Comprehensive perioperative blood management in patients undergoing elective bypass cardiac surgery: Benefit effect of health care education and systematic correction of iron deficiency and anemia on red blood cell transfusion.

Study Objective: The aim of this study was to investigate the efficacy of a two-step patient blood management (PBM) program in red blood cell (RBC) transfusion requirements among patients undergoing elective cardiopulmonary bypass (CPB) surgery.

Design: Prospective, non-randomized, two-step protocol design.

Setting: Cardiac surgery department of Clinique Pasteur, Toulouse, France.

Comparable clinical course between coagulase-negative staphylococcal and Staphylococcus aureus endocarditis.

Purpose: Staphylococcus aureus (SA) is involved in almost one-third of endocarditis events (known as E-SA) and is frequently associated with unfavorable outcomes compared to infectious endocarditis (IE) caused by other pathogens including coagulase-negative staphylococci (CNS). The aim of this study was to compare the morbidity and mortality of patients with E-SA and endocarditis due to CNS (known as E-CNS).

Methods: A monocentric retrospective cohort analysis was conducted including all patients admitted with IE from January 2010 to December 2017.

Preoperative plasma fibrinogen level and transfusion in cardiac surgery: a biphasic correlation.

Coagulopathic bleeding is a serious complication of cardiac surgery. A very low preoperative plasma fibrinogen level (PFL) has been previously described as a risk factor for red blood cell (RBC) transfusion in the perioperative setting. Nevertheless, contradictory results have been published concerning preoperative fibrinogen infusion to decrease RBC transfusion.

Patient blood management in elective bypass cardiac surgery: A 2-step single-centre interventional trial to analyse the impact of an educational programme and erythropoiesis stimulation on red blood cell transfusion.

Unlabelled: Anaemia and iron deficiency are frequent in patients scheduled for cardiac surgery. Perioperative patient blood management (PBM) is widely recommended in current practice guidelines. The aim of this protocol is to analyse the effect of a global perioperative PBM programme on the red blood cell (RBC) transfusion ratio, morbidities and rehabilitation score in elective cardiac surgery.

The surgical learning curve for endoscopic GreenLight™ laser enucleation of the prostate: an international multicentre study.

Objectives: To investigate the effect of surgical experience on the perioperative outcomes of endoscopic GreenLight™ (Boston Scientific Corporation, Marlborough, MA, USA) laser enucleation of the prostate (GreenLEP).

Subjects/patients And Methods: A multicentre retrospective study of the first patients treated with GreenLEP by six surgeons was conducted. For each patient, surgical experience was coded as the total number of procedures performed by the surgeons before the patient's operation.

Accuracy of the preoperative PSA level for predicting clinically significant incidental transitional zone-prostate cancer before endoscopic enucleation of very large adenoma.

Objective: To analyse the accuracy of high preoperative PSA levels for predicting transitional zone incidental PCa (TZ-PCa) in men with very large prostates.

Materials And Methods: Perioperative data from 375 consecutive patients who underwent endoscopic enucleation of the prostate (EEP) for benign prostatic obstruction between July 2013 and December 2018 were retrospectively reviewed. Patients were stratified into three groups according to the preoperative PSA level: low-PSA (< 4 ng/mL), intermediate-PSA (4 ≤ PSA < 10 ng/mL) and high-PSA (≥ 10 ng/mL).

Stopping or maintaining oral anticoagulation in patients undergoing photoselective vaporization of the prostate (SOAP) surgery for benign prostate obstruction: study protocol for a multicentre randomized controlled trial.

Background: Lower urinary tract symptoms related to benign prostatic obstruction (BPO) are frequent in men aged > 50 years. Based on the use of innovative medical devices, a number of transurethral ablative techniques have recently been developed for the surgical treatment of BPO. In recent years, GreenLight photoselective vaporization of the prostate (PVP) has been considered as a non-inferior alternative to transurethral resection of the prostate.

Does mechanical morcellation of large glands compromise incidental prostate cancer detection on specimen analysis? A pathological comparison with open simple prostatectomy.

Objective: This study sought to compare the incidental prostate cancer (iPCa) detection rate between pathological specimens from green laser enucleation of the prostate (GreenLEP) and open simple prostatectomy (OSP).

Materials And Methods: In two institutions, the charts of all consecutive patients who underwent OSP between January 2005 and December 2010 were retrospectively reviewed, and the data of all consecutive patients who underwent GreenLEP with tissue morcellation between July 2013 and January 2018 were also collected. Preoperative demographics and pathological findings were recorded.

Comparison of Outcomes Obtained After Regular Surgery Versus Live Operative Surgical Cases: Single-centre Experience with Green Laser Enucleation of the Prostate.

Background: Live surgery remains controversial. Although it may improve surgical training and accelerate the dissemination of technical steps of surgical procedures, controversy exists regarding patient safety in live surgery.

Objective: To compare the perioperative outcomes of "en bloc" green laser enucleation of the prostate (GreenLEP) performed in workshops during live case demonstration (LCD) and in standard conditions (SCs).

Comparison between open simple prostatectomy and green laser enucleation of the prostate for treating large benign prostatic hyperplasia: a single-centre experience.

Purpose: This study sought to compare perioperative outcomes and morbidities for open simple prostatectomy (OSP) and endoscopic green laser enucleation of the prostate (GreenLEP).

Methods: In a single department, all consecutive patients who underwent OSP between January 2005 and December 2010 were retrospectively reviewed, and all consecutive patients undergoing GreenLEP between July 2013 and January 2017 were prospectively enrolled. Perioperative data, information regarding early postoperative complications for up to 6 months and outcomes were collected and retrospectively compared.

[Enlargement plasty of the acetabulum by vascularized iliac crest cartilage transfer in children].

Introduction: Following an experimental study with rabbits published in 1983, the authors report the results of a surgical technique for the enlargement plasty of the acetabulum in children. This study was preceded by an anatomical study of the vascularization of foetal iliac crest epiphysis.

Material: 10 children were operated on at an average of 8 years old.

[Topographic and developmental study of primary osteochondritis of the hip by x-ray computed tomography].

The authors have studied 40 normal hips and 69 hips affected by Perthes' disease by computerised axial tomography. A classification proposed into three groups according to the extent of epiphyseal involvement. Type A comprises peripheral and limited abnormalities.

[Acetabular protrusion in Marfan's disease].

The etiologic assessment that had been made on the person of a young girl revealed a protrusio acetabuli which was painful and stiff and the evolution of which was quick, was allowed us to reveal a Marfan's syndrome. On this occasion, we have studied the links between the Marfan's syndrome and the protrusio acetabuli. After having resumed the history of this illness, the author remind us of its main characteristics while insisting upon the orthopedic abnormalities.

[Experimental study of a growing acetabulum shelf (vascularized graft)].

The author has operated on 50 immature rabbits to perform a vascularised transplantation of the growing iliac crest to replace the rim of the acetabulum. Vascularity was preserved through the vascular pedicle and there was no need for vascular anastomosis. The results were assessed radiologically and by histological studies.

[Continual valgum and varum in children treated by stapling (author's transl)].

The authors have conducted stapling experiments in 25 rabbits which have shown that, after four weeks, growth was stopped because of lesions of the germinal layer of the growth plate and the formation of bony bridges. They have reviewed the results obtained in 105 children with satisfactory results in 80 p. 100.

[Perthes' disease treated by Chiari pelvic osteotomy (author's transl)].

The author has studied the results of 17 pelvic osteotomies performed during the course of Perthes' disease in cases in which the femoral head was poorly covered by the acetabular roof. They found improved cover anteriorly and superiorly after operation. Bone remodelling as seen on radiographs and by arthrography was favourably influenced by the better cover.

[Partial fractures of the patella (author's transl)].

The authors reviewed the blood supply of the patella necrosis and pseudarthrosis were retained after patella fracture. These complications made the authors better defining the vascular anatomy of the patella region. A poor peripheral blood supply and a special vascular pedicle to the tip are suggested as an factor of these complications.