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Surgical Techniques Development, Volume 14, Issue 3

2025 September - 15 articles

Cover Story: This study represents the largest worldwide cohort of kidney transplants with double ureters, demonstrating that the pantaloon ureteroneocystostomy technique achieves excellent outcomes. Among 26 double ureter grafts matched 1:1 with controls, urologic complication rates were remarkably low (3.8% vs. 7.7%, p = 1.000), significantly better than the 15.4% reported in recent literature. With 96% 5-year graft survival and no late strictures, this standardized surgical approach expands donor criteria while maintaining superior outcomes. The technique preserves shared ureteral blood supply through a single anastomosis, simplifying the procedure particularly beneficial for recipients with contracted bladders. These findings support global adoption of the pantaloon technique to address organ shortage without compromising recipient safety. View this paper
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Articles (15)

  • Review
  • Open Access
1 Citations
4,138 Views
20 Pages

3D-Printed Models Are an Innovation Becoming Standard in Surgical Practice—Review

  • Jakub Kopeć,
  • Justyna Kukulska and
  • Magdalena Lewandowska

22 September 2025

Background: Three-dimensional (3D) printing technology has rapidly emerged as a transformative tool in medicine, enabling the conversion of two-dimensional scans into highly accurate 3D models. This technology, especially when combined with artificia...

  • Article
  • Open Access
1,106 Views
9 Pages

Integrated Diagnostic and Surgical Pathway for Tracheoesophageal Fistula in Neurorehabilitation: A Case-Based Narrative Review

  • Luigi Di Lorenzo,
  • Daniela Petracca,
  • David Iapaolo,
  • Annarita Passarella,
  • Sabrina Pecorelli and
  • Carmine D'Avanzo

12 September 2025

Acquired tracheoesophageal fistulas (TEF) are a rare but severe complication in post-coma neurorehabilitation patients, particularly those requiring long-term tracheostomy and enteral nutrition. Early recognition and proper surgical management are cr...

  • Article
  • Open Access
1 Citations
2,777 Views
12 Pages

“Pantaloon” Ureteroneocystostomy for Double Ureter Kidney Grafts: A Matched Single-Center Study of Perioperative and Long-Term Outcomes over 14 Years

  • Aviad Gravetz,
  • Vladimir Tennak,
  • Vadym Mezhybovsky,
  • Michael Gurevich,
  • Sigal Eisner,
  • Dana Bielopolski,
  • Fahim Kanani and
  • Eviatar Nesher

5 September 2025

Background/Objectives: Double ureter kidney grafts raise concerns about increased urologic complications. Limited data exist on optimal surgical management due to small sample sizes in previous reports. This study evaluated outcomes using pantaloon u...

  • Article
  • Open Access
863 Views
10 Pages

The Impact of the COVID-19 Pandemic on Proximal Humerus Fractures: Clinical Implications and Management Strategies

  • Gianfilippo Caggiari,
  • Alessandro Zanzi,
  • Giuseppe Melis,
  • Fabrizio Quattrini and
  • Corrado Ciatti

4 September 2025

Background: Proximal humerus fractures (PHFs) constitute a significant orthopedic challenge, particularly among the elderly, due to osteoporosis and comorbidities. While surgical intervention is often considered for complex fractures, non-surgical tr...

  • Article
  • Open Access
1,235 Views
10 Pages

Retrospective Validation Study of a Treatment Strategy for Benign Bone Lesions in the Proximal Femur

  • Naohiro Shinohara,
  • Satoshi Nagano,
  • Hiromi Sasaki and
  • Noboru Taniguchi

Background: Benign bone tumors and tumor-like lesions in the proximal femur increase the risk of pathological fractures, often requiring surgical intervention. However, no consensus exists on the optimal treatment strategy. We developed a structured...

  • Review
  • Open Access
2,153 Views
16 Pages

Surgical Techniques for Urinary Incontinence in Young Women—Narrative Review

  • Romina-Marina Sima,
  • Liana Pleș,
  • Oana-Denisa Bălălău,
  • Mihaela Amza,
  • Ileana-Maria Conea,
  • Tina-Ioana Bunea,
  • Gabriel-Petre Gorecki,
  • Ancuța-Alina Constantin,
  • Cristian-Valentin Toma and
  • Mircea-Octavian Poenaru
  • + 1 author

Urinary incontinence (UI) is a widespread worldwide gynecological pathology with a negative impact on women’s quality of life. We performed a narrative review and present a general, descriptive, and comprehensive perspective about surgical tech...

  • Systematic Review
  • Open Access
3,759 Views
21 Pages

Systematic Review of Hip Fractures and Regional Anesthesia: Efficacy of the Main Blocks and Comparison for a Multidisciplinary and Effective Approach for Patients in the Hospital Setting of Anesthesiology and Resuscitation

  • Enrique González Marcos,
  • Inés Almagro Vidal,
  • Rodrigo Arranz Pérez,
  • Julio Morillas Martinez,
  • Amalia Díaz Viudes,
  • Ana Rodríguez Martín,
  • Alberto José Gago Sánchez,
  • Carmen García De Leániz and
  • Daniela Rodriguez Marín

Background: Hip fractures represent a major clinical challenge, particularly in elderly and frail patients, where postoperative pain control must balance effective analgesia with motor preservation to facilitate early mobilization. Various regional a...

  • Systematic Review
  • Open Access
1 Citations
1,767 Views
10 Pages

Autologous Fat Grafting for the Treatment of Non-Enteric Cutaneous Fistulas: A Systematic Literature Review

  • Francesca Bonomi,
  • Ettore Limido,
  • Yves Harder,
  • Ken Galetti and
  • Marco De Monti

Background: Autologous fat grafting is increasingly used in daily clinical practice across various surgical fields, including the treatment of chronic wounds, scars, burns, and non-healing perianal fistulas. Recently, some studies have shown that non...

  • Technical Note
  • Open Access
1,401 Views
9 Pages

Endoscopic Dacryocystorhinostomy with a Piezoelectric System: How We Do It

  • Riccardo Nocini,
  • Valerio Arietti,
  • Luca Bianconi and
  • Luca Sacchetto

Endoscopic dacryocystorhinostomy (DCR) is a widely recognized and highly effective procedure. This surgical procedure is performed globally, with minimal modifications across different regions. Background/Objectives: The fundamental goal of DCR is to...

  • Article
  • Open Access
1,139 Views
11 Pages

Clinical Outcomes After Endoscopic Retrograde Cholangiopancreatography Using Balloon-Assisted Enteroscopy for Benign Anastomotic Stricture of Choledochojejunostomy: A Retrospective Study

  • Koh Kitagawa,
  • Shohei Asada,
  • Jun-ichi Hanatani,
  • Yuki Motokawa,
  • Yui Osaki,
  • Tomihiro Iwata,
  • Kosuke Kaji,
  • Akira Mitoro and
  • Hitoshi Yoshiji

Background/Objectives: Benign choledochojejunal anastomotic stricture (CJS) is a major late adverse event (AE) after choledochojejunostomy. An endoscopic method using balloon-assisted enteroscopy endoscopic retrograde cholangiopancreatography (BAE-ER...

  • Article
  • Open Access
1,682 Views
14 Pages

The Treatment of Three-Part Fractures of Humeral Head: A Retrospective Study to Compare Nail vs. Plate

  • Francesco Roberto Evola,
  • Michele Vecchio,
  • Marco Vacante and
  • Giuseppe Evola

Background: There are no clear guidelines to support management decisions for patients with three-part fractures of the proximal humerus. The aim of the study is to identify the treatment used and to assess the functional and radiological outcomes at...

  • Review
  • Open Access
2 Citations
4,092 Views
19 Pages

Surgeon Training in the Era of Computer-Enhanced Simulation Robotics and Emerging Technologies: A Narrative Review

  • Simon Keelan,
  • Mina Guirgis,
  • Benji Julien,
  • Peter J. Hewett and
  • Michael Talbot

Background: Teaching methodology has recently undergone significant evolution from traditional apprenticeship models as we adapt to ever-increasing rates of technological advancement. Big data, artificial intelligence, and machine learning are on the...

  • Technical Note
  • Open Access
1,587 Views
11 Pages

Laparoscopic-Assisted Percutaneous Cryoablation of Abdominal Wall Desmoid Fibromatosis: Case Series and Local Experience

  • Kadhim Taqi,
  • Jaymie Walker,
  • Cecily Stockley,
  • Antoine Bouchard-Fortier,
  • Stefan Przybojewski and
  • Lloyd Mack

Background: Desmoid tumors (DTs) are rare, non-metastatic but locally aggressive connective tissue neoplasms. While standard treatments include surgery, radiation, and ablation, current guidelines advocate active surveillance unless tumors progress o...

  • Case Report
  • Open Access
1,397 Views
7 Pages

Endless-Loop Craniotomy for Revision Surgery After the Burr-Hole Evacuation of Chronic Subdural Hematoma—A Technical Note

  • Artem Rafaelian,
  • Sae-Yeon Won,
  • Thomas M. Freiman,
  • Florian Gessler and
  • Daniel Dubinski

Background and Importance: Chronic subdural hematoma (cSDH) is a common and complex neurosurgical problem, particularly in elderly patients. Revision surgery for chronic subdural hematoma can be challenging, particularly in cases with inhomogeneous,...

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Surg. Tech. Dev. - ISSN 2038-9582