36 results match your criteria: "Osaka Minato Central Hospital[Affiliation]"

An early accelerated rehabilitation is generally recommended after surgery for acute Achilles tendon ruptures (ATRs). The modified side-locking loop suture (MSLLS) is a surgical technique that provides high tensile strength to the repaired Achilles tendon and allows for a safe, early accelerated rehabilitation protocol without requiring postoperative immobilization. However, there are no reports investigating the clinical outcomes of the MSLLS technique with early accelerated rehabilitation for ATRs.

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Background Context: Domino osteoporotic vertebral fractures (OVFs) involve multiple OVFs occurring simultaneously or sequentially, before healing of the initial OVFs. However, the risk factors and long-term clinical outcomes of domino OVFs are unclear.

Purpose: To identify the risk factors associated with domino OVFs and to assess their impact on patients' quality of life (QOL).

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  • Single-incision laparoscopic surgery (SILS) is a less common method compared to multiport laparoscopic surgery (MPLS) for colonic procedures, prompting a systematic review to assess its feasibility, safety, and oncological outcomes.
  • The review analyzed multiple studies (from September to October 2023) that compared SILC with MPLC, focusing on complications and results, finding no significant differences in major outcomes, although SILC had a shorter incision.
  • Despite a gradual increase in SILS cases, its popularity has plateaued in Japan, along with a decline in related research articles, but advances in robotic surgery may revive interest in the technique.
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  • The study investigates the effectiveness of osteoanabolic agents (like teriparatide and romosozumab) and bisphosphonates in preventing subsequent domino osteoporotic vertebral fractures (OVF) within three months of the initial fracture.
  • An analysis of 144 patients showed that the use of these agents did not significantly reduce the incidence of new fractures at both 3 and 12 months, although teriparatide and romosozumab lowered rates of unstable pseudarthrosis compared to bisphosphonates.
  • The findings suggest that while osteoanabolic agents help with unstable pseudarthrosis, they do not outperform bisphosphonates in preventing new domino OVFs, indicating a need for a broader
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Calculation of the total corneal astigmatism using the virtual cross cylinder method on the secondary principal plane of the cornea.

Sci Rep

February 2024

Department of Ophthalmology, Osaka Minato Central Hospital, Japan Community Health care Organization (JCHO), 1-7-1 Isoji, Minato-Ku, Osaka, 552-0003, Japan.

This study aimed to establish a virtual cross cylinder method to calculate the total corneal astigmatism by combining the anterior and posterior corneal astigmatism on the secondary principal plane of the cornea based on Gaussian optics. The meridian with the least refractive power, namely, the flattest meridian of the virtual cross cylinder of a ± 0.5 × C diopter, is set as the reference meridian, and the power (F) at an angle of φ between an arbitrary meridian and the reference meridian is defined as F(φ) =  - 0.

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Significant dependency of left atrial strain on left ventricular longitudinal motion.

J Echocardiogr

December 2023

The Cardiology Department of the Internal Medicine and Physiological Laboratory, Osaka Minato Central Hospital, Osaka, Japan.

Background: The effects of left ventricular longitudinal function on the left atrial strain, including the left atrial reservoir function, have not been adequately quantified.

Methods: A total of 124 patients who underwent echocardiography were enrolled in this study. Left atrial strain analysis was performed using two-dimensional speckle tracking echocardiography, and the left atrial volume was derived using the modified Simpson's method.

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: Conservative treatment is the gold standard for acute osteoporotic vertebral fractures (AOVFs). However, the treatment strategy for multiple AOVFs remains unknown. We conducted a prospective study using magnetic resonance imaging (MRI) to investigate how rapidly subsequent osteoporotic vertebral fractures (OVFs) occur as domino OVFs within 3 months.

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Modification of the Barrett Universal II formula by the combination of the actual total corneal power and virtual axial length.

Graefes Arch Clin Exp Ophthalmol

July 2023

Department of Ophthalmology, Osaka Minato Central Hospital, Japan Community Health Care Organization (JCHO), Osaka, Japan.

Purpose: This study aims to investigate whether a combination of the total corneal power (TCP) and virtual axial length (AL) based on Gaussian optics makes the refractive prediction accuracy of the Barrett Universal II (BUII) formula better than the conventional anterior keratometry (K) and axial length.

Methods: The TCP and the virtual AL were calculated in two ways: the corneal index strategy and the TK index strategy. The former uses the corneal refractive index n as a variable, and the latter uses the TK index n as a variable.

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Article Synopsis
  • - This study investigates the outcomes of single incision laparoscopic surgery (SILS) for colorectal cancer (CRC) conducted by novice surgeons versus experienced surgeons, analyzing data from 1,004 patients.
  • - After matching for various factors, it was found that novice surgeons took longer for the procedure and harvested fewer lymph nodes, but still managed satisfactory rates of disease-free and overall survival compared to the experienced group.
  • - The research concludes that SILS can be safely performed by novice surgeons with supervision, yielding comparable oncological results.
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Background: Nutritional status, which is associated with osteoporosis and muscle weakness is considered an important factor in the management of acute osteoporotic vertebral fracture (AOVF). However, few reports have investigated the nutritional status of hospitalized patients with AOVF and the impact of malnutrition on their functional prognosis. This study aimed to evaluate the nutritional status of hospitalized elderly patients with AOVF using the Controlling Nutritional Status (CONUT) score and to determine the usefulness of the CONUT score in predicting their functional prognosis.

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Background: The clinical impact of single-incision laparoscopic surgery (SILS) for descending colon cancer (DCC) is unclear. The aim of this study was to evaluate the clinical outcomes of SILS for DCC compared with multi-port laparoscopic surgery (MPLS).

Methods: We retrospectively analyzed 137 consecutive patients with stage I-III DCC who underwent SILS or MPLS at two high-volume multidisciplinary tertiary hospitals between April 2008 and December 2018, using propensity score-matched analysis.

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Purpose: The purpose of this article was to describe the successful diagnosis and management of clinically atypical, unilateral, gelatinous drop-like corneal dystrophy (GDLD) in a pediatric patient.

Methods: This study was a case report.

Results: A 7-year-old Japanese girl was referred to our clinic with right corneal opacity for over 3 years.

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Lower refractive prediction accuracy of total keratometry using intraocular lens formulas loaded onto a swept-source optical biometer.

Graefes Arch Clin Exp Ophthalmol

January 2023

Department of Ophthalmology, Osaka Minato Central Hospital, Japan Community Health Care Organization (JCHO), 1-7-1 Isoji, Minato-ku, Osaka, 552-0003, Japan.

Purpose: To compare refractive outcomes calculated using intraocular lens (IOL) power calculation formulas loaded onto the IOLMaster 700 with the employment of anterior keratometry (K) and total keratometry (TK).

Methods: A total of 225 eyes of 225 patients underwent uneventful cataract surgery and implantation of a single model of nontoric monofocal IOL by a single surgeon. All eyes underwent preoperative ocular biometric measurements with the IOLMaster 700.

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Article Synopsis
  • Early tumor shrinkage (ETS) in patients with metastatic colorectal cancer (mCRC) treated with cetuximab plus chemotherapy is linked to better overall survival (OS) and health-related quality of life (HRQOL).
  • In a study of 128 mCRC patients, 64.1% achieved ETS, leading to significantly longer OS compared to those who didn't achieve ETS, especially among symptomatic patients.
  • Improved HRQOL scores were observed in symptomatic patients who achieved ETS, suggesting that monitoring ETS can provide valuable insights for treatment decisions and patient outcomes.
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Background: Single-incision laparoscopic surgery (SILS) for rectal cancer is technically challenging, and its clinical impact is unclear. The aim of this study was to evaluate clinical outcomes of SILS for rectal cancer compared with multi-port laparoscopic surgery (MPLS).

Patients And Methods: We retrospectively analyzed 357 consecutive patients with stage I-III rectal cancer located in the rectosigmoid or upper rectum who underwent SILS or MPLS between January 2012 and December 2016, using propensity score-matched analysis.

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Article Synopsis
  • The study aimed to analyze the vascularity of the right colon, particularly the connections between various veins involved in drainage.
  • It included a retrospective analysis of 100 patients who underwent laparoscopic extended right hemicolectomy, focusing on veins draining into the superior mesenteric vein and accessory colic veins.
  • Key results showed that several accessory veins were commonly present, and understanding these vascular patterns can greatly aid colorectal surgeons in their procedures.
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Background: Most patients with acute osteoporotic vertebral fracture (AOVF) are successfully treated conservatively. However, the optimal management method and prognosis for multiple AOVFs are unclear. This study aimed to investigate the prevalence of multiple AOVFs and identify the associated risk factors.

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Purpose: Postoperative venous thromboembolism (VTE) is a major and potentially fatal postoperative complication of colorectal cancer surgery. However, there is uncertainty about the necessity for anticoagulant prophylaxis to prevent VTE after laparoscopic colorectal cancer surgery because of its associated relatively lower incidence. Currently, anticoagulant therapy is considered mainly for patients at high risk of the development of VTE.

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Importance of left ventricular contraction for left atrial reservoir function.

J Echocardiogr

December 2021

The Cardiology Department of the Internal Medicine and Physiological Laboratory, Osaka Minato Central Hospital, Isoji, 1-7-1, Minato-ku, Osaka, 552-0003, Japan.

Background: The determinants of left atrial (LA) reservoir function have not been clarified.

Methods: To elucidate the effect of left ventricular (LV) contraction on LA reservoir volume (ΔV), volume change due to mitral annular downward motion and aortic root anterior motion, which are related to LV contraction during systole, was calculated in 72 consecutive subjects [42 patients without any cardiac disease (control group), 13 patients with heart failure with reduced ejection fraction (HFrEF group) and 17 with preserved ejection fraction (HFpEF group)]. LA volume was calculated using the modified Simpson's method of bi-plane 2-D echocardiograms.

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Article Synopsis
  • * Agreement between patient-reported outcomes and physician-reported outcomes varied, with overall agreement rates between 40.2% and 76.5%, and the level of agreement ranged from slight to moderate depending on the type of adverse event.
  • * Higher agreement between patient and physician reports was linked to better overall survival rates, highlighting the importance of monitoring patient-reported symptoms alongside physician assessments for improved clinical outcomes.
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Introduction: Oxaliplatin-induced peripheral neuropathy (OIPN) is a common adverse events that can limit a patient's quality of life during/after chemotherapy. However, no appropriate methods have been established yet for monitoring the risk of progression of OIPN.

Methods: A simple assessment tool using gem clips, the CLIP test, was established and its performance in predicting the risk of progression to ≥grade 2 peripheral sensory neuropathy (CTCAE ver.

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