1.Oncovascular Surgery: There Would Be No Such Thing without Vascular Surgeons
Vascular Specialist International 2019;35(2):53-54
No abstract available.
Surgeons
2.Big Challenges in Training Young Vascular Surgeons
Vascular Specialist International 2019;35(3):119-120
No abstract available.
Surgeons
3.Post-Laminectomy Swan Neck Deformity in Adults
Myung Sang MOON ; Kee Yong HA ; Young Kyun WOO ; Doo Hoon SUN ; Young Oh SONG
The Journal of the Korean Orthopaedic Association 1994;29(6):1536-1541
Five adult cases of post-laminectomy swan-neck deformity are reported. The factors causing the deformity, prophylactic measures, and treatment of the deformity are discussed. It is strongly adviced to the neurosurgeons and orthopedic surgeons that they should be aware of this unwanted complication of the multi-level cervical laminectomies, and that they should provide every preventive measures before post-laminectomy swan neck deformity develops. Anterior interbody fusion spanning the entire unstable segments is preferably recommended together with application of pre-fusion traction.
Adult
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Congenital Abnormalities
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Humans
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Laminectomy
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Neck
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Neurosurgeons
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Orthopedics
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Surgeons
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Traction
4.The Korean Spinal Neurosurgery Society ; Are We Reimbursed Properly for Spinal Neurosurgical Practices under the Korean Resource Based Relative Value Scale Service?.
Woo Keun KWON ; Joo Han KIM ; Hong Joo MOON ; Youn Kwan PARK
Journal of Korean Neurosurgical Society 2017;60(1):47-53
OBJECTIVES: The Korean Resource Based Relative Value Scale (K-RBRVS) was introduced in 2001 as an alternative of the previous medical fee schedule. Unfortunately, most neurosurgeons are unfamiliar with the details of the K-RBRVS and how it affects the reimbursement rates for the surgical procedures we perform. We summarize the K-RBRVS in brief, and discuss on how the relative value (RV) of the spinal neurosurgical procedures have changed since the introduction in 2001. METHODS: We analyzed the change of spinal procedure RVs since 2001, and compared it with the change of values in the brain neurosurgical procedures. RVs of 88 neurospinal procedures on the list of K-RBRVS were analyzed, while 24 procedures added during annual revisions were excluded. RESULTS: During the past 15 years, RVs for spinal procedures have increased 62.8%, which is not so different with the cumulative increase of consumer prices during this time period or the increase rate of 92.3% for brain surgeries. When comparing the change of RVs in more complex procedures between spinal and brain neurosurgery, the increase rate was 125.3% and 133%, respectively. CONCLUSION: More effort of the society of spinal surgeons seems to be needed to get adequate reimbursement, as there have been some discrimination compared to brain surgeons in the increase of RVs. And considering the relative underestimation of spinal neurosurgeons’ labor, more objective measures of neurospinal surgeons’ work and productivity should be developed for impartial reimbursement.
Appointments and Schedules
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Brain
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Discrimination (Psychology)
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Efficiency
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Fees, Medical
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Neurosurgeons
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Neurosurgery*
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Neurosurgical Procedures
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Relative Value Scales*
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Surgeons
5.Human cadaveric dissection: a historical account from ancient Greece to the modern era.
Anatomy & Cell Biology 2015;48(3):153-169
The review article attempts to focus on the practice of human cadaveric dissection during its inception in ancient Greece in 3rd century BC, revival in medieval Italy at the beginning of 14th century and subsequent evolution in Europe and the United States of America over the centuries. The article highlights on the gradual change in attitude of religious authorities towards human dissection, the shift in the practice of human dissection being performed by barber surgeons to the anatomist himself dissecting the human body and the enactment of prominent legislations which proved to be crucial milestones during the course of the history of human cadaveric dissection. It particularly emphasizes on the different means of procuring human bodies which changed over the centuries in accordance with the increasing demand due to the rise in popularity of human dissection as a tool for teaching anatomy. Finally, it documents the rise of body donation programs as the source of human cadavers for anatomical dissection from the second half of the 20th century. Presently innovative measures are being introduced within the body donation programs by medical schools across the world to sensitize medical students such that they maintain a respectful, compassionate and empathetic attitude towards the human cadaver while dissecting the same. Human dissection is indispensable for a sound knowledge in anatomy which can ensure safe as well as efficient clinical practice and the human dissection lab could possibly be the ideal place to cultivate humanistic qualities among future physicians in the 21st century.
Americas
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Anatomists
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Barber Surgeons
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Cadaver*
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Empathy
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Europe
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Grave Robbing
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Greece*
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Human Body
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Humans*
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Italy
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Schools, Medical
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Students, Medical
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United States
7.A Study on the Estimation of Calcaneal Width Using a Correlation of Calcaneal Length and Width.
Dong il CHUN ; Shu Chiang HWANG ; Jae ho CHO ; Sung Woo CHOI ; Yong Beom KIM ; Sung Hun WON
Journal of Korean Foot and Ankle Society 2017;21(2):61-65
PURPOSE: The purpose of this study was to determine the correlation and ratio between the calcaneal length and width for predicting the width of calcaneus. MATERIALS AND METHODS: A total of 190 feet (190 patients) were included based on computed tomography scans. The length of calcaneus (CL) was measured on the line connecting the center of a circle tangent to the cortical margin in the anterior and posterior parts of the calcaneus in a sagittal plane (W1, W2). The width of the calcaneus was defined as the horizontal line of each part (W1, W2, W3) on the same axial plane. The relationship between the measurement was determined through a correlation analysis. The reliability was assessed based on intraclass correlation coefficients. RESULTS: The CL and widths of calcaneus (W1, W2, W3) had a good positive correlation (r=0.848 [W1/CL], r=0.738 [W2/CL], r=0.769 [W3/CL]; p<0.001). The mean CL and widths ratios were 0.33 (W1/CL), 0.37 (W2/CL), and 0.37 (W3/CL). Using these ratios to estimate the widths by multiplying each ratio by the measured calcaneal length, we found a difference between the estimated calcaneal widths and the actual measured calcaneal widths values was 0.25 mm, 0.43 mm, and 0.16 mm. All measurements showed good-to-excellent inter- and intraobserver reliability. CONCLUSION: This study analyzed the correlation and ratio between the length and width of the calcaneus. The results will help orthopedic surgeons fixate screws in a stable manner to prevent iatrogenic injuries to the medial neurovascular structures of the calcaneus.
Calcaneus
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Foot
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Orthopedics
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Surgeons
8.Expressing Cobb Angle as Linear Measurement in Scoliosis and Its Significance: A Clinical and Geometrical Analysis of Scoliosis.
Korean Journal of Spine 2017;14(4):139-142
OBJECTIVE: The aim of this study was to formulate an objective clinical and geometric relationship between Cobb angle and the difference between the lengths of convex and concave sides (convexo-concave vertebral difference) of the structural curve in scoliosis. Is it possible to express Cobb angle in such a way that it could be visualized as a length, especially while planning for surgical correction of scoliosis? METHODS: Thirty consecutive patients below the age of 19 years with a scoliosis of Cobb angle more than 10 degrees were included in the study. Convexo-concave vertebral difference of the structural curve was measured. Its relationship with the measure of Cobb angle was studied. RESULTS: Author obtained a significant linear correlation between the convexo-concave vertebral differences and the Cobb angle. Using the formula Y=2d.Sin (X/2) the convexo-concave vertebral difference could be predicted. The difference thus obtained gives a quantitative measure of the maximum length of correction possible in the structural curve. CONCLUSION: It is possible to express the Cobb angle as a function of linear measurement. The author proposes that this would aid the surgeons to accurately and predictably achieve the desired scoliosis correction.
Humans
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Scoliosis*
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Surgeons
9.Variant anatomy of the buccal nerve
Mayank PATEL ; Joe IWANAGA ; Shogo KIKUTA ; Rod J OSKOUIAN ; R Shane TUBBS
Anatomy & Cell Biology 2019;52(1):82-83
Knowledge of the anatomy and variations of the nerves of the oral cavity is important to surgeons who operate this region. Herein, we report a rare case of a buccal nerve with two distinct roots. The anatomy of this case and its clinical applications is discussed.
Mouth
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Surgeons
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Trigeminal Nerve
10.Oncovascular Surgery and the Making of the Oncovascular Surgeon
Kareem SALLAM ; Hussein KHAIRY
Vascular Specialist International 2019;35(4):189-192
Patients diagnosed with tumors that are located in vicinity of the major axial vessels are inconsistently managed because they are often considered unresectable. The management of these patients remains at the periphery of various established sub-specialties that are prevalent under the current medical specialty. These patients are required to be treated by an oncovascular surgeon. This article discusses some key points in understanding the reasons for establishing a specialty branch, oncovascular surgery, to treat complex tumors with vessel invasion. This article also reviews important issues about leadership and how to train and educate oncovascular surgeons.
Humans
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Leadership
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Surgeons