The role of rhinoplasty in cleft revision surgery- an overseas experience

2016 ◽  
Vol 54 (10) ◽  
pp. e172
Author(s):  
Nabeel Bhatti ◽  
Nasir Nasser ◽  
Tim Flood
Keyword(s):  
Revision Surgery

The Role of Vertebral Body Tethering in Treating Skeletally Immature Scoliosis

2021 ◽  
pp. 155633162110088
Author(s):  
Blake C. Meza ◽  
Andre M. Samuel ◽  
Todd J. Albert
Keyword(s):  
Vertebral Body ◽  
Revision Surgery ◽  
Critical Analysis ◽  
Posterior Spinal Fusion ◽  
Future Research ◽  
Skeletally Immature ◽  
Postoperative Results ◽  
Radiographic Outcomes ◽  
Novel Technology

This is a critical analysis of a study by Hoernschemeyer et al, “Anterior Vertebral Body Tethering for Adolescent Scoliosis with Growth Remaining: A Retrospective Review of 2 to 5-Year Postoperative Results” ( J Bone Joint Surg Am, 2020;102[13]:1169–1176), that assessed the clinical and radiographic outcomes of vertebral body tethering (VBT) in the treatment of adolescent scoliosis. The authors demonstrated successful treatment in 74% of patients, based on radiographic outcomes and avoidance of subsequent posterior spinal fusion. Nearly a quarter of patients required revision surgery. Almost half suffered a broken tether, although the effects of such complications are not fully understood. The study provided valuable information for determining which patients are reasonable candidates for VBT and emphasizes several questions surrounding this novel technology that remain unanswered. This analysis discusses the study’s strengths and weaknesses, suggests potential directions of future research, and examines the potential indications for VBT.

Protein deficiency after gastric bypass: The role of common limb length in revision surgery

2019 ◽  
Vol 15 (3) ◽  
pp. 441-446 ◽  
Author(s):  
Jung-Chien Chen ◽  
Chen-Yang Shen ◽  
Wei-Jei Lee ◽  
Pei-Ling Tsai ◽  
Yi-Chih Lee
Keyword(s):  
Gastric Bypass ◽  
Revision Surgery ◽  
Protein Deficiency ◽  
Limb Length

scholarly journals The role of selective venous sampling in the management of persistent hyperparathyroidism revisited

2010 ◽  
Vol 163 (6) ◽  
pp. 945-952 ◽  
Author(s):  
Janneke E Witteveen ◽  
Job Kievit ◽  
Arian R van Erkel ◽  
Hans Morreau ◽  
Johannes A Romijn ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Single Photon ◽  
Photon Emission ◽  
Emission Computed Tomography ◽  
Venous Sampling ◽  
Selective Venous Sampling ◽  
Persistent Hyperparathyroidism ◽  
Recurrent Hyperparathyroidism ◽  
Mibi Spect

IntroductionLocalization studies are mandatory prior to revision surgery in patients with persistent hyperparathyroidism in order to improve surgical outcome and reduce the risk of lengthy explorations. However, in this case, noninvasive localization studies are reported to have a poor sensitivity. The aim of our study is to determine the accuracy of selective venous sampling (SVS) for parathyroid hormone (PTH) in localizing residual hyperactive parathyroid glands in patients with persistent or recurrent hyperparathyroidism.Patients and methodsWe retrospectively evaluated the localizing accuracy of 20 PTH SVS performed prior to revision surgery in 18 patients with persistent or recurrent primary hyperparathyroidism (n=11) or autonomous (tertiary) hyperparathyroidism (n=7). Tc99m-methoxy-isobutyle-isonitrile (MIBI)-single photon emission computed tomography (SPECT) was also performed in all patients prior to revision surgery. Operative and pathological data were obtained from hospital records.ResultsThe SVS was able to accurately localize 15 of the 20 pathological glands removed at revision surgery, representing a sensitivity of 75%. This sensitivity is significantly higher than that of Tc99m-MIBI-SPECT, which was only 30% (P=0.012).ConclusionOur findings demonstrate that SVS is a valuable localization study in patients with persistent or recurrent hyperparathyroidism, with a sensitivity significantly higher than that of Tc99m-MIBI-SPECT. Our data suggest that SVS represents a useful addition to the preoperative workup of these patients prior to revision surgery.

scholarly journals Biofilm and the Role of Antibiotics in the Treatment of Periprosthetic Hip and Knee Joint Infections

2016 ◽  
Vol 10 (1) ◽  
pp. 636-645 ◽  
Author(s):  
Yusuf H. Mirza ◽  
Rosamond Tansey ◽  
Mohamed Sukeik ◽  
Mohammed Shaath ◽  
Fares Sami Haddad
Keyword(s):  
Knee Joint ◽  
Revision Surgery ◽  
Lower Limb ◽  
Review Article ◽  
Bacterial Biofilm ◽  
Implant Surface ◽  
Joint Infections ◽  
Increasing Demand ◽  
Difficult Challenge

An increasing demand for lower limb arthroplasty will lead to a proportionate increase in the need for revision surgery. A notable proportion of revision surgery is secondary to periprosthetic joint infections (PJI). Diagnosing and eradicating PJI can form a very difficult challenge. An important cause of PJI is the formation of a bacterial biofilm on the implant surface. Our review article seeks to describe biofilms; their definitions and formation, common causative bacteria, prophylactic and therapeutic antibiotic therapy.

Bacterial bioburden of wounds: influence of debridement and negative-pressure wound therapy (NPWT)

2021 ◽  
Vol 30 (8) ◽  
pp. 604-611
Author(s):  
Philipp Moog ◽  
Maryna Jensch ◽  
Julia Betzl ◽  
Anna-Theresa Bauer ◽  
Michael K Cerny ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Bacterial Load ◽  
Surgical Debridement ◽  
Wound Therapy ◽  
Surgical Decision ◽  
Surgical Closure ◽  
Surgical Decision Making

Objective: To clarify the role of microbiological swabs in surgical decision-making, we investigated the effect of negative-pressure wound therapy (NPWT) and serial surgical debridement on bacterial bioburden in hard-to-heal wounds and ultimately correlated them with the success of surgical closure. Method: All patients were treated with surgical debridement, jet lavage and NPWT before their wounds were finally closed. The treatment effect was assessed by correlating microbiological swabs obtained immediately after intervention with those obtained after removal of the dressings during the following surgical procedures. The result of the last microbiological swab taken before definitive surgical closure was correlated with the requirement for revision surgery. Results: We included the results of 704 microbiological swabs from 97 patients in 110 wound localisations in this monocentric, retrospective study. NPWT did not improve bacterial bioburden in 77% of cases and the duration of NPWT did not affect the result. Furthermore, no significant effect of NPWT could be found for either anaerobic (p=0.96) or aerobic bacteria (p=0.43). In contrast, surgical debridement increased bacterial load in approximately 60% of cases. If sterile wound swabs could be obtained at all, it was during the first four surgical debridements in 60% of patients; after that only 10% became sterile. Conclusions: Sterile microbiological wound swabs before surgical closure were associated with lower rates of revision surgery, while low or medium bacterial loads did not increase revision rates.

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