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http://dx.doi.org/10.1308/rcsann.2020.0055 | DOI Listing |
Gland Surg
December 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Sengkang General Hospital, Singapore, Singapore.
In recent years, minimally invasive breast surgery (MIBS) has revolutionized breast cancer treatment, allowing for preservation of aesthetic outcomes while ensuring oncological safety. However, this has created a new challenge in maintaining optimal visualization and dexterity during microvascular anastomosis which is critical for successful autologous tissue reconstruction. Traditional retractors often limit maneuverability, potentially impacting the outcomes of anastomotic procedures.
View Article and Find Full Text PDFCureus
December 2024
Anesthesiology, Jikei University School of Medicine, Tokyo, JPN.
Background Femoral neuropathy is a significant postoperative complication in gynecological surgery that can severely impact patient mobility and quality of life. Among various mechanisms of nerve injury, retractor-induced compression against the pelvic sidewall has been identified as a particularly crucial causative factor. Despite this well-recognized mechanism and its clinical importance, few studies have investigated specific preventive strategies for this iatrogenic complication.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
September 2024
Neurosurgical Group of Texas, Houston, Texas.
Background: The prone transpsoas (PTP) technique involves the performance of a lateral lumbar interbody fusion with the patient prone. One challenge encountered in the early experience with the PTP technique is that with the patient in the prone position rather than the lateral decubitus position, the surgeon is often forced to raise the bed significantly and perform the interbody work in a hunched and seated position with their neck extended and shoulders abducted. The authors report on the use of a sterile retractor-mounted camera during PTP that allows for the surgery to be performed with surgical anatomy visualized on a heads-up display.
View Article and Find Full Text PDFClin Spine Surg
September 2024
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
Study Design: Retrospective study.
Objective: To determine whether there are significant differences in postoperative dysphagia when using table-mounted versus self-retaining retractor tools.
Summary Of Background Data: Retraction of prevertebral structures during anterior cervical spine surgery (ACSS) is commonly associated with postoperative dysphagia or dysphonia.
Turk Neurosurg
September 2024
Samsun Training and Research Hospital, Anesthesia Clinic, Samsun, Türkiye.
Aim: To examine the effects of different retractor techniques for anterior cervical discectomy on cerebral oxygen saturation.
Material And Methods: In this study, a prospective comparative design was employed to examine the effects of different retractor techniques on a cohort of 48 adult patients with ASA I-II classification who underwent anterior cervical discectomy under general anesthesia. The study was conducted under assessor-blinded conditions, and the patients were divided equally into two groups: the self-retaining retractor group and the hand-held retractor group.
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