A potpourri of practical surgical tips is presented in this article. Included are the clues for diagnosis, ideas for wound management, intraoperative tips, and assorted other items to enhance surgical practice.
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Machine learning prediction of hepatic encephalopathy for long-term survival after transjugular intrahepatic portosystemic shunt in acute variceal bleeding.
World J Gastroenterol
January 2025
Department of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510151, Guangdong Province, China.
Background: Transjugular intrahepatic portosystemic shunt (TIPS) is an effective intervention for managing complications of portal hypertension, particularly acute variceal bleeding (AVB). While effective in reducing portal pressure and preventing rebleeding, TIPS is associated with a considerable risk of overt hepatic encephalopathy (OHE), a complication that significantly elevates mortality rates.
Aim: To develop a machine learning (ML) model to predict OHE occurrence post-TIPS in patients with AVB using a 5-year dataset.
Left-Sided Gallbladder: Tips and Tricks to Safe Cholecystectomy.
Cureus
December 2024
Hepatobiliary Surgery, Mater Misericordiae University Hospital, Townsville, AUS.
Left-sided gallbladder (LSGB) is a rare anatomical variation where the gallbladder is to the left of the falciform ligament and ligamentum teres. Most commonly, it is discovered as an incidental finding at the time of operation (typically for cholecystectomy). We describe a case of left-sided gallbladder in a 71-year-old female.
View Article and Find Full Text PDFAdvances in knowledge and practice benefiting the health and management of first permanent molars in children.
Br Dent J
January 2025
School of Dental Sciences, Newcastle University, Newcastle, UK.
First permanent molars (FPMs) remain the most affected teeth by dental conditions in childhood. Maintaining the health of FPMs should be prioritised by dental professionals. However, if subjected to unfavourable circumstances, FPMs can become compromised and impact the child negatively.
View Article and Find Full Text PDFA Multi-Scale Computational Model of the Hepatic Circulation Applied to Predict the Portal Pressure After Transjugular Intrahepatic Portosystemic Shunt (TIPS).
Int J Numer Method Biomed Eng
January 2025
Hebei Provincial Key Laboratory of Portal Hypertension and Cirrhosis, Xingtai People's Hospital, Xingtai, China; Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China.
Transjugular intrahepatic portosystemic shunt (TIPS) is a widely used surgery for portal hypertension. In clinical practice, the diameter of the stent forming a shunt is usually selected empirically, which will influence the postoperative portal pressure. Clinical studies found that inappropriate portal pressure after TIPS is responsible for poor prognosis; however, there is no scheme to predict postoperative portal pressure.
View Article and Find Full Text PDFHISTOMORPHOMETRIC AND IMMUNOHISTOCHEMICAL EVALUATION OF BONE HEALING AROUND IMPLANTS PLACED USING PIEZOSURGERY VS CONVENTIONAL DRILLS: A SPLITMOUTH PILOT STUDY.
J Oral Implantol
January 2025
Department of Neuroscience, Reproductive Sciences and Dentistry, Federico II University of Naples, Naples, Italy.
Purpose: This pilot study evaluated and compared histomorphometric and immunohistochemical characteristics of peri-implant bone tissue after implant site preparation using piezoelectric tips versus conventional drills.
Material And Methods: Six patients with bilateral partial edentulism underwent a splitmouth protocol. Twelve alveolar ridges were randomized into six control implant sites prepared using conventional drills (Drill Group); and six test implant sites prepared using piezoelectric implant inserts (Piezo Group).
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