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Fasting And surgery

Jacob Wall, Per Enblad
The aim was to review the neurointensive care (NIC) of cerebral venous sinus thrombosis patients with haemorrhage during a 15-year period. This is a severe condition with substantial mortality caused by increased intracranial pressure (ICP) and studies are lacking describing the complex picture of the NIC, which offers a large treatment arsenal for intracranial hypertension. Patients treated 2000-2015 were investigated. Data regarding patient characteristics, symptoms, imaging, ICP-treatment, NIC-treatment intensity, and outcome were collected and analysed...
October 16, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Niral M Sheth, Wojciech Zbijewski, Matthew W Jacobson, Godwin Abiola, Gerhard Kleinszig, Sebastian Vogt, Stefan Soellradl, Jens Bialkowski, William S Anderson, Clifford R Weiss, Greg M Osgood, Jeffrey H Siewerdsen
PURPOSE: Indirect-detection CMOS flat-panel detectors (FPDs) offer fine pixel pitch, fast readout, and low electronic noise in comparison to current a-Si:H FPDs. This work investigates the extent to which these potential advantages affect imaging performance in mobile C-arm fluoroscopy and cone-beam CT (CBCT). METHODS: FPDs based on CMOS (Xineos 3030HS, 0.151 mm pixel pitch) or a-Si:H (PaxScan 3030X, 0.194 mm pixel pitch) sensors were outfitted on equivalent mobile C-arms for fluoroscopy and CBCT...
October 19, 2018: Medical Physics
Muhammad Israr Ul Haq, Usama Talib, Armghan H Ans, Umer Razzaq, Hassan Mehmood
Laparoscopic Roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric surgical procedure with successful outcomes. RYGB has multiple positive outcomes, including sustained weight reduction, resolution of co-morbidities and improvement in the overall health. RYGB has many complications like any other surgery, but the development of tuberculosis (TB) either pulmonary or extra-pulmonary secondary to RYGB is very rare. We present a 32-year-old female with the history of a successful RYGB three years ago, who presented with signs and symptoms of possible TB which was later confirmed with sputum acid-fast bacilli and sputum culture...
August 6, 2018: Curēus
Martin Flück, Claudio Viecelli, Andreas M Bapst, Stephanie Kasper, Paola Valdivieso, Martino V Franchi, Severin Ruoss, Jean-Marc Lüthi, Martin Bühler, Helgard Claassen, Hans Hoppeler, Christian Gerber
We investigated molecular and cellular parameters which set metabolic and mechanical functioning of knee extensor muscles in the operated and contralateral control leg of 9 patients with a chronically insufficient anterior cruciate ligament (ACL; 26.6 ± 8.3 years, 8 males, 1 female) after open reconstructive surgery (week 0), after ambulant physiotherapy under cast immobilization (week 9), succeeding rehabilitation training (up to week 26), and subsequent voluntary physical activity (week 260). Clinical indices of knee function in the operated leg were improved at 52 weeks and remained at a comparable level at week 260...
2018: Frontiers in Physiology
Leonello Tacconi, Roberto Spinelli, Francesco Signorelli
BACKGROUND: Traditional wound closure techniques include skin sutures and metal clips. Cyanoacrylate (2-Octyl-Cyanoacrylate "Dermabond C", by Ethicon, Germany) has good neovascularization, epithelialization and antimicrobial activity properties and a fast application procedure. This study presents our long-term experience. METHODS: We retrospectively selected 362 patients who underwent brain surgery from January 2007 to March 2017. Exclusion criteria was applied for repeat surgeries, emergency/post-traumatic procedures, wound infections, wounds longer than 16 centimeters, skull base cases, post-operative patients who stayed in the ICU more than 1 day...
October 15, 2018: World Neurosurgery
Sonja H Brunvoll, Inger Thune, Hanne Frydenberg, Vidar G Flote, Gro F Bertheussen, Ellen Schlichting, Kristian S Bjerve, Anette Hjartåker
BACKGROUND: The role of n-3 polyunsaturated fatty acids (PUFAs) in breast cancer is not clear and under debate. To explore this relationship it is important to have proper validated dietary assessment methods for measuring the intake of n-3 PUFAs. The aim of the current study is to validate two different methods used to assess the intake of selected n-3 PUFAs as well as food sources of long-chained n-3 PUFAs. Also, we aim to study how stable the intake of fatty acids is during breast cancer treatment...
October 17, 2018: Nutrition Journal
Naoto Urushihara, Koji Fukumoto, Masaya Yamoto, Hiromu Miyake, Toshiaki Takahashi, Akihide Nomura, Akinori Sekioka, Yutaka Yamada, Kengo Nakaya
PURPOSE: To investigate the characteristics, management, and outcomes of congenital biliary dilatation (CBD) in neonates and infants (< 1 year old) in a single institution over the past 20 years. METHODS: From 1997 to 2016, 21 patients < 1 year old underwent definitive surgery for CBD. Open surgery (OS) was performed between 1997 and 2008, and laparoscopic surgery (LS) has been performed since 2009. RESULTS: The bile duct showed cystic dilatation in all patients...
October 16, 2018: Journal of Hepato-biliary-pancreatic Sciences
Afshin Farhanchi, Behrouz Karkhanei, Negar Amani, Mashhood Aghajanloo, Elham Khanlarzadeh, Zahra Emami
Introduction: In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods: A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin...
2018: Pain Research and Treatment
Gabriel Pokorny, Luís Marchi, Rodrigo Amaral, Rubens Jensen, Luiz Pimenta
OBJECTIVE: This study aimed to analyze radiological and clinical results with a minimum 5-year follow-up (FUP) of lateral lumbar total disc replacement (TDR) for the treatment of symptomatic lumbar degenerative disc disease. METHODS: Prospective, single-center, clinical and radiological study. Patients treated with lumbar total disc replacement (XL-TDR) done by a lateral transpsoas approach. From 2005 to 2012, 60 cases were enrolled (31 male, 29 female; total 66 levels; average age 42...
October 13, 2018: World Neurosurgery
Patrick J Buchanan, Tsun Law, Sam Rosas, Zachary Hubbard, Bruce A Mast, Harvey Chim
BACKGROUND: Diabetes mellitus is a well-known risk factor for infection after trigger finger (TF) injection and/or release. However, the effect of preoperative hypoglycemia before TF injection or release is currently unknown. The purpose of this study is to determine the effects of preoperative hypoglycemia on infection incidence after TF injection or release. METHODOLOGY: A retrospective cohort review between 2007 and 2015 was conducted using a national private payer database within the PearlDiver Supercomputer...
October 15, 2018: Annals of Plastic Surgery
Emad Matanes, Roy Lauterbach, Sari Boulus, Amnon Amit, Lior Lowenstein
Robotic laparoendoscopic single-site (R-LESS) seems to be the next route in advancing minimal invasive surgery, with the potential for better cosmetic results and reduced patient morbidity compared with multi-port surgery. This review describes the history and development of (R-LESS) gynecologic surgery and outlines the latest advancements in the realm of gynecology. The review was conducted according to the PRISMA guidelines. Pubmed and ( were the main search engines utilized for retrieval of study data (1990 - present)...
October 3, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Daniela Guarino, Diego Moriconi, Andrea Mari, Eleni Rebelos, Daria Colligiani, Simona Baldi, Marco Anselmino, Ele Ferrannini, Monica Nannipieri
AIMS/HYPOTHESIS: Postprandial hypoglycaemia (PPHG) is a complication of Roux-en-Y gastric bypass (RYGB) surgery in normoglycaemic individuals. In type 2 diabetes, RYGB improves glucose metabolism, but whether this improvement is related to the later development of PPHG is not known. We investigated the presence and mechanisms of PPHG in individuals with type 2 diabetes undergoing RYGB. METHODS: A total of 35 obese individuals with type 2 diabetes underwent an OGTT before and 24 months after surgery...
October 12, 2018: Diabetologia
Huan Wang, Yingjie Geng, Weijian Zheng, Weiping Fang, Erwei Gu, Xuesheng Liu, Wenzhi Li
BACKGROUND: During regional anesthesia, including combined spinal and epidural anesthesia (CSEA), patients may develop a perceptual alteration of limb position known as phantom limb syndrome (PLS). We aimed to identify factors that influence the PLS onset, to explore whether PLS predisposes to other postoperative symptoms, and to document the relationship between PLS and sensorimotor impairment during recovery. METHODS: Psychological questionnaires for anxiety and depression were completed beforehand, then multimodal tests of sensory and motor function, especially tests of proprioception, were performed regularly afterward...
October 2018: Medicine (Baltimore)
Raquel Esteves Marques, Nuno Pinto Ferreira, David Cordeiro Sousa, Joana Pinto, André Barata, Paula Sens, Luís Abegão Pinto
PURPOSE: XEN® gel stent is a minimally invasive surgical device aimed at creating a subconjunctival drainage of aqueous humor, thereby reducing intraocular pressure (IOP). Being a novel device, doubts remain regarding the efficacy and safety of its implantation in the early stage of new users. This paper illustrates the XEN® implantation learning curve, assessed through several surgeons of different expertise. METHODS: Retrospective study on the first 6 XEN® implants performed by each of 10 certified ophthalmic surgeons...
October 11, 2018: Journal of Glaucoma
Shengjie Jing, Jianming Zhou, Qitong Lu, Xin Chu, Wei He, Jie Jiang, Xin Xue, Zhiyong Liu, Tao Xue
BACKGROUND: Pulmonary thrombosis embolism (PTE) is one of the most severe complications of perioperative radical mastectomy. Massive PTE is often accompanied by shock and hypotension which is characterized by rapid progression and high mortality. There is no standard for the treatment of these patients, which is thoracic surgery, and it is a critical issue in the thoracic surgeons. This article summarizes and analyzes the treatment of two patients with high-risk PTE at the early stage of postoperative lung cancer in our hospital...
October 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
Hao Ma, Zhenghua Xiao, Jun Shi, Lulu Liu, Chaoyi Qin, Yingqiang Guo
BACKGROUND: Aortic arch cannulation for an antegrade central perfusion during the surgery for Stanford type A aortic dissection can be performed within median sternotomy. We summarize the safety and convenient profile of the central cannulation strategy using the guidance of transesophageal echocardiography (TEE) in comparison to traditional femoral cannulation strategy. METHODS: Sixty-two patients with acute Stanford type A aortic dissection underwent aortic arch surgery in our hospital...
October 11, 2018: Journal of Cardiothoracic Surgery
A V Sazhin, T V Nechay, S M Titkova, A E Tyagunov, M V Anurov, K Yu Melnikov-Makarchuk, A A Tyagunov, I V Ermakov, N S Glagolev, L S Kurashinova, E A Ivanova, V S Nechay, A V Karpov, A T Mirzoyan, G B Ivakhov, Yu S Balakirev
AIM: To analyze outcomes of fast track rehabilitation in patients with acute appendicitis. MATERIAL AND METHODS: Prospective, randomized multi-center trial including 86 patients was conducted. There were 38 patients in the main group and 48 in the control group. All patients underwent laparoscopic appendectomy under endotracheal anesthesia. Protocol included informing, no premedication, glucose infusion prior to surgery, antibiotics administration, mesoappendix excision, limited deployment of drainage tubes, intraabdominal prolonged anesthesia, minimal pneumoperitoneum, limited irrigation, minimum power monopolar electrocautery, antiemetics, early activation and eating (2 and 6 hours after surgery)...
2018: Khirurgiia
Guangzhi Wang, Liang Li, Shuwei Xing, Hui Ding
The human-machine interface (HMI) is an essential part of image-guided orthopedic navigation systems. HMI provides a primary platform to merge surgically relevant pre- and intraoperative images from different modalities and 3D models including anatomical structures and implants to support surgical planning and navigation. With the various input-output techniques of HMI, surgeons can intuitively manipulate anatomical models generated from medical images and/or implant models for surgical planning. Furthermore, HMI recreates sight, sound, and touch feedback for the guidance of surgery operations which helps surgeons to sense more relevant information, e...
2018: Advances in Experimental Medicine and Biology
Alicja Zientara, Paul Komminoth, Burkhardt Seifert, Dragan Odavic, Omer Dzemali, Achim Häussler, Michele Genoni
BACKGROUND: Electrosurgery is fundamental to the precise, fast and bloodless preparation of internal thoracic artery grafts in cardiac surgery. The PEAK PlasmaBlade is a monopolar electrosurgical device that uses pulsed radiofrequency energy to generate a plasma-mediated discharge along an insulated electrode, creating a cutting edge while the blade stays near body temperature. The aim of this study is to compare the histological samples, cardiac computed-tomography of graft patency, and clinical outcomes of patients after off-pump coronary artery bypass grafting with preparation of the internal thoracic arteries by a conventional electrosurgical device and the PlasmaBlade...
October 11, 2018: Journal of Cardiothoracic Surgery
Timothy J P Batchelor, Neil J Rasburn, Etienne Abdelnour-Berchtold, Alessandro Brunelli, Robert J Cerfolio, Michel Gonzalez, Olle Ljungqvist, René H Petersen, Wanda M Popescu, Peter D Slinger, Babu Naidu
Enhanced recovery after surgery is well established in specialties such as colorectal surgery. It is achieved through the introduction of multiple evidence-based perioperative measures that aim to diminish postoperative organ dysfunction while facilitating recovery. This review aims to present consensus recommendations for the optimal perioperative management of patients undergoing thoracic surgery (principally lung resection). A systematic review of meta-analyses, randomized controlled trials, large non-randomized studies and reviews was conducted for each protocol element...
October 9, 2018: European Journal of Cardio-thoracic Surgery
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