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https://www.readbyqxmd.com/read/30112811/pain-assessment-and-management-in-haemophilia-a-survey-among-italian-patients-and-specialist-physicians
#1
Annarita Tagliaferri, Massimo Franchini, Gianna F Rivolta, Stefania Farace, Gabriele Quintavalle, Antonio Coppola
INTRODUCTION: Persons with haemophilia (PWH) experience recurrent joint bleeding which leads from early synovitis to irreversible joint damage. Pain strongly affects patients' quality of life, as PWH suffer from acute pain associated with haemarthroses and chronic pain due to arthritic and degenerative complications. AIM: To investigate pain issues among PWH and their treaters in Italy. METHODS: Persons with haemophilia and specialist physicians responded to a survey focused on pain characteristics, assessment, and management by phone call and online, respectively...
August 16, 2018: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/30112716/comparing-endoscopic-and-open-decompression-of-the-ulnar-nerve-in-cubital-tunnel-syndrome-a-prospective-randomized-study
#2
T Krejčí, Z Večeřa, O Krejčí, D Šalounová, M Houdek, Radim Lipina
BACKGROUND: Prospective randomized data is currently lacking which compares endoscopically assisted surgery with open surgical techniques in the treatment of cubital tunnel syndrome (CUTS). The aim of this study is to compare patient outcome in both techniques. METHOD: This prospective study comprised of 45 patients who, between October 2014 and February 2017, were randomly assigned to undergo either endoscopic or open surgery (22 and 23 patients respectively) for decompression of the ulnar nerve...
August 15, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/30112028/curative-effect-of-artificial-femoral-head-replacement-and-its-effect-on-hip-joint-function-and-complications-of-senile-patients-with-femoral-intertrochanteric-fracture
#3
Haiwei Shi, Long Xiao, Zhifang Wang
Curative effect of artificial femoral head replacement on hip joint function and complications of elderly patients with femoral intertrochanteric fracture were investigated. Eighty patients who were operated for femoral intertrochanteric fractures operation were randomly divided into observation group (n=40) and control group (n=40). The observation group was treated with artificial femoral head replacement, while the control group received internal proximal femur locking plate fixation. In the observation group, the operation time was shorter than that in the control group (P<0...
August 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/30107242/risk-of-pain-and-gastrointestinal-complaints-at-six-months-after-elective-abdominal-surgery
#4
Chema Strik, Barend van den Beukel, Dagmar van Rijckevorsel, Martijn W J Stommel, Richard P G Ten Broek, Harry van Goor
The incidence of chronic postoperative abdominal pain (CPAP) after abdominal surgery is substantial and decreases overall quality of life. One in three patients report to have pain-related interference with mood, sleep and enjoyment of life and 12% visit the emergency department for pain related symptoms. Previous studies lack data on preoperative health and pain status, or are limited by small patient samples. The aim of this study is to assess risk factors for CPAP and gastrointestinal complaints six months after surgery...
August 11, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/30106640/novel-transabdominal-preperitoneal-hernioplasty-technique-for-recurrent-inguinal-hernia-overlapping-of-whole-posterior-wall-with-newly-added-mesh-and-pre-existing-mesh-by-closing-hernia-defect
#5
Sung Ryul Lee, Pyoung Jae Park
PURPOSE: In some patients with recurrent inguinal hernias who have undergone previous laparoscopic herniorrhaphy, dissecting the entire posterior wall is difficult due to mesh adhesion. We applied a novel transabdominal preperitoneal (TAPP) hernioplasty technique that involves closing of the hernia defect and implantation of a newly added mesh while preserving the pre-existing mesh for inguinal hernia recurrence after laparoscopic herniorrhaphy. This study was performed to evaluate this novel technique for treatment of recurrent inguinal hernias...
August 14, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30099261/long-acting-hydrogel-microsphere-composite-sequentially-releases-dexmedetomidine-and-bupivacaine-for-prolonged-synergistic-analgesia
#6
Wenjing Zhang, Weiguo Xu, Cong Ning, Mingqiang Li, Guoqing Zhao, Weiqian Jiang, Jianxun Ding, Xuesi Chen
Local anesthetics are a class of drugs, which have wide applications in the treatment of acute and chronic pain. However, their analgesic effects only last for a few hours because of their short half-life, which is insufficient for clinical application, especially for long-term surgery or postoperative analgesia. Herein, an injectable hydrogel/microsphere (GEL/MS) composite co-encapsulating bupivacaine (BUP) and dexmedetomidine (DEX) was developed for effective sustained analgesia. The GEL/MS composite appeared as a three-dimensional porous network microstructure and displayed sustained sequential release of DEX and BUP over several days in vitro, without obvious burst release...
July 27, 2018: Biomaterials
https://www.readbyqxmd.com/read/30092936/novel-methodologies-in-regional-anesthesia-for-knee-arthroplasty
#7
REVIEW
Rodney A Gabriel, Brian M Ilfeld
Maximizing analgesia is critical following joint arthroplasty because postoperative pain is a major barrier to adequate physical therapy. Continuous peripheral nerve blocks have been the mainstay for acute pain management in this population; however, this and similar techniques are limited by their duration of action. Cryoneurolysis and peripheral nerve stimulation are two methodologies used for decades to treat chronic pain. With the advent of portable ultrasound devices and percutaneous administration equipment, both procedures may now be suitable for treatment of acute pain...
September 2018: Anesthesiology Clinics
https://www.readbyqxmd.com/read/30084824/risk-of-opioid-related-adverse-events-after-primary-and-revision-total-knee-arthroplasty
#8
Jeff Gonzales, Scott T Lovald, Edmund C Lau, Kevin L Ong
Postoperative analgesia after primary total knee arthroplasty (TKA) and revision knee arthroplasty (RKA) can be reliant on the use of opioids and may lead to opioid-related adverse events (ORAEs). This study evaluated the risk of ORAEs following TKA and RKA using the 5% Medicare claims (2010-2013) database. There were 41,702 TKA and 3817 RKA patients who met the inclusion criteria. At 90 days, respiratory complications were the most common complication (TKA: 6.12%; RKA: 8.01%), followed by postoperative nausea and vomiting (TKA: 2...
December 0: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/30083802/botulinum-toxin-a-plays-an-important-role-in-the-placement-of-implants-deep-within-the-pectoralis-major-muscle-for-mammaplasty-a-systematic-review-and-meta-analysis
#9
REVIEW
Tian Li, Yan Liu, Weihong Zhang
BACKGROUND: Breast prosthesis implants have been safely and efficiently used in the plastic surgery department. With the increasing demand for aesthetics, these silicon implants were not only used in breast augmentation surgery but also in breast reconstruction after mastectomy. Nevertheless, breast prosthesis implantation brings a lot of complications, such as: postoperative chronic pain, capsule contracture, prosthesis displacement and prosthesis rupture and infection in severe cases...
August 6, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/30077280/low-dose-ketamine-for-postoperative-pain-management
#10
Cheryl A Allen, Julius R Ivester
Ketamine, an anesthetic agent, is gaining attention as an analgesic for the management of acute and chronic pain conditions. Perianesthesia nurses may expect to see ketamine's use increase as more anecdotal and evidence-based experience is gained with its use for pain management. Unlike opioids, ketamine supports respirations while supporting hemodynamic function; moreover, the agent has potential for decreasing opioid-induced hyperalgesia. Ongoing clinical evidence continues to support ketamine's use for analgesia, thus it may be argued that the current Food and Drug Administration classification for ketamine as an anesthetic agent is outdated, and patients would be better served by a reclassification of this medication to include its use for analgesic purposes...
August 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30067126/perioperative-narcotic-use-and-carpal-tunnel-release-trends-risk-factors-and-complications
#11
Trent M Gause, John J Nunnery, Abhinav B Chhabra, Brian C Werner
BACKGROUND: The goals of the study were to: (1) evaluate trends in preoperative and prolonged postoperative narcotic use in carpal tunnel release (CTR); (2) characterize risks for prolonged narcotic use; and (3) evaluate narcotic use as an independent risk factor for complications following CTR. METHODS: A query of a large insurance database from 2007-2016 was conducted. Patients undergoing open or endoscopic CTR were included. Revision surgeries or patients undergoing median nerve repair at the forearm, upper extremity fasciotomies, or with distal radius fractures were excluded...
August 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30066738/anesthetic-therapy-for-acute-pain-relief-after-laparoscopic-cholecystectomy-systematic-review
#12
Renato Ribeiro de Jesus, Adebaldo Maia Leite, Simone Soares Leite, Márcio Carneiro Vieira, Nivaldo Ribeiro Villela
Inappropriate therapy of postoperative pain in laparoscopic cholecystectomy may lead to late mobilization, patient dissatisfaction, delayed hospital discharge, and chronic pain development. Our objective was to identify the best therapeutic strategy available to the anesthesiologist for the acute postoperative pain of patients submitted to elective laparoscopic cholecystectomy. This is a systematic review that included 36 complete articles indexed in the Medline, Scopus, Web of Science and LILACS databases, with a five-year time cut (2012 to 2016), resulting from controlled and randomized studies that were submitted to qualitative analysis...
July 30, 2018: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/30066576/evaluation-of-long-term-outcomes-following-plantar-fasciotomy
#13
Rebekah Gibbons, Katherine E Mackie, Todd Beveridge, Dana Hince, Peter Ammon
BACKGROUND: Plantar fasciitis is a common condition prevalent in both athletic and nonathletic populations. Approximately 10% of patients do not respond to conservative treatment and suffer chronic recalcitrant plantar fasciitis. Outcomes following plantar fasciotomy vary but short-term studies have reported excellent early pain relief and return to activity, and significant improvements in symptoms. Previous study limitations include small patient cohorts, short-term duration of follow-up or lack of validated outcome measures...
August 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/30065342/single-institution-analysis-of-incidence-and-risk-factors-for-post-mastectomy-pain-syndrome
#14
Lingfei Cui, Ping Fan, Chaoxue Qiu, Yong Hong
Post Mastectomy Pain Syndrome (PMPS) is a common postoperative condition for breast cancer, but has been ignored. The aim of this study was to investigate the prevalence of PMPS and the risk factors in women submitted to surgical treatment for breast cancer. The study included 532 postoperative breast cancer patients in a hospital for five consecutive years period, of whom 473 were considered eligible and included in the study. A total of 420 people completed a questionnaire survey, which revealed that 152 (36...
July 31, 2018: Scientific Reports
https://www.readbyqxmd.com/read/30064852/opioid-based-anesthesia-and-analgesia-for-adult-cardiac-surgery-history-and-narrative-review-of-the-literature
#15
REVIEW
Lloyd Edward Kwanten, Ben O'Brien, Sibtain Anwar
Opioids have played in a key role in cardiac anesthesia and analgesia since the early years of cardiac surgery. Today, opioids continue to be the primary mode for analgesia in cardiac surgery, yet there is considerable variability in the choice, dose and route of used. A history of the use of opioids in cardiothoracic anesthesia is presented, followed by an examination of the differences among current opioids in use and of outcome variables important in cardiac anesthesia, such as postoperative analgesia, extubation times, fast-track cardiac anesthesia, chronic neuropathic pain, and cardioprotection...
June 5, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30064325/deep-brain-stimulation-for-intractable-neuropathic-facial-pain
#16
Sharona Ben-Haim, Zaman Mirzadeh, William S Rosenberg
OBJECTIVE Deep brain stimulation (DBS) is a well-established, evidence-based therapy with FDA approval for Parkinson's disease and essential tremor. Despite the early successful use of DBS to target the sensory thalamus for intractable facial pain, subsequent studies pursuing various chronic pain syndromes reported variable efficacy, keeping DBS for pain as an investigational and "off-label" use. The authors report promising results for a contemporary series of patients with intractable facial pain who were treated with DBS...
August 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/30057293/do-preoperative-anxiety-and-depression-influence-the-outcome-of-knee-arthroplasty
#17
Manuel Jiménez Ortiz, Alfonso Espinosa Ruiz, Cristóbal Martínez Delgado, Pablo Barrena Sánchez, José A Salido Valle
BACKGROUND: The association of depression and chronic pain in knee osteoarthritis is a complex and difficult phenomenon to understand. In fact, establishing the order of appearance of these entities might result in an arduous task. OBJECTIVE: In addition to analyzing the relationship between preoperative anxiety and depression according to the results of total knee arthroplasty (TKA), we will assess the evolution of anxiety and depression symptoms. MATERIAL AND METHODS: A study of 260 patients with a mean age of 70...
July 26, 2018: Reumatología Clinica
https://www.readbyqxmd.com/read/30055359/comparison-between-percutaneous-endoscopic-lumbar-discectomy-and-minimally-invasive-transforaminal-lumbar-interbody-fusion-forlumbar-disc-herniationwith-bi-radicular-symptoms
#18
Chao Liu, Yue Zhou
OBJECTIVE: To compare the clinical outcomes of patients withlumbar disc herniation with bi-radicular symptomsundergoing percutaneous endoscopic lumbar discectomy and minimally invasive transforaminal lumbar interbody fusion at a single clinic. METHODS: From January 2008 to January 2016, 89consecutive patients with lumbar disc herniation with bi-radicular symptoms were treated with percutaneous endoscopic lumbar discectomy(PELD) or minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF)...
July 25, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/30051444/-observation-of-the-efficacy-of-biological-patch-in-hybrid-technique-for-incisional-herniorrhaphy-5-year-follow-up-results-from-a-single-center
#19
Weigang Dai, Yujie Yuan, Jidong Zuo, Jinfu Tan, Weidong Feng, Kaitao Yuan, Qiongyun Zhao, Min Tan
OBJECTIVE: To observe the safety and efficacy of biological patch (Biodesign Surgisis mesh, SIS) in hybrid technique for incisional herniorrhaphy. METHODS: Clinical and follow-up data of 14 incisional hernia patients who underwent incisional herniorrhaphy with hybrid technique, using porcine small intestinal submucosa acellular matrix patch, at the First Affiliated Hospital of Sun Yat-sen University from January 1, 2012 to June 31, 2016 were analyzed retrospectively...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/30051443/-operative-strategy-and-short-term-efficacy-of-recurrent-groin-hernia
#20
Xitao Wang, Gengwen Huang, Dingcheng Shen, Jiayan Lin, Caihong Ning, Xintong Cao, Liandong Ji, Yebin Lu, Wei Wei
OBJECTIVE: To explore the appropriate operative strategy in recurrent groin hernia repair. METHODS: Clinical and follow-up data of 82 patients with recurrent groin hernia undergoing operation at Department of Pancreatobiliary Surgery, Xiangya Hospital of Central South University from April 2010 to April 2017 were analyzed retrospectively. The operative approaches included laparoscopic transabdominal preperitoneal (TAPP) hernia repair, Lichtenstein repair and hybrid repair...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
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