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141. Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery. Full Text available with Trip Pro

Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery. Trans-oral endoscopic thyroidectomy allows obviating scar of the neck that expects to gain quality of life (QOL). However, the benefit of the QOL from this technique has not been adequately investigated, therefore, this study compared the QOL outcomes, including cosmetic outcomes, between thyroidectomy by trans-oral endoscopy and conventional open surgery.A study (...) health 6 weeks after surgery; tingling and feeling of vitality at 12 weeks after surgery. Cosmetic outcomes and overall satisfaction were significantly better in the trans-oral endoscopic group than in the conventional surgery group at all of our follow up times (p < 0.05).The trans-oral endoscopic approach allows real scarless on the skin with better cosmetic and QOL outcomes.This trial was retrospectively registered at the ClinicalTrial.gov (NCT03048539), registered on 4 March 2017.

2020 BMC Surgery

142. Transoral neck surgery prevents attentional bias towards the neck compared to open neck surgery. (Abstract)

to that of controls. These data support the effectiveness of transoral neck surgery in giving patients a cosmetic result that does not distract the attention of observers.NA Laryngoscope, 130:1603-1608, 2020.© 2019 The American Laryngological, Rhinological and Otological Society, Inc. (...) Transoral neck surgery prevents attentional bias towards the neck compared to open neck surgery. Measure attentional distraction of neck scars after open neck surgery compared to transoral endoscopic thyroidectomy via a vestibular approach (TOETVA) or transoral endoscopic parathyroidectomy via a vestibular approach (TOEPVA) using eye-tracking technology.Casual observers viewed facial images of patients who underwent open neck surgery, TOETVA/TOEPVA, or no surgery (controls). An eye-tracking

2020 Laryngoscope

143. Bariatric surgery: an HTA report on the efficacy, safety and cost-effectiveness

Bariatric surgery: an HTA report on the efficacy, safety and cost-effectiveness 2019 www.kce.fgov.be KCE REPORT 316 BARIATRIC SURGERY: AN HTA REPORT ON THE EFFICACY, SAFETY AND COST-EFFECTIVENESS 2019 www.kce.fgov.be KCE REPORT 316 HEALTH TECHNOLOGY ASSESSMENT BARIATRIC SURGERY: AN HTA REPORT ON THE EFFICACY, SAFETY AND COST-EFFECTIVENESS PETER LOUWAGIE, MATTIAS NEYT, DORIEN DOSSCHE, CÉCILE CAMBERLIN, BELINDA TEN GEUZENDAM, KOEN VAN DEN HEEDE, HANS VAN BRABANDT COLOPHON Title: Bariatric surgery (...) Médical Pédiatrique Clairs Vallons and Dr. Leen Verleye (KCE) for the methodological support. Reported interests: ‘All experts and stakeholders consulted within this report were selected because of their involvement in the topic of Bariatric Surgery. Therefore, by definition, each of them might have a certain degree of conflict of interest to the main topic of this report’ Membership of a stakeholder group on which the results of this report could have an impact: Thierry Lafullarde (President

2019 Belgian Health Care Knowledge Centre

144. Transoral robotic surgery (TORS) for head and neck cancer of unknown primary, oropharyngeal cancer and supraglottic laryngeal cancer

outcomes and patient-reported quality of life in patients with oropharyngeal squamous cell carcinoma treated with definitive transoral robotic surgery versus definitive chemoradiation. Oral Oncol. 2016;61:41-6. 24. Biron VL, O'Connell DA, Barber B, Clark JM, Andrews C, Jeffery CC, et al. Transoral robotic surgery with radial forearm free flap reconstruction: case control analysis. J Otolaryngol Head Neck Surg. 2017;46(1):20. 25. Lee SY, Park YM, Byeon HK, Choi EC, Kim SH. Comparison of oncologic (...) Transoral robotic surgery (TORS) for head and neck cancer of unknown primary, oropharyngeal cancer and supraglottic laryngeal cancer 74 1 Health technology description What is an evidence note? Evidence notes are rapid reviews of published secondary clinical and cost-effectiveness evidence on health technologies under consideration by decision makers within NHSScotland. They are intended to provide information quickly to support time-sensitive decisions. Information is available to the topic

2018 Evidence Notes from Healthcare Improvement Scotland

145. Custom-made or customisable 3D printed implants and cutting guides versus non- 3D printed standard implants and cutting guides for improving outcome in patients undergoing knee, maxillofacial, or cranial surgery. HTA-Projektbericht 117.

Custom-made or customisable 3D printed implants and cutting guides versus non- 3D printed standard implants and cutting guides for improving outcome in patients undergoing knee, maxillofacial, or cranial surgery. HTA-Projektbericht 117. Custom-made or customisable 3D printed implants and cutting guides versus non- 3D printed standard implants and cutting guides for improving outcome in patients undergoing knee, maxillofacial, or cranial surgery - Repository of AIHTA GmbH English | Browse (...) - - - Custom-made or customisable 3D printed implants and cutting guides versus non- 3D printed standard implants and cutting guides for improving outcome in patients undergoing knee, maxillofacial, or cranial surgery Jensen, L.G. and Løvschall, C. and Ladehoff Thomsen, A.M. and Valentin, G. and Risør , B.W. and Gutierrez-Ibarluzea, I. and Galnares-Cordero, L. and Benguria-Arrate, G. (2019): Custom-made or customisable 3D printed implants and cutting guides versus non- 3D printed standard implants

2019 Austrian Institute of Health Technology Assessment

146. Minimum volume standards for quality assurance in day surgery: Fundamentals and Systematic Review. HTA-Projektbericht 125.

-which reported seven different interventions- met the inclusion criteria. The interventions at stake in the current assessment were not predefined, but were selected based upon the systematic literature search. The indications are thyroid surgery (thyroidectomy), cataract surgery, primary hip arthroscopy, open carpal tunnel release, rotator cuff repair, anterior cruciate ligament reconstruction, and meniscectomy. The only safety related data reported were without its relationship to surgeon/hospital (...) Minimum volume standards for quality assurance in day surgery: Fundamentals and Systematic Review. HTA-Projektbericht 125. Minimum volume standards for quality assurance in day surgery: Fundamentals and Systematic Review - Repository of AIHTA GmbH English | Browse - - - Minimum volume standards for quality assurance in day surgery: Fundamentals and Systematic Review Stanak, M. and Strohmaier, C. (2019): Minimum volume standards for quality assurance in day surgery: Fundamentals and Systematic

2019 Austrian Institute of Health Technology Assessment

147. State of the Plastic Surgery Workforce and the Impact of Graduate Medical Education Reform on Training of Plastic Surgeons. (Abstract)

State of the Plastic Surgery Workforce and the Impact of Graduate Medical Education Reform on Training of Plastic Surgeons. Although recent estimates predict a large impending shortage of plastic surgeons, graduate medical education funding through the Centers for Medicare and Medicaid Services remains capped by the 1997 Balanced Budget Act. The authors' aim was to develop a plan to stimulate legislative action.The authors reviewed responses of the American Society of Plastic Surgeons, American (...) College of Surgeons, and American Medical Association from January of 2015 to a House Energy & Commerce Committee request for input on graduate medical education funding. In addition, all program directors in plastic surgery were surveyed through the American Council of Academic Plastic Surgeons to determine their graduate medical education funding sources.All three organizations agree that current graduate medical education funding is inadequate to meet workforce needs, and this has a significant

2017 Plastic and reconstructive surgery

148. Evaluation of analgesic efficacy of dexmedetomidine as adjuvant with ropivacaine in ultrasound-guided adductor canal block in patients following anterior cruciate ligament reconstruction surgeries. (Abstract)

Evaluation of analgesic efficacy of dexmedetomidine as adjuvant with ropivacaine in ultrasound-guided adductor canal block in patients following anterior cruciate ligament reconstruction surgeries. Local anaesthetic (LA) with highly selective alpha-2 agonist dexmedetomidine has not been evaluated in adductor canal block (ACB) for arthroscopic anterior cruciate ligament (ACL) reconstruction surgeries. The study evaluates postoperative analgesic effect of ropivacaine with adjuvant dexmedetomidine

2019 British journal of pain Controlled trial quality: uncertain

149. Comparing the Effectiveness of Blood Flow Restriction and Traditional Heavy Load Resistance Training in the Post-Surgery Rehabilitation of Anterior Cruciate Ligament Reconstruction Patients: A UK National Health Service Randomised Controlled Trial. (Abstract)

Comparing the Effectiveness of Blood Flow Restriction and Traditional Heavy Load Resistance Training in the Post-Surgery Rehabilitation of Anterior Cruciate Ligament Reconstruction Patients: A UK National Health Service Randomised Controlled Trial. We implemented a blood flow restriction resistance training (BFR-RT) intervention during an 8-week rehabilitation programme in anterior cruciate ligament reconstruction (ACLR) patients within a National Health Service setting.To compare (...) the effectiveness of BFR-RT and standard-care traditional heavy-load resistance training (HL-RT) at improving skeletal muscle hypertrophy and strength, physical function, pain and effusion in ACLR patients following surgery.28 patients scheduled for unilateral ACLR surgery with hamstring autograft were recruited for this parallel-group, two-arm, single-assessor blinded, randomised clinical trial following appropriate power analysis. Following surgery, a criteria-driven approach to rehabilitation was utilised

2019 Sports medicine (Auckland, N.Z.) Controlled trial quality: uncertain

150. Effective dose of dobutamine in augmenting free flap blood flow during reconstructive surgery of the lower extremity. Full Text available with Trip Pro

Effective dose of dobutamine in augmenting free flap blood flow during reconstructive surgery of the lower extremity. Success of surgical free flap transfer depends on achieving and maintaining adequate perfusion across the microvascular anastomosis. The purpose of this prospective study was to determine the optimal infusion rate of dobutamine to augment duplex ultrasound measured blood flow to the tissue flap during surgery.Twenty-one patients undergoing general anesthesia for lower limb (...) reconstructive surgery were recruited. The optimal dobutamine dose was evaluated using the modified Dixon's up-and-down method, starting at 6 μg·kg·min, and then titrated in increments of 1 μg·kg·min.The optimal dose of dobutamine for improving blood flow to the tissue flap was 3.50 ± 0.57 μg·kg·min in 50% of patients. The 95% effective dose of dobutamine calculated by probit analysis was 4.46 μg·kg·min (95% confidence interval: 3.99-7.00 μg·kg·min).The results of our study suggest that a dobutamine infusion

2019 Medicine

151. Small bowel adenocarcinoma of ileal ureter 40 years after ureteral reconstructive surgery. (Abstract)

Small bowel adenocarcinoma of ileal ureter 40 years after ureteral reconstructive surgery. Malignant neoplasm arising from ileal ureter used for ureteral reconstructive surgery is an exceedingly rare event. Ureteroileoplasty was being performed since the beginning of the last century, but it was described more extensively in literature during the 1950s.1,2 Recurrent urinary infections, chronic renal failure, urolithiasis, anastomotic stricture, metabolic acidosis and chronic dilation

2019 Urology

152. Psychosocial Functioning in Women with Early Breast Cancer Treated with Breast Surgery With or Without Immediate Breast Reconstruction. (Abstract)

Psychosocial Functioning in Women with Early Breast Cancer Treated with Breast Surgery With or Without Immediate Breast Reconstruction. To compare psychosocial function outcomes in early breast cancer patients treated with breast-conserving surgery (BCS), mastectomy alone (MA), and mastectomy with immediate breast reconstruction (IBR) at 1 year after surgery.Early-stage (stage 0-2) breast cancer patients treated with BCS, MA, and IBR at the University Health Network, Toronto, Ontario, Canada (...) therapy, ethnicity, cancer stage, and unilateral versus bilateral surgery, breast satisfaction was highest in BCS (72.1, SD 19.6), followed by IBR (60.0, SD 18.0), and MA (49.9, SD 78.0) at 12 months, p < 0.001. Immediate breast reconstruction had similar psychosocial well-being (69.9, SD 20.6) compared with BCS (78.5, SD 20.6), p = 0.07. Sexual and chest physical well-being were similar between IBR, BCS, and MA, p > 0.05.Our study found that in a multidisciplinary breast cancer centre where all three

2019 Annals of Surgical Oncology

153. Tradeoffs in Implant Selection for Reconstructive Surgery and Adjuncts Utilized to Maximize Aesthetic Outcomes. Full Text available with Trip Pro

Tradeoffs in Implant Selection for Reconstructive Surgery and Adjuncts Utilized to Maximize Aesthetic Outcomes. With many US Food and Drug Administration-approved cohesive gel implant styles currently available in the United States, surgeons and patients may feel overwhelmed by the implant-selection process. We discuss the relative merits of the most commonly used silicone cohesive gel implants and associated adjuncts, particularly in the reconstructive setting.A literature review was conducted (...) in PubMed to identify articles that assessed the clinical impact of differing cohesive silicone gel implants and associated adjuncts on aesthetic outcomes and complications profile.First, we review how the shape, cohesivity, and texture of cohesive gel implants impact breast aesthetics and complications after implant-based breast reconstruction (IBBR). Second, we review common adjuncts used in IBBR, including fat grafting and acellular dermal matrix (ADM), and we explore their roles in prepectoral IBBR

2019 Plastic and reconstructive surgery

154. Outcomes Utilizing Inspira Implants in Revisionary Reconstructive Surgery. Full Text available with Trip Pro

Outcomes Utilizing Inspira Implants in Revisionary Reconstructive Surgery. Inspira round implants have a higher fill ratio than standard round implants and the 3 available implant types have increasing gel cohesivity. Collectively, these features may help provide a fuller upper pole and help reduce the risk of rippling, visible implant edges, and palpability and may be particularly beneficial in patients undergoing prepectoral reconstruction. Patient outcomes after prepectoral revision (...) in all cases.Prepectoral reconstruction, in conjunction with Inspira round implants, appears to be a safe and effective approach in suitable patients presenting for revision surgery, at least in the short term. Implant features facilitate prepectoral implant placement, resulting in pleasing aesthetic outcomes. Whether these outcomes will withstand the test of time remains to be seen.

2019 Plastic and reconstructive surgery

155. Outcomes Utilizing Inspira Implants in Primary Aesthetic and Reconstructive Surgery. Full Text available with Trip Pro

Outcomes Utilizing Inspira Implants in Primary Aesthetic and Reconstructive Surgery. The evolution of silicone implants has included advances in both gel and shell technology to improve the clinical outcomes of the implants. The newest generation of implants includes implants with thick, strong shells and highly cohesive gel fill. These advancements allow for better maintenance of implant form and shape over time and improved implant safety. The Natrelle Inspira product line offers 3 different (...) levels of gel cohesivity in a range of profiles to provide a wide variety of options for use in both breast augmentation and postmastectomy breast reconstruction. This article will review the use of Inspira implants in primary aesthetic and reconstructive breast surgery.

2019 Plastic and reconstructive surgery

156. Assessing the Relationship between Anxiety and Revision Surgery following Autologous Breast Reconstruction. (Abstract)

Assessing the Relationship between Anxiety and Revision Surgery following Autologous Breast Reconstruction. Revision procedures address contour irregularities and aesthetic concerns following autologous breast reconstruction. Mental health diagnoses are known to influence patient satisfaction with reconstruction. The authors aimed to identify oncologic, reconstructive, and demographic factors, including mental health diagnoses, associated with the number of revisions after autologous breast (...) reconstruction.The medical records of all adult women undergoing abdominal free flap-based breast reconstruction at a major academic institution between 2011 and 2016 were reviewed. Multivariate logistic regression was used to identify factors associated with receipt of revisions. Negative binomial regression was used to identify characteristics associated with number of revisions received.Of 272 patients identified, 55.2 percent received one revision, 23.2 percent received two revisions, and 10.3 percent

2019 Plastic and reconstructive surgery

157. The Importance of Tissue Perfusion in Reconstructive Breast Surgery. Full Text available with Trip Pro

The Importance of Tissue Perfusion in Reconstructive Breast Surgery. Immediate breast reconstruction relies on healthy mastectomy flaps for success. Tissue perfusion of these mastectomy flaps is dependent on multiple patient-, operative-, and surgeon-specific factors, which must be optimized. Unfortunately, tissue perfusion is also notoriously difficult to accurately assess and investigate. In this review, we discuss the importance of tissue perfusion in successful reconstructive breast surgery (...) technologies that can help promote and assess optimal mastectomy flap tissue perfusion. Plastic surgeons and breast surgeons must actively and collaboratively work together to ensure their mutual goals are met, and optimal outcomes are attained for patients undergoing immediate breast reconstruction after mastectomy.

2019 Plastic and reconstructive surgery

158. Revision surgery with dermal regeneration template and vacuum sealing drainage for reconstruction of complex wounds following necrosis of reattached avulsed skins in a degloving injury: A case report. Full Text available with Trip Pro

Revision surgery with dermal regeneration template and vacuum sealing drainage for reconstruction of complex wounds following necrosis of reattached avulsed skins in a degloving injury: A case report. Degloving injury of the upper limb often extends to underlying tendons and bone, which is at high risk of treatment failure if only simple reattachment of defatted avulsed skins was performed. Pelnac dermal regeneration template could be used as a treatment choice for necrosis of the reattached (...) avulsed skins in a degloving injury.A 48-year-old woman with a degloving injury of the right forearm, wrist, and hand received initial treatment by reattachment of the defatted avulsed skins over the wound bed. However, 17 days postoperatively, the reattached skins developed complete necrosis, leaving large size of tissue defects and tendon/bone exposure.Failure to reconstruct the skin and soft-tissue envelop by reattachment of the defatted avulsed skins in a severe degloving injury of the upper

2019 Medicine

159. Posterior nasoseptal flap in the reconstruction of skull base defects following endonasal surgery. (Abstract)

Posterior nasoseptal flap in the reconstruction of skull base defects following endonasal surgery. To study the clinical outcomes of a posterior nasoseptal flap used in the endonasal reconstruction of anterior skull base defects.The early harvested flap was used to reconstruct anterior skull base defects in patients with high-flow on-table cerebrospinal fluid leak. Post-operatively, the patients were analysed for cerebrospinal fluid leak and bleeding.Of the 100 patients, 87 had macro defects (...) while 13 had micro defects. Non-secretary lesions were present in 60 patients, while secretary lesions were present in 40 patients. Cerebrospinal fluid leak was present in all the patients undergoing surgery, and the majority of them had a lumbar drain fitted. Post-operatively, two patients experienced bleeding and only two patients had a cerebrospinal fluid leak.The use of a posterior nasoseptal flap for reconstruction of the anterior skull base amongst patients with a high-flow intra-operative

2019 Journal of Laryngology & Otology

160. The value of reconstructive surgery in the management of refractory jaw osteoradionecrosis: a single-center 10-year experience. (Abstract)

The value of reconstructive surgery in the management of refractory jaw osteoradionecrosis: a single-center 10-year experience. Mandibular osteoradionecrosis (mORN) is a severe complication of head and neck irradiation. International consensus on the management of mORN is currently lacking. The present study sought to evaluate the effectiveness and benefits of early reconstructive surgery (resection of the diseased bone and immediate reconstruction with a free flap) in treatment-refractory mORN (...) <0.05 in Student's t-test), a longer length of hospital stay (16.5±6.5 days vs. 25.6±11.3 days, respectively; P<0.05), and a higher complication rate (26.3% vs. 63.9%, respectively; P<0.05 in Fisher's test). Given the unpredictable progression of treatment-refractory mORN and the risk-benefit ratio observed here, the value of early reconstructive surgery with curative intent should be reassessed.Copyright © 2019 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd

2019 International Journal of Oral and Maxillofacial Surgery

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