Retained gallbladder secondary to retrieval bag rupture during laparoscopic cholecystectomy-A case report.

Introduction: Retrieval bags are used in laparoscopic cholecystectomies to reduce the risk of bile and gallstone spillage during removal of the gallbladder. Retrieval bag rupture is rare, and its complications have never been previously documented.

Presentation Of Case: A 17-year-old female presented three months post-laparoscopic cholecystectomy with a tender periumbilical mass.

Does soft tissue balancing using intraoperative pressure sensors improve clinical outcomes in total knee arthroplasty? A protocol of a multicentre randomised controlled trial.

Introduction: Soft tissue imbalance is considered to be a major surgical cause of dissatisfaction following total knee arthroplasty (TKA). Surgeon-determined manual assessment of ligament tension has been shown to be a poor determinant of the true knee balance state. The recent introduction of intraoperative sensors, however, allows surgeons to precisely quantify knee compartment pressures and tibiofemoral kinematics, thereby optimising coronal and sagittal plane soft tissue balance.

Pathologic Basis of Lumbar Radicular Pain.

Background: Lumbar radicular pain is one of the most commonly encountered clinical syndromes; however, its underlying mechanistic basis, and its relation to the natural history of the disease, are poorly understood.

Methods: We revieved the available literature to explore the pathophysiology and natural history of lumbar radicular pain.

Results: Experimental observations have spawned distinctive, but not mutually exclusive, pathophysiologic descriptions of radicular pain.

Cochrane vertebroplasty review misrepresented evidence for vertebroplasty with early intervention in severely affected patients.

The Cochrane vertebroplasty review of April 2018 was replaced with an updated version in November 2018 to address complaints of errors in analysis. The updated version continues to misrepresent the evidence supporting early intervention with vertebroplasty for patients with uncontrolled, severe pain and fracture duration <6 weeks. The VAPOUR trial is the only blinded trial of vertebroplasty restricted to this patient group.

Is more better? A higher oocyte yield is independently associated with more day-3 euploid embryos after ICSI.

Study Question: Is the number of oocytes retrieved after ovarian stimulation for ICSI independently associated with the number of day-3 euploid embryos (EE)?

Summary Answer: A larger oocyte yield is independently associated with more day-3 EE, although the expected benefit decreases significantly with advancing age.

What Is Known Already: Although traditionally ovarian stimulation aims at collecting more than one oocyte in order to increase the chance of pregnancy, there is evidence suggesting that excessive ovarian response leads to lower live birth rates. Whether a larger oocyte yield after ovarian stimulation is associated with the genetic composition of the resulting embryos and therefore with their reproductive potential is still largely unknown.

Vitamin D status and supplementation in adult patients receiving extracorporeal membrane oxygenation.

The prevalence of vitamin D deficiency in critical illness is known to be high and associated with adverse clinical outcomes. Patients receiving extracorporeal membrane oxygenation (ECMO) may be at increased risk of vitamin D deficiency due to high severity of acute illness. Challenges with drug dosing in ECMO patients are recognised due to increased volume of distribution and drug absorption to circuit components.

Evaluation of the patellofemoral joint in total knee arthroplasty: Validation of the weight bearing merchant radiographic view.

Background: Standard radiographic views for patellofemoral joint assessment do not reflect loading at which TKA patients may describe post-operative anterior symptoms. A novel weight bearing (WB) Merchant view has been described and demonstrated a number of tracking changes that correlated with clinical outcomes. In this study, we aim to validate the WB Merchant view and assess relationships with patient outcome scores.

How Accurately Can Soft Tissue Balance Be Determined in Total Knee Arthroplasty?

Background: Soft tissue balance is believed to be a major determinant of improved outcomes in total knee arthroplasty (TKA). We conducted this study to assess the accuracy of surgeon-defined assessment (SDA) of knee balance compared to pressure sensor data. We also assessed for any association between experience (learning curve) and accuracy of SDA.

Laparoscopic Myomectomy of a 4.2 kg Fibroid with Assistance of a Minilaparotomy.

The improved cosmesis and recovery from minimally invasive techniques has seen a dramatic rise in its popularity. Unfortunately, the laparoscopic myomectomy for large fibroids presents a unique challenge to the surgeon. It is reputed to be difficult and time consuming, with a high risk of conversion to laparotomy.

Reliability, validity and generalizability of multidimensional pain assessment tools used in postoperative adult patients: a systematic review protocol.

Objective: The objective of this review is to evaluate the measurement properties of multidimensional pain assessment tools for postoperative pain in adults.

Introduction: Effective postoperative pain management increases patient safety and satisfaction, and reduces healthcare costs. The most commonly used postoperative pain assessment tools only evaluate pain intensity, which is only one aspect of the sensory dimension of pain.

Recurrent pregnancy loss: A summary of international evidence-based guidelines and practice.

Background: Recurrent pregnancy loss (RPL) is defined as two or more pregnancy losses. It affects <5% of couples. There are many proposed causes; however, in a significant proportion of cases, the cause is unknown.

Gender and age based differences in behavioural patterns following anterior cruciate ligament injury.

ACL injury can be clinically diagnosed prior to imaging, and therefore understanding any symptomatology differences between age-groups and genders is critical. Data gathered from 341 patients with ACL injuries over six years showed no gender-based difference in ability to continue playing sport post-injury. Fewer males required crutches (37.

Real-time, spectral analysis of the arterial pressure waveform using a wirelessly-connected, tablet computer: a pilot study.

Spectral analysis of the arterial pressure waveform, using specialized hardware, has been used for the retrospective calculation of the 'Spectral Peak Ratio' (SPeR) of the respiratory and cardiac arterial spectral peaks. The metric can quantify the cardiovascular response to volume loading by analysing the effect of changing tidal volume (indexed to body weight) (V) on pulse pressure variability. In this pilot study, the feasibility of real-time SPeR calculation, using a mobile computer which was wirelessly connected to the patient monitor, was evaluated by examining the determinants of SPeR in 60 cardiac-surgical patients.

Soft tissue balancing in total knee arthroplasty using sensor-guided assessment: is there a learning curve?

Background: Sensor-guided assessment for soft tissue balance in total knee arthroplasty (TKA) has been reported to improve patient satisfaction and self-reported outcome scores. As more surgeons adopt this technology in TKA, we performed this study to identify if there is a learning curve with its use.

Methods: Analysis of a total of 90 consecutive cases was performed in this study.

Portomesenteric vein thrombosis in sleeve gastrectomy: a 10-year review.

Background: Worldwide, the laparoscopic sleeve gastrectomy (LSG) is becoming the dominant bariatric procedure due to its reliable weight loss and low complication rate. Portomesenteric vein thrombosis (PVT) is an uncommon complication of LSG with an incidence of .3% to 1% and can lead to serious consequences, such as bowel ischemia and death.

A Comparison of Plain Radiography with Computer Tomography in Determining Coronal and Sagittal Alignments following Total Knee Arthroplasty.

Optimal coronal and sagittal component positioning is important in achieving a successful outcome following total knee arthroplasty (TKA). Modalities to determine post-operative alignment include plain radiography and computer tomography (CT) imaging. This study aims to determine the accuracy and reliability of plain radiographs in measuring coronal and sagittal alignment following TKA.

Predictors and Functional Implications of Change in Leg Length After Total Knee Arthroplasty.

Background: Leg lengthening occurs in 83% of primary total knee arthroplasty (TKA). The effects of leg length discrepancy (LLD) on THA patients are well established. However, patient function and satisfaction associated with LLD after primary TKA has not been analyzed.