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Preoperative medical evaluation

Viraj Vasavada, Samaresh Srivastava, Shail A Vasavada, Aditya Sudhalkar, Abhay R Vasavada, Vaishali A Vasavada
PURPOSE: To evaluate the outcomes of a new posterior chamber phakic intraocular lens (IPCL; Care Group, Baroda, India) to correct myopia. METHODS: This prospective, observational case series included 30 eyes undergoing implantation of the IPCL for high myopia (> -8.00 diopters [D]). Uncorrected (UDVA) and corrected (CDVA) distance visual acuities, refraction, vault, endothelial cell loss, and adverse events were evaluated 3 years after implantation of the IPCL for high myopia...
December 1, 2018: Journal of Refractive Surgery
Michele Bici, Valerio Cardini, Marco Eugeni, Robinson Guachi, Fabiano Bini, Francesca Campana, Franco Marinozzi, Paolo Gaudenzi
In this paper, we aim at providing results concerning the application of desktop systems for rapid prototyping of medical replicas that involve complex shapes, as, for example, folds of a colon. Medical replicas may assist preoperative planning or tutoring in surgery to better understand the interaction among pathology and organs. Major goals of the paper concern with guiding the digital design workflow of the replicas and understanding their final performance, according to the requirements asked by the medics (shape accuracy, capability of seeing both inner and outer details, and support and possible interfacing with other organs)...
2018: Journal of Healthcare Engineering
Avanish Saklani, P Sugoor, A Chaturvedi, R Bhamre, S Jatal, V Ostwal, R Engineer
The multimodal treatment for advanced rectal adenocarcinoma mandates accurate preoperative staging with contrast-enhanced computed tomography (CECT) of the thorax, abdomen, and pelvis, and magnetic resonance imaging (MRI) of the pelvis. Unlike gastric cancer, the role of staging laparoscopy (SL) in advanced colorectal cancer has not been evaluated. This study aims to evaluate the clinical value of SL in treatment decision-making for advanced rectal cancer (RC) with near or complete obstructing tumors. Observational review of colorectal database at Tata Memorial Hospital from January 2013 to December 2016 identified 562 patients diagnosed and treated for advanced RC...
December 2018: Indian Journal of Surgical Oncology
Daichi Kitaguchi, Yuji Nishizawa, Takeshi Sasaki, Yuichiro Tsukada, Masaaki Ito
AIM: Intersphincteric resection (ISR) is an advanced anus-preserving operation for treating low rectal cancer while avoiding colostomy. High-resolution anorectal manometry (HR-ARM) allows objective and accurate evaluation of anal function. However, correlations between anal function after ISR and HR-ARM parameters are unknown. The aim of the study was to evaluate HR-ARM for objective evaluation of anal function after ISR. METHOD: A total of 81 cases that underwent ISR at our hospital between October 2014 and March 2016 were identified from our our prospectively collected database and electronic medical records...
December 8, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Zhigang Guo, Zhijia Wang, Kai Li, Chao Du, Xingli Zhao, Min Cheng, Yu Tian
Objectives: Patients with trigeminal neuralgia who are refractory to medical therapy may choose to undergo Gasserian ganglion percutaneous radiofrequency thermocoagulation. However, in cases where the foramen ovale is difficult to access due to various anatomical anomalies, the typical estimation of the facial entry point is suboptimal. Methods: Three-dimensional computed tomography reconstruction imaging performed before surgery revealed anatomical variations in each of the four adult patient cases that made it more difficult to successfully access the foramen ovale (FO) for percutaneous radiofrequency thermocoagulation...
December 7, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Michael B Cohen, Louis F Insalaco, Christopher R Tonn, Jeffrey H Spiegel
Background: Patient's pursuing aesthetic surgery often inquire about the success of the procedure. Having objective data for these patients improves preoperative counseling. To assess patient satisfaction after aesthetic chondrolaryngoplasty using specifically developed outcomes assessment instrument and to evaluate the anatomy of the vocalis insertion on the thyroid cartilage and its effect on the extent of surgical resection. Methods: Retrospective survey of patients who underwent chondrolaryngoplasty from 2006 to 2012...
October 2018: Plastic and Reconstructive Surgery. Global Open
Soudabeh Haddadi, Reyhaneh Shahrokhirad, Malek Moien Ansar, Shideh Marzban, Mitra Akbari, Arman Parvizi
Background: Retrobulbar block is one of the chosen methods for local anesthesia in cataract surgery. Since it is a painful procedure, using analgesic and sedative drugs is recommended. Current medications have side effects and evaluating of new drugs or new uses of existing safer drugs is necessary. Objectives: The aim of this study was to compare the administration of melatonin and acetaminophen on pain and hemodynamic changes during retrobulbar block. Methods: In a double-blinded randomized trial, 180 patients undergoing cataract surgery were randomly divided into three groups: Melatonin group (received melatonin 6 mg), acetaminophen group (received acetaminophen 500 mg), and control group (received placebo)...
October 2018: Anesthesiology and Pain Medicine
Zeynep Aktas, M Cuneyt Ozmen, H Tuba Atalay, A Yucel Ucgul
PURPOSE: To evaluate episcleral venous fluid wave (EVFW) during GATT surgery in patients with advanced stage open angle glaucoma and to investigate its relationship with the severity of glaucoma. METHODS: In all, 34 eyes of 28 open angle glaucoma patients who underwent GATT surgery were included into study. The extent of EVFW was evaluated using surgical records of patients and it was defined as number of clock hours. Correlations between the extent of EVFW and GAAT surgical outcomes as determined by intraocular pressures (IOP) and postoperative antiglaucoma medication needs were investigated...
December 10, 2018: Eye
Tak Kyu Oh, Sang-Hwan Do, Young-Tae Jeon, Jinhee Kim, Hyo-Seok Na, Jung-Won Hwang
BACKGROUND: Postoperative hyperchloremia is known to be related to increases in mortality and morbidity after surgery. However, the relationship between preoperative hyperchloremia and hypochloremia and postoperative mortality and morbidity is not well established. Our aim was to evaluate the relationship between preoperative hyperchloremia or hypochloremia, as assessed using preoperative serum chloride tests, and 90-day mortality and morbidity after noncardiac surgery. METHODS: In this retrospective cohort study, we reviewed the medical records of patients >20 years of age who underwent noncardiac surgery between January 2010 and December 2016...
December 7, 2018: Anesthesia and Analgesia
Ramez Philips, Kevin Chorath, Brad DeSilva, L Arick Forrest, C Blake Simpson, Laura Matrka
OBJECTIVE: To evaluate voice outcomes of medialization laryngoplasty in the elderly population (65 years and older) and to identify swallow outcomes, complication rates, and predictors of voice outcomes. STUDY DESIGN: Case series with chart review. SETTING: Two tertiary academic medical centers. SUBJECTS AND METHODS: We retrospectively reviewed charts of 136 patients age 65 years and older undergoing medialization laryngoplasty between January 2008 and May 2016 at 2 tertiary academic institutions...
December 11, 2018: Otolaryngology—Head and Neck Surgery
Joan M Irizarry-Alvarado, Matthew Lundy, Barbara McKinney, Frank A Ray, Virginia E Reynolds, Sher-Lu Pai
In 2008, Mayo Clinic in Jacksonville, Florida, developed the preoperative evaluation (POE) clinic under the department of anesthesiology to provide preoperative history and physical examination, and medical optimization. Over time, the POE clinic expanded to accommodate more than 90% of surgical patients, outgrowing the initial practice model. The increased patient volume with shortened turnaround times bottlenecked patient access. A multidisciplinary quality improvement team used Define, Measure, Analyze, Improve, and Control methodology to understand the issues, test potential solutions, and develop sustainable processes...
December 7, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Paolo Mora, Giacomo Calzetti, Stefania Favilla, Matteo Forlini, Salvatore Tedesco, Purva Date, Viola Tagliavini, Arturo Carta, Rino Frisina, Emilio Pedrotti, Stefano Gandolfi
Purpose: To compare the functional and clinical outcomes of the iris-claw intraocular lens (IOL) placed on the anterior versus posterior surface of the iris. Patients and Methods: A multicenter, retrospective study. Data on eyes that underwent anterior or retropupillary iris-claw IOL implantation because of inadequate capsular support secondary to complicated cataract surgery, trauma, and dislocated/opacified IOLs since January 2015 were analyzed. For study inclusion, evaluation results had to be available in the medical records both preoperatively and at 1 and 12 months after implantation...
2018: Journal of Ophthalmology
Lukas A Holzer, Georg Scholler, Stefan Wagner, Jörg Friesenbichler, Werner Maurer-Ertl, Andreas Leithner
INTRODUCTION: Preoperative planning is an essential part of total hip arthroplasty (THA). It facilitates the surgical procedure, helps to provide the correct implant size and aims at restoring biomechanical conditions. In recent times, surgeons rely more and more on digital templating techniques. Although the conversion to picture archiving and communication system had many positive effects, there are still problems that have to be taken into consideration. OBJECTIVES: The core objective was to evaluate the impact of the planners' experience on the accuracy of predicting component size in digital preoperative templating of THA...
December 6, 2018: Archives of Orthopaedic and Trauma Surgery
Seyhan B Özkan, Ayse Ipek Akyuz Unsal, Derya Buran Kagnici
PURPOSE: The information about superior rectus (SR) recession in cases with SR contracture coexisting with superior oblique palsy (SOP) is very limited in previous literature. The aim of this study is to evaluate the effect of SR recession, as a combined procedure with inferior oblique (IO) disinsertion, in long-standing SOP with secondary SR contracture. METHODS: The medical records of the 145 patients operated for SOP were retrospectively reviewed and 15 patients who underwent SR recession met the inclusion criteria...
December 7, 2018: Strabismus
Narei Hong, Jae-Yong Park
Background: Delirium is a common and serious syndrome in elderly patients. The hypoactive type of delirium is known to have different characteristics, but further studies are needed to define the specificities of these characteristics. Our study aims at finding specific risk factors, especially estimated blood loss during operations of hyper- and hypoactive delirium in orthopedic elderly patients. Methods: One hundred and seventy-five elderly patients were evaluated using the Confusion Assessment Method (CAM) and the 4th edition text revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR)...
2018: BioMed Research International
Ji-Hong Jiang, Chun-Zhi Li, Chang-Ming Zhao, Rong-Ming Xu
OBJECTIVE: To explore the clinical effect of percutaneous transforaminal endoscopic discectomy via lateral position assisted with local anesthesia for lumbar disc herniation in elder with systemic diseases. METHODS: The clinical data of 44 elder patients with lumbar disc herniation and systemic diseases treated from June 2013 to June 2017 were retrospectively analyzed. Including 26 males and 18 females, aged 70 to 86 years old with an average of(77.5±3.5) years, course of disease was 3 weeks to 6 months...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Eliza W Beal, Fabio Bagante, Anghela Paredes, Ozgur Akgul, Katiuscha Merath, Santino Cua, Mary E Dillhoff, Carl R Schmidt, Erik Abel, Scott Scrape, Aslam Ejaz, Timothy M Pawlik
BACKGROUND: Administration of blood products may be associated with increased morbidity and perioperative mortality in surgical patients. METHODS: Patients aged 18 + who underwent gastrointestinal surgery at the Ohio State University Wexner Medical Center 9/10/2015-5/9/2018 were identified. Multivariable logistic regression models were used to evaluate impact of blood product use on survival and complications, as well as to identify factors associated with receipt of transfusions...
November 27, 2018: American Journal of Surgery
Camille Duport, Céline Duperron, Emmanuel Delorme
INTRODUCTION: Treatment of pelvic organ prolapse is an important public health issue due to the ageing population. The Food and Drug Administration, in 2011, issued a warning on complications after transvaginal insertion of high weight mesh. We evaluated a 6 tension-free straps, light prosthesis made from polypropylene monofilaments. MATERIALS AND METHODS: This monocentric, retrospective study included patients undergoing anterior or apical prolapse repair surgery by placement of a six tension-free strap low weight vaginal mesh between 2008 and 2017...
November 30, 2018: Journal of Gynecology Obstetrics and Human Reproduction
Daniel Hoffman, Varun Vijay, Michelle Peng, Rachael D Sussman, Nirit Rosenblum, Benjamin M Brucker, Benoit Peyronnet, Victor W Nitti
OBJECTIVES: To evaluate the effect of radiation on male stress urinary incontinence and to assess the relative value of preoperative urodynamic testing in radiated vs non-radiated men with stress urinary incontinence (SUI). METHODS: A retrospective chart review of all male patients with SUI who underwent urodynamic testing (UDS) from 2010 until 2016 was performed. The impact of urodynamic findings on treatment decision making was assessed. Urodynamic parameters and treatment patterns of radiated vs...
November 30, 2018: Urology
Venus H Mahmmood, Saif Mohamed Shihab
INTRODUCTION: Temporomandibular disorders (TMD) refer to a group of heterogeneous, pain and dysfunction conditions involving the masticatory system, which influences life quality of the sufferers. Nanofat graft injection in temporomandibular joint (TMJ) is a simple and less invasive surgical procedure for treatment of TMJ problems.The aim of this study was to evaluate influence and effectiveness of nanofat injection in TMJ for treatment of TMD. PATIENTS AND METHODS: This study was performed in Al-Shaheed Ghazi Al-Hariri Hospital, Department of Oral and Maxillofacial Surgery, Baghdad Medical City from October 2016 and December 2017...
November 30, 2018: Journal of Craniofacial Surgery
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