Benefits of Robotic Camera Assistance in Minimally Invasive Bariatric Procedures: Prospective Clinical Trial Using a Joystick-Guided Camera-Holder.
DISCUSSION: The SoloAssist® is a reliable system for minimal invasive procedures, especially in bariatric surgery. It provides more comfortable conditions for the surgeon and their assistant by freeing one hand for other purposes. Even in narrow spaces (e.g., between a voluminous stomach and adipose liver), the robot guarantees a steady image. Slight movements of the camera can be precisely controlled, which leads to increased comfort for the surgeon. PMID: 30888669 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

THD Doppler: A Reliable Surgical Procedure to Treat Hemorrhoids.
This report does not offer a quantitative synthesis of the data, but rather highlights the role of THD Doppler in the treatment of internal hemorrhoids. PMID: 30888670 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Perioperative Use of Anti-TNFa Biological Agents in Open and Laparoscopic Surgery for Inflammatory Bowel Disease.
Authors: Lianos GD, Katsanos KH, Saridi M, Albani E, Koutroumpakis E, Zeglinas C, Glantzounis GK, Papaconstantinou I, Christodoulou DK Abstract Inflammatory bowel disease (IBD) consists of two disorders: Crohn's disease (CD) and ulcerative colitis (UC). Over the past few decades, a great body of knowledge has accumulated regarding the pathogenesis of IBD, and effective pharmaceutical agents, such as inhibitors of tumor necrosis factor (anti-TNF), have been introduced. Although these agents have dramatically improved the outcome of IBD, up to 70% of patients with CD and 10-30% of those with UC still undergo surgery ...
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic-Assisted Total Knee Arthroplasty in the Presence of Extra-Articular Deformity.
DISCUSSION: The decision on how to best approach TKA in patients with extra-articular deformity should be based on an extensive patient history, physical examination, and thorough evaluation of the magnitude and proximity of the deformity to the knee joint. Utilizing preoperative CT-scans with a 3D plan for robotic-arm assisted surgery allowed for appropriate assessment of the deformity preoperatively and execution of a plan for a balanced and aligned total knee arthroplasty. We have demonstrated excellent results utilizing robotic-arm assisted TKA in these complex cases. PMID: 30888672 [PubMed - as supplied by publish...
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Multimodal Treatment in Pelvic Ewing Sarcoma: A Prognostic Factor Analysis.
CONCLUSION: Local control in pelvic Ewing sarcoma is comparable for patients treated with surgery (S), surgery plus radiotherapy (S/RT), or definitive radiotherapy (RT). The combination of surgery plus radiotherapy could be indicated in cases of large tumor, a poor necrosis response (
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Uterine Fibroids - Current Trends and Strategies.
This article provides an overview of the latest techniques and devices used for uterine-sparing surgical treatment of fibroids. While laparoscopic myomectomy is still the gold standard, novel laparoscopic and transcervical radiofrequency ablation techniques use low-voltage and alternating current to induce heat in the uterine tissue, which triggers necrosis in fibroids. This enables the removal of multiple fibroids without the need for large incisions in the uterine wall. In addition, we address the benefits and potential risks, as well as the impact on fertility and pregnancy, of the different surgical approaches used for...
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Effects of Time to Application of Negative Pressure Therapy on Abdominal Infections After Colonic Perforation.
CONCLUSIONS: NPT should be used as soon as possible in OA management for IAIs due to colonic perforation. PMID: 30888675 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Transperineal Excision of Rectal Gastrointestinal Stromal Tumor.
Authors: Tulina I, Kitsenko Y, Lukyano A, Bergamaschi R, Tsarkov P Abstract Gastrointestinal stromal tumors (GIST) of the rectum occur in approximately 4% of patients with rectal malignancies. Herein, we demonstrate a transperineal approach as a safe surgical technique for GISTs located anterior to the rectum. The proposed technique allows safe and effective excision of a tumor without disturbing the rectal anterior wall. Unlike previous techniques, this method stresses the importance of accurate preoperative assessment and use of the surgeon's finger in the rectum to facilitate rectal wall preservation. PMID: ...
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Endometriosis of the Bladder: Clinical and Surgical Outcomes after Laparoscopic Surgery.
CONCLUSION: Laparoscopic partial cystectomy and shaving of the bladder lesion seem to improve urinary symptoms, with a low rate of intra- and postoperative complications and a low rate of recurrence, without affecting long-term bladder capacity. This surgical approach requires an experienced gynecologist and urologist team. PMID: 30888677 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Clinicopathologic Features and Surgical Outcomes of Neuroendocrine Carcinoma of the Gallbladder.
Authors: Tanioka N, Okabayashi T, Sui K, Matsumoto T, Iwata J, Morita S, Shimada Y Abstract Neuroendocrine carcinoma (NEC) of the gallbladder is highly aggressive and has a poor prognosis even after curative resection. The purpose of this study was to collate and analyze published data to clarify the surgical outcome of NEC of the gallbladder and the relationships between potential prognostic factors and survival after surgery. We surveyed worldwide literature from 1981 to 2018 and obtained clinicopathological data for 65 patients who had undergone surgical resection for NEC of the gallbladder. The relationships be...
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Injection Alternatives for the Management of Knee Osteoarthritis Pain.
Authors: Lee B, Sodhi N, Anis HK, Ehiorobo JO, Mont MA Abstract INTRODUCTION: There has been a rapid increase in opioid-related morbidity and mortality worldwide, and the dangers of excessive opioid use have been observed in patients with chronic musculoskeletal pain, including those diagnosed with knee osteoarthritis. Pain management is an important component of nonoperative treatment in knee osteoarthritis and frequently entails the use of opioids. However, this management technique is not without risks, such as addiction, morbidity, and mortality. Therefore, the purpose of this study was to review the existing l...
Source: Surgical Technology International - March 21, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Laparoscopic Ventral Hernia Repair with a Non-Woven Hernia Mesh.
CONCLUSION: The results for laparoscopic ventral hernia repair, using a relatively new non-woven randomly oriented polypropylene microfiber mesh, are good with long-term follow up completed in the majority of patients. More experience with this type of mesh could generate evidence for the benefits of this mesh material in laparoscopic ventral hernia repair. PMID: 30865784 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 14, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Development and Verification of a Porous Acetabular Shell Design Manufactured Using Additive Technology.
CONCLUSIONS: Using additive manufacturing technology, thin walled acetabular shells were fabricated which allowed for at least two ancillary fixation screws in the safe zone. The thin walls enable the use of a 36mm femoral head with a 48mm diameter shell which may enhance the joint stability in small stature patients. The equivalent or better fixation stability of the new design indicates that good initial fixation may be expected in vivo. PMID: 30825316 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The Epidemiology, Pathophysiology, and Novel Treatment of Calcific Arterial Disease.
We describe several cases where IVL was applied successfully and present additional cases that may have benefitted from the use of this technology. PMID: 30825317 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Preoperative Functional Status Predicts Increased Morbidity Following Total Knee Arthroplasty.
Authors: Curtis G, Hammad A, Anis HK, Sodhi N, Ehiorobo JO, Higuera CA, Little BE, Mont MA, Darwiche HF Abstract INTRODUCTION: Dependent functional status (DEP) has been associated with higher postoperative adverse events and mortality compared to patients with independent functional status (IND). However, the association between preoperative functional status and perioperative outcomes after primary TKA has not been well reported. Therefore, the purpose of this study was to evaluate this association. Specifically, we asked: 1) does preoperative functional status impact perioperative outcomes following primary TKA,...
Source: Surgical Technology International - March 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Primary Posterior Cruciate Ligament Repair With The Novel Suture Tape Augmentation Technique.
CONCLUSION: In these two cases, good subjective and objective results are demonstrated after PCL repair using the novel suture tape augmentation technique. MRI confirmed the healing of the PCL. Although this is a small case series, as PCL ruptures are less common compared to ACL ruptures, it is a stepping-stone for further PCL repair research. PMID: 30825319 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Comparative Thermal Effects of J-Plasma ®, Monopolar, Argon, and Laser Electrosurgery in a Porcine Tissue Model.
CONCLUSION: Consistent with our previous study, J-Plasma® had minimal lateral and depth spread when applied to various tissue types. J-Plasma® performed better or similar when compared to monopolar, argon beam, and laser electrosurgical devices. Further studies in-vivo are needed to evaluate safety and surgical application of the J-Plasma® device. PMID: 30825320 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Fibonacci's Golden Ratio-An Innovative Approach to the Design and Management of Extra-Corporeal Circulation.
This article describes the advantages of an ECC circuit inspired by the Fibonacci Golden Ratio, which does not use a roller pump, in a prospective study on patients undergoing elective cardiac surgery, compared to conventional ECC. During CPB, echocardiography was used to estimate the quality of fluid dynamics in the extracorporeal circuit and the patient's arterial vessels, a DO2 management system was used to evaluate metabolism, and an electronic system was used to determine gaseous microemboli (GME) counts. Fibonacci ECC offered superior intraoperative fluid dynamics, reduced the production of and improved the eliminati...
Source: Surgical Technology International - February 28, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Laparoscopic Inguinal Hernia Repair Using ProGrip ™ Self-Fixating Mesh: Technical Learning Curve and Mid-Term Outcomes.
Laparoscopic Inguinal Hernia Repair Using ProGrip™ Self-Fixating Mesh: Technical Learning Curve and Mid-Term Outcomes. Surg Technol Int. 2019 Feb 11;34: Authors: Mellert LT, Cheung ME, Zografakis JG, Dan AG Abstract PURPOSE: Self-fixating mesh has been introduced to further improve the quality results already seen with laparoscopic inguinal hernia repair. An observational study was undertaken to evaluate the technical learning curve and mid-term outcomes associated with the use of ProGrip™ (Medtronic, Minneapolis, MN, USA) laparoscopic self-fixating mesh in transabdominal preperitoneal (TAPP) inguina...
Source: Surgical Technology International - February 14, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Survivorship and Radiographic Analysis of Highly Porous Acetabular Cups Designed for Improved Osseointegration Potential.
Authors: Sodhi N, Khlopas A, Berliner Z, Dushaj K, Minter JE, Naylor B, Marchand R, Hepinstall MS, Mont MA Abstract INTRODUCTION: A variety of highly porous materials have been used to obtain biological acetabular fixation after total hip arthroplasty (THA). Due to their improved surface-coated properties, new highly porous titanium metal implants have shown potential to promote prosthesis osseointegration. Therefore, the purpose of this multicenter study was to evaluate: 1) overall acetabular cup survivorship; 2) postoperative complications; and 3) radiographic signs of loosening and radiolucencies in patients who...
Source: Surgical Technology International - February 14, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Validation of the Hip Arthroscopy Module of the VirtaMed Virtual Reality Arthroscopy Trainer.
CONCLUSION: This study suggests that training on the ArthroS™ VR hip arthroscopy simulator has construct, face and content validity. It expands the evidence base for VR simulator training and is the first study to evaluate this hip arthroscopy module. PMID: 30753742 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - February 14, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Adjunctive Intravenous Diclofenac Decreases Opioid Consumption and Increases Satisfaction in the Primary Total Hip Arthroplasty Population.
This study evaluates the effects of adjunctive IV diclofenac on: 1) postoperative pain intensity; 2) opioid consumption; 3) discharge destination; 4) length of stay; and 5) patient satisfaction in primary THA patients. A retrospective study was performed for patients who underwent primary THA by a single surgeon between May 1 and September 31, 2017. Patients of the study group (n=25) were treated postoperatively with IV diclofenac and the standard pain control regimen while the control group (n=88) did not receive diclofenac. Patients receiving adjunctive IV diclofenac were more likely to be discharged home than to inpatie...
Source: Surgical Technology International - February 14, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic-Arm Assisted Total Knee Arthroplasty More Accurately Restored the Posterior Condylar Offset Ratio and the Insall-Salvati Index Compared to the Manual Technique; A Cohort-Matched Study.
CONCLUSION: Patients who underwent TKA using robotic-arm assisted technology had smaller mean differences in PCOR which has been previously shown to correlate with better joint ROM at one year following surgery. In addition, these patients were less likely to have values outside of normal ISI, which means they are less likely to develop patella baja, a condition in which the patella would impinge onto the patellar component, leading to restricted flexion and overall decreased ROM. PMID: 30742701 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - February 13, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Spontaneous Closed Rupture of Achilles Tendon Following Minimally Invasive Ultrasonic Energy Therapy: A Report of Two Cases.
Authors: Gurin D, Sultan AA, Berkowitz M, Miniaci-Coxhead SL Abstract This paper presents two patients who sustained spontaneous closed Achilles tendon ruptures following minimally invasive ultrasonic energy therapy for non-insertional Achilles tendinopathy. In both cases, the patients underwent minimally invasive ultrasonic energy therapy using a commercially available device. In addition, the current evidence, through available literature, has been reviewed and presented. PMID: 30742702 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - February 13, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic Inguinal Hernia Repair (TAPP) —First Experience with the New Senhance™ Robotic System.
Robotic Inguinal Hernia Repair (TAPP)—First Experience with the New Senhance™ Robotic System. Surg Technol Int. 2019 Feb 01;34: Authors: Schmitz R, Willeke F, Barr J, Scheidt M, Saelzer H, Darwich I, Zani S, Stephan D Abstract INTRODUCTION: This retrospective study was performed to evaluate the safety and feasibility of the new Senhance™ Robotic System (TransEnterix Inc., Morrisville, North Carolina) for inguinal hernia repairs using the transabdominal preperitoneal approach. MATERIALS AND METHODS: From March to September 2017, 76 inguinal hernia repairs in 64 patients were performed using the S...
Source: Surgical Technology International - February 5, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Near-Infrared Indocyanine Green-Enhanced Fluorescence and Evaluation of the Bowel Microperfusion During Robotic Colorectal Surgery: a Retrospective Original Paper.
CONCLUSIONS: ICG technology may help to determine when to intraoperatively change the anastomotic level to a safer location. In our case series, ICG results led to a change in the level of the anastomosis in 7.1% of the cases. Despite the use of ICG, we observed one leak. This may have been related to vascularization-independent causes (e.g., infection in this case) or may reflect a need for better standardization of this ICG technology. In particular, we need a way to objectively assess the ICG signal and the related risk of leakage. More randomized, prospective, well-powered trials are needed to unveil the full potential...
Source: Surgical Technology International - February 5, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

A Preliminary Assessment of Abdominal Wall Tension in Patients Undergoing Retromuscular Hernia Repair.
Authors: Tenzel PL, Johnson RG, Bilezikian JA, Powers WF, Hope WW Abstract A common technique for ventral and incisional hernia repair is the retrorectus repair (Rives-Stoppa). The posterior rectus sheath is incised bilaterally, and mesh is placed retromuscularly. There is little information on how this component separation technique affects abdominal wall tension. We evaluated abdominal wall tension in patients undergoing retrorectus repair of abdominal wall hernias. Patients undergoing retrorectus repair of their ventral hernias were enrolled in a prospective, Institutional Review Board-approved protocol to measu...
Source: Surgical Technology International - February 5, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Tranexamic Acid Reduces Transfusion Rates in Obese Patients Undergoing Total Joint Arthroplasty.
Authors: Meftah M, White PB, Siddiqi A, Siddappa VH, Kirschenbaum I Abstract BACKGROUND: While tranexamic acid (TXA) has been well shown to reduce blood loss after joint replacement surgery, little is known regarding its effectiveness in obese patients. The aim of this study was to evaluate the effect of TXA changes in hematocrit and hemoglobin levels as well as incidence of packed red blood cell (pRBC) transfusions in obese patients undergoing total joint arthroplasty (TJA). MATERIAL AND METHODS: Between January 2014 and May 2015, 420 consecutive primary joint replacements were performed by two surgeons at our...
Source: Surgical Technology International - February 5, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

New Paradigms for Neural Monitoring in Thyroid Surgery.
Authors: Sun H, Wu CW, Zhang D, Makay Ö, Zhao Y, Carcofaro P, Kim HY, Dionigi G, Pino A, Caruso E, Pontin A, Pappalardo V Abstract Intraoperative neuromonitoring (IONM) in thyroid gland surgery provides real-time feedback to the endocrine surgeon regarding the electrophysiological consequences of surgical manipulation of the laryngeal nerves. The goal of monitoring modalities is to detect surgical or physiological insults to the recurrent laryngeal nerve (RLN) while they are still reversible or, in cases where prevention is not an option, to minimize the damage done to these structures during thyroidectomy. In...
Source: Surgical Technology International - January 22, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Transcatheter Valve-in-Valve and Valve-in-Ring Interventions for Failing Bioprostheses and Annuloplasty Rings.
Authors: Kofler M, Unbehaun A, Klein C, Meyer A, Buz S, Hommel M, Falk V, Kempfert J Abstract Transcatheter aortic valve implantation has dramatically changed the treatment of valvular heart disease over the past decade. At the same time, the indications for bioprosthesis implantation have been continuously extended toward younger patients, driven by excellent clinical results and improved durability. While the omission of oral anticoagulation reduces the risk of severe bleeding complications, the long-term durability of bioprostheses is still limited. In light of the growing number of elderly transcatheter aortic ...
Source: Surgical Technology International - January 22, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Management of Non-Reconstructable Critical Limb Ischemia.
Authors: Patel M, Lantis JC Abstract At least 15% of patients with critical limb ischemia are not candidates for standard revascularization. In this day and age, with new techniques-including retrograde access to the foot-and numerous angioplasty and atherectomy techniques available, the critical limb ischemia patient can still be faced without options. Distal bypass surgery may still remain the gold standard, and likely permits the patient to have the best options for healing, but carries significant comorbidities after undergoing the procedure. There are patients who do not have targets of interest in their foot ...
Source: Surgical Technology International - January 22, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

A Systematic Review of Suture Technologies in Total Knee Arthroplasty.
Authors: Khlopas A, Sodhi N, Anis HK, Ehiorobo J, Sultan AA, Mont MA Abstract Over time, various materials and techniques have been developed for superficial and deep wound closure. However, potential complications, such as infections and dehiscences, can still occur, driving the development of new closure modalities. As wound closure technology continues to advance and change, the need to continuously evaluate the current techniques and materials persists. Therefore, the purpose of this systematic review was to evaluate the current literature on the various closure materials and techniques utilized for total knee ...
Source: Surgical Technology International - January 22, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

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Surg Technol Int. 2019 Jan 18;34: Authors: Abstract . PMID: 30664227 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - January 22, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Stratum-Specific Likelihood Ratio Analysis: An Evidence-Based and Pragmatic Approach to Meaningful Thresholds in Lower Extremity Arthroplasty.
CONCLUSION: The use of SSLR analysis provides a pragmatic, data-driven approach to understanding and communicating the volume-value relationship in orthopaedic surgery, particularly lower-extremity arthroplasty. PMID: 30574678 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

A Viable Osteochondral Allograft for Articular Cartilage Replacement of the First Metatarsal Head — A Case Series.
We present here the clinical outcomes and detailed surgical technique of four cases in which we used a cryopreserved, viable, osteochondral allograft (CVOCA) for full cartilage replacement of the first metatarsal head to address degenerative articular cartilage damage. At 10-22 months of follow-up, patients reported clinical improvement, with VAS pain-scale scores decreasing from an average of 8.0 to 0 post-operatively, and range-of-motion improvement from an average of 4.3 degrees to 58.3 degrees dorsiflexion. Radiographic improvement was also seen, with an increase in average joint space from 1.1mm, 1.5mm, and 2.2mm from...
Source: Surgical Technology International - December 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Tying and Tearing in Robotic and Laparoscopic Intracorporeally Hand-Sewn Ileocolic Anastomoses. A Propensity Score-Matched Prospective Study.
Authors: Gachabayov M, Angelos G, Bergamaschi R Abstract AIM: The aim of this study was to evaluate the impact of the ergonomics of laparoscopy as well as the lack of tactile feedback in robotic surgery on intracorporeal suturing. METHODS: This was a prospective cohort study that compared the first 12 consecutive robotic hand-sewn ileocolic anastomoses to matched laparoscopic cases performed by the same surgeon. The endpoints were interrupted suturing and tying time, and the numbers of interrupted sutures placed and torn. Propensity score matching was based on age, body mass index, previous abdominal surgery, a...
Source: Surgical Technology International - December 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Bilateral Femoral Neck Fractures in a Middle-Aged Female After a Low-Energy Fall.
CONCLUSION: Although patient age is an obvious risk factor, middle-aged individuals with a medical history affecting bone mineral content may also be prone to bilateral insufficiency fractures. Individuals complaining of joint pain (with a history of conditions including renal failure, obesity, endocrinopathies, etc.) should have advanced imaging, if screening plain radiographs are negative, in an effort to identify occult fractures. PMID: 30574681 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Lateral Unicompartmental Knee Arthroplasty Utilizing a Modified Surgical Technique and Specifically Adapted Fixed-Bearing Implant.
CONCLUSIONS: At early follow up, lateral unicompartmental arthroplasty using a modified surgical technique and an implant specifically designed for the lateral compartment is a reliable treatment for isolated lateral femorotibial arthritis when meeting defined indications. PMID: 30574682 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Percutaneous Thermal Ablation for Lung Cancer: An Update.
Authors: Hartley-Blossom ZJ, Healey TT Abstract Lung cancer remains the leading cause of cancer death in the United States, and accounts for more deaths than breast, colon, and prostate cancer combined. Over the past decade, percutaneous thermal ablative therapy (PTA) has become a useful adjunctive therapy in combination with longer-standing methods, or as a standalone treatment. The physiologic basis of thermal ablation is that coagulative necrosis and cell death occur at temperatures above 60°C. During treatment, PTA of lung tumors routinely achieves temperatures above 70°C. Radiofrequency ablation has fa...
Source: Surgical Technology International - December 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Splenic Flexure Mobilization in Sigmoid and Rectal Resections: A Systematic Review and Meta-Analysis of Observational Studies.
Authors: Gachabayov M, Bergamaschi R, Boni L, Uranues S, Fingerhut A Abstract OBJECTIVE: There is no consensus regarding whether splenic flexure mobilization (SFM) should be performed selectively or routinely for sigmoid and rectal resections. The aim of this study was to evaluate the impact of SFM on anastomotic leak and surgical site infection rates in sigmoid and rectal resections. METHODS: PubMed, MEDLINE, EMBASE, Cochrane Library, and Scopus databases were searched by two independent researchers. Anastomotic leak was the primary endpoint. Inclusion criteria were clinical studies comparing SFM to non-SFM du...
Source: Surgical Technology International - December 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Side-to-Side Anastomosis In Left Hemicolectomy, Why and When: A Single-Center Experience.
CONCLUSION: Consistent with the literature data, our experience shows that, in selected cases, STSA and STEA are both safe and effective, with a lower anastomotic complication rate than TA. PMID: 30574685 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Outcomes of Dual Mobility Acetabular Cups in Total Hip Arthroplasty Patients.
CONCLUSION: DM cups were designed with the intent of reducing hip instability. Most studies on these cups have reported on revision THA, where the problem of instability may be more paramount; however, fewer studies have reported on the use of this cup for primary THA. The findings from this study indicate excellent survivorship and overall clinical and patient satisfaction results using this construct. These five-year results are very encouraging and hopefully will portend excellent further survivorship with longer follow up. PMID: 30500976 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 5, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Enterocele Reduction in the Prone Position: New Horizons for Safer Stapled Transanal Rectal Resections.
CONCLUSION: Complete enterocele reduction in the prone position during FD was highly statistically significant. This finding may safely eliminate enterocele as a contraindication to STARR. These results suggest that a projection in the prone position should be added to the standard sequence obtained during FD for patients who may be eligible for a transanal surgical approach. Validation studies are needed to assess whether this change can lead to lower enterocele-related complications in STARR. PMID: 30500977 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - December 5, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Long-term Results of Robotic Modified Belsey (Gastroesophageal Valvuloplasty) Fundoplication.
We report here the long-term results of modified Belsey fundoplication (Gastroesophageal Valvuloplasty; GEV) performed laparoscopically using a surgical robot. METHODS: Patients who underwent robotic GEV were reviewed retrospectively. Operations were performed by laparoscopy and included robotic dissection of the esophageal hiatus, primary closure of the hiatus, followed by intussusception of a 4 cm segment of the esophagus into the stomach for 270°, and suspension of the fundoplication on the hiatal closure. The results were assessed by postoperative endoscopy, contrast esophagography, a Subjective Symptom Questio...
Source: Surgical Technology International - December 5, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Estimating the Incidence of Stray Energy Burns during Laparoscopic Surgery based on Two Statewide Databases and Retrospective Rates: An Opportunity to Improve Patient Safety.
CONCLUSION: In this retrospective analysis of procedures performed in CA and FL, the estimated incidence of APL was 3.6 per 1000 cases. Patient morbidity and mortality were likely related to both pilot-error injuries and stray energy burns during laparoscopy. Possible solutions to reduce surgical complications from APL include educational programs to reduce pilot error and the incorporation of fail-safe technologies to eliminate stray energy burns, such as active electrode monitoring and use of non-radiofrequency current (true cautery). PMID: 30472721 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 26, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Incisional Application of Negative Pressure for Nontraumatic Lower Extremity Amputations: A Review.
Authors: Kotha V, Walter E, Stimac G, Kim P Abstract In the environment of diabetes and peripheral vascular disease (PVD), there is a high risk of incisional complications following amputation, including seroma, hematoma, infection, and dehiscence. Incisional negative-pressure wound therapy (iNPWT) is a novel application of negative-pressure wound therapy (NPWT) that may be able to mitigate these complications and reduce the need for revisional surgery (including higher-level major lower-extremity amputations). It may also facilitate an increased rate of healing and earlier return to function. iNPWT has been used s...
Source: Surgical Technology International - November 26, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Shared Decision-Making to Improve Patient Engagement in Minimally Invasive Hysterectomy.
Authors: McCarus SD, Wiercinski K, Heidrich N Abstract Shared decision-making (SDM) between the patient and physician is receiving increased attention as a way to improve patient satisfaction and value of care. Having a readily implemented tool available to inform conversation may enable SDM at a high-volume gynecologic surgery practice. Our objective was to evaluate the impact of an SDM tool on patients' decision to have minimally invasive gynecology surgery. We conducted a feasibility study using the SDM tool plus a follow-up survey for 100 patients recommended to undergo minimally invasive hysterectomy. Nearly a...
Source: Surgical Technology International - November 26, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Operative Applications of Placental Tissue Matrix in Orthopaedic Sports Injuries: A Review of the Literature.
CONCLUSION: Operative uses of placental and amniotic membrane-derived tissues appear to be safe when utilized as an adjuvant or augmentation option along with surgical reconstruction. However, several factors may come into play when considering the diversity of commercially available products. Future clinical trials will need to confirm the safety and demonstrate clearer indications and specific guidelines for use in each clinical scenario involving operative management of tendon injuries. Nevertheless, this review will serve as an up-to-date reference and provide an impetus for future investigations. PMID: 30472724 [P...
Source: Surgical Technology International - November 26, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Medical Applications of Drones for Disaster Relief: A Review of the Literature.
CONCLUSION: Drones can be useful during immediate and non-immediate medical disaster relief efforts. They can provide an instant telecommunications infrastructure, assist in telemedicine-enabled clinical services, perform equipment/drug/patient delivery, enhance search and rescue efforts, assess damage and map disaster zones. Rapid processing of permission for emergency operations, promotion of industry expansion, public awareness, and public participation must be emphasized for these to become routine applications. There is a major concern about the organizational umbrella that would promote this initiative. Creation of a...
Source: Surgical Technology International - November 3, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

An Algorithm for Detection and Correction of Pelvic Tilt in Total Hip Replacement.
Authors: Bono OJ, Aghazadeh MS, Bono JV Abstract Successful joint replacement surgery requires precise preoperative planning and intraoperative placement of implants such that the function of the joint is optimized biomechanically and biologically. The five-step "pelvic tilt algorithm" will enhance the outcome of hip replacement surgery as a result of improved acetabular component alignment. It will solve the problem of pelvic tilt as an unknown variable during hip replacement surgery, and will allow for more consistent and accurate acetabular component placement. PMID: 30388723 [PubMed - as supplied ...
Source: Surgical Technology International - November 3, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research