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Preoperative hypertension

T Ueno, S Hiwatashi, R Saka, H Yamanaka, Y Takama, Y Tazuke, K Bessho, S Kogaki, T Yonekura, H Okuyama
Pediatric living donor liver transplantation (LDLT) in patients with advanced portopulmonary hypertension (PoPH) is associated with poor prognoses. Recently, novel oral medications, including endothelin receptor antagonists (ERAs), phosphodiesterase 5 (PDE5) inhibitors, and oral prostacyclin (PGI2) have been used to treat PoPH. Pediatric patients with PoPH who underwent LDLT from 2006 to 2016 were enrolled. Oral pulmonary hypertension (PH) medication was administered to control pulmonary arterial pressure (PAP)...
March 15, 2018: Transplantation Proceedings
M H Liu, F Zhou, X B Wang, L P Chen, G Z Li, Q Zhao
Objective: To investigate the incidence rate of transjugular intrahepatic portosystemic shunt (TIPS) complications in the treatment of cirrhotic portal hypertension, and analyze the cause of complication to management methods. Methods: Data of 116 patients obtained from Zhongnan Hospital of Wuhan University were retrospectively analyzed. Portal venous pressure, routine blood test, coagulation test, liver and kidney function test, ammonia blood test, imaging and endoscopy reports were collected before and after procedure...
August 20, 2018: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
Mohammed AbdAllah Salman, Doaa Ahmed Mansour, Hany Armia Balamoun, Mohamed Yehia Elbarmelgi, Kareem Essam Eldin Hadad, Mohammad ElSherbiny Abo Taleb, Ahmed Salman
OBJECTIVE: Emergency surgery is a risk factor for mortality in cirrhotic patients. Portal hypertension is an essential feature of decompensated cirrhosis. This study aimed to assess the value of portal venous pressure (PVP) measurement in prediction of 1-month mortality in cirrhotic patients undergoing emergency laparotomy. METHODS: This prospective study included 121 adults with liver cirrhosis subjected to an emergency laparotomy. Child-Turcotte-Pugh (CTP) score and model for end-stage liver disease (MELD) score were used for preoperative patient evaluation...
October 10, 2018: Asian Journal of Surgery
S Sekito, K Nishikawa, S Masui, Y Hasegawa, H Kanda, K Arima, Y Sugimura
BACKGROUND: The frequency of renal transplants from elderly living donors has increased because of a shortage of donors. However, the results of renal transplantation using aged kidney grafts have yet to be determined conclusively. METHODS: We evaluated 45 patients who underwent living donor kidney transplantation at our institution. The patients were categorized according to donor age at the time of the transplant: ≥ 60 years (elderly donor group, n = 21) and <60 years (young donor group, n = 24)...
October 2018: Transplantation Proceedings
M Han, N Y Jeong, S Y Oh, C I Choi, Y S Chung, H W Lee, H Rhee, E Y Seong, S H Song
Kidney transplant recipients are at increased risk of cardiovascular morbidity and malignant neoplasm, and meticulous evaluation of potential recipients is needed to minimize risks of complications after transplantation. The purpose of this study was to analyze the results of preoperative assessments and document the importance of timed and detailed examinations. METHODS: Medical records of patients evaluated as kidney transplant candidates from January 2015 to September 2017 were retrospectively collected and analyzed...
October 2018: Transplantation Proceedings
Yu Wang, Wangfei Wang, Minyu Zhu, Jing Wang, Yang Zhou, Kelun Huang, Jianhong Wang, Honglin Teng
OBJECTIVE: To investigate the clinical characteristics and surgical outcomes of patients with cervical spondylotic myelopathy (CSM) and prior cerebral infarction (CI); to identify whether "prior CI" correlates with poor surgical outcomes. PATIENTS AND METHODS: Twenty-two patients with CSM and prior CI were retrospectively reviewed and included as the CI group while 100 CSM patients without CI were included as the control group (matched for gender, age, symptom duration and surgical approach)...
September 24, 2018: Clinical Neurology and Neurosurgery
Michael Mimouni, Hamza Abualhasan, Laura Derman, Assaf Feldman, Fares Mazzawi, Yoreh Barak
PURPOSE: The purpose of this study was to assess the incidence and risk factors for early postoperative hypotony after 25-gauge pars plana vitrectomy with nonexpansile endotamponade. METHODS: A retrospective study of consecutive patients who underwent 25-G pars plana vitrectomy. Hypotony was defined as an intraocular pressure of 5 mmHg or less after surgery and ocular hypertension as an intraocular pressure greater than 21 mmHg. RESULTS: Overall, 307 eyes of 307 patients with a mean age of 61...
October 9, 2018: Retina
Mateusz Wierdak, Grzegorz Sokołowski, Michał Natkaniec, Karolina Morawiec-Sławek, Piotr Małczak, Piotr Major, Alicja Hubalewska-Dydejczyk, Andrzej Budzyński, Michał Pędziwiatr
Introduction: The primary treatment of Conn's syndrome (CS) is laparoscopic adrenalectomy and aims to normalize arterial blood pressure and biochemical parameters. Aim: To analyse short- and long-term results of laparoscopic adrenalectomy for Conn's syndrome (CS). Material and methods: The analysis included 44 consecutive patients, who underwent laparoscopic adrenalectomy between 2004 and 2015 for CS. We analysed short- and long-terms results of operations...
September 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Petri Aaltonen, Pertti Oskala, Ilkka Immonen
PURPOSE: To examine the clinical outcomes of intraocular lens (IOL) scleral fixation with the friction knot technique. METHODS: Retrospective case series of 152 eyes of 152 patients with inadequate capsular bag support operated with the friction knot IOL scleral fixation technique by a single surgeon. The fixated IOLs were one-piece or three-piece models all with open loop haptics. Main outcome measures were change in corrected distance visual acuity (CDVA) and postoperative complications...
October 8, 2018: Acta Ophthalmologica
Özlem Sarısoy, Canan Ayabakan, Kürşad Tokel, Murat Özkan, Rıza Türköz, Sait Aşlamacı
OBJECTIVE: The follow-up results of patients operated for atrioventricular septal defect (AVSD) during 1996-2016 at Başkent University are presented. METHODS: Data obtained from hospital records consists of preoperative echocardiographic and angiographic details, age and weight at surgery, operative details, Down syndrome presence, postoperative care details, early postoperative and latest echocardiographic findings and hospitalization for reintervention. RESULTS: A total of 496 patient-files were reviewed including 314 patients (63...
October 2018: Anatolian Journal of Cardiology
Alp Tuna Beksac, Balaji N Reddy, Alberto Martini, David J Paulucci, Erin Moshier, Ronney Abaza, Daniel D Eun, Ashok K Hemal, Ketan K Badani
OBJECTIVE: To analyze the association of hypertension and/or diabetes mellitus on renal function after partial nephrectomy in patients with normal baseline kidney function. METHODS: We identified 453 patients with baseline estimated glomerular filtration rate ≥60 that underwent robotic partial nephrectomy for a cT1 renal mass from 2008 to 2014 using a multi-institutional database. The association between estimated glomerular filtration rate and time (pre-partial nephrectomy to 24 months post-partial nephrectomy) was compared between 269 (59...
October 7, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
Rebecca Sorber, Andrew Lehman, Husain N Alshaikh, Christopher J Abularrage, James H Black, Ying Wei Lum
BACKGROUND: The burden of metabolic syndrome (MetS) is increasing in the United States and is pervasive among patients with peripheral arterial disease. Whereas MetS has been implicated in the development of all types of cardiovascular disease and adverse outcomes after vascular interventions, little is known about how MetS influences perioperative outcomes of lower extremity bypass surgery and whether any negative effects can be modified by use of cardiovascular risk-modifying medications...
October 3, 2018: Journal of Vascular Surgery
Wei-Fan Hsu, Cheng-Ju Yu, Chun-Chieh Yeh, Wen-Hsin Huang, Cheng-Yuan Peng
RATIONAL: Lymphangiomatosis is rare and benign, and slowly proliferating lymphatic vessels of unknown etiology and visceral lymphangiomatosis involving the spleen is rare. Since lymphangiomatosis may be asymptomatic or present as a sense of fullness, splenic cystic lymphangiomatosis is a disease of little concern. PATIENT CONCERNS: A 34-year-old woman suffering from progressive epigastric fullness after oral intake for two weeks. DIAGNOSES: Physical examination showed a palpable mass which was more than 10 cm in size over the left hypochondrium...
October 2018: Medicine (Baltimore)
Fazila Aloweni, Shin Yuh Ang, Stephanie Fook-Chong, Nurliyana Agus, Patricia Yong, Meh Meh Goh, Lisa Tucker-Kellogg, Rick Chai Soh
Surgical patients are prone to developing hospital-acquired pressure ulcers (HAPU). Therefore, a better prediction tool is needed to predict risk using preoperative data. This study aimed to determine, from previously published HAPU risk factors, which factors are significant among our surgical population and to develop a prediction tool that identifies pressure ulcer risk before the operation. A literature review was first performed to elicit all the published HAPU risk factors before conducting a retrospective case-control study using medical records...
October 5, 2018: International Wound Journal
Dou-Sheng Ba, Chi Zhang, Sheng-Jie Jin, Ping Chen, Guo-Qing Jiang
BACKGROUND/AIMS: In patients who survive the first esophageal variceal bleeding (EVB) resulting from portal hypertension, the probability of fatal esophageal variceal re-bleeding (EVR) is high. We have developed a sandwich-style sequential therapy combining laparoscopic splenectomy and azygoportal disconnection (LSD) with preoperative and postoperative endoscopic intervention (LSDE). The aim of the present study was to investigate whether LSDE is safe and effective and to evaluate whether the postoperative EVR rate for LSDE was lower than that for LSD without periodical postoperative endoscopic intervention (NLSDE)...
October 5, 2018: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
Wasita Warachit, Taywin Atikankul, Natnicha Houngngam, Sarat Sunthornyothin
Somatic KCNJ5 mutations result in excess aldosterone production and are reported to be more common in Asia than elsewhere. To assess the prevalence of somatic KCNJ5 mutations in Thai patients with aldosterone-producing adrenal adenomas (APAs) in a single tertiary center, we analyzed the paraffin-embedded tissue of KCNJ5 mutations from 96 patients with sporadic APAs who underwent unilateral laparoscopic adrenalectomy at our center during 2007 to 2016. We also assessed the clinical characteristics, treatment outcomes, and biochemistry and histologic differences among patients with and without somatic KCNJ5 mutations...
October 1, 2018: Journal of the Endocrine Society
James R Butler, Joshua K Kays, Michael G House, Eugene P Ceppa, Attila Nakeeb, Christian M Schmidt, Nicholas J Zyromski
BACKGROUND: Cirrhosis increases the risk of perioperative mortality in gastrointestinal surgery. Though cirrhosis is sometimes considered a contraindication to pancreatoduodenectomy (PD), few data are available in this patient population. The aim of the present study is to identify predictors of outcome in cirrhotic patients undergoing PD. METHODS: Patients undergoing PD with biopsy-proved cirrhosis were evaluated. Primary endpoints were morbidity and mortality...
September 28, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Yeliz Erol, Ayşe Gül Ergönül, Ali Özdil, Sanem Nalbantgil, Ufuk Çağırıcı, Kutsal Turhan, Alpaslan Çakan
BACKGROUND: Patients who underwent lung resection in our clinic were retrospectively investigated in terms of development of postoperative cardiac complications. METHODS: The file records of 207 patients who underwent lung resection between the years 2010 and 2014 were reviewed. One hundred and eighteeen (57%) of the patients were evaluated by the preoperative cardiologist and the risk level of the patients was determined according to the Lee index. Postoperative cardiac complication relation was compared with each parameter...
September 12, 2018: Heart, Lung & Circulation
Xiaoqing Li, Wei Wu, Qing Miao, Min He, Shuo Zhang, Zhaoyun Zhang, Bin Lu, Yehong Yang, Xuefei Shou, Yiming Li, Yongfei Wang, Hongying Ye
OBJECTIVE: Craniopharyngiomas have traditionally been resected via transcranial approaches (TCA). The endoscopic endonasal approach (EEA) has recently developed as an alternative for surgeons, yet controversy remains regarding which approach has better outcomes. We compared the endocrine and metabolic outcomes of TCA and EEA in patients who underwent primary resection of craniopharyngiomas. METHODS: A retrospective analysis was conducted of patients with craniopharyngioma that were presented to the Department of Endocrinology and Metabolism at our institution between 2011 and 2015...
September 25, 2018: World Neurosurgery
Rodrigo Carrasco Moro, Herbert D Jiménez Zapata, Héctor Pian Arias, Juan S Martínez San Millán, María A Martínez Rodrigo, José M Pascual Garvi
INTRODUCTION: Meningiomas associating prominent cystic changes (CM) have challenged neurosurgeons since the beginning of this surgical discipline. We present the experience in the diagnostic and therapeutic management of this entity in our institution. MATERIAL AND METHODS: A review of our patient database was carried out, searching for those CM that were operated on in the last 15 years. Relevant clinical data were recorded and analyzed for each case, with special emphasis in the correlation of radiological and pathological findings...
September 25, 2018: Neurocirugía
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