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S8 Navigation system combined with an ultrasonic osteotome for three-dimensional real-time dynamic visualization decompression to reduce postoperative neurological deterioration in thoracic ossification of the ligamentum flavum.
Eur Spine J
January 2025
Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, China.
Background: Posterior laminectomy is a standard treatment for thoracic ossification of the ligamentum flavum (TOLF), but it often leads to neurological deterioration during surgery. This study aimed to reduce iatrogenic neurological deterioration by using an S8 navigation system combined with an ultrasonic osteotome for three-dimensional real-time dynamic visualization decompression.
Methods: A retrospective analysis was conducted on patients who underwent laminectomy and internal fixation for TOLF in our centre from January 2016 to January 2023.
Clinical presentation, acute care management and discharge information of patients with thoracic trauma in South Africa and Sweden: a prospective multicenter observational study.
Eur J Trauma Emerg Surg
January 2025
Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Purpose: Thoracic trauma causes pain and hospitalisation. Middle- and high-income countries have different trauma contexts and populations. To report patients' clinical presentation (pain and shortness of breath) and its influence on hospital length of stay (LOS), acute care management, and discharge destinations in South Africa (SA) and Sweden.
View Article and Find Full Text PDFUnderstanding the Current Practice in Chest Tube Management Following Lung Resection-A Canadian National Survey.
Ann Ital Chir
January 2025
Division of Thoracic Surgery, McMaster University, Hamilton, ON L8S 4L8, Canada.
Aim: Timing of chest tube removal post lung resection is variable in practice and often based on personal experience rather than evidence. The current practice in chest tube management among thoracic surgeons across Canada is so far unknown. Our primary aim was to assess the current status of chest tube removal in Canada in order to uncover potential shortcomings.
View Article and Find Full Text PDFAccuracy of Fully Automated and Human-assisted AI-based CT Quantification of Pleural Effusion Changes after Thoracentesis.
Radiol Artif Intell
January 2025
From the Department of Radiology (E.J.H., S.K., H.K., D. K., S.H.Y.) and Medical Research Collaborating Center (H.H.), Seoul National University Hospital, 101 Daehak- ro, Jongno-gu, Seoul 03080, Korea; Department of Radiology, Seoul National University College of Medicine (E.J.H., H.K., S.H.Y.), Seoul, Korea; Department of Radiology, Hanyang University Medical Center, Hanyang University College of Medicine (S-J.Y., Seoul, Korea).
Quantifying pleural effusion change on chest CT is important for evaluating disease severity and treatment response. The purpose of this study was to assess the accuracy of artificial intelligence (AI)-based volume quantification of pleural effusion change on CT images, using the volume of drained fluid as the reference standard. Seventy-nine participants (mean age, 65 ± [SD] 13 years; 47 male) undergoing thoracentesis were prospectively enrolled from October 2021 to September 2023.
View Article and Find Full Text PDFApixaban removal during emergency surgery for type A acute aortic dissection: a prospective cohort study.
Int J Surg
December 2024
Institute of Clinical Medicine, University of Oslo.
Background: Acute type A aortic dissection (ATAAD) has a high mortality, and acute aortic repair is the only curative treatment. In patients treated with factor Xa (FXa) inhibitors, the risk of severe disease-related complications such as cardiac tamponade and hemodynamic shock must be balanced against the potential for severe perioperative bleeding. The aim was to study intraoperative changes in plasma levels of the FXa inhibitor apixaban when using hemoadsorption during acute thoracic aortic repair.
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