BACKGROUND Obtaining tumor-negative margins when performing breast-conserving surgery is the standard of care to prevent local recurrence. We believe two-view specimen mammography is a useful method for intraoperative determination of adequacy of excision. METHODS A retrospective review was performed on patients who underwent wire-localized partial mastectomy for invasive cancer in our Breast...

The purpose of this systematic review is to collate results of studies comparing fixed and mobile bearing unicompartmental knee arthroplasty (UKA), focusing on complications and timing for reoperations. Out of 723 results derived from PubMed, EMBASE and Cochrane database search engines on bearings in arthroplasty, 10 studies comparing clinical results of fixed bearings to mobile bearings in UKA...

RESULTS: Inpatient status, obesity (BMI ≥30.0), hypertension, American Society of Anesthesiology (ASA) class ≥3, and smoking were independent predictors of unplanned reoperation (all p<0.05). Of the 3,666 patient cohort, 4.7% required reoperation between the end of surgery and end of POD1, 1.1% required reoperation during POD2. Risk factors did not significantly increase the likelihood of reope...

OBJECTIVE To compare short- and long-term outcome after 180-degree laparoscopic anterior fundoplication (180-degree LAF) with laparoscopic Nissen fundoplication (LNF). SUMMARY OF BACKGROUND DATA LNF is currently the most frequently performed surgical therapy for gastroesophageal reflux disease. Alternatively, 180-degree LAF has been alleged to reduce troublesome dysphagia and gas-related symp...

BACKGROUND Coronary artery bypass grafting (CABG) reoperation is being performed with increasing frequency. OBJECTIVE To determine the clinical outcome and the long-term results of a second CABG. SETTING An 1100-bed urban university-affiliated hospital. DESIGN Retrieval of data on selected parameters from medical records before surgery and prospective follow-up afterwards. PATIENTS AND ...

Results In-hospital mortality was 0.5%. Cardiac failure with significant MR was the main cause of early death, and no postoperative peripheral embolism occurred in cases done after TEE and occurred in 0.5% cases done without TEE. Freedom from thromboembolism was 99.0 +/0.5% at 20 years. Operative results were satisfactory in most patients, and severe mitral incompetence was seen only in hundred...

OBJECTIVE The present study aims to analyze the main reasons that lead to the failure of bone tuberculosis (TB) surgery and the efficacy of reoperation. METHODS A total of 3,000 cases of bone TB patients were examined retrospectively. Of these, 180 cases had recurrence, including 135 cases of spinal TB and 45 cases of limb TB. Preoperative indicators of duration of anti-TB chemotherapy, nutri...

Goreisan is a herbal Kampo medicine used for treating chronic subdural hematoma (CSDH) in Japan. Experimental studies have suggested that Goreisan exerts a hydrogogue effect, but clinical evidence for the effectiveness of Goreisan in CSDH is currently lacking. Using a national Japanese inpatient database, we examined the association between Goreisan use and reoperation rates after burr-hole sur...

BACKGROUND Sliding hip screws (SHSs) and intramedullary (IM) nails are well-documented implants for simple two-part intertrochanteric fractures; however, there is no consensus regarding which type of implant is better. QUESTIONS/PURPOSES We asked whether patients with simple two-part intertrochanteric fractures treated with IM nailing had (1) a lower reoperation rate and (2) less pain and bet...