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postoperative chronic pain

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https://www.readbyqxmd.com/read/30508648/anterior-and-middle-pelvic-organ-prolapse-repair-using-a-six-tension-free-strap-low-weight-transvaginal-mesh-long-term-retrospective-monocentric-study-of-311-patients
#1
Camille Duport, Céline Duperron, Emmanuel Delorme
INTRODUCTION: Treatment of pelvic organ prolapse is an important public health issue due to the ageing population. The Food and Drug Administration, in 2011, issued a warning on complications after transvaginal insertion of high weight mesh. We evaluated a 6 tension-free straps, light prosthesis made from polypropylene monofilaments. MATERIALS AND METHODS: This monocentric, retrospective study included patients undergoing anterior or apical prolapse repair surgery by placement of a six tension-free strap low weight vaginal mesh between 2008 and 2017...
November 30, 2018: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/30508283/opioid-analgesic-use-and-patient-reported-pain-outcomes-after-rhinologic-surgery
#2
Charles A Riley, Matthew Kim, Anthony P Sclafani, Aron Kallush, Klaus Kjaer, Ashutosh S Kacker, Abtin Tabaee
BACKGROUND: Opioid-based analgesics are routinely prescribed after elective rhinologic surgery. Balancing appropriate pain management while avoiding overprescription necessitates an evidence-based approach. METHODS: Patients undergoing elective rhinologic surgery, including endoscopic sinus surgery (ESS), septoplasty, or ESS with septoplasty, were prospectively enrolled. Patients completed demographic and psychometric questionnaires assessing attitudes toward pain, baseline anxiety, and depression before surgery...
December 3, 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/30505564/pain-management-within-an-enhanced-recovery-program-after-thoracic-surgery
#3
REVIEW
Calvin Thompson, Daniel G French, Ioana Costache
Evidence for ERAS within thoracic surgery (ERATS) is building. The key to enabling early recovery and ambulation is ensuring that postoperative pain is well controlled. Surgery on the chest is considered to be one of the most painful of surgical procedures for both open and minimally invasive surgery (MIS) approaches. Increasing use of MIS and improved perioperative care pathways has resulted in shorter length of stay (LOS), requiring patients to achieve optimal pain control earlier and meet discharge criteria sooner, sometimes on the same day as surgery...
November 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/30505556/uniportal-vs-triportal-video-assisted-thoracic-surgery-in-the-treatment-of-primary-pneumothorax-a-propensity-matched-bicentric-study
#4
Dania Nachira, Mahmoud Ismail, Elisa Meacci, Edoardo Zanfrini, Amedeo Iaffaldano, Marc Swierzy, Julianna Englisch, Svea Faber, Ramin Raul Ossami Saidy, Maria Letizia Vita, Venanzio Porziella, Jens C Rueckert, Stefano Margaritora
Background: The role of triportal video-assisted thoracoscopic surgery (VATS) is widely recognized for the treatment of primary spontaneous pneumothorax (PSP). The aim of this study was to assess the effectiveness and the potential advantages of uniportal VATS (U-VATS) for the treatment of PSP compared with triportal VATS. Methods: A total of 104 triportal (n=39) and uniportal (n=65) VATS procedures where performed for the treatment of PSP in two University hospitals...
November 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/30503915/pre-and-postoperative-predictors-of-phantom-limb-pain
#5
Wolfgang Larbig, Jamila Andoh, Ellena Huse, Dietlinde Stahl-Corino, Pedro Montoya, Ze'ev Seltzer, Herta Flor
Phantom limb (PLP) as well as residual limb pain (RLP) are still a very significant problem after amputations and their causes are only partially known. Here we tested whether the predisposition for the frequency, duration and intensity of PLP and RLP is shared with other prior chronic pains and/or the presence of postamputation subacute pain. A week preoperatively we collected data using validated questionnaires, a pain diary and interviews on past chronic pain conditions, acute pain, depression, anxiety, pain interference, life control, social support and affective distress and pain ratings one day before the amputation in 52 patients scheduled for limb amputation...
November 29, 2018: Neuroscience Letters
https://www.readbyqxmd.com/read/30503333/influence-of-preoperative-opioid-use-on-postoperative-outcomes-and-opioid-use-after-arthroscopic-rotator-cuff-repair
#6
Brady T Williams, Nathan J Redlich, Dara J Mickschl, Steven I Grindel
BACKGROUND: Recent orthopedic research has questioned the effect of opioid use on surgical outcomes. This study investigated this in the context of arthroscopic rotator cuff repair. We hypothesized that preoperative opioid use would be associated with inferior outcomes and greater postoperative opioid requirements. METHODS: A database query identified adult patients with full-thickness or partial-thickness supraspinatus tears surgically treated between 2011 and 2015...
November 29, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/30502281/a-prospective-study-on-femoral-hernia-repair-is-the-inguinal-better-than-the-infrainguinal-approach
#7
Yanyan Xie, Yinghan Song, Dongyang Ma, Fushun Jian, Sen Zhang, Anqing Lu, Wang Yong, Wenzhang Lei
BACKGROUND: Femoral hernia repair has various surgical methods. However, controversy still exists regarding the best method for management. This study aimed to compare the infrainguinal with the inguinal approach in the treatment of femoral hernias. MATERIALS AND METHODS: Eighty patients with primary unilateral femoral hernias were prospectively randomized to either the infrainguinal (n = 40) or inguinal approach groups (n = 40). Patient demographics, operative time, duration of hospital stay, postoperative complications, and recurrence rate were recorded...
January 2019: Journal of Surgical Research
https://www.readbyqxmd.com/read/30498354/efficacy-of-negative-pressure-wound-therapy-using-vacuum-assisted-closure-combined-with-photon-therapy-for-management-of-diabetic-foot-ulcers
#8
Xiaoxiao Hu, Weishuai Lian, Xiaojun Zhang, Xue Yang, Jinxia Jiang, Maoquan Li
Background: Diabetes mellitus, one of the most prevalent chronic metabolic diseases, causes many complications. Among the complications, one of the most common chronic complications is diabetic foot ulcers (DFUs). Objective: This study was conducted to investigate the efficacy of negative pressure wound therapy using vacuum-assisted closure (VAC) combined with photon therapy for the management of DFUs. Patients and methods: The study included a total of 69 patients with DFUs during the period from January 2014 to December 2015...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/30488736/treatment-of-naturally-degenerated-canine-lumbosacral-intervertebral-discs-with-autologous-mesenchymal-stromal-cells-and-collagen-microcarriers-a-prospective-clinical-study
#9
Frank Steffen, Alessandro Bertolo, Remo Affentranger, Stephen J Ferguson, Jivko Stoyanov
Intervertebral disc (IVD) degeneration is a frequent disease in modern societies and at its later stages is likely to cause chronic low back pain. Although many studies have been published, the available treatments for IVD degeneration fail to promote regeneration or even marginal repair of the IVD structure. In this study, we aimed to establish veterinary canine patients as a translational large animal model that recapitulates IVD degeneration that occurs in humans, and to investigate the suitability of intradiscal application of mesenchymal stromal cells (MSC)...
November 29, 2018: Cell Transplantation
https://www.readbyqxmd.com/read/30481814/dry-eye-after-lasik
#10
Ikuko Toda
Post-LASIK dry eye is the most common postoperative dry eye after ophthalmic surgeries. The clinical signs of post-LASIK dry eye include positive vital staining of the ocular surface, decreased tear breakup time and Schirmer test values, reduced corneal sensitivity, and decreased functional visual acuity. The symptoms and signs usually last for about 1 month after LASIK. A small number of patients continue to experience symptoms more than 1 year postoperatively. It has been suggested that the loss of corneal innervation caused by flap-making is the major cause, affecting the corneal-lacrimal gland, corneal-blinking, and blinking-meibomian gland reflexes, resulting in decreased aqueous and lipid tear secretion and mucin expression...
November 1, 2018: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/30478015/chronic-deltoid-ligament-insufficiency-repair-with-internal-brace%C3%A2-augmentation
#11
M J Pellegrinis, N Torres, N R Cuchacovich, P Huertas, G Muñoz, G M Carcuro
BACKGROUND: Patients with chronic deltoid ligament insufficiency (CDLI) present a challenging situation. Although numerous procedures have been described, optimal treatment is still a matter of debate. While the treatment armamentarium ranges from simple ligament repair to complex reconstructions with or without realignment osteotomies, direct repair augmented with an Internal Brace™ device appears to be an attractive intermediate option. We investigated functional outcomes and complications in patients with CDLI operated on using Internal Brace™ augmentation...
November 5, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30477577/pain-management-in-living-related-adult-donor-hepatectomy-feasibility-of-an-evidence-based-protocol-in-100-consecutive-donors
#12
Guillaume Dewe, Arnaud Steyaert, Marc De Kock, Fernande Lois, Raymond Reding, Patrice Forget
OBJECTIVE: Living donor hepatectomy (LDH) has important consequences in terms of acute and chronic pain. We proposed an anesthetic protocol based on the best currently available evidence. We report the results of this protocol's application. RESULTS: We performed a retrospective descriptive study of 100 consecutive donors undergoing LDH. The protocol included standardized information provided by the anesthetist, pharmacological anxiolysis and preventive analgesia...
November 26, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/30476700/percutaneous-endoscopic-lumbar-discectomy-and-minimally-invasive-transforaminal-lumbar-interbody-fusion-for-massive-lumbar-disc-herniation
#13
Chao Liu, Yue Zhou
OBJECTIVES: To compare the clinical outcomes of patients with massive lumbar disc disease undergoing percutaneous endoscopic lumbar discectomy and minimally invasive transforaminal lumbar interbody fusion at a single clinic. PATIENTS AND METHODS: From January 2008 to January 2014, 360 consecutive patients with massive lumbar disc herniation were treated with PELD(184 patients) or MIS-TLIF(176 patients). Data collected prospectively for analysis included clinical and radiographic results after revision surgery and complications...
October 29, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/30473985/microsurgical-decompression-of-trigeminal-neuralgia-caused-by-simultaneous-double-arterial-sca-and-aica-and-petrosal-vein-complex-compression
#14
Domagoj Gajski, Alicia R Dennis, Kenan I Arnautović
Trigeminal neuralgia is a chronic pain disorder affecting the face. In approximately 80% of cases, it is most commonly caused, when the root entry zone (REZ) of the trigeminal nerve is compressed by the superior cerebellar artery (SCA). The etiology of the remaining 20% of cases is distributed among venous, arteriovenous malformations, posterior fossa tumors, multiple sclerosis plaque compressions, and other pathologies. Combinations of those compressive factors are very rare. 1 2 3 4 Herein, we present a video clip of microvascular decompression (MVD) in a 73-year-old female, who has failed conservative treatment with 6 medications over 10 years...
December 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/30472627/combined-puestow-and-choledocoduodenostomy-for-concomitant-large-pancreatic-duct-and-primary-choledochal-stones-a-case-series
#15
Adeodatus Yuda Handaya, Nova Yuli Prasetyo Budi, Aditya Rifqi Fauzi
INTRODUCTION: Multiple and large pancreatic duct stones concomitant with primary choledochal stones is a rare case. Patients usually present with recurrent jaundice and signs of pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) is the leading method to manage the patients. But ERCP has difficulties when facing the multiple and large stones PRESENTATION OF CASE: Our first case was a 51-years-old man who was admitted to our surgery unit with a diagnosis of chronic pancreatitis...
November 12, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/30465925/amygdaloid-administration-of-tetrapentylammonium-attenuates-development-of-pain-and-anxiety-like-behavior-following-peripheral-nerve-injury
#16
Zuyue Chen, Hong Wei, Boriss Sagalajev, Ari Koivisto, Antti Pertovaara
BACKGROUND: The central amygdaloid nucleus (CeA) is involved in processing and descending regulation of pain. Amygdaloid mechanisms underlying pain processing and control are poorly known. Here we tested the hypothesis that perioperative CeA administration of tetrapentylammonium (TPA), a non-selective THIK-1 channel blocker and thereby inhibitor of microglia, attenuates development of chronic neuropathic pain and comorbid anxiety-like behavior. METHODS: Rats with a spared nerve injury (SNI) model of neuropathy or sham operation had a chronic cannula for drug microinjections into the CeA or a control injection site...
August 17, 2018: Pharmacological Reports: PR
https://www.readbyqxmd.com/read/30448913/midline-preperitoneal-repair-for-incarcerated-and-strangulated-femoral-hernia
#17
X-M Jiang, R-X Sun, W-H Huang, J-P Yu
OBJECTIVE: Femoral hernias constantly present as incarceration or strangulation and require emergency surgery. Incarcerated and strangulated femoral hernia repair remains challenging and controversial. The aim of our study was to analyze the efficacy of preperitoneal tension-free hernioplasty via lower abdominal midline incision for incarcerated and strangulated femoral hernia. METHODS: Data of 47 patients who underwent emergency surgery for incarcerated or strangulated femoral hernias from January 2009 to December 2017 were retrospectively analyzed...
November 17, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/30444480/is-human-fibrin-sealant-a-possible-choice-for-the-fixation-of-laparoscopic-inguinal-hernia-repair-a-single-center-experience-and-the-analysis-of-the-results-after-326-tapp-in-two-years
#18
A Sartori, Marco De Luca, N Clemente, Alberto De Luca, G Scaffidi, E Vendramin, C Campagnaro
BACKGROUND: Groin hernioplasty is most intervention performed in the worldwide. The present study aimed to evaluate a combination between ultralight mesh and fibrin human sealant in the laparoscopic treatment of inguinal hernia. PATIENTS AND METHODS: This retrospective study included consecutive patients who underwent laparoscopic transabdominal preperitoneal hernioplasty (TAPP) from 1st of January 2015 to 31st of December 2016. Demographics, surgical data and postoperative outcomes were entered in an anonymized prospective database...
September 2018: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/30443745/-minimally-invasive-proximal-hamstring-insertion-repair
#19
REVIEW
J H Schröder, M Gesslein, M Schütz, C Perka, D R Krüger
OBJECTIVE: Minimally invasive endoscopic reconstruction of avulsion injuries of the proximal hamstring insertion to prevent persistent weakness and pain. INDICATIONS: Fresh retracted 2‑ and 3‑tendon avulsion injuries of the proximal hamstring insertion. Unsuccessful conservative therapy of less retracted injuries. Painful chronic partial lesions of the proximal hamstring insertion. CONTRAINDICATIONS: Major comorbidities with an increased surgical risk, older patients with low functional demands...
December 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30443066/erector-spinae-plane-block-relatively-new-block-on-horizon-with-a-wide-spectrum-of-application-a-case-series
#20
Kompal Jain, Vikky Jaiswal, Arun Puri
Erector spinae plane (ESP) block is an interfascial plane block where a local anaesthetic is injected in a plane preferably below the erector spinae muscle. It is supposed to work at the origin of spinal nerves based on cadaveric and contrast study. It has emerged as an effective and safe analgesic regional technique. It has a wide variety of applications ranging from control of acute postoperative pain to chronic pain. In this series, we report a series of six cases, which include postoperative pain management in breast, thoracic, and abdominal surgeries along with management of two chronic pain cases to illustrate the potential uses of continuous and single-shot ESP block...
October 2018: Indian Journal of Anaesthesia
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