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https://www.readbyqxmd.com/read/29907392/the-impact-of-mental-health-on-patient-reported-outcomes-in-cervical-radiculopathy-or-myelopathy-surgery
#1
Bassel G Diebo, Jared C Tishelman, Samantha Horn, Gregory W Poorman, Cyrus Jalai, Frank A Segreto, Cole A Bortz, Michael C Gerling, Virginie Lafage, Andrew P White, James M Mok, Thomas D Cha, Robert K Eastlack, Kris E Radcliff, Carl B Paulino, Peter G Passias
Optimizing functional outcomes and disability status are essential for effective surgical treatment of cervical spine disorders. Mental impairment is common among patients with cervical spine complaints; yet little is known about the impact of baseline mental status with respect to overall patient-reported outcomes. This was a retrospective analysis of patients with cervical spondylosis with myelopathy(CM) or radiculopathy(CR: cervical disc herniation, stenosis, or spondylosis without myelopathy) at 2-year follow-ups...
June 12, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29905538/comparative-evaluation-of-tapp-hernioplasty-with-use-of-various-methods-of-fixing-the-reticular-endoprosthesis-and-tep-in-the-treatment-of-inguinal-hernias
#2
D Krikunov, V Akimov, V Toidze, M Churgulia, L Dvаladze
The study was conducted with the aim to improve the results of treatment of patients with inguinal hernia by the mode of glue fixation of mesh implant in laparoscopic hernioplasty. Laparoscopic hernioplasty was performed on 96 patients at the N.D. Monastyrsky Department of Surgery of North-Western State Medical University named after I.I. Mechnikov, on the base of L.G. Sokolov Clinical Hospital № 122, in the period from 2014 to 2016. The patients were divided into three groups: I group - 36 patients, who underwent laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP) without supplying of mesh implant under spermatic cord and its fixation with cyanoacrylate glue "B-Braun" with elimination of peritoneum defect above the implant with a thread V-loc; II group consisted of 34 patients, treated with laparoscopic TAPP without cutting of mesh implant and its fixation along the periphery with titanium staples with the subsequent closing of peritoneum defect with titanium staples...
May 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29900817/feasibility-of-same-day-discharge-after-robotic-assisted-pelvic-floor-reconstruction
#3
Jessica C Lloyd, Juan Guzman-Negron, Howard B Goldman
INTRODUCTION: Robotic surgical procedures have become more common in female pelvic reconstruction. Purported benefits of robotic assisted pelvic floor reconstruction (RAPFR) procedures include shorter hospital stay, faster recovery, lower blood loss, and decreased postoperative pain. Following RAPFR procedures, the current accepted practice is discharge after a one-night hospitalization. We assessed whether same day discharge (SDD) affects the short term safety of and patient satisfaction with robotic assisted pelvic floor reconstructive procedures, relative to those who remain hospitalized overnight...
June 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29898583/disability-after-major-abdominal-surgery-determinants-of-recovery-of-walking-ability-in-elderly-patients
#4
Lucia Petrucci, Serena Monteleone, Susanna Ricotti, Erica Giromini, Mariangela Gullace, Emilia Ambrosini, Giorgio Ferriero, Elena Dalla Toffola
BACKGROUND: Increased life expectancy and improved surgical techniques have led to a sharp rise in healthcare resource consumption by older patients. In these patients early recovery of walking ability after abdominal surgery may shorten length of hospital stay and reduce overall healthcare costs, but it is important to understand what factors determine this recovery. AIM: To assess preoperative and postoperative determinants of walking ability recovery after major abdominal surgery in older patients...
June 11, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29896570/extracapsular-excision-of-hepatic-hemangioma-a-single-centre-experience
#5
Amol Kanetkar, Shubham Garg, Shraddha Patkar, Rajesh S Shinde, Mahesh Goel
Backgrounds/Aims: Hepatic hemangioma is a common non-epithelial neoplasm of the liver. Presence of symptoms and uncertainty in diagnosis are the most common indications for surgery. Methods: Eighteen patients with hepatic hemangioma, operated on from January 2011 to December 2016 at the Hepato-pancreato-biliary surgical unit of Tata Memorial Hospital, were retrospectively analyzed. Results: Main indications for operation were presence of symptoms, the most common being pain and diagnostic uncertainty...
May 2018: Annals of Hepato-Biliary-Pancreatic Surgery
https://www.readbyqxmd.com/read/29893038/patient-information-needs-in-upper-gastrointestinal-cancer-what-patients-and-their-families-want-to-know
#6
REVIEW
Bacil Otutaha, Sanket Srinivasa, Jonathan Koea
BACKGROUND: The treatment of upper gastrointestinal cancer (UGIC) patients is complex. Patients are often elderly, comorbid as well as nutritionally depleted and treatment involves multimodality therapy incorporating chemotherapy, radiation therapy and surgery. The pre-treatment information requirements of UGIC patients are not clear but crucially important in ensuring they complete treatment successfully. METHODS: A systematic review of the English language literature was performed to determine the specific information needs of patients with UGIC...
June 11, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29886883/a-nationwide-study-of-the-quality-of-surgical-guidelines-and-written-patient-information
#7
Lotte Linnemann Rønfeldt, Dorthe Hjort Jakobsen, Henrik Kehlet, Henriette Lipczak, Kasper Wennerwaldt
INTRODUCTION: Clinical practice guidelines (CPGs) support enhanced post-operative recovery and decrease morbidity. In addition, patient information leaflets (PILs) are associated with enhanced overall outcomes and improved patient satisfaction. The aim of this study was to provide an overview of the quality of CPGs and PILs in cancer surgery departments undertaking pulmonary lobectomy, nephrectomy, cystectomy, whipples, colorectal and ovarian surgery. METHODS: We conducted a cross-sectional descriptive study within 44 surgical departments in six cancer subspecialties: lung (n = 4), kidney (n = 9), bladder (n = 5), pancreas (n = 4), colorectal (n = 18) and ovarian (n = 4)...
June 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29886668/-clinical-analysis-of-reoperation-for-secondary-hyperparathyroidism
#8
Z Hua, L Zhang, C Li, Z L Deng, L Yao
Objective: To investigate the safety and efficacy for reoperation after parathyroidectomy for persistent and recurrent secondary hyperparathyroidism (HPT). Methods: Totally 10 patients with persistent or recurrent HPT who underwent parathyroidectomy reoperation at Department of General Surgery, China-Japan Friendship Hospital from April 2001 to October 2012 were selected. Among them, 6 were male and 4 were female with age of (46.9±7.7) years (range: 36 to 57 years). There were 8 cases of persistent HPT and 4 cases of recurrent HPT...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29885446/spontaneous-recovery-after-controlled-cortical-impact-injury-is-not-impeded-by-intermittent-administration-of-the-antipsychotic-drug-risperidone
#9
Lauren J Carlson, Gina C Bao, Sonya Besagar, Jacob B Leary, Hannah L Radabaugh, Corina O Bondi, Anthony E Kline
Several preclinical studies have reported that daily administration of the antipsychotic drug (APD) risperidone (RISP) impedes recovery after traumatic brain injury (TBI). However, it is not known whether intermittent dosing would produce similar deleterious effects. The relevance of providing APDs intermittently is that not all patients in rehabilitation require daily treatments to manage TBI-induced agitation. Hence, the goal of the current study was to test the hypothesis that intermittent (vs. daily) administration of RISP would be less disturbing to motor and cognitive recovery after TBI...
June 6, 2018: Neuroscience Letters
https://www.readbyqxmd.com/read/29882290/comparison-of-lipase-and-amylase-for-diagnosing-post-operative-pancreatic-fistulae
#10
David Griffith, Thomas Hanna, Kimberley Wong, Alexander Reece-Smith, Somaiah Aroori, Matthew Bowles, David Stell, Christopher Briggs
BACKGROUND: To ascertain if post-operative drain fluid lipase is superior to amylase in routinely detecting clinically significant post-operative pancreatic fistulae (POPF). METHOD: Between January 2015 and March 2016 data were collected on all patients undergoing pancreatic surgery at a regional referral centre. Routine drain fluid analysis was performed on post-operative patients as part of a locally defined enhanced recovery protocol. POPF was diagnosed in accordance with the recently updated International Study Group of Pancreatic Surgery guidance...
June 7, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29881215/activity-levels-following-hip-resurfacing-arthroplasty-a-tool-to-help-manage-patient-expectations
#11
Jack W Martin, Mark A Williams, Karen L Barker
Background: When compared to total hip arthroplasty (THA), hip resurfacing arthroplasty (HRA) is usually undertaken in younger, more active patients with hip osteoarthritis. Previous research has noted that patients are able to return to pre-operative activity levels, with many even increasing their activity post HRA, but patterns in post-operative recovery have been less well investigated. Materials and Methodology: A randomised controlled trial dataset was analysed to explore activity levels attained after HRA...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29881177/minimally-invasive-versus-conventional-approaches-in-total-knee-replacement-arthroplasty-a-review-of-the-literature
#12
REVIEW
Themistoklis Tzatzairis, Aliki Fiska, Athanasios Ververidis, Konstantinos Tilkeridis, Konstantinos Kazakos, Georgios I Drosos
Background: Life expectancy lengthening and aging of population resulted in dramatically increase of patients with osteoarthritis. Total knee arthroplasty is widely used as the gold standard in order to relieve pain, correct deformity and restore function. A contemporary and controversial topic, is that of minimally invasive surgery for TKA. The minimally invasive approaches are based on the concept that they don't violate the extensor mechanism, resulting in earlier functional recovery, shorter hospital stay and enhanced patients' overall satisfaction...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29878482/employment-characteristics-work-environment-and-the-course-of-depression-over-23-years-does-employment-help-foster-resilience
#13
Adrienne J Heinz, Brienna N Meffert, Max A Halvorson, Daniel Blonigen, Christine Timko, Ruth Cronkite
BACKGROUND: Depression is the leading cause of disability and represents a significant challenge to stable employment and professional success. Importantly, employment may also operate as a protective factor against more chronic courses of depression as it can function as a form of behavioral activation and scaffold recovery by facilitating community integration. The current study examined work-related characteristics as protective or risk factors for subsequent long-term depression trajectories...
June 7, 2018: Depression and Anxiety
https://www.readbyqxmd.com/read/29868458/unrestricted-and-restricted-access-to-sugammadex-and-side-effect-profile-in-a-teaching-hospital-centre-for-year-2014-database-audit-study
#14
Vasanth Rao Kadam, Stuart Howell
Background: Sugammadex is used for the rapid reversal of neuro muscular block. It was used on an unrestricted basis in our facility prior to July 2014 but has subsequently been restricted due to the removal of cost subsidies. Our aim is to determine the impact of restricting the use of Sugammadex on clinical outcomes. Methods: A retrospective audit was conducted for the period January 1st to December 31st 2014. Sugammadex use was unrestricted during the first 6 months of this period and restricted over the following period...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29867743/predictors-associated-with-post-traumatic-hydrocephalus-in-patients-with-head-injury-undergoing-unilateral-decompressive-craniectomy
#15
Qianxin Hu, Guangfu Di, Xuefei Shao, Wei Zhou, Xiaochun Jiang
Objective: Post-traumatic hydrocephalus (PTH) makes recovery from head trauma after decompression more complicated and is associated with high risks of clinical deterioration and poor outcomes. The aim of this study was to verify the predictors associated with the development of PTH in patients with head injury undergoing unilateral decompressive craniectomy (DC). Methods: Among traumatic brain injury (TBI) patients who underwent unilateral DC between January 2013 and December 2016, the clinical medical records, radiological information, and changes of patients' conditions in the 3-month after injury were reviewed retrospectively...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29866624/predictors-of-lower-health-related-quality-of-life-after-operative-repair-of-diaphyseal-femur-fractures-in-a-low-resource-setting
#16
John M Ibrahim, Devin Conway, Billy T Haonga, Edmund N Eliezer, Saam Morshed, David W Shearer
BACKGROUND: Little data exists on the negative impact of orthopaedic trauma on quality of life (QOL) in low- and middle-income countries (LMICs). The goal of this study is to investigate the factors associated with lower QOL after operative fixation of femoral shaft fractures in adult patients in a low-resource setting. METHODS: This prospective cohort study followed 272 factures in adults undergoing operative fixation for diaphyseal femur fractures at Tanzania...
May 23, 2018: Injury
https://www.readbyqxmd.com/read/29866151/the-impact-of-pericardial-approach-and-myocardial-protection-onto-postoperative-right-ventricle-function-reduction
#17
Marco Zanobini, Claudia Loardi, Paolo Poggio, Gloria Tamborini, Fabrizio Veglia, Alessandro Di Minno, Veronika Myasoedova, Liborio Francesco Mammana, Raoul Biondi, Mauro Pepi, Francesco Alamanni, Matteo Saccocci
BACKGROUND: The reduction of RV function after cardiac surgery is a well-known phenomenon. It could persist up-to one year after the operation and often leads to an incomplete recovery at follow-up echocardiographic control. The aim of the present study is to analyze the impact of different modalities of pericardial incision (lateral versus anterior) and of myocardial protection protocols (Buckberg versus Custodiol) onto postoperative RV dynamic by relating two- and three-dimensional echocardiographic parameters in patients undergoing mitral valve repair through minimally invasive or traditional surgery approach...
June 5, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29866087/bowel-symptoms-and-self-care-strategies-of-survivors-in-the-process-of-restoration-after-low-anterior-resection-of-rectal-cancer
#18
Lishi Yin, Ling Fan, Renfu Tan, Guangjing Yang, Fenglin Jiang, Chao Zhang, Jun Ma, Yang Yan, Yanhong Zou, Yaowen Zhang, Yamei Wang, Guifang Zhang
BACKGROUND: The purpose of this research is to identify the bowel symptoms and self-care strategies for rectal cancer survivors during the recovery process following low anterior resection surgery. METHODS: A total of 100 participants were investigated under the structured interview guide based on the dimensions of "symptom management theory". RESULTS: 92% of participants reported changes in bowel habits, the most common being the frequent bowel movements and narrower stools, which we named it finger-shaped consistency stools...
June 4, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29865021/the-potential-use-of-a-serious-game-to-help-patients-learn-about-post-operative-pain-management-an-evaluation-study
#19
B Ingadóttir, S Zoëga, K Blöndal, D Thue, I Thylen, T Jaarsmaa
Aims To describe the evaluation of a serious computer game designed for patients to learn about post-operative pain management. Methods This was a usability and evaluation study. The sample consisted of 20 people, recruited from the public. The computer game was developed by an interdisciplinary team. In the game, the player controls the actions of a virtual human character who has been discharged home after surgery. The player needs to make decisions about the character's daily activities, such as common household tasks and self-care, including pain management...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29862453/prehabilitation-for-surgical-oncology-patients-empowering-patient-volition
#20
Rahul Jain, Leslie Gibson, Natalie Coburn
Prehabilitation is the improvement of patient health in anticipation of a physiological stressor, such as major surgery. Prehabilitation optimizes health by taking a proactive approach to promoting exercise, nutrition, and lifestyle modifications. Engaging patients in the pre-operative phase provides an opportunity to positively impact their recovery and return to functional baseline by reducing post-operative deconditioning. At the Odette Cancer Centre at Sunnybrook Health Sciences Centre in Toronto, Canada, the Interprofessional Multidisciplinary Prehabilitation Assessment Consultation Team (IMPACT-Surgical Oncology) was developed...
June 3, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
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