Abstract
Vascular injury due to penetrating abdominal trauma is a major challenge for trauma teams. Arterial and venous injuries occur with equal frequency. Treatment depends on the hemodynamic status of the patient: under stable conditions, angiography can be envisioned, whereas instability is an indication...
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PMID: 20638931
PDF is available here.
Abstract
Secondary surgery seems to reduce the risk of recurrence in patients with serous LMPOT and peritoneal implants. Patients with residual disease are probably those likely to benefit from such surgery. Further studies are needed to confirm these preliminary results....
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PMID: 20375795
PDF is available here.
Abstract
Staged excision is an effective treatment for lentigo maligna and lentigo maligna melanoma. Previously published recommendations of 5-mm margins for wide local excision are inadequate for tumors located on the head and neck....
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PMID: 19952650
PDF is available here.
Abstract
Fourteen cases in group A and 13 cases in group B were examined by second-look arthroscopy. According to Photoshop analysis, ACL graft in group B had better red chroma appearance than group A. Two peaks were observed on grade three red chroma curve. CONCLUSION: Residual ACL tissue can be preserved d...
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PMID: 20017323
PDF is available here.
Abstract
Echo-planar diffusion-weighted MRI can differentiate between brain tissue and cholesteatoma more accurately than CT. We recommend that otolaryngologists avoid unnecessary revision procedures by using the newest imaging modalities for more precise diagnosis of patients who had undergone mastoidectomy...
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PMID: 19544702
PDF is available here.
Abstract
Second look nephroscopy based on endoscopic findings during initial percutaneous nephrolithotomy is a reliable method of detecting and clearing residual stone fragments. Using such a protocol we achieved a high success rate of stone clearance in a population of patients with a significant stone burd...
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PMID: 19095267
PDF is available here.
Abstract
Twenty-two patients underwent 23 second-look or revision procedures. All patients had DW MRI before their "second-look" or revision surgery. TSE DW MRI detected cholesteatomas in 7 patients whom all had disease confirmed at second-look or revision surgery. In 16 cases shown to be negative on DW MRI...
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PMID: 19092558
PDF is available here.
Abstract
The first laparoscopic appendectomy was performed over 25 years ago, and yet controversy still exists over the open method vs. the laparoscopic approach, and whether an incidental appendectomy is warranted. This study aimed to evaluate our experience in performing a laparoscopic incidental appendecto...
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PMID: 19793480
PDF is available here.
Abstract
An important observation is that the survival rate in patients with recurrence after negative SLL was significantly lower compared to patients with microscopic disease. The probable explanation for favorable prognosis in the group with microscopic disease was early administration of chemotherapy aft...
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PMID: 19761136
PDF is available here.
Abstract
Acute mesenteric ischaemia is a catastrophic abdominal emergency with an extremely high mortality rate. This article discusses the aetiology, diagnosis and treatment of acute mesenteric ischaemia with emphasis on avoidance of common errors that contribute to the poor outcome inherent to this conditi...
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PMID: 19186606
PDF is available here.
Abstract
We describe here a novel technique using a knotless anchor to repair the superior labrum, thereby eliminating the potential for knot-related complications. More importantly, this horizontal mattress-knotless anchor technique better recreates the normal meniscoid appearance of the superior labrum....
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PMID: 19038714
PDF is available here.
Abstract
For large bucket-handle meniscus tears involving red-red and red-white zones, an arthroscopic hybrid suture technique with ACL reconstruction achieves high anatomic healing results, with an overall meniscal healing rate of 89.6%, including 82.1% completely healed and 7.5% incompletely healed. The fa...
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PMID: 19038706
PDF is available here.
Abstract
Local relapses were more frequent for patients without RT, especially in pelvic sites. The two relapses after RT occurred in huge bladder-prostate RMS. Although the limited number of patients does not allow statistically significant conclusions, our experience suggests that RT may have a positive in...
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PMID: 18668515
PDF is available here.
Abstract
We compared the arthroscopic status of chondral lesions at the time of ACL reconstruction with that obtained at second-look arthroscopy. We hypothesized that there might be a location-specific difference in the healing response of damaged articular cartilage. Between September 1998 and March 2000, 3...
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PMID: 18551277
PDF is available here.
Abstract
Laser microsurgery is an effective treatment modality in early glottic cancer with A-com involvement but is still associated with a high rate of recurrence. Second-look operation may help detect early local recurrence and treat postoperative airway or voice problems....
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PMID: 18475204
PDF is available here.
Abstract
Prolonged overall survival was observed in patients with no gross residual disease at the time of IP chemotherapy initiation. When compared with similarly treated stage IIIC patients, stage IV patients with malignant pleural effusions appear to have a better outcome than those with other sites of me...
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PMID: 18428210
PDF is available here.
Abstract
Treatment of peptic duodenal and gastric ulcers has improved in efficiency and become less invasive. There is still a considerable risk of re-bleeding (15-20%) and the mortality remains high (5-14%). A Danish study from 2000 showed that scheduled second look endoscopy (SLE) the day after the primary...
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PMID: 18454926
PDF is available here.
Abstract
We describe the technique and review the medical records of 26 patients who underwent percutaneous nephrostolithotomy (PCNL) and simultaneous contralateral retrograde ureterorenoscopy (URS) for bilateral urolithiasis of discordant sizes at our institution. Preoperative factors, operative time, chang...
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PMID: 18643719
PDF is available here.
Abstract
Lung volume reduction reoperations can offer significant clinical improvement to stringently selected patients who have lost the clinical benefit achieved after lung volume reduction surgery....
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PMID: 18355491
PDF is available here.
Abstract
We found contrast medium enhancement in the femoral and tibial tunnels in all patients. The effect of enhancement at 9 months after ACL reconstruction was higher than that at 22 months. The graft showed enhancement patterns in the posterior portion of the femoral side and the anterior portion of the...
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PMID: 18193195
PDF is available here.
Abstract
PC was found and treated with CCRS plus HIPEC in 16 of 29 (55%) cases, corresponding to 10 of 16 patients with initial PC, 3 of 4 patients with synchronous ovarian metastases and 3 of 9 patients with a perforated primary tumor. There was no postoperative mortality, and morbidity (grade III/IV) occur...
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PMID: 18376188
PDF is available here.
Abstract
Patients with initial omental metastasis, advanced stage and high grade tumors have highest risk for developing recurrences after a (-) SLL. Most of the recurrences develop during the initial 2 years following the (-) SLL and survival drops to less than 2 years once a recurrence is found.
2007 Wiley...
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PMID: 18050284
PDF is available here.
Abstract
Twenty-nine randomized clinical trials recruiting 2056 patients were identified. Meta-analysis showed that stapled haemorrhoidopexy was less painful than conventional haemorrhoidectomy. Stapled haemorrhoidopexy required a shorter inpatient stay (weighted mean difference (WMD) -0.95 (95 per cent conf...
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PMID: 18176936
PDF is available here.
Abstract
Rigorous fragment detection allows confident intraoperative decision making regarding the necessity of second-look nephroscopy....
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PMID: 18308087
PDF is available here.
Abstract
The CA-125 nadir value is a strong independent prognostic factor for optimally treated adEOC after achieving a complete response....
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PMID: 18065408
PDF is available here.
Abstract
Primary cytoreductive surgery caused longer survival compared to neoadjuvant chemotherapy. Patients who underwent optimal interval debulking surgery (IDS) had a better progression free survival (PFS) (p=0.002) and overall survival (p=0.03) than those who did not. There were not significant differenc...
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PMID: 19256766
PDF is available here.
Abstract
We found that the 5-year progression free survival and overall survival were 10% and 22% while the median values were 13 months and 34 months, respectively. Multivariate analysis showed that a suboptimal residual tumor volume was a statistically significant adverse prognostic factor for overall surv...
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PMID: 18990031
PDF is available here.
Abstract
Reoperation for pancreatic ductal adenocarcinoma that is initially deemed unresectable can be safely performed in a selected group of patients by experienced surgeons, supporting the concept of patient centralization in pancreatic surgery. Resection at the second operation may confer a survival bene...
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PMID: 17943388
PDF is available here.
Abstract
We introduced cavity shaving at primary surgery 31 months ago, to assess tumor margin involvement. The aim of this study was to determine how cavity shaving affects the re-excision rate. We compared a group of 394 patients who underwent BCS with cavity shaving of macroscopically clear margins at pri...
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PMID: 19000040
PDF is available here.
Abstract
The objective is to investigate the activity and toxicity of bleomycin, etoposide, and cisplatin (BEP) regimen in ovarian granulosa cell tumors (OGCTs). Twenty consecutive patients with initial metastatic (5 patients) or recurrent (15 patients) OGCT were treated; BEP regimen: B: 30 mg intravenously...
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PMID: 18494093
PDF is available here.
Abstract
All sites in the 12 patients healed uneventfully. No flap dehiscences and no exposures of membranes were observed. Nine to 10 months following augmentation surgery, flaps were raised in order to visualize the outcomes of the augmentation. An integration of the DBBM particles into the newly formed bo...
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PMID: 17956571
PDF is available here.
Abstract
We report a rare instance of sclerosing sweat duct carcinoma occurring in a 6-year-old African American child and review the literature of this infrequently observed neoplasm....
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PMID: 18304151
PDF is available here.
Abstract
Accuracy, sensitivity, and specificity, respectively, of direct MR arthrography in diagnosis of overall labral tears (n = 26) were 91.9%, 96.2%, and 81.8%; those of superior labral tears (n = 16) were 89.2%, 93.8%, and 85.7%; and those of anteroinferior tears (n = 17) were 91.9%, 100%, and 85%. Over...
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PMID: 17951350
PDF is available here.
Abstract
This study compared the healing of articular cartilage and the clinical outcome after osteotomy with or without marrow stimulation microfracture or abrasion arthroplasty for osteoarthritis of the knee. Patients with osteoarthritis of the medial compartment of the knee were divided into a group under...
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PMID: 17822904
PDF is available here.
Abstract
OBJECTIVE: To evaluate the efficacy and safety of Adept (4% icodextrin solution) in reducing adhesions after laparoscopic gynecological surgery involving adhesiolysis. DESIGN: Multicenter, prospective, randomized, double-blind study comparing Adept with lactated Ringer's solution (LRS). PATIENT(S):...
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PMID: 17383643
PDF is available here.
Abstract
Abbreviated laparotomy is a recent technique for management of patients with severe abdominal trauma. It is based on a unified approach taking into account the overall extent of injury and the victim's physiologic potential to respond to hemorrhage. It is the first step in a multi-modal strategy. Th...
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PMID: 18225739
PDF is available here.
Abstract
The results of our study have shown that tubeless PCNL can be safely and effectively performed based on intraoperative factors, without preoperative contraindications. Compared with the standard procedure, tubeless PCNL was associated with reduced postoperative pain, hospital stay, and recovery time...
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PMID: 17905084
PDF is available here.
Abstract
The patient was a 63-year-old man,who first visited our hospital with the chief complaints of left lower quadrant pain and abdominal distension that had developed around November 13, 2004. On close examination, he was diagnosed with sigmoid colon cancer, multiple liver metastasis, and subileus due t...
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PMID: 17687215
PDF is available here.
Abstract
Ovarian cancer is chemosensitive. Staging surgery followed by the first line chemotherapy is recommended no matter the stage. For recurrent disease, it is difficult to prolong the survival by chemotherapy. The goal is palliation. When primary debulking surgery can not be achieved because of patients...
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PMID: 17637538
PDF is available here.
Abstract
The average time of admission to the hospital after the initiation of symptoms was 3 d (range, 5 h-9 d). In 14 patients, laparotomy was performed. In 11 patients, small and/or large bowel necrosis was detected and initial resection and anastomosis were conducted. A low flow state was observed in two...
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PMID: 17659674
PDF is available here.
Abstract
These results suggest that the currently performed anatomical two-bundle ACL reconstruction and postoperative regimen still remain to be improved to achieve better postoperative graft morphology....
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PMID: 17235620
PDF is available here.
Abstract
We operated on an adolescent soccer player, who had a lateral femoral epiphyseal injury using arthroscopic-assisted reduction and percutaneous internal fixation. During second-look arthroscopy 2 years after the first operation, there was articular cartilage congruity, without any visible step-off. T...
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PMID: 17024476
PDF is available here.
Abstract
We applied second-look arthroscopy to the 12 patients out of 52 who had tibial plateau fractures treated by arthroscopy-assisted surgery. The mean age was 41. The tibial plateau fractures were classified according to Schatzker classification. The period between the primary surgical treatment and sec...
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PMID: 17225173
PDF is available here.
Abstract
We studied five knees in five patients who had incongruity (protuberance or depression) of grafted osteochondral plugs at the time of mosaicplasty. The mean age at surgery was 36.6 years (range, 15-65 years), and the mean follow-up period was 32.9 months (range, 24-49 months). All patients underwent...
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PMID: 17219225
PDF is available here.
Abstract
In Cox models, CA 125 change after the first course (P < 0.0001), residual tumour (P = 0.003), CA 125 before the second course (P = 0.025) and patients' age (P = 0.048) were independent prognostic factors for overall survival (OS). A normal CA 125 before each of the two first CT courses or a CA 125...
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PMID: 17301071
PDF is available here.
Abstract
Nonvariceal upper gastrointestinal bleeding (NVUGIB) is an important condition facing gastroenterologists. The focus of this article is the management of NVUGIB, with a particular emphasis on the endoscopic modalities and techniques that are most effective for various bleeding etiologies. Attention...
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PMID: 17556147
PDF is available here.
Abstract
The avascular zone of the TFCC possesses some potential for repair; however, factors promoting spontaneous repair of this tissue were not identified. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV....
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PMID: 17398353
PDF is available here.
Tsutomu Oshima,
Masafumi Noda,
Keita Tanaka,
Takashi Kuno,
Kiyoshi Tsukamoto,
Akihiko Hashimoto,
Makoto Gega,
Toshihiko Yagyuu,
Reigetsu Yoshikawa,
Hiroki Ikeuchi,
Hidenori Yanagi and
Takehira Yamamura
Abstract
We performed second-look hepatectomy (s-l hepatectomy) after neoadjuvant hepatic arterial 5-FU infusion plus UFT (HAI-PMC). Here, we report the case of a sigmoid colon cancer patient with initially unresectable hepatic metastases showing a prolonged survival (6.5 years) by second-look operation afte...
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PMID: 17431355
PDF is available here.
Abstract
During a mean follow-up period of 28 months for 80% of the patients, the median operating time was 74 min and the median hospital stay was 3 days. There were eight seromas (2%), all on large defects. Transient pain was experienced by 10 patients (2.5%), and resolved over time with analgesic treatmen...
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PMID: 17149554
PDF is available here.
Abstract
The aim of this study is to report the arthroscopic subjective findings of reconstructed anterior cruciate ligament (ACL) with good clinical outcome. Graft used for reconstruction was either patella bone-tendon-bone (PBTB) autograft or hamstring tendon [quadrupled semitendinous and gracilis tendon (...
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PMID: 17028869
PDF is available here.
Abstract
The purpose of this study was to verify the arthroscopic meniscus repair by second-look arthroscopy. From November 2001 to October 2005, 28 meniscus (18 medial and 10 lateral) were repaired in 26 patients (two patients had both menisci in one knee repaired). There were 11 females and 15 males. The a...
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PMID: 18078275
PDF is available here.
Abstract
After a 2-year-old male with left impairment underwent surgery for a left vesicoureteral stenosis, his renal function was followed up by means of dynamic renal scintigraphy with 99mTc-DTPA. Incidental radiotracer accumulation was observed in left hemiabdomen tracing the descending and sigmoid colon....
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PMID: 17662188
PDF is available here.
Abstract
In our study population, CA125 level at the end of primary therapy was a predictor of OS and PFS when considered as a continuous variable, or when divided at the median (< or = or >12 U/ml). Further prospective study is required to optimize clinically significant cut-off values within the normal ran...
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PMID: 16996584
PDF is available here.