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Preoperative medical evaluation

Fangfang Zhu, Xinxin Xu, Beibei Shi, Linchai Zeng, Luhui Wang, Xueqing Wu, Haiyan Zhu
OBJECTIVE: To evaluate the prognostic impact of preoperative plasma lipid profile, glucose, and body mass index in patients with ovarian cancer. METHODS: A retrospective study was performed among women with ovarian cancer who underwent surgical resection between January 1, 2001, and December 1, 2015, at the First Affiliated Hospital of Wenzhou Medical University, China. Data were evaluated using Cox regression analyses, Kaplan-Meier survival analysis and landmark survival analysis...
August 15, 2018: International Journal of Gynaecology and Obstetrics
Amelia Y Merrill, Daniela Ochoa, V Suzanne Klimberg, Erica L Hill, Michael Preston, Kristen Neisler, Ronda S Henry-Tillman
BACKGROUND: Localization of nonpalpable breast lesions for breast-conserving surgery (BCS) remains highly variable and includes needle/wire localization (NL), radioactive seed localization, radar localization, and hematoma-directed ultrasound-guided (HUG) lumpectomy. The superiority of HUG lumpectomy over NL has been demonstrated repeatedly in terms of safety, accuracy, low positive margin rates, cosmesis, and patient satisfaction. In this study, we evaluate the cost effectiveness of HUG lumpectomy over NL for nonpalpable breast lesions...
August 15, 2018: Annals of Surgical Oncology
Hagay Orbach, Nimrod Rozen, Guy Rubin, Eytan Dujovny, Noam Bor
BACKGROUND: Supracondylar humerus fractures are the most common elbow fractures in the pediatric population. OBJECTIVES: To evaluate the outcomes of French's corrective osteotomy for correction of post-traumatic cubitus varus deformity in children. METHODS: We conducted a retrospective review of medical charts of all patients who had undergone French's corrective osteotomy in our institution from 1998 to 2012. We recorded range of motion, cosmetic deformity, carrying angle, lateral cortex prominence index, hyperextension, and lateral cortex step before and after the surgery...
July 2018: Israel Medical Association Journal: IMAJ
Jason A Davis, Daniel D Bohl, Tad L Gerlinger
BACKGROUND: Recent advances in the performance of total knee arthroplasty may allow for return to driving sooner than the current recommendation of six to eight weeks. The purpose of this study was to evaluate at what time point patients may safely return to driving after modern total knee arthroplasty. METHODS: Thirty-two consecutive patients underwent pre-operative and weekly post-operative assessments of brake reaction time before and for eight weeks after undergoing total knee arthroplasty...
August 11, 2018: Knee
S Lahtinen, P Koivunen, T Ala-Kokko, O Kaarela, P Ohtonen, P Laurila, J H Liisanantti
We retrospectively studied 136 patients who had free flap reconstruction for cancer of the head and neck at a single centre (2008-2015) to evaluate complications, assess factors associated with them, and analyse their impact on outcome. Preoperative and perioperative data, and surgical and medical complications were recorded, and the impact of the complications on duration of hospital stay and survival were assessed. A total of 86 (63%) patients had complications. Compared with those who did not, they had a higher rate of alcohol abuse (21/86, compared with 5/50, p=0...
August 11, 2018: British Journal of Oral & Maxillofacial Surgery
Florentine Schreiner, Gurpreet Anand, Felix Beuschlein
Endocrine active adrenal tumors are associated with a relevant risk of complications during surgery, either due to direct hemodynamic effects of the hormone excess or due to hormone related comorbidities. Over the last decades, careful preoperative evaluation and improved peri-interventional medical management of affected patients has resulted in a significant reduction of perioperative complications. In addition, improvement in anesthesia and surgical techniques with the feasibility of laparoscopic adrenalectomy have contributed to reduce morbidity...
August 14, 2018: Experimental and Clinical Endocrinology & Diabetes
Murat Araz, Ismail Beypinar, Sinan Kazan, Fatih Inci, Mesut Celiker, Mukremin Uysal
PURPOSE: Breast cancer classifies to 4 major subgroups according to immunohistochemistry staining features as Luminal A, Luminal B, human epidermal growth factor receptor 2 overexpression, and Triple Negative. Cancer Antigen15-3 (CA15-3) is used as a tumor marker in breast cancer while its value in early stage and in breast cancer subgroups is still controversial. In this study, we aimed to investigate that whether it is or not differences of the serum preoperative CA15-3 levels in early breast cancer subgroups...
August 4, 2018: Current Problems in Cancer
Yanfeng Yang, Haixiang Wang, Wenjing Zhou, Tianyi Qian, Wei Sun, Guoguang Zhao
BACKGROUND: Seizures arising from the precuneus are rare, and few studies have aimed at characterizing the clinical presentation of such seizures within the anatomic context of the frontoparietal circuits. We aimed to characterize the electrophysiological properties and clinical features of seizures arising from the precuneus based on data from stereoelectroencephalography (SEEG). METHODS: The present retrospective study included 10 patients with medically intractable epilepsy, all of whom were diagnosed with precuneal epilepsy via stereoelectroencephalography (SEEG) at Yuquan Hospital and Xuan Wu Hospital between 2014 and 2016...
August 13, 2018: BMC Neurology
Sagit Stern, Sharon Tzelnick, Aviram Mizrachi, Maya Cohen, Thomas Shpitzer, Gideon Bachar
Objectives Ultrasonography (US) is a reliable tool for the preoperative localization of parathyroid adenomas (PTAs). The aim of this study was to evaluate the accuracy of US for estimating both the size and the location of PTAs and the effect of operator expertise. Study Design Retrospective cohort study. Setting A single tertiary medical center. Subjects and Methods All patients who underwent parathyroidectomy for primary hyperparathyroidism between 1996 and 2012 were included. The estimated PTA localization and size by preoperative ultrasound were compared with the intraoperative findings and pathology report...
August 14, 2018: Otolaryngology—Head and Neck Surgery
Yuanyuan Ding, Peng Yao, Hongxi Li, Rongjie Zhao, Guangyi Zhao
Background: Painful diabetic peripheral neuropathy (PDPN) is one of the most common complications of diabetes. PDPN seriously affects the quality of life and is difficult to treat; therefore, there is an urgent need for new cost-effective treatment methods for PDPN. Objective: To investigate the efficacy and safety of radiofrequency thermocoagulation (RF) combined with anhydrous ethanol (AE) chemical blockade of lumbar sympathetic ganglia (LSG) in patients with PDPN using computed tomography (CT)...
2018: Journal of Pain Research
Michelle A O Kinney, David M Nagorney, Daniel F Clark, Travis D O'Brien, Jonathan D Turner, Mary E Marienau, Darrell R Schroeder, David P Martin
STUDY OBJECTIVE: Partial hepatic resection reduces tumor burden in patients with metastatic neuroendocrine tumors, thereby improving quality and length of life. These procedures can be challenging as well as life-threatening. Our aim was to evaluate our patients' perioperative outcomes and propose a definition for an intraoperative carcinoid crisis relevant to this surgery, given its unique surgical considerations. DESIGN: Retrospective study. SETTING: Mayo Clinic, Rochester, Minnesota...
August 8, 2018: Journal of Clinical Anesthesia
Hong-Zhao Lei, Bin Sun, Yu-Chun Ma, Miao-Miao Li, Li-Fu Wang, Shi-Wen Jiang, Ran Huo, Chang-Xian Dong
OBJECTIVE: To analyze the clinical characteristics and treatment of pediatric tufted angiomas(TA)complicated by Kasabach-Merritt Phenomenon (KMP). METHOD: A retrospective analysis was conducted on the clinical data and follow-up data of 13 patients diagnosed with TA complicated by KMP. Five male and 8 female patients with an average age of 5.7 months (range, 29 days to 1 year) were treated with surgery between January 2009 and June 2012. According to the size and location of lesions and the degree of thrombocytopenia, complete or subtotal resection was performed...
August 7, 2018: Clinica Chimica Acta; International Journal of Clinical Chemistry
Kaweh Mansouri, Kevin Gillmann, Harsha L Rao, Jacopo Guidotti, André Mermoud
PURPOSE: To compare the safety and efficacy of XEN gel implant surgery (Allergan Inc., Irvine, USA) in patients with pseudoexfoliative glaucoma (PEXG) and primary open angle glaucoma (POAG). SETTING: Prospective, interventional study in a tertiary glaucoma center. METHODS: Fifty-seven eyes (43 patients) with POAG and 53 eyes (42 patients) with PEXG with uncontrolled intraocular pressure (IOP) despite medical treatment underwent combined XEN+cataract surgery or standalone XEN surgery...
August 7, 2018: Journal of Glaucoma
Gustavo Rubio, John K Karwowski, Hilene DeAmorim, Lee J Goldstein, Arash Bornak
INTRODUCTION: and objective: Prolonged hemodynamic instability after carotid artery stenting (CAS) has been associated with increased incidence of stroke and other major adverse events. The objective of this study is to determine the factors associated with hypotension following CAS. In particular, this study evaluates whether involvement of the carotid bifurcation/bulb and degree of calcification can predict postoperative hypotension. METHODS: A retrospective review of 90 CAS performed in 88 patients at a single tertiary center was performed...
August 6, 2018: Annals of Vascular Surgery
Jihyun Park, Youn Gon Lee, Kook Young Kim, Byoung Yeop Kim
PURPOSE: To report the surgical results of unilateral pediatric cataracts from uncertain causes in relatively older children and to identify factors related to better visual outcomes. METHODS: We retrospectively evaluated the medical records of 39 patients who underwent surgery between the ages of 3 and 10 years for unilateral pediatric cataracts of no known cause. All patients underwent primary intraocular lens implantation and postoperative amblyopia treatment...
August 2018: Korean Journal of Ophthalmology: KJO
Daniela Cardinale, Nicola Cosentino, Marco Moltrasio, Maria Teresa Sandri, Francesco Petrella, Alessandro Colombo, Giulia Bacchiani, Adele Tessitore, Alice Bonomi, Fabrizio Veglia, Michela Salvatici, Carlo M Cipolla, Giancarlo Marenzi, Lorenzo Spaggiari
BACKGROUND: Acute kidney injury (AKI) frequently occurs in several medical and surgical settings, and it is associated with increased morbidity and mortality. In patients undergoing lung cancer surgery, AKI has not been fully investigated. We prospectively evaluated the incidence, clinical relevance, and risk factors of AKI in patients undergoing lung cancer surgery. Moreover, we estimated the accuracy of N-terminal pro-B-type natriuretic peptide (NT-proBNP) in the prediction of AKI. METHODS: Patients undergoing lung cancer surgery were included in the study...
September 2018: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
Sakthivel Chinnakkulam Kandhasamy, Byshetty Rajendar, Ashok Kumar Sahoo, Rajesh Nachiappa Ganesh, Mangala Goneppanavar, Vishnu Prasad Nelamangala Ramakrishnaiah
Actinomyces israelii, a commensal of the bronchial and gastrointestinal tracts, is responsible for the majority of actinomycostic infections in humans. Actinomycosis has widely varying clinical presentations ranging from asymptomatic states to infiltrative mass lesions that mimic malignant abdominopelvic disease. Described as one of the most misdiagnosed diseases, actinomycosis poses challenges to accurate preoperative diagnosis. A 67-year-old woman with no significant medical history presented with features of acute intestinal obstruction...
May 31, 2018: Curēus
Janie T Best, Barbara Musgrave, Karen Pratt, Raquel Hill, Cheryl Evans, Diane Corbitt
PURPOSE: Practice guidelines for acute pain management in perioperative patients recommend providing consistent perioperative pain education that includes medication and behavioral techniques to control pain. However, literature indicates that most nurses deliver patient education based on personal preferences, time limitations, and availability of teaching aids. The purpose of this study was to evaluate patient satisfaction with scripted preoperative pain management education for patients undergoing outpatient abdominal surgery...
August 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Peter A J Pijpker, Jos M A Kuijlen, Joep Kraeima, Chris Faber
OBJECTIVE: To describe the use of 3D virtual planning and 3D printed patient specific osteotomy templates in the surgical correction of a complex spinal deformity. BACKGROUND: Pedicle subtraction osteotomies (PSO) for the correction of severe spinal deformities are technically demanding procedures with risk for major complications. Especially operations of the severely deformed spine call for new, more precise, methods of surgical planning. The new 3D technology can give rise to new possibilities for the surgical planning of spinal deformities...
August 1, 2018: World Neurosurgery
Crîngu Antoniu Ionescu, Alexandra Matei, Dan Navolan, Mihai Dimitriu, Roxana Bohâltea, Adrian Neacsu, Corina Ilinca, Liana Ples
Ovarian masses are one of the most frequently identified entities in gynecological practice. Early differential diagnosis is a key factor in the medical management of each patient. Transvaginal ultrasound along with additional preoperative testing, such as serum cancer antigen 125 (CA-125) levels and the Risk of Ovarian Malignancy Algorithm (ROMA) score, usually provide sufficient information for a presumptive diagnosis. Minimally invasive surgery as a therapeutic approach is the standard procedure for uncomplicated and benign adnexal masses...
August 2018: Medicine (Baltimore)
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