Pure transoral robotic thyroidectomy; institutional adaptation and early results from a tertiary endocrine surgery centre

2020 ◽  
Vol 16 (6) ◽  
pp. 1-8
Author(s):  
Fatih Tunca ◽  
Ahmet Cem Dural ◽  
Nuri Alper Sahbaz ◽  
Cevher Akarsu ◽  
Ismail Cem Sormaz ◽  
...  
Keyword(s):  
Robotic Thyroidectomy ◽  
Endocrine Surgery ◽  
Institutional Adaptation ◽  
Early Results

Clinical Update: Assessing Maximum Medical Improvement in Carpal Tunnel Syndrome

2003 ◽  
Vol 8 (4) ◽  
pp. 4-5
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Proper Time ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Factors Affecting ◽  
Early Results ◽  
Medical Evaluation ◽  
Nerve Recovery ◽  
Tunnel Syndrome

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.

Early Results From the Primaries: Life Stress and Childhood

1988 ◽  
Vol 33 (9) ◽  
pp. 812-813
Author(s):  
C. R. Snyder
Keyword(s):  
Life Stress ◽  
Early Results

Early results after implantation of Siena™ Collared Graft in elephant-trunk procedure

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
AM Dell'Aquila ◽  
SRB Schneider ◽  
D Schlarb ◽  
A Rukosujew ◽  
S Martens
Keyword(s):  
Elephant Trunk ◽  
Early Results ◽  
Elephant Trunk Procedure

Minimally invasive triple valve surgery through partial upper sternotomy: Early results are promising

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
PS Risteski ◽  
N Monsefi ◽  
E Srndic ◽  
T Josic ◽  
UA Stock ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Valve Surgery ◽  
Early Results ◽  
Triple Valve
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