Publications by authors named "Markos Markou"

Reconstructing scalp defects after basal cell carcinoma removal in elderly patients is challenging. This case report emphasizes Matriderm® as a successful alternative, addressing limitations of traditional methods. The application of Matriderm® in resource-limited scenarios adds insights to surgical literature, and its' usage addresses challenges in patients, contributing to surgical knowledge.

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Article Synopsis
  • The study focuses on developing a predictive model called SEAL to assess the risk of serious postoperative complications after emergency laparotomy (EL), aiming to improve patient management.
  • Researchers analyzed data from 633 patients and identified six key predictors for complications, demonstrating that SEAL has strong accuracy and calibration compared to the existing ACS-NSQIP model.
  • The SEAL model is seen as a valuable tool for personalized risk assessment, with suggestions for further testing in diverse environments to validate its effectiveness.
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Gangrenous cystitis is a rare condition of the urinary bladder with bladder wall ischemia as the main etiopathogenic factor and constitutes a surgical emergency. The risk factors for this condition include diabetes mellitus, prolonged labor, and topical chemotherapy, and the condition must be immediately treated because of its high mortality rate. This report describes a rare case of a patient with gangrenous cystitis who underwent radical surgical treatment; the incidence, etiology, diagnosis, management, and outcomes are also discussed.

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Background: Accurate preoperative risk assessment in emergency laparotomy (EL) is valuable for informed decision making and rational use of resources. Available risk prediction tools have not been validated adequately across diverse health care settings. Herein, we report a comparative external validation of four widely cited prognostic models.

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Introduction: Langer's axillary arch (AA), the most common anatomical variant in the axillary area of definite clinical significance. This is an updated review of the reported variations in the structure, highlighting its morphological diversity and its potential in complicating axillary lymph node biopsy, lymphadenectomy, or breast reconstruction.

Methods: A review of the literature concerning the AA published between 1812 and 2020 was performed using the PubMed, Scopus, Embase, and Cochrane medical databases.

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Article Synopsis
  • - The study investigates the outcomes of emergency laparotomy (EL) in Greece, comparing results with the National Emergency Laparotomy Audit (NELA) to understand patient outcomes and mortality rates.
  • - Conducted from 01.2019 to 05.2020, the study included 633 patients in 11 Greek hospitals, revealing a 30-day post-operative mortality rate of 16.3% and identifying risk factors such as age, ASA class, and pre-existing health conditions.
  • - Results show that while patient demographics were similar between Greece and the UK, the Greek cohort had significantly higher mortality rates and lower ICU utilization, indicating a potential quality of care issue that may contribute to the worse outcomes.
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Anomalies of the appendix are rare, and one of the rarest is the double appendixes. Most anomalies of the appendix are observed in adults and are discovered incidentally during surgery that does not primarily involve the appendix. It is usually missed, often with life-threatening consequences.

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Introduction: In patients with chronic facial palsy where the treatment by conservative means or only nerve grafting is no longer an option, reconstruction by dynamic procedures such as pedicled and/or free muscle transfer is required.

Patients And Methods: Five patients with chronic facial palsy were treaded by temporalis muscle transfer to the eye and mouth simultaneously. In four of them, the combined Gillies-McLaughlin technique was used, but for the fifth one, a modified technique was applied.

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Metastatic tumors of the appendix is a rare entity, whereas only limited data involving metastasis arising from gastric cancer has been reported. Herein, the case of gastric adenocarcinoma metastasis presenting as acute appendicitis is reported. A 53-year-old male, with a history of subtotal gastrectomy due to gastric adenocarcinoma 3 years before, was referred to the Emergency Department with symptoms of acute appendicitis.

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Bile duct lesions, including leaks and strictures, are immanent complications of open or laparoscopic cholecystectomy (LC). Endoscopic procedures have gained increasing potential as the treatment of choice in the management of postoperative bile duct injuries. Bile duct injury (BDI) is a severe and potentially life-threatening complication of LC.

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This paper proposes a new model of "novelty detection" for image sequence analysis using neural networks. This model uses the concept of artificially generated negative data to form closed decision boundaries using a multilayer perceptron. The neural network output is novelty filtered by thresholding the output of multiple networks (one per known class) to which the sample is input and clustered for determining which clusters represent novel classes.

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