scholarly journals The frontal-zygomatic approach vs. the anterior approach for orbital tumor surgery: a retrospective review of the indications and outcomes

2011 ◽  
Vol 15 (3) ◽  
pp. 81-86 ◽  
Author(s):  
Shinichi Asamura ◽  
Kazuhide Matsunaga ◽  
Kazunori Mori ◽  
Tadaaki Morotomi ◽  
Noritaka Isogai
Keyword(s):  
Retrospective Review ◽  
Anterior Approach ◽  
Orbital Tumor ◽  
Tumor Surgery

Endoscopic Orbital Tumor Surgery

2005 ◽  
Vol 133 (2) ◽  
pp. P253-P253
Author(s):  
M NARAGHI
Keyword(s):  
Orbital Tumor ◽  
Tumor Surgery

scholarly journals Morbidity after intracranial tumor surgery: sensitivity and specificity of retrospective review of medical records compared with patient-reported outcomes at 30 days

2015 ◽  
Vol 123 (4) ◽  
pp. 972-977 ◽  
Author(s):  
Christina Drewes ◽  
Lisa Millgård Sagberg ◽  
Asgeir Store Jakola ◽  
Sasha Gulati ◽  
Ole Solheim
Keyword(s):  
Sensitivity And Specificity ◽  
Retrospective Review ◽  
Medical Records ◽  
Patient Reported Outcomes ◽  
Intracranial Tumor ◽  
Neurological Deficits ◽  
Tumor Surgery ◽  
Hospital Records ◽  
Retrospective Assessment ◽  
Patient Reported

OBJECT Published outcome reports in neurosurgical literature frequently rely on data from retrospective review of hospital records at discharge, but the sensitivity and specificity of retrospective assessments of surgical morbidity is not known. The aim of this study was to elucidate the sensitivity and specificity of retrospective assessment of morbidity after intracranial tumor surgery by comparing it to patient-reported outcomes at 30 days. METHODS In 191 patients who underwent surgery for the treatment of intracranial tumors, we evaluated newly acquired neurological deficits within the motor, language, and cognitive domains. Traditional retrospective discharge data were collected by review of hospital records. Patient-reported data were obtained by structured phone interviews at 30 days after surgery. Data on perioperative medical and surgical complications were obtained from both hospital records and patient interviews conducted 30 days postoperatively. RESULTS Sensitivity values for retrospective review of hospital records as compared with patient-reported outcomes were 0.52 for motor deficits, 0.4 for language deficits, and 0.07 for cognitive deficits. According to medical records, 158 patients were discharged with no new or worsened deficits, but only 117 (74%) of these patients confirmed this at 30 days after surgery. Specificity values were high (0.97–0.99), indicating that new deficits were unlikely to be found by retrospective review of hospital records at discharge when the patients did not report any at 30 days. Major perioperative complications were all identified through retrospective review of hospital records. CONCLUSIONS Retrospective assessment of medical records at discharge from hospital may greatly underestimate the incidence of new neurological deficits after brain tumor surgery when compared with patient-reported outcomes after 30 days.

Osteoplastic orbitotomy for orbital tumor surgery

Orbit ◽  
1986 ◽  
Vol 5 (4) ◽  
pp. 235-237 ◽  
Author(s):  
Yasuhisa Nakamura
Keyword(s):  
Orbital Tumor ◽  
Tumor Surgery

O.345 Results of interdisciplinary orbital tumor surgery

2008 ◽  
Vol 36 ◽  
pp. S87
Author(s):  
B. Frerich ◽  
M. Heufelder ◽  
M. Brückner ◽  
C. Trantakis ◽  
J. Meixensberger ◽  
...  
Keyword(s):  
Orbital Tumor ◽  
Tumor Surgery

scholarly journals Unplanned readmissions and survival following brain tumor surgery

2015 ◽  
Vol 122 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Holly Dickinson ◽  
Christine Carico ◽  
Miriam Nuño ◽  
Debraj Mukherjee ◽  
Alicia Ortega ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Patient Outcomes ◽  
Retrospective Review ◽  
Multivariate Analyses ◽  
Tumor Resection ◽  
Tumor Surgery ◽  
Thromboembolic Complications ◽  
Brain Tumor Surgery ◽  
Factors Associated ◽  
Risk Of Mortality

OBJECT Research on readmissions has been influenced by efforts to reduce hospital cost and avoid penalties stipulated by the Centers for Medicare and Medicaid Services. Less emphasis has been placed on understanding these readmissions and their impact on patient outcomes. This study 1) delineates reasons for readmission, 2) explores factors associated with readmissions, and 3) describes their impact on the survival of glioblastoma patients. METHODS The authors conducted a retrospective review of 362 cases involving patients with glioblastoma undergoing biopsy or tumor resection at their institution between 2003 and 2011. Reasons for re-hospitalization were characterized according to whether or not they were related to surgery and considered preventable. Multivariate analyses were conducted to identify the effect of readmission on survival and determine factors associated with re-hospitalizations. RESULTS Twenty-seven (7.5%) of 362 patients experienced unplanned readmissions within 30 days of surgery. Six patients (22.2%) were readmitted by Day 7, 14 (51.9%) by Day 14, and 20 (74.1%) by Day 21. Neurological, infectious, and thromboembolic complications were leading reasons for readmission, accounting for, respectively, 37.0%, 29.6%, and 22.2% of unplanned readmissions. Twenty-one (77.8%) of the 27 readmissions were related to surgery and 19 (70.4%) were preventable. The adjusted hazard ratio of mortality associated with a readmission was 2.03 (95% CI 1.3–3.1). Higher-functioning patients (OR 0.96, 95% CI 0.9–1.0) and patients discharged home (OR 0.21, 95% CI 0.1–0.6) were less likely to get readmitted. CONCLUSIONS An overwhelming fraction of documented unplanned readmissions were considered preventable and related to surgery. Patients who were readmitted to the hospital within 30 days of surgery had twice the risk of mortality compared with patients who were not readmitted.

scholarly journals Perioperative Complications Following One-Stage Bilateral and Unilateral Total Hip Arthroplasty via Direct Anterior Approach

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
John Attenello ◽  
Maria Opanova ◽  
Anne Richardson Wright ◽  
Michele Saruwatari ◽  
Kelvin Naito ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Retrospective Review ◽  
Anterior Approach ◽  
Perioperative Complications ◽  
Direct Anterior Approach ◽  
Single Stage ◽  
Perioperative Outcomes ◽  
Total Hip ◽  
Hip Arthroplasties

Background A single stage bilateral total hip arthroplasty utilizing the direct anterior approach has been reported to have a similar incidence of perioperative complications as unilateral total hip arthroplasty.  However, previous studies have included various surgeons with differences in contraindications, protocol, technique and/or experience. Questions/Purposes The purpose of this retrospective review was to compare perioperative outcomes in single-stage bilateral and unilateral total hip arthroplasties via the direct anterior approach performed by a single, fellowship trained, high volume arthroplasty surgeon. Methods A retrospective review was completed on consecutive single-stage bilateral total hip arthroplasties performed between 2009 and 2017 and compared to consecutive unilateral total hip arthroplasties performed between 2014 and 2016.  Perioperative data and complications occurring within 90 days were collected for all included patients.  Student t-tests were performed to detect differences between bilateral and unilateral surgical variables. Results A total of 349 patients (531 hips) were included, consisting of 182 BTHA patients (364 hips) and 167 unilateral THA patients. Patients undergoing unilateral THA had significantly lower operating time, shorter length of stay, lower estimated blood loss, lower rate of transfusions and higher rate of home discharge compared to BTHA (p<0.001). Complications were present in four unilateral THA patients, three requiring revision, and nine BTHA patients, three requiring revision. Conclusions There was no difference in complications, as well as no perioperative mortalities or systemic complications, within 90 days following surgery between unilateral and bilateral patients.  Based on these results, single-stage DAA BTHA is a safe procedure to perform, and did not appear to result in higher rates of complications when compared to patients receiving a DAA unilateral THA.

scholarly journals Seeing the light: Endoscopic endonasal intraconal orbital tumor surgery

2010 ◽  
Vol 143 (5) ◽  
pp. 699-701 ◽  
Author(s):  
Kibwei A. McKinney ◽  
Carl H. Snyderman ◽  
Ricardo L. Carrau ◽  
Anand V. Germanwala ◽  
Daniel M. Prevedello ◽  
...  
Keyword(s):  
Orbital Tumor ◽  
Tumor Surgery ◽  
Endoscopic Endonasal

Glomus Tumor Surgery: The Approach, Results, and Problems

1982 ◽  
Vol 15 (4) ◽  
pp. 897-916 ◽  
Author(s):  
C.Gary Jackson ◽  
Michael E. Glasscock ◽  
Alan J. Nissen ◽  
Mitchell K. Schwäher
Keyword(s):  
Glomus Tumor ◽  
Tumor Surgery
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