W henever ureteral injuries are discussed which have occurred subsequent to surgical procedures, the thoughts of the urologist almost invariably are focused on the pelvis where injuries most commonly occur following either gynecological surgery or extensive general surgical procedures in the pelvis. Excluding these and other ureteral injuries from penetrating wounds or external blunt trauma, the causes for ureteral injury become increasingly more unusual or bizarre. The purpose of this paper is to present an unusual ureteral injury that followed translumbar
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Ureteral injury incident to lumbar disc surgery
Case report
Mauro P. Gangai
Surgery versus radiosurgery in the treatment of brain metastasis
Ajay K. Bindal, Rajesh K. Bindal, Kenneth R. Hess, Almon Shiu, Samuel J. Hassenbusch, Wei Ming Shi, and Raymond Sawaya
radiosurgical series are not as impressive as those for surgery, some authors have suggested that radiosurgery is as effective as, or superior to, surgery. 14, 16, 25 However, to date no study has ever compared these two treatment modalities in a meaningful way. Clinical Material and Methods Radiosurgery Patients Thirty-one consecutive patients with new brain metastasis who were treated with radiosurgery at the M. D. Anderson Cancer Center from August 1991 to March 1994 were followed and analyzed. The eligibility criteria for radiosurgical treatment were similar to
Facial nerve function after vestibular schwannoma surgery
Clinical article
Maurizio Falcioni, Paolo Fois, Abdelkader Taibah, and Mario Sanna
) and the cochlear nerve. 4 , 23 , 29 , 33 In this paper we describe postoperative FN function after VS surgery in a series of patients surgically treated at the Gruppo Otologico during the last 20 years. Methods All files of patients affected by VSs surgically treated at the Gruppo Otologico of Piacenza-Roma between January 1987 and December 2007 were retrospectively analyzed. Patients already treated with surgery (89 cases) or radiotherapy (19 cases) were excluded from the study, as were those affected by neurofibromatosis Type 2 (NF2; 47 cases) and those
Surgery is cost-effective treatment for young patients with vestibular schwannomas: decision tree modeling of surgery, radiation, and observation
Corinna C. Zygourakis, Taemin Oh, Matthew Z. Sun, Igor Barani, James G. Kahn, and Andrew T. Parsa
V estibular schwannomas (VSs; also known as acoustic neuromas) are benign tumors that represent approximately 10% of intracranial primary brain tumors. 12 Although they may be asymptomatic, they often present with unilateral hearing loss, tinnitus, imbalance, or vertigo. When they are discovered, VSs are managed in 3 ways: observation (the “wait and scan” approach); Gamma Knife surgery (GKS); or microsurgery. There is a significant body of literature (including many single- and multi-institution studies, as well as meta-analyses) regarding which
Number of surgeries performed during the lifetime of patients with myelomeningocele
Masahiro Nonaka, Haruna Isozaki, Yumiko Komori, Takamasa Kamei, Junichi Takeda, Yuichiro Nonaka, Ichiro Yabe, Masayoshi Zaitsu, Kenji Nakashima, and Akio Asai
I t is well known that patients with myelomeningocele undergo various surgeries throughout their lives 1 , 2 —not only neurosurgery, 3 but also orthopedic surgery, 4 – 6 urological surgery, 7 dermatological procedures, and others. However, how many surgeries are performed in patients with myelomeningocele over their lifetime is unclear. Surgeries often require hospitalization and often result in situations in which normal social activities are interrupted, including the need for rehabilitation for some time after surgery. We thought that by clarifying
Management of primary intracranial germinomas: diagnostic surgery or radical resection?
Yutaka Sawamura, Nicolas de Tribolet, Nobuaki Ishii, and Hiroshi Abe
G erminoma is a rare neoplasm in the central nervous system of children and young adults. 6, 15 It is a malignant primary neoplasm that can be cured by conventional radiation therapy alone or by reduced-volume and field irradiation in combination with chemotherapy. 1, 14–16, 18–20, 22, 25, 28, 30, 37, 38 Therefore, the role of surgery in the management of intracranial germinomas has become debatable. Germinoma is one of the subcategories of intracranial germ cell tumors, which encompass a variety of histological subtypes. 21 In contrast to pure germinomas
Cervical spine surgery in professional athletes: a systematic review
Andrei F. Joaquim, Wellington K. Hsu, and Alpesh A. Patel
physical demands that may put his spine at risk for new injury. The spines of high-performance athletes are under unique forces of compression and repetitive and intensive shear, increasing the prevalence of spondylosis. 1 , 8 , 9 Additionally, spine problems may affect the athlete's psychological state, which may lead to early retirement. 8 , 9 Considering the unique aspects involved in the management spinal diseases of professional athletes, we performed a systematic review of papers reporting the outcomes of cervical spine surgery in high-level athletes
Ischemic complications of surgery for anterior choroidal artery aneurysms
Jonathan A. Friedman, Mark A. Pichelmann, David G. Piepgras, John L. D. Atkinson, Cormac O. Maher, Fredric B. Meyer, and Kristine K. Hansen
aneurysm 7 (14) presentation SAH from AChA aneurysm 24 (47) SAH from other aneurysm 9 (18) symptoms other than rupture 3 (6) found incidentally preop 8 (16) found incidentally at surgery 6 (12) Thirty-three patients (66%) presented with SAH; in 24 of these patients (with 47% of all AChA aneurysms), the AChA aneurysm had caused the hemorrhage ( Table 1 ). In the other nine patients (18% of all AChA aneurysms), the SAH was caused by rupture of another aneurysm. Two patients presented with a third cranial
Patient perception of scoliosis correction surgery on Instagram
Nitin Agarwal, Amaan Rahman, Rachel Jacobs, Tavis Taylor, Nallammai Muthiah, Nima Alan, Alp Ozpinar, Daryl Fields, and David Kojo Hamilton
lower socioeconomic status and those of an ethnic minority, 6 but they are also prone to social desirability bias 2 , 6 and loss of nuanced perception of patient experience due to the artificial and fixed time lag between surgery and clinical follow-up. 3 Over the last few decades, social media has become a powerful tool for disseminating information between the general population and healthcare providers. Today, 72% of all adult Americans use social media. 7 Social media influences patient beliefs, choices, and actions in healthcare decision-making. 4 , 5 , 8
Dysphagia after cervical spine surgery: a review of risk factors and preventative measures
Vincent J. Alentado, Erica F. Bisson, and Eric A. Potts
D ysphagia is a common adverse outcome after cervical spine surgery. Fluoroscopic swallow studies demonstrate that persistent difficulty in swallowing after anterior cervical spine surgery is due to pharyngeal weakness secondary to tissue dissection and retraction during surgery. 1 Its presence in the postoperative period has been shown to negatively impact quality of life for patients. 2 Moreover, postoperative dysphagia after anterior cervical spine surgery has been shown to significantly increase hospital length of stay, in-hospital mortality, direct
