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T-shaped myofascial incision for Chiari I malformation surgery without dural closure in children: Technical note.
J Clin Neurosci
December 2024
Department of Pediatric Neurosurgery, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom.
Background: Like in all posterior fossa surgeries the avoidance of cerebrospinal fluid (CSF) leaks is of paramount importance for foramen magnum decompression in Chiari I malformation in children. The present technical note decribes the experience with the creation of a T-shaped myofascial cuff to reduce the risk of postoperative CSF leaks.
Methods: The medical records of 98 children were evaluated.
Validation of a training simulator for temporomandibular joint arthroscopy.
J Craniomaxillofac Surg
October 2024
Fundación para el estudio y desarrollo de la implantología, cirugía oral y maxilofacial, Badajoz, Spain.
Objective: This study aims to evaluate a temporomandibular joint (TMJ) arthroscopy simulator using construct and face analyses.
Methods: Thirty participants attending a TMJ training course were divided into novice and expert surgeons (more than 100 procedures) and performed two arthroscopic tasks (cavity access/cavity exploration) during which the surgical tool movements were tracked. Five objective metrics were used to measure surgeon ability and construct validity was assessed by comparing novel and expert performance.
Novel Technique to Close Stellate Corneal Lacerations.
Cornea
October 2024
Department of Ophthalmology, Medical College of Georgia, Augusta, GA.
Purpose: The study was performed to evaluate and optimize a novel technique to close stellate corneal lacerations in a wet laboratory environment.
Materials And Methods: Twenty-one ex vivo porcine eyes with standardized, experimentally created stellate corneal lacerations were assigned to one of three surgical repair techniques. In Group 1 (n = 9), lacerations were closed with simple interrupted sutures only.
Retrograde transurethral injection of indocyanine green better assists complete transperitoneal nephroureterectomy in a single-position.
Transl Androl Urol
September 2024
Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Background: Complete transperitoneal nephroureterectomy (CTNU) in a single-position is an advanced surgical technique for the treatment of upper urinary tract urothelial carcinoma (UTUC), performed entirely through a transperitoneal approach without the need for patient repositioning. Indocyanine green (ICG) has been extensively studied in urologic surgery, with applications ranging from sentinel lymph node mapping to tumor localization. This study aimed to evaluate the performance of retrograde ureteral fluorescence imaging in CTNU.
View Article and Find Full Text PDFBilateral decompressive craniectomy as a damage control strategy for a preschooler multilobar bihemispheric firearm injury: a case report and systematic review.
Childs Nerv Syst
December 2024
Department of Neurosurgery, Miguel Couto Municipal Hospital, Rio de Janeiro, RJ, Brazil.
The absence of guidelines for managing gunshot wounds to the head (GSWH) with bihemispheric lesions in pediatric patients highlights the need for prompt and diverse damage control strategies. This article aims to systematically evaluate the evidence surrounding the management of GSWH in preschoolers and to report a novel approach. We present a case of a 4-year-old girl who sustained a gunshot wound to the left parietal region.
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