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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
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book ; Online: The Awakener

Weaver, Helen

A Memoir of Jack Kerouac and the Fifties

2014

Abstract: ... Helen Weaver's insightful and riveting memoir of love and friendship with Jack Kerouac and the Beats ... ...

Abstract	Helen Weaver's insightful and riveting memoir of love and friendship with Jack Kerouac and the Beats.
Language	English
Size	Online-Ressource (318 p)
Publisher	City Lights Publishers
Publishing place	New York
Document type	Book ; Online
Note	Description based upon print version of record
ISBN	9780872865051 ; 0872865053
Database	Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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Article: Lung volume reduction surgery in patients with low diffusion capacity.

Weaver, Helen / Greening, Neil J / Rathinam, Sridhar

Journal of thoracic disease

2019 Volume 11, Issue Suppl 3, Page(s) S234–S236

Language	English
Publishing date	2019-03-04
Publishing country	China
Document type	Editorial ; Comment
ZDB-ID	2573571-8
ISSN	2077-6624 ; 2072-1439
ISSN (online)	2077-6624
ISSN	2072-1439
DOI	10.21037/jtd.2019.01.91
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Use of Intraaortic Balloon Pumps in Acute Type A Aortic Dissection.

Weaver, Helen / Farid, Shakil / Nashef, Samer / Catarino, Pedro

The Annals of thoracic surgery

2017 Volume 104, Issue 4, Page(s) e321–e322

Abstract: Cardiac failure may occur after repair of type A aortic dissections and contributes significantly to mortality. The use of an intraaortic balloon pump (IABP) for circulatory support in these patients is traditionally considered contraindicated because of ...

Abstract	Cardiac failure may occur after repair of type A aortic dissections and contributes significantly to mortality. The use of an intraaortic balloon pump (IABP) for circulatory support in these patients is traditionally considered contraindicated because of concerns over extension of the residual dissection flap or aortic rupture. We propose that the use of an IABP may be appropriate and safe to improve cardiac function in patients after type A dissection repair. The two cases presented here contribute to increasing the body of evidence to support the appropriate use of IABP in these patients.
MeSH term(s)	Acute Disease ; Adult ; Aged ; Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/mortality ; Aneurysm, Dissecting/surgery ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/mortality ; Aortic Aneurysm, Thoracic/surgery ; Autopsy ; Critical Illness ; Female ; Heart Failure/diagnostic imaging ; Heart Failure/etiology ; Heart Failure/mortality ; Heart Function Tests ; Humans ; Intra-Aortic Balloon Pumping/adverse effects ; Intra-Aortic Balloon Pumping/methods ; Magnetic Resonance Angiography ; Male ; Marfan Syndrome/complications ; Marfan Syndrome/diagnosis ; Patient Safety ; Patient Selection ; Risk Assessment ; Sampling Studies ; Survival Rate ; Treatment Outcome
Language	English
Publishing date	2017-10
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	211007-6
ISSN	1552-6259 ; 0003-4975
ISSN (online)	1552-6259
ISSN	0003-4975
DOI	10.1016/j.athoracsur.2017.05.079
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Uniportal subxiphoid video-assisted thoracoscopic bilateral segmentectomy for synchronous bilateral lung adenocarcinomas.

Aresu, Giuseppe / Weaver, Helen / Wu, Liang / Lin, Lei / Sponga, Sandro / Jiang, Gening / Jiang, Lei

Journal of visualized surgery

2016 Volume 2, Page(s) 170

Abstract: Uniportal subxiphoid video assisted bilateral segmentectomy is a minimally invasive option for the treatment of synchronous bilateral lung lesions. Its advantages over conventional multiportal or uniportal video assisted thoracoscopic surgery include ... ...

Abstract	Uniportal subxiphoid video assisted bilateral segmentectomy is a minimally invasive option for the treatment of synchronous bilateral lung lesions. Its advantages over conventional multiportal or uniportal video assisted thoracoscopic surgery include avoidance of damage to the intercostal neurovascular bundle and allowance of bilateral lesion resection as a combined procedure via a single incision. This article presents a case from our centre to describe our surgical technique for this procedure.
Language	English
Publishing date	2016-11-30
Publishing country	China
Document type	Case Reports
ISSN	2221-2965
ISSN	2221-2965
DOI	10.21037/jovs.2016.11.02
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: The Shanghai Pulmonary Hospital uniportal subxiphoid approach for lung segmentectomies.

Aresu, Giuseppe / Weaver, Helen / Wu, Liang / Lin, Lei / Jiang, Gening / Jiang, Lei

Journal of visualized surgery

2016 Volume 2, Page(s) 172

Abstract: Background: Lung segmentectomy may be considered an oncologic equivalent treatment to lobectomy for non-small cell lung cancer (NSCLC) sized 20 mm or smaller. Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) could further improve the ... ...

Abstract	Background: Lung segmentectomy may be considered an oncologic equivalent treatment to lobectomy for non-small cell lung cancer (NSCLC) sized 20 mm or smaller. Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) could further improve the surgical outcome reducing the surgical stress and completely avoiding the intercostal nerve injury. The aim of this manuscript is to illustrate the Shanghai Pulmonary Hospital surgical techniques for uniportal subxiphoid VATS (SVATS) segmentectomies. Methods: A total of 79 consecutive patients underwent 84 subxiphoid segmentectomies for malignant or benign pulmonary diseases between September 2014 and January 2016. We here illustrate the surgical techniques and the early results. Results: There were 45 segmentectomies in right-side group and 39 segmentectomies left-side group. The mean operation time was 2.38±0.77 hours, and mean operative blood loss was 126.09±136.17 mL. Nine segmentectomies (10.7%) had an intra-operative change of procedure and four were converted to thoracotomy, one had a lobectomy rather than a segmentectomy and four were converted to conventional VATS lobectomy. A total of 12 patients (15.1%) had postoperative complications, including 1 hematoma, 4 prolonged air-leaks and 8 arrhythmias. Conclusions: In the presented series that included our learning curve period we have experienced relative low conversion rates and few post-operatively complications showing that, SVATS segmentectomy can be considered a safe procedure with a relative low rate early post-operative complication.
Language	English
Publishing date	2016-12-02
Publishing country	China
Document type	Journal Article
ISSN	2221-2965
ISSN	2221-2965
DOI	10.21037/jovs.2016.11.07
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Spontaneous splenic rupture: A rare life-threatening condition; Diagnosed early and managed successfully.

Weaver, Helen / Kumar, Vishal / Spencer, Kate / Maatouk, Mohamed / Malik, Sohail

The American journal of case reports

2013 Volume 14, Page(s) 13–15

Abstract: Background: Splenic rupture is a potentially life-threatening condition, often associated with chest or abdominal trauma. Spontaneous rupture is very rare and is usually reported as being secondary to underlying pathological conditions.: Case report: ...

Abstract	Background: Splenic rupture is a potentially life-threatening condition, often associated with chest or abdominal trauma. Spontaneous rupture is very rare and is usually reported as being secondary to underlying pathological conditions. Case report: We discuss the case of a 56 year old man who presented with sudden onset left-sided abdominal pain, with no history of trauma. Conclusions: A computed tomography (CT) of the abdomen revealed a ruptured spleen with free fluid in the abdomen. Conservative management was ineffective and the patient underwent laparotomy and splenectomy, followed by routine post-splenectomy management. He was discharged home and remains well.
Language	English
Publishing date	2013-01-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2517183-5
ISSN	1941-5923 ; 1941-5923
ISSN (online)	1941-5923
ISSN	1941-5923
DOI	10.12659/AJCR.883739
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Article ; Online: Uniportal subxiphoid video-assisted thoracoscopic approach for thymectomy: a case series.

Weaver, Helen / Ali, Jason M / Jiang, Lei / Yang, Chenlu / Wu, Liang / Jiang, Gening / Aresu, Giuseppe

Journal of visualized surgery

2017 Volume 3, Page(s) 169

Abstract: Background: Minimally invasive techniques are becoming increasingly popular in thoracic surgery. Although median sternotomy is the traditional approach for thymectomy, video-assisted thoracoscopic surgery (VATS) approaches now predominate. This study ... ...

Abstract	Background: Minimally invasive techniques are becoming increasingly popular in thoracic surgery. Although median sternotomy is the traditional approach for thymectomy, video-assisted thoracoscopic surgery (VATS) approaches now predominate. This study reports a case series of the novel uniportal subxiphoid-VATS approach to extended thymectomy. Methods: Over the period of study (October 2014-January 2017) 17 patients underwent uniportal subxiphoid-VATS extended thymectomy for a thymic nodule at the Shanghai Pulmonary Centre. Ten patients were female, and the mean age of the cohort was 55 years. The mean size of nodule was 23.6 mm. Results: The mean operative duration was 2.5 hours, with one conversion to thoracotomy for bleeding. The mean operative blood loss was 115 mL. The median length of hospital stay was 4 days. There were no episodes of phrenic nerve palsies. The 30-day survival was 100%. Conclusions: Uniportal subxiphoid-VATS is a feasible and safe surgical approach to extended thymectomy in selected patients, with good post-operative outcomes.
Language	English
Publishing date	2017-11-17
Publishing country	China
Document type	Journal Article
ISSN	2221-2965
ISSN (online)	2221-2965
DOI	10.21037/jovs.2017.10.16
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Oxidative stress and vein graft failure: a focus on NADH oxidase, nitric oxide and eicosanoids.

Weaver, Helen / Shukla, Nilima / Ellinsworth, David / Jeremy, Jamie Y

Current opinion in pharmacology

2012 Volume 12, Issue 2, Page(s) 160–165

Abstract: Recent interest has focused on superoxide and the upregulation of NADPH oxidase expression in the aetiology of vein graft failure. Implantation of saphenous vein grafts promotes upregulation of NADPH oxidase through a number of distinct interrelated ... ...

Abstract	Recent interest has focused on superoxide and the upregulation of NADPH oxidase expression in the aetiology of vein graft failure. Implantation of saphenous vein grafts promotes upregulation of NADPH oxidase through a number of distinct interrelated mechanisms: (a) endothelial denudation, (b) factors released by adherent platelets, monocytes and neutrophils, (c) hypoxia and (d) altered prostacyclin (PGI(2)) and enhanced isoprostane formation. These, in turn, impact on neointima (NI) formation (vascular smooth muscle cell [VSMC] replication and migration) and metalloproteinase (MMP) expression, key events in vein graft thickening. NADPH oxidase in the aetiology of vein graft failure will be discussed in this review with particular reference to nitric oxide and eicosanoids and related drugs that inhibit its activity and expression.
MeSH term(s)	Animals ; Coronary Artery Bypass/adverse effects ; Eicosanoids/metabolism ; Enzyme Inhibitors/therapeutic use ; Humans ; Multienzyme Complexes/antagonists & inhibitors ; Multienzyme Complexes/metabolism ; NADH, NADPH Oxidoreductases/antagonists & inhibitors ; NADH, NADPH Oxidoreductases/metabolism ; Neointima/metabolism ; Neointima/prevention & control ; Nitric Oxide/metabolism ; Oxidative Stress ; Thrombosis/metabolism ; Thrombosis/prevention & control
Chemical Substances	Eicosanoids ; Enzyme Inhibitors ; Multienzyme Complexes ; Nitric Oxide (31C4KY9ESH) ; NADH oxidase (EC 1.6.-) ; NADH, NADPH Oxidoreductases (EC 1.6.-)
Language	English
Publishing date	2012-04
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2037057-X
ISSN	1471-4973 ; 1471-4892
ISSN (online)	1471-4973
ISSN	1471-4892
DOI	10.1016/j.coph.2012.01.005
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Article ; Online: Occupational therapy for epidermolysis bullosa: clinical practice guidelines.

Chan, Jennifer M / Weisman, Amy / King, Alex / Maksomski, Susan / Shotwell, Carrissa / Bailie, Claire / Weaver, Helen / Bodan, Rebecca / Guerrero, Estrella / Zmazek, Matija / Khuu, Phuong

Orphanet journal of rare diseases

2019 Volume 14, Issue 1, Page(s) 129

Abstract: The purpose of this article is to summarize the Dystrophic Epidermolysis Bullosa Research Association (DEBRA) International evidence-based Clinical Practice Guidelines (CPGs) for the provision of occupational therapy (OT) for children and adults living ... ...

Abstract	The purpose of this article is to summarize the Dystrophic Epidermolysis Bullosa Research Association (DEBRA) International evidence-based Clinical Practice Guidelines (CPGs) for the provision of occupational therapy (OT) for children and adults living with inherited epidermolysis bullosa (EB). This is a rare genetic disorder characterized by skin fragility leading to blister formation occurring spontaneously or following minor trauma. Current OT practice for persons with EB is based on anecdotal care, clinical expertise and trial and error with collaboration between caregiver and patient. Intervention based on research is needed to establish a foundation of knowledge to guide international practitioners to create and improve standards of care and to be able to work effectively with those living with the rare diagnosis of this condition.This CPG was created by an international panel with expertise working with persons with EB. The panel was made up of 11 members including OT's, a physiotherapist, a medical doctor, social worker, person with EB and a carer of a person with EB. It describes the development of recommendations for 5 outcomes determined by survey of persons with EB, caregivers, and experienced healthcare professionals. The outcomes include independence in activities of daily living (ADL), independence in instrumental ADL, maximization of hand function (non-surgical), fine motor development and retention, and oral feeding skills. The recommendations are supplemented with additional files that include photos and specific examples to further guide occupational therapists or, in situations where an OT is not available, other members of the healthcare team.As the disorder of EB is rare, evidence-based CPGs are needed to provide a base of knowledge and practice for OTs throughout the world with the goal of providing quality care to patients, while improving their functional independence and quality of life. In addition, this information is valuable as a basis for further research.
MeSH term(s)	Activities of Daily Living ; Adolescent ; Child ; Child, Preschool ; Epidermolysis Bullosa/therapy ; Female ; Humans ; Male ; Occupational Therapy/methods ; Quality of Life
Language	English
Publishing date	2019-06-07
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ISSN	1750-1172
ISSN (online)	1750-1172
DOI	10.1186/s13023-019-1059-8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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