What's New

Hemorrhoids

    • Rubber band ligation remains the most effective nonexcisional technique available.
    • Advanced energy devices such as the LigaSure technique and Harmonic scalpel have demonstrated a modest decrease in immediate postoperative pain with equal efficacy when compared to the traditional excisional hemorrhoidectomy, however at a greater cost.
    • At this time, stapled hemorrhoidopexy and Doppler-guided hemorrhoidal dearterialization have not been shown to have a clear advantage over the traditional excisional hemorrhoidectomy.

Management of Neuroendocrine Tumors of the Pancreas

    • A multidisciplinary experienced team optimizes the management of pancreatic neuroendocrine tumors.
    • All patients should have a careful clinical review before treatment decisions are finalized.
    • The range of treatment options described in this report should be considered at each clinical decision point.

Management of Neuroendocrine Tumors of the Pancreas

    • A multidisciplinary experienced team optimizes the management of pancreatic neuroendocrine tumors.
    • All patients should have a careful clinical review before treatment decisions are finalized.
    • The range of treatment options described in this report should be considered at each clinical decision point.

Pathophysiology and Treatment of Cystinuria

    • Identifying cystinuria as an associated risk factor for chronic kidney disease
    • Demonstration of cystine obstruction in the nephron initiating a renal inflammatory process
    • Identification of new potential therapeutic agents including a-lipoic acid, L-cystine dimethyl ester, 1-cystine bismorpholide, and 1-cystine bis (N-methylpiperazide)

Food Allergies

    • Prescription of targeted allergen elimination diet as the treatment for known or strongly suspected food allergy
    • Consultation with a nutritionist for growing children in whom elimination diets might affect growth; and patients with multiple food allergies, poor growth parameters, or both
    • Emphasis on awareness of anaphylaxis and swift intervention

Parotidectomy

    • Although facial nerve injury is the most feared complication of parotidectomy, consent should include reference to the common sequelae of cosmetic deformity, earlobe numbness, salivary fistula, and gustatory sweating.
    • The facial nerve dissection may be performed in antegrade fashion from the main trunk of the facial nerve distally or, if the main trunk cannot be exposed, from a peripheral branch proximally.
    • Complete superficial parotidectomy with exposure of all branches of the facial nerve is seldom necessary, although it may be mandated by tumor size.
    • Nerve branches sacrificed due to tumor involvement or inadvertently injured should be repaired primarily or with a cable graft at the time of injury rather than in a staged procedure.

Food Allergies

    • Prescription of targeted allergen elimination diet as the treatment for known or strongly suspected food allergy
    • Consultation with a nutritionist for growing children in whom elimination diets might affect growth; and patients with multiple food allergies, poor growth parameters, or both
    • Emphasis on awareness of anaphylaxis and swift intervention

Biomaterials

    • The paradigm of biocompatibility
    • How biomaterials integrate into tissues
    • Main biomaterials used in plastic surgery
    • Current limitations of clinically used biomaterials
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