7 results on '"Jameson Cumsky"'
Search Results
2. Holmium laser enucleation of the prostate for very large benign prostatic hyperplasia (≥ 200 cc)
- Author
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Amihay Nevo, Michael Zell, Haidar M. Abdul-Muhsin, Marlene Girardo, Scott M. Cheney, Anojan Navaratnam, Jameson Cumsky, Joseph Cornella, and Mitchell R. Humphreys
- Subjects
medicine.medical_specialty ,Univariate analysis ,business.industry ,Urology ,Enucleation ,030232 urology & nephrology ,Subgroup analysis ,Hyperplasia ,medicine.disease ,03 medical and health sciences ,symbols.namesake ,Catheter ,0302 clinical medicine ,medicine.anatomical_structure ,Prostate ,Lower urinary tract symptoms ,030220 oncology & carcinogenesis ,medicine ,symbols ,business ,Fisher's exact test - Abstract
Patients presenting with prostate gland sizes greater than 200 cc pose a unique surgical challenge to both patients and surgeons. The objective of this study is to critically assess the efficacy and risks associated with performing holmium laser enucleation of the prostate (HoLEP) on glands ≥ 200 cc. Using a prospective maintained database, all consecutive benign prostatic hyperplasia (BPH) patients with gland size ≥ 200 cc who underwent HoLEP were included. We reported patient preoperative, intraoperative, postoperative outcomes and complications. Subgroup analysis of outcomes was stratified by gland sizes 200–299 cc and ≥ 300 cc. Univariate analysis using Kruskal–Wallis and Fisher exact test was performed to compare the two groups. There were 88 patients with a mean preoperative gland size of 255.9 cc (200–770 cc). Mean operative (171 vs 182 min) and enucleation time (77 vs 83 min) were not different between the two subgroups (200–299 cc vs ≥ 300 cc). Enucleation efficiency was greater for glands ≥ 300 cc (2.6 cc/min vs 2.0 cc/min, p = 0.04). Morcellation time was longer in the ≥ 300 cc group (74.5 min vs 46.8 min, p = 0.021). Mean length of stay was 1.8 ± 1.2 days and catheter duration was 2.6 ± 2.7 days. 1 (1.1%) patient required retreatment of BPH at last follow-up. The main limitation of this study is the retrospective data analysis. Holmium laser enucleation for prostate glands volume > 200 cc is feasible with minimal morbidity. These data further reinforce the size independence success of this procedure for BPH.
- Published
- 2020
3. Assessment of Polyethylene Glycol Hydrogel Spacer and Its Effect on Rectal Radiation Dose in Prostate Cancer Patients Receiving Proton Beam Radiation Therapy
- Author
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Akira Kawashima, Justin D. Gagneur, Jameson Cumsky, Haidar M. Abdul-Muhsin, William W. Wong, Jiajian Shen, Heidi E. Kosiorek, Michael A. Golafshar, Mitchell R. Humphreys, Anojan Navaratnam, and Robert G. Ferrigni
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lcsh:Medical physics. Medical radiology. Nuclear medicine ,lcsh:R895-920 ,Proton Beam Radiation Therapy ,Rectum ,Polyethylene glycol ,Polyethylene Glycol Hydrogel ,lcsh:RC254-282 ,030218 nuclear medicine & medical imaging ,Genitourinary Cancer ,03 medical and health sciences ,chemistry.chemical_compound ,Prostate cancer ,0302 clinical medicine ,Medicine ,Radiology, Nuclear Medicine and imaging ,Pencil-beam scanning ,medicine.diagnostic_test ,business.industry ,technology, industry, and agriculture ,Magnetic resonance imaging ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,Pencil (optics) ,medicine.anatomical_structure ,Oncology ,chemistry ,030220 oncology & carcinogenesis ,business ,Nuclear medicine - Abstract
Purpose: To assess the efficacy of placing a polyethylene glycol (PEG) spacing hydrogel in patients undergoing proton beam radiation therapy for prostate cancer. This study also aims to assess the effect on rectal radiation dose of prostate–rectum separation in various anatomic planes. Methods and Materials: Seventy-two consecutive prostate cancer patients undergoing conventionally fractionated pencil beam scanning proton radiation therapy with and without hydrogel placement were compared. Magnetic resonance images taken after hydrogel placement measured prostate–rectum separation and were correlated to rectal dosing and rectal toxicity. Univariate analysis of clinical variables and radiation dosing was conducted using nonparametric Wilcoxon rank-sum test with continuity correction between groups (hydrogel spacer vs controls). Spearman's rank correlation coefficient assessed relationships between the various anatomic dimensions of perirectal space and rectal radiation dosing. Results: Fifty-one patients had hydrogel placement before therapy and 21 did not. There was a 42.2% reduction in rectal dosing (mL3 rectum) in hydrogel patients (P
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- 2020
4. Woven collagen biotextiles enable mechanically functional rotator cuff tendon regeneration during repair of segmental tendon defects in vivo
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James M. Anderson, Ozan Akkus, Derrick M. Knapik, Greg D. Learn, Victoria A. Webster-Wood, Robert J. Gillespie, Jameson Cumsky, and Phillip McClellan
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Scaffold ,Pathology ,medicine.medical_specialty ,Materials science ,Biomedical Engineering ,02 engineering and technology ,Article ,Rotator Cuff Injuries ,Biomaterials ,Rotator Cuff ,03 medical and health sciences ,0302 clinical medicine ,Tissue engineering ,Materials Testing ,medicine ,Animals ,Regeneration ,Rotator cuff ,030222 orthopedics ,Tissue Scaffolds ,Textiles ,Regeneration (biology) ,Mesenchymal stem cell ,Mesenchymal Stem Cells ,021001 nanoscience & nanotechnology ,Tenomodulin ,Tendon ,medicine.anatomical_structure ,Biotextile ,Collagen ,Rabbits ,0210 nano-technology - Abstract
Despite advancements in surgical techniques and materials for rotator cuff repair procedures, primary repair failures remain common. This study examines the use of electrochemically aligned collagen (ELAC) threads woven into biotextile scaffolds as grafts to repair critical infraspinatus tendon defects in New Zealand White rabbits. Three surgical treatment groups were evaluated: rabbits undergoing direct repair as operative controls, rabbits receiving ELAC scaffolds alone, and rabbits treated with mesenchymal stem cell (MSC)-seeded ELAC scaffolds. In each animal, the intact, contralateral infraspinatus served as an internal positive control. Tendon-bone constructs were harvested after 3 months in vivo and outcome measures included biomechanical testing, histological staining, and immunohistochemical staining. Biomechanical testing revealed that maximum load-bearing capacity was comparable between all groups, while MSC-seeded scaffold repairs exhibited increased stiffness relative to non-seeded scaffold repairs. Histological staining revealed robust collagen deposition around ELAC fibers and increased cellularity within the continuum of woven scaffolds as compared to native tendon. Immunohistochemical staining revealed presence of collagens I and III in all groups, but procollagen I and the tendon-specific marker tenomodulin were only observed in seeded and non-seeded ELAC scaffold repairs. Findings of this pilot study warrant continued investigation of ELAC biotextile scaffolds for repair of critically-sized rotator cuff tendon defects. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 107B: 1864-1876, 2019.
- Published
- 2018
5. Differences in Coracoid and Glenoid Dimensions Based on Sex, Race, and Age: Implications for Use of the Latarjet Technique in Glenoid Reconstruction
- Author
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Joseph E. Tanenbaum, Derrick M. Knapik, James E. Voos, Robert J. Gillespie, and Jameson Cumsky
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musculoskeletal diseases ,Orthodontics ,030222 orthopedics ,medicine.medical_specialty ,business.industry ,Modified technique ,030229 sport sciences ,Latarjet procedure ,musculoskeletal system ,Time of death ,Coracoid ,03 medical and health sciences ,0302 clinical medicine ,Cadaver ,Orthopedic surgery ,Medicine ,Original Article ,Orthopedics and Sports Medicine ,Surgery ,Statistical analysis ,business ,Cadaveric spasm - Abstract
BACKGROUND: The Latarjet procedure restores shoulder stability through reconstruction of the glenoid arc. Prior investigations of glenoid and coracoid dimensions have been underpowered to detect differences based on sex and race. QUESTIONS/PURPOSES: We sought to establish normative values for glenoid width and coracoid dimensions based on sex, race, and age. In addition, we assessed the restoration of glenoid dimensions using the classic and modified Latarjet techniques (classic technique: placing lateral surface of the coracoid to the glenoid; modified technique: placing inferior surface of the coracoid to the glenoid). METHODS: A total of 993 cadaveric specimens (n = 1986 scapulae) from people over 18 years of age at the time of death were analyzed. Measurements of maximal glenoid width, coracoid width, thickness, and length were recorded. Statistical analysis was performed to detect differences based on sex and race, while univariable linear regression was used to determine the association of increasing age on measured dimensions. RESULTS: All dimensions of specimens were significantly larger in males than in females. Caucasians possessed larger mean glenoid width, coracoid width, and coracoid length, while coracoid thickness was significantly larger in African Americans. Linear regression analysis found that increasing age was associated with increased glenoid width and coracoid dimensions. Coracoid positioning restored glenoid width in defects measuring 20% of glenoid width using both classic and modified Latarjet techniques, while defects measuring up to 25% were more accurately reproduced using the modified technique. CONCLUSION: Dimensions were significantly larger in males and in Caucasians, aside from coracoid thickness. Mean dimensions increased with advancing age. Coracoid positioning using classic or modified Latarjet techniques restored glenoid width defects measuring 20% of the glenoid width, while the modified technique allowed for restoration of larger defects. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11420-018-9618-4) contains supplementary material, which is available to authorized users.
- Published
- 2018
6. MP22-14 DOES SPACING ORGANS AT RISK (SPACEOAR TM ) PLACEMENT AQEDUATELY PROVIDE UNIFORM PROSTATE-RECTUM SEPARATION?
- Author
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Mitchell R. Humphreys, Jameson Cumsky, Anojan Navaratnam, and Robert G. Ferrigni
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medicine.medical_specialty ,medicine.anatomical_structure ,business.industry ,Prostate ,Urology ,Separation (statistics) ,medicine ,Rectum ,Radiology ,business - Published
- 2018
7. Effects of PDGF-BB delivery from heparinized collagen sutures on the healing of lacerated chicken flexor tendon in vivo
- Author
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Baris Ozgur Donmez, Derrick M. Knapik, Michael S. Bohl, Mousa Younesi, Anowarul Islam, Ping He, Philip McClellan, Jameson Cumsky, Greg D. Learn, Robert J. Gillespie, and Ozan Akkus
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0301 basic medicine ,medicine.medical_specialty ,Materials science ,Flexor tendon repair ,Biomedical Engineering ,Becaplermin ,Strain (injury) ,02 engineering and technology ,Biochemistry ,Lacerations ,Article ,Biomaterials ,Tendons ,03 medical and health sciences ,Vascularity ,Drug Delivery Systems ,Suture (anatomy) ,In vivo ,medicine ,Animals ,Molecular Biology ,Wound Healing ,biology ,Flexor tendon ,Sutures ,Heparin ,General Medicine ,Anatomy ,Proto-Oncogene Proteins c-sis ,021001 nanoscience & nanotechnology ,medicine.disease ,musculoskeletal system ,Tendon ,Surgery ,Biomechanical Phenomena ,030104 developmental biology ,medicine.anatomical_structure ,biology.protein ,Cattle ,Collagen ,medicine.symptom ,0210 nano-technology ,Chickens ,Platelet-derived growth factor receptor ,Biotechnology - Abstract
Flexor tendon lacerations are traditionally repaired by using non-absorbable monofilament sutures. Recent investigations have explored to improve the healing process by growth factor delivery from the sutures. However, it is difficult to conjugate growth factors to nylon or other synthetic sutures. This study explores the performance of a novel electrochemically aligned collagen suture in a flexor tendon repair model with and without platelet derived growth factor following complete tendon laceration in vivo. Collagen suture was fabricated via electrochemical alignment process. Heparin was covalently bound to electrochemically aligned collagen sutures (ELAS) to facilitate affinity bound delivery of platelet-derived growth factor-BB (PDGF-BB). Complete laceration of the flexor digitorum profundus in the third digit of the foot was performed in 36 skeletally mature White Leghorn chickens. The left foot was used as the positive control. Animals were randomly divided into three groups: control specimens treated with standard nylon suture (n=12), specimens repaired with heparinated ELAS suture without PDGF-BB (n=12) and specimens repaired with heparinated ELAS suture with affinity bound PDGF-BB (n=12). Specimens were harvested at either 4weeks or 12weeks following tendon repair. Differences between groups were evaluated by the degree of gross tendon excursion, failure load/stress, stiffness/modulus, absorbed energy at failure, elongation/strain at failure. Quantitative histological scoring was performed to assess cellularity and vascularity. Closed flexion angle measurements demonstrated no significant differences in tendon excursion between the study groups at 4 or 12weeks. Biomechanical testing showed that the group treated with PDGF-BB bound heparinated ELAS suture had significantly higher stiffness and failure load (p0.05) at 12-weeks relative to both heparinated ELAS suture and nylon suture. Similarly, the group treated with PDGF-BB bound suture had significantly higher ultimate tensile strength and Young's modulus (p0.05) at 12-weeks relative to both ELAS suture and nylon suture. Compared to nylon controls, heparinized ELAS with PDGF-BB improved biomechanics and vascularity during tendon healing by 12-weeks following primary repair. The ability of ELAS to deliver PDGF-BB to the lacerated area of tendon presents investigators with a functional bioinductive platform to improve repair outcomes following flexor tendon repair.A high strength aligned collagen suture was fabricated via linear electrocompaction and heparinized for prolonged delivery of PDFG-BB. When it was used to suture a complete lacerated flexor tendon in a chicken model controlled release of the PDGF-BB improved the strength of treated tendon after 12 weeks compared to tendon sutured with commercial nylon suture. Furthermore, Collagen suture with affinity bound PDGF-BB enhanced the vascularization and remodeling of lacerated tendon when it compare to synthetic nylon suture. Overall, electrocompacted collagen sutures holds potential to improve repair outcome in flexor tendon surgeries by improving repair strength and stiffness, vascularity, and remodeling via sustained delivery of the PDGF-BB. The bioinductive collagen suture introduces a platform for sustained delivery of other growth factors for a wide-array of applications.
- Published
- 2016
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