Source: The SurgeonAuthor(s): Sivesh K. Kamarajah, Charlie Boyle, Maziar Navidi, Alexander W. PhillipsAbstractBackgroundParaoesophageal hernia (POH) comprising type II–IV hiatal hernia often presents with pulmonary symptoms such as shortness of breath. However, impact of surgical repair on improvement in pulmonary symptoms is unclear.ObjectiveThis systematic review and meta-analysis aimed at characterising impact of POH repair on patient reported improvement in pulmonary symptoms.MethodsThis systematic review identified studies reported pulmonary symptoms in patients ...
Source: The Surgeon - Category: Surgery Source Type: research
ConclusionsMIMCO provides surgeons with a safe and reliable tool to correct hindfoot deformities that is comparable to the open procedure but with added potential advantages of decreased postoperative pain, wound complications and iatrogenic injury to neurovascular structures.ZusammenfassungHintergrundDie medialisierende Calcaneusosteotomie ist eine weit verbreitete Methode zur Korrektur des Knick-Plattfußes, welche üblicher Weise mit anderen Verfahren wie der Verlängerung der lateralen Fußsäule, der Subtalar-Arthrorise, dem Flexor digitorum longus-Transfer, mit oder ohne Achillessehnenverlä...
Source: Fuss and Sprunggelenk - Category: Podiatry Source Type: research
We present the case of a 54-year-old man with thoracic pain due to dissection of an aberrant right subclavian artery associated with Kommerell diverticulum. Elective surgical treatment was performed.ResumoA artéria subclávia direita aberrante é a anomalia mais frequente do arco aórtico, em 60% dos casos é associada ao divertículo de Kommerell. É geralmente assintomática ou pode apresentar disfagia ou dispneia, devido à compressão do esófago ou traqueia. As indicações para a reparação cirúrgica não foram es...
Source: Revista Portuguesa de Cardiologia - Category: Cardiology Source Type: research
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