Robotics in Plastic Surgery
AbstractPurpose of ReviewRobotic surgery represents a new frontier in minimally invasive reconstructive surgery. Minimally invasive surgery (MIS) and specifically robotic MIS can improve visualization, decrease morbidity, and allow for complex movements that cannot be achieved with standard operative approaches. The use of the surgical robot has expanded into multiple fields including general surgery, urology, thoracic surgery, gynecological surgery, and head and neck surgery.Recent FindingsOur institution has pioneered and expanded the use of the surgical robot across multiple arenas of plastic surgery. We have led the de...
Source: Current Surgery Reports - February 7, 2023 Category: Surgery Source Type: research
Endovascular Management of TASC-C and D Aortoiliac Occlusive Disease
AbstractPurpose of ReviewRecent advances in endovascular techniques and device technology have led to increased utilization of endovascular treatment for patients with severe aortoiliac occlusive disease. In this review article, we will discuss various clinical and technical considerations in endovascular treatment of patients with TASC C and D aortoiliac lesions and provide review of the existing literature.Recent FindingsWhile primary patency remains superior following open aortoiliac reconstruction, secondary patency, limb salvage and survival following endovascular management of aortoiliac occlusive disease rival those...
Source: Current Surgery Reports - January 6, 2023 Category: Surgery Source Type: research
Deep Venous Arterialization for Limb Salvage
AbstractPurpose of ReviewPeripheral artery disease is a widespread condition that can cause functional impairment and emergent complications, including limb-threatening ischemia. Revascularization of ischemic extremities is achievable with surgical bypass and endovascular techniques, but patients with diffuse or extensive disease are not candidates as they lack distal arterial outflow tracts. Deep venous arterialization (DVA) is a salvage revascularization technique that directs arterial flow to the distal capillary beds via a venous conduit. DVA may be accomplished through open surgery, endovascular intervention, or a hyb...
Source: Current Surgery Reports - December 31, 2022 Category: Surgery Source Type: research
Techniques to Repair Choroidal Detachments
AbstractPurpose of ReviewChoroidal detachments may develop following trabeculotomy hypotony, inflammation, or trauma. Although most are self-limited, additional medical or surgical treatment may be required. If managed improperly, choroidal detachments can develop into a persistent problem which can be associated with further complications such as decreased visual acuity, cataracts, retinal detachment, or phthisis. Therefore, this work aims to highlight the array of available techniques to repair choroidal detachments.Recent FindingsAlthough medical management of choroidal detachments is the established first line treatmen...
Source: Current Surgery Reports - December 27, 2022 Category: Surgery Source Type: research
Challenges of Gastric Versus Post-pyloric Feeding in COVID-19 Disease
AbstractPurpose of the ReviewThe COVID-19 pandemic has had an unprecedented challenge to the critical care providers caring for those patients, including the delivery of nutrition. This review will address the challenges of gastric versus post gastric feeding in patients in COVID-19 disease.Recent RecommendationsMany societies, including American, British, and Australian recommend initiating of enteral feeding in COVID-19 patients as soon as 24 h of ICU admission or within 12 h after intubation. Consideration for post-pyloric feeding if there is evidence of intolerance to gastric feeding.SummaryThe same principle for no...
Source: Current Surgery Reports - December 26, 2022 Category: Surgery Source Type: research
Robotic Versus Laparoscopic Adrenalectomy: The European Experience
AbstractPurpose of ReviewTo summarize the current European-based literature and find answers regarding whether there is any specific condition in which robotic adrenalectomy is superior.Recent FindingsFor the resection of the adrenal glands, laparoscopic adrenalectomy is the gold standard technique worldwide. With the widespread use of robotic technology in surgery, robotic adrenalectomy has become more popular. The safety and feasibility of robotic adrenalectomy has been shown in several studies. However, despite its technical advantages, robotic surgery has not yet shown a significant supremacy over laparoscopic surgery ...
Source: Current Surgery Reports - December 3, 2022 Category: Surgery Source Type: research
Should Anabolic Agents be Used for Resolving Catabolism in Post-ICU Recovery?
AbstractPurpose of ReviewOver the last several decades, we have come to recognize that injury and critical illness (CI) are a spectrum of disease. Acute CI is associated with a hypermetabolic response that is likely beneficial immediately after an insult. A subset of these patients go on to develop chronic CI with persistent inflammation, immunosuppression, and catabolism that extends well beyond injury and is associated with poor outcomes. Uncontrolled catabolism leads to progressive loss of lean muscle mass resulting in decreased functionality and dampened recovery. The ability to combat catabolism with therapeutic agent...
Source: Current Surgery Reports - December 1, 2022 Category: Surgery Source Type: research
Spine Reconstruction: From Basics to Cutting Edge
AbstractPurpose of ReviewPlastic surgery reconstruction involving the spinal region may be necessary to fill dead space, buttress a durotomy repair to help prevent or treat a cerebrospinal fluid (CSF) leak, resurface the skin, and/or transfer vascularized bone to augment stabilization after vertebrectomy or sacrectomy. Reconstruction can be employed in the prophylactic setting —in patients at high-risk for wound healing complications – or in the therapeutic setting, to treat wound healing complications after they have occurred. In general, the goals of soft tissue reconstruction include coverage of vitals structures an...
Source: Current Surgery Reports - November 28, 2022 Category: Surgery Source Type: research
Current Advances and Future of Premium IOLs
The objective of this review is to outline the current state of premium IOLs on the market and present outcome data to assess their benefits and limitations. This review will also explore premium IOLs in development.Recent FindingsExtended depth of focus (EDOF) IOLs improve functional vision over a range of distances and correct for presbyopia by creating a single, elongated focus. The IC-8 (AcuFocus) uses a small aperture and provides a promising option for patients with irregular refractive states. The AcrySof Vivity (Alcon) uses a shifting wavefront to allow extended depth of focus while reducing dysphotopsias, and the ...
Source: Current Surgery Reports - November 19, 2022 Category: Surgery Source Type: research
Surgical Advancements in Corneal Transplantation
AbstractPurpose of ReviewThis review article aims to describe recent advancements in the field of corneal transplantation, focusing on the role of penetrating keratoplasty (PKP), as well as the role of lamellar keratoplasty (LK) and further emerging techniques in the management of corneal disease.Recent FindingsSince its inception in 1905 by Zirm, PKP has been a mainstay for the surgical management of corneal diseases. However, despite advances in technology, PKP continues to have significant limitations due to immune rejection, graft failure, and postoperative glaucoma. Thus, in an effort to mitigate these complications, ...
Source: Current Surgery Reports - November 17, 2022 Category: Surgery Source Type: research
Invasive Monitoring in Traumatic Brain Injury
AbstractPurpose of ReviewThis review summarizes the most common trends in invasive monitoring of TBI along with recent developments on the subject.Recent FindingsEven though ICP monitoring has a fundamental role in monitoring TBI patients, recent evidence is favoring CPP-directed care over ICP-directed care. Moreover, brain oxygenation and microdialysis techniques are considered to further improve the outcomes of the patients. As novel monitoring techniques are developing, integration and analysis of monitoring multiple data are required.SummaryTraumatic brain injury management has shown extensive progress along with impro...
Source: Current Surgery Reports - November 14, 2022 Category: Surgery Source Type: research
The Role of Technology in Ophthalmic Surgical Education During COVID-19
AbstractPurpose of ReviewTo describe the effect of COVID-19 on ophthalmic training programs and to review the various roles of technology in ophthalmology surgical education including virtual platforms, novel remote learning curricula, and the use of surgical simulators.Recent FindingsCOVID-19 caused significant disruption to in-person clinical and surgical patient encounters. Ophthalmology trainees worldwide faced surgical training challenges due to social distancing restrictions, trainee redeployment, and reduction in surgical case volume. Virtual platforms, such as Zoom and Microsoft Teams, were widely used during the p...
Source: Current Surgery Reports - November 14, 2022 Category: Surgery Source Type: research
Approaches to the Repair of Diabetic Traction Retinal Detachments
AbstractPurpose of ReviewTo review the diagnosis, surgical evaluation, surgical techniques, and outcomes of vitrectomy for tractional retinal detachments (TRDs) in patients with diabetes.Recent FindingsTractional retinal detachment is the leading cause of blindness in patients with diabetes. They account for 40% of all vitrectomies in patients with proliferative diabetic retinopathy. The use of small gauge microincisional vitrectomy systems, enhanced visualization, anti-VEGF, and optimized instrumentation and surgical techniques have revolutionized the treatment and outcomes of TRD repair. Although anatomical and visual ac...
Source: Current Surgery Reports - November 8, 2022 Category: Surgery Source Type: research
Management of Submacular Hemorrhage
AbstractPurpose of ReviewTo review management strategies for submacular hemorrhage with a focus on studies from the last five years.Recent FindingsThick submacular hemorrhage is a potentially devastating complication of choroidal neovascularization, trauma, retinal vascular disease, and ophthalmic surgery. Common treatments include intravitreal antiangiogenic therapy, pneumatic displacement, pars plana vitrectomy, intravitreal or subretinal tissue plasminogen activator, subretinal air, and combinations thereof. Recent reports support the safety and efficacy of numerous treatment strategies and have offered improved techniq...
Source: Current Surgery Reports - October 26, 2022 Category: Surgery Source Type: research
A Review of Recent Advances in Vitreoretinal Surgical Visualization and Tissue Manipulation
AbstractPurpose of ReviewThe purpose of this paper is to review recent advances in vitreoretinal surgery with a particular focus on new techniques of intraoperative visualization and new instrumentation for tissue manipulation.Recent FindingsAdvances in vitreoretinal surgical visualization include 3-D viewing systems, intraoperative OCT, and ocular endoscopy. Advances in tissue manipulation include hypersonic vitrectomy, and vitrectomy probes with improved cut rates, dual bore infusion, and shorter shafts for pediatric cases.SummaryThere are many ongoing advancements in intraoperative visualization and tissue manipulation ...
Source: Current Surgery Reports - October 20, 2022 Category: Surgery Source Type: research
