World Neurosurg
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Review Meta Analysis Comparative Study
Open versus Minimally Invasive Surgery for Extraforaminal Lumbar Disk Herniation: A systematic review and meta-analysis.
Extraforaminal disk herniation (EDH) accounts for 3%-11% of all disk herniations. Despite the heterogeneity of spinal procedures, there is a paucity of literature comparing the outcomes from different surgical approaches. ⋯ Minimally invasive procedures for EDHs are associated with a similar incidence of complications and reoperation but lower estimated blood loss, shorter operative time, shorter hospital stay, and faster return to work time compared to OS. Tubular microscopic have the lowest reoperation rate of MIS procedures.
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Review Meta Analysis Comparative Study
Endovascular thrombectomy alone versus combined with intravenous thrombolysis.
To date, no randomized trial has directly addressed the question of whether intravenous (IV) tissue plasminogen activator (tPA) improves outcomes in IV tPA-eligible patients who will eventually undergo endovascular therapy (EVT), or whether a direct EVT strategy is equally effective. We performed a systematic review and meta-analysis to compare the efficacy and safety of direct EVT versus endovascular treatment with IV tPA (EVT+IV tPA) in adults with acute ischemic stroke. ⋯ No significant differences between the 2 groups were found in terms of favorable functional outcome, mortality rate, or complications based on contemporary endovascular therapies.
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This systematic review and meta-analysis was aimed to evaluate the predictive values of shape irregularity and density heterogeneity of hematoma on noncontrast computed tomography (NCCT) for hematoma expansion (HE). ⋯ Considering the relatively low sensitivity and specificity, the predictive values of shape irregularity and density heterogeneity of hematoma for HE are limited. Further studies are still needed to find optimal NCCT predictors for HE in spontaneous intracerebral hemorrhage patients.