scholarly journals Cerebral Injury and Neurodevelopmental Impairment after Amnioreduction versus Laser Surgery in Twin-Twin Transfusion Syndrome: A Systematic Review and Meta-Analysis

2013 ◽  
Vol 33 (2) ◽  
pp. 81-89 ◽  
Author(s):  
Jeanine M.M. van Klink ◽  
Hendrik M. Koopman ◽  
Erik W. van Zwet ◽  
Dick Oepkes ◽  
Frans J. Walther ◽  
...  
Keyword(s):  
Systematic Review ◽  
Laser Surgery ◽  
Meta Analysis ◽  
Cerebral Injury ◽  
Neurodevelopmental Impairment

scholarly journals Comparison between transoral laser surgery and radiotherapy in the treatment of early glottic cancer: A systematic review and meta-analysis

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
André Vicente Guimarães ◽  
Rogério Aparecido Dedivitis ◽  
Leandro Luongo Matos ◽  
Felipe Toyama Aires ◽  
Claudio Roberto Cernea
Keyword(s):  
Systematic Review ◽  
Laser Surgery ◽  
Meta Analysis ◽  
Glottic Cancer ◽  
Early Glottic Cancer ◽  
Transoral Laser Surgery

scholarly journals Intraoperative evoked potential monitoring for detecting cerebral injury during adult aneurysm clipping surgery: a systematic review and meta-analysis of diagnostic test accuracy

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e022810 ◽  
Author(s):  
Fang Zhu ◽  
Jason Chui ◽  
Ian Herrick ◽  
Janet Martin
Keyword(s):  
Systematic Review ◽  
Diagnostic Test ◽  
Sensitivity And Specificity ◽  
Evoked Potential ◽  
Meta Analysis ◽  
Cerebral Injury ◽  
Test Accuracy ◽  
Worst Case ◽  
Aneurysm Clipping ◽  
Point Estimates

ObjectivesWe aim to evaluate the diagnostic test accuracy (DTA) of intraoperative evoked potential (EP) monitoring to detect cerebral injury during clipping of cerebral aneurysms.DesignSystematic review.Data sourcesMajor electronic databases including MEDLINE, EMBASE, LILACS.Eligibility criteriaWe included studies that reported the DTA of intraoperative EP monitoring during intracranial aneurysm clipping procedures in adult patients.Data extraction and synthesisAfter quality assessment, we performed a meta-analysis using the bivariate random effects model, and calculated the possible range of DTA point estimates using a new best-case/worst-case scenario approach to quantify the impact of rescue intervention on DTA.ResultsA total of 35 studies involving 4011 patients were included. The quality of the primary studies was modest and the heterogeneity across studies was high. The pooled sensitivity and specificity for predicting postoperative neurological deficits for the somatosensory evoked potential (SSEP) monitoring was 59% (95% CI: 39% to 76%; I2: 76%) and 86% (95% CI: 77% to 92%; I2: 94%), for motor evoked potential (MEP) monitoring was 81% (95% CI: 58% to 93%; I2: 54%) and 90% (95% CI: 86% to 93%; I2: 81%), and for combined SSEP and MEP monitoring was 92% (95% CI: 62% to 100%) and 88% (95% CI: 83% to 93%). The best-case/worst-case range for the pooled point estimates for sensitivity and specificity for SSEP was 50%–63% and 81%–100%, and for MEP was 59%–74% and 93%–100%, and for combined SSEP and MEP was 89%–94% and 83%–100%.ConclusionsDue to the modest quality and high heterogeneity of the existing primary studies, it is not possible to confidently support or refute the diagnostic value of EP monitoring in cerebral aneurysm clipping surgery. However, combined SSEP and MEP appears to provide the best DTA for predicting postoperative stroke. Contrary to popular assertion, the modest sensitivity of SSEP monitoring is not explained by the use of rescue intervention.PROSPERO registration numberCRD42015016884.

Transoral laser surgery versus radiotherapy: Systematic review and meta-analysis for treatment options of T1a glottic cancer

Head & Neck ◽  
2011 ◽  
Vol 34 (1) ◽  
pp. 23-33 ◽  
Author(s):  
Yasin Abdurehim ◽  
Zhang Hua ◽  
Yalkun Yasin ◽  
Ayihen Xukurhan ◽  
Ilham Imam ◽  
...  
Keyword(s):  
Systematic Review ◽  
Laser Surgery ◽  
Meta Analysis ◽  
Treatment Options ◽  
Glottic Cancer ◽  
Transoral Laser Surgery

scholarly journals The voice quality after laser surgery versus radiotherapy of T1a glottic carcinoma: systematic review and meta-analysis

2017 ◽  
Vol Volume 10 ◽  
pp. 2403-2410 ◽  
Author(s):  
Guanjiang Huang ◽  
Mengsi Luo ◽  
Jingxuan Zhang ◽  
Hongbing Liu
Keyword(s):  
Systematic Review ◽  
Laser Surgery ◽  
Meta Analysis ◽  
Voice Quality ◽  
Glottic Carcinoma ◽  
The Voice

scholarly journals Spontaneous preterm birth and PPROM After Fetoscopic laser Surgery for TTTS- Systematic review and Meta-analysis

2022 ◽  
Vol 226 (1) ◽  
pp. S174-S175
Author(s):  
Hiba J. Mustafa ◽  
Katherine Goetzinger ◽  
Ali Javinani ◽  
Faezeh Aghajani ◽  
Christopher Harman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Preterm Birth ◽  
Laser Surgery ◽  
Meta Analysis ◽  
Spontaneous Preterm Birth

Neurodevelopmental impairment in necrotising enterocolitis survivors: systematic review and meta-analysis

2019 ◽  
Vol 105 (4) ◽  
pp. 432-439 ◽  
Author(s):  
Andreea Matei ◽  
Louise Montalva ◽  
Alexa Goodbaum ◽  
Giuseppe Lauriti ◽  
Augusto Zani
Keyword(s):  
Systematic Review ◽  
Preterm Infants ◽  
Meta Analysis ◽  
Periventricular Leukomalacia ◽  
Intraventricular Haemorrhage ◽  
Cochrane Collaboration ◽  
Necrotising Enterocolitis ◽  
Cerebral Lesions ◽  
Neurodevelopmental Impairment ◽  
The Impact

AimTo determine (1) the incidence of neurodevelopmental impairment (NDI) in necrotising enterocolitis (NEC), (2) the impact of NEC severity on NDI in these babies and (3) the cerebral lesions found in babies with NEC.MethodsSystematic review: three independent investigators searched for studies reporting infants with NDI and a history of NEC (PubMed, Medline, Cochrane Collaboration, Scopus). Meta-analysis: using RevMan V.5.3, we compared NDI incidence and type of cerebral lesions between NEC infants versus preterm infants and infants with medical vs surgical NEC.ResultsOf 10 674 abstracts screened, 203 full-text articles were examined. In 31 studies (n=2403 infants with NEC), NDI incidence was 40% (IQR 28%–64%) and was higher in infants with surgically treated NEC (43%) compared with medically managed NEC (27%, p<0.00001). The most common NDI in NEC was cerebral palsy (18%). Cerebral lesions: intraventricular haemorrhage (IVH) was more common in NEC babies (26%) compared with preterm infants (18%; p<0.0001). There was no difference in IVH incidence between infants with surgical NEC (25%) and those treated medically (20%; p=0.4). The incidence of periventricular leukomalacia (PVL) was significantly increased in infants with NEC (11%) compared with preterm infants (5%; p<0.00001).ConclusionsThis study shows that a large proportion of NEC survivors has NDI. NEC babies are at higher risk of developing IVH and/or PVL than babies with prematurity alone. The degree of NDI seems to correlate to the severity of gut damage, with a worse status in infants with surgical NEC compared with those with medical NEC.Trial registration numberCRD42019120522.

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