Knee Osteonecrosis: Cell Therapy with Computer-assisted Navigation.
Authors: Hernigou P, Gerber D, Auregan JC Abstract BACKGROUND: The knee is the second-most common location for osteonecrosis, although it is affected much less often than the hip. Core decompression by precise drilling into ischemic lesions of the femoral condyle while remaining extra-articular is a challenge, particularly in obese patients. For cell therapy, exact localization of the injection point is important to avoid intra-articular injection. METHODS: The precision of drilling with computer-based navigation was compared to that of conventional fluoroscopy-based drilling. A prospective, randomized study wa...
Source: Surgical Technology International - January 5, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Stapled Diaphragmatic Plication: Is It Better Than Suture Plication?
Authors: Hill TM, Onugha O Abstract Diaphragm dysfunction, which can be due to eventration or an abnormally high-positioned diaphragm, can cause respiratory compromise. Eventration is most commonly due to unilateral diaphragm paralysis, which reduces ventilatory function in adults by about 25%. Since the 1920s, this condition has been treated with diaphragm plication, which itself has evolved to include the use of several different techniques and materials. This review explores the relevant literature on diaphragm plication using sutures or staples for the treatment of eventration to determine if either provides a ...
Source: Surgical Technology International - January 5, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Large Abdominal Wall Defects: A Safe and Reliable Technique for Midline Reconstruction-The Bonheiden Experience.
Authors: Van Kerckhoven L, Lo G, Vermeiren K, Devroe K, Tollens T Abstract This retrospective study reveals the results of our approach to the treatment of complex ventral hernias. A single-center, single-surgeon retrospective chart review on 68 consecutive patients who underwent abdominal wall reconstruction for incisional herniation on the midline between January 2012 and December 2016 is presented. The Bonheiden technique is based on anterior component separation in combination with preperitoneal retromuscular mesh reinforcement of the midline. Data of 68 consecutive cases of incisional midline abdominal wall de...
Source: Surgical Technology International - January 5, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic Lobectomy: Experience with 638 Consecutive Cases.
CONCLUSION: Robotic lobectomy is a safe, minimally invasive procedure that replicates the oncologic and technical principles of thoracotomy for the treatment of lung cancer. PMID: 31898807 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - January 5, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Role of Automated Suturing Technology in Minimally Invasive Aortic and Mitral Valve Surgery.
The objective of this review is to describe the latest advancements in automated suturing technology for minimally invasive valve surgery. PMID: 31821520 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 12, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

All-Inside Arthroscopic Meniscal Repair with the Arthrex Meniscal Cinch ™ II.
All-Inside Arthroscopic Meniscal Repair with the Arthrex Meniscal Cinch™ II. Surg Technol Int. 2019 Dec 12;36: Authors: Jenkins JM, Hopper GP, Mackay GM Abstract Meniscal tears are the most common indication for knee surgery. An appreciation of the limitations associated with the gold-standard inside-out meniscal repair technique has resulted in the development of newer all-inside techniques that overcome many of these issues. This paper describes, with a video illustration available online, a one-handed all-inside meniscal repair technique using the Meniscal Cinch™ II (Arthrex, Inc., Naple...
Source: Surgical Technology International - December 12, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic First Rib Resection for Thoracic Outlet Syndrome.
We report our experience with, and technique for, robotic first rib resection. METHODS: Patients diagnosed with TOS underwent robotic first rib resection of the offending portion of the first rib with disarticulation of the costo-sternal joint. Definitive diagnosis of TOS was made by Magnetic Resonance Angiography (MRA) with maneuvers. RESULTS: A total of 67 patients underwent robotic first rib resection. Neurogenic TOS: 39 patients underwent robotic resection for Neurologic Symptoms of the upper extremity (Neurogenic TOS). There were 14 men and 25 women, with a mean age of 34 ± 9.5 years. Paget-Schroetter S...
Source: Surgical Technology International - December 12, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Three-plane Model to Standardize Laparoscopic Right Hemicolectomy with Extended D3 Lymph Node Dissection.
CONCLUSION: The approach used to reach the superior mesenteric vessels for laparoscopic right hemicolectomy with D3 lymph node dissection does not affect the short-term outcome of the operation. The present three-plane model gives surgeons additional insight to perform this operation. PMID: 31821523 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 12, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Cosmetic Surgery-Use of 3mm Ports and Reduced-Port Techniques for Gynecologic Surgery.
In conclusion, minimally invasive approaches to gynecological surgery are considered feasible and safe. PMID: 31821524 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 12, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Do Demographic or Anthropometric Factors Affect Lateralization of the Tibial Tubercle in a Diverse Population? A Magnetic Resonance Imaging Analysis.
Authors: Livshetz I, Meghpara MB, Karam JA, Salem HS, Mont MA, Hassan OT, Goldberg BA Abstract INTRODUCTION: The tibial tubercle-trochlear groove (TT-TG) distance is commonly used to evaluate and guide treatment for patellar instability. There is limited data available regarding TT-TG variability based on patient demographics and anthropometric factors. MATERIALS AND METHODS: TT-TG was measured on magnetic resonance imaging (MRI) for 384 consecutive adult patients. Demographic information for the corresponding was then gathered from the medical record and analyzed. Demographic variables analyzed included age, s...
Source: Surgical Technology International - December 12, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Tips and Tricks to Optimize Surgical Outcomes After ACL Repair Using Dynamic Intraligamentary Stabilization.
CONCLUSION: All intra-operative technical problems were resolved and did not lead to conversion to ACL reconstruction. We share tips and tricks that could assist surgeons who are just starting to use the DIS technique. PMID: 31821526 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 12, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Short-Term Safety of the Direct Superior Approach for Total Hip Arthroplasty.
CONCLUSION: This study indicates that the DS approach appears to be safe with a low complication rate at 90 days that is comparable to more conventional approaches, such as the direct anterior and posterior techniques. This information is also valuable for the evaluation of reimbursements for DS-THA as current bundled-payment models heavily emphasize 90-day outcomes and complications. Long-term direct comparative studies with the anterior and posterior approaches is required to fully evaluate DS-THAs. PMID: 31821527 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 12, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The Effects of a Concentrated Surfactant Gel on Biofilm EPS.
CONCLUSION: The data presented here potentially shows the ability of a CSG to reduce components of the P. aeruginosa biofilm EPS. The reduction in eDNA following CSG treatment may contribute to the dispersal of the biofilm, potentially increasing the susceptibility of it to antimicrobials, and should be explored further. PMID: 31778202 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 30, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Manipulation Under Anesthesia Rates in Technology-Assisted versus Conventional-Instrumentation Total Knee Arthroplasty.
CONCLUSION: Our study found that patients undergoing robotic-assisted TKA experienced a significant, 4.5-fold decrease in rates of manipulation under anesthesia (p=0.032). Given that MUAs can be a marker of knee stiffness following total knee arthroplasty, the lower rate indicates that study cohort patients had less knee stiffness and, therefore, greater initial postoperative range of motion than the control cohort. Based on these data, assistive technologies may have an advantageous role contributing to enhanced patient outcomes. PMID: 31747712 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 22, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

New Technology for Total Knee Arthroplasty Provides Excellent Patient-Reported Outcomes: A Minimum Two-Year Analysis.
CONCLUSION: Our analysis found that patients had excellent outcomes across multiple PROM metrics. Future work can build on these results with large patient populations over longer follow-up intervals. Nevertheless, these results provide the foundation and evidence to support the continued use of this innovative technology for total knee arthroplasties. PMID: 31732961 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 19, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

10-Year Experience with 1700 Single-Incision Laparoscopies.
CONCLUSION: SIL is a laparoscopic technique that can safely be offered to patients presenting abdominal diseases. The main advantages include enhanced cosmetic results and reduced abdominal trauma. The main disadvantages are patient selection, a longer operative time for some procedures, and a need to expose the operative field for some other procedures. PMID: 31710087 [PubMed - in process] (Source: Surgical Technology International)
Source: Surgical Technology International - November 13, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Targeting Core Decompression and Cell Therapy Injection of Hip Osteonecrosis with Computer-Assisted Navigation.
CONCLUSIONS: The findings suggest that computer-assisted navigation may be safely used to train surgical novices in core decompression. This technique avoids the use of both live patients and harmful radiation. For expert surgeons, computer-assisted navigation might improve precision with less radiation, which might be desirable in cell therapy. PMID: 31687775 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Concomitant Septic Arthritis of the Hip in Patients with Osteonecrosis of the Femoral Head.
CONCLUSION: When a patient with ONFH has an unexplained elevation of ESR and/or CRP, concomitant septic arthritis of the hip should be suspected. PMID: 31687776 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Diaphragmatic Pacing: Is There a Benefit?
This article will review the relevant literature on diaphragm pacing, discuss the physiology of diaphragm dysfunction in a variety of patient populations, and address whether diaphragm pacing is a valuable and effective option for treatment of respiratory failure. PMID: 31687777 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The Effects of Space Microgravity on Hip and Knee Cartilage: A New Frontier in Orthopaedics.
CONCLUSIONS: Space and associated microgravity conditions adversely impact articular cartilage as demonstrated in murine and human studies. The pathogenetic process occurs due to the mechanically responsive nature of cartilage, with an increase in cartilage metabolism in microgravity. There remains a marked paucity of literature regarding the gravitational force necessary for adequate cartilage survival and the impact of space-related radiation on cartilage repair. Additionally, further studies should assess pharmacologic interventions, such as recombinant human fibroblast growth factor to stimulate cartilaginous growth. ...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The Combined Therapy of Tantalum Rod Implantation and Vascularized Bone Transplantation for Femoral Head Osteonecrosis: A Retrospective Long-Term Follow-Up Survival Analysis.
Authors: Zhao D, Cheng L, Yang L, Wang B, Liu B Abstract Tantalum rod implantation with vascularized bone transplantation has been reported to be an effective method for the treatment of osteonecrosis of the femoral head (ONFH). However, long-term follow-up results were unclear. Sixty-five patients (71 hips) with ONFH treated with this technique were retrospectively reviewed. According to the Association Research Circulation Osseous (ARCO) classification, 21 hips were stage II, 30 were stage III, and 15 were stage IV. Sixty-one patients (66 hips) were followed for more than 10 years. Fifteen hips had to be converte...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Venous Resection for Locally Advanced Pancreatic Cancer: Time Trend and Outcome Analysis of 65 Consecutive Resections at a High-Volume Center.
CONCLUSIONS: Major vascular resection to achieve macroscopic tumor clearance can be performed safely with acceptable operative morbidity and mortality. Nevertheless, it is justified only in carefully selected cases. PMID: 31687780 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

T ≤2N0 TRG1-2 in Post-Chemoradiation Therapy MRI: What can it Predict?
CONCLUSION: Although MRIyT=2N0/TRG1-2 cannot predict all cases of a complete pathologic response, it can effectively predict a low rate of lymph node involvement and a better prognosis in patients who undergo total mesorectal excision. PMID: 31687781 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Vesico-Vaginal Fistula: Nature and Evidence-Based Minimally Invasive Surgical Treatment.
Authors: Smith AV, Cabrera R, Kondo W, Zomer MT, Ferreira H Abstract The present review aims to analyze the current information available on the pathophysiology, clinical presentation and treatment of vesico-vaginal fistulas (VVF), with particular focus on the safety and efficacy of minimally invasive surgical (MIS) techniques. Through the use of the PubMed and Google Scholar databases, we conducted a literature review of all available studies related to MIS treatment of VVF, focusing on laparoscopic techniques. After abstracts were read to identify pertinent studies, full manuscripts were reviewed by two authors a...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Improving the Accuracy of Neuronavigation in Cerebral Cavernous Malformation: A Technical Note on 68 Cases.
We present here our institutional experience with 68 cases using a transcortical neuronavigation approach with some technical nuances to improve navigation accuracy during resection. The technique and clinical outcomes are discussed, with a specific focus on seizure sequels. Demographic data were collected, along with information on clinical and seizure characteristics at presentation, localization and size of CM, presence of multiple localizations, evidence of recent CM-related bleeding on MRI, intervention features, postoperative complications, prescription of anti-epileptic drugs at discharge and seizure outcome. We ass...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The Radial Artery for Coronary Bypass Grafting: The Fifth Decade.
CONCLUSION: In its fifth decade of use, we can definitively conclude that the aorto-to-coronary radial bypass graft is the conduit of choice for coronary operations after the left internal thoracic artery to the left anterior descending artery. PMID: 31687784 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Clinical Application of the Measurement of Abdominal Wall Tension in Hernia Repair.
Authors: Bilezikian JA, Faulkner JD, Fox SS, Hooks WB, Hope WW Abstract Abdominal wall tension is an integral concept in hernia repair. Most of the described techniques attempt to reduce abdominal wall tension by using mesh prosthetics or myofascial release. Although the concept of a "tension-free" hernia repair is well-understood and appreciated by surgeons, quantitative information about abdominal wall tension is limited. This review evaluates the published literature related to abdominal wall tension and summarizes how the measurement of intraoperative tension can guide clinical decision-making. Most o...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Laparoscopic Appendectomy: How Should we Deal with the Appendicular Stump?
Authors: Consalvo V, D'Auria F Abstract BACKGROUND: The laparoscopic appendectomy approach (LAA) for acute appendicitis has fewer intra- and post-operative complications, less pain, and smaller scars compared to the traditional open appendectomy approach (OAA), but a higher frequency of intra-abdominal abscess (IAA). The relationship between this higher frequency of IAA and the omission of appendicular stump invagination is difficult to explain, even though such invagination of the appendicular stump is the only difference between standard LAA and OAA. PMID: 31687786 [PubMed - as supplied by publisher] (Source:...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic-Assisted Nissen Fundoplication with the Senhance ® Surgical System: Technical Aspects and Early Results.
Robotic-Assisted Nissen Fundoplication with the Senhance® Surgical System: Technical Aspects and Early Results. Surg Technol Int. 2019 Oct 04;35: Authors: Schmitz R, Willeke F, Darwich I, Kloeckner-Lang SM, Saelzer H, Labenz J, Borkenstein DP, Zani S Abstract INTRODUCTION: Robotic-assisted surgery continues to evolve. Technical advantages are reported for intracorporal suturing, a technique with a long learning curve in conventional laparoscopy. The success of laparoscopic fundoplication relies on precise suturing at the hiatus and of the fundal wrap. Therefore, robotic assistance can be a useful t...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

How to Avoid and Manage Mental Nerve Injury in Transoral Thyroidectomy.
Authors: Zhang D, Famá F, Caruso E, Pinto G, Pontin A, Pino A, Mandolfino T, Gagliano E, Siniscalchi EN, De Ponte FS, Sun H, Dionigi G Abstract Transoral endoscopic thyroidectomy by vestibular approach (TOETVA) represents an innovative and scarless technique for thyroid surgery. The procedure is conducted via a three-port technique at the oral vestibule using a 10mm port for the 30° endoscope and two additional 5mm ports for the dissecting and coagulating instruments. Patients meeting the following criteria can be considered as candidates for TOETVA: (a) an ultrasonographically (US) estimated thyroid dia...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The Origin and Evolution of the HARMONIC ® Scalpel.
The Origin and Evolution of the HARMONIC® Scalpel. Surg Technol Int. 2019 Oct 04;35: Authors: McCarus SD, Parnell LKS Abstract When Jacques and Pierre Curie first researched ultrasonic energy and piezoelectric effects in the 1880s, they likely had no idea of the profound impact it would eventually have on surgical patients. Today in operating rooms around the world, ultrasonic energy is used for tissue manipulation, dissection, cutting, and coagulation. Surgeons including but not limited to the specialties of gynecology, general surgery, colorectal, thoracic, breast, and bariatric have activated ul...
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

5th-Generation Mobile Communication: Data Highway for Surgery 4.0.
Authors: Jell A, Vogel T, Ostler D, Marahrens N, Wilhelm D, Samm N, Eichinger J, Weigel W, Feussner H, Friess H, Kranzfelder M Abstract INTRODUCTION: 5th generation cellular mobile communications (5G) is one of the main requirements for the digital future. The new standard will offer high bandwidths (10GB/s), low latency (
Source: Surgical Technology International - November 9, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The Use of Transcatheter Devices for Mitral Repair and Replacement.
Authors: Barnes HJ, Tadros RO, Octeau D, Faries CM, Lee J, Kini AS, Tang GHL Abstract Recent advances in device design have resulted in a wide variety of transcatheter treatment options for patients with symptomatic mitral valve disease. Surgery remains the gold standard for patients with symptomatic, primary mitral regurgitation, while transcatheter devices can be considered in higher-risk patients. For secondary mitral regurgitation, optimal medical therapy and cardiac resynchronization are recommended. Recent evidence suggests that transcatheter alternatives may be considered as well. This review will provide an...
Source: Surgical Technology International - October 3, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

An Update to a Novel Technique for Centering the Femoral Stem in Primary Total Hip Arthroplasty.
Authors: Bono OJ, Shields JS, Pinski J, Schuett DJ, Bono JV Abstract Careful surgical technique is a critical component of total hip arthroplasty. Femoral preparation and component positioning are vital to improving outcomes and preventing complications. Femoral preparation begins with creating an entry hole in the proximal femur. Various tools have been used for this purpose which resemble a "cookie cutter." An axial starter reamer, or awl, is then inserted through the entry hole in the proximal femur to aid in opening and centralizing the canal for sequential reaming or broaching. A novel technique was ...
Source: Surgical Technology International - October 3, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Computed Tomography Staging of Osteonecrosis of the Femoral Head.
CONCLUSION: In this study, 20.5% of hips classified as ARCO stage I or II on simple radiography were found to be ARCO stage III on CT imaging. When a joint-preserving treatment is considered for early stage ONFH, CT examination is necessary for more precise staging of the disease. PMID: 31571188 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - October 3, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Does a Triple-Wedge, Broach-Only Stem Design Reduce Early Postoperative Fracture in Anterior Total Hip Arthroplasty?
CONCLUSION: This triple-wedge broach-only implant demonstrated low rates of early perioperative femoral complications in primary THA via a direct anterior approach. The authors will continue to monitor the longer-term survival and patient outcomes with this implant. PMID: 31571189 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - October 3, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Novel Technique for Full-Thickness Abdominal Wall Closure in Laparoscopic Ventral Hernia Repair.
Authors: Voeller GR, Chin AK, LeBlanc KA Abstract Laparoscopic ventral hernia repair incorporating a prosthetic mesh underlay, first described in 1993, has demonstrated a lower long-term recurrence rate versus open non-mesh repair. However, over the past 25 years, the laparoscopic approach to ventral/incisional hernias is utilized in only approximately 30% of cases. One of the reasons that prevents it from being utilized more often is the inability to readily, reliably, and easily close the fascial defect. A novel technique has been developed for full-thickness abdominal wall closure in laparoscopic ventral herniop...
Source: Surgical Technology International - October 3, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The Evolution of Cement Fixation in Total Knee Arthroplasty.
Authors: Carpenter W, Hamilton DH, Luthringer T, Buchalter D, Schwarzkopf R Abstract Aseptic loosening and infection are two of the leading causes of revision in total knee arthroplasty. While several patient-related factors can play a role in the development of these complications, there are certain modifiable surgeon factors that can help mitigate the risk. Intraoperatively, this can begin with the curing process of bone cement which is broken down into four different stages: mixing, waiting, working, and setting. Understanding each stage of the process is beneficial in obtaining successful long-term outcomes. De...
Source: Surgical Technology International - September 17, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Biomechanical Study Comparing Cut-out Resistance of the X-Bolt ® and Dynamic Hip Screw at Various Tip-Apex Distances.
This study compared the cut-out strength of a Dynamic Hip Screw (DHS) to that of an X-Bolt® (X-Bolt Orthopaedics, Dublin, Ireland) implant in an osteoporotic Sawbones® (Sawbones, Vashon Island, WA) model. METHODS: An unstable fracture model (AO 31-A2) was created using low-density 5 pound per cubic foot (pcf) Sawbones®. The DHS and X-Bolts® were inserted into the Sawbones® femoral head at Tip-Apex Distances (TAD) of 10mm, 15mm, 20mm, 25mm, 30mm and 40mm. A cyclic-loading Instron® machine (Instron Corp., Norwood, MA) pushed the bone at a compression rate of 5mm per minute at a 20-degree angle to ...
Source: Surgical Technology International - September 17, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Does Immediate Colon Surgery Within Two Hours Predict a Negative Postoperative Outcome? A Prospective Cohort Study.
Authors: Stancu SMO, Iordache FI Abstract BACKGROUND: The aim of this study was to evaluate whether immediate surgery within 2 hours is a prognostic factor for adverse postoperative outcomes. METHODS: This was a prospective observational study that included all consecutive patients who underwent emergency and elective colon resection at a tertiary-level hospital for malignant or benign conditions over a 13-month period. Postoperative outcomes included morbidity, mortality, reoperation, readmission and length of stay. The statistical analysis included both univariate and multivariate tests, with statistical significance set at p
Source: Surgical Technology International - September 17, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Surgical Approach and Hip Laterality Affect Accuracy of Acetabular Component Placement in Primary Total Hip Arthroplasty.
Authors: Crawford DA, Adams JB, Hobbs GR, Lombardi AJV, Berend KR Abstract INTRODUCTION: Controversy remains if the anterior approach improves acetabular component alignment, and many studies have compared approaches with different surgeons over different timeframes. The purpose of this study was to assess a single surgeon's experience over a one-year timeframe and radiographically compare acetabular component positioning with the direct anterior versus direct lateral approach. Secondarily, this study compares acetabular component position differences between right and left hips for a right-hand dominant surgeon. ...
Source: Surgical Technology International - September 17, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

p-Value: Villain or Scapegoat?
Authors: Gachabayov M, Fingerhut A Abstract . PMID: 31524284 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 17, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Next-generation Virtual and Augmented Reality in Surgical Education: A Narrative Review.
CONCLUSIONS: Based on the limited evidence available, VR/AR appears to have positive training benefits in improving the speed of acquisition of surgical skills. However, the significant heterogeneity in study methodology and the relative recency of wider VR/AR adoption in surgical training mean that only tentative conclusions can be drawn at this stage. Further research, ideally with large sample sizes, robust outcome measures and longer follow-up periods, is recommended. PMID: 31498872 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 11, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Improving the Quality of Chronic Wound Care Using an Advanced Wound Management Program and Gentian Violet/Methylene Blue-Impregnated Antibacterial (GV/MB) Dressings: A Retrospective Study.
CONCLUSION: The study demonstrates that a comprehensive wound management program based on integrated care bundles in conjunction with GV/MB dressings can be a highly-effective clinical option. The benefits showed significant reductions in healing times and treatment costs. PMID: 31482534 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 6, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Latest Advances in Annuloplasty Protheses for Valvular Reconstructive Surgery.
Authors: Weltert L, Licitra R, Salica A, Irace F, De Paulis R Abstract This is the third and final part of our update on the latest advances in cardiac valvular replacement. Part 1 was dedicated to cardiac valvular replacement, and Part 2 focused on transcatheter cardiac valvular treatment. This part concerns annuloplasty prostheses for valvular reconstructive surgery. The number of patients undergoing surgical heart valve repair has been increasing, particularly in high-volume centers. Annuloplasty is now considered the gold standard in mitral valve regurgitation repair secondary to degenerative, ischemic and idio...
Source: Surgical Technology International - September 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Abdominal Fascia Closure Techniques During Laparoscopy.
Authors: Mouanness M, Khoury S, Nassif J Abstract Due to its decreased recovery time and increased patient satisfaction, laparoscopic surgery has witnessed an exponential rise in the last decade. In fact, the indications for laparoscopic surgery are currently numerous and involve multiple disciplines, including gastro-intestinal and gynecological surgery. With this boom, there is much focus on decreasing the rate of complications due to laparoscopy. This includes, but is not limited to, an increased interest in decreasing the risk of port-site herniation by ensuring proper closure of the abdominal wall at the site ...
Source: Surgical Technology International - September 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Aneurysmal Bone Cyst: A Review of Management.
Authors: Muratori F, Mondanelli N, Rizzo AR, Beltrami G, Giannotti S, Capanna R, Campanacci DA Abstract Aneurysmal bone cyst is a rare lesion that is most often found in young adults and children. It can have an unpredictable behavior, with a high recurrence rate after treatment. Treatment is based on personal and institutional experience and preferences. Standard treatment consists of curettage (manual + motorized high-speed burr) plus local adjuvants and bone grafting to fill the void. In anatomical locations that are difficult to reach surgically, percutaneous procedures (injection of sclerosant agents, radiofre...
Source: Surgical Technology International - September 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Endovascular Treatment of No-Stent Zones … Quo Vadis?
This article describes less-invasive endovascular alternatives, such as atherectomy, drug-coated balloons and stenting, and their results. The popliteal artery is also difficult to treat in an endovascular manner due to biomechanical forces during bending and stretching of the knee or leg. Thus, we also describe currently available minimally invasive treatment options for the popliteal artery. PMID: 31476793 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Repair of Parastomal Hernia with Component Separation at Reversal of Loop Ileostomy. A technical note.
CONCLUSION: The surgical technique described here, consisting of component separation and mesh at loop ileostomy reversal, is effective for repairing parastomal hernia. PMID: 31476794 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Reduced Port Laparoscopic Cholecystectomy: An Innovative, Cost-Effective Technique with Superior Cosmetic Outcomes.
CONCLUSION: The RPLC method utilises an ergonomically attractive technique with outcomes and a safety profile equal to the standard multi-port LC whilst minimizing the complications and prohibitive economic penalties of traditional SILC. A well-designed prospective randomised trial can provide more insight into the pros and cons of this innovative technique. PMID: 31476795 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research