Common Prosthetic Cardiac Valves/Wedge Resection (of Lung)

Abstract Background Non-intubated video-assisted thoracic surgery (NiVATS) has been introduced to surgical medicine in order to reduce the invasiveness of anesthetic procedures and avoid adverse effects of intubation and one-lung ventilation (OLV). The aim of this study is to determine the time effectiveness of a NiVATS program compared to conventional OLV. Methods This retrospective analysis included all patients in Leipzig University Hospital that needed minor VATS surgery between November 2016 and October 2019 constituting a NiVATS (n = 67) and an OLV (n = 36) group. Perioperative data was matched via propensity score analysis, identifying two comparable groups with 23 patients. Matched pairs were compared via t-Test. Results Patients in NiVATS and OLV group show no significant differences other than the type of surgical procedure performed. Wedge resection was performed significantly more often under NiVATS conditions than with OLV (p = 0,043). Recovery time was significantly reduced by 7 min (p = 0,000) in the NiVATS group. There was no significant difference in the time for induction of anesthesia, duration of surgical procedure or overall procedural time. Conclusions Recovery time was significantly shorter in NiVATS, but this effect disappeared when extrapolated to total procedural time. Even during the implementation phase of NiVATS programs, no extension of procedural times occurs.

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The Survival Advantage of Lobectomy over Wedge Resection Lessens as Health-Related Life Expectancy Decreases

JTO Clinical and Research Reports ◽

10.1016/j.jtocrr.2021.100143 ◽

2021 ◽

Vol 2 (3) ◽

pp. 100143

Author(s):

Michelle C. Salazar ◽

Maureen E. Canavan ◽

Samantha L. Walters ◽

Sitaram Chilakamarry ◽

Theresa Ermer ◽

...

Keyword(s):

Life Expectancy ◽

Wedge Resection ◽

Survival Advantage ◽

Health Related

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Acute abdomen in children due to different presentations of complicated Meckel’s diverticulum: a case series

Annals of Pediatric Surgery ◽

10.1186/s43159-020-00055-7 ◽

2020 ◽

Vol 16 (1) ◽

Author(s):

Hisham A. Almetaher ◽

Mohammed Awad Mansour

Keyword(s):

Congenital Abnormality ◽

Wedge Resection ◽

Meckel’S Diverticulum ◽

Case Series ◽

Postoperative Outcome ◽

Meckel's Diverticulum ◽

Gastrointestinal Disorders ◽

Clinical Presentations ◽

Life Threatening ◽

Small Base

Abstract Background Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. It remains asymptomatic, but it may lead to life-threatening complications. These complications may be misdiagnosed with other gastrointestinal disorders like acute appendicitis, making its diagnosis challenging among pediatricians and pediatric surgeons. In this study, we reported five cases with different presentations of complicated MD in children. Results Five patients with different presentations of MD were reported during the period from January 2016 to January 2020. Patients’ demographics, clinical presentations, investigations, operative data, and postoperative outcome were recorded and analyzed. Conclusions The present study highlights different presentations of MD. Surgical interference is the main key of treatment of symptomatic MD either by wedge resection of a small base diverticulum or by resection anastomosis of the small intestine in wide base and inflamed diverticulum.

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