Transcatheter Mitral Valve Replacement for Degenerated Bioprosthetic Valves and Failed Annuloplasty Rings.
In this report, we give an overview of current interventional techniques, available evidence and reported outcomes for transcatheter mitral valve replacement for degenerated bioprosthetic valves and failed annuloplasty rings. PMID: 32944920 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Use and Efficacy of Hemostats in Neurosurgery.
Authors: Signorelli F, Montano N Abstract Hemostasis plays a central role throughout neurosurgery. In microneurosurgery, a bloodless operating field under an operating microscope allows fast and effective surgery, thereby reducing the risk of postoperative hemorrhage. Apart from mechanical methods, such as positioning of the patient's head and body, bone plugging, suction, and metal clips, neurosurgical hemostasis is achieved mainly with bipolar coagulation, which permits optimal control of hemorrhage, allows for fine coagulation of small vessels and is safe in patients with pacemakers and defibrillators. Gelatin s...
Source: Surgical Technology International - September 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

First Clinical Use of 5 mm Articulating Instruments with the Senhance ® Robotic System.
CONCLUSION: Senhance ® (TransEnterix) 5 mm articulating instruments are technically stable and can be safely used in various abdominal procedures. The initial results suggest that these 5 mm articulating instruments can be a supportive tool in further robotic surgery, providing advantages in suturing and dissection with less risk of injury to surrounding tissue. PMID: 32926398 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 16, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Sensor-guided Knee Surgery Provides Improved Patient Outcomes and Cost Savings in a 90-day Bundle.
Authors: Law TY, Marshall L, Rosas S, Vakharia RM, Toma JJ Abstract In an era when the costs of surgical care are becoming increasingly scrutinized, the introduction of new technologies that may improve clinical outcomes can be limited due to economic constraints. Thus, bundled care payment models have emerged to reduce costs, improve outcomes and increase overall value. Since a bundle is a single reimbursement per episode of care that includes the surgical costs, as well as postoperative care and rehabilitation, cost savings are generally achieved through a reduction of services, complications and/or materials use...
Source: Surgical Technology International - September 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic-Assisted versus Manual Total Knee Arthroplasty in a Crossover Cohort: What Did Patients Prefer?
Authors: Pelkowski JN, Wilke BK, Crowe MM, Sherman CE, Ortiguera CJ, Ledford CK Abstract BACKGROUND: Robotic-assisted total knee arthroplasty represents an increasingly utilized surgical technology; however, there remains clinical question whether the technique produces improved clinical and patient-reported outcomes. The purpose of this study was to evaluate early clinical outcomes and patient preference of robotic-assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA) in a direct crossover cohort of patients who underwent consecutive TKAs by each technique. MATERIALS AND METHODS: A retrospective cha...
Source: Surgical Technology International - September 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Stercoraceous transmission of SARS-CoV-2 (Coronavirus).
Authors: Felsenreich DM, Lee H, Gachabayov M, Kumar A, Bergamaschi R PMID: 32894517 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Bio-Derived Apatite As a Bone Graft for Vertebral Trauma.
CONCLUSIONS: The spondylodesis rate following surgery in which the BGS was used in PLF, whether alone, mixed with local bone, or mixed with ICBG is comparable to the rates that have been reported for iliac crest autograft in these indications. The data indicates that the BGS provides a useful adjunct in PLF for the treatment of traumatic spine vertebral injuries. The use of BGS also allows for shorter time in surgery, which may reduce resource utilization and thus lower the total costs of the procedure. CLINICAL RELEVANCE: Posterolateral fusion can be obtained with the use of a bio-derived BGS while reducing the time i...
Source: Surgical Technology International - September 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Prognostic Value of Lymph Node Status for Actual Long-Term Survival in Resected Pancreatic Cancer.
Authors: Durán H, Olivares S, Ielpo B, Quijano Y, Caruso R, Ferri V, Malavé L, Fabra I, Díaz E, D'Ovidio A, Angresott R, Vicente E Abstract BACKGROUND: The prognostic factors for long-term survival after curative resection of pancreatic adenocarcinoma are still poorly understood. The purpose of this study was to identify the prognostic factors of long-term survival after resection of pancreatic adenocarcinoma based on actual 5-year survival including different lymph node status classifications. METHOD: A total of 106 patients who underwent pancreatectomy were enrolled at our institution and...
Source: Surgical Technology International - August 27, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Biomechanical Assessment of a Novel Posterior Soft Tissue Repair Technique in Primary Total Hip Arthroplasty.
Authors: Sutphen SA, White PB, Ranawat AS Abstract INTRODUCTION: Instability is one of the most common complications after total hip arthroplasty (THA), particularly when using the posterior approach. Repair of the posterior capsule has proven to significantly decrease the incidence of posterior hip dislocation. The purpose of the present study is to evaluate if a racking hitch knot utilizing a 2mm braided polyblend suture provides a stronger repair of the posterior soft tissues when compared to a traditional repair utilizing a non-absorbable suture after a posterior approach to the hip. MATERIALS AND METHODS: ...
Source: Surgical Technology International - August 26, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Laparoscopic Repair with Mesh Reinforcement is a Feasible Alternative for Epigastric Hernia: A Retrospective Study Comparing Laparoscopic with Open Repair.
Authors: van den Dop LM, de Smet GHJ, Bus MPA, Lange JF, Hueting WE Abstract BACKGROUND: Epigastric hernias may lead to discomfort and pain. The mainstay of treatment is surgical repair with mesh reinforcement. The primary aim of this study was to compare the recurrence rates of laparoscopic epigastric hernia repair (LEHR) and conventional open epigastric hernia repair (OEHR) with mesh reinforcement. Secondary aims were to evaluate perioperative outcomes and quality of life. METHODS: Ninety-nine patients (58% female) from two non-academic hospitals were retrospectively reviewed. The Short-Form 36 Health Survey ...
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Long-Term Survival and Outcomes According to VARC-2 Criteria for Subclavian, Direct Aortic, Femoral, and Apical Implantation: An 8-Year United Kingdom TAVI Surgical Experience.
CONCLUSIONS: This was a large study that compared outcomes and long-term survival among different TAVI surgical approaches in a national real-world setting. According to our results, SF provided the best survival. While SC provided worse survival than SF, it was still better than TA and DA, and thus may represent the safest non-femoral access if use of the femoral approach is precluded. PMID: 32819023 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

A Newly Developed Chest Drainage Unit with an Integrated CO2 Detector.
CONCLUSION: The chest drainage unit described here was easily implemented in the clinic and clearly confirmed true air leakage in all patients with air leakage after lung surgery. It allowed safe and appropriate timing for chest tube removal with no need for reinsertion in a broad cohort of patients referred for thoracic surgery. PMID: 32819024 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Effectiveness of a Simple Auditory Feedback Insole (Sim-Insole) for Touchdown Weight-Bearing Training in At-Risk Volunteers with Poor Compliance: A Crossover Study.
CONCLUSION: Sim-Insole is effective for TDWB training. This device significantly improved WB compliance with regard to excessive WB, walking speed, and the confidence of volunteers in the high-risk group with poor compliance. PMID: 32819025 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Should Surgeons Evaluate the Anatomy of Drummond Marginal Artery and Riolan's Arch Preoperatively?
CONCLUSION: Evaluating and stating whether the Drummond marginal artery and the Riolan's arch are seen in thin section abdominal computed tomography (CT) and CT angiographies preoperatively may help in planning appropriate resections and can reduce unwanted postoperative morbidity. PMID: 32819026 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Pain Management During Office Hysteroscopy: A Survey of Hysteroscopists.
CONCLUSION: Our results are consistent with poor evidence from published studies that there is a low prevalence of routine analgesia use during outpatient hysteroscopy. PMID: 32715446 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - July 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Cryopreserved Allograft Use in Vascular Surgery.
Authors: Lee J, Chan MC, James C, Lantis JC Abstract In vascular surgery, bypass procedures are standard treatments for many arterial and venous diseases. The choice of conduit for the bypass operation is fundamental in planning for the appropriate intervention for each individual patient. Although an autogenous conduit is superior, this option is not available in many patients, and prosthetic grafts have been the preferred conduit in a variety of clinical situations. However, since prosthetic graft infections are seen in all realms of vascular surgery, from arteriovenous access to aortic graft infections and lower...
Source: Surgical Technology International - July 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

The Use of New Technology for Wound Management Following Total Knee Arthroplasty: Implications for the COVID-19 Crisis.
This article provides a concise review of the current closure and wound management methods for each of the following three layers and dressing: 1) deep fascia layer, or arthrotomy; 2) subdermal layer or subcutaneous layer; 3) skin and subcuticular layer; and 4) dressing application. By introducing a comprehensive and systematic approach to TKA wounds, this report also incorporates newer modalities such as barbed sutures and adhesive dressings, which have increasingly replaced traditional suture and staple methods. Furthermore, we examine how various layers of modern wound closure compare to conventional methods while discu...
Source: Surgical Technology International - July 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Active Robotic Total Knee Arthroplasty (TKA): Initial Experience with the TSolution One ® TKA System.
Active Robotic Total Knee Arthroplasty (TKA): Initial Experience with the TSolution One ® TKA System. Surg Technol Int. 2020 Jun 17;37: Authors: Chan J, Auld TS, Long WJ, Kreuzer S, Campanelli V, Liebelt R, Kissin YD Abstract Several recent advances, including the use of robotic devices, have been explored to improve outcomes in total knee arthroplasty (TKA). The TSolution One ® Total Knee Application (THINK Surgical, Inc., Fremont, CA, USA) introduces an active robotic device that supports an open implant platform and CT-based preoperative planning workflow, and requires minimal surgeon interv...
Source: Surgical Technology International - July 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Machine Learning in the OR: A Collaborative Environment for Surgical Interventions in Visceral Medicine.
Authors: Ostler D, Wilhelm D, Bernhard L, Fuchtmann J, Kranzfelder M, Vogel T, Feussner H Abstract Modern surgical methods are becoming increasingly sophisticated and the number of technical devices that are used during these interventions is increasing. However, the surgical operating room (OR) remains a mere conglomerate of unconnected medical devices. The increase in the complexity of device functionality, in addition to the demands of surgery, pushes human mental capacity to its limit. Hence, an "intelligent" collaborative support system would be more than welcome. We envision a "human-like"...
Source: Surgical Technology International - July 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Transferable Global Rating Scales in the Validation of the ArthroSim ™ Virtual Reality Arthroscopy Simulator.
This study aims to establish the construct validity of the ArthroSim virtual reality simulator using validated global rating scales that allow direct comparison with intraoperative performance. MATERIALS AND METHODS: Eight novices (medical students), eight intermediates (registrars), and seven experts (consultants) were assessed using the Imperial Global Arthroscopy Rating Scale (IGARS) and the Arthroscopic Surgical Skills Evaluation Tool (ASSET) scoring systems while carrying out a standardised basic diagnostic knee arthroscopy using linked and anonymised recordings of both the arthroscopy video output and candidate's...
Source: Surgical Technology International - July 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

The Current Role of the Percutaneous Arteriovenous Fistula for Hemodialysis Access.
Authors: Choinski KN, Sundick SA, Rao AG, Ting W, Faries PL, Tadros RO Abstract Dialysis is the preferred treatment for patients with end-stage renal disease (ESRD) for the removal of accumulated toxins secondary to compromised renal function. Hemodialysis has traditionally been performed via a surgically created arteriovenous fistula (AVF) or arteriovenous graft (AVG). Novel endovascular techniques have allowed for the creation of percutaneous arteriovenous fistulas for hemodialysis access. Two devices, the Ellipsys® Vascular Access System (Avenu Medical, Inc., San Juan Capistrano, California) and the WavelinQ...
Source: Surgical Technology International - July 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Microwave Ablation in the Liver: An Update.
Authors: Hartley-Blossom Z, Alam M, Stone J, Iannuccilli J Abstract Hepatocellular carcinoma (HCC) and secondary hepatic malignancies, most often arising from colorectal cancer, are a leading cause of morbidity and cancer-related deaths worldwide. In lieu of first-line surgical resection, which is precluded in more than 75% of cases due to underlying comorbid conditions or locally advanced disease, several minimally-invasive transarterial and thermal ablation procedures have emerged as safe and effective alternative therapies in select patients. Among the thermal ablative techniques, microwave ablation (MWA) has be...
Source: Surgical Technology International - July 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic Sphincter-Saving Total Mesorectal Excision for Rectal Cancer Treatment: A Single-Surgeon Experience in 103 Consecutive Male Patients.
CONCLUSIONS: In male patients with rectal cancer, a robotic approach is a promising alternative and is expected to overcome the low penetration rate of laparoscopy in this field. PMID: 32634247 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - July 8, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Comparison of Clinical and Radiological Outcomes of Three Modern Stem Designs in Total Hip Arthroplasty with Minimum Two-Year Follow Up.
CONCLUSION: Our findings suggest that shortened length and reduced distal profile features result in no added benefit regarding intraoperative and postoperative clinical or radiological outcomes. PMID: 32608500 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - July 3, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic-Assisted Versus Manual Unicompartmental Knee Arthroplasty: A Systematic Review.
Authors: Iturriaga C, Salem HS, Ehiorobo JO, Sodhi N, Mont MA Abstract INTRODUCTION: Unicompartmental knee arthroplasty (UKA) is a feasible alternative to total knee arthroplasty (TKA) for selected patients with severe single-compartment knee osteoarthritis. Robotic-assisted UKA (rUKA) has recently emerged as a complementary tool to ameliorate previous difficulties with manual UKA (mUKA). However, the influence of rUKA compared to mUKA on patient outcomes are still largely unknown. PURPOSE: To compare outcomes of the manual technique and a single robotic-assisted system in patients undergoing unicompartmental k...
Source: Surgical Technology International - June 25, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Systolic Anterior Motion (SAM) Complicating Mitral Valve Repair: Current Concepts of Intraoperative and Postoperative Management.
Authors: Nenna A, Nappi F, Spadaccio C, Barberi F, Greco SM, Lusini M, Chello M Abstract Mitral valve repair is the gold standard for treatment of degenerative mitral regurgitation, such as that caused by leaflet prolapse, flail or annular dilatation. A variety of surgical techniques allow surgeons to achieve a high rate of success with mitral valve repair, even in complex cases, and mitral valve repair is associated with better long-term outcomes than valve replacement. However, in the setting of mitral valve surgical repair, systolic anterior motion (SAM) is a complication that determines the dynamic anterior mov...
Source: Surgical Technology International - June 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Long-Term Outcomes of a Modular System in Revision Total Knee Arthroplasty.
CONCLUSION: The findings of this study show an 83% 10-year aseptic survivorship with the Vanguard® SSK knee revision system. These results are comparable to long-term follow up of other revision knee systems. PMID: 32557522 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - June 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

A Review of the Evolution of Abdominal Aortic Endografts and Future Directions.
CONCLUSION: With each iteration of devices, EVAR has evolved to overcome technical challenges and offer expanded applicability to different types of AAAs. PMID: 32520385 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - June 11, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Subaxial Cervical Laminectomy Using a Misonix BoneScalpel ®: A Guide to Operative Technique.
CONCLUSION: While the initial upfront cost of the MBS is greater than that of similar equipment, the potential long-term savings in time and resources can yield a cost-effective return. The MBS should be progressively incorporated into the surgical protocol as dictated by the surgeon's comfort level. PMID: 32520386 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - June 11, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Long Pulse-Width Setting Improves Holmium-YAG Laser Lithotripsy - Enhanced Fragmentation and Retropulsion Characteristics of Renal Calculi in a Novel In-Vivo Setting.
Authors: Kam J, Jackson S, Yuminaga Y, Winter M, Ko R, Khadra M Abstract The aim of this novel in vivo study was to characterize the effect of short pulse-width versus long pulse-width Holmium-YAG laser lithotripter settings on retropulsion and fragmentation in a real-life setting. A prospective, crossover study was conducted at a tertiary teaching hospital in NSW, Australia. Patients who underwent flexible ureteroscopy with laser lithotripsy for renal calculi in 2018 were included. All patients underwent flexible ureteroscopy using a Flexor® 10.7/12 French ureteric access sheath (Cook Medical LLC, Bloomington,...
Source: Surgical Technology International - June 11, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Heart Valve Endocarditis.
Authors: Nappi F, Singh SSA, Nappi P, Spadaccio C, Nenna A, Gentile F, Chello M Abstract Heart valve replacement is the most common cardiac surgical operation performed worldwide for infective endocarditis (IE). Long-term durability and avoidance of infection relapse are the goals of the procedure. However, no detailed guidelines on prosthesis selection and surgical strategies are available, which should be guided by a comprehensive evaluation of the extent of the infection and its microbiological characteristics, the clinical profile of the patient and the risk of infection recurrence. Conventional mechanical or s...
Source: Surgical Technology International - June 11, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic Hysterectomy Using a Sealing Device: Differences In Complications and Pain Scores Between Small and Large Uteri.
CONCLUSION: In this retrospective cohort study of robotic hysterectomy using a sealing device, there was no difference in perioperative outcome between small and large uteri, but we could demonstrate shorter operative times compared to previous reports on large uteri, most likely due to the versatility of the application of the EndoWrist® Vessel Sealer (Intuitive Surgical, Inc., Sunnyvale, California). Given the known difference in complication rate and length of hospitalization between small and large uteri in laparoscopic hysterectomy, this study shows that robotic hysterectomy is a recommended procedure for benign i...
Source: Surgical Technology International - June 11, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic-assisted Donor Nephrectomy: As Safe as Laparoscopic Donor Nephrectomy.
Authors: Giffen ZC, Cairl N, Ortiz J, Sindhwani P, Ekwenna O Abstract OBJECTIVES: Robotic-assisted donor nephrectomy has become increasingly popular in recent years. We sought to compare robotic-assisted outcomes to operative outcomes in a historical cohort of laparoscopic donor nephrectomies. MATERIALS AND METHODS: A retrospective review of 58 consecutive donor nephrectomies at a single center by two surgeons from 2015 to 2019 was performed. RESULTS: Robotic-assisted (n = 32) and laparoscopic (n =26) donors were comparable in terms of estimated blood loss (66.4 vs. 62.5 mL; p=0.81) and length of stay (1.6 ...
Source: Surgical Technology International - June 11, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

New Hybrid Prosthesis for Acute Type A Aortic Dissection.
CONCLUSIONS: The AMDS provides a new concept to treat acute aortic dissection by moving the focus from resecting the dissected tissue to restoring adequate true-lumen flow and sealing the false lumen at the distal anastomosis. With a high rate of procedural success, AMDS represents a safe, reproducible and promising solution to treat DeBakey I aortic dissections. PMID: 32432332 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Latest Advances in the Treatment of Uterine Fibroids.
CONCLUSION: Myomectomy is a safe and feasible alternative to hysterectomy for patients who wish to bear children. PMID: 32432333 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic Inguinal Hernia Repair.
CONCLUSIONS: Robotic inguinal hernia repair is safe and effective. 1) Proper training, including simulators and proctors, is necessary; 2) having the same operating room team and an interested first assistant at the OR table is very helpful; 3) the learning curve is about 50 patients; 4) postoperative narcotics are rarely more than three hydrocodone pills; 4) no fixation of the mesh is necessary, but fibrin sealant was used routinely in these patients; and 5) urinary retention is the most common postoperative issue and is best planned for by knowing the patients urinary history, use of peripheral alpha-blockers, and straig...
Source: Surgical Technology International - May 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Evolution of Multimodality Imaging for Structural Heart Interventions: More than a Tool.
Authors: Maisano F, Pozzoli A PMID: 32432335 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Removal of Peripheral Arterial Occlusive Material with the Rotarex ® S Device: Mechanical Atherothrombectomy.
Removal of Peripheral Arterial Occlusive Material with the Rotarex® S Device: Mechanical Atherothrombectomy. Surg Technol Int. 2020 May 20;36: Authors: Bulvas M Abstract Mechanical atherothrombectomy (MATH) with the Rotarex® S (Straub Medical AG, Wangs, Switzerland) catheter is an endovascular therapeutic technique for removing fragmentable occlusive material from the lumen of peripheral vessels. It can be used as a rapid, safe and efficacious initial modality for the treatment of acute or subacute ischemia of the lower limbs, even in patients with an immediately threatened extremity and those ...
Source: Surgical Technology International - May 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

ranscatheter Tricuspid and Pulmonary Valve Repair and Replacement.
Authors: Faries CM, Sengupta A, Alexis SL, Tadros RO, Octeau D, Barnes HJ, Tang GHL Abstract Severe tricuspid regurgitation (TR) is associated with significant mortality and morbidities. Currently, surgical tricuspid repair with annuloplasty is the gold standard treatment. However, the prohibitive risks of open surgery and increasing evidence that severe TR should be intervened on early has led to an outburst in the development and evolution of transcatheter tricuspid valve interventions (TTVI). These technologies are broadly categorized into direct suture annuloplasty devices, minimally invasive annuloplasty, dire...
Source: Surgical Technology International - May 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Reliability and Correlation of the Force-PRO Device and Computer-Assisted Navigation System for Measurement of Acetabular Cup Position in Total Hip Arthroplasty.
CONCLUSION: The Force-PRO device showed excellent reliability equivalent to CANS with excellent agreement in acetabular cup position measurement comparable to that with CANS. Future clinical studies will be needed to evaluate the efficacy of this device. PMID: 32372404 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 8, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Principles of Cortical Plasticity in Peripheral Nerve Surgery.
This article provides an overview of the principle mechanisms of synaptic, neuronal, cortical and subcortical neuroplasticity, with special attention to cortical and subcortical modifications-as suggested by modern neuroimaging techniques-after peripheral nerve surgery. The main nerve transfer techniques for the superior extremities and their effect on cortical plasticity are also described. PMID: 32359164 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Total Hip Arthroplasty: National Bearing Surface Trends for 20- to 50-Year-Old Patients.
This study aimed to explore national bearing surface trends for young THA recipients. Specifically, we evaluated bearing surface utilization, patient demographics, and hospital demographics in 20- to 50-year-old THA recipients in the United States from 2009 to 2016. MATERIALS AND METHODS: The National Inpatient Sample database was queried for patients aged 20 to 50 who underwent primary THA from 2009-2016 (n=279,190). Patients were grouped according to bearing surface type (metal-on-polyethylene [MOP], metal-on-metal [MOM], ceramic-on-ceramic [COC], and ceramic-on-polyethylene [COP]). Demographics included sex, age, ra...
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Customized Knee Articulating Cement Spacer with Stem Extension for Treatment of Chronic Periprosthetic Joint Infection.
CONCLUSION: Custom-made articulating spacer using all-poly tibia and a trial femur with stem extension can provide reproducible outcomes in treating PJI while maintaining mobility. PMID: 32359166 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

The Accuracy of Acetabular Cup Positioning Using Patient-Specific 3D Orientation Guidance in Total Hip Arthroplasty.
Authors: McMahon SJ, Christmas MUSI, Pierrepont J, McMahon J, McMahon R Abstract INTRODUCTION: Malpositioning of the acetabular cup during total hip arthroplasty (THA) increases the risk of certain complications and shortens the lifespan of the prosthetic joint. Therefore, the accurate placement of the acetabular component during a THA is a necessary contributing factor to its successful outcome. The different methods of intraoperative estimation of acetabular component positioning are quite varied and sometimes may be inaccurate. The purpose of this study was to assess the accuracy of intraoperative acetabular com...
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Dual Mobility Total Hip Arthroplasty in the United States: A Review of Current and Novel Designs.
Authors: Dankert JF, Lygrisse K, Mont MA, Schwarzkopf R Abstract Dual mobility constructs have become an increasingly popular option for primary and revision total hip arthroplasty. Two monoblock implants and three modular implants are available for use in the United States. Although short- and mid-term outcome data have been positive overall for these systems, each construct has unique features that the orthopaedic surgeon might consider when selecting the appropriate implant for his or her patient. In this review article, we discuss the design specifications and published literature for each dual mobility system ...
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Piriformis-Sparing Technique in Total Hip Arthroplasty with Posterolateral Approach.
CONCLUSION: Preserving the piriformis tendon may cause less visualization of the superior portion of the acetabulum. However, the anterior/inferior capsular release, and proper placement of the femur with flexion, internal rotation, and adduction, makes it possible to achieve highly reproducible results. PMID: 32359169 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Pre-operative Renal Artery Embolization in Laparoscopic Radical and Partial Nephrectomy: A Multidisciplinary Approach to Renal Tumors.
CONCLUSION: Our experience supports pre-operative renal embolization as a safe, minimally invasive procedure that is effective for reducing perioperative bleeding in the laparoscopic setting. PMID: 32359170 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

The Emerging Role of Percutaneous Thermal Ablation in the Treatment of Thoracic Malignancies: A Review.
Authors: Stone J, Hartley-Blossom Z, Healey T Abstract Thoracic malignancies pose a significant public health burden in the United States, with primary lung cancer accounting for nearly 25% of cancer deaths each year. Percutaneous thermal ablation (PTA) for the treatment of lung cancer has evolved from a novel oncologic strategy in the 1970s, to a limited therapeutic option in select patients through the early 2000s, into its current rapidly expanding role as an adjunct therapy, or even standalone treatment, for a diverse group of thoracic malignancies in patients with both localized and disseminated disease. Radio...
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Sleeve Gastrectomy: Surgical Technique, Outcomes, and Complications.
In conclusion, SG is an effective procedure for weight loss with a low risk for the patient to develop malnutrition. In terms of post-operative care, regular check-ups are vital to ensure a positive outcome as well as for the early detection of possible issues. Reflux and weight regain are common issues with SG in a long-term follow-up; thus, patients should be selected carefully for this procedure. PMID: 32359172 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - May 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Molecular-based Alternatives for Colorectal Cancer Screening during the COVID-19 Pandemic.
Authors: Dockter AG, Angelos GC Abstract Due to the COVID-19 pandemic, important elective procedures, such as screening colonoscopy, have been delayed or cancelled, and there may be a very long waitlist for rescheduling once the moratorium is lifted. However, DNA-based stool sample tests may be useful for colorectal cancer screening when colonoscopy is not available. The aim of this review is to demonstrate the potential utility of enhanced DNA-based stool testing for colorectal cancer screening and diagnosis during crises that strain available healthcare resources, such as the current COVID-19 pandemic. This revie...
Source: Surgical Technology International - May 1, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research