Publications by authors named "A E KHALAFALLAH"
Purpose: Uninsured and underinsured patients face notable healthcare disparities in neurosurgery, but limited literature exists on the impact of insurance on non-functioning pituitary adenomas (NFPAs). We investigated how insurance affects outcomes of endoscopic transsphenoidal pituitary surgery (ETPS) for NFPAs.
Methods: We retrospectively reviewed NFPA patients who underwent ETPS at our institution from 2012 to 2023.
Article Synopsis
- Robotic technology in neurosurgery has progressed significantly over the last 30 years, enhancing the precision and safety of neuro-oncological surgeries through systems like the Robotic Surgical Assistant (ROSA).
- A study reviewed records of 348 patients who underwent procedures using ROSA, focusing on biopsy and laser interstitial thermal therapy, with results showing a high diagnostic yield of 98.6% and minimal complications.
- The research highlighted that complications were rare, with only 2 patients experiencing issues that resolved, and no permanent deficits were observed during an average follow-up period of 4.4 months.
Spinal cerebrospinal fluid (CSF) leaks can be caused by tears in the dura and are challenging to treat. Traditional methods of treating spinal CSF leakage include nonsurgical management, epidural blood patches (EBP), and direct surgical repair. Minimally invasive surgery (MIS) is rapidly progressing within neurosurgery due to its advantages for patient safety and comfort.
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- The study investigates the effectiveness and safety of laser interstitial thermal therapy (LITT) for treating newly diagnosed glioblastoma (nGBM) in patients with large-volume, deep-seated tumors, addressing a gap in existing research.
- Researchers conducted a retrospective analysis comparing outcomes between patients with tumor volumes of 10 cm³ or greater and those with volumes less than 10 cm³, focusing on survival and complications post-treatment.
- Results indicated no significant differences in hospital stay, complications, or overall survival between the two groups, suggesting that tumor volume may not significantly influence the success of LITT for deep-seated nGBM cases.
Objective: Outpatient surgery and same-day discharge are developing fields that align with the evolving needs of modern healthcare, presenting a notable advantage by reducing patient susceptibility to nosocomial infections, thromboembolic complications, and medical errors. When paired with enhanced recovery after surgery protocols, they hold promise in safely transitioning certain patients undergoing cranial surgery to outpatient care. This study aimed to evaluate discharge on the same day of surgery after intracranial tumor resection and endoscopic third ventriculostomy (ETV) and to investigate potential associations with anesthesia methods, complications, and readmission rates.
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