Eric J. Kirshenbaum^1,2, Robert H. Blackwell^1,2, Belinda Li¹, Anai N. Kothari^2,3, Paul C. Kuo^2,3, Robert C. Flanigan¹, Alex Gorbonos¹, Gopal N. Gupta^1,2

Canadian Journal of Urology, Vol.25, No.1, pp. 9186-9192, 2018

Abstract Introduction: The purpose of this article is to assess the incidence of pulmonary aspiration following major urologic surgery, identify predictors of an aspiration event, and evaluate subsequent clinical outcomes.
Materials and methods: The Healthcare Cost and Utilization Project State Inpatient Database for California (2007–2011) was used to identify patients undergoing cystectomy, prostatectomy, partial nephrectomy, and radical nephrectomy. Aspiration events were identified within 30 days post-surgery. The primary outcome was 30-day mortality; secondary outcomes included total length of hospital stay, discharge location, and diagnoses of acute renal failure, pneumonia, or sepsis. Descriptive statistics were performed. A multivariable logistic… More >

Michael A. Avallone, Peter N. Dietrich, Shanta T. Shepherd, Mona Lalehzari, R. Corey O’Connor, Michael L. Guralnick

Canadian Journal of Urology, Vol.25, No.3, pp. 9334-9339, 2018

Abstract Introduction: Classic surgical teaching advocates for closure of the mesenteric defect (MD) after bowel anastomosis, but the necessity is controversial. We sought to evaluate the necessity of MD closure at the time of harvest of ileum for genitourinary reconstructive surgery (GURS) by analyzing the incidence of early and late gastrointestinal adverse events (GIAE) in patients with and without MD closure.
Materials and methods: A retrospective review was conducted on patients undergoing urologic reconstruction with ileum to identify incidence of ileus, small bowel obstruction (SBO), gastrointestinal (GI) fistula, and stoma complications. Patient and procedure variables were analyzed to… More >

Jessica C. Lloyd, Juan Guzman-Negron, Howard B. Goldman

Canadian Journal of Urology, Vol.25, No.3, pp. 9307-9312, 2018

Abstract Introduction: Robotic surgical procedures have become more common in female pelvic reconstruction. Purported benefits of robotic assisted pelvic floor reconstruction (RAPFR) procedures include shorter hospital stay, faster recovery, lower blood loss, and decreased postoperative pain. Following RAPFR procedures, the current accepted practice is discharge after a one-night hospitalization. We assessed whether same day discharge (SDD) affects the short term safety of and patient satisfaction with robotic assisted pelvic floor reconstructive procedures, relative to those who remain hospitalized overnight.
Materials and methods: We retrospectively reviewed the charts of women who underwent RAPFR procedures between October 2015 and October… More >

Peter Chang^1,2,*, Peter Renehan^2,*, Kimberly N. Taylor¹, Lauren E. Dewey¹, Kyle C. McAnally¹, Sara Hyde¹, Catrina M. Crociani¹, Arie Carneiro^3,4, Lisa T. Beaule⁵, Andrew A. Wagner^1,2

Canadian Journal of Urology, Vol.25, No.4, pp. 9401-9406, 2018

Abstract Introduction: Hospital-related costs of renal cancer surgery have been described, but the societal costs of surgery-related lost productivity are poorly understood. We estimated the societal cost of renal cancer surgery by assessing surgery-related time off work (TOW) taken by patients and their caretakers.
Materials and methods: A total of 413 subjects who underwent partial or radical nephrectomy enrolled in an IRB-approved prospective study received an occupational survey assessing employment status, work physicality, income, surgery-related TOW, and caretaker assistance. We excluded subjects with incomplete occupational information or metastatic disease. We estimated potential wages lost using individual income and… More >

Nachiketh Soodana-Prakash¹, Raymond Balise^1,2, Bruno Nahar¹, Vivek Venkatramani¹, Joseph Palmer¹, Nicola Pavan¹, Taylor A. Johnson¹, Samarpit Rai¹, Ramgopal Satyanarayana¹, Chad Ritch¹, Sanoj Punnen¹, Dipen J. Parekh¹, Mark L. Gonzalgo¹

Canadian Journal of Urology, Vol.25, No.4, pp. 9395-9400, 2018

Abstract Introduction: Minimally invasive nephroureterectomy (MINU) and open nephroureterectomy (ONU) have similar oncological outcomes for treatment of upper tract urothelial carcinoma (UTUC). We investigated perioperative outcomes and predictors of complications associated with MINU and ONU.
Material and methods: Using the National Surgical Quality Improvement Program (NSQIP) database, 912 patients were identified that underwent radical nephroureterectomy for UTUC between 2005 and 2013. Logistic regression and contingency table methods used preoperative covariates to predict rates of major (Clavien-Dindo grade ≥ 3) and 16 common perioperative complications. Additional comparisons between treatment groups were performed using unpaired t-tests, Wilcoxon rank-sum tests, or… More >

Eliana Al Haddad^1*, Damien J. LaPar^1*, Jeffrey Dayton², Elizabeth H. Stephens¹, Emile Bacha¹

Congenital Heart Disease, Vol.13, No.6, pp. 997-1004, 2018, DOI:10.1111/chd.12666

Abstract Background: Congenital heart defects affect nearly 1% of all children born per year in the United States, and complete atrioventricular canal (CAVC) accounts for 2%‐9%. While several patch materials have been used for septal defect closure during CAVC repair, clear superiority of one material over another has yet to be established.
Methods: A retrospective review of clinical outcomes following CAVC repair at Morgan Stanley Children’s Hospital/Columbia University was performed on opera‐ tions conducted from March 2010 to September 2017. Univariate and Kaplan‐Meir survival analyses were utilized to evaluate primary outcomes of interest following CAVC repair in the… More >

Christopher S. Snyder

Congenital Heart Disease, Vol.13, No.5, pp. 877-878, 2018, DOI:10.1111/chd.12697

Abstract This article has no abstract. More >

Xin Li MMed^*, Chengxin Zhang^*, Di Dai MMed, Haiyuan Liu, Shenglin Ge

Congenital Heart Disease, Vol.13, No.5, pp. 799-807, 2018, DOI:10.1111/chd.12674

Abstract Objective: We conducted a meta‐analysis to evaluate the effects of prophylactic perioperative dexmedetomidine administration on postoperative junctional ectopic tachycardia (JET) and acute kidney injury (AKI) in pediatric patients having under‐ gone cardiac surgery.
Design: This systematic review was registered with PROSPERO (CRD42017083880). Databases including PubMed, Cochrane Central Register of Controlled Trials, and Web of Science were searched for randomized controlled trials (RCTs) and observa‐ tional cohort studies from its inception to March 2018. Two reviewers independently screened literature, extracted data, and assessed the quality of included studies using the Jadad scale and Newcastle‐Ottawa score. Meta‐analysis was then… More >

Chin Siang Ong¹, Aravind Krishnan¹, Chen Yu Huang¹, Philip Spevak², Luca Vricella¹, Narutoshi Hibino¹, Juan R. Garcia², Lasya Gaur³

Congenital Heart Disease, Vol.13, No.3, pp. 357-361, 2018, DOI:10.1111/chd.12587

Abstract Objective: New platforms for patient imaging present opportunities for improved surgical planning in complex congenital heart disease (CHD). Virtual reality (VR) allows for interactive manipulation of high-resolution representations of patient-specific imaging data, as a supplement to traditional 2D visualizations and 3D printed heart models.
Design: We present the novel use of VR for the presurgical planning of cardiac surgery in two infants with complex CHD to demonstrate interactive real-time views of complex intra and extracardiac anatomy.
Results: The use of VR for cardiac presurgical planning is feasible using existing imaging data. The software was evaluated by both pediatric More >

Jia-Wang Xiao, Qi-Guang Wang, Duan-Zhen Zhang, Chun-Sheng Cui, Xiumin Han, Po Zhang, Chuangju Hou, Xian-Yang Zhu

Congenital Heart Disease, Vol.13, No.2, pp. 305-310, 2018, DOI:10.1111/chd.12572

Abstract Objective: To evaluate the clinical efficacy, safety, and long-term outcomes of percutaneous closure (PC) and surgical repair of ruptured sinus of Valsalva aneurysm (RSVA).
Methods: Eighty-five consecutive patients with RSVA were included in this study. Patients were considered candidates for PC if they met the criterion, surgical repair was performed on patients who were unsuitable or failed PC. Of them, 30 patients underwent PC, while the other 55 patients had surgical repair.
Results: RSVA was successfully occluded in 29 of 30 patients who were treated by PC. The mean narrowest diameter at the ruptured site was 6.45 ±… More >