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Urology, surgery, gynaecology

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https://www.readbyqxmd.com/read/27798453/patient-completed-preoperative-web-based-anaesthetic-assessment-questionnaire-electronic-personal-assessment-questionnaire-preoperative-development-and-validation
#1
Iain M Goodhart, John Andrzejowski, Georgina Jones, Mireille Berthoud, Andy Dennis, Gary Mills, Stephen Radley
BACKGROUND: Worldwide, guidelines support the routine use of anaesthetic preoperative assessment (POA), a process that is frequently supported by pro formas and unvalidated questionnaires. Electronic questionnaires can provide reliable data. A local initiative has seen the development of a computerised electronic Personal Assessment Questionnaire (ePAQ). OBJECTIVE: To develop and validate a novel electronic instrument for POA. DESIGN: The content and face validity were evaluated in 30 patients...
October 27, 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/27681586/impact-of-surgical-wound-dehiscence-on-health-related-quality-of-life-and-mental-health
#2
N F M Corrêa, M J A de Brito, M M de Carvalho Resende, M F P Duarte, F S Santos, G M Salomé, L M Ferreira
OBJECTIVE: To assess the impact of surgical wound dehiscence on health-related quality of life and mental health. Dehiscence of surgical wounds is a serious postoperative complication associated with high morbidity and mortality. METHOD: Sixty-one adult patients, who had undergone neurological, general, colorectal, orthopaedic, gynaecological, plastic, cardiovascular, urological or neurological surgery in a university hospital in Brazil, were assessed between 30 and 180 days after surgery...
October 2, 2016: Journal of Wound Care
https://www.readbyqxmd.com/read/27440630/covert-stroke-after-non-cardiac-surgery-a-prospective-cohort-study
#3
M Mrkobrada, M D Hill, M T V Chan, A Sigamani, D Cowan, A Kurz, D I Sessler, M Jacka, M Graham, M Dasgupta, V Dunlop, D J Emery, I Gulka, G Guyatt, D Heels-Ansdell, J Murkin, S Pettit, D J Sahlas, M Sharma, M Sharma, S Srinathan, P St John, S Tsai, A W Gelb, M O'Donnell, D Siu, P W Y Chiu, V Sharath, A George, P J Devereaux
BACKGROUND: Overt stroke after non-cardiac surgery has a substantial impact on the duration and quality of life. Covert stroke in the non-surgical setting is much more common than overt stroke and is associated with an increased risk of cognitive decline and dementia. Little is known about covert stroke after non-cardiac, non-carotid artery surgery. METHODS: We undertook a prospective, international cohort study to determine the incidence of covert stroke after non-cardiac, non-carotid artery surgery...
August 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27334830/developing-subject-matter-experts-an-improvement-methodology-programme-for-acute-postoperative-pain-with-patients-post-major-surgery
#4
Laserina O Connor
AIMS AND OBJECTIVES: To determine the effectiveness of an improvement methodology initiative, directed at refining the quality of acute pain management of patients in the first 24 hours post major surgery using the Revised American Pain Society Patient Outcome Questionnaire, pre- and post development of a 'subject matter experts' acute pain programme. BACKGROUND: Accurately measuring effectiveness of acute pain management post major surgery is intertwined with measuring overall patient satisfaction...
September 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27158423/current-applications-of-transperineal-ultrasound-in-gastroenterology
#5
REVIEW
Andreia Albuquerque, Eduardo Pereira
Transperineal ultrasound is an inexpensive, safe and painless technique that dynamically and non-invasively evaluates the anorectal area. It has multiple indications, mainly in urology, gynaecology, surgery and gastroenterology, with increased use in the last decade. It is performed with conventional probes, positioned directly above the anus, and may capture images of the anal canal, rectum, puborectalis muscle (posterior compartment), vagina, uterus, (central compartment), urethra and urinary bladder (anterior compartment)...
April 28, 2016: World Journal of Radiology
https://www.readbyqxmd.com/read/26816824/pelvic-radiotherapy-and-sexual-function-in-women
#6
REVIEW
Pernille Tine Jensen, Ligita Paskeviciute Froeding
BACKGROUND: During the past decade there has been considerable progress in developing new radiation methods for cancer treatment. Pelvic radiotherapy constitutes the primary or (neo) adjuvant treatment of many pelvic cancers e.g., locally advanced cervical and rectal cancer. There is an increasing focus on late effects and an increasing awareness that patient reported outcomes (PROs) i.e., patient assessment of physical, social, psychological, and sexual functioning provides the most valid information on the effects of cancer treatment...
April 2015: Translational Andrology and Urology
https://www.readbyqxmd.com/read/26699259/-delayed-appendectomy-because-of-diagnostic-malpractice-experiences-of-the-arbitration-board-of-the-north-german-medical-associations
#7
Heinrich Vinz, Markward von Bülow, Johann Neu
From 2000 to 2012, 447 panel proceedings concerning acute appendicitis were evaluated. 271 cases (57 %) were related to alleged diagnostic malpractice. This was confirmed in 176 cases (67 %). The following medical specialities were involved (m = quote of malpractice): general surgery 33 %, m = 51 %; paediatric surgery 3 %, m = 44 %; general practitioner and prehospital emergency services 24 %, m = 62 %; internal medicine 19 %, m = 70 %; paediatrics 13 %, m = 57 %; gynaecology 3 %, m = 91 %; urology 2 %, m = 17 %...
2015: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/26413346/use-of-surgeon-tailored-polypropylene-mesh-as-a-needle-less-single-incision-sling-for-treating-female-stress-urinary-incontinence-preliminary-results
#8
Mohammed S ElSheemy, Hisham Ghamrawy, Hesham Fathy, Hussein A Hussein, Eman A Hussein, Ahmed Aly, Sherif Abdel Rahman
OBJECTIVE: To evaluate the safety and efficacy of a procedure using surgeon-tailored polypropylene mesh (STM) through a needle-less single-incision technique for treating stress urinary incontinence (SUI), aiming to decrease the cost of treatment, which is important in developing countries. PATIENTS AND METHODS: In all, 43 women diagnosed using a cough stress test were treated from January 2011 to June 2013 at the Urology and Gynaecology Departments (dual-centre), Cairo University Hospitals...
September 2015: Arab Journal of Urology
https://www.readbyqxmd.com/read/26384755/surgical-antibiotic-prophylaxis-compliance-in-a-university-hospital
#9
Allison Muller, Joel Leroy, Thierry Hénon, Isabelle Patry, Emmanuel Samain, Catherine Chirouze, Xavier Bertrand
OBJECTIVE: To assess surgical antibiotic prophylaxis (SAP) practices in a university hospital in order to identify risk factors associated with non-compliance. STUDY DESIGN: Retrospective monocentric study conducted over a 4-month period. PATIENTS AND METHODS: Data were collected from the software used in the operating theatre. Practice non-compliance was evaluated in comparison with the 2010 version of the French national recommendations...
October 2015: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/26183049/implementation-of-a-multidisciplinary-robotic-centre-in-a-high-volume-university-hospital
#10
Sara Kehlet Watt, Henrik Loft Jakobsen, Rasmus Vogelsang, Bjarne Kromann-Andersen, Connie Palle, Ligita Paskeviciute Frøding, Bjørn Dreijer, Ismail Gögenur
INTRODUCTION: We describe the initiation of a multidisciplinary centre for robotic surgery including the implementation of robotic-assisted procedures as standard procedure for the majority of cancer operations in urology, gynaecology and gastrointestinal surgery. METHODS: All robotic procedures performed from 2008 to 2013 were included. The information gathered included body mass index, the American Society of Anesthesiologists' physical status classification value (ASA), age, sex, time and type of surgery, duration of procedure, conversion to open surgery, length and type of anaesthesia, re-operations, length of hospital stay and 30-day mortality...
July 2015: Danish Medical Journal
https://www.readbyqxmd.com/read/26141685/one-year-of-anaesthesia-in-france-a-comprehensive-survey-based-on-the-national-medical-information-pmsi-database-part-1-in-hospital-patients
#11
Christophe Dadure, Anaïs Marie, Fabienne Seguret, Xavier Capdevila
UNLABELLED: Anaesthesia has evolved in France since the last epidemiologic survey in 1996. The national database program for medical information systems (the PMSI) can be used to track specific knowledge concerning anaesthesia for a selected period of time. The goal of this study was to perform a contemporary epidemiological description of anaesthesia in France for the year 2010. METHODS: The data concerning private or public hospital stays were collected from the national PMSI database...
August 2015: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/26095788/validity-of-a-cross-specialty-test-in-basic-laparoscopic-techniques-tablt
#12
E Thinggaard, F Bjerrum, J Strandbygaard, I Gögenur, L Konge
BACKGROUND: Box trainer systems have been developed that include advanced skills such as suturing. There is still a need for a portable, cheap training and testing system for basic laparoscopic techniques that can be used across different specialties before performing supervised surgery on patients. The aim of this study was to establish validity evidence for the Training and Assessment of Basic Laparoscopic Techniques (TABLT) test, a tablet-based training system. METHODS: Laparoscopic surgeons and trainees were recruited from departments of general surgery, gynaecology and urology...
August 2015: British Journal of Surgery
https://www.readbyqxmd.com/read/25926312/enhanced-recovery-from-surgery-in-the-uk-an-audit-of-the-enhanced-recovery-partnership-programme-2009-2012
#13
MULTICENTER STUDY
J C Simpson, S R Moonesinghe, M P W Grocott, M Kuper, A McMeeking, C M Oliver, M J Galsworthy, M G Mythen
BACKGROUND: The UK Department of Health Enhanced Recovery Partnership Programme collected data on 24 513 surgical patients in the UK from 2009-2012. Enhanced Recovery is an approach to major elective surgery aimed at minimizing perioperative stress for the patient. Previous studies have shown Enhanced Recovery to be associated with reduced hospital length of stay and perioperative morbidity. METHODS: In this national clinical audit, National Health Service hospitals in the UK were invited to submit patient-level data...
October 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/25785555/transurethral-radiofrequency-collagen-denaturation-for-the-treatment-of-women-with-urinary-incontinence
#14
REVIEW
Diana Kang, Julia Han, Molly M Neuberger, M Louis Moy, Sheila A Wallace, Pablo Alonso-Coello, Philipp Dahm
BACKGROUND: Transurethral radiofrequency collagen denaturation is a relatively novel, minimally invasive device-based intervention used to treat individuals with urinary incontinence (UI). No systematic review of the evidence supporting its use has been published to date. OBJECTIVES: To evaluate the efficacy of transurethral radiofrequency collagen denaturation, compared with other interventions, in the treatment of women with UI.Review authors sought to compare the following...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25723602/-robot-assisted-surgery-in-visceral-and-thoracic-surgery-gynaecology-urology-importantanaesthetic-considerations
#15
REVIEW
Torben Schütt, Arne Carstens, Jan-Hendrik Egberts, Carsten Maik Naumann, Jan Höcker
Robot-assisted surgery, as a development of laparoscopic surgery, has an increasing field of application. Beside urology, this technique has also been implemented in visceral and thoracic surgery and gynaecology. For the surgeon an enhanced view of the surgical field and a better mobility of the instruments are the most important advantages. Thus, it is possible to work more accurate and prevent inadvertent tissue damage. For the anaesthesiologist several characteristics are of importance. Limited access to the patient as a result of a special positioning requires adequate anaesthetic preparation...
February 2015: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/25714493/investigate-i-invasive-evaluation-before-surgical-treatment-of-incontinence-gives-added-therapeutic-effect-a-mixed-methods-study-to-assess-the-feasibility-of-a-future-randomised-controlled-trial-of-invasive-urodynamic-testing-prior-to-surgery-for-stress-urinary
#16
RANDOMIZED CONTROLLED TRIAL
Paul Hilton, Natalie Armstrong, Catherine Brennand, Denise Howel, Jing Shen, Andrew Bryant, Douglas G Tincello, Malcolm G Lucas, Brian S Buckley, Christopher R Chapple, Tara Homer, Luke Vale, Elaine McColl
BACKGROUND: The position of invasive urodynamic testing in the diagnostic pathway for urinary incontinence (UI) is unclear. Systematic reviews have called for further trials evaluating clinical utility, although a preliminary feasibility study was considered appropriate. OBJECTIVES: To inform the decision whether or not to proceed to a definitive randomised trial of invasive urodynamic testing compared with clinical assessment with non-invasive tests, prior to surgery in women with stress UI (SUI) or stress predominant mixed UI (MUI)...
February 2015: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/25538359/the-surgical-waiting-time-initiative-a-review-of-the-nigerian-situation
#17
REVIEW
Imran Haruna Abdulkareem
The concept of surgical waiting time initiative (SWAT) was introduced in developed countries to reduce elective surgery waiting lists and increase efficiency of care. It was supplemented by increasing popularity of day surgery, which shortens elective waiting lists and minimises cancellations. It is established in Western countries, but not in developing countries like Nigeria where it is still evolving. A search was carried out in Pub Med, Google, African journals online (AJOL), Athens and Ovid for relevant publications on elective surgery waiting list in Nigeria, published in English language...
November 2014: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/25518103/history-of-education-in-medicine-and-surgery-first-hospitals-development-of-urology-in-danzig-gda%C3%A5-sk
#18
Tadeusz Zajączkowski
The aim of the study is to present the development of hospital services and the teaching of medicine, and the development of urology in Danzig (Gdańisk). Well known Danzig surgeons who were interested in surgery of the genitourinary system are also presented. The beginning of urological surgery and its development within the framework of the department of surgery and as an independent facility at the Medical Academy of Gdafisk in the post-war period is also described. Extensive research was undertaken for the collection of literature and documents in German and Polish archives and libraries in order to prepare this study...
2014: Annales Academiae Medicae Stetinensis
https://www.readbyqxmd.com/read/25283250/the-use-of-robotics-in-surgery-a-review
#19
REVIEW
A Hussain, A Malik, M U Halim, A M Ali
IMPORTANCE: There is an ever-increasing drive to improve surgical patient outcomes. Given the benefits which robotics has bestowed upon a wide range of industries, from vehicle manufacturing to space exploration, robots have been highlighted by many as essential for continued improvements in surgery. OBJECTIVE: The goal of this review is to outline the history of robotic surgery, and detail the key studies which have investigated its effects on surgical outcomes...
November 2014: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/25260989/sexuality-issues-in-gynaecological-oncology-patients-post-treatment-symptoms-and-therapeutic-options
#20
C Iavazzo, K Johnson, H Savage, S Gallagher, M Datta, B A Winter-Roach
BACKGROUND/AIM: According to recent studies up to 80% of patients would like to receive more information about how cancer treatments can affect their sexual functioning. Moreover, 75 % of them would not feel comfortable being the first to bring up the subject. Our Gynaecological Advice Clinic was established in 2006 at the Christie Hospital and offers support to cancer patients who face sexuality issues. A previous evaluation established that the service sees approximately, 200 patients per year...
March 2015: Archives of Gynecology and Obstetrics
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