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Surgery

Editor's Choice

Treating seizures in oncology patients

  • Free for a limited time
  • Epilepsy
  • Review

What’s best practice for managing seizures in patients with primary brain tumors or brain metastases, or as a consequence of cancer therapy?

NeuroSAFE PROOF of improved robotic prostatectomy outcomes

Using the NeuroSAFE technique to guide robot-assisted radical prostatectomy improves functional outcomes 12 months after surgery compared with standard preoperative nerve-sparing planning.

Cryptogenic stroke associated with pulmonary arteriovenous fistula

  • Open Access
  • Stroke
  • Case Study

In this unusual case, OCT revealed multiple mural thrombi in a PAVF as the source of embolic strokes and continuing ischemic attacks, indicating a potential emboligenic mechanism in PAVF.

What intensivists need to know about CMV infections

Patients with overt immunosuppression are at risk of cytomegalovirus infection, which can lead to, or develop during, ICU admission. Learn more about its broad clinical presentations, risk factors and management strategies.

Novel technique for extensive Descemet membrane detachment

Iridectomy combined with posterior approach anterior chamber gas injection is an alternative surgical option for extensive DMD after phacoemulsification in patients who have undergone several ineffective anterior chamber gas injection surgeries.

Colonic diaphragm disease

A man with a history of prolonged NSAID use suffered progressive fatigue, melena, and intestinal obstruction. Multiple interventions led to laparoscopic subtotal colectomy with ileo-sigmoid colon anastomosis.

Diagnosing Bartonella-induced infective endocarditis

Blood culture-negative infective endocarditis can be difficult to diagnose. In this case, a woman with Bartonella-induced infective endocarditis required aortic valve replacement surgery, CABG, and targeted antibiotic therapy, 

Minimally invasive treatment of an LVA

Full median sternotomy is common in the surgical intervention of LVA, but can have negative long-term effects. In this case, LVA with concomitant VSR was successfully treated by minimally invasive bilateral thoracotomy.

Complications of esophageal atresia/tracheoesophageal fistula

Early diagnosis, multidisciplinary surveillance, and individualized treatment strategies are needed to manage the GI complications of EA/TEF and improve long-term outcomes for affected children.

Ultrasound beyond joints

A practical guide to the main pathologic ultrasound findings associated with extra-articular manifestations of rheumatic diseases. Also learn about the advantages and limitations of ultrasound, and emerging innovations in the field.

Managing pain in pediatric cardiac surgery

Effective pain management in pediatric cardiac surgery is key to optimizing post-op outcomes and promoting faster recovery. Regional anesthetic techniques could offer relief, but what considerations should be made?

Myasthenia gravis: 5 new things

Treatment options for MG have expanded greatly. Learn about their integration into practice, biomarkers for prognostication, and treating the growing cohort of older patients with long-term or late-onset disease.

Treating complications of bleb needling

10 years after trabeculectomy, bilateral bleb needling treated high intraocular pressure, but scleral thinning then led to uveal prolapse in one eye. Discover the two-stage strategy used to manage this complex case.

Should AS-OCT have a role post-cataract surgery?

Descemet membrane detachment after cataract surgery can be difficult to diagnose. But integrating anterior segment OCT into the standard perioperative workflow could support prevention, early diagnosis, and prompt management.

Purulent pericarditis following oral fish bone impaction

The first reported case of E. corrodens and P. micra coinfection in a patient with purulent pericarditis, but does this unusual case have an even more unusual cause?

Focus on Rathke’s cleft cyst

All you need to know about RCC, from anatomical and embryological features to clinical and radiological characteristics, and differential diagnosis, with updated recommendations for follow-up and treatment.

Pediatric renal tumors: a state-of-the-art review

An in-depth analysis of the epidemiology, diagnosis, treatment options, outcomes, and survival of pediatric renal tumors, such as Wilms tumor, renal clear cell sarcoma, and malignant rhabdoid tumor.

Surgical therapies for drug-resistant epilepsy

Discover the innovations making precision and personalized medicine a reality, including neurostimulation, minimally invasive techniques, robotic assistance, and integration of genetic and molecular therapies.

Emphysematous cholecystitis

Emphysematous cholecystitis is a rare complication of acute cholecystitis that requires emergency cholecystectomy. In this case the patient had diabetes, which is a known predisposing factor.

EVT benefits questioned for strokes with medium vessel occlusion

Endovascular treatment may not be more beneficial than medical therapy alone for strokes with occlusion of medium or distal vessels.