Surgery

joint degeneration

Improvements Seen in Perioperative Management of Adults With Hemophilia

A Canadian multicenter 3-decade retrospective cohort review of adults with hemophilia, published in Haemophilia, reported a decrease in total knee arthroplasties (TKA) and an increase in the rate of ankle arthrodesis over time. In addition, length of stay (LOS) and factor utilization decreased, reflecting improvements in perioperative management. Surgical intervention is often needed to address…

GIST robotic surgery

10-Year Dataset Shows Safety of Minimally Invasive Approaches for Gastric GISTs

The 10-year experience of 3 Italian centers points to the safety of minimally invasive approaches to treat gastrointestinal stromal tumors (GISTs) localized in the stomach. The study included 81 patients treated with minimally invasive surgery, either laparoscopy (n=36) or robotic surgery (n=45). The average tumor size was 4.4 cm. To better assess long-term safety and…

RAMIE Allows for Safe and Minimally Invasive Resection of Esophageal GIST

In a recent case report published in the International Journal of Surgery Case Reports, Yamamoto et al concluded that robotic-assisted minimally invasive esophagectomy (RAMIE) allowed for safe and minimally invasive resection of an esophageal gastrointestinal stromal tumor (GIST). The duration of the surgery was 319 minutes, with the thoracoscopic portion taking 69 minutes. The patient,…

sma physiotherapy

Sagittal Deformities in SMA Type 2 After Posterior Instrumentation Surgery

US researchers performed postoperative imaging analyses in children with spinal muscular atrophy (SMA) type 2 and found a 40% prevalence of sagittal deformities occurring above and below posterior instrumentation, according to a study published in Children.  SMA causes progressive muscle weakness and atrophy, eventually leading to early mortality. It is divided into 3 types based…

Surgery May Benefit Some Older Patients With Cholangiocarcinoma

Some older patients with cholangiocarcinoma can benefit from surgery, a study by Japanese researchers found. According to the authors, assessing organ function is important when selecting candidates for surgery. Cholangiocarcinoma is a group of rare malignant tumors originating from cells of the biliary tree. Surgery is usually the first treatment option but there are many…

surgery

Minimally Invasive Fusionless Surgery Effective in Patients With SMA

Bipolar minimally invasive fusionless surgery can preserve spinal and thoracic growth without interfering with respiratory function in patients with spinal muscular atrophy (SMA), according to a study published in the Journal of Pediatric Orthopaedics. The authors of the study wrote, “It provides a significant correction of spinal deformity and pelvic obliquity, having a reduced rate…

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