scholarly journals Sponge in the belly; postoperative imaging findings of oxidized cellulose (Surgicel®)

2013 ◽  
Author(s):  
ARZU PAMPAL
Keyword(s):  
Oxidized Cellulose ◽  
Imaging Findings ◽  
Postoperative Imaging

scholarly journals High prevalence of hip lesions secondary to arthroscopic over- or undercorrection of femoroacetabular impingement in patients with postoperative pain

2021 ◽  
Author(s):  
Malin K. Meier ◽  
Till D. Lerch ◽  
Simon D. Steppacher ◽  
Klaus A. Siebenrock ◽  
Moritz Tannast ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Hip Dysplasia ◽  
Cartilage Damage ◽  
Imaging Findings ◽  
Femoral Torsion ◽  
Postoperative Imaging ◽  
Dichotomous Data ◽  
Cam Deformity ◽  
High Prevalence ◽  
Incremental Increase

Abstract Objectives To compare the prevalence of pre- and postoperative osseous deformities and intra-articular lesions in patients with persistent pain following arthroscopic femoroacetabular impingement (FAI) correction and to identify imaging findings associated with progressive cartilage damage. Methods Retrospective study evaluating patients with hip pain following arthroscopic FAI correction between 2010 and 2018. Pre- and postoperative imaging studies were analyzed independently by two blinded readers for osseous deformities (cam-deformity, hip dysplasia, acetabular overcoverage, femoral torsion) and intra-articular lesions (chondro-labral damage, capsular lesions). Prevalence of osseous deformities and intra-articular lesions was compared with paired t-tests/McNemar tests for continuous/dichotomous data. Association between imaging findings and progressive cartilage damage was assessed with logistic regression. Results Forty-six patients (mean age 29 ± 10 years; 30 female) were included. Postoperatively, 74% (34/46) of patients had any osseous deformity including 48% (22/46) acetabular and femoral deformities. Ninety-six percent (44/46) had an intra-articular lesion ranging from 20% (9/46) for femoral to 65% (30/46) for acetabular cartilage lesions. Prevalence of hip dysplasia increased (2 to 20%, p = 0.01) from pre- to postoperatively while prevalence of cam-deformity decreased (83 to 28%, p < 0.001). Progressive cartilage damage was detected in 37% (17/46) of patients and was associated with extensive preoperative cartilage damage > 2 h, i.e., > 60° (OR 7.72; p = 0.02) and an incremental increase in postoperative alpha angles (OR 1.18; p = 0.04). Conclusion Prevalence of osseous deformities secondary to over- or undercorrrection was high. Extensive preoperative cartilage damage and higher postoperative alpha angles increase the risk for progressive degeneration. Key Points • The majority of patients presented with osseous deformities of the acetabulum or femur (74%) and with intra-articular lesions (96%) on postoperative imaging. • Prevalence of hip dysplasia increased (2 to 20%, p = 0.01) from pre- to postoperatively while prevalence of a cam deformity decreased (83 to 28%, p < 0.001). • Progressive cartilage damage was present in 37% of patients and was associated with extensive preoperative cartilage damage > 2 h (OR 7.72; p = 0.02) and with an incremental increase in postoperative alpha angles (OR 1.18; p = 0.04).

Pancreaticoduodenectomy with venous resection and reconstruction: current surgical techniques and associated postoperative imaging findings

2017 ◽  
Vol 43 (5) ◽  
pp. 1193-1203 ◽  
Author(s):  
Ammar A. Javed ◽  
Karen Bleich ◽  
Fabio Bagante ◽  
Jin He ◽  
Matthew J. Weiss ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Imaging Findings ◽  
Venous Resection ◽  
Postoperative Imaging

scholarly journals The Utility of Postoperative Computed Tomography Imaging Following Isolated Orbital Blowout Fracture Repair

2020 ◽  
Vol 13 (3) ◽  
pp. 198-204
Author(s):  
Sara E. Francomacaro ◽  
Jana A. Bregman ◽  
Kalpesh T. Vakharia ◽  
Francis L. Grumbine
Keyword(s):  
Computed Tomography ◽  
Medical Records ◽  
Fracture Repair ◽  
Imaging Findings ◽  
Inclusion Criteria ◽  
Computed Tomography Imaging ◽  
Postoperative Imaging ◽  
Reduce Radiation Exposure ◽  
Blowout Fracture ◽  
Care Costs

Purpose: To determine the clinical utility of computed tomography (CT) imaging following isolated orbital blowout fracture (OBF) repair. Methods: Single-center retrospective review of adult patients undergoing surgical repair of isolated OBFs between November 2008 and August 2016 who received postoperative CT scans. Preoperative and postoperative examination data, postoperative imaging reads, postoperative courses, and any reoperation documentation were collected from electronic medical records. Postoperative imaging findings were categorized as major, indeterminate, or minor by predicted impact on clinical management. Major findings indicated a need for reoperation, indeterminate a potential reoperation, and minor no reoperation. Results: Fifty-two cases met inclusion criteria: 94.2% (n = 49) of postoperative scans included minor findings, 34.6% (n = 18) indeterminate findings, and 19.2% (n = 10) major findings. Three patients returned to the operating room (OR) for surgical revision. All 3 had a significant and concerning change on postoperative examination. Only 1 also had a major finding on postoperative imaging. The remaining 49 patients had benign postoperative examinations, despite 9 (17.3%) with major imaging findings who did not undergo reoperation. Conclusions: In the majority of OBF repairs, postoperative CT scan findings were not predictive of a need to return to the OR for revision. Reoperation was instead largely prompted by concerning changes in the postoperative clinical examination. Our findings suggest that postoperative imaging in the absence of clinical concern should not be included in the surgical management of isolated OBFs. Instead, targeted imaging will help reduce radiation exposure and health-care costs without sacrificing patient care.

Clinically silent magnetic resonance imaging findings after subdural strip electrode implantation

2010 ◽  
Vol 112 (2) ◽  
pp. 461-466 ◽  
Author(s):  
Faisal A. J. Al-Otaibi ◽  
Abdullah Alabousi ◽  
Jorge G. Burneo ◽  
Donald H. Lee ◽  
Andrew G. Parrent ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Type A ◽  
Electrode Placement ◽  
Imaging Findings ◽  
Type B ◽  
Postoperative Imaging ◽  
Common Location ◽  
Asymptomatic Patients ◽  
Imaging Results ◽  
Electrode Insertion

Object Subdural strip electrodes (SSEs) are often used as part of the workup in patients being considered for epilepsy surgery. To assess for complications or to confirm electrode placement, postoperative imaging is often performed. Imaging performed with the electrodes in situ is limited by streak artifact on CT and susceptibility artifact on MR imaging. Therefore, the first opportunity for high-quality postoperative imaging is following explantation of electrodes. There is no data available to determine what would be the expected MR imaging appearance following insertion of SSE. The purpose of this study is to describe the MR imaging findings in asymptomatic patients who underwent insertion of SSEs. Methods Twenty consecutive patients who underwent SSE insertion were studied. Within 24 hours after removal of the electrodes, each patient underwent MR imaging that included axial T2-weighted, gradient echo, diffusion weighted, and coronal FLAIR sequences. No significant symptoms were reported by any of the patients. The studies were reviewed by an experienced, blinded neuroradiologist and categorized. Results Of the 20 patients studied, 11 were female (mean age 36 years). Clinically silent postexplantation MR imaging abnormalities were found in all patients: subdural hematomas in 7 (35%), cortical contusions in 5 (25%), local edema in 5 (25%), trans–bur hole cortical herniation in 5 (25%), subdural hygromas in 2 (10%), and pneumocranium in 4 (20%). The MR imaging abnormalities were subdivided into 2 types: Type A, abnormalities related to the site of electrode insertion; and Type B, abnormalities related to the location of the electrodes. The most common location for a Type A abnormality was occipitotemporal, with cortical contusions occurring in this location in 18% of cases, local edema in 24%, and trans–bur hole herniation in 24%. The next most common location was frontal, with cortical contusions found in this location in 10% of cases, local edema in 5% and trans–bur hole herniation in 5%. The most common Type B abnormality was a subdural hematoma, followed by pneumocranium and subdural hygroma. Conclusions Clinically silent MR imaging abnormalities are common following SSE placement. Knowledge of these findings would be of assistance in interpreting MR imaging results in patients being assessed for complications.

Postoperative imaging findings after laparoscopic surgery for deeply infiltrating endometriosis

2020 ◽  
Vol 45 (6) ◽  
pp. 1847-1865
Author(s):  
Luciana P. Chamié ◽  
Duarte M. F. R. Ribeiro ◽  
Gladis M. P. A. R. Ribeiro ◽  
Paulo C. Serafini
Keyword(s):  
Laparoscopic Surgery ◽  
Imaging Findings ◽  
Postoperative Imaging ◽  
Deeply Infiltrating Endometriosis ◽  
Infiltrating Endometriosis

Poststernotomy Complications: A Multimodal Review of Normal and Abnormal Postoperative Imaging Findings

2018 ◽  
Vol 211 (6) ◽  
pp. 1194-1205 ◽  
Author(s):  
Partha Hota ◽  
Chandra Dass ◽  
Cherie Erkmen ◽  
Achala Donuru ◽  
Maruti Kumaran
Keyword(s):  
Imaging Findings ◽  
Postoperative Imaging

scholarly journals Postoperative Imaging Findings following Sigmoid Sinus Wall Reconstruction for Pulse Synchronous Tinnitus

2015 ◽  
Vol 37 (1) ◽  
pp. 136-142 ◽  
Author(s):  
P. Raghavan ◽  
Y. Serulle ◽  
D. Gandhi ◽  
R. Morales ◽  
K. Quinn ◽  
...  
Keyword(s):  
Sigmoid Sinus ◽  
Imaging Findings ◽  
Postoperative Imaging ◽  
Sinus Wall

The low utility of routine cranial imaging after pediatric shunt revision

2021 ◽  
pp. 1-7
Author(s):  
Alexander F. C. Hulsbergen ◽  
Francesca Siddi ◽  
Malia McAvoy ◽  
Benjamin T. Lynch ◽  
Madeline B. Karsten ◽  
...  
Keyword(s):  
Operating Room ◽  
Clinical Management ◽  
Clinical Findings ◽  
Clinical Monitoring ◽  
Shunt Revision ◽  
Imaging Findings ◽  
Pediatric Hospital ◽  
Postoperative Course ◽  
Postoperative Imaging ◽  
Routine Imaging

OBJECTIVE Postoperative routine imaging is common after pediatric ventricular shunt revision, but the benefit of scanning in the absence of symptoms is questionable. In this study, the authors aimed to assess how often routine scanning results in a change in clinical management after shunt revision. METHODS The records of a large, tertiary pediatric hospital were retrospectively reviewed for all consecutive cases of pediatric shunt revision between July 2013 and July 2018. Postoperative imaging was classified as routine (i.e., in the absence of symptoms, complications, or other direct indications) or nonroutine. Reinterventions within 30 days were assessed in these groups. RESULTS Of 387 included shunt revisions performed in 232 patients, postoperative imaging was performed in 297 (77%), which was routine in 244 (63%) and nonroutine in 53 (14%). Ninety revisions (23%) underwent any shunt-related procedure after postoperative imaging, including shunt reprogramming (n = 35, 9%), shunt tap (n = 10, 3%), and a return to the operating room (OR; n = 58, 15%). Of the 244 cases receiving routine imaging, 241 did not undergo a change in clinical management solely based on routine imaging findings. The remaining 3 cases returned to the OR, accounting for 0.8% (95% CI 0.0%–1.7%) of all cases or 1.2% (95% CI 0.0%–2.6%) of cases that received routine imaging. Furthermore, 27 of 244 patients in this group returned to the OR for other reasons, namely complications (n = 12) or recurrent symptoms (n = 15); all arose after initial routine imaging. CONCLUSIONS The authors found a low yield to routine imaging after pediatric shunt revision, with only 0.8% of cases undergoing a change in management based on routine imaging findings without corresponding clinical findings. Moreover, routine imaging without abnormal findings was no guarantee of an uneventful postoperative course. Clinical monitoring can be considered as an alternative in asymptomatic, uncomplicated patients.

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