Decompression and collagen wrapping of a fibrolipomatous hamartoma of the median nerve: a new approach for a rare and difficult problem
We present a case of FLH of the median nerve in a 59-year-old female treated with decompression and collagen nerve wrapping.PMID:38665769 | PMC:PMC11044751 | DOI:10.1080/23320885.2024.2344262 (Source: Hand Surgery)
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Joseph Meter Taylor Anthony John P Walsh Ajit Amesur Carl N Williams Source Type: research
A case report of a distal radius fracture treated with a dorsal spanning plate augmented with fragment specific fixation
We present a 43-year-old man who fell 5 ft onto his outstretched right hand. On examination, there was gross swelling and tenderness of the right wrist with no neurovascular deficit. Radiographs confirmed a comminuted intra-articular displaced distal radius fracture. He was treated with a dorsal spanning plate fixation combined with radiostyloid and volar buttress plates. Follow-up at 2 months showcased intact hardware with good fracture healing. The dorsal spanning plate was removed 4 months after the procedure with radiographs demonstrating adequate alignment and healing without failure. The patient reported no complaint...
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Andrew L Chen Evan J Hernandez Brendan J MacKay Source Type: research
Impact of blood salvage therapy during oncologic liver surgeries on allogenic transfusion events, survival, and recurrence, an ambidirectional cohort study
CONCLUSION: The use of Cell Saver® should not be avoided in oncologic surgeries of the liver. Use of Cell Saver® for major hepatectomies might be more beneficial as OS was significantly lower for the Cell Saver® group for patients who underwent minor hepactomies. Further research is needed to explain this conflicting result. Nonetheless, the use of Cell Saver® in autologous blood transfusions can reduce the use of valuable resources and the risks associated with allogenic blood transfusions.PMID:38666789 | DOI:10.1097/JS9.0000000000001458 (Source: Hand Surgery)
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Liav Lugassy Samuel Marion Fr édéric Balthazar Sonia Gabriela Cheng Oviedo Yves Collin Source Type: research
Fibrolipomatous hamartroma with macrodactyly in a 4 years old female patient: A case report
CONCLUSION: It is crucial to possess a thorough understanding of the distinctive histology and radiological findings in order to accurately diagnose and treat the condition.PMID:38669809 | DOI:10.1016/j.ijscr.2024.109680 (Source: Hand Surgery)
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Hardisiswo Soedjana Betha Egih Riestiano Lisa Y Hasibuan Valdi Muharam Kusumadiningrat Source Type: research
Ultrasound Imaging for Preoperative Assessment of Extensor Tendon Tear Following Distal Radius Fracture
Hand Surg Rehabil. 2024 Apr 24:101708. doi: 10.1016/j.hansur.2024.101708. Online ahead of print.ABSTRACTOpen reduction with internal fixation is a common approach for treating distal radius fractures. However, complications such as extensor tendon rupture can occur following this procedure. In this case report, we present a patient who experienced extensor tendon rupture following volar plate fixation of a distal radius fracture. The rupture was diagnosed preoperatively using ultrasound. We highlight the potential usefulness of ultrasound as a convenient and sensitive tool for diagnosing tendon injuries in patients with su...
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Chia-Sung Chang Yu-Hsien Lin Pei-Chieh Tsai Wen-Ling Chen Source Type: research
Clinical efficacy of sodium aescinate administration following endovenous laser ablation for varicose veins
CONCLUSIONS: SA, in combination with compression therapy, can relieve edema and alleviate pain in patients following EVLA for varicose veins.PMID:38670962 | DOI:10.1177/17085381241249288 (Source: Vascular)
Source: Vascular - April 26, 2024 Category: Surgery Authors: Xinrui Yang Jian Jin Siyi Huang Peng Qiu Ruihua Wang Kaichuang Ye Xinwu Lu Source Type: research
Clinician perspectives regarding CYP2C19 genotype testing in patients with critical limb ischemia: A Delphi approach
CONCLUSIONS: PAD interventionalists practicing at an academic health system recognize the heterogenous response of their patients to clopidogrel therapy but are unsure when to leverage genetic testing to improve outcomes for their patients. Our study identified gaps regarding PAD interventionalists' knowledge, perceived barriers, and attitudes toward CYP2C19 testing in PAD. This information highlights the need for randomized data on genetic testing for clopidogrel responsiveness in peripheral vascular disease following intervention to help guide antiplatelet management.PMID:38669051 | DOI:10.1177/17085381241246318 (Source: Vascular)
Source: Vascular - April 26, 2024 Category: Surgery Authors: Christopher Regan Lindsey E Scierka Alan Dardik Britt Tonnessen Cassius Iyad Ochoa Chaar Costin Ionescu Edouard Aboian Jonathan Cardella Naiem Nassiri Raul Guzman Robert Attaran Sameer Nagpal Samit Shah Kim G Smolderen Carlos Mena-Hurtado Source Type: research
Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research
Isolated superior mesenteric artery dissection with concomitant vascular aberrancy: Extremely rare cases and clinical implications
CONCLUSION: Vascular aberrancy may be a new identified risk factor for ISMAD. Even in ISMAD cases with vascular aberrancy, conservative treatment still can be used as first line therapy.PMID:38664953 | DOI:10.1177/17085381241251426 (Source: Vascular)
Source: Vascular - April 26, 2024 Category: Surgery Authors: Lei Dou Bin Zhang Hao Tang Huiyuan Yang Lei Liu Source Type: research
Orthopedic surgeons' transition into full-time practice over the last 20 years: an analysis using Ministry of Health billing data
CONCLUSION: The Ontario health care system has not expanded to support more orthopedic surgeons despite the aging and growing population; despite our growing population, the number of surgeons being trained and retained has not matched this growth. Further research needs to be done to guide optimal health human resource decision-making.PMID:38670580 | DOI:10.1503/cjs.002623 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 26, 2024 Category: Surgery Authors: Silvio Ndoja Amirti Vivekanandan Sophia Frost Emil Schemitsch Lyn M Sibley Steve Papp Brent Lanting Source Type: research
Geographic variation in breast reconstruction surgery after mastectomy for females with breast cancer in Alberta, Canada
CONCLUSION: We found an overall postmastectomy rate of breast reconstruction of 11.9%, and we identified geographic variation. Predictors of reconstruction in Alberta were similar to those previously described in the literature, specifically with patients in rural communities having lower rates of reconstruction than their urban counterparts. These results suggest that further interventions are required to identify the specific barriers to reconstruction within rural communities and to create strategies to ensure equitable access to all residents.PMID:38670581 | DOI:10.1503/cjs.003823 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 26, 2024 Category: Surgery Authors: Yifu Huang Jenna-Lynn B Senger Lisa Korus Rhonda J Rosychuk Source Type: research
High performance in surgery
Can J Surg. 2024 Apr 26;67(2):E183-E184. doi: 10.1503/cjs.004224. Print 2024 Jan-Feb.NO ABSTRACTPMID:38670582 | PMC:PMC11052577 | DOI:10.1503/cjs.004224 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 26, 2024 Category: Surgery Authors: Chad G Ball Edward J Harvey Mohit Bhandari S Morad Hameed Source Type: research
Rendement élevé dans le domaine chirurgical
Can J Surg. 2024 Apr 26;67(2):E185-E187. doi: 10.1503/cjs.004424. Print 2024 Jan-Feb.NO ABSTRACTPMID:38670583 | PMC:PMC11052578 | DOI:10.1503/cjs.004424 (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - April 26, 2024 Category: Surgery Authors: Chad G Ball Edward J Harvey Mohit Bhandari S Morad Hameed Source Type: research
Risk Factors for Skin Flap and Nipple-Areolar Necrosis in Patients Undergoing Nipple-Sparing Mastectomy With Deep Inferior Epigastric Perforator Flap Reconstruction
CONCLUSION: In patients receiving NSM with DIEP flap reconstruction, those with hypoperfusion on SPY angiography and longer smoking history had higher necrosis rates. This supports the continued used of SPY angiography and the role of pre-operative counseling in former smokers with increased pack years on their risk of necrosis and the role of preventative measures in the perioperative setting.PMID:38671547 | DOI:10.1177/00031348241250039 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Hannah R Ray Erin L Doren Karri Adamson Amanda L Kong Chandler S Cortina Source Type: research
Bile Duct Injuries During Urgent Cholecystectomy at a Safety Net Teaching Hospital: Attending Experience and Time of Day May Matter
Conclusion: Most BDI occurred in procedures attended by first-year faculty during after hours cholecystectomies, suggesting a role for increased proctorship in early career attendings in addition to in-hours cholecystectomy for acute cholecystitis. The timely return to baseline function experienced by these patients emphasizes the favorable outcomes associated with early recognition of BDI and involvement of hepatobiliary surgery. Further examination with multicenter evaluation would be beneficial to validate these study findings.PMID:38669047 | DOI:10.1177/00031348241248805 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Chaiss Ugarte Shannon Zielsdorf Ramsey Ugarte Odeya Kagan Ryan Murphy Matthew J Martin Kenji Inaba Morgan Schellenberg Source Type: research
