200 results match your criteria: "General Hospital 'Papageorgiou'[Affiliation]"

Background: We investigated the accuracy of targeted resection thickness in patients undergoing primary Total Knee Arthroplasty (TKA) using the ROSA robotic system.

Methods: Calliper measurements of the distal femur (DF), proximal tibia (PT), and posterior condyles (PC) were taken in 44 patients from June 2023 to January 2024.

Results: Planned and actual resection depth difference was 0.

View Article and Find Full Text PDF

: Laparoscopic cholecystectomy constitutes the current "gold standard" treatment of symptomatic gallstone disease. In order to avoid intraoperative vasculobiliary injuries, it is mandatory to establish the "critical view of safety". In cases of poor identification of the cystic duct and artery leading to a missed intraoperative injury, patients present with elevated liver function tests (LFTs) or increased bilirubin postoperatively.

View Article and Find Full Text PDF

Purpose: The dual mobility cup (DMC) reduces the dislocation rates in total hip arthroplasty (THA). DMC systems include anatomical (non-modular or monoblock) (ADM) and modular dual mobility (MDM) components (Stryker Orthopaedics, Mahwah, NJ, USA). This review aims to assess differences between these two types of DMC implants concerning dislocation and revision rates, as well as patient-reported outcomes.

View Article and Find Full Text PDF
Article Synopsis
  • * A study in Greece involved 184 adults, revealing that many suffer from additional issues like obesity and allergic comorbidities, with the majority receiving specific treatment for their condition.
  • * Key findings included high rates of pain, severe itching, and sleep disturbances, with patients reporting substantial reductions in work productivity and overall well-being.
View Article and Find Full Text PDF

What Is the Optimal Interval Between Bilateral Total Knee Arthroplasty when Performed Under Separate Anesthesia?

J Arthroplasty

October 2024

Department of Anaesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, New York; Department of Anaesthesiology, Weill Cornell Medical College, New York, New York.

View Article and Find Full Text PDF
Article Synopsis
  • This study analyzed long-term outcomes of young patients under 65 with femoral neck fractures (FNFs) treated with closed reduction and internal fixation (CRIF) over the past decade.
  • Involving 52 patients, results showed that no cases of non-union occurred, but 17.3% developed avascular necrosis (AVN) requiring total hip arthroplasty (THA) after about 1.68 years.
  • Factors like age, trauma type, sex, and treatment conditions did not significantly impact patient outcomes, but the time from trauma to surgery was shorter for those who later underwent THA.
View Article and Find Full Text PDF

Introduction: Current literature is inconclusive as to whether transversus abdominis (TrA) training can provide an additional benefit to pelvic floor muscle (PFM) training in female stress urinary incontinence (SUI). We designed a study to investigate the effect of PFM and TrA training on incontinence parameters.

Material And Methods: 60 females with SUI were randomised to PFM training alone or PFM plus TrA training.

View Article and Find Full Text PDF

Inflammatory bowel disease (IBD) is an inflammatory clinical entity with many extraintestinal symptoms, including urinary tract manifestations. However, the bilateral ureteral obstruction is extremely rare. We report a case of bilateral ureteral obstruction in a 12-year-old male patient with ulcerative colitis (UC).

View Article and Find Full Text PDF

Piriformis preserving posterior approach STAR for primary and primary complex total hip arthroplasty: Excellent safety and efficacy in a single blinded prospective single surgeon cohort of 522 patients with a mean follow-up of 2 years.

SICOT J

September 2024

Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou, Ring Road Efkarpia, Thessaloniki 56403, Greece - Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Buildings A & B, 10th km Thessaloniki-Thermi Rd, P.O. Box 8318, Thessaloniki 57001, Greece - Tsiridis Orthopaedic Institute - ICAROS Clinic, Thessaloniki 55535, Greece.

Introduction: STAR (Superior Transverse Anatomic Reconstruction), a piriformis-preserving posterior approach, has not been extensively studied. Our study aimed to assess the STAR approach's safety and efficacy by recording postoperative complication rates and measuring implantation accuracy in a single surgeon prospective cohort with a mean follow-up of two years.

Methods: The study involved 522 patients with elective primary or complex primary total hip arthroplasty (THA) performed by a senior surgeon using the STAR approach between 2019 and 2023.

View Article and Find Full Text PDF

Pancreatic ductal adenocarcinoma (PDAC) is one of the most aggressive tumors, and the most common cause of cancer-related deaths. In the past, vascular infiltration of the tumor rendered the disease unresectable. However, today, venous or arterial involvement of a PDAC is classified as borderline resectable (BR) or locally advanced (LA) disease.

View Article and Find Full Text PDF

Familial Spontaneous Keloids: Examining Thoracic Manifestations in Two Brothers.

Cureus

July 2024

Department of Plastic and Reconstructive Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Keloids are complex fibroproliferative disorders with diverse clinical presentations. Spontaneous keloids (SKs) represent a rare subtype that emerges without any known preceding traumatic event. This report presents a case of familial spontaneous keloids appearing on the thoracic region in two brothers with no prior history of trauma or keloid occurrence in other family members.

View Article and Find Full Text PDF

Colorectal cancer is the third most common cancer worldwide, and 20-30% of patients will develop liver metastases (CRLM) during their lifetime. Hepatocellular carcinoma (HCC) is also one of the most common cancers worldwide with increasing incidence. Hepatic resection represents the most effective treatment approach for both CRLM and HCC.

View Article and Find Full Text PDF

Background: Effective surgical wound management in total knee arthroplasty (TKA) is crucial for optimal healing and patient outcomes. Despite surgical advances, managing wounds to prevent complications remains challenging. This study aimed to identify and address evidence gaps in TKA wound management, including preoperative optimization, intraoperative options, and postoperative complication avoidance.

View Article and Find Full Text PDF

When Nerves Tell a Different Story: Functional Neurological Disorder (FND) After a Minor Hand Injury.

Cureus

May 2024

Department of Plastic and Reconstructive Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Article Synopsis
  • * She surprisingly recovered full sensation and function within two hours after the injury, leading to the diagnosis of functional neurological disorder (FND), specifically functional movement disorder (FMD), after thorough neurological tests.
  • * Collaboration among hand surgeons, neurologists, and occupational therapists is key for accurate diagnosis and treatment, and more research is needed to understand FND better, especially in relation to hand trauma management.
View Article and Find Full Text PDF
Article Synopsis
  • Preeclampsia is a serious pregnancy-related condition characterized by high blood pressure, which can negatively impact fetal development.
  • It can lead to short-term issues for the fetus and long-term complications for newborns due to impaired blood flow during critical developmental stages.
  • The case presented involves a preterm baby who is small for their age, experiencing severe growth issues and gastrointestinal problems, born to a mother suffering from severe preeclampsia.
View Article and Find Full Text PDF
Article Synopsis
  • DNA methylation is an epigenetic modification that silences gene expression and is frequently observed in bladder cancer, particularly affecting patients with neurogenic lower urinary tract dysfunction (NLUTD), where it contributes to tumor development and severity.
  • The study analyzed the methylation profiles of five specific gene promoters in bladder tissue samples from NLUTD patients and found DNA hypermethylation in all samples, with RARβ being the most affected.
  • A significant correlation was observed between the number of hypermethylated genes and recurrent urinary tract infections (UTIs), although no other clinical characteristics showed significant associations with DNA hypermethylation.
View Article and Find Full Text PDF

Letter to the Editor on "Increased Rates of Late Periprosthetic Fractures in Larger Hydroxyapatite-Coated Cementless Stems: Are Collared Stems a Better Alternative for Total Hip Arthroplasty?".

J Arthroplasty

June 2024

Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou, Thessaloniki, Greece; Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece.

View Article and Find Full Text PDF

Introduction: Total nose reconstruction is demanding as it is a 3-dimensional structure that needs lining, support and external coverage. Usually, several stages are needed to achieve a satisfactory result. The authors present 2 cases of prelaminated radial forearm and 2 prelaminated forehead nose reconstructions and compare both methods.

View Article and Find Full Text PDF

Impact of sugammadex and neostigmine on outcome after major orthopaedic surgery: A population-based analysis.

Eur J Anaesthesiol

May 2024

From the Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria (CC, SGM), Hospital for Special Surgery, Department of Anesthesiology, Critical Care & Pain Management, Weill Cornell Medical College, New York, USA (HZ, AI, JL, SGM), Department of Orthopaedic Surgery/Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, USA (JP), Department of Anesthesiology, Weill Cornell Medicine, New York City, New York, USA (JL, SGM), Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou (LAP), Centre of Orthopaedic and Regenerative Medicine Research (CORE), Center for Interdisciplinary Research and Innovation (CIRI), Aristotle University of Thessaloniki, Thessaloniki, Greece (LAP) and Nuffield Department of Anaesthetics, Oxford University Hospitals, Oxford, United Kingdom (VA).

Background: Residual neuromuscular blockade after surgery remains a major concern given its association with pulmonary complications. However, current clinical practices with and the comparative impact on perioperative risk of various reversal agents remain understudied.

Objective: We investigated the use of sugammadex and neostigmine in the USA, and their impact on postoperative complications by examining national data.

View Article and Find Full Text PDF

Introduction: Diode laser transscleral cyclophotocoagulation (DLTSCPC) remains the most commonly used cyclodestructive procedure. Nonetheless, there is no common consensus on a standardized technique.

Methods: In this prospective randomized pilot study we compare the "pop"-titrated and "slow-burn" DLTSCPC techniques for a follow-up period of 3 months.

View Article and Find Full Text PDF

Background: Gastric cancer is the third most common cause of cancer related death worldwide. Surgery with or without chemotherapy is the most common approach with curative intent; however, the prognosis is poor as mortality rates remain high. Several indexes have been proposed in the past few years in order to estimate the survival of patients undergoing gastrectomy.

View Article and Find Full Text PDF

Collared versus collarless hydroxyapatite-coated stems for primary cementless total hip arthroplasty; a systematic review of comparative studies. Is there any difference in survival, functional, and radiographic outcomes?

SICOT J

February 2024

Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou, Ring Road Efkarpia, Thessaloniki, 56403, Greece - Center of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation(CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Buildings A & B, Thessaloniki, 10th km Thessaloniki-Thermi Rd, PO Box 8318, GR 57001, Greece.

Introduction: This systematic review aims to critically assess the literature comparative studies investigating collared and collarless Corail stem in primary total hip arthroplasty (THA) to find differences in revision rates, radiographic and clinical outcomes, and postoperative complications between these two types of the same stem.

Methods: Eligible studies were found by searching PubMed, Science Direct/Scopus, and the Cochrane Database of Systematic Reviews from conception till May 2023. The PRISMA guidelines were followed.

View Article and Find Full Text PDF

Background: This modified Delphi study aimed to develop a consensus on optimal wound closure and incision management strategies for total hip arthroplasty (THA). Given the critical nature of wound care and incision management in influencing patient outcomes, this study sought to synthesize evidence-based best practices for wound care in THA procedures.

Methods: An international panel of 20 orthopedic surgeons from Europe, Canada, and the United States evaluated a targeted literature review of 18 statements (14 specific to THA and 4 related to both THA and total knee arthroplasty).

View Article and Find Full Text PDF

Background: The purpose of this modified Delphi study was to obtain consensus on wound closure and dressing management in total knee arthroplasty (TKA).

Methods: The Delphi panel included 20 orthopaedic surgeons from Europe and North America. There were 26 statements identified using a targeted literature review.

View Article and Find Full Text PDF