Latest Updates

Minimally Invasive Approaches to Forehead Rejuvenation

Paul S Cederna, MD, Dhivya R Srinivasa, MD
    • Evolution in fixation techniques
    • Endoscopic dissection
    • Temporal changes in the Aesthetic Brow

Introduction to Ureteroceles: Presentation, Diagnosis, and Initial Management

David A Diamond, MD, Joseph W McQuaid, MD, MPH
    • Goals of ureterocele management include: prevention of renal damage, prevention of infection, and preservation of continence.
    • Prenatal diagnosis of ureteroceles results in decreased morbidity both before and after surgical intervention.
    • Patients presenting with obstruction and sepsis benefit from prompt, transurethral decompression.
    • Any endoscopic technique chosen should aim to relieve obstruction while minimizing surgical morbidity and de novo reflux.

Biochemical Recurrence after Radical Prostatectomy

Brian Chapin, MD, Scott Delacroix, MD, Dunia Khaled, MD
    • Historical versus novel predictors of biochemical recurrence (BCR), metastasis, and cancer-specific mortality
    • Historical versus novel imaging modalities in staging of BCR
    • Emerging salvage therapies for BCR

Cardiac Arrest And Resuscitation

Shamai A. Grossman, MD, MS, Patrick Hughes, MD, Oren Mechanic, MD, MPH
    • Despite continued research, the principal evidence-based interventions are high-quality chest compressions and early defibrillation when indicated.
    • Advanced airway management is not shown to improve neurologically intact survival.
    • Minimizing interruptions in chest compressions improves survival.
    • Vasopressin has been removed from ACLS guidelines.
    • Amiodarone is only recommended in ventricular fibrillation or ventricular tachycardia that is refractory to chest compressions, vasopressors, and defibrillation.
    • Capnography provides useful information with regard to the effectiveness of chest compressions, confirmation of endotracheal tube placement, and prognostic information.

Viral Zoonoses

Duane J. Gubler, ScD, Lyle R Petersen, MD, MPH

    Systemic Mastocytosis

    Matthew J. Hamilton, MD
      • The most prominent symptoms of SM are those caused by mast cell activation and include flushing, abdominal pain, and cramping.
      • SM is diagnosed by defined criteria including appearance and number of the clonal mast cells on bone marrow or intestinal biopsy.
      • Treatment for the most common form of SM is directed at mast cell activation and symptom control.

    Postoperative Pain Management

    Abhishek Parmar, MD, MS
      • Update to pharmacologic options in multimodal analgesia
      • Increasing use of epidural anesthesia
      • Expansion of literature supporting regional nerve blocks and details on techniques
      • Rise of opiate addiction crisis and information on best prescriber practices to minimize abuse

    Distraction Osteogenesis in Plastic Surgery

    Derek M Steinbacher, DMD, MD, FACS, Elizabeth G Zellner, MD
      • Distraction osteogenesis offers a unique opportunity to create new bone stock in areas of the craniofacial skeleton where bone is inadequate.
      • The osteotomy site, vector, device selection, and timing are all important determinants of success in craniofacial distraction osteogenesis.
      • Technological advances in both external and internal distraction devices allow for increased operative flexibility and creativity.
      • 3D computer-aided design/manufacturing planning, increased device flexibility, and customized osteotomies allow for further tailoring of distraction osteogenesis to meet individual patient needs.
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