Current Surgery Reports

http://link.springer.com/journal/40137

List of Papers (Total 76)

Advances in Robotic Transaxillary Thyroidectomy in Europe

Purpose of review The robotic surgical approach for minimally invasive thyroid surgery has been well described from the Korean surgeons and shows a wide spread diffusion in Asian area. This paper gives a systematic review aiming to pointed out the interest and the way of behaving of the European surgeons about the role of the robotic thyroidectomy (RT). Recent findings A literature ...

Risk Stratification in Lung Resection

Purpose of Review Surgery is considered the best treatment option for patients with early stage lung cancer. Nevertheless, lung resection may cause a variable functional impairment that could influence the whole cardio-respiratory system with potential life-threatening complications. The aim of the present study is to review the most relevant evidences about the evaluation of ...

Hand Transplantation Versus Hand Prosthetics: Pros and Cons

Composite tissue transplantation and new developments in the field of prosthetics have opened new frontiers in the restoration of function among upper limb amputees. It is now possible to restore hand function in affected patients; however, the indications, advantages, and limitations for either hand transplantation or prosthetic fitting must be carefully considered depending on ...

Management of Cerebral Brain Metastasis

Brain metastasis is associated with a poor overall prognosis, but combination therapies have emerged that may prevent recurrence or serve as palliative therapies. There is a wide range of treatment options for those with 1–3 intracranial metastases and stable disease, including combinations of surgery, whole brain radiation therapy (WBRT), and stereotactic radiosurgery (SRS). Those ...

Cochlear Implants in Single-Sided Deafness

Single-sided deafness presents a unique challenge to otolaryngologists and audiologists. While the normal hearing ear may allow listeners to perform adequately on audiometric screening, individuals with only one functioning cochlea suffer when resolving speech in noisy environments and in sound localization—which both contribute to a reduced quality of life. Though there are a ...

Management of Nonurological Pelvic Tumors Infiltrating the Lower Urinary Tract

Locally advanced tumors, originating from organs and structures of the pelvis and the pelvic floor may compromise the lower urinary tract. The aim of this review is to display the diagnosis and treatment of the most common malignancies infiltrating the lower urinary tract. A review was performed of the literature in PubMed over the last two decades. The most common nonurological ...

Tuberculum Sellae Meningiomas: Evolving Surgical Strategies

Tuberculum sella meningiomas represent a unique set of surgical challenges due to their three-dimensional relationship with the optic apparatus, critical vasculature, and the pituitary stalk. These challenges are encountered with the context of a surgical goal that provides long-term tumor control, preservation or improvement of visual function and minimal morbidity. Advancements ...

Development and Clinical Use of an Artificial Lung

In the 1970s, the use of cardiopulmonary bypass at the bedside for critically ill patients with respiratory failure began and was termed extracorporeal membrane oxygenation (ECMO). Later, in the 1980s, applications for extracorporeal technology expanded, and included oxygenation, CO2 removal, and hemodynamic support. However, early studies regarding the use of ECMO for acute lung ...

Use of Diffusion Tensor Imaging in the Resection of Gliomas

Standard magnetic resonance imaging techniques provide only anatomic information without information regarding central nervous system connectivity. Overcoming this limitation, diffusion tensor imaging (DTI) can demonstrate the structural integrity and white matter tracts of the brain. In this paper, we will overview the basic principles and techniques of DTI. We will also review ...

Enterocutaneous Fistulas: A Look at Causes and Management

Despite advances in medical technology and surgical care, the management of enterocutaneous fistulas remains one of the most challenging problems faced by physicians. Success depends on an expert multidisciplinary team, access to long-term enteral and parenteral nutrition support, advanced wound care, optimal medical management and meticulous, methodical, surgical decision-making ...

Hallmarks of Non-accidental Trauma: A Surgeon’s Perspective

Child abuse is a public health epidemic in the United States with high incidence, prevalence, and severe personal and societal impact. Surgeons should be considering child abuse in their treatment of children with traumatic injury. Screening for child abuse mechanism in the ED and in-patient settings is not precise, subject to bias and often incomplete. A variety of tools and ...

Treatment of High-Grade Dysplasia and Early Stage Esophageal Adenocarcinoma with an Endoscope: The Ultimate in Minimally Invasive, Curative Therapy

There has been a radical paradigm shift away from esophagectomy as the standard of therapy for high-grade dysplasia and early esophageal cancer. A number of organ-sparing endoscopic procedures including endoscopic resection, radiofrequency ablation and cryoablation are emerging as viable and preferable options for the treatment of early esophageal neoplasia. This review article ...

Exenterative Surgery for Advanced Prostate Cancer

The incidence of locally advanced prostate cancer has decreased in the last few decades since the introduction of screening programmes. Despite earlier detection and treatment, there is still a proportion of late presentation and/or recurrences (around 10 %) of locally advanced prostate cancer. Additionally, sporadic reports of synchronous pelvic neoplasms have been published with ...

Strategies for Management of Synchronous Colorectal Metastases

The management of synchronous presentation of colorectal cancer and liver metastases has long been a topic of debate and discussion for surgeons due to the unique dilemma of balancing operative timing along with treatment strategy. Operative strategies for resection include staged resection with colon first approach, “reverse” staged resection with liver metastases resected first, ...

Clinical Utility of MRI for Cholesteatoma Recurrence

Diffusion-weighted magnetic resonance imaging (DWI) has recently been proposed as an alternative to surgical exploration for suspected recurrent or residual cholesteatoma. A second-look surgery is often planned for extensive disease in ears where the posterior canal wall has been left intact. Alternatively, granulation tissue with chronic otorrhea in a patient with a history of ...

Selection of Patients with Colorectal/Liver Metastases for Surgical Intervention: Current Issues and Challenges

Resection of colorectal liver metastases (CRLM) represents the best chance for cure, but appropriate selection of patients can present challenging clinical scenarios. The PubMed database was searched for articles relevant to CRLM published between 1990 and December 2013. The ability to safely achieve curative resection depends heavily on the adequacy of the future liver remnant ...

Blunt Cerebrovascular Injuries in Children: When is Aggressive Management Necessary?

Blunt cerebrovascular injuries (BCVI) have been shown to affect the pediatric population and have long term neurologic morbidity. The reported incidence is low which likely represents under diagnosis due to poor screening efforts. No large prospective studies have been conducted to specifically address practice guidelines for children with BCVI. Increased awareness and knowledge is ...

Implantable Hearing Devices

There are many barriers that prevent the use of traditional acoustic amplification including anatomic and medical conditions and patient preference. Implantable hearing devices typically avoid the use of the ear canal and can overcome many of these barriers. Current options include partially and fully implantable devices, devices that make use of bone conduction, devices that ...

Patterns of Injuries in Newer Mechanisms of Pediatric Injuries (ATVs, Snowmobiles, Trampolines, Flat Screen TVs)

Injury is a leading cause of mortality and long-term disability for children of all ages, with intentional injuries predominating in the less than 1 year age group and unintentional injuries posing the greatest threat to life in children older than 1 year of age. Recreational vehicles are gaining in popularity and availability making their use by children a more common mode of ...

Minimally Invasive Esophagectomy: Are There Significant Benefits?

The incidence of esophageal cancer and, more specifically, of esophageal adenocarcinoma, continues to increase in the United Sates (US), mostly affecting white male patients. The mainstay of curative treatment for localized disease is surgery, typically after neoadjuvant chemoradiotherapy. However, esophagectomy remains a procedure burdened by significant rates of mortality and ...

New Options for the Management of GERD

Novel GERD treatment modalities have emerged over the past decade as alternatives to proton pump inhibitors or traditional laparoscopic Nissen fundoplication. Four new devices—LINX, TIF, EndoStim and Stretta—have attempted to improve upon the limitations of these traditional therapies. While each is promising, only the LINX device addresses the patient’s symptoms, achieves ...

Role of FAST or Abdominal Ultrasound to Limit CT Imaging in Evaluation of the Pediatric Abdominal Trauma Patient

Blunt abdominal trauma (BAT) can produce serious intra-abdominal injuries (IAI) in children. An early diagnosis is important to reduce morbidity and mortality, but pediatric patients sustaining BAT rarely require an operative intervention. Although the computed tomography (CT) scan is currently the best diagnostic tool to detect IAI, increased awareness of the risks of radiation ...

Short-Term Ventricular Assist Devices (Implantable and Percutaneous)

Short-term ventricular assist devices (VADs), percutaneous or surgical, are used in the settings of cardiogenic shock (CS) refractory to medical management, as bridges to myocardial recovery, heart transplantation, durable long-term devices, and in the aid of high-risk PCIs. Recent innovations in continuous-flow pump technology have contributed to the development of various ...

New Medical/Biologic Paradigms in the Treatment of Bone Tumors

Primary bone tumors are rare, but their treatments have enjoyed considerable improvements in life expectancy because of chemotherapy. When combined with advances in surgery, patients can now expect lives and limbs to behave with greater longevity and normality. The challenge now is how to raise the plateau of survival, and that means finding a successful way to treat metastatic or ...

Systemic Chemotherapy for Resectable Hepatic Colorectal Metastases: Adjuvant, Neoadjuvant, or Not at All?

The contemporary management of hepatic colorectal adenocarcinoma metastasis relies on the multidisciplinary use of both local operative resection and systemic chemotherapy. This article will discuss the principles and data that are of relevance in determining the optimal way to combine these treatment modalities. In so doing, we will explore the issue of when and whether to ...