Renuvion/J-Plasma for Subdermal Skin Tightening Facial Contouring and Skin Rejuvenation of the Face and Neck.
Abstract The Renuvion/J-Plasma helium based plasma device from Apyx Medical has technological features that result in a unique and effective method of action for the contraction of subdermal soft tissue. The device achieves soft tissue contraction by instantly heating tissue to temperatures greater than 85°C for between 0.040 and 0.080 seconds. The tissue surrounding the treatment site remains at much cooler temperatures resulting in rapid cooling of the tissue through conductive heat transfer. Compared to bulk tissue heating devices, this method of action results in effective soft tissue contraction with a lo...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Gentile RD Tags: Facial Plast Surg Clin North Am Source Type: research

Radiofrequency Microneedling: Overview of Technology, Advantages, Differences in Devices, Studies, and Indications.
Abstract Radiofrequency (RF) skin rejuvenation is improved using RF microneedling (RFM) devices. More aggressive treatments are performed safely with minimal downtime than previous RF devices. Optimizing treatment parameters is essential for safety and efficacy. Multiple RFM studies support minimal risks even in dark skin types. RFM has been used to treat acne scarring successfully as well as skin laxity and hyperhidrosis. PMID: 31280844 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Weiner SF Tags: Facial Plast Surg Clin North Am Source Type: research

Percutaneous Radiofrequency Technologies for the Lower Face and Neck.
Abstract The aging neck is one of the most common motivations for patients to seek aesthetic rejuvenation. Increasingly, patients are desiring less invasive aesthetic treatments with less morbidity and downtime. Percutaneous radiofrequency technologies have been recently introduced for cervical rejuvenation. These technologies safely and effectively apply energy directly into the subdermal space, targeting the upper dermal collagen network, the deeper fascial layer, and the fibrofatty septum that anchors the dermis to the deep fascia. Significant skin tightening and fat reduction have been reported with these tech...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Locketz GD, Bloom JD Tags: Facial Plast Surg Clin North Am Source Type: research

Microfat and Nanofat: When and Where These Treatments Work.
Abstract Facial fat transfer has evolved from simple grafting techniques to smaller lobule (microfat) and adipose-derived stem cell (nanofat) injection techniques. These new methods look to overcome the early limitations of facial fat transfer while meeting increased demand and understanding of the role of volume loss in facial aging. The purpose of this article is to review basic principles of microfat and nanofat and demonstrate one technique for their application. PMID: 31280846 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Rihani J Tags: Facial Plast Surg Clin North Am Source Type: research

The Benefits of Platelet-Rich Fibrin.
Abstract Platelet-rich fibrin (PRF) is a next-generation autologous platelet therapy with immense potential in several medical fields. In cosmetic medicine, for example, PRF is useful in wound healing and skin rejuvenation as a primary and a supplemental technique owing to its fibrin matrix, cellular components, and prolonged release of growth factors. PRF is simple to obtain, inexpensive, and may be administered topically, injected, or in conjunction with other esthetic procedures. In this regard, PRF possesses diverse, and increasingly pertinent capacities in esthetic medicine and surgery. PMID: 31280847 [P...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Karimi K, Rockwell H Tags: Facial Plast Surg Clin North Am Source Type: research

Silhouette Instalift: Benefits to a Facial Plastic Surgery Practice.
Abstract Absorbable suture suspension is one of the newest minimally invasive treatment trends for lifting and repositioning ptotic facial tissue. The Silhouette Instalift is a convenient in-office procedure that provides a unique and advanced clinical treatment for a natural looking midfacial lift. Research has shown that most patients characterized the Silhouette Instalift as immediately effective and were pleased by enhancements. The procedure has an improved safety and efficacy profile over the predecessor, barbed suture thread lifting, coupled with reduced risk of complications and recovery time compared with...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Archer KA, Garcia RE Tags: Facial Plast Surg Clin North Am Source Type: research

Advanced Techniques in Nonsurgical Rhinoplasty.
Abstract For a multitude of reasons, facial plastic surgeons should be adept and comfortable with nonsurgical rhinoplasty. An intimate knowledge of nasal vascular anatomy, filler choice, and proper placement can make this a safe, effective, and long-lasting treatment. Basic techniques include dorsal augmentation and camouflaging of a dorsal hump. Advanced maneuvers are also possible, including increasing tip rotation and projection, straightening the nose, lowering alar rims, and potentially the improvement of nasal function. PMID: 31280849 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Mehta U, Fridirici Z Tags: Facial Plast Surg Clin North Am Source Type: research

A Bioabsorbable Lateral Nasal Wall Stent for Dynamic Nasal Valve Collapse: A Review.
Abstract Nasal obstruction is one of the most common clinical problems encountered by otolaryngologists and facial plastic surgeons. Lateral wall insufficiency (LWI) is a key anatomic contributor to nasal obstruction. Traditional techniques for correcting LWI include alar batten grafts, bone-anchored sutures, and lateral crural strut grafts. Latera is an absorbable nasal implant that can be inserted in the office or the operating room as an adjunctive procedure for LWI. The purpose of this review is to discuss Latera, a novel bioabsorbable implant to improve the nasal airway. PMID: 31280850 [PubMed - in proce...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Sanan A, Most SP Tags: Facial Plast Surg Clin North Am Source Type: research

Social Media Marketing in Facial Plastic Surgery: What Has Worked?
Abstract Social media is becoming one of the main avenues for direct consumer marketing. Patients use social media to find surgeons and to communicate about procedures, outcomes, and their experiences. A surgeon's social media presence can dramatically increase their perception of being an expert and showcase to patients their style and approach. There is no single best social network, instead various networks exist with unique characteristics that each have the potential to drive traffic to a practice. Social media can be potentially hazardous for patients and surgeons if misused. PMID: 31280851 [PubMed - in...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Nayak LM, Linkov G Tags: Facial Plast Surg Clin North Am Source Type: research

What's New in Facial Hair Transplantation?: Effective Techniques for Beard and Eyebrow Transplantation.
This article describes the techniques refined in facial hair transplantation. PMID: 31280852 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Bared A Tags: Facial Plast Surg Clin North Am Source Type: research

The Modified Upper Lip Lift: Advanced Approach with Deep-Plane Release and Secure Suspension: 823-Patient Series.
This article details an easily reproducible deep-plane technique that can be applied to patients of all ages, ethnicities, and skin types. PMID: 31280853 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Talei B Tags: Facial Plast Surg Clin North Am Source Type: research

The Critical Role of Nutrition in Facial Plastic Surgery.
er AJ Abstract Nutrition plays a key role in optimizing healing following surgery. The increased catabolic state postoperatively, coupled with a propensity for patients to be suffering from marginal nutritional deficiencies at baseline preoperatively, necessitates that the surgeon be attuned to the need for optimal perioperative nutritional support. This ensures the smoothest recovery and best possible outcomes in facial plastic surgery. Key nutrients include vitamin A, vitamin C, zinc, bromelain, arnica montana, arginine, glutamine, hydrolyzed collagen, vitamin B complex, and protein. The ability for patients to ...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Laliberté F, Bloom I, Alexander AJ Tags: Facial Plast Surg Clin North Am Source Type: research

Platelet-Rich Plasma for Skin Rejuvenation: Facts, Fiction, and Pearls for Practice.
Abstract Platelet-rich plasma (PRP) has gained popularity in facial plastic surgery because of its role in wound healing. PRP, having a higher concentration of platelets, allows for greater release of growth factors and biologically active proteins, which in turn activates the wound-healing cascade stimulating neoangiogenesis and collagen production. One of the most popular uses for PRP is for facial skin rejuvenation in the form of dermal injections and topical application during microneedling. The promising nature of PRP makes using it for injection and/or in conjunction with microneedling a good addition to any...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Peng GL Tags: Facial Plast Surg Clin North Am Source Type: research

Relevant Topical Skin Care Products for Prevention and Treatment of Aging Skin.
Abstract Options for skin care are varied. New products are introduced constantly and it is important for the practitioner to have an understanding of products that impart beneficial results for aging skin. Educating patients to use products with scientifically proven benefits leads to better outcomes. Patients should be encouraged to use daily sunscreen, a topical retinoid every night, and a topical antioxidant daily. Supplementing the routine skin care regimen with alpha hydroxy acids, growth factors, heparin sulfate, and defensins can be addressed individually. Exogenous stem cells do not have sufficient eviden...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Sunder S Tags: Facial Plast Surg Clin North Am Source Type: research

Autologous Fat Harvest and Preparation for Optimal Predictable Outcomes.
This article discusses the role of adipose-derived mesenchymal stem cells (MSCs) in mitigating tissue loss in grafting. Discrepancies among common practice and recent study results have propagated uncertainty with long-term results. Fortunately, recent increases in the understanding of these MSCs are leading providers to identify statistically more favorable tissue donor sites, harvest technique, and preparation methods to increase their concentration in transferred tissue. Future studies are needed to support or confound the long-term effects of MSC transfer on facial fat grafting. PMID: 31280857 [PubMed - in process...
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Barnes CH, Maas CS Tags: Facial Plast Surg Clin North Am Source Type: research

Emerging Trends, Techniques, and Technologies in Facial Plastic and Reconstructive Surgery.
PMID: 31280858 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Thomas JR Tags: Facial Plast Surg Clin North Am Source Type: research

Emerging Trends, Techniques, and Technologies in Facial Plastic and Reconstructive Surgery.
PMID: 31280859 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 11, 2019 Category: Surgery Authors: Bloom JD Tags: Facial Plast Surg Clin North Am Source Type: research

Evaluation of Thyroid Nodules.
Abstract This is a brief overview of the initial workup of patients with thyroid nodules. Most nodules are incidentally discovered, benign, and do not require surgery, but the clinician's job is to determine which nodules are concerning and what the appropriate workup should be. Ultrasound examination is the best imaging modality to evaluation thyroid nodules and, when biopsy is indicated, fine needle aspiration is the proper technique to sample thyroid nodules. PMID: 31255192 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Detweiler K, Elfenbein DM, Mayers D Tags: Surg Clin North Am Source Type: research

Decision Making in Indeterminate Thyroid Nodules and the Role of Molecular Testing.
Abstract Cytologically indeterminate thyroid nodules are associated with a broad range (5%-75%) of malignant risk and accurately informing definitive management poses a challenge. Advancements in molecular testing of fine-needle aspiration biopsies have improved preoperative diagnostic accuracy and prognostication. For indeterminate nodules, such testing ideally will reduce the need for surgery for benign nodules and potentially guide appropriate extent of initial surgery for malignancy. PMID: 31255193 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Mitchell J, Yip L Tags: Surg Clin North Am Source Type: research

Extent of Surgery for Low-Risk Differentiated Thyroid Cancer.
This article explores the controversies over the extent of surgery for patients with very low-risk and low-risk differentiated thyroid cancer. PMID: 31255194 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: McDow AD, Pitt SC Tags: Surg Clin North Am Source Type: research

Management of Nodal Disease in Thyroid Cancer.
This article delineates the management of nodal disease in thyroid cancer, focusing on the preoperative evaluation, operative management, and postoperative assessment of cervical lymph nodes. PMID: 31255195 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Khokhar M, Milas M Tags: Surg Clin North Am Source Type: research

The Role of Surgery in Autoimmune Conditions of the Thyroid.
Abstract The two most common autoimmune conditions of the thyroid include chronic lymphocytic (Hashimoto's) thyroiditis and Graves' disease. Both conditions can be treated medically, but surgery plays an important role. Hashimoto's thyroiditis and Graves' disease are mediated by autoantibodies that interact directly with the thyroid, creating inflammation and impacting thyroid function. Patients may develop large goiters with compressive symptoms or malignancy requiring surgical intervention. In addition, there are several surgical indications specific to Hashimoto's and Graves' Disease. PMID: 31255196 [PubMe...
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Gan T, Randle RW Tags: Surg Clin North Am Source Type: research

Diagnosis and Evaluation of Primary Hyperparathyroidism.
This article outlines the epidemiology, clinical presentation, and diagnostic algorithm for PHPT. Key laboratory assessments are discussed, as are imaging studies for preoperative localization. Indications for surgical intervention are detailed, as are potential indications for surveillance. Sporadic and genetic syndromes associated with PHPT are also described. PMID: 31255197 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Machado NN, Wilhelm SM Tags: Surg Clin North Am Source Type: research

Who Benefits from Treatment of Primary Hyperparathyroidism?
Abstract Parathyroidectomy (PTx) is the only definitive treatment for primary hyperparathyroidism (PHPT), but is commonly underutilized. Most patients are medically observed, whereas approximately 30% of patients are treated operatively. PTx is a low-risk surgical procedure and the most cost-effective treatment option. An international consensus statement was published in 1990 to guide clinicians in the management of patients with PHPT, particularly those with asymptomatic disease. Most patients with PHPT and low perioperative risk benefit from surgical treatment, regardless of whether they meet consensus criteria...
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Zhu CY, Nguyen DT, Yeh MW Tags: Surg Clin North Am Source Type: research

Intraoperative Decision Making in Parathyroid Surgery.
This article reviews intraoperative decision making related to several important aspects of parathyroid surgery. These include how to systematically identify a missing gland, when to perform a unilateral versus bilateral exploration for cure, approaches to secondary hyperparathyroidism, management of familial hyperparathyroidism, and the treatment of parathyroid cancer. The management of intraoperative complications, such as recurrent laryngeal nerve injury and devascularization of parathyroid glands, also is discussed. PMID: 31255199 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Jason DS, Balentine CJ Tags: Surg Clin North Am Source Type: research

Surgical Management of Multiple Endocrine Neoplasia 1 and Multiple Endocrine Neoplasia 2.
This article summarizes the surgical management of tumors associated with multiple endocrine neoplasia 1 (MEN1) and multiple endocrine neoplasia 2 (MEN2) and includes discussion of the preoperative planning, the goals, and extent of surgery, as well as the intraoperative considerations and the management of recurrent disease. PMID: 31255200 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Kiernan CM, Grubbs EG Tags: Surg Clin North Am Source Type: research

The Importance of Family History in the Management of Endocrine Disease.
Abstract Family history is an essential component of the workup of endocrine surgery patients. The family history can change the diagnosis, management, and follow-up of endocrine patients. Here we discuss the importance of family history, review familial endocrine disorders, and develop a list of pertinent questions to ask when taking a family history of patients with endocrine disorders. PMID: 31255201 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Grogan RH Tags: Surg Clin North Am Source Type: research

Evaluation of an Adrenal Incidentaloma.
Abstract Given the frequent use of cross-sectional imaging in medicine, adrenal masses are discovered at an increasing rate. Once detected, it is critical to ensure the patient undergoes the appropriate biochemical/hormonal workup to rule out any aberrant activity and ensure imaging features do not raise suspicion for a malignant neoplasm. Patients with hormonal overactivity, concerning size, and/or imaging characteristics must be referred for surgical consideration. For those not requiring adrenalectomy, it is important to determine which patients mandate follow-up to ensure no further growth or development of ho...
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Jason DS, Oltmann SC Tags: Surg Clin North Am Source Type: research

Evaluation and Management of Primary Hyperaldosteronism.
Abstract Primary hyperaldosteronism is an important and increasingly prevalent cause of hypertension that is characterized by unregulated aldosterone excess. More than 90% of primary hyperaldosteronism cases are attributable to either idiopathic adrenal hyperplasia or aldosterone-producing adenomas. The approach to the diagnosis of primary hyperaldosteronism should be step-wise, starting with screening of at-risk populations, confirmatory testing for positively screened patients, and subtype classification in order to direct surgical or medical management. Based on current guidelines, subtype classification of pri...
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Lee FT, Elaraj D Tags: Surg Clin North Am Source Type: research

When to Intervene for Subclinical Cushing's Syndrome.
Abstract Without the overt clinical signs and symptoms associated with Cushing's syndrome, the diagnosis of subclinical Cushing's syndrome (SCS) is primarily based on biochemical evaluation. Despite being labeled as "subclinical," SCS is associated with significant morbidity that can be improved with adrenalectomy. Minimally invasive adrenalectomy is associated with low morbidity in the hands of experienced adrenal surgeons and is recommended as the treatment of choice for SCS patients with SCS-associated comorbidities. PMID: 31255204 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Hsieh LB, Mackinney E, Wang TS Tags: Surg Clin North Am Source Type: research

Surgical Approaches to the Adrenal Gland.
Abstract Adrenalectomy can be performed open, endoscopically or robotically, utilizing a transabdominal or retroperitoneal approach. This chapter describes the relevant anatomy, various approaches and surgical techniques, pre-operative work-up and optimization, and post-operative management of patients undergoing an adrenalectomy. PMID: 31255206 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Madani A, Lee JA Tags: Surg Clin North Am Source Type: research

Evaluation and Management of Neuroendocrine Tumors of the Pancreas.
Abstract Pancreatic neuroendocrine tumors are a diverse group of neoplasms with a generally favorable prognosis. Although they exhibit indolent growth, metastases are seen in roughly 60% of patients. Pancreatic neuroendocrine tumors may produce a wide variety of hormones, which are associated with dramatic symptoms, but the majority are nonfunctional. The diagnosis and treatment of these tumors is a multidisciplinary effort, and management guidelines continue to evolve. This review provides a concise summary of the presentation, diagnosis, surgical management, and systemic treatment of pancreatic neuroendocrine tu...
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Scott AT, Howe JR Tags: Surg Clin North Am Source Type: research

Endocrine Surgery.
PMID: 31255208 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Martin RF Tags: Surg Clin North Am Source Type: research

The Art and Science of Endocrine Surgery.
PMID: 31255209 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - July 1, 2019 Category: Surgery Authors: Sippel RS, Schneider DF Tags: Surg Clin North Am Source Type: research

Computer-Guided Dental Implant Treatment of Complete Arch Restoration of Edentulous and Terminal Dentition Patients.
This article discusses the use of digital technologies, computerized tomographic (CT) guided planning software applications, and surgical guides in treating these complex dental implant patient cases. A discussion of the nuances and workflows of different types of treatments are provided. The importance of experience and a multi-disciplinary team approach is emphasized. PMID: 31253346 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - June 30, 2019 Category: Surgery Authors: Orentlicher G, Horowitz A, Kobren L Tags: Oral Maxillofac Surg Clin North Am Source Type: research

Immunotherapy Toxicities.
This article summarizes toxicities, potential mechanisms of action, management strategies, and other clinical considerations. Unique mechanisms of action and immune-related toxicities of other FDA-approved classes of immunotherapy are reviewed. PMID: 31079795 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - May 14, 2019 Category: Surgery Authors: Sanchez K, Page DB, Urba W Tags: Surg Oncol Clin N Am Source Type: research

The Molecular Biologic Basis of Esophageal and Gastric Cancers.
Abstract Esophageal cancer and gastric cancer are leading causes of cancer-related mortality worldwide. In this article, the authors discuss the molecular biology of esophageal and gastric cancer with a focus on esophageal adenocarcinoma. They review data from The Cancer Genome Atlas project and advances in the molecular stratification and classification of esophageal carcinoma and gastric cancer. They also summarize advances in microRNA, molecular staging, gene expression profiling, tumor microenvironment, and detection of circulating tumor DNA. Finally, the authors summarize some of the implications of understan...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Pennathur A, Godfrey TE, Luketich JD Tags: Surg Clin North Am Source Type: research

Multidisciplinary Therapy of Esophageal Cancer.
Abstract Multimodality therapy is the standard of care for locoregional esophageal cancers (greater than clinical T3 or Nþ), including Siewert type 1 and 2 gastroesophageal junction tumors. Induction regimen, chemotherapy only or chemoradiation, is an area of controversy and often institution-specific, as neither has shown to be superior. Response to induction therapy is an important prognostic marker. For esophageal squamous cell carcinoma, it may be acceptable to observe clinical complete responders after chemoradiotherapy and perform salvage esophagectomy for recurrent disease. Clinical T2N0 esophageal ca...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Egyud MR, Tseng JF, Suzuki K Tags: Surg Clin North Am Source Type: research

Management of Early Stage Gastric and Gastroesophageal Junction Malignancies.
Abstract Esophageal and gastric carcinomas are prevalent malignancies worldwide. In contrast to the poor prognosis associated with advanced stages of disease, early stage disease has a favorable prognosis. Early stage gastric cancer (ESGC) is defined as cancer in which the depth of invasion is limited to the submucosal layer of the stomach on histologic examination, regardless of lymph node status. ESGC that meets standard or expanded criteria can be treated via endoscopic mucosal resection and endoscopic submucosal dissection. Similar indications for endoscopic interventions exist for gastroesophageal junction an...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Azari FS, Roses RE Tags: Surg Clin North Am Source Type: research

What Is the Best Operation for Proximal Gastric Cancer and Distal Esophageal Cancer?
This article summarizes the available evidence on this topic, and highlights specific areas for further research. PMID: 31047035 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Mazer LM, Poultsides GA Tags: Surg Clin North Am Source Type: research

The Difficult Esophageal Conduit.
Abstract A variety of esophageal diseases are treated with esophagectomy, from benign to esophageal cancer. Careful attention must be given to management of the difficult conduit, including patients who have had prior gastric surgery and other procedures, patients with conditions such as diabetic gastroparesis, which can affect the stomach as a future usable conduit, and patients who have an absent or unusable stomach. In these situations, consideration should be raised for the use of alternative conduits, including jejunal and colonic interposition conduits. The esophageal surgeon should also be adept at manageme...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Kumar R, Wei B Tags: Surg Clin North Am Source Type: research

Combined Modality Therapy for Management of Esophageal Cancer: Current Approach Based on Experiences from East and West.
Abstract Human evolutionary genetic divergence and distinctive environmental exposures have contributed to the development of clinicopathologic variations of esophageal cancer in Eastern and Western countries. Different treatment strategies have derived from the disparate regional experiences. Treatment strategy is more standardized in the West. Trimodality treatment with neoadjuvant chemoradiation followed by surgery is widely accepted as the standard treatment of locally advanced esophageal adenocarcinoma and esophageal squamous cell carcinoma. Trimodality treatment has not been adopted in many Eastern countries...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Moaven O, Wang TN Tags: Surg Clin North Am Source Type: research

Complications After Esophagectomy.
Abstract Esophagectomy is the mainstay for treating esophageal cancers and other pathology. Even with refinements in surgical techniques and the introduction of minimally invasive approaches, the overall morbidity remains formidable. Complications, if not quickly recognized, can lead to significant long-term sequelae and even death. Vigilance with a high degree of suspicion remains the surgeon's greatest ally when caring for a patient who has recently undergone an esophagectomy. In this review, we highlight different approaches in dealing with anastomotic leaks, chyle leaks, cardiopulmonary complications, and late...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Mboumi IW, Reddy S, Lidor AO Tags: Surg Clin North Am Source Type: research

Next-generation Sequencing in the Management of Gastric and Esophageal Cancers.
Abstract Next-generation sequencing has enabled genome-wide molecular profiling of gastric and esophageal malignancies at single-nucleotide resolution. The resultant genomic profiles provide information about the specific oncogenic pathways that are the likely driving forces behind tumorigenesis and progression. The abundance of available genomic data has immense potential to redefine management paradigms for these difficult disease processes. The ability to capitalize on the information provided through high-throughput sequencing technologies will define cancer care in the coming decades and could shift the parad...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Rubinstein JC, Nicolson NG, Ahuja N Tags: Surg Clin North Am Source Type: research

Managing Squamous Cell Esophageal Cancer.
This article reviews the pathophysiology, risk factors, clinical presentation/diagnosis, and management of SCC. PMID: 31047040 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Batra R, Malhotra GK, Singh S, Are C Tags: Surg Clin North Am Source Type: research

Gastrointestinal Stromal Tumors of the Stomach and Esophagus.
Abstract Gastrointestinal stromal tumors (GISTs) arise anywhere along the gastrointestinal tract, most commonly as a result of c-kit or PDGFRA proto-oncogene mutations. Surgical resection is an important component of treatment. However, molecular profiling of GISTs has provided many insights into adjuvant and neoadjuvant therapy options. Imatinib, the most frequently studied medical therapy, has been shown in numerous studies to provide benefit to patients in both the neoadjuvant and adjuvant setting. Interval imaging is an important component of the treatment of GISTs and national surveillance recommendations sho...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Theiss L, Contreras CM Tags: Surg Clin North Am Source Type: research

Palliative Management of Gastric and Esophageal Cancer.
Abstract In patients with advanced esophageal or gastric cancer, it is highly likely that palliation of symptoms will become a focus of treatment. Dysphagia and obstruction are the most common complaints, and many of these patients can be treated with endoscopic interventions to alleviate symptoms. Bleeding, perforation, and nutritional issues are common problems. Attempts at palliation should be guided by thoughtful discussions regarding patients' goals of care. Owing to the high morbidity and mortality in patients with limited life expectancy, a strategy of working from the least invasive to the most invasive in...
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Halpern AL, McCarter MD Tags: Surg Clin North Am Source Type: research

Foreword.
PMID: 31047043 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Martin RF Tags: Surg Clin North Am Source Type: research

Surgical Challenges of the Foregut.
PMID: 31047044 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - May 4, 2019 Category: Surgery Authors: Reddy S Tags: Surg Clin North Am Source Type: research

Bone Augmentation Techniques for Horizontal and Vertical Alveolar Ridge Deficiency in Oral Implantology.
This article reviews GBR and alternative ride expansion procedures and reviews the use of various particulate graft materials. Alveolar distraction osteogenesis, used as an augmentation technique, is also presented. PMID: 30947846 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - April 7, 2019 Category: Surgery Authors: Tolstunov L, Hamrick JFE, Broumand V, Shilo D, Rachmiel A Tags: Oral Maxillofac Surg Clin North Am Source Type: research