It is well known the difficulty of a precise evaluation in the pretherapeutic stage of any esophageal pathology, especially that of obstructive lesions. Preoperatory information should be as accurate as possible, any evaluation error leading to surgical manoeuvres that can later be regretted. From the current practice one can easily observe that there is no typical exploratory protocol, each having its own specific limits, high costs that are not negligible, and some of them are not always immediately available. It is obvious that para-clinic approach has changed, due to technological progress that has increased the accuracy of medical information, but has also increased costs. The standard protocol has lead to a retrospective analysis of the esophageal obstruction cases that were hospitalized in the Sf Maria Clinic of Surgery, during 1981-2002, regarding diagnostic algorythm and treatment used.
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Eur J Trauma Emerg Surg
January 2025
Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.
Purpose: To investigate the factors that prolonged the operative duration (OD) in patients who underwent single-stage locked intramedullary nailing of their multiple concurrent long-bone fractures (LBFs) using Surgical Implant Generation Network (SIGN) nails.
Methods: Forty-nine patients who fulfilled the inclusion criteria were enrolled prospectively over 8½ years. Data collected included age, sex, injury mechanism and severity, fracture characteristics, nail types and diameter, OD, fracture-to-fixation time, length of hospital stay (LOS), functional outcomes and complications.
Clin Pract
December 2024
Department of Maxillofacial Surgery, University Hospital of Split, 21000 Split, Croatia.
Radial forearm free flap (RFFF) is considered one of the workhorses in modern head and neck reconstruction surgery due to its technical simplicity, versatility and less time-consuming harvest. In this report, we present the case of a 56-year-old woman with sublingual squamous cell carcinoma (SCC) who underwent surgical resection and reconstruction of the defect with a RFFF. The preoperative Allen test showed normal blood flow, and the ultrasound did not recognize any blood vessel abnormalities in the left arm.
View Article and Find Full Text PDFBackground The critical view of safety (CVS) is a critical technique to minimize the risk of bile duct injuries (BDIs) during laparoscopic cholecystectomy (LC). This study evaluated the rate of CVS achievement and examined factors influencing its success. Methods This prospective study included 97 patients undergoing LC.
View Article and Find Full Text PDFIntroduction: In 2015, Society for Vascular Surgery guidelines on claudication management were released spanning optimal medical management, procedural, and post-procedure recommendations. Uptake of guidelines and changes to clinical practice over time remain unknown. This study hypothesized that guideline aligned practice increased after guideline release.
View Article and Find Full Text PDFAdv Orthop
January 2025
Orlando Health Jewett Orthopedic Institute, Orlando, Florida, USA.
Advances in artificial intelligence (AI), machine learning, and publicly accessible language model tools such as ChatGPT-3.5 continue to shape the landscape of modern medicine and patient education. ChatGPT's open access (OA), instant, human-sounding interface capable of carrying discussion on myriad topics makes it a potentially useful resource for patients seeking medical advice.
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