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http://dx.doi.org/10.1007/s00540-025-03520-y | DOI Listing |
Int J Surg Protoc
June 2025
Plastic Reconstructive, and Aesthetic Surgery Department, Nantes University, CHU Nantes, Nantes, France.
Background: Neurogenic thoracic outlet syndrome (NTOS), characterized by brachial plexus compression, causes chronic pain and numbness in the upper extremities. Recurrences are common after surgical treatment, which typically includes an anterior scalenectomy and rib resection. Brachial plexus neurolysis and flap coverage can reduce scar fibrosis and prevent further recurrence.
View Article and Find Full Text PDFRadiology
August 2025
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan.
Background Surgical decisions for traumatic brachial plexus injury (TBPI) depend on the severity of nerve root injury, especially total root avulsion and partial root avulsion, determined with MRI and intraoperative findings. However, the use of quantitative MRI indexes to distinguish normal roots, total root avulsion, and partial root avulsion remains to be explored. Purpose To develop a diagnostic system using paraspinal muscle volumetric segmentation in MRI assessments of TBPI.
View Article and Find Full Text PDFCureus
July 2025
Department of Anesthesiology, Kobe Ekisaikai Hospital, Kobe, JPN.
Interscalene brachial plexus block (ISB) is frequently employed for analgesia in clavicle surgery but can cause ipsilateral diaphragmatic paresis, potentially leading to respiratory compromise in patients with limited pulmonary reserve. Trauma patients with pneumothorax may undergo regional anesthesia with spontaneous ventilation to avoid positive pressure ventilation (PPV), but this approach carries significant risk if respiratory function is already compromised. A woman in her 60s with multiple rib fractures, a small pneumothorax, and persistent hypoxemia underwent ISB for clavicle surgery.
View Article and Find Full Text PDFJBJS Essent Surg Tech
August 2025
Division of Hand and Reconstructive Microsurgery, Department of Orthopedics, Olympia Hospital & Research Centre, Trichy, Tamilnadu, India.
Background: Medial-approach derotational humeral osteotomy is indicated in patients with brachial plexus birth palsy (BPBP) who have internal rotation contracture, a condition that substantially limits upper-extremity function and creates cosmetic concerns as a result of excessive internal rotation. This procedure enhances the range of motion of the arm by surgically externally rotating the humerus, thereby facilitating essential activities such as bringing the hand to the mouth and neck without the need for compensatory movements. In addition, the medial approach offers cosmetic benefits; the incision along the inner arm is less conspicuous than those of traditional lateral approaches.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of Surgery, Division of Vascular and Endovascular Surgery, Kyungpook National University Hospital, Daegu, Republic of Korea.
Rationale: As the end-stage kidney disease (ESKD) population requiring vascular access for hemodialysis continues to grow, the Kidney Disease Outcomes Quality Initiative guidelines emphasize vessel preservation to ensure viability for future access. Preoperative ultrasound is commonly performed prior to arteriovenous (AV) access creation when available. However, its major limitation is the restricted imaging range, which impedes visualization of the complete vascular network.
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