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Surgeries, Volume 5, Issue 3 (September 2024) – 2 articles

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18 pages, 675 KiB  
Review
Advances in Instrumentation and Implant Technology for Spine Oncology: A Focus on Carbon Fiber Technologies
by Iheanyi Amadi, Jean-Luc K. Kabangu, Adip G. Bhargav and Ifije E. Ohiorhenuan
Surgeries 2024, 5(3), 499-516; https://doi.org/10.3390/surgeries5030041 - 30 Jun 2024
Viewed by 218
Abstract
The challenges inherent in spinal oncology are multi-dimensional, stemming from the complex anatomy of the spine, the high risk of neurological complications, and the indispensability of personalized treatment plans. These challenges are further compounded by the variability in tumor types and locations, which [...] Read more.
The challenges inherent in spinal oncology are multi-dimensional, stemming from the complex anatomy of the spine, the high risk of neurological complications, and the indispensability of personalized treatment plans. These challenges are further compounded by the variability in tumor types and locations, which complicates the achievement of optimal treatment outcomes. To address these complexities, the manuscript highlights the pivotal role of technological advancements in surgical practices. The review focuses on the evolution of spinal oncology instrumentation, with a special emphasis on the adoption of carbon fiber implants in the management of spinal tumors. The advancements in instrumentation and implant technology are underscored as vital contributors to the improvement in patient outcomes in spine surgery. Carbon fiber implants are lauded for their reduced imaging artifacts, biocompatibility, and favorable mechanical properties. When combined with other technological innovations, these implants have substantially elevated the efficacy of surgical interventions. The review articulates how these advancements emphasize precision, customization, and the integration of innovative materials, significantly enhancing the effectiveness of surgical procedures. This collective progress marks a considerable advancement in the treatment of spinal tumors, highlighting a shift towards more effective, patient-focused outcomes in spinal oncology. Full article
13 pages, 3745 KiB  
Systematic Review
Effectiveness of Bariatric Surgeries for Metabolic Dysfunction-Associated Steatotic Liver Disease: A Systematic Review and Meta-Analysis
by Abdullah Sulaiman AlRumaih, Lama Abdullah Alzelfawi, Ghadah Khalid Alotaibi, Osamah AbdulAziz Aldayel, Abdulrahman Khazzam AlMutairi, Rosana Tariq Alnowaimi, Mubarak Mohammed Alshahrani, Rifal Sami Alsharif and Sarah Nabil Almadani
Surgeries 2024, 5(3), 486-498; https://doi.org/10.3390/surgeries5030040 - 27 Jun 2024
Viewed by 208
Abstract
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common liver disease worldwide and simultaneously the most common indication for liver transplants in Western countries This study aims to evaluate the effectiveness of laparoscopic sleeve gastrectomy (LSG) or Roux-en-Y gastric bypass (RYGB) on [...] Read more.
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common liver disease worldwide and simultaneously the most common indication for liver transplants in Western countries This study aims to evaluate the effectiveness of laparoscopic sleeve gastrectomy (LSG) or Roux-en-Y gastric bypass (RYGB) on MDASLD histologically and biochemically. 14 studies met our criteria with a total population of 1942 who underwent LSG or RYGB 1–14. The Newcastle-Ottawa Scale (NOS) was used for quality evaluation of the included studies. Results: Both surgeries were effective in decreasing laboratory biomarkers like ALP, GGT, AST, and ALT with non-significant superiority of LSG over RYGB which did not significantly improve the AST level after one year. LSG showed more decrease in ALT levels (MD = −17.56, 95% CI = (−23.04, −12.089), p 0.001) and LSG was associated with increased change in NAS score with slight superiority. Both LSG and RYBG improve NAD and NASH outcomes after one and 10 years of surgery. However, randomized clinical trials with large samples are needed to confirm these results. Full article
(This article belongs to the Special Issue Laparoscopic Surgery)
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