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Takoua Merhabene, Souheil Zayet, Amira Jamoussi, Samia Ayed, Salwa Mansouri, Jalila Ben Khelil, Mohamed Besbes
Our study aimed to assess the benefit of intrapleural fibrinolysis before resorting to surgery to treat complicated parapneumonic effusion and empyema. We conducted a retrospective and descriptive study, including all patients hospitalized in the intensive care unit (ICU) of the Abderhaman Mami hospital, Tunisia for empyema treated with instillation of intrapleural fibrinolytic therapy between the 1st January 2000 and 31st December 2016. In all patients, empyema was diagnosed on clinical features, imaging findings (chest X-ray, thoracic echography and/or computed tomography (CT), and microbiological data...
2024: Pan African Medical Journal
#22
Yu Qi, Meiyan Zhou, Wenting Zheng, Yaqi Dong, Weihua Li, Long Wang, Haijun Xu, Miao Zhang, Dunpeng Yang, Liwei Wang, Hai Zhou
PURPOSE: Postoperative nausea and vomiting (PONV) frequently occur in patients after surgery. In this study, the authors investigated whether perioperative S-ketamine infusion could decrease the incidence of PONV in patients undergoing video-assisted thoracoscopic surgery (VATS) lobectomy. PATIENTS AND METHODS: This prospective, randomized, double-blinded, controlled study was conducted a total of 420 patients from September 2021 to May 2023 at Xuzhou Central Hospital in China, who underwent elective VATS lobectomy under general anesthesia with tracheal intubation...
2024: Drug Design, Development and Therapy
#23
JOURNAL ARTICLE
Marlana M Ray, Jennifer Yeung, Jonathan Hoehn, Matthew Valenti, Kelsey E Lewis, Rachel N Pauls, Catrina C Crisp
PURPOSE: Studies involving minimally invasive hysterectomy and robotic sacrocolpopexy have demonstrated safety and feasibility of same-day discharge. There are limited data, however, on same-day discharge outcomes for vaginal hysterectomy and pelvic reconstruction. This study aimed to compare 30 and 90-day surgical outcomes between same-day discharge versus overnight stay following vaginal hysterectomy and apical suspension. PATIENTS AND METHODS: This retrospective study evaluated surgeries performed over two time periods...
2024: International Journal of Women's Health
#24
Yuto Tamaoki, Ryo Kamidani, Hideshi Okada, Takahito Miyake, Kodai Suzuki, Takahiro Yoshida, Keisuke Kumada, Shozo Yoshida, Shinji Ogura
Subclavian artery injuries during internal jugular vein puncture when attempting central venous catheter insertion are rare. A 60-year-old man undergoing treatment for neuromyelitis optica with paralysis and sensory loss developed a complication during catheter placement into his right internal jugular vein for plasmapheresis. His previous physician felt resistance and discontinued the procedure. The patient later developed mild dyspnea and dysphagia. Computed tomography scans indicated thrombus formation and tracheal deviation...
July 2024: Radiology Case Reports
#25
JOURNAL ARTICLE
Huan Liu, Qian Xiao, Hongchao Duan, Hao Wu, Lei Zhang, Haiyang Zhang, Huimin Liu, Chunyuan Li
OBJECTIVE: To explore the application effect of intelligent health education based on the health belief model on patients with postoperative kinesophobia after surgical treatment of cervical spondylosis. METHODS: A prospective cohort study was conducted with patients who underwent anterior cervical discectomy, decompression, and fusion surgery with a single central nerve and spine center, and who had postoperative kinesophobia, ie, fear of movement. The patients made voluntary decisions concerning whether they would receive the intervention of intelligent health education...
March 20, 2024: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
#26
JOURNAL ARTICLE
Wojciech Polom, Marcin Matuszewski
INTRODUCTION: The study presents the initial outcomes of robot-assisted radical prostatectomies (RARPs) using the Versius robotic system in a urological centre with no prior robotic surgery experience. MATERIAL AND METHODS: A retrospective analysis of 58 RARPs was conducted, including patients' parameters as well as Versius system performance. RESULTS: The study involved 58 patients (average age 66.9 years). Median preoperative prostate specific antigen (PSA) was 9...
2024: Central European Journal of Urology
#27
JOURNAL ARTICLE
Muhammed Emin Polat, Mustafa Karaaslan, Mehmet Yilmaz, Erkan Olcucuoglu, Mehmet Emin Sirin
INTRODUCTION: Despite the developments in the material of the double J (DJ) stents and the production of thinner ones of desired sizes, patients continue to experience troublesome DJ stent-related symptoms in their lives. This study aimed to determine how DJ stenting affects patients' work performance after endoscopic stone surgery. MATERIAL AND METHODS: A total of 107 patients underwent placement of a ureteral stent after ureterorenoscopy (URS)/retrograde intrarenal surgery (RIRS), and only active and full-time working patients were included...
2024: Central European Journal of Urology
#28
JOURNAL ARTICLE
Saiyu Gao, Nanqi Huang, Wenmin Huang, Yu Lian, Huiming Xiao, Shuyu Yao
INTRODUCTION: Position adherence of patients with Pars Plana Vitrectomy with Silicone Oil Tamponade after discharge is of positive significance. However, patients undergoing a day surgery makes the quality of discharge teaching and readiness for hospital discharge is insufficient, which will influence their position adherence at home. AIM: This study aimed to find the correlation of discharge teaching, readiness for hospital discharge, and position adherence in patients who underwent PPV with silicone oil tamponade from the day ward...
2024: Patient Preference and Adherence
#29
JOURNAL ARTICLE
Kevin K Zhang, Benjamin H Ormseth, Benjamin A Sarac, Vijay Raj, Marilly Palettas, Jeffrey E Janis
BACKGROUND: Venous thromboembolism (VTE) is a dangerous postoperative complication after abdominal wall reconstruction (AWR). Intraoperative core body temperature has been associated with thrombotic events in other surgical contexts. This study examines the effects of intraoperative temperature on VTE rate after AWR. METHODS: A retrospective study was performed on AWR patients. Cohorts were defined by postoperative 30-day VTE. Intraoperative core body temperature was recorded as the minimum, maximum, and mean intraoperative temperatures...
April 2024: Plastic and Reconstructive Surgery. Global Open
#30
JOURNAL ARTICLE
Sheraz Yaqub, Bård Røsok, Ivar Prydz Gladhaug, Knut Jørgen Labori
BACKGROUND: Managing postoperative pancreatic fistula (POPF) presents a formidable challenge after pancreatoduodenectomy. Some centers consider pancreatic duct occlusion (PDO) in reoperations following pancreatoduodenectomy as a pancreas-preserving procedure, aiming to control a severe POPF. The aim of the current study was to evaluate the short- and long-term outcomes of employing PDO for the management of the pancreatic stump during relaparotomy for POPF subsequent to pancreatoduodenectomy...
2024: Frontiers in Surgery
#31
Dan Xiao, Li Zhu, Si Xiong, Xu Yan, Qin Jiang, Ao Wang, Yegui Jia
BACKGROUND AND AIMS: Most pancreatic insulinomas can be treated by minimally invasive modalities. The aim of this meta-analysis was to assess the clinical outcomes of endoscopic ultrasound (EUS)-guided ablation and minimally invasive surgery (MIS) in the treatment of pancreatic insulinoma. MATERIALS AND METHODS: Online databases were searched for relevant studies. The primary aim was to compare the rates of adverse events (AEs) and the secondary aims were to compare the clinical and technical success rates, length of hospital stays, and symptom recurrence rates between EUS and MIS approaches...
2024: Frontiers in Endocrinology
#32
Addison Stewart, Andrew T Hale, Benjamin W Saccomano, Ariana S Barkley, Betsy D Hopson, Anastasia Arynchyna-Smith, James M Johnston, Brandon G Rocque, Jeffrey P Blount, Curtis J Rozzelle
Introduction Myelomeningocele (MMC) is the most common neural tube defect, but rarely seen in premature infants. Most centers advocate for closure of MMC within 24 hours of birth. However, this is not always possible in severely premature infants. Given the rarity of this patient population, we aimed to share our institutional experience and outcomes of severely premature infants with MMC. Methods We performed a retrospective, observational review of premature infants (≤ 32 weeks gestational age) identified through our multidisciplinary spina bifida clinic (1995-2021) and surgical logs...
April 2, 2024: Research Square
#33
Daisuke Tomita, Shigeo Toda, Ryo Miyazaki, Shuichiro Matoba, Hiroya Kuroyanagi
Intramural intestinal hematoma is a rare disease, one of the triggering factors of which is the use of anticoagulants. In previous reports, most patients were on treatment with warfarin. Herein, we report a case of direct-acting oral anticoagulant (DOAC)-induced intramural hematoma of the ascending colon in a patient refractory to conservative treatment and required laparoscopic right hemicolectomy. An 80-year-old male patient with a history of atrial fibrillation and cerebral infarction, on treatment with apixaban, was brought to our hospital with the chief complaints of abdominal pain, vomiting, and melena...
April 2024: Curēus
#34
JOURNAL ARTICLE
Oluwatobi O Onafowokan, Waleed Ahmad, Kimberly McFarland, Tyler K Williamson, Peter Tretiakov, Jamshaid M Mir, Ankita Das, Joshua Bell, Sara Naessig, Shaleen Vira, Virginie Lafage, Carl Paulino, Bassel Diebo, Andrew Schoenfeld, Hamid Hassanzadeh, Pawel P Jankowski, Aaron Hockley, Peter Gust Passias
BACKGROUND: With the increasing amount of elective spine fusion patients presenting with cardiac disease and congestive heart failure, it is becoming difficult to assess when it is safe to proceed with surgery. Assessing the severity of heart failure (HF) through ejection fraction may provide insight into patients' short- and long-term risks. PURPOSE: The purpose of this study was to assess the severity of HF on perioperative outcomes of spine fusion surgery patients...
2024: Journal of Craniovertebral Junction and Spine
#35
JOURNAL ARTICLE
Jeremy C Heard, Yunsoo A Lee, Nicholas D D'Antonio, Rajkishen Narayanan, Mark J Lambrechts, John Bodnar, Caroline Purtill, Joshua D Pezzulo, Dominic Farronato, Pat Fitzgerald, Jose A Canseco, Ian David Kaye, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder
OBJECTIVES: To evaluate the (1) 90-day surgical outcomes and (2) 1-year revision rate of robotic versus nonrobotic lumbar fusion surgery. METHODS: Patients >18 years of age who underwent primary lumbar fusion surgery at our institution were identified and propensity-matched in a 1:1 fashion based on robotic assistance during surgery. Patient demographics, surgical characteristics, and surgical outcomes, including 90-day surgical complications and 1-year revisions, were collected...
2024: Journal of Craniovertebral Junction and Spine
#36
JOURNAL ARTICLE
Matthew G R Allaway, Helen Pham, Mingjuan Zeng, Jane-Louise B Sinclair, Emma Johnston, Arthur Richardson, Michael Hollands
BACKGROUND: Failure to rescue (FTR), defined as death after a major complication, is increasingly being used as a surrogate for assessing quality of care following major cancer resection. The aim of this paper is to determine the failure to rescue (FTR) rate after oesophagectomy and explore factors that may contribute to FTR within Australia. METHODS: A retrospective review of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database from 2015 to 2023 at five Australian hospitals was conducted to identify patients who underwent an oesophagectomy...
April 22, 2024: ANZ Journal of Surgery
#37
Fabio Vescini, Giorgio Borretta, Iacopo Chiodini, Marco Boniardi, Marina Carotti, Elena Castellano, Cristiana Cipriani, Cristina Eller-Vainicher, Sandro Giannini, Maurizio Iacobone, Antonio Stefano Salcuni, Federica Saponaro, Stefano Spiezia, Annibale Versari, Guido Zavatta, Zuzana Mitrova, Rosella Saulle, Simona Vecchi, Debora Antonini, Michele Basile, Alexia Giovanazzi, Agostino Paoletta, Enrico Papini, Agnese Persichetti, Irene Samperi, Alessandro Scoppola, Roberto Novizio, Pietro Giorgio Calò, Filomena Cetani, Luisella Cianferotti, Sabrina Corbetta, Maria Luisa De Rimini, Alberto Falchetti, Giovanni Iannetti, Stefano Laureti, Celestino Pio Lombardi, Bruno Madeo, Claudio Marcocci, Sandro Mazzaferro, Vittorio Miele, Salvatore Minisola, Andrea Palermo, Jessica Pepe, Alfredo Scillitani, Laura Tonzar, Franco Grimaldi, Renato Cozzi, Roberto Attanasio
AIM: This guideline (GL) is aimed at providing a clinical practice reference for the management of sporadic primary hyperparathyroidism (PHPT) in adults. PHPT management in pregnancy was not considered. METHODS: This GL has been developed following the methods described in the Manual of the Italian National Guideline System. For each question, the panel appointed by Associazione Medici Endocrinology (AME) and Società Italiana dell'Osteoporosi, del Metabolismo Minerale e delle Malattie dello Scheletro (SIOMMMS) identified potentially relevant outcomes, which were then rated for their impact on therapeutic choices...
December 23, 2023: Endocrine, Metabolic & Immune Disorders Drug Targets
#38
JOURNAL ARTICLE
Mulham Al-Nader, Ulrich Krafft, Jochen Hess, Claudia Kesch, Mostafa AbdelRazek, Ahmad Abolyosr, Gamal A Alsagheer, Omar Mohamed, Atef Fathi, Stephan Tschirdewahn, Boris A Hadaschik, Osama Mahmoud
AIM OF THE STUDY: The aim of our study is to evaluate the difference in stricture rate between matched groups of Bricker and Wallace techniques for ureteroileal anastomosis. PATIENTS AND METHODS: A retrospective analysis of patients undergoing urinary diversion (UD) with Bricker and Wallace ureteroileal anastomosis at two university hospitals. Two groups of Bricker and Wallace patients were matched in a 1:1 ratio based on the age, sex, body mass index (BMI), Charlson comorbidity index (CCI), preoperative hydronephrosis, prior radiation therapy or abdominal surgery, pathologic T and N stages and 30-days-Clavien grade complications≥III...
April 21, 2024: International Journal of Urology: Official Journal of the Japanese Urological Association
#39
JOURNAL ARTICLE
Hannah Black, Benjamin Succop, Caren M Stuebe, Andrea Torres, Andrew Caddell, Carolyn Quinsey
The use of endoscopic third ventriculostomy (ETV) for treatment of pediatric hydrocephalus has higher failure rates in younger patients. Here we investigate the impact of select perioperative variables, specifically gestational age, chronological age, birth weight, and surgical weight, on ETV failure rates. A retrospective review was performed on patients treated with ETV - with or without choroid plexus cauterization (CPC) - from 2010 to 2021 at a large academic center. Analyses included Cox regression for independent predictors and Kaplan-Meier survival curves for time to-event outcomes...
April 22, 2024: Neurosurgical Review
#40
JOURNAL ARTICLE
Rico Wiesenberger, Julian Müller, Mario Kaufmann, Christel Weiß, David Ghezel-Ahmadi, Julia Hardt, Christoph Reissfelder, Florian Herrle
PURPOSE: Early mobilization is an essential component of the Enhanced Recovery after Surgery (ERAS®)-pathway. However, a large percentage of patients fail to achieve the ERAS® recommended goal (360 min out of bed from post-operative day 1/POD1). Motivational Interviewing (MI) is an evidence-based type of patient-centered consultation to promote intrinsic motivation. This study aims to evaluate if MI can improve postoperative mobilization. METHODS: This two-arm, patient-blinded pilot randomized controlled trial included ERAS®-patients undergoing elective bowel resections...
April 22, 2024: Langenbeck's Archives of Surgery
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