New percs in thoracic surgery; VATS (video assisted thoracic surgery) plication of the diaphragm with stapler device

Conclusions: VATS plication of the diaphragm with stapler device is a promising novel method for the management of idiopathic paralysis of the diaphragm with excellent short and long term outcomes.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Thoracic surgery Source Type: research

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ConclusionTEP repair in patients with LIH using a synthetic long-term resorbable mesh was found to be encouraging respecting chronic post-operative pain at 3-year follow-up but at the cost of an increased risk of recurrence.
Source: Hernia - Category: Sports Medicine Source Type: research
Conclusion: In most cases, chronic injuries are far more common than acute tears. Because of the nonspecific and slowly progressive symptoms, patients are often misdiagnosed with radiculopathy, osteoarthritis, or trochanteric bursitis. Patients typically present to the clinic with an insidious onset of dull pain over the lateral hip. This pain is often worse when lying on the affected side. Certain gluteal-focused movements, such as climbing stairs, may exacerbate the pain. To our knowledge, our report is only the third case of acute traumatic tear of the gluteus medius and gluteus minimus reported in the literature. P...
Source: Ochsner Journal - Category: General Medicine Tags: Ochsner J Source Type: research
ConclusionThe findings suggest that patients undergoing shoulder surgery have high overall preoperative expectations, which were significantly associated with ethnicity, surgical history, opioid use, and employment status, and with multiple patient-reported outcome measures including physical function, pain interference, fatigue, and depression. Nevertheless, by discussing expectations preoperatively, orthopaedic surgeons can help patients develop high but realistic expectations to improve outcomes and satisfaction.Level of evidenceIV.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
toi E Abstract INTRODUCTION: We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively. METHODS: A PRISMA-compliant search was carried out, including the online databases PubMed and EMBASE from 1960 to the end of June 2018. FINDINGS: A total of 49 of the 743 (579 PubMed and 164 EMBASE) results yielded by the prelim...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
Abstract Factors motivating patients to undergo rotator cuff repair (RCR) have not been thoroughly investigated. The purpose of this study was to investigate patient and surgeon decision-making factors for RCR, as well as the use of conservative treatment, and their relationship with shoulder function. A total of 144 adult patients undergoing arthroscopic RCR completed a 13-item questionnaire assessing the importance of surgical decision-making factors. Preoperative conservative treatments were also recorded. Surgeons also completed a similar 5-item questionnaire assessing surgeon decision-making factors preoperat...
Source: Orthopedics - Category: Orthopaedics Authors: Tags: Orthopedics Source Type: research
Publication date: January 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 129, Issue 1Author(s): MARINA LINS MAYMONE DE MELO, THYAGO MORAIS VICENTE DA SILVA, THAYANARA SILVA MELO, IGOR HENRIQUE SILVA, ALESSANDRA TAVARES CARVALHO, JAIR CARNEIRO LEÃO, LUIZ ALCINO MONTEIRO GUEIROSIntroductionDelayed bone repair postdental extraction in patients who underwent head and neck radiation is a clinical challenge, and an adequate management is necessary to prevent osteoradionecrosis.ObjectiveTo evaluate the effect of photobiomodulation (PBM) in the alveolar mucosal healing of patients submitt...
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
In this study, a randomized controlled trial was conducted to evaluate the clinical effect of laparoscopic total extraperitoneal inguinal herniorrhaphy (TEP) with hernia sac transection and complete sac reduction.MethodFrom May 2017 to May 2018, 70 patients aged 18 –75 with primary indirect inguinal hernia in our hospital were randomly divided into a transected sac group (TS) and a completely reduced sac group (RS). The primary outcomes compared between the two groups were the hernia sac treatment time, operation time, and the incidence of seroma formation a fter operation. Secondary outcomes included acute pain, chr...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
​Fingertip injuries and amputations are common in the emergency department, often occurring on weekends when consultants are not available. Some experienced physicians may consider rongeuring distal tuft amputation injuries, but simple closure and expert consultation for more difficult cases are suggested.A fingertip amputation within zone III involving total amputation of the distal tip, fingernail, matrix, and tuft. Photos by M. Roberts.Care of fingertip amputations in the ED should focus on removing debris and cleaning the wound as best as possible, closing the wound using available skin, bandaging and splinting for c...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Rationale: Foreign body ingestion is a common clinical event, but serious complication such as perforation is uncommon. Here we present a case of gastrointestinal perforation caused by fish bone, which was treated effectively and successfully by totally laparoscopic management. Patient concerns: A 63-year-old man who was admitted to our hospital with epigastric pain for 1 month. Computed tomography of the abdomen at the local hospital revealed a linear, hyperdense, foreign body in the lesser curvature of gastric antrum that had penetrated through the posterior wall of the gastric antrum. Diagnosis: The laparoscopic...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Hip abductor tendon tears or tears of the gluteus medius and minimus is a common etiology of lateral hip pain, especially in females between the fourth and sixth decade. Abductor tears are often associated with severe functional impairment including hip abduction weakness and Trendelenburg gait. Excellent outcomes have been demonstrated using open repair with an increasing interest in endoscopic management. The purpose of this study is to add to the growing body of evidence by prospectively evaluating the short-term outcomes of endoscopic repair of full and partial abductor tendon tears, with a minimum of 1-year follow-up.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Source Type: research
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