scholarly journals Cosmetic outcomes and quality of life in children with cardiac implantable electronic devices

2018 ◽  
Vol 42 (1) ◽  
pp. 46-57 ◽  
Author(s):  
Katja M. Gist ◽  
Bradley S. Marino ◽  
Claire Palmer ◽  
Frank A. Fish ◽  
Jeremy P. Moore ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Electronic Devices ◽  
Cardiac Implantable Electronic Devices ◽  
Cosmetic Outcomes

Implantable cardiac devices: the utility of remote monitoring in a paediatric and CHD population

2017 ◽  
Vol 27 (S1) ◽  
pp. S143-S146 ◽  
Author(s):  
Melissa M. Olen ◽  
Brynn Dechert-Crooks
Keyword(s):  
Quality Of Life ◽  
Remote Monitoring ◽  
Electronic Devices ◽  
Cardiac Implantable Electronic Devices ◽  
Cardiac Devices ◽  
Improved Outcomes ◽  
Implantable Cardiac Devices ◽  
Reduced Costs ◽  
Modern Era

AbstractRemote monitoring in the modern era has improved outcomes for patients with cardiac implantable electronic devices. There are many advantages to remote monitoring, including improved quality of life for patients, decreased need for in-office interrogation, and secondary reduced costs. Patient safety and enhanced survival remain the most significant benefit. With most of the published literature on this topic being focussed on adults, paediatric outcomes continue to be defined. This is a review of the benefits of remote monitoring in paediatrics and in patients with CHD.

scholarly journals Breast-conserving treatment in oncoplastic times: indications, cosmesis, and quality of life

Mastology ◽  
2021 ◽  
Vol 31 ◽  
Author(s):  
Idam de Oliveira-Junior ◽  
Raphael Luiz Haikel ◽  
René Aloísio da Costa Vieira
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Breast Conserving Surgery ◽  
Safe Procedure ◽  
Breast Conserving Treatment ◽  
Oncological Treatment ◽  
Life Data ◽  
Generic Term ◽  
Cosmetic Outcomes

Breast-conserving treatment was established as an oncologically safe procedure for breast cancer. However, the cosmetic outcomes of breast-conserving treatments are often unsatisfactory. In this scenario, oncoplastic breast-conserving surgery incorporated plastic surgery concepts and techniques into the oncological treatment in order to ensure better cosmesis, thus increasing the indications for breast-conserving treatment. At the same time, oncoplastic breast-conserving surgery is usually presented as a generic term, which should be evaluated taking many aspects into account: indication, patient selection, the surgery itself, cosmetic quality, and quality of life — data that are still scarce in the literature.

Cosmetic and functional outcomes following paramedian and anterolateral retroperitoneal access in anterior lumbar spine surgery

2008 ◽  
Vol 9 (5) ◽  
pp. 454-465 ◽  
Author(s):  
Jay Jagannathan ◽  
Ekawut Chankaew ◽  
Peter Urban ◽  
Aaron S. Dumont ◽  
Charles A. Sansur ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lumbar Spine ◽  
Wound Complication ◽  
Research Society ◽  
Retroperitoneal Approach ◽  
Lumbar Spine Surgery ◽  
Anterolateral Approach ◽  
Scoliosis Research Society ◽  
Cosmetic Outcomes

Object In this paper, the authors review the functional and cosmetic outcomes and complications in 300 patients who underwent treatment for lumbar spine disease via either an anterior paramedian or conventional anterolateral retroperitoneal approach. Methods Seven surgeons performed anterior lumbar surgeries in 300 patients between August 2004 and December 2006. One hundred and eighty patients were treated with an anterior paramedian approach, and 120 patients with an anterolateral retroperitoneal approach. An access surgeon was used in 220 cases (74%). Postoperative evaluation in all patients consisted of clinic visits, assessment with the modified Scoliosis Research Society–30 instrument, as well as a specific questionnaire relating to wound appearance and patient satisfaction with the wound. Results At a mean follow-up of 31 months (range 12–47 months), the mean Scoliosis Research Society–30 score (out of 25) was 21.2 in the patients who had undergone the anterior paramedian approach and 19.4 in those who had undergone the anterolateral retroperitoneal approach (p = 0.005). The largest differences in quality of life measures were observed in the areas of pain control (p = 0.001), self-image (p = 0.004), and functional activity (p = 0.003), with the anterior paramedian group having higher scores in all 3 categories. Abdominal bulging in the vicinity of the surgical site was the most common wound complication observed and was reported by 22 patients in the anterolateral retroperitoneal group (18%), and 2 patients (1.1%) in the anterior paramedian group. Exposures of ≥ 3 levels with the anterolateral approach were associated with abdominal bulging (p = 0.04), while 1- or 2-level exposures were not (p > 0.05). Overall satisfaction with incisional appearance was higher in patients with an anterior paramedian incision (p = 0.001) and with approaches performed by an access surgeon (p = 0.004). Conclusions Patients who undergo an anterior paramedian approach to the lumbar spine have a higher quality of life and better cosmetic outcomes than patients undergoing an anterolateral retroperitoneal approach.

scholarly journals Fronto-orbitozygomatic approach: functional and cosmetic outcomes in a series of 169 patients

2018 ◽  
Vol 128 (2) ◽  
pp. 466-474 ◽  
Author(s):  
Nicola Boari ◽  
Alfio Spina ◽  
Lodoviga Giudice ◽  
Francesca Gorgoni ◽  
Michele Bailo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Outcomes ◽  
Additional Time ◽  
Orbital Reconstruction ◽  
Comprehensive Knowledge ◽  
Great Utility ◽  
Orbitozygomatic Approach ◽  
Cosmetic Outcomes

OBJECTIVEAdvantages of the fronto-orbitozygomatic (FOZ) approach have been reported extensively in the literature; nevertheless, restoration of normal anatomy and the esthetic impact of surgery are increasingly important issues for patients and neurosurgeons. The aim of this study was to analyze functional and cosmetic outcomes in a series of 169 patients with different pathologies who underwent surgery in which the FOZ approach was used.METHODSBetween January 2000 and December 2014, 250 consecutive patients underwent surgery with an FOZ approach as the primary surgical treatment. Follow-up data were available for only 169 patients; 103 (60.9%) of these patients were female and 66 (39.1%) were male, and their ages ranged from 6 to 77 years (mean 46.9 years; SD 15.6 years). Mean follow-up time was 66 months (range 6–179 months; SD 49.5 months). Evaluation of clinical outcomes was performed with a focus on 4 main issues: surgical complications, functional outcome, cosmetic outcome, and patient satisfaction. The additional time needed to perform orbitotomy and orbital reconstruction was also evaluated.RESULTSThe permanent postoperative complications included forehead hypesthesia (41.4%) and dysesthesia (15.3%), frontal muscle weakness (10.3%), exophthalmos (1.4%), enophthalmos (4.1%), diplopia (6.6%; 2% were related to surgical approach), and persistent periorbital and eyelid swelling (3%). Approximately 90% of the patients reported subjectively that surgery did not affect their quality of life or complained of only minor problems that did not influence their quality of life significantly. The mean time needed for orbitotomy and orbital reconstruction was approximately half an hour.CONCLUSIONSComprehensive knowledge of the potential complications and overall clinical outcomes of the FOZ approach can be of great utility to neurosurgeons in balancing the well-known benefits of the approach with potential additional morbidities.

scholarly journals Organ-Preserving Surgery for Penile Carcinoma

2008 ◽  
Vol 2008 ◽  
pp. 1-7 ◽  
Author(s):  
Francisco E. Martins ◽  
Raul N. Rodrigues ◽  
Tomé M. Lopes
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Psychological Impact ◽  
Surgical Techniques ◽  
Penile Carcinoma ◽  
Current Status ◽  
Radical Radiotherapy ◽  
Surgical Options ◽  
Cosmetic Outcomes

Introduction. Penile carcinoma has traditionally been treated by either surgical amputation or radical radiotherapy, both associated with devastating anatomical, functional, and psychological impact on the patient's life. Innovative surgical techniques have focused on penile preservation in well-selected patients to minimize physical disfigurement and consequently maximize quality of life. The objective of this article is to define the current status of these organ-preserving surgical options for penile carcinoma.Materials and Methods. An extensive review of the Pubmed literature was performed to find articles discussing only reconstructive surgery which have contributed significantly to change traditional, frequently mutilating treatments, to develop less disfiguring surgery, and to improve patients' quality of life over the last two decades.Results. Several articles were included in this analysis in which a major contribution to the change in therapy was thought to have occurred and was documented as beneficial. Some articles reported novel techniques of less-mutilating surgery involving different forms of glans reconstruction with the use of flaps or grafts. The issue of safe surgical margins was also addressed.Conclusion. The development of less-disfiguring techniques allowing phallus preservation has reduced the negative impact on functional and cosmetic outcomes of amputation without sacrificing oncological objectives in appropriately selected patients based on stage, grade, and location of the tumour. Until more prospective studies are available and solid evidence is documented, organ preservation should be offered with caution.

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