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Article ; Online: Muscle-sparing thoracotomy: Anatomy and technique.

Pumphrey, Oliver / Limbachia, Devan / Hawari, Mohammad / Weaver, Helen / Burnside, Nathan

Multimedia manual of cardiothoracic surgery : MMCTS

2021 Volume 2021

Abstract: The thoracotomy incision is essential for many thoracic surgery procedures. A number of different variations exist, and different techniques can be used, depending both on the patient and on the technical factors. The muscle-sparing technique was first ... ...

Abstract	The thoracotomy incision is essential for many thoracic surgery procedures. A number of different variations exist, and different techniques can be used, depending both on the patient and on the technical factors. The muscle-sparing technique was first described by Noirclerc et al. in 1973. [1] Initially, it was thought that preservation of the muscular structures compared with the results of a traditional posterolateral thoracotomy, in which the latissimus dorsi and sometimes the serratus anterior are often divided, would benefit long-term outcomes. However, subsequent study results have not demonstrated any difference in postoperative outcomes. The unequivocal benefit of a muscle-sparing approach is to preserve the latissimus dorsi for any future intervention, such as a procedure involving the chest wall and the intrathoracic flaps. In this video tutorial, we describe our approach to this commonly used incision, including the anatomy and the technical aspects used to provide optimal operative exposure and minimal postoperative complications while preserving the underlying musculature.
MeSH term(s)	Female ; Humans ; Intercostal Muscles/surgery ; Middle Aged ; Reconstructive Surgical Procedures/methods ; Superficial Back Muscles/anatomy & histology ; Superficial Back Muscles/surgery ; Surgical Flaps ; Thoracic Wall/anatomy & histology ; Thoracic Wall/surgery ; Thoracotomy/methods
Language	English
Publishing date	2021-03-09
Publishing country	England
Document type	Case Reports ; Video-Audio Media
ZDB-ID	2280156-X
ISSN	1813-9175 ; 1813-9175
ISSN (online)	1813-9175
ISSN	1813-9175
DOI	10.1510/mmcts.2021.017
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Article: Analgesia Nociception Index-Guided Remifentanil versus Standard Care during Propofol Anesthesia: A Randomized Controlled Trial.

Sabourdin, Nada / Burey, Julien / Tuffet, Sophie / Thomin, Anne / Rousseau, Alexandra / Al-Hawari, Mossab / Taconet, Clementine / Louvet, Nicolas / Constant, Isabelle

Journal of clinical medicine

2022 Volume 11, Issue 2

Abstract: The clinical benefits to be expected from intraoperative nociception monitors are currently under investigation. Among these devices, the Analgesia Nociception-Index (ANI) has shown promising results under sevoflurane anesthesia. Our study investigated ... ...

Abstract	The clinical benefits to be expected from intraoperative nociception monitors are currently under investigation. Among these devices, the Analgesia Nociception-Index (ANI) has shown promising results under sevoflurane anesthesia. Our study investigated ANI-guided remifentanil administration under propofol anesthesia. We hypothesized that ANI guidance would result in reduced remifentanil consumption compared with standard management. This prospective, randomized, controlled, single-blinded, bi-centric study included women undergoing elective gynecologic surgery under target-controlled infusion of propofol and remifentanil. Patients were randomly assigned to an ANI or Standard group. In the ANI group, remifentanil target concentration was adjusted by 0.5 ng mL
Language	English
Publishing date	2022-01-11
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm11020333
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Article ; Online: Lobectomy vs. segmentectomy. A propensity score matched comparison of outcomes.

Roman, M / Labbouz, S / Valtzoglou, V / Ciesla, A / Hawari, M / Addae-Boateng, E / Thorpe, J A / Duffy, J P / Majewski, A

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

2018 Volume 45, Issue 5, Page(s) 845–850

Abstract: Background: Segmentectomy has emerged as a lung parenchymal sparring alternative to the gold standard lobectomy in non-small cell lung cancer (NSCLC) patients. We hypothesized that there is parity between functional, local recurrence and survival ... ...

Abstract	Background: Segmentectomy has emerged as a lung parenchymal sparring alternative to the gold standard lobectomy in non-small cell lung cancer (NSCLC) patients. We hypothesized that there is parity between functional, local recurrence and survival outcomes. Patients and methods: Parenchymal sparring procedures including anatomical segmentectomies were propensity score matched 1:1 with lobectomies (n = 64). The primary outcomes included survival, functional and oncological outcomes. The oncological outcomes were: post-operative histology, clear margins and local recurrence rates. Kaplan Meier survival curves were used to compare the survival. Oncological and functional variables were assessed by Fischer exact test and t-test. Results: The pre-operative performance status, ASA grade, lung function, risk factors, surgical approach and tumour histology were similar between the groups. The tumour size was significantly higher for lobectomies (32.4 ± 17 vs. 24.6 ± 12 mm, p = 0.01). The tumour staging in the segmentectomy group was similar to the lobectomy group (Ia; 50 vs. 34%; Ib: 29 vs. 37%; IIa 11 vs. 9.3%; IIb 5 vs. 14%; IIIa 5 vs. 4.6%, p = 0.83). The loco-regional recurrence was lower in the segmentectomy group (1.5 vs. 3.1%, p = 0.69). The up-staging and down-staging post-surgery was similar in both groups, while neo-adjuvant therapy was used in 5 lobectomy and 3 segmentectomy cases. The survival was similar at 1 year between the groups (88 vs. 92%, p = 0.65). Between 4 and 5 years, the survival reduced in the parenchymal sparing group to 39% vs. 68% in the lobectomy group (p = 0.04). Conclusion: Surgical selection bias could be an important confounder in the selection of patients undergoing segmentectomy. Similar up and down staging were demonstrated in the two groups. This is one of the first studies to investigate the results of segmentectomy versus lobectomy in stage II/IIIa NSCLC tumours. No significant differences were found in functional outcomes, but the survival decreased after 4 years in the segmentectomy group, which could be explained by lower survival in the stage II/IIIa tumours treated with segmentectomy.
MeSH term(s)	Aged ; Carcinoma, Non-Small-Cell Lung/diagnostic imaging ; Carcinoma, Non-Small-Cell Lung/pathology ; Carcinoma, Non-Small-Cell Lung/surgery ; Female ; Humans ; Length of Stay/statistics & numerical data ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/pathology ; Lung Neoplasms/surgery ; Male ; Middle Aged ; Neoadjuvant Therapy ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Pneumonectomy/methods ; Propensity Score ; Respiratory Function Tests ; Retrospective Studies ; Survival Rate ; Treatment Outcome
Language	English
Publishing date	2018-11-01
Publishing country	England
Document type	Comparative Study ; Journal Article
ZDB-ID	632519-1
ISSN	1532-2157 ; 0748-7983
ISSN (online)	1532-2157
ISSN	0748-7983
DOI	10.1016/j.ejso.2018.10.534
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Zs.A 1149: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Multiple thoracolithiasis: An incidental finding.

Rawstorne, E / Muzaffar, J / Hawari, M / Naidu, P / Steyn, R

Journal of surgical case reports

2012 Volume 2012, Issue 8, Page(s) 1

Abstract: Thoracoliths are rare benign intrapleural fibrotic structures with a necrotic fat core. There are 19 previous reported cases in the literature. This case report presents for the first time, a patient with two thoracoliths within the same hemithorax. Both ...

Abstract	Thoracoliths are rare benign intrapleural fibrotic structures with a necrotic fat core. There are 19 previous reported cases in the literature. This case report presents for the first time, a patient with two thoracoliths within the same hemithorax. Both lesions were identified incidentally in the left hemithorax by computed tomography and remained in the same position on repeat imaging. The lesions were removed by a video-assisted thoracic surgery approach. Histology revealed a 20mm and a 14mm lesion, with a fibrotic dense collagen shell surrounding a non-viable necrotic fat core. This case demonstrates that thoracolithiasis is a rare differential diagnosis for incidental multiple non-mobile lesions within the thorax.
Language	English
Publishing date	2012-08-01
Publishing country	England
Document type	Journal Article
ISSN	2042-8812
ISSN	2042-8812
DOI	10.1093/jscr/2012.8.1
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Article ; Online: Socioeconomic and Medical Vulnerabilities Among Syrian Refugees with Non-communicable Diseases Attending Médecins Sans Frontières Services in Irbid, Jordan.

Carrion-Martin, Antonio Isidro / Alrawashdeh, Ahmad / Karapanagos, Georgios / Mahmoud, Refqi / Ta'anii, Nashaat / Hawari, Mais / Dittmann, Stefanie / Hammad, Luna / Huisman, Geertje / Sherlock, Mark / Reddy, Amulya

Journal of immigrant and minority health

2022 Volume 25, Issue 2, Page(s) 331–338

Abstract: Non-communicable diseases (NCDs) are high-prevalence health problems among Syrian refugees. In 2014, Médecins Sans Frontières (MSF) identified unmet NCD care needs and began providing free-of-charge services for Syrian refugees in Irbid, Jordan. This ... ...

Abstract	Non-communicable diseases (NCDs) are high-prevalence health problems among Syrian refugees. In 2014, Médecins Sans Frontières (MSF) identified unmet NCD care needs and began providing free-of-charge services for Syrian refugees in Irbid, Jordan. This study aimed to describe current socioeconomic and medical vulnerabilities among MSF Irbid Syrian refugee patients and their households and raise awareness of their ongoing health needs that must be addressed. A cross-sectional survey among Syrian refugees attending MSF NCD services in Irbid Governorate, Jordan was conducted by telephone interviews in January 2021 to query sociodemographic characteristics, economic situation, self-reported NCD prevalence, and Ministry of Health (MoH) policy awareness. Descriptive analysis of indicators included proportions or means presented with 95% confidence intervals. The survey included 350 patient-participants in 350 households and 2157 household members. Mean age was 28.3 years. Only 13.5% of household members had paid or self-employed work; 44% of households had no working members. Mean monthly income was 258.3 JOD (95%CI: 243.5-273.1) per household. Mean expenditures were 320.0 JOD (95%CI: 305.1-334.9). Debt was reported by 93% of households. NCD prevalence among adults was 42% (95%CI: 40-45). Hypertension was most prevalent (31.1%, 95%CI: 28.7-33.7), followed by diabetes (21.8%, 95%CI: 19.7-24.1) and cardiovascular diseases (14.4%, 95%CI: 12.6-16.4). Only 23% of interviewees were aware of subsidized MoH rates for NCD care. Twenty-nine percent stated they will not seek MoH care, mainly due to the unaffordable price. Our findings highlight increased vulnerability among MSF Irbid Syrian refugee NCD patients and their households, including: an older population; a high percentage of unemployment and reliance on cash assistance; higher proportion of households in debt and a high number of households having to resort to extreme coping mechanisms when facing a health emergency; and a higher proportion of people with multiple comorbid NCDs and physical disability. Their awareness of subsidised MoH care was low. MoH care is expected to be unaffordable for many. These people are at increased risk of morbidity and mortality. It is vital that health actors providing care for Syrian refugees take action to reduce their risk, including implementing financial support mechanisms and free healthcare.
MeSH term(s)	Adult ; Humans ; Refugees ; Noncommunicable Diseases ; Jordan/epidemiology ; Syria ; Cross-Sectional Studies ; Family Characteristics
Language	English
Publishing date	2022-10-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	2220162-2
ISSN	1557-1920 ; 1557-1912
ISSN (online)	1557-1920
ISSN	1557-1912
DOI	10.1007/s10903-022-01408-7
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Article ; Online: Gastrointestinal histoplasmosis ileal stricture successfully treated with through-the-scope balloon dilation in a patient with hyperimmunoglobulin M syndrome.

Nehme, Fredy / Rowe, Kyle / El Hawari, Mohamad / Assi, Maha / Nassif, Imad

Clinical journal of gastroenterology

2018 Volume 11, Issue 3, Page(s) 224–228

Abstract: Gastrointestinal histoplasmosis is common in patients with disseminated disease affecting both immunocompetent and immunocompromised patients. However, it is often unrecognized due to a lack of specific signs and symptoms. It has only rarely been ... ...

Abstract	Gastrointestinal histoplasmosis is common in patients with disseminated disease affecting both immunocompetent and immunocompromised patients. However, it is often unrecognized due to a lack of specific signs and symptoms. It has only rarely been reported to cause small bowel obstruction, during which surgical treatment was nearly always necessary. Little is known about the usefulness of endoscopic therapy in gastrointestinal histoplasmosis associated strictures. We report the case of a 32-year-old man with a history of hyperimmunoglobulin M syndrome who presented with small bowel obstruction secondary to disseminated gastrointestinal histoplasmosis. Treatment was successful with a through-the-scope balloon dilator in combination with medical therapy. This report adds to the limited data available on the benefit of endoscopic therapy in infectious strictures, particularly gastrointestinal histoplasmosis.
MeSH term(s)	Adult ; Dilatation/methods ; Endoscopy, Gastrointestinal/methods ; Gastroenteritis/complications ; Histoplasmosis/complications ; Humans ; Hypergammaglobulinemia/complications ; Immunoglobulin M ; Intestinal Obstruction/diagnostic imaging ; Intestinal Obstruction/etiology ; Intestinal Obstruction/therapy ; Male
Chemical Substances	Immunoglobulin M
Language	English
Publishing date	2018-01-16
Publishing country	Japan
Document type	Case Reports ; Journal Article
ZDB-ID	2429411-1
ISSN	1865-7265 ; 1865-7257
ISSN (online)	1865-7265
ISSN	1865-7257
DOI	10.1007/s12328-018-0817-9
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Article ; Online: A novel approach in managing right-sided haemothorax in neurofibromatosis type 1.

Mydin, Muhammad Izanee Mohamed / Sharma, Amit / Zia, Zergham / Hawari, Mohammad / Jadoon, Mehmood / Majewski, Andrzej

Asian cardiovascular & thoracic annals

2015 Volume 23, Issue 5, Page(s) 573–575

Abstract: Spontaneous haemothorax due to vasculopathy in patients with neurofibromatosis type 1 is rare but life-threatening. A 56-year-old lady with neurofibromatosis type 1 presented with right-sided chest pain, dyspnoea, and collapse. Computed tomography showed ...

Abstract	Spontaneous haemothorax due to vasculopathy in patients with neurofibromatosis type 1 is rare but life-threatening. A 56-year-old lady with neurofibromatosis type 1 presented with right-sided chest pain, dyspnoea, and collapse. Computed tomography showed a right-sided hemothorax. Urgent angiography showed contrast leakage from a right subclavian artery pseudoaneurysm. A Gore Viabahn endovascular stent graft was deployed. Completion angiography revealed satisfactory haemostasis. She underwent video-assisted thoracoscopic evacuation of the hemothorax, with good results. This case highlights a novel approach to managing a rare emergency, using combined procedures.
MeSH term(s)	Aneurysm, False/complications ; Aneurysm, False/diagnostic imaging ; Aneurysm, False/therapy ; Angiography ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/instrumentation ; Blood Vessel Prosthesis Implantation/methods ; Embolization, Therapeutic/methods ; Endovascular Procedures/instrumentation ; Endovascular Procedures/methods ; Female ; Hemothorax/diagnostic imaging ; Hemothorax/etiology ; Hemothorax/therapy ; Humans ; Middle Aged ; Neurofibromatosis 1/complications ; Neurofibromatosis 1/diagnostic imaging ; Stents ; Subclavian Artery/diagnostic imaging ; Subclavian Artery/pathology ; Thoracoscopy ; Tomography, X-Ray Computed ; Treatment Outcome
Language	English
Publishing date	2015-06
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	1400468-9
ISSN	1816-5370 ; 0218-4923
ISSN (online)	1816-5370
ISSN	0218-4923
DOI	10.1177/0218492314522636
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Zs.A 5193: Show issues

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Article ; Online: Kytococcus schroeteri prosthetic valve endocarditis.

Yousri, Taher / Hawari, Mohammad / Saad, Rasheed / Langley, Steve

BMJ case reports

2010 Volume 2010

Abstract: We report the case of a 64-year-old male patient with a prosthetic aortic valve who presented with clinical features of endocarditis confirmed by transoesophageal echocardiography. His blood cultures were positive for a very rare and newly described ... ...

Abstract	We report the case of a 64-year-old male patient with a prosthetic aortic valve who presented with clinical features of endocarditis confirmed by transoesophageal echocardiography. His blood cultures were positive for a very rare and newly described organism-Kytococcus schroeteri. The patient underwent aortic valve replacement and a 6-week course of intravenous antibiotics. This is the fifth reported case of endocarditis associated with this organism.
MeSH term(s)	Actinomycetales ; Actinomycetales Infections/diagnosis ; Actinomycetales Infections/drug therapy ; Actinomycetales Infections/microbiology ; Anti-Bacterial Agents/administration & dosage ; Anti-Bacterial Agents/therapeutic use ; Aortic Valve/microbiology ; Drug Therapy, Combination ; Endocarditis, Bacterial/diagnosis ; Endocarditis, Bacterial/drug therapy ; Endocarditis, Bacterial/microbiology ; Gentamicins/administration & dosage ; Gentamicins/therapeutic use ; Heart Valve Diseases/diagnosis ; Heart Valve Diseases/drug therapy ; Heart Valve Diseases/microbiology ; Humans ; Male ; Middle Aged ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/drug therapy ; Prosthesis-Related Infections/microbiology ; Rifampin/administration & dosage ; Rifampin/therapeutic use ; Vancomycin/administration & dosage ; Vancomycin/therapeutic use
Chemical Substances	Anti-Bacterial Agents ; Gentamicins ; Vancomycin (6Q205EH1VU) ; Rifampin (VJT6J7R4TR)
Language	English
Publishing date	2010-09-29
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr.06.2010.3064
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Article ; Online: Achieving deep flexion after primary total knee arthroplasty.

Tarabichi, Samih / Tarabichi, Yasir / Hawari, Marwan

The Journal of arthroplasty

2010 Volume 25, Issue 2, Page(s) 219–224

Abstract: Total knee arthroplasty patients often have difficulty performing activities involving flexion beyond 130 degrees. The NexGen LPS Flex (Zimmer Inc, Warsaw, Ind) mobile bearing implant accommodates up to 155 degrees of flexion. Two hundred eighteen total ... ...

Abstract	Total knee arthroplasty patients often have difficulty performing activities involving flexion beyond 130 degrees. The NexGen LPS Flex (Zimmer Inc, Warsaw, Ind) mobile bearing implant accommodates up to 155 degrees of flexion. Two hundred eighteen total knee arthroplasties were performed using this implant on 125 patients over a 2-year period with a minimum of 5 years follow-up. All data were collected prospectively. Forty-four percent of preoperative cases had full flexion (ie, 140 degrees active flexion and ability to kneel with thigh/calf contact for 1 minute). Five-year data showed an average flexion of 140 degrees +/- 11.5 degrees and flexion greater than 140 degrees in 103 knees (68%). There were no differences in patellofemoral pain levels, complications, or Knee Society scores despite our patients having, on average, an increase in flexion and function.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee/instrumentation ; Arthroplasty, Replacement, Knee/methods ; Asia ; Biomechanical Phenomena ; Body Mass Index ; Female ; Humans ; Knee Joint/physiology ; Knee Joint/surgery ; Knee Prosthesis ; Male ; Middle Aged ; Middle East ; Prospective Studies ; Prosthesis Design ; Range of Motion, Articular/physiology ; Retrospective Studies ; Weight-Bearing/physiology
Language	English
Publishing date	2010-02
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632770-9
ISSN	1532-8406 ; 0883-5403
ISSN (online)	1532-8406
ISSN	0883-5403
DOI	10.1016/j.arth.2008.11.013
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Zs.A 2134: Show issues

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Article ; Online: Recurrent chest wall abscesses overlying a pneumonectomy scar: an unusual presentation of a cholecystocutaneous fistula.

Hawari, Mohammad / Wemyss-Holden, Simon / Parry, Gareth Wyn

Interactive cardiovascular and thoracic surgery

2010 Volume 10, Issue 5, Page(s) 828–829

Abstract: We report a case of recurrent chest wall abscesses overlying a right thoracotomy scar four years after a pneumonectomy for a right middle lobe bronchus squamous cell carcinoma. Exploration of the abscess cavities revealed no intra-thoracic or intra- ... ...

Abstract	We report a case of recurrent chest wall abscesses overlying a right thoracotomy scar four years after a pneumonectomy for a right middle lobe bronchus squamous cell carcinoma. Exploration of the abscess cavities revealed no intra-thoracic or intra-abdominal communication. The patient developed sinuses in his thoracotomy scar and two years later, two gallstones were expelled from these sinuses. A cholecystocutaneous fistula was confirmed on a fistulogram.
MeSH term(s)	Abdominal Pain/diagnosis ; Abdominal Pain/etiology ; Abscess/diagnosis ; Abscess/therapy ; Aged, 80 and over ; Biliary Fistula/diagnosis ; Biliary Fistula/surgery ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery ; Cicatrix/etiology ; Cicatrix/pathology ; Cutaneous Fistula/diagnosis ; Cutaneous Fistula/surgery ; Diagnosis, Differential ; Follow-Up Studies ; Gallstones/complications ; Gallstones/diagnosis ; Gallstones/surgery ; Humans ; Lung Neoplasms/pathology ; Lung Neoplasms/surgery ; Male ; Pneumonectomy/adverse effects ; Pneumonectomy/methods ; Recurrence ; Risk Assessment ; Streptococcal Infections/diagnosis ; Streptococcal Infections/therapy ; Thoracic Wall ; Treatment Outcome
Language	English
Publishing date	2010-05
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	2095298-3
ISSN	1569-9285 ; 1569-9293
ISSN (online)	1569-9285
ISSN	1569-9293
DOI	10.1510/icvts.2009.221085
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Zs.A 5730: Show issues

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