Search results for " Surgery."

showing 10 items of 3972 documents

Prevalence of cataract after collagen copolymer phakic intraocular lens implantation for myopia, hyperopia, and astigmatism

2015

Purpose To evaluate the prevalence of cataract after Implantable Collamer Lens phakic intraocular lens (pIOL) implantation with different models at different ages and for different refractive powers. Setting Fernandez-Vega Ophthalmological Institute, Oviedo, Spain. Design Retrospective nonrandomized clinical study. Methods The pIOL (models V4, V4b, or V4c) was implanted in all cases. Results The study included 3420 eyes (1898 patients). The mean patient age at surgery was 31.2 years ± 6.4 (SD) (range 18 to 50 years) and the mean spherical refractive error, −7.27 ± 5.24 diopters (D) (range −26.5 to 12.5 D). Twenty-one eyes (0.61%) of 15 patients had pIOL explantation (all model V4) because c…

AdultMalePhakic Intraocular Lensesmedicine.medical_specialtyAdolescentgenetic structuresPolymersmedicine.medical_treatmentVisual AcuityAstigmatismMyopia/hyperopiaPhakic intraocular lensCataractLens Implantation IntraocularCataractsOlder patientsPatient ageOphthalmologyMyopiaPrevalencemedicineHumansDevice RemovalDioptreRetrospective Studiesbusiness.industryAstigmatismMiddle AgedCataract surgerymedicine.diseaseeye diseasesSensory SystemsOphthalmologyHyperopiaSpainFemaleSurgeryCollagensense organsbusinessFollow-Up StudiesJournal of Cataract and Refractive Surgery
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Non‐uniform displacement within ruptured Achilles tendon during isometric contraction

2021

The purpose of this study was investigate tendon displacement patterns in non-surgically treated patients 14 months after acute Achilles tendon rupture (ATR) and to classify patients into groups based on their Achilles tendon (AT) displacement patterns. Twenty patients were tested. Sagittal images of AT were acquired using B-mode ultrasonography during ramp contractions at a torque level corresponding to 30% of the maximal isometric plantarflexion torque of the uninjured limb. A speckle tracking algorithm was used to track proximal-distal movement of the tendon tissue at 6 antero-posterior locations. Two-way repeated measures ANOVA for peak tendon displacement was performed. K-means cluster…

AdultMalePhysical Therapy Sports Therapy and RehabilitationIsometric exercise030204 cardiovascular system & hematologyAchilles Tendon03 medical and health sciences0302 clinical medicineIsometric ContractionmedicineHumansOrthopedics and Sports MedicineDisplacement (orthopedic surgery)UltrasonographyRuptureAchilles tendonbusiness.industryRepeated measures designRecovery of Function030229 sport sciencesAnatomyMiddle AgedRuptured achilles tendonSagittal planeBiomechanical PhenomenaTendonmedicine.anatomical_structureTorqueFemaleAchilles tendon rupturemedicine.symptombusinessAlgorithmsFollow-Up StudiesScandinavian Journal of Medicine & Science in Sports
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Intermuscular force transmission between human plantarflexor muscles in vivo.

2010

The exact mechanical function of synergist muscles within a human limb in vivo is not well described. Recent studies indicate the existence of a mechanical interaction between muscle actuators that may have functional significance and further play a role for injury mechanisms. The purpose of the present study was to investigate if intermuscular force transmission occurs within and between human plantarflexor muscles in vivo. Seven subjects performed four types of either active contractile tasks or passive joint manipulations: passive knee extension, voluntary isometric plantarflexion, voluntary isometric hallux flexion, passive hallux extension, and selective percutaneous stimulation of th…

AdultMalePhysiologyStimulationIsometric exerciseElectromyographyIn vivoPhysiology (medical)Isometric ContractionmedicineHumansDisplacement (orthopedic surgery)Muscle StrengthMuscle SkeletalUltrasonographymedicine.diagnostic_testArthrometry Articularbusiness.industryElectromyographyAnatomyElectric StimulationTendonBiomechanical Phenomenamedicine.anatomical_structureFunctional significanceUltrasonographybusinessJournal of applied physiology (Bethesda, Md. : 1985)
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Surgical complications after endoscopic transsphenoidal pituitary surgery.

2009

Between January 2004 and June 2007 we conducted a retrospective analysis to assess post-operative complications related to endoscopic pituitary surgery in a series of 150 patients. Patients were treated with an endoscopic endonasal transsphenoidal approach to the sellar region for removal of pathological sellar and suprasellar lesions. We analysed the complications in groups according to the anatomical structures of the approach and the functional systems of the pituitary gland (anterior and posterior endocrine systems), and compared them to a large historical series using the traditional microsurgical transsphenoidal approach. Overall, we observed a decreased incidence of complications wit…

AdultMalePituitary glandmedicine.medical_specialtyEndoscopeSphenoid SinusCerebrospinal Fluid Rhinorrheamedicine.medical_treatmentPituitary DiseasesCarotid Artery Internal DissectionPostoperative HemorrhageHypopituitarismNeurosurgical ProceduresPostoperative ComplicationsPhysiology (medical)Sphenoid BonemedicineEndocrine systemHumansSella TurcicaReduction (orthopedic surgery)NoseAgedRetrospective StudiesAged 80 and overmedicine.diagnostic_testbusiness.industryGeneral surgeryIncidenceRetrospective cohort studyEndoscopyGeneral MedicineMiddle AgedSubarachnoid HemorrhageSurgeryEndoscopymedicine.anatomical_structureNeurologyPituitary GlandSurgeryFemaleNeurology (clinical)Nasal CavityPituitary surgerybusinessJournal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
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Lungscape: Resected Non–Small-Cell Lung Cancer Outcome by Clinical and Pathological Parameters

2014

INTRODUCTION: The Lungscape project was designed to address the impact of clinical, pathological, and molecular characteristics on outcome in resected non-small- cell lung cancer (NSCLC).MATERIALS AND METHODS: A decentralized biobank with fully annotated tissue samples was established. Selection criteria for participating centers included sufficient number of cases, tissue microarray building capability, and documented ethical approval. Patient selection was based on availability of comprehensive clinical data, radical resection between 2003 and 2009 with adequate follow-up, and adequate quantity and quality of formalin-fixed tissue.RESULTS: Fifteen centers contributed 2449 cases. The 5-yea…

AdultMalePulmonary and Respiratory MedicineOncologymedicine.medical_specialtyLung NeoplasmsMultivariate analysis10255 Clinic for Thoracic Surgery610 Medicine & healthNSCLCOutcome (game theory)Patients’ and pathological characteristicsYoung AdultCarcinoma Non-Small-Cell LungInternal medicinemedicineHumansPatients' and pathological characteristicsYoung adultLung cancerPathologicalAgedOutcomeAged 80 and overTNM stageTissue microarraybusiness.industryMiddle Agedmedicine.diseaseBiobankSurgeryTreatment OutcomeOncologyAnnotated Tissue2740 Pulmonary and Respiratory Medicine10032 Clinic for Oncology and Hematology2730 OncologyFemaleSurgerybusinessJournal of Thoracic Oncology
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Cardiac surgery outcomes in patients with coronavirus disease 2019 (COVID-19): A case-series report

2020

Abstract Objective The impact of coronavirus disease 2019 (COVID-19) on the postoperative course of patients after cardiac surgery is unknown. We experienced a major severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in our cardiac surgery unit, with several patients who tested positive early after surgery. Here we describe the characteristics, postoperative course, and laboratory findings of these patients, along with the fate of the health care workers. We also discuss how we reorganize and reallocate hospital resources to resume the surgical activity without further positive patients. Methods After diagnosis of the first symptomatic patient, surgery was suspended. Naso…

AdultMalePulmonary and Respiratory MedicineSIRS systemic inflammatory response syndromemedicine.medical_specialtyInfectious Disease Transmission Patient-to-ProfessionalCoronavirus disease 2019 (COVID-19)Sars-CoV-2medicine.medical_treatmentSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)cardiac surgery COVID-19 new coronavirus SARS-CoV-2CRP C-reaction protein030204 cardiovascular system & hematologyHealth Services AccessibilityArticleDisease OutbreaksTertiary Care Centers03 medical and health sciences0302 clinical medicinePostoperative ComplicationsValve replacementInterquartile rangeInternal medicineHealth caremedicineHumansIn patientCardiac Surgical ProceduresAgedAged 80 and overInfection ControlHealth Care RationingTAVR transcatheter aortic valve replacementbusiness.industrynew coronavirusExtracorporeal circulationCOVID-19Middle AgedCardiac surgery030228 respiratory systemItalyRT-PCR t real-time reverse transcription polymerase chain reactionFemaleSurgeryCOVID-19 / Sars-CoV-2 novel coronavirus 2businessCardiology and Cardiovascular Medicinecardiac surgeryFollow-Up Studies
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Lack of association of Aspergillus colonization with the development of bronchiolitis obliterans syndrome in lung transplant recipients: An internati…

2019

BACKGROUND: Bronchiolitis obliterans syndrome (BOS) is a major limitation in the long-term survival of lung transplant recipients (LTRs). However, the risk factors in the development of BOS remain undetermined. We conducted an international cohort study of LTRs to assess whether Aspergillus colonization with large or small conidia is a risk factor for the development of BOS.METHODS: Consecutive LTRs from January 2005 to December 2008 were evaluated. Rates of BOS and associated risk factors were recorded at 4 years. International Society of Heart and Lung Transplantation criteria were used to define fungal and other infections. A Cox proportional-hazards-model was constructed to assess the a…

AdultMalePulmonary and Respiratory Medicinemedicine.medical_specialtyAdolescentInternational Cooperationmedicine.medical_treatmentBronchiolitis obliterans030230 surgeryCohort StudiesYoung Adult03 medical and health sciencesPostoperative Complications0302 clinical medicineRisk FactorsInternal medicinemedicineHumansLung transplantationBOSCumulative incidenceRisk factorBronchiolitis ObliteransTransplantationbusiness.industryHazard ratioMiddle Agedcolonizationmedicine.diseasehumanitiesBOS; aspergillus; colonization; lung transplantation; risk factorsTransplantationAspergillus030228 respiratory systemCohortFemaleSurgeryCardiology and Cardiovascular MedicinebusinessLung TransplantationCohort studyThe Journal of Heart and Lung Transplantation
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Analysis of risk factors for neurological dysfunction in patients with acute aortic dissection type A: data from the German Registry for Acute Aortic…

2012

OBJECTIVES: Acute aortic dissection type A (AADA) is associated with major adverse events, such as transient or persistent neurological dysfunction (ND), which may be patient-, disease- or surgery-related. There is a lack of consensus regarding risk factors for ND in AADA patients. The aim of this study was to analyse and identify risk factors for new postoperative ND after aortic repair for AADA. METHODS: Between July 2006 and June 2010, 2137 AADA patients were enrolled in the multi-centre, prospective German Registry of AADA (GERAADA). Perioperative data were prospectively gathered from 50 institutes in Austria, Switzerland and Germany, and multivariate logistic regression analysis was pe…

AdultMalePulmonary and Respiratory Medicinemedicine.medical_specialtyTime FactorsOperative TimeAortic aneurysmPostoperative ComplicationsAneurysmRisk FactorsGermanymedicineHumansRegistriesSurvivorsEmergency TreatmentAgedRetrospective StudiesAortic dissectionAortic Aneurysm Thoracicbusiness.industryIncidencefungiRetrospective cohort studyGeneral MedicineOdds ratioPerioperativeMiddle Agedmedicine.diseaseSurgeryRadiographyAortic DissectionDissectionLogistic ModelsTreatment OutcomeCardiothoracic surgeryAustriaAcute DiseaseMultivariate AnalysisFemaleSurgeryNervous System DiseasesCardiology and Cardiovascular MedicinebusinessVascular Surgical ProceduresSwitzerlandFollow-Up StudiesEuropean Journal of Cardio-Thoracic Surgery
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How do gastroenterologists follow patients with colorectal cancer after curative surgical resection? A three-year population-based study

2008

Summary Objectives To assess the contribution of gastroenterologists (GEs) to the surveillance of colorectal cancer after curative surgery. Patients and methods This registry-based study included 407 patients residing in two French administrative areas diagnosed with newly diagnosed colorectal cancer in 1998 and free of disease six months after curative surgery. All surveillance examinations performed either in the three years after surgery or until death or recurrence were collected retrospectively. Results One hundred nine patients (27%) had a regular clinical check-up with a GE at least once a year. Factors independently associated with GE follow-up were young age (P=0.004), use of adjuv…

AdultMaleRadiography Abdominalmedicine.medical_specialtyColorectal cancerColonoscopyDiseaseAbdomenHealth caremedicineHumansRegistriesPractice Patterns Physicians'AgedRetrospective StudiesUltrasonographyAged 80 and overmedicine.diagnostic_testbusiness.industryGeneral surgeryAge FactorsGastroenterologyCancerRetrospective cohort studyColonoscopyGeneral MedicineContinuity of Patient CareMiddle Agedmedicine.diseaseSurgeryEndoscopymedicine.anatomical_structureChemotherapy AdjuvantPopulation SurveillanceAbdomenFemaleRadiotherapy AdjuvantFranceGuideline AdherenceNeoplasm Recurrence LocalColorectal NeoplasmsbusinessGastroentérologie Clinique et Biologique
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Retrospective Analysis in Lower Limb Reconstruction: Propeller Perforator Flaps versus Free Flaps.

2017

Background Technical advancements and increasing experience in the management of soft tissue defects in lower extremities have led to the evolution of decisional reconstructive algorithms. Both propeller perforator flaps (PPFs) and free flaps (FFs) proved to be useful methods of reconstruction for lower extremities defects, offering alternative reconstructive tools. We present a case series of PPFs and FFs for reconstruction of lower limbs defects, analyzing and comparing treatment and outcomes. Methods Through a retrospective analysis, we report our experience in performing PPFs or FFs for reconstruction of soft tissue defects of the lower extremities, in patients admitted between 2010 an…

AdultMaleReconstructive surgerymedicine.medical_specialtySoft Tissue InjuriesSettore MED/19 - Chirurgia PlasticaFree flap030230 surgeryFree Tissue FlapsLower limblower limb reconstruction03 medical and health sciences0302 clinical medicinemedicineRetrospective analysisHumansIn patientPrimary healingfree flapAgedRetrospective StudiesAged 80 and overbusiness.industrySoft tissueMiddle AgedPlastic Surgery ProceduresSurgerypropeller perforator flapTreatment Outcome030220 oncology & carcinogenesisSurgerybusinessPerforator FlapPerforator flapsLeg InjuriesJournal of reconstructive microsurgery
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