Wedge Resection, Lobectomy, Pneumonectomy

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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A Minimally-Invasive, Simple, Rapid, and Effective Surgical Technique for the Treatment of Ingrown Toenails: A Reminder of the Original Winograd Procedure

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18010278 ◽

2021 ◽

Vol 18 (1) ◽

pp. 278

Author(s):

Jahyung Kim ◽

Sanghyeon Lee ◽

Jeong Seok Lee ◽

Sung Hun Won ◽

Dong Il Chun ◽

...

Keyword(s):

Patient Outcomes ◽

Simple Procedure ◽

Wedge Resection ◽

Operation Time ◽

University Hospital ◽

Wound Infections ◽

Germinal Matrix ◽

One Year ◽

Ingrown Toenails

(1) Background: Ingrown toenail is a common disorder of the toe that induces severe toe pain and limits daily activities. The Winograd method, the most widely used operative modality for ingrown toenails, has been modified over years to include wedge resection of the nail fold and complete ablation of the germinal matrix. We evaluated the outcomes of original Winograd procedure without wedge resection with electrocautery-aided matrixectomy. (2) Methods: We retrospectively analyzed the outcomes of patients who underwent surgery for ingrown toenails at a university hospital for two years from November 2015 to October 2017. Surgery was performed in 76 feet with a mean operation time of 9.34 min. (3) Results: The minimal interval from surgery to return to regular activities was 13.26 (range 7 to 22) days. Recurrence and postoperative wound infections were found in 3 (3.95%) and 2 (2.63%) patients, respectively. Evaluation of patient satisfaction at one-year follow-up showed that 40 (52.63%) patients were very satisfied, 33 (43.42%) were satisfied, 3 (3.95%) were dissatisfied, and none of them were very dissatisfied. The average follow-up duration was 14.66 (range 12 to 25) months. (4) Conclusions: Therefore, it is believed that this less-invasive and simple procedure could be easily performed by clinicians, with satisfactory patient outcomes.

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Cleft lip: The historical perspective

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699370 ◽

2009 ◽

Vol 42 (S 01) ◽

pp. S4-S8

Author(s):

S. Bhattacharya ◽

V. Khanna ◽

R. Kohli

Keyword(s):

19Th Century ◽

Historical Perspective ◽

Cleft Lip ◽

Wedge Resection ◽

Surgical Correction ◽

Bilateral Cleft Lip ◽

History Of ◽

Evil Spirits ◽

The 19Th Century ◽

Two Sides

ABSTRACTThe earliest documented history of cleft lip is based on a combination of religion, superstition, invention and charlatanism. While Greeks ignored their existence, Spartans and Romans would kill these children as they were considered to harbour evil spirits. When saner senses prevailed Fabricius ab Aquapendente (1537–1619) was the first to suggest the embryological basis of these clefts. The knowledge of cleft lip and the surgical correction received a big boost during the period between the Renaissance and the 19th century with the publication of Pierre Franco's Petit Traité and Traité des Hernies in which he described the condition as “lièvre fendu de nativitè” (cleft lip present from birth). The first documented Cleft lip surgery is from China in 390 BC in an 18 year old would be soldier, Wey Young-Chi. Albucasis of Arabia and his fellow surgeons used the cautery instead of the scalpel and Yperman in 1854 recommended scarifying the margins with a scalpel before suturing them with a triangular needle dipped in wax. The repair was reinforced by passing a long needle through the two sides of the lip and fixing the shaft of the needle with a figure-of-eight thread over the lip. Germanicus Mirault can be credited to be the originator of the triangular flap which was later modified by C.W. Tennison in 1952 and Peter Randall in 1959. In the late 50s, Ralph Millard gave us his legendary ‘cut as you go’ technique. The protruding premaxilla of a bilateral cleft lip too has seen many changes throughout the ages OE from being discarded totally to being pushed back by wedge resection of vomer to finally being left to the orthodontists.

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