Accuracy of MRI without intracavernosal prostaglandin E1 injection in staging, preoperative evaluation, and operative planning of penile cancer

2021 ◽  
Author(s):  
Priya Ghosh ◽  
Aditi Chandra ◽  
Sumit Mukhopadhyay ◽  
Argha Chatterjee ◽  
Dayananda Lingegowda ◽  
...  
Keyword(s):  
Penile Cancer ◽  
Prostaglandin E1 ◽  
Preoperative Evaluation ◽  
Operative Planning

Surgical Treatment of the Infected Aortic Graft

2017 ◽  
Author(s):  
Jayer Chung
Keyword(s):  
Preoperative Evaluation ◽  
Graft Infection ◽  
Prosthetic Graft ◽  
Vascular Reconstruction ◽  
Graft Material ◽  
Aortic Graft ◽  
Operative Planning ◽  
Femoral Vessels ◽  
Aortic Graft Infection ◽  
Autogenous Reconstruction

The primary goal of treatment in dealing with an infected aortic graft is to save life and limb. This goal is best accomplished by eradicating all infected graft material and maintaining adequate circulation with appropriate vascular reconstruction. This review describes the choice of procedures, including an extra-anatomic bypass, an aortic allograft, an antibiotic-treated prosthetic graft, and an in situ autogenous reconstruction. Once a procedure has been decided on, preoperative evaluation and operative planning must take place. The review describes operative technique from the thigh incision and exposure of the femoral vessels to closure. Postoperative care is described. Outcomes and complications are discussed. Special consideration is given to aortoenteric fistulas. This review contains 8 figures, 2 tables, and 83 references. Key words: antibiotic-impregnated Dacron, aortic graft infection, aortoenteric erosion, aortoenteric fistula, axillobifemoral bypass, cryopreserved allograft,  neoaortoiliac surgery  

Open Esophageal Procedures

2014 ◽  
Author(s):  
Cameron D Wright
Keyword(s):  
Preoperative Evaluation ◽  
Transhiatal Esophagectomy ◽  
Outcome Evaluation ◽  
Hiatal Hernia Repair ◽  
Operative Techniques ◽  
Esophageal Diseases ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy ◽  
Zenker Diverticulum ◽  
Operative Planning

The growing stature of minimally invasive approaches to esophageal diseases does not diminish the importance of the equivalent open approaches. This chapter describes common open operations performed to excise Zenker diverticulum, to manage complex gastroesophageal reflux disease, and to resect esophageal and proximal gastric tumors. For each of these open procedures, the preoperative evaluation, operative planning, steps of the operative techniques, postoperative care, complications, and outcome evaluation are described. Over two dozen figures show many of the operative steps for a cricopharyngeal myotomy and excision of Zenker diverticulum, a transthoracic hiatal hernia repair, a transhiatal esophagectomy, Ivor-Lewis esophagectomy, and a left thoracoabdominal esophagogastrectomy. This chapter contains 27 figures, 12 tables, 13 references, 5 Board-styled MCQs, and 1 Teaching Slide Set.

Open Procedures for Renovascular Disease

2012 ◽  
Author(s):  
Christopher J. Godshall ◽  
Racheed J. Ghanami ◽  
Kimberley J Hansen
Keyword(s):  
Renal Function ◽  
Renal Artery ◽  
Operative Technique ◽  
Preoperative Evaluation ◽  
Outcome Evaluation ◽  
Renovascular Disease ◽  
Free Survival ◽  
Operative Planning ◽  
Relationship Of ◽  
The Relationship

The open procedures most commonly performed to treat renovascular disease are aortorenal bypass, renal artery thromboendarterectomy, and renal artery reimplantation. This review discusses preoperative evaluation, operative planning, and the operative technique of the aforementioned procedures. In addition, outcome evaluation is described, including hypertension response, renal function response, and the relationship of these to dialysis-free survival. A table provides the recommended principles for contemporary surgical management of renovascular disease. Figures show various types of bypass procedures. This review contains 10 references plus additional sources of recommended reading.

Repair of Femoral and Popliteal Artery Aneurysms

2020 ◽  
Author(s):  
Patrick J. O'Hara
Keyword(s):  
Femoral Artery ◽  
Endovascular Repair ◽  
Popliteal Artery ◽  
Operative Technique ◽  
Surgical Repair ◽  
Preoperative Evaluation ◽  
Artery Aneurysm ◽  
Outcome Evaluation ◽  
Elective Repair ◽  
Operative Planning

Femoral and popliteal artery aneurysms constitute most peripheral aneurysms. In general, with both femoral and popliteal artery aneurysms, elective repair and reconstruction tend to be associated with significantly better postoperative outcomes than emergency repair undertaken after a limb-threatening complication. Specific treatment decisions may be influenced by the presence or absence of symptoms of aneurysmal disease. For femoral artery aneurysms, this chapter presents the preoperative evaluation, operative planning, operative technique (endovascular repair, ultrasound-guided compression, and open surgical repair), and outcome evaluation. For popliteal aneurysms, this chapter discusses the preoperative evaluation, operative planning (indications for repair and preoperative arterial thrombolysis), operative technique (open vs. endovascular repair), and outcome evaluation (dependent on whether surgical or endovascular).  This review contains 15 figures, 9 tables, and 41 references. Keywords:Lower extremity aneurysm, popliteal artery aneurysm, femoral artery aneurysm, surgical repair, endovascular repair, thrombosis, embolization

Orthognathic Surgery

2019 ◽  
pp. 609-622
Author(s):  
Ryan M. Moore ◽  
Raj M. Vyas
Keyword(s):  
Orthognathic Surgery ◽  
Surgical Planning ◽  
Preoperative Evaluation ◽  
Cephalometric Analysis ◽  
Operative Techniques ◽  
Virtual Surgical Planning ◽  
Bilateral Sagittal Split Osteotomy ◽  
Operative Planning ◽  
Facial Proportions ◽  
Facial Function

Orthognathic surgery restores the facial function and aesthetics affected by skeletal and dental deformities. A comprehensive preoperative evaluation, including cephalometric analysis, is essential to correcting facial skeletal imbalance and asymmetry. Operative planning must account for maxillary-to-mandibular occlusal relationship and dental compensations, as well as facial proportions in all dimensions. Virtual surgical planning has recently emerged as a way to facilitate more precise and accurate surgical planning. Operative techniques used to correct facial skeletal and dental deformities, broadly categorized as maxillary or mandibular excess or deficiency, include the LeFort I osteotomy, bilateral sagittal split osteotomy, and genioplasty.

Body Contouring After Weight Loss

2019 ◽  
pp. 137-152
Author(s):  
Dalit Amar ◽  
J. Peter Rubin
Keyword(s):  
Weight Loss ◽  
Patient Management ◽  
Preoperative Evaluation ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
Essential Elements ◽  
Surgical Reconstruction ◽  
Critical Factors ◽  
Operative Planning ◽  
Plastic Surgical Reconstruction

The goal of this chapter is to provide a comprehensive approach to management of massive weight loss (MWL) patients seeking plastic surgical reconstruction. The topics covered include the medical impact of obesity and the rise in bariatric surgical procedures that has increased the demand for plastic surgical reconstruction after MWL, critical factors for consideration in the preoperative evaluation of the MWL patient presenting for body contouring surgery, essential elements of intraoperative patient management, and a framework for deciding when to combine multiple procedures and when to perform them in separate stages. Preoperative evaluation of this unique cohort must take into account complex medical and psychosocial issues associated with obesity and operative planning requires unique strategies.

Repair of Femoral and Popliteal Artery Aneurysms

2020 ◽  
Author(s):  
Patrick J. O'Hara
Keyword(s):  
Femoral Artery ◽  
Endovascular Repair ◽  
Popliteal Artery ◽  
Operative Technique ◽  
Surgical Repair ◽  
Preoperative Evaluation ◽  
Artery Aneurysm ◽  
Outcome Evaluation ◽  
Elective Repair ◽  
Operative Planning

Femoral and popliteal artery aneurysms constitute most peripheral aneurysms. In general, with both femoral and popliteal artery aneurysms, elective repair and reconstruction tend to be associated with significantly better postoperative outcomes than emergency repair undertaken after a limb-threatening complication. Specific treatment decisions may be influenced by the presence or absence of symptoms of aneurysmal disease. For femoral artery aneurysms, this chapter presents the preoperative evaluation, operative planning, operative technique (endovascular repair, ultrasound-guided compression, and open surgical repair), and outcome evaluation. For popliteal aneurysms, this chapter discusses the preoperative evaluation, operative planning (indications for repair and preoperative arterial thrombolysis), operative technique (open vs. endovascular repair), and outcome evaluation (dependent on whether surgical or endovascular).  This review contains 15 figures, 9 tables, and 41 references. Keywords:Lower extremity aneurysm, popliteal artery aneurysm, femoral artery aneurysm, surgical repair, endovascular repair, thrombosis, embolization

Intra-atrial Pulmonary Venous Conduit Leak in Criss-Cross Heart: Role of Three-Dimensional Modeling

2021 ◽  
pp. 215013512110376
Author(s):  
Kenneth R. Hassler ◽  
Elizabeth H. Stephens ◽  
William R. Miranda ◽  
Thomas A. Foley ◽  
Joseph A. Dearani
Keyword(s):  
3D Modeling ◽  
Heart Surgery ◽  
Preoperative Evaluation ◽  
Three Dimensional ◽  
Congenital Heart Surgery ◽  
Three Dimensional Modeling ◽  
Congenital Cardiac Anomalies ◽  
Invaluable Tool ◽  
Operative Planning ◽  
Adult Congenital

Three-dimensional (3D) modeling has become an invaluable tool for operative planning in the continually evolving complex field of adult congenital heart surgery. We present a case of an Intra-atrial conduit leak after multiple repairs of common atrium and criss-cross morphology. 3D modeling was critical in preoperative evaluation and operative planning for complicated intracardiac anatomy after an uncommon initial approach to preserve a biventricular circulation. In the setting of complex or rare congenital cardiac anomalies, advanced imaging and 3D modeling are helpful with preoperative planning.

Sclerotherapy

2020 ◽  
Author(s):  
Melissa L Kirkwood ◽  
Khalil H. Chamseddin
Keyword(s):  
Varicose Veins ◽  
Preoperative Evaluation ◽  
Caustic Solution ◽  
Hand Position ◽  
Sodium Tetradecyl Sulfate ◽  
Foam Sclerotherapy ◽  
Left Posterior ◽  
Before And After ◽  
Operative Planning ◽  
Planning Technique

Sclerotherapy involves the injection of a caustic solution into an abnormal vein so as to cause localized destruction of the venous intima and obliteration of the vessel. Over the past 50 years, improvements in the technology have greatly enhanced the results achievable with sclerotherapy. To ensure optimal results, it is essential to have a thorough knowledge not only of the technique but also of the indications, expected outcomes, and possible complications associated with the procedure. This review covers preoperative evaluation, operative planning, technique and complications associated with sclerotherapy. Figures show a 63-year-old woman before and after two treatments with 0.2% sodium tetradecyl sulfate, a 52-year-old woman  before and after two treatments with 0.5% sodium tetradecyl sulfate, a 36-year-old woman before and after four treatments with a combination of 0.5% and 0.2% sodium tetradecyl sulfate, the standard hand position for sclerotherapy, skin necrosis on the left posterior calf of a 48-year-old woman after ultrasound-guided sclerotherapy,  a 56-year-old woman before treatment and with residual hyperpigmentation after treatment with 0.2% sodium tetradecyl sulfate, and telangiectatic matting in a 43-year-old woman after treatment with 0.2% sodium tetradecyl sulfate. Tables list complications of sclerotherapy, suggested polidocanol (POL) and sodium tetradecyl sulfate (STS) concentrations for liquid and foam sclerotherapy, materials needed for sclerotherapy, and absolute and relative contraindications for sclerotherapy for varicose veins.  Key Words: Varicose veins, Chronic venous insuffiency, sclerotherapy, foam sclerotherapy, reticular veins, venous disorders This review contains 7 highly rendered figures, 4 tables, and 29 references.

Sclerotherapy

2020 ◽  
Author(s):  
Melissa L Kirkwood ◽  
Khalil H. Chamseddin
Keyword(s):  
Varicose Veins ◽  
Preoperative Evaluation ◽  
Caustic Solution ◽  
Hand Position ◽  
Sodium Tetradecyl Sulfate ◽  
Foam Sclerotherapy ◽  
Left Posterior ◽  
Before And After ◽  
Operative Planning ◽  
Planning Technique

Sclerotherapy involves the injection of a caustic solution into an abnormal vein so as to cause localized destruction of the venous intima and obliteration of the vessel. Over the past 50 years, improvements in the technology have greatly enhanced the results achievable with sclerotherapy. To ensure optimal results, it is essential to have a thorough knowledge not only of the technique but also of the indications, expected outcomes, and possible complications associated with the procedure. This review covers preoperative evaluation, operative planning, technique and complications associated with sclerotherapy. Figures show a 63-year-old woman before and after two treatments with 0.2% sodium tetradecyl sulfate, a 52-year-old woman  before and after two treatments with 0.5% sodium tetradecyl sulfate, a 36-year-old woman before and after four treatments with a combination of 0.5% and 0.2% sodium tetradecyl sulfate, the standard hand position for sclerotherapy, skin necrosis on the left posterior calf of a 48-year-old woman after ultrasound-guided sclerotherapy,  a 56-year-old woman before treatment and with residual hyperpigmentation after treatment with 0.2% sodium tetradecyl sulfate, and telangiectatic matting in a 43-year-old woman after treatment with 0.2% sodium tetradecyl sulfate. Tables list complications of sclerotherapy, suggested polidocanol (POL) and sodium tetradecyl sulfate (STS) concentrations for liquid and foam sclerotherapy, materials needed for sclerotherapy, and absolute and relative contraindications for sclerotherapy for varicose veins.  Key Words: Varicose veins, Chronic venous insuffiency, sclerotherapy, foam sclerotherapy, reticular veins, venous disorders This review contains 7 highly rendered figures, 4 tables, and 29 references.

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