Application of rib surface positioning ruler combined with volumetric CT measurement technique in endoscopic minimally invasive thoracic wall fixation surgery

Xia, Honggang; Sun, Zhongyi; Wang, Juping; Jing, Li; Li, Xuan; Zhu, Shankuan; Wang, Dongbin

doi:10.3892/etm.2020.8862

Cited by 8 publications

(2 citation statements)

References 18 publications

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“…With this method, the planned incision fails to account for the dynamic nature of extrathoracic anatomic landmarks including the scapula and back muscles throughout the process of patient positioning in the operating room, as well as the possibility for inadvertent fracture displacement. 18 Therefore, surgeons often find themselves extending the incision to identify and access additional fractures, and successfully complete the planned stabilization. A larger incision and longer operative time present a dilemma.…”

Section: Discussionmentioning

confidence: 99%

“…However, the incision’s location and length are commonly selected based on static preoperative imaging with CT and three-dimensional reconstructions when available, and the surgeon’s knowledge of chest wall anatomy. With this method, the planned incision fails to account for the dynamic nature of extrathoracic anatomic landmarks including the scapula and back muscles throughout the process of patient positioning in the operating room, as well as the possibility for inadvertent fracture displacement 18 . Therefore, surgeons often find themselves extending the incision to identify and access additional fractures, and successfully complete the planned stabilization.…”

Section: Discussionmentioning

confidence: 99%

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Optimizing surgical stabilization of rib fractures using intraoperative ultrasound localization

Martin¹,

Cao²,

Benoît³

et al. 2021

J Trauma Acute Care Surg

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BACKGROUND:Surgical stabilization of rib fractures (SSRF) significantly improve the outcomes of patients with rib fractures. Ultrasound is a specific modality for localizing rib fractures. We hypothesized that use of perioperative ultrasound localization of fracture sites optimizes surgical approach and clinical outcomes. METHODS:We performed a retrospective cohort study of adult patients undergoing SSRF and compared those with and without adjunctive perioperative ultrasound fracture localization. Our primary outcome was improved surgical efficiency as measured by incision length and total operative time. Secondary clinical outcomes included numeric pain score on follow-up visit and daily morphine milligram equivalent prescribed within 30 days from discharge. RESULTS:We performed 49 surgical rib fixations between 2015 and 2020; of which, 13 (26.5%) additionally underwent ultrasound localization (26.5%). There were no significant differences between groups in age, sex, number of ribs repaired, or days till surgery. More patients in the ultrasound group had nonflail chest wall injury (76.9% vs. 27.8%, p = 0.003). Use of perioperative ultrasound was associated with shorter incision length (median, 9 vs. 15.5 cm; p = 0.0001), shorter operative time (median, 120 vs. 174 minutes; p = 0.003), less daily morphine milligram equivalent (25 vs. 68 mg, p = 0.009), and reduced numeric pain score on follow up (median, 4 vs. 7, p = 0.05). CONCLUSION:Use of perioperative ultrasound localization of rib fractures to optimize surgical approach for SSRF was associated with reduced incision length, operative time, and opioid requirements on patient discharge. We recommend considering routine perioperative localization to improve surgical approach and efficiency during SSRF.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Optimizing surgical stabilization of rib fractures using intraoperative ultrasound localization

Martin¹,

Cao²,

Benoît³

et al. 2021

J Trauma Acute Care Surg

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The star target in SLE: IL-17

Yang

Chen

et al. 2022

Inflamm. Res.

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Lactylation: a Passing Fad or the Future of Posttranslational Modification

Wang

et al. 2022

Inflammation

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Lactate is a glycolytic product and a significant energy source. Moreover, it regulates gene transcription via lactylation of histones and non-histone proteins, i.e., a novel posttranslational modification. This review summarizes recent advances related to lactylation in lactate metabolism and diseases. Notably, lactylation plays a vital role in cancer, inflammation, and regeneration; however, the specific mechanism remains unclear. Histone lactylation regulates oncogenic processes by targeting gene transcription and inflammation via macrophage activation. Eventually, we identified research gaps and recommended several primary directions for further studies.

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Application of rib surface positioning ruler combined with volumetric CT measurement technique in endoscopic minimally invasive thoracic wall fixation surgery

Cited by 8 publications

References 18 publications

Optimizing surgical stabilization of rib fractures using intraoperative ultrasound localization

Optimizing surgical stabilization of rib fractures using intraoperative ultrasound localization

The star target in SLE: IL-17

Lactylation: a Passing Fad or the Future of Posttranslational Modification

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