Surgery Articles
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A new perspective regarding laser therapy
In April of this year, prior to the beginning of our International Conference in Toronto, I had the rare opportunity to meet for several hours with Tiina Karu, Mary Dyson, Shimon Rochkind, Chukuka Enwemeka and several other leading authorities involved in the field of laser technology. Whereas their interests encompass basic research, pathology, tissue response mechanisms and clinical ...
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Treatment for shoulder pain - Case Study
Treatment for shoulder pain Gabi Zeilig, MD, Dept of Neurological Rehabilitation The Chaim Sheba Medical Center, Tel Hashomer, Israel. Purpose of the study: to test the efficacy of the TerraQuant medical device on shoulder pain resulting from inflammation (OA, Tendonitis, Bursitis). Background: TerraQuant is a unique device which combines low level pulse laser therapy (LLLT), pulsating ...
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First Case in Palm Springs, CA - Case Study
Circumex – Obtuse Marginal 68 yo Female Limiting Angina/Heart Failure (NYHA II) Hospice Evaluation Ongoing Non-Surgical Candidate Patient Unable to Perform Active Daily Living Duties Ejection Fraction 20% ...
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High Risk Patients Require a Predictable Procedure - Case Study
Patient was referred for CABG, but refused open heart surgery. This was an LAD/ D1, Medina 1.1.1 bifurcation. Access was femoral. After aggressive predilatation of the D1 a 3.0/3.5mm Tryton was used. Tryton was accurately positioned ensuring the mid-markers straddle the ostium. A 3.5/15mm semi-compliant balloon was used to perform the POT for optimal appositioning of the ostial segment of the ...
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Pressure Ulcer - Case study
Patient History Patient presented with a history of hypertension, hyperlipidemia, peripheral arterial disease, obesity, arterial fibrillation, and transient ischemic attack. Patient had total knee replacement surgery and developed a complication due to improper off-loading, developing pressure ulcer on the right heel. Patient was treated with collagen products and wet to dry dressings prior to ...
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Distal Radius & Distal Ulna Fractures - Case Study
In this case, we see the preoperative radiographs of a 70-year-old, independent woman with medical comorbidities. Stability was achieved under local MAC, utilizing minimally invasive T-Pin ...
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Dehisced Surgical Wound Post Calcaneal Repair - Case study
Patient History Patient is a 54-year-old male who underwent surgery to remove implanted hardware and osteophytes following a calcaneal fracture repair. Post-operatively, the surgical incision dehisced. The resulting wound was open for a period of 4 weeks and was refractory to standard of care, wet-to-dry dressings, and an Unna boot. Patient was offered the option to be referred to a plastic ...
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Dehisced Surgical Wound Post Ankle Fracture - Case study
Patient History Patient is a 35-year-old with obesity and venous insufficiency, status post-surgery for the repair of an ankle fracture. Surgical site dehisced and the patient was treated with Profore wraps, Unna boots, and standard wound care for two months. Primary Diagnosis Surgical dehiscence Treatment & Outcome Restrata was added to the treatment regimen and applied after wound ...
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Dehisced Surgical Wound Post Amputation - Case study
Patient History Patient is an 88-year-old female (post-BKA) who developed a large blister on the distal end of the stump within the first month post-op. It was treated with Kerlix and standard wound care at a LTCH. Three months later, the wound had a large area of eschar with purulent drainage. Patient taken to O/R for wound revision and primary closure with NPWT applied to the wound area. Wound ...
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Diabetic Foot Ulcer - Case study
Patient History Patient is a 40-year-old female with a history of type 2 diabetes. Patient presented to the Emergency Room with a diabetic foot ulcer and infection. The surgeon took the patient to the OR for debridement, drained the infection, and started antibiotics. The patient was treated with advanced modalities that included NPWT and a bioengineered skin substitute. Primary Diagnosis ...
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Variability in Nerve Location During da Vinci Prostatectomy
Objectives Preservation of nerves during da Vinci prostatectomy (dVP) has been clinically proven to be critical to preservation of urinary function and surgeon perception has been shown to be a poor predictor of nerve location during dVP. Despite this evidence, opinions still vary on the ability of surgeons to use anatomic landmarks to accurately identify these nerves during dVP and to ...
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Intraoperative Identification and Monitoring of the Somatic Nerves Critical to Potency Preservation during da Vinci Prostatectomy
Background Since Walsh and Donker first introduced the anatomic nerve-sparing technique for retropubic radical prostatectomy1 (RRP) in the treatment of clinically localized prostate cancer, the importance of minimizing damage to the neurovascular bundle (NVB) has been recognized as a critical element for the preservation of potency and urinary continence post-prostatectomy. Although originally ...
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High-resolution Map of Somatic Periprostatic Nerves
Objective To generate a high-resolution map of periprostatic somatic nerves. Periprostatic nerves are at risk of injury during radical prostatectomy; this study aimed to establish the location of somatic nerves with respect to the prostate and the neurovascular bundle. Materials and Methods Hemiprostates from patients in whom a wide local excision was performed were evaluated. Representative ...
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Results of Using a New Technology to Improve the Identification and Preservation of Nerve Tissue during Robotic-Assisted Laparoscopic Radical Prostatectomy
Introduction & Objectives Efforts to improve continence after robotic-assisted laparoscopic radical prostatectomy (RALRP) have focused on preserving periurethral and bladder neck tissue and techniques involving posterior reconstructions and anterior suspensions. Many patients, however, still have varying degrees of urinary incontinence. Literature has shown that nerves innervating the levator ...
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Cedars Sinai Affiliate Saves Thousands on Orthopedic Instruments, Implants and Disposables with OptioSurgical - Case Study
The Company Cedars Sinai Surgery Center of the Pacific This high-volume orthopedic facility is one of the most technologically advanced outpatient surgical facilities in Southern California. The center is owned by its physicians and focuses on sports medicine, joint replacement, and fracture fixation. The savings delivered by OptioSurgical resulted in a ROI in the first 90 ...
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Midwest ASC Management Company Realizes Over 50% Savings with OptioSurgical - Case Study
The Company Medical Consulting Group, LLC With 70 surgery centers across the country, MCG helps to provide surgery center management and development, and continuously looks for innovative ways to serve its surgery center partners. The savings delivered by OptioSurgical resulted in a ROI in the first 90 ...
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Pelvic Autonomic Nerve Mapping Around the Prostate by Intraoperative Electrical Stimulation With Simultaneous Measurement of Intracavernous and Intraurethral Pressure
Purpose: In previous studies we noted that the neurovascular bundle was not identical to the bundle of the cavernous nerve fibers. In this study we sought to prove these anatomical findings electrophysiologically and map the autonomic nerve fibers by intraoperative simultaneous measurement of intracavernous pressure and intraurethral pressure. Materials and Methods: Between January 2004 and May ...
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Single umbilical incision laparoscopic cholecystectomy: Initial experience of the Coelio Club
Summary 41m: To assess the initial results of single umbilical incision laparoscopic cholecystectomies (SUILC) performed by the members of the Club Coelio. Patients and methods: This multicenter study involved 65 consecutive patients undergoing SUILC between September 2008 and December 2009. The operation was performed with a O3 scope in 35 and with a 305 scope in 30 patients. There were 56 ...
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Single-port laparoscopic neosalpingostomy for hydrosalpinx
Abstract Background: To describe the surgical technique and our initial experience of single-port laparoscopic neosalpingostomy (SP-LN) for treatment of hydrosalpinx. Materials and methods: This prospective observational study was carried out at University teaching hospitals. Ten women underwent SP-LN for hydrosalpinx between November 2012 and December 2015. Results: The mean (range) age and ...
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Transvaginal Hybrid Notes Cholecystectomy: Current Techniques and Advantages
Abstract Laparoscopic cholecystectomy has proven to be a safe and effective procedure, with low rates of com- plications and mortality since its introduction in the late 1980s. However, surgeons have been working to develop alternatives to this technique to improve clinical outcomes and the level of patient satisfaction. Natural orifice trans- luminal endoscopic surgery (NOTES) is one such ...
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