Publications by authors named "S Harmsen"

Introduction: Accurate staging of malignancies often requires comprehensive evaluation of lymph nodes. However, finding these lymph nodes during oncological surgery is a daunting and time-consuming task, which increases the risk of missed lymph nodes and complications. Near-infrared (NIR) fluorescence imaging with the experimental fluorescent contrast agent PanLN800(-Forte) could provide real-time identification of lymph nodes and may solve this longstanding problem.

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Background: Lateralization has been previously studied for reverse shoulder arthroplasty, but there is little clinical research investigating the independent effect of medialization or lateralization of the joint line, nor global medialization or lateralization for anatomic total shoulder arthroplasty (TSA). The goal of this study was to assess the impact of lateralization on clinical outcomes after anatomic TSA.

Methods: A retrospective review of a multi-institutional registry was performed.

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Article Synopsis
  • Reverse shoulder arthroplasty is used to treat conditions like cuff tear arthropathy and irreparable rotator cuff tears, and advances in design allow for improved correction of glenoid retroversion and inclination with augmented baseplates.
  • The study involved analyzing CT scans from 21 patients and comparing the effects of standard and augmented baseplates when adjusting the glenoid inclination to neutral, with surgeons virtually placing both types to ensure consistency.
  • Results showed that while the area of baseplate contact was similar between both types, patients with augmented baseplates experienced significantly less bone loss during surgery (619 mm vs. 1102 mm reamed), indicating a potential advantage of the augmented design.
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Lung cancer, the most common cause of cancer-related death in the United States, requires advanced intraoperative detection methods to improve evaluation of surgical margins. In this study we employed DDAO-arachidonate (DDAO-A), a phospholipase A2 (PLA2) activatable fluorophore, designed for the specific optical identification of lung cancers in real-time during surgery. The fluorescence activation of DDAO-A by porcine sPLA2 was tested in various liposomal formulations, with 100 nm extruded EggPC showing the best overall characteristics.

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Objective: Surgery remains the first line treatment for meningiomas and can benefit from fluorescence-guided surgical techniques such as second-window indocyanine green (SWIG). In the current study, we compared the use of the standard SWIG dose of 5.0 mg/kg relative to 2.

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