keyword
https://read.qxmd.com/read/38533159/intra-abdominal-pressure-measurement-as-a-predictor-of-postoperative-wound-complications-in-patients-undergoing-emergency-laparotomy-a-prospective-observational-study
#1
JOURNAL ARTICLE
Dharmendra Dugar, Sunny Goel
Introduction Elevated intra-abdominal pressure (IAP) hampers the effective functioning of intra- and extra-abdominal organs. Despite the abundance of knowledge, routine measurement of IAP still needs to be widely incorporated in managing at-risk patients. The present study intends to assess the need for IAP measurement on abdominal wound healing in emergency laparotomy patients. Methods This prospective study was carried out over 24 months in patients undergoing emergency laparotomy. The IAP was measured at admission, immediately after surgery, and during the early postoperative period at 6, 12, 24, 48, and 72 hours...
February 2024: Curēus
https://read.qxmd.com/read/38523483/an-estimation-of-the-biomechanical-properties-of-the-continent-and-incontinent-woman-bladder-via-inverse-finite-element-analysis
#2
JOURNAL ARTICLE
Maria Elisabete Teixeira da Silva, Fábio André Teixeira Pinheiro, Nuno Miguel Ferreira, Fernanda Sofia Quintela da Silva Brandão, Pedro Alexandre Lopes de Sousa Martins, Marco Paulo Lages Parente, Maria Teresa da Quinta E Costa Mascarenhas Saraiva, António Augusto Fernandes, Renato Manuel Natal Jorge
Stress urinary incontinence often results from pelvic support structures' weakening or damage. This dysfunction is related to direct injury of the pelvic organ's muscular, ligamentous or connective tissue structures due to aging, vaginal delivery or increase of the intra-abdominal pressure, for example, defecation or due to obesity. Mechanical changes alter the soft tissues' microstructural composition and therefore may affect their biomechanical properties. This study focuses on adapting an inverse finite element analysis to estimate the in vivo bladder's biomechanical properties of two groups of women (continent group (G1) and incontinent group (G2))...
March 25, 2024: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://read.qxmd.com/read/38512833/the-development-feasibility-and-credibility-of-intra-abdominal-pressure-measurement-techniques-a-scoping-review
#3
JOURNAL ARTICLE
ZhiRu Li, HuaFen Wang, FangYan Lu
AIM: To provide a comprehensive overview on emerging direct and alternative methods for intra-abdominal pressure (IAP) measurement techniques. METHODS: This was a scoping review study following Arksey and Malley's framework. The PubMed, EMBASE, Web of Science, EBSCO, Scopus and ProQuest databases were searched, and we only considered studies published from 2000 as we have extended the data from two previous reviews. Original studies that reported on the development, feasibility and credibility of IAP measurement techniques were included...
2024: PloS One
https://read.qxmd.com/read/38512578/comparison-of-deep-and-moderate-neuromuscular-blockade-for-major-laparoscopic-surgery-in-children-a-randomized-controlled-trial
#4
JOURNAL ARTICLE
Guo Wei, Yong-Xin Li, Ying Chen, Mei Diao, John Wei Zhong, Shou-Dong Pan
BACKGROUND AND OBJECTIVE: Neuromuscular blocking agents are routinely used in laparoscopic surgery to optimize operative conditions. We compared the effect of a deep and moderate neuromuscular blockade (NMB) on surgical conditions and postoperative outcomes in children undergoing major laparoscopic surgery. METHODS: Sixty children aged 2-14 years scheduled to undergo major laparoscopic surgery were randomly allocated to deep (post-tetanic count 1-2 twitches) or moderate (train-of-four 1-2 twitches) NMB groups...
March 21, 2024: Paediatric Drugs
https://read.qxmd.com/read/38493453/prevalence-of-increased-intra-abdominal-pressure-and-its-impact-on-renal-function-in-acute-decompensated-heart-failure-a-prospective-pilot-study
#5
JOURNAL ARTICLE
Piotr Łagosz, Jan Biegus, Łukasz Lewandowski, Piotr Ponikowski, Robert Zymliński
No abstract text is available yet for this article.
March 17, 2024: Kardiologia Polska
https://read.qxmd.com/read/38490032/vaginal-peritoneum-fistula-through-pouch-of-douglas-during-peritoneal-dialysis-case-report-and-literature-review
#6
Francisco Aguilar-Espinosa, José Armando Álvarez-Maldonado, Luis Andrés Isaías-Velazquez, Jorge Alberto Martínez-Mejía, Oscar Daniel Mejía-Sierra, Erika Diana Barba-Jaramillo
INTRODUCTION: Peritoneal dialysis is the preferred approach for kidney replacement therapy. A peritoneal-vaginal fistula is a rare complication associated with peritoneal dialysis. CASE PRESENTATION: A 69-year-old woman with a history of type two diabetes and systemic arterial hypertension for twenty years is scheduled to undergo the surgical placement of a Tenckoff catheter to begin renal replacement therapy. After having thirty dialysis sessions, she was discharged to continue therapy at home...
March 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38487031/potential-role-of-physical-labor-and-cultural-views-of-menstruation-in-high-incidence-of-pelvic-organ-prolapse-in-nepalese-women-a-comparative-study-across-the-menstrual-cycle
#7
JOURNAL ARTICLE
Yvonne Biswokarma, Karen Brandon, Everett Lohman, Ryan Stafford, Noha Daher, Jerold Petrofsky, Uma Thapa, Lee Berk, Robert Hitchcock, Paul W Hodges
INTRODUCTION: Pelvic organ prolapse (POP) is a significant health concern for young Nepali women, with potential risk factors including pelvic floor trauma from vaginal delivery and heavy lifting. The prevalence of symptomatic POP (SPOP) among nulliparous women in Nepal is 6%, while the general population of Nepali women aged 15-49 years reports a prevalence of 7%. Surprisingly, the average age of SPOP onset in Nepal is 27 years, challenging the assumption that postmenopausal age and vaginal delivery are the sole risk factors...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38465052/adjuvant-botulinum-toxin-type-a-on-the-management-of-giant-hiatal-hernia-a-case-report
#8
Catarina D Henriques, Egon F Rodrigues, Lucia Carvalho, Ana Marta Pereira, Mário Nora
The management of giant hiatal hernias (HHs) remains challenging and is associated with a high risk of recurrence. Currently, several strategies are used to reduce recurrence, and a newly proposed trend is the administration of adjuvant botulinum toxin type A (BTX), a procedure already performed in complex ventral hernias. Here, we present a case of a 63-year-old man with a giant paraesophageal HH type IV containing the entire stomach and transverse colon with loss of domain, who underwent adjuvant BTX and subsequently laparoscopic hiatoplasty with a biological mesh with partial fundoplication...
February 2024: Curēus
https://read.qxmd.com/read/38463088/inguinal-hernia-following-the-use-of-fluid-anti-adhesive-agents-in-laparoscopic-surgery-a-literature-review-and-case-report
#9
Man-Jung Chu, Pei-Shen Huang
INTRODUCTION AND IMPORTANCE: Inguinal hernia is a rare complication in females occurring due to the use of common anti-adhesion agents, such as ADEPT. Some complications have been reported to date; however, there are no reported cases of ADEPT-induced inguinal hernia. CASE PRESENTATION: A 39-year-old woman underwent laparoscopic ovarian cystectomy for a right ovarian endometrioma, using ADEPT as an anti-adhesion agent. Subsequently, she developed an inguinal hernia diagnosed using pelvic computed tomography...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38462623/jejunogastric-intussusception-associated-with-jejunojejunal-intussusception-double-telescoping-occurring-20-years-after-gastrojejunostomy
#10
JOURNAL ARTICLE
Souhaib Atri, Mahdi Hammami, Amine Sebai, Rany Aifia, Meriem Ben Brahim, Youssef Chaker, Fadhel Samir Fteriche, Montassar Kacem
INTRODUCTION: Jejunogastric intussusception (JGI) is a rare but potentially lethal complication following gastrectomy or gastrojejunostomy surgeries. Diagnosis of this condition can be challenging due to its rarity and non-specific symptoms. This article presents a case report of a 60-year-old male with a history of trans mesocolic gastrojejunostomy who developed acute symptoms of JGI. CASE REPORT: The patient presented with acute epigastric pain, vomiting, and hematemesis...
March 11, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38451347/individualised-flow-controlled-ventilation-reduces-applied-mechanical-power-and-improves-ventilation-efficiency-in-a-porcine-intra-abdominal-hypertension-model
#11
JOURNAL ARTICLE
Julia Abram, Patrick Spraider, Julian Wagner, Gabriel Putzer, Manuela Ranalter, Sarah Rinner, Andrea Katharina Lindner, Bernhard Glodny, Tobias Hell, Tom Barnes, Dietmar Enk, Judith Martini
BACKGROUND: Aim of this study was to evaluate feasibility and effects of individualised flow-controlled ventilation (FCV), based on compliance guided pressure settings, compared to standard of pressure-controlled ventilation (PCV) in a porcine intra-abdominal hypertension (IAH) model. The primary aim of this study was to investigate oxygenation. Secondary aims were to assess respiratory and metabolic variables and lung tissue aeration. METHODS: Pigs were randomly assigned to FCV (n = 9) and PCV (n = 9)...
March 7, 2024: Intensive Care Medicine Experimental
https://read.qxmd.com/read/38429574/hyperthermic-pressurized-intraperitoneal-aerosol-drug-delivery-system-in-a-large-animal-model-a-feasibility-and-safety-study
#12
JOURNAL ARTICLE
Sa-Hong Min, Mira Yoo, Duyeong Hwang, Eunju Lee, So Hyun Kang, Sangjun Lee, Yongjoon Won, Young Suk Park, Sang-Hoon Ahn, Hyung-Ho Kim
BACKGROUND: We developed a novel drug delivery system called hyperthermic pressurized intraperitoneal aerosol chemotherapy (HPIPAC) that hybridized Hyperthermic intraperitoneal chemotherapy (HIPEC) and pressurized intraperitoneal aerosol chemotherapy (PIPAC). The present study aims to assess the feasibility and safety of HPIPAC system in a large animal survival model. METHODS: Eleven pigs (eight non-survival models and three survival models) were used in the experiment...
March 1, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38418023/maximum-abdominal-excursion-assessment-using-an-abdominal-excursion-measuring-device-reliability-and-validity-of-a-new-device-for-simple-and-quantitative-assessment-of-respiratory-function
#13
JOURNAL ARTICLE
Daisuke Tashiro, Yutaro Oki, Natsuha Nonomura, Yuki Takeyama, Tohmi Osaki, Yosuke Morimoto
This study aimed to verify the reliability and validity of abdominal expansion and respiratory function measurements. Forty healthy adult males underwent lung capacity, effort lung capacity, respiratory muscle strength, cough strength, diaphragm ultrasound, and abdominal expansion measurements. Abdominal expansion was measured using a device developed to accurately evaluate abdominal movements and calculate maximum abdominal expansion on the ventral side (AE-max: the difference between maximal abdominal contraction at the same time as maximal-effort expiration and maximal abdominal expansion at the same time as maximal-effort inspiration)...
February 2024: Medical Engineering & Physics
https://read.qxmd.com/read/38417239/a-case-of-rectal-cancer-complicated-with-segmental-arterial-mediolysis-sam-safely-treated-with-curative-resection-a-case-report
#14
Tamuro Hayama, Hiroki Ochiai, Keijiro Nozawa, Yoshinao Kikuchi, Yuko Sasajima, Takeo Fukagawa
INTRODUCTION: Recent advances in diagnostic imaging techniques have led to an increasing number of case reports of segmental arterial mediolysis (SAM). However, reports of abnormalities associated with SAM of abdominal organs, including the bowel, are limited. SAM, a rare vascular disease that causes spontaneous intra-abdominal bleeding, including shock and intestinal ischemia, has been reported to be associated with high mortality, but it has not been reported to coexist with rectal cancer...
February 20, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38408775/effects-of-lung-injury-and-abdominal-insufflation-on-respiratory-mechanics-and-lung-volume-during-time-controlled-adaptive-ventilation
#15
JOURNAL ARTICLE
Harry Ramcharran, Greg Wetmore, Scott Cooper, Jacob Herrmann, Andrea F Cruz, David W Kaczka, Joshua Satalin, Sarah Blair, Penny L Andrews, Nader M Habashi, Gary F Nieman, Michaela Kollisch-Singule
BACKGROUND: Lung volume measurements are important for monitoring functional aeration and recruitment, and may help guide adjustments in ventilator settings. The expiratory phase of APRV may provide physiologic information about lung volume based on the expiratory flow-time slope, angle, and time to approach a no-flow state (TExp ). We hypothesized that expiratory flow rate would correlate with estimated lung volume (ELV), as measured using a modified nitrogen washout/washin technique in a large animal lung injury model...
February 26, 2024: Respiratory Care
https://read.qxmd.com/read/38405245/comparison-of-the-surgical-outcomes-in-neonates-with-left-sided-congenital-diaphragmatic-hernia-with-only-skin-closure-versus-abdominal-muscle-closure
#16
JOURNAL ARTICLE
Sravanthi Vutukuru, Prema Menon, Shailesh Solanki
AIM: This study aims to compare the outcome of neonatal left congenital diaphragmatic hernia (CDH, Bochdalek type) repair through laparotomy with and without abdominal muscle closure. MATERIALS AND METHODS: This retrospective study was conducted between January 2012 and May 2021 at a neonatal surgical unit of a Tertiary Care Center. Demographic details, preoperative management, Two-dimensional-echo, intra-operative findings, postoperative course, and follow-up data were collected and analyzed...
2024: Journal of Indian Association of Pediatric Surgeons
https://read.qxmd.com/read/38398395/underneath-images-and-robots-looking-deeper-into-the-pneumoperitoneum-a-narrative-review
#17
REVIEW
Guido Mazzinari, Lucas Rovira, Kim I Albers-Warlé, Michiel C Warlé, Pilar Argente-Navarro, Blas Flor, Oscar Diaz-Cambronero
Laparoscopy offers numerous advantages over open procedures, minimizing trauma, reducing pain, accelerating recovery, and shortening hospital stays. Despite other technical advancements, pneumoperitoneum insufflation has received little attention, barely evolving since its inception. We explore the impact of pneumoperitoneum on patient outcomes and advocate for a minimally invasive approach that prioritizes peritoneal homeostasis. The nonlinear relationship between intra-abdominal pressure (IAP) and intra-abdominal volume (IAV) is discussed, emphasizing IAP titration to balance physiological effects and surgical workspace...
February 14, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38380543/prospective-randomized-clinical-trial-on-the-effects-of-laparoscopic-insufflation-pressures-on-portal-pressures-in-dogs
#18
JOURNAL ARTICLE
Mark Parlier, Christopher B Thomson, Aaron Rendahl, Alena Strelchik, Caroline Baldo, Sarah K Eckman, Amy Krueger, Wanda J Gordon-Evans
OBJECTIVE: The adverse effects of intra-abdominal pressure from capnoperitoneum on cardiovascular and pulmonary systems have been well documented, but the effects on portal pressures in dogs with various insufflation pressures is poorly defined. The aim of the present study was to measure the effect of a range of insufflation pressures on the portal pressure, using direct pressure measurements in patients undergoing laparoscopy. STUDY DESIGN: Clinical randomized prospective study...
February 21, 2024: Veterinary Surgery
https://read.qxmd.com/read/38378483/earthquake-victims-in-focus-a-cross-sectional-examination-of-trauma-and-management-in-intensive-care-unit
#19
JOURNAL ARTICLE
Kaniye Aydin, Aysun Ozel Yesilyurt, Ferhat Cetinkaya, Mehmet Gokhan Gok, Omer Dogan, Dilek Ozcengiz
BACKGROUND: After the Kahramanmaras earthquake of February 6, 2023, the disaster of the century, a significant number of victims were admitted to intensive care units (ICUs). In this study, we aimed to share the characteristics and management of critical earthquake victims and shed light on our experiences as intensivists in future earthquakes. METHODS: The study included 62 earthquake victims in two tertiary ICUs. Demographic characteristics, laboratory findings, clinical characteristics, trauma and disease severity scores, treatments administered to patients, and the clinical course of the patients were recorded retrospectively...
February 20, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/38370330/uterine-leiomyomata-as-a-cause-of-abdominal-compartment-syndrome-in-the-postpartum-period
#20
Mason Hui, Baha Sibai, Alvaro Montealegre, Mateo G Leon
Uterine leiomyomas are common benign smooth muscle tumors that often occur during the reproductive years. Although many cases may not result in significant complications, negative pregnancy outcomes have been associated with the size and location of the fibroids. Degeneration of fibroids can occur as early as the late first trimester when they undergo significant volumetric growth, contributing to pain during pregnancy. While myomectomy is typically avoided during pregnancy, conservative management with anti-inflammatory medications may be effective...
January 2024: American Journal of Perinatology Reports
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