Assessment of long-term outcomes with immediate versus delayed surgical repair of penile fractures

Abstract Background/Introduction Complete Atrio-Ventricular septal defect (AVSD) is a complex congenital cardiac disease, characterised by malformation at the atrio-ventricular junction and AV valve abnormalities. Long- term outcome data is limited. Purpose We sought to describe the long-term outcomes of adults with repaired complete AVSD in a tertiary adult congenital heart centre. Methods We retrospectively recruited patients with complete AVSD who underwent surgical repair between 1973 and 2001 in our centre. All clinical and echocardiographic data were collected and analysed for evidence of atrio-ventricular valve (AVV) deterioration, or cardiac dysfunction. We also assessed for the requirement for further surgical intervention throughout the follow up period. Results A total of 345 patients with AVSD were identified, partial AVSD 211, unrepaired 82. Fifty-two with repaired complete AVSD formed study group, female 36 (69%) and male 16 (31%), Trisomy 21 (23, 44%). Mean age at initial repair was 44 months (median 12, IQR 31.5). Mean follow up was 25.3 years (Median 24, IQR 9.75). Clinical status: At the latest follow-up, most patient were asymptomatic with NYHA I-II (n=46) Majority (n=36, 69%) required only initial repair and no further intervention. Further surgeries were performed in 16 patients including AVV repair (n=9) and LVOTO relief (n=3). Permanent pacemaker insertion needed in 6 (12%), all for heart block following valve repair. 7 patients (14%) had documented arrythmia, 4 (8%) requiring ablations and only 1 had endocarditis. Echo findings: AV Valve dysfunction was more commonly regurgitant rather than stenotic. More than moderate AVV regurgitation was present in 83% of patients, Left AVV (n=25, 48%), Right AVV (n=18, 35%) compared to 4% stenosis (LAVV n=1, RAVV n=1). Ventricular outflow tract obstruction was present in 8% of patients, RVOT obstruction (2, one native, one secondary to prior banding), LVOT obstruction (2, both native, one requiring surgical intervention). Right ventricular systolic dysfunction was present in 6% of patients (n=3), with mean TAPSE 14.1mm (SD± 3.1mm). Left ventricular dysfunction was present in 4% (n=2), mean LVEF 58.9% (SD±7.1%) and mean LV EDVi 55.06mL/m2 (SD±13.2 mL/m2). Only one patient had significant pulmonary hypertension (Mean PAP 48 mmHg). Conclusion Long-term outcomes of surgically repaired AVSD are highly favourable. Left AVV regurgitation is the most common residual lesion requiring further surgical intervention. Ventricular outflow tract obstruction was much less common, as was ventricular systolic dysfunction. Complete heart block was associated with surgical repair and arrhythmias were potential late complications. FUNDunding Acknowledgement Type of funding sources: None.

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An update of Penile Fractures: Long-term significance of the number of hours elapsed till surgical repair on long-term outcomes

Türk Üroloji Dergisi/Turkish Journal of Urology ◽

10.5152/tud.2016.39129 ◽

2017 ◽

Vol 43 (1) ◽

pp. 25-29 ◽

Cited By ~ 6

Author(s):

Zafer Kozacioglu ◽

Yasin Ceylan ◽

Ozgu Aydogdu ◽

Deniz Bolat ◽

Bulent Gunlusoy ◽

...

Keyword(s):

Surgical Repair ◽

Long Term Outcomes

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Loss of patency after surgical repair of major laparoscopic cholecystectomy bile duct injuries: Contributing factors and long term outcomes

HPB ◽

10.1016/j.hpb.2020.04.363 ◽

2020 ◽

Vol 22 ◽

pp. S351-S352

Author(s):

J. Lindemann ◽

J. Krige ◽

U. Kotze ◽

M. Bernon ◽

S. Burmeister ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Bile Duct ◽

Surgical Repair ◽

Contributing Factors ◽

Long Term Outcomes ◽

Bile Duct Injuries

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A new method for locating the proximal lacerated bicanalicular ends in Chinese preschoolers and long-term outcomes after surgical repair

Medicine ◽

10.1097/md.0000000000007814 ◽

2017 ◽

Vol 96 (33) ◽

pp. e7814 ◽

Cited By ~ 2

Author(s):

Ai Zhuang ◽

Xiaoliang Jin ◽

Yinwei Li ◽

Xianqun Fan ◽

Wodong Shi

Keyword(s):

Surgical Repair ◽

New Method ◽

Long Term Outcomes

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Long-Term Outcomes of Open Surgical Repair for Ruptured Iliac Artery Aneurysms

Annals of Vascular Surgery ◽

10.1016/j.avsg.2010.11.011 ◽

2011 ◽

Vol 25 (6) ◽

pp. 740-747 ◽

Cited By ~ 3

Author(s):

Hiroshi Yamamoto ◽

Fumio Yamamoto ◽

Kazuyuki Ishibashi ◽

Ke-Xiang Liu ◽

Gembu Yamaura ◽

...

Keyword(s):

Iliac Artery ◽

Surgical Repair ◽

Long Term Outcomes ◽

Open Surgical Repair

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Comparison of the Short and Long-Term Outcomes of Endovascular Repair and Open Surgical Repair in the Treatment of Unruptured Abdominal Aortic Aneurysms: Meta-Analysis and Systematic Review

Cureus ◽

10.7759/cureus.9683 ◽

2020 ◽

Author(s):

Othman AlOthman ◽

Suleiman Bobat

Keyword(s):

Systematic Review ◽

Surgical Repair ◽

Meta Analysis ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Long Term Outcomes ◽

Open Surgical Repair ◽

Abdominal Aortic ◽

Short And Long Term

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Pulmonary Allograft Versus Medtronic Freestyle Valve in Surgical Pulmonary Valve Replacement for Adults Following Correction of Tetralogy of Fallot or Its Variants

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135119859853 ◽

2019 ◽

Vol 10 (5) ◽

pp. 543-551 ◽

Cited By ~ 1

Author(s):

Pasangi Madhuka Wijayarathne ◽

Peter Skillington ◽

Samuel Menahem ◽

Amalan Thuraisingam ◽

Marco Larobina ◽

...

Keyword(s):

Tetralogy Of Fallot ◽

Valve Replacement ◽

Surgical Repair ◽

Pulmonary Valve ◽

Pulmonary Stenosis ◽

Pulmonary Valve Replacement ◽

Long Term Outcomes ◽

Significant Difference

Background: Following corrective surgery in infancy/childhood for tetralogy of Fallot (TOF) or its variants, patients may eventually require pulmonary valve replacement (PVR). Debate remains over which valve is best. We compared outcomes of the Medtronic Freestyle valve with that of the pulmonary allograft valve following PVR. Methods: A retrospective study was undertaken from a single surgical practice of adult patients undergoing elective PVR between April 1993 and March 2017. The choice of valve was at the surgeon’s discretion. There was a trend toward the almost exclusive use of the more readily available Medtronic Freestyle valve since 2008. Results: One hundred fifty consecutive patients undergoing 152 elective PVRs were reviewed. Their mean age was 33.8 years. Ninety-four patients had a Medtronic Freestyle valve, while 58 had a pulmonary allograft valve. There were no operative or 30-day mortality. The freedom from reintervention at 5 and 10 years was 98% and 98% for the pulmonary allograft and 99% and 89% for the Medtronic Freestyle. There was no significant difference in the rate of reintervention, though this was colored by higher pulmonary gradients across the Medtronic Freestyle despite its shorter follow-up. Conclusions: Pulmonary valve replacement following previous surgical repair of TOF or its variants was found to be safe with no significant differences in mortality or reintervention between either valve. Although the Medtronic Freestyle valve had a greater tendency toward pulmonary stenosis, additional follow-up is needed to further document its long-term outcomes.

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Long-term outcomes following surgical repair of acute injuries of the thumb metacarpophalangeal joint ulnar collateral ligament

Hand Surgery and Rehabilitation ◽

10.1016/j.hansur.2021.11.007 ◽

2021 ◽

Author(s):

E.C. Oag ◽

P.H.C. Stirling ◽

J.E. McEachan

Keyword(s):

Surgical Repair ◽

Ulnar Collateral Ligament ◽

Metacarpophalangeal Joint ◽

Long Term Outcomes ◽

Collateral Ligament ◽

Acute Injuries ◽

Thumb Metacarpophalangeal Joint

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Long-Term Outcomes of Nasoseptal Perforation Repair Using Anterior Maxillary Sinus Wall as an Interpositional Graft

American Journal of Rhinology and Allergy ◽

10.1177/19458924211049608 ◽

2021 ◽

pp. 194589242110496

Author(s):

Jae Woong Hwang ◽

Mun Soo Han ◽

Sung Hoon Kang ◽

Ji Won Kwak ◽

Hyun Keun Kim ◽

...

Keyword(s):

Maxillary Sinus ◽

Surgical Repair ◽

Treatment Method ◽

Septal Perforation ◽

Long Term Outcomes ◽

Sinus Wall ◽

Standardized Treatment

Background Various graft materials have been used to repair nasoseptal perforation, but there is no standardized treatment method. The anterior maxillary sinus wall is flattened in appearance and can be easily obtained in a sufficient amount for a large-sized nasoseptal perforation. Objectives The aim of this study is to determine whether the anterior maxillary sinus wall is suitable as an interpositional graft in the surgical repair of septal or nasoseptal perforation. Methods This is a retrospective review of 21 patients who underwent repair of nasoseptal perforation using anterior maxillary sinus wall as an interpositional graft. The etiology, pre- and post-operative NOSE and GBI score, and perforation size were reviewed. The surgical outcome was considered successful if total closure was achieved after postoperative follow-up. Results 19 of the 21 perforations were successfully repaired with anterior maxillary sinus wall. Failure of the repair was found in 2 patients. Causal etiology of perforation was previous septoplasty in 10 patients, and electrocautery in 1 case, but not identified in 10 cases. The largest size was 2.7 × 2.2 cm. The most common symptoms were epistaxis, crusting, and nasal obstruction. Closure of septal perforation resulted in improved subjective symptoms and quality of life which were evaluated with NOSE and GBI score. Conclusion Anterior maxillary sinus wall as interpositional graft between mucoperichondrial flaps can be used to reliably repair nasoseptal perforations.

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