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Perioperative patient satisfaction

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https://www.readbyqxmd.com/read/29675614/short-term-outcomes-of-sleeve-gastrectomy-conversion-to-r-y-gastric-bypass-multi-center-retrospective-study
#1
Cristian Eugeniu Boru, Francesco Greco, Piero Giustacchini, Marco Raffaelli, Gianfranco Silecchia
INTRODUCTION: The outcomes of failed laparoscopic sleeve gastrectomies (LSG) converted to laparoscopic standard R-Y gastric bypass (LRYGB) in case of insufficient weight loss (IWL), weight regain (WR), and/or severe gastro-esophageal reflux disease (GERD) are scanty. PURPOSE: To evaluate incidence, indications, and short-term outcomes of LSG conversion to LRYGB in three bariatric centers. METHODS: Patients operated between January 2012 and December 2016 by primary LSG, with mean follow-up of 24 months and converted to LRYGB for IWL, WR, and/or GERD, were retrospectively analyzed for demographics, operative details, perioperative complications, comorbidities evolution, and further WL...
April 20, 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29666933/-pain-relief-during-and-after-surgical-procedures-results-of-an-austria-wide-patient-survey-on-postoperative-pain-and-perioperative-pain-management
#2
W Jaksch, R Likar, U Frohner, F Herbst
BACKGROUND: Pain after surgery, especially on the first postoperative day, results in longer hospital stays, increased complication rates and may also cause a higher risk of pain chronification. However, the expected intensity of pain is often misjudged and therefore not adequately treated. METHODOLOGY: An Austria-wide patient survey on the pain situation on the first postoperative day and on the quality of perioperative pain management was carried out on a voluntary and anonymous basis...
April 17, 2018: Der Schmerz
https://www.readbyqxmd.com/read/29645348/retzius-sparing-robot-assisted-radical-prostatectomy-using-revo-i-robotic-surgical-system-surgical-technique-and-results-of-the-first-human-trial
#3
Ki Don Chang, Ali Abdel Raheem, Young Deuk Choi, Byung Ha Chung, Koon Ho Rha
PURPOSE: Recently, Revo-i® robotic surgical system has been proved to be safe in the preclinical animal studies. Our aim was to evaluate the safety and proficiency of Revo-i® robotic platform in the treatment of prostate cancer (PCa). PATIENTS AND METHODS: A prospective study was carried out on 17 male patients with clinically localized PCa from August 17, 2016, to Feb 23, 2017 at our urology department using Revo-i® . Patients underwent Retzius-sparing robot-assisted radical prostatectomy (RP-RARP)...
April 12, 2018: BJU International
https://www.readbyqxmd.com/read/29644911/perceived-doctor-patient-relationship-and-satisfaction-with-general-practitioner-care-in-older-persons-in-residential-homes
#4
Claudia S de Waard, Antonius J Poot, Wendy P J den Elzen, Annet W Wind, Monique A A Caljouw, Jacobijn Gussekloo
OBJECTIVE: Understanding patient satisfaction from the perspective of older adults is important to improve quality of their care. Since patient and care variables which can be influenced are of specific interest, this study examines the relation between patient satisfaction and the perceived doctor-patient relationship in older persons and their general practitioners (GPs). DESIGN: Cross-sectional survey. SUBJECTS AND SETTING: Older persons (n = 653, median age 87 years; 69...
April 12, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29621785/perioperative-changes-and-progress-in-photoselective-vaporization-of-the-prostate-with-greenlight-xps-180-w-system-a-single-center-experience
#5
Maximilian Reimann, Nikita Fishman, Zenai Almedom, Isabel Lichy, John Buckendahl, Ursula Steiner, Frank Friedersdorff, Jonas Busch, Tom Florian Fuller, Kurt Miller, Stefan Hinz, Hannes Cash
PURPOSE: The study aimed to evaluate progression of GreenLight-XPS 180 W photoselective vaporization of the prostate (GL-XPS) with respect to effectiveness, efficacy, and safety over time at a tertiary referral high volume center. METHODS: The retrospective study included 375 men who underwent GL-XPS for symptomatic benign prostate obstruction (BPO) between June 2010 and February 2015. Primary outcome measurements were operation time (OT; min) and effective laser time (LT; min of OT) analyzed with regard to prostatic volume (PV; mL) (group 1 <40 mL up to 4 >80 mL in 20 mL steps) and the year of surgery (2010-2015)...
April 5, 2018: Urologia Internationalis
https://www.readbyqxmd.com/read/29619511/results-of-magnetic-sphincter-augmentation-for-gastroesophageal-reflux-disease
#6
Katrin Schwameis, Milena Nikolic, Deivis G Morales Castellano, Ariane Steindl, Sarah Macheck, Ivan Kristo, Barbara Zörner, Sebastian F Schoppmann
BACKGROUND: Magnetic sphincter augmentation (MSA) is a modern treatment option for gastroesophageal reflux disease (GERD); however, laparoscopic fundoplication remains the gold standard. The aim of the study was to evaluate outcomes of MSA patients at a reflux center. METHODS: A retrospective review was performed of all patients that underwent MSA between March 2012 and November 2017. Out of 110 patients, 68 with a follow-up >3 months were included. Postoperative gastrointestinal symptoms, proton pump inhibitor (PPI) intake, GERD-Health-related Quality of Life (GERD-HRQL) and alimentary satisfaction (AS) were assessed...
April 4, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29588223/translation-adaptation-and-psychometric-validation-of-the-good-perioperative-nursing-care-scale-gpncs-with-surgical-patients-in-perioperative-care
#7
Michala Hertel-Joergensen, Charlotte Abrahamsen, Carsten Jensen
AIM: To test the psychometric validity of the Good Perioperative Nursing Care Scale (GPNCS), a self-administered questionnaire, following translation and adaptation. INTRODUCTION: Patients' satisfaction with and experience of nursing care in orthopaedic or perioperative settings are currently not routinely measured and few standardized patient-reported experience measurement tools exist for these settings. MATERIALS AND METHODS: Cross-sectional survey...
March 8, 2018: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/29574998/safety-and-efficacy-of-enhanced-recovery-after-surgery-eras-programs-in-patients-undergoing-hepatectomy-a-prospective-randomized-controlled-trial
#8
Shuo Qi, Guodong Chen, Peng Cao, Jiangping Hu, Gengsheng He, Jiaxing Luo, Jun He, Xiuda Peng
BACKGROUND AND AIM: Enhanced recovery after surgery (ERAS) programs, following a variety of perioperative treatments with evidence-based medical evidence, has indicated its validity to accelerate rehabilitation in a wide variety of surgical procedures. This randomized controlled trial (RCT) study was implemented to verify the safety and efficacy of the perioperative effects in patients undergoing hepatectomy with ERAS or with conventional surgery (CS). METHODS: From August 2016 to November 2017, according to the inclusion criteria, 160 patients with liver diseases were suitable for participating in this experiment...
March 24, 2018: Journal of Clinical Laboratory Analysis
https://www.readbyqxmd.com/read/29557846/long-term-follow-up-of-bulking-agents-for-stress-urinary-incontinence-in-older-patients
#9
Francesco Plotti, Roberto Montera, Corrado Terranova, Daniela Luvero, Francesca Marrocco, Andrea Miranda, Alessandra Gatti, Carlo De Cicco Nardone, Roberto Angioli, Giuseppe Scaletta
OBJECTIVE: Implantation of bulking agents represents a noninvasive procedure for the treatment of stress urinary incontinence (SUI) in all patients where a more invasive procedure may increase perioperative risks. The primary aim of this retrospective study was to evaluate the efficacy over time of bulking agent implantation. As secondary aims, we evaluated long-term (patients' subjective) satisfaction rate, rate of de novo urinary symptoms, and the impact of urinary incontinence on the quality of life...
March 19, 2018: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/29550101/patients-perceptions-of-perioperative-quality-of-care-in-relation-to-self-rated-health
#10
Angelica Forsberg, Irene Vikman, Britt-Marie Wälivaara, Janice Rattray, Åsa Engström
PURPOSE: To explore (1) associations between patient and perioperative factors and dimensions of quality of care and (2) perioperative patients' self-rated physical health in relation to information, encouragement, and participation. DESIGN: A nonexperimental descriptive exploratory design (n = 170 participants). METHODS: Analyses were performed using quantitative techniques; collected data were quantitative in nature. Multiple logistic regression and Mann-Whitney U tests were used to analyze the data...
March 14, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29549480/longer-length-improvement-and-more-covert-incision-a-single-center-prospective-study-of-two-innovative-surgical-methods-one-stitch-and-four-stitch-for-pediatric-buried-penis
#11
Junhao Lei, Chunhua Luo, Songtao Cheng, Wen Yan, Xinghuan Wang, Xinjun Su
BACKGROUND: To introduce the detailed procedures of two innovative surgical options for pediatric buried penis and prospectively compare their efficacy and safety. METHODS: A single-center, non-randomized, prospective study was conducted at the Zhongnan Hospital of Wuhan University, where patients were operated on using the so-called "one stitch" (OS) or "four stitch" (FS) methods. The operation time, adverse events, and satisfaction were recorded for both groups...
March 16, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29548700/impact-of-a-colorectal-enhanced-recovery-program-implementation-on-clinical-outcomes-and-institutional-costs-a-prospective-cohort-study-with-retrospective-conrol
#12
Mattia Portinari, Simona Ascanelli, Simone Targa, Elisabete Maria Dos Santos Valgode, Barbara Bonvento, Emidia Vagnoni, Stefano Camerani, Marco Verri, Carlo Alberto Volta, Carlo V Feo
BACKGROUND: The enhanced recovery program for perioperative care of the surgical patient reduces postoperative metabolic response and organ dysfunction, accelerating functional recovery. The aim of this study was to determine the impact on postoperative recovery and cost-effectiveness of implementing a colorectal enhanced recovery program in an Italian academic centre. MATERIALS AND METHODS: A prospective series of consecutive patients (N = 100) undergoing elective colorectal resection completing a standardized enhanced recovery program in 2013-2015 (ERP group) was compared to patients (N = 100) operated at the same institution in 2010-2011 (Pre-ERP group) before introducing the program...
March 13, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29548618/outpatient-focused-joint-arthroplasty-is-the-future-the-midwest-center-for-joint-replacement-experience
#13
Michael E Berend, Wesley G Lackey, Joshua L Carter
BACKGROUND: Perhaps, the most significant developments in joint arthroplasty in the past decade have been in the area of multimodal perioperative management reducing pain, nausea, and length of stay leading to outpatient arthroplasty. METHODS: Over a 2-year period, we performed 1230 arthroplasty cases including partial knee, total hip, total knee, and selected revision cases. RESULTS: Patient satisfaction ranged from 98% to 100% great/good...
February 9, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29548352/importance-of-patient-and-family-satisfaction-in-perioperative-care
#14
Kristen A Calabro, Mehul V Raval, David H Rothstein
As healthcare systems increasingly shift focus toward providing high-quality and high-value care to patients, there has been a simultaneous growth in assessing the patient's experience through patient-reported outcomes. Along with well-known patient reported outcomes such as health-related quality of life and current health state, patient satisfaction can be a valuable assessment of quality. Patient and family satisfaction measures not only affect a patient's clinical course and influence overall patient compliance, but are increasingly used to gauge physician performance and guide reimbursement...
April 2018: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/29538168/frailty-and-geriatric-assessment-in-urologic-oncology
#15
Tyler Sheetz, Cheryl T Lee
PURPOSE OF REVIEW: As the population ages, urologic oncologists are caring for older and more vulnerable patients that must withstand complex surgical treatments. Our healthcare environment emphasizes surgical quality, reductions in length of hospital stay, reduced readmission rates, and high patient satisfaction. So those who manage urologic malignancies must be able to optimize their patients. Understanding the concept of frailty, how to diagnose it in a timely and reliable manner, appreciate its perioperative impact, and consider interventions to reduce its effects may improve surgical outcomes...
March 13, 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/29530407/has-the-robot-caught-up-national-trends-in-utilization-perioperative-outcomes-and-cost-for-open-laparoscopic-and-robotic-pediatric-pyeloplasty-in-the-united-states-from-2003-to-2015
#16
Briony K Varda, Ye Wang, Benjamin I Chung, Richard S Lee, Michael P Kurtz, Caleb P Nelson, Steven L Chang
INTRODUCTION: Since 2010, there have been few new data comparing perioperative outcomes and cost between open (OP) and robotic pyeloplasty (RP). In a post-adoption era, the value of RP may be converging with that of OP. OBJECTIVE: To 1) characterize national trends in pyeloplasty utilization through 2015, 2) compare adjusted outcomes and median costs between OP and RP, and 3) determine the primary cost drivers for each procedure. STUDY DESIGN: We performed a retrospective cohort study using the Premier database, which provides a nationally representative sample of U...
February 22, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29516158/-update-on-upper-eyelid-blepharoplasty
#17
REVIEW
A Klingenstein, C Hintschich
BACKGROUND: Upper eyelid blepharoplasty is among the most frequent oculoplastic surgical procedures. It is often performed as one of the first esthetic surgical interventions by surgeons of various disciplines. While there is a high probability of happy and satisfied patients postoperatively, there are important potential surgical complications that should be prevented. This requires a careful preoperative, perioperative and postoperative approach. OBJECTIVE: This synopsis presents the basic considerations concerning upper eyelid blepharoplasty to serve as practical surgical guidelines...
March 7, 2018: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/29514385/analysis-of-presurgical-uterine-artery-embolization-puae-for-very-large-uterus-myomatosus-patient-s-desire-to-preserve-the-uterus-case-series-and-literature-review
#18
Dirk Schnapauff, Manon Russ, Thomas Kröncke, Matthias David
PURPOSE:  Purpose of this paper to present results of a group of 21 consecutive patients who underwent uterine artery embolization (UAE) immediately before myomectomy. Surgical myomectomy can lead to a substantial blood loss in case of large or multiple tumors due to the hypervascularization of the tumors. This may lead to multiple blood transfusion or hysterectomy. In cases were the preservation of the uterus is demanded, pre-operative embolization could reduce the risk of substantial bleeding...
March 7, 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/29514376/contemporary-perioperative-analgesia-in-total-knee-arthroplasty-multimodal-protocols-regional-anesthesia-and-peripheral-nerve-blockade
#19
Jacob M Drew, Jonathan Neilio, Lisa Kunze
Perioperative care of the total knee arthroplasty (TKA) patient has evolved considerably over the past decade. Among the changes driving this evolution toward shorter hospitalization and accelerated rehabilitation have been regional anesthesia, peripheral nerve blockade, and multimodal analgesia protocols. These complementary techniques are increasingly supported by scientific evidence, though considerable uncertainty persists regarding the optimal combination of strategies. Continued refinement of technique and critical evaluation is trending toward greater characterization of the comparative effectiveness of myriad options...
March 7, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29510420/impact-of-obesity-on-outcomes-in-breast-reconstruction-a-systematic-review-and-meta-analysis
#20
Adriana C Panayi, Riaz A Agha, Brady A Sieber, Dennis P Orgill
BACKGROUND:  Increased rates of both breast cancer and obesity have resulted in more obese women seeking breast reconstruction. Studies demonstrate that these women are at increased risk for perioperative complications. A systematic review was conducted to assess the outcomes in obese women who underwent breast reconstruction following mastectomy. METHODS:  Cochrane, PUBMED, and EMBASE electronic databases were screened and data were extracted from included studies...
March 6, 2018: Journal of Reconstructive Microsurgery
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