In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy.

Tissue morcellation during laparoscopic hysterectomy carries the risk of spreading cells from unsuspected malignancy. Contained morcellation inside a bag is supposed to minimize this risk. The present study evaluated routine use of in-bag morcellation during laparoscopic hysterectomy in a consecutive patient cohort ( = 49).

Impingement Syndrome of the Shoulder.

Background: Shoulder pain is the third most common musculoskeletal complaint in orthopedic practice. It is usually due to a defect of the rotator cuff and/or an impingement syndrome.

Methods: This review is based on pertinent literature retrieved by a selective search of the Medline database.

Local antibiotic decontamination to prevent anastomotic leakage short-term outcome in rectal cancer surgery.

Purpose: Anastomotic leakage still presents an issue in rectal cancer surgery with rates of about 11%. As bacteria play a critical role, there is the concept of perioperative local decontamination to prevent anastomotic leakage.

Methods: To ascertain the effectiveness of this treatment, we performed a retrospective analysis on 206 rectal resections with primary anastomosis and routine use of a selective decontamination of the digestive tract (SDD) regimen for local decontamination.

High Burden and Depression Among Late-Stage Idiopathic Parkinson Disease and Progressive Supranuclear Palsy Caregivers.

Objectives: Caregivers of patients with late-stage idiopathic Parkinson disease (IPD) and late-stage progressive supranuclear palsy (PSP) often suffer from severe psychological strain themselves. This study investigates the influence of the different kind of symptoms in IPD and PSP on the psychological burden of the caregivers.

Methods: Twenty patients with late-stage IPD and 20 patients with late-stage PSP and their caregivers were investigated.

The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department.

Background: To prevent bone loss in hip arthroplasty, several short stem systems have been developed, including the Mayo conservative hip system. While there is a plethora of data confirming inherent advantages of these systems, only little is known about potential complications, especially when surgeons start to use these systems.

Methods: In this study, we present a retrospective analysis of the patients' outcome, complications and the complication management of the first 41 Mayo conservative hips performed in 37 patients.

Hemiarthroplasty for Humeral Head Fractures.

Objective: Replacement of the fractured humeral head with a modular prosthesis. The procedure aims at an adequate reconstruction of shape and function of the shoulder.

Indications: Displaced three- and four-part fractures of the proximal humerus that cannot be reduced and internally fixed.