Glaucoma laser and surgical procedure rates in Canada: a long-term profile

Abstract BACKGROUND: Trigeminal neuralgia (TN) that recurs after surgery can be difficult to manage. OBJECTIVE: To define management outcomes in patients who underwent gamma knife stereotactic radiosurgery (GKSR) after failing 1 or more previous surgical procedures. METHODS: We retrospectively reviewed outcomes after GKSR in 193 patients with TN after failed surgery. The median patient age was 70 years (range, 26-93 years). Seventy-five patients had a single operation (microvascular decompression, n = 40; glycerol rhizotomy, n = 24; radiofrequency rhizotomy, n = 11). One hundred eighteen patients underwent multiple operations before GKSR. Patients were evaluated up to 14 years after GKSR. RESULTS: After GKSR, 85% of patients achieved pain relief or improvement (Barrow Neurological Institute grade I-IIIb). Pain recurrence was observed in 73 of 168 patients 6 to 144 months after GKSR (median, 6 years). Factors associated with better long-term pain relief included no relief from the surgical procedure preceding GKSR, pain in a single branch, typical TN, and a single previous failed surgical procedure. Eighteen patients (9.3%) developed new or increased trigeminal sensory dysfunction, and 1 developed deafferentation pain. Patients who developed sensory loss after GKSR had better long-term pain control (Barrow Neurological Institute grade I-IIIb: 86% at 5 years). CONCLUSION: GKSR proved to be safe and moderately effective in the management of TN that recurs after surgery. Development of sensory loss may predict better long-term pain control. The best candidates for GKSR were patients with recurrence after a single failed previous operation and those with typical TN in a single trigeminal nerve distribution.

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Predictors for the Immediate and Long-Term Outcome of Avascular Surgical Procedure

Scandinavian Journal of Surgery ◽

10.1177/145749690909800307 ◽

2009 ◽

Vol 98 (3) ◽

pp. 164-168 ◽

Cited By ~ 4

Author(s):

J. Virkkunen ◽

M. Venermo ◽

J. Saarinen ◽

J. Salenius

Keyword(s):

Risk Factors ◽

Risk Factor ◽

High Risk ◽

Predictive Value ◽

Surgical Procedure ◽

Operative Mortality ◽

Survival Rates ◽

Term Outcome ◽

Long Term Outcome

Background and Aims: The ability to predict post-operative mortality reliably will be of assistance in making decisions concerning the treatment of an individual patient. The aim of this study was to test the GAS score as a predictor of post-operative mortality in vascular surgical patients. Material and Methods: A total of 157 consecutive patients who underwent an elective vascular surgical procedure were included in the study. The Cox proportional hazards model was used in analyzing the importance of various preoperative risk factors for the postoperative outcome. ASA and GAS were tested in predicting the short and long-term outcome. On the basis of the GAS cut-off value 77, patients were selected into low-risk (GAS low: GAS < 77) and high-risk (GAS high: GAS > = 77) groups, and the examined risk factors were analyzed to determine which of them had predictive value for the prognosis. Results: None of the patients in the GAS low group died, and mortality in the GAS high group was 4.8% (p = 0.03) at 30 days' follow-up. The 12-month survival rates were 98.6% and 78.6% (p = 0.0001), respectively, with the respective 5-year survival rates of 76.7% and 44.0% (p = 0.0001). The only independent risk factor for 30-day mortality was the renal risk factor (OR 20.2). The combination of all three GAS variables(chronic renal failure, cardiac disease and cerebrovascular disease), excluding age, was associated with a 100% two-year mortality. Conclusions: Mortality is low for patients with GAS<77. For the high-risk patients (GAS> = 77), due to its low predictive value for death, GAS yields limited value in clinical practice. In cases of patients with all three risk factors (renal, cardiac and cerebrovascular), vascular surgery should be considered very carefully.

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Termination of pregnancy

InnovAiT Education and inspiration for general practice ◽

10.1177/1755738018794985 ◽

2018 ◽

Vol 11 (11) ◽

pp. 620-625

Author(s):

Catherine Stace

Keyword(s):

Secondary Care ◽

Surgical Procedure ◽

Termination Of Pregnancy ◽

Limited Evidence ◽

Psychological Sequelae ◽

Common Procedure ◽

Care And Support ◽

Ongoing Care

Termination of pregnancy (TOP) refers to a medical or surgical procedure to end a pregnancy. It is a safe and well-tolerated procedure with limited evidence to suggest any long-term psychological sequelae. It is also a common procedure, and given the number of women who will undergo a TOP, it is crucial that GPs understand the procedure and the care of women requesting it. This article aims to outline referral processes, legislation, and ongoing care and support of women. It will not consider TOP after 24 weeks gestation, or in emergencies, as these are arranged within secondary care.

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Geometrical modified nesbit corporoplasty to correct different types of penile curvature: description of the surgical procedure based on geometrical principles and long-term results

International Journal of Impotence Research ◽

10.1038/ijir.2016.28 ◽

2016 ◽

Vol 28 (6) ◽

pp. 209-215 ◽

Cited By ~ 6

Author(s):

P Vicini ◽

S Di Nicola ◽

G Antonini ◽

E De Berardinis ◽

V Gentile ◽

...

Keyword(s):

Surgical Procedure ◽

Long Term Results ◽

Penile Curvature ◽

Different Types

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Long-term graft occlusion in aortobifemoral position

Vojnosanitetski pregled ◽

10.2298/vsp110404002v ◽

2013 ◽

Vol 70 (8) ◽

pp. 740-746 ◽

Cited By ~ 1

Author(s):

Novak Vasic ◽

Lazar Davidovic ◽

Dragan Markovic ◽

Milos Sladojevic

Keyword(s):

Surgical Procedure ◽

Graft Patency ◽

Distal Anastomosis ◽

Graft Occlusion ◽

Aortoiliac Occlusive Disease ◽

Bypass Patency ◽

End To End ◽

One Year ◽

Patch Plasty

Background/Aim. Aortobifemoral (AFF) bypass is still the most common surgical procedure used in treatment of aortoiliac occlusive disease. One of the most common complications of AFF bypass procedure is long-term graft occlusion. The aim of this study was to determine the cause of long-term graft occlusion in AFF position, as well as the results of early treatment of this complication. Methods. This retrospective study, performed at the Clinic of Vascular and Endovascular Surgery, Clinical Center of Serbia in Belgrade, involved 100 patients treated for long-term occlusion of bifurcated Dacron graft which was ensued at least one year after the primary surgical procedure. Results. The most common cause of the longterm graft occlusion was the process at the level of distal anastomosis or below it (Z = 3.8, p = 0.0001). End-to-end type of proximal anastomosis has been associated with a significantly increased rate of long-term graft occlusion (Z = 2.2, p = 0.0278). Five different procedures were used for the treatment of long-term graft occlusion: thrombectomy and distal anastomosis patch plasty (46% of the cases); thrombectomy and elongation (26% of the cases); thrombectomy and femoropopliteal bypass (24% of the cases); crossover bypass (2% of the cases) and a new AFF bypass (2% of the cases). The primary early graft patency was 87%. All 13 early occlusions occurred after the thrombectomy associated with patch plasty of distal anastomosis. Thrombectomy with distal anastomosis patch plasty showed a statistically highest percentage of failures in comparison to thrombectomy with graft elongation, or thrombectomy with femoro-popliteal bypass (Z = 2 984, p = 0.0028). Redo procedures were performed in all the cases of early occlusions. In a 30-day follow-up period after the secondary surgery, 90 (90%) patients had their limbs saved, and above knee amputation was made in 10 (10%) patients. Conclusion. Long-term AFF bypass patency can be obtained by proximal end-to-end anastomosis on the juxtarenal part of aorta and distal anastomosis on the bifurcation of the common femoral, or on the deep femoral artery.

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Long-term total parenteral nutrition and cholecystostomy tube in a rabbit model surgical procedure: management and preliminary results

Research in Experimental Medicine ◽

10.1007/s004330050031 ◽

1996 ◽

Vol 196 (4) ◽

pp. 235 ◽

Cited By ~ 1

Author(s):

D. Zovko ◽

S. Loff ◽

A. Dzakovic ◽

B. Kränzlin ◽

H.-P. Hohl ◽

...

Keyword(s):

Parenteral Nutrition ◽

Total Parenteral Nutrition ◽

Surgical Procedure ◽

Rabbit Model ◽

Preliminary Results ◽

Cholecystostomy Tube

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Which Kind of Vascular Access for Hemodialysis in Pediatric Patients?

The Journal of Vascular Access ◽

10.1177/112972980300400207 ◽

2003 ◽

Vol 4 (2) ◽

pp. 68-72 ◽

Cited By ~ 2

Author(s):

O. Manca ◽

G.F. Pili ◽

M.G. Murgia ◽

A. Martorana ◽

C. Setzu ◽

...

Keyword(s):

Local Anesthesia ◽

Surgical Procedures ◽

Vascular Access ◽

Surgical Procedure ◽

Pediatric Patients ◽

Small Diameter ◽

Clinical Criteria ◽

Arteriovenous Fistulas ◽

First Choice

The choice of vascular access in hemodialysis pediatric patients can be challenging, due to the small diameter of vessels. In the last 19 years, 38 arteriovenous fistulas (AVF) for hemodialysis have been created on 21 patients; 25 of them were radio-cephalic AVF. The evaluation of the vessels was, in the majority of cases, done by clinical criteria. A local anesthesia was used in all surgical procedures. The percentage of early AVF failure was 24%. Long-term AVF survival was 97%, 65% and 55% at respectively 1, 3 and 5 years. Our data indicate that even in pediatric patients the radio-cephalic fistula is the first choice surgical procedure.

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Type of Mutation and Surgical Procedure Affect Long-Term Quality of Life for Women with Congenital Adrenal Hyperplasia

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2007-0556 ◽

2008 ◽

Vol 93 (2) ◽

pp. 380-386 ◽

Cited By ~ 126

Author(s):

Agneta Nordenskjöld ◽

Gundela Holmdahl ◽

Louise Frisén ◽

Henrik Falhammar ◽

Helena Filipsson ◽

...

Keyword(s):

Quality Of Life ◽

Congenital Adrenal Hyperplasia ◽

Surgical Procedure ◽

Adrenal Hyperplasia

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Chronic cranial window for photoacoustic imaging: a mini review

Visual Computing for Industry Biomedicine and Art ◽

10.1186/s42492-021-00081-1 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Yongchao Wang ◽

Lei Xi

Keyword(s):

Surgical Procedure ◽

Brain Cortex ◽

Photoacoustic Imaging ◽

Field Of View ◽

Cranial Window ◽

Biological Compatibility ◽

Technical Details ◽

The Brain

AbstractPhotoacoustic (PA) microscopy is being increasingly used to visualize the microcirculation of the brain cortex at the micron level in living rodents. By combining it with long-term cranial window techniques, vasculature can be monitored over a period of days extending to months through a field of view. To fulfill the requirements of long-term in vivo PA imaging, the cranial window must involve a simple and rapid surgical procedure, biological compatibility, and sufficient optical-acoustic transparency, which are major challenges. Recently, several cranial window techniques have been reported for longitudinal PA imaging. Here, the development of chronic cranial windows for PA imaging is reviewed and its technical details are discussed, including window installation, imaging quality, and longitudinal stability.

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