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Timing in orthopaedic surgery - Rethinking traditional myths with a critical perspective.
Injury
January 2025
Department of Trauma Surgery, University Medical Center Regensburg, Regensburg, Germany; Department of Trauma, Hand- and Reconstructive Surgery, University Hospital Giessen, Giessen, Germany. Electronic address:
Purpose: Standard operating procedures aim to achieve a standardized and assumedly high-quality therapy. However, in orthopaedic surgery, the aspect of temporal urgency is often based on surgical tradition and experience. At a time of evidence-based medicine, it is necessary to question these temporal guidelines.
View Article and Find Full Text PDFThe pectoralis major myocutaneous pedicled flap-Its past and current practice in a dedicated microsurgery service. Review of the literature, and debunking controversies.
J Plast Reconstr Aesthet Surg
November 2024
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan; Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan. Electronic address:
Background: The pectoralis major myocutaneous pedicled (PMMP) flap is still considered by many a workhorse flap in head and neck (H&N) reconstruction, despite free flap surgery advancing. The authors aimed to examine this claim and associated myths and controversies by analyzing literature trends and revealing the role of the PMMP flap in a well-established microsurgery center.
Methods: The senior author's reconstructive H&N practice between 1995 and 2022 was reviewed to describe and critically judge primary and secondary PMMP flap decisions to provide invaluable lessons learned and debunk common controversies related to complex H&N reconstruction.
Dispelling the Myths of Percutaneous Catheter Drainage of Infected Abdominal Collections.
Semin Intervent Radiol
October 2024
Section of Interventional Radiology, The University of Chicago, Chicago, Illinois.
When consulted for percutaneous catheter drainage (PCD) of abdominopelvic collections, interventional radiologists (IRs) should consider the appropriateness of this technique in the context of other options such as conservative, endoscopic, or surgical management. Whenever possible, published data should be considered prior to performing percutaneous drainage, especially as regards controversial scenarios such as the use of fibrinolytic therapy, the primary placement of large-bore drainage catheters, the drainage of cystic tumors, the drainage of splenic abscesses, and the treatment of collections lacking an in-line drainage window. This article examines past and present published data on PCD to dispel some common myths and guide IRs toward the best applications of PCD.
View Article and Find Full Text PDFMechanical heart valves between myths and new evidence: a systematic review and meta-analysis.
J Cardiovasc Med (Hagerstown)
January 2025
Department of Cardiac Surgery, IRCCS Policlinico San Donato, Milan.
Aims: The use of mechanical valve prostheses in cardiac surgery remains a necessary and indicated intervention in a large number of patients. However, predicted results associated with their use, on which current guideline recommendations have been developed, are based on dated studies at risk of bias (e.g.
View Article and Find Full Text PDFHealthcare providers' perceptions on post abortion intrauterine contraception: A qualitative study in central Uganda.
PLoS One
December 2024
Department of Women's and Children's Health, Karolinska Institutet, and WHO Collaborating Centre, Karolinska University Hospital, Stockholm, Sweden.
Article Synopsis
- * A study involving interviews with 45 healthcare providers revealed barriers such as lack of knowledge, heavy workloads, facility inadequacies, and community misconceptions hindering IUD provision and utilization.
- * To improve post-abortion IUD uptake, participants suggested enhancing healthcare provider training, addressing systemic challenges, and increasing community awareness about IUDs.
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