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Recovery patients post operative

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https://www.readbyqxmd.com/read/29650837/-laparoscopic-distal-gastrectomy-for-elderly-patients-with-advanced-gastric-cancer-and-gastric-outlet-obstruction-a-case-report
#1
Kurumi Tsuchihashi, Ken Yuu, Satoshi Okumura, Sho Toyoda, Hiroshi Yasuda, Kansuke Yamamoto, Aya Ito, Naoto Mizumura, Hiroshi Tsuchihashi, Masao Ogawa, Masayasu Kawasaki, Masao Kameyama
A 90-year-old female patient was admitted to our hospital with a chief complaint of vomiting.Gastroscopy revealed type 3 gastric cancer and gastric outlet obstruction(GOO).Abdominal computed tomography revealed thickening of the antral wall and suggested the presence of 3 perigastric lymph node metastases, but there was no ascitic fluid or distant metastasis.The clinical diagnosis was T4a(SE)N2H0CYXP0M0, Stage III B, according to the Japanese Classification of Gastric Carcinoma.Her general conditions including kidney and cardiac function were good, we considered that she was able to tolerate radical distal gastrectomy...
April 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29649832/the-impact-of-preexisting-chronic-kidney-disease-on-the-severity-and-recovery-of-acute-kidney-injury
#2
Sung Yoon Lim, Yoon Sook Ko, Hee Young Lee, Ji Hyun Yang, Myung Gyu Kim, Sang Kyung Jo, Won Yong Cho
BACKGROUND: Recent observational studies have shown that in chronic kidney disease (CKD) patients, a significantly smaller percentage of patients with an episode of acute kidney injury (AKI) have full recovery of renal function compared to those without CKD. However, precise mechanisms involved in the incomplete repair after AKI with preexisting CKD have not been completely ascertained. Here, we assessed the impact of preexisting CKD on the severity and recovery of AKI in a mouse model of 5/6 nephrectomy...
April 12, 2018: Nephron
https://www.readbyqxmd.com/read/29643557/reversal-agents-do-we-need-to-administer-with-neuromuscular-monitoring-an-observational-study
#3
Shilpa Goyal, Nikhil Kothari, Deepak Chaudhary, Shilpi Verma, Pooja Bihani, Mahaveer Singh Rodha
Background and Aims: In clinical practice, in the majority of patients, recovery from the effect of muscle relaxants is assessed using subjective methods such as head lift, eye-opening, or by sustained hand grip after giving anticholinesterases (neostigmine) at the end of surgery. We planned a prospective observational cohort study to test the hypothesis that objective neuromuscular monitoring can help us in avoiding the use of anticholinesterases for reversal. Methods: The patients posted for surgery of <2 h duration were included in the study...
March 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29629201/anesthesia-and-fast-track-in-video-assisted-thoracic-surgery-vats-from-evidence-to-practice
#4
REVIEW
Marzia Umari, Stefano Falini, Matteo Segat, Michele Zuliani, Marco Crisman, Lucia Comuzzi, Francesco Pagos, Stefano Lovadina, Umberto Lucangelo
In thoracic surgery, the introduction of video-assisted thoracoscopic techniques has allowed the development of fast-track protocols, with shorter hospital lengths of stay and improved outcomes. The perioperative management needs to be optimized accordingly, with the goal of reducing postoperative complications and speeding recovery times. Premedication performed in the operative room should be wisely administered because often linked to late discharge from the post-anesthesia care unit (PACU). Inhalatory anesthesia, when possible, should be preferred based on protective effects on postoperative lung inflammation...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29629196/a-comprehensive-protocol-for-physiokinesis-therapy-and-enhanced-recovery-after-surgery-in-patients-undergoing-video-assisted-thoracoscopic-surgery-lobectomy
#5
Alessandro Bertani, Paolo Ferrari, Danilo Terzo, Emanuele Russo, Gaetano Burgio, Lavinia De Monte, Francesco Raffaele, Andrea Droghetti, Roberto Crisci
Background: Video-assisted thoracoscopic surgery (VATS) lobectomy has recently been adopted as the gold standard surgical option for the treatment of early stage non-small cell lung cancer. Enhanced recovery after surgery (ERAS) is being progressively adopted in thoracic surgery to improve the postoperative outcomes. Even if the benefits of ERAS are universally accepted, to date a standardized and uniform approach has not been described in the medical literature. The Italian VATS group has recently proposed to include in the VATS lobectomy database a structured protocol for ERAS...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29628683/short-term-outcomes-of-long-duration-versus-short-duration-tourniquet-in-primary-total-knee-arthroplasty-a-randomized-controlled-trial
#6
Raju Vaishya, Amit Kumar Agarwal, Vipul Vijay, Manish Kumar Tiwari
Introduction: A tourniquet is used during the total knee replacement surgery to improve the visibility, to reduce the blood loss and for better cementation. Indirectly it decreases the duration of surgery and enhances the recovery of the patient. Their use however is controversial due to some side effects associated with the use of tourniquet. They may increase the risk of deep vein thrombosis and pulmonary embolism by causing venous stasis, endothelial damage and increased platelet adhesion secondary to distal limb ischemia...
January 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29626238/primary-central-nervous-system-lymphoma-and-atypical-glioblastoma-differentiation-using-radiomics-approach
#7
Hie Bum Suh, Yoon Seong Choi, Sohi Bae, Sung Soo Ahn, Jong Hee Chang, Seok-Gu Kang, Eui Hyun Kim, Se Hoon Kim, Seung-Koo Lee
OBJECTIVES: To evaluate the diagnostic performance of magnetic resonance (MR) radiomics-based machine-learning algorithms in differentiating primary central nervous system lymphoma (PCNSL) from non-necrotic atypical glioblastoma (GBM). METHODS: Seventy-seven patients (54 individuals with PCNSL and 23 with non-necrotic atypical GBM), diagnosed from January 2009 to April 2017, were enrolled in this retrospective study. A total of 6,366 radiomics features, including shape, volume, first-order, texture, and wavelet-transformed features, were extracted from multi-parametric (post-contrast T1- and T2-weighted, and fluid attenuation inversion recovery images) and multiregional (enhanced and non-enhanced) tumour volumes...
April 6, 2018: European Radiology
https://www.readbyqxmd.com/read/29619356/delivering-breast-reconstruction-information-to-patients-women-report-on-preferred-information-delivery-styles-and-options
#8
Carmen Webb, Vishal Sharma, Claire Temple-Oberle
Purpose: To discover missed opportunities for providing information to women undergoing breast reconstruction in an effort to decrease regret and improve patient education, teaching modalities, and satisfaction. Method: Thirty- to 45-minute semi-structured interviews were conducted exploring patient experiences with information provision on breast reconstruction. Purposeful sampling was used to include women with a variety of reconstruction types at different time points along their recovery...
February 2018: Plastic Surgery
https://www.readbyqxmd.com/read/29619347/enhanced-recovery-after-surgery-eras-protocol-enables-safe-same-day-discharge-after-alloplastic-breast-reconstruction
#9
Danielle O Dumestre, Jennifer Redwood, Carmen E Webb, Claire Temple-Oberle
Background: To compare enhanced recovery after surgery (ERAS) with traditional recovery after surgery (TRAS) for patients undergoing alloplastic breast reconstruction. Methods: A retrospective chart review of 2 patient groups (ERAS and TRAS) undergoing alloplastic breast reconstruction was performed. Data were collected from 2012 to 2013 (TRAS) and from 2013 to 2016 (ERAS). The ERAS protocol included day surgery, multimodal analgesia, and preoperative anti-emetic...
November 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29618860/a-study-the-various-clinical-and-electrophysiological-parameters-of-severity-of-carpal-tunnel-syndrome-their-correlation-with-post-operative-recovery
#10
Sushil Ramesh Nehete, Binita B Raut, Amita S Hiremath, R Mukund Thatte
Objective: We aimed to study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome (CTS) and to see if the severity of CTS affects recovery after surgery. Patients and Methods: A prospective study of 35 patients suffering from CTS. Clinical severity was assessed using visual analogue scale and standard questionnaires such as Levine and Disabilities of Arm, Shoulder and Hand questionnaires. All the patients underwent electrophysiological evaluation to assess electrophysiological severity of CTS...
September 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29607171/enhanced-recovery-after-thoracic-surgery-reduces-discharge-on-highly-dependent-narcotics
#11
Min P Kim, Edward Y Chan, Leonora M Meisenbach, Razvan Dumitru, Jessica K Brown, Faisal N Masud
Background: There is large prescription drug epidemic in United States. We want to determine if ERATS (enhanced recovery after thoracic surgery) program can reduce discharge on highly dependent narcotics. Methods: We performed a retrospective analysis of prospectively collected data on patients who underwent lung resection and foregut procedures on thoracic surgery service over an 8-month time period. Patients underwent preoperative conditioning instructions, multimodal non-narcotic pharmaceutical usage, total intravenous anesthesia (TIVA) and minimizing highly addictive narcotics during the post-operative period...
February 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29603011/post-operative-regression-of-retro-odontoid-pseudotumors-treated-with-and-without-fusion
#12
Kazuyoshi Kobayashi, Shiro Imagama, Kei Ando, Yoshihiro Nishida, Naoki Ishiguro
PURPOSE: Retro-odontoid pseudotumor is common in elderly people and is a cause of cervical myelopathy. The goal of the study was to investigate surgical procedures, outcomes, and post-operative spontaneous regression of posterior cervical retro-odontoid pseudotumors. METHODS: The subjects were 29 patients who underwent surgery for myelopathy due to a retro-odontoid pseudotumor around the craniocervical region at 9 facilities and were followed-up for an average of 54 months (range 12-96 months)...
March 30, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29600668/-minimally-invasive-therapy-for-hallux-valgus-with-deformity-of-little-toe-varus
#13
Shi-Wei Gu, Ke Yang, Si-Qiao Zhao, Zhan-Ao Gao, Shun-Qian Ma, Wen-Qing Zhang
OBJECTIVE: To explore clinical effect of minimally corrective osteotomy for the treatment of hallux valgus with deformity of little toe varus through small incision. METHODS: From January 2013 to June 2016, 168 hallux valgus patients with deformity of little toe varus were treated by minimally corrective osteotomy through small incision. Among them, 7 males and 161 females were aged from 22 to 75 years old with an average of(59.3±3.5) years old. Preoperative clinical manifestation mainly focus on red and swollen of bunion, pain around with metatarsal bones, and diagnosed as hallux valgus with deformity of little toe varus through small incision...
March 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29600414/metastatic-epidural-spinal-cord-compression-does-timing-of-surgery-influence-the-chance-of-neurological-recovery-an-observational-case-control-study
#14
Valerio Pipola, Silvia Terzi, Giuseppe Tedesco, Stefano Bandiera, Giovanni Barbanti Bròdano, Riccardo Ghermandi, Gisberto Evangelisti, Marco Girolami, Alessandro Gasbarrini
PURPOSE: Metastatic epidural spinal cord compression (MESCC) is radiologically defined as an epidural metastatic lesion causing the displacement of the spinal cord from its normal position in the vertebral canal. The purpose of this paper is the evaluation of the influence of timing of surgery on the chance of neurological recovery. METHODS: This is a retrospective observational case-control study performed on patients with MESCC from solid tumors surgically treated at our institute from January 2010 to December 2016...
March 30, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29582145/enhanced-recovery-after-posterior-minimally-invasive-total-hip-arthroplasty-with-continuous-intraarticular-anaesthesia
#15
Claude Schwartz
BACKGROUND: The aim of this study was to evaluate the possible complications specific to the continuous intraarticular anaesthesia (CIA) in a minimally invasive posterior approach in total hip arthroplasty and its possible effects on the recovery, especially on pain and the length of hospitalisation. MATERIALS AND METHODS: The surgical procedure is first precisely described step by step with numerous per-operating photographs. Particular technical points are detailed...
March 26, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29577170/robotic-rectal-cancer-surgery-in-obese-patients-may-lead-to-better-short-term-outcomes-when-compared-to-laparoscopy-a-comparative-propensity-scored-match-study
#16
Sofoklis Panteleimonitis, Oliver Pickering, Hassan Abbas, Mick Harper, Ngianga Kandala, Nuno Figueiredo, Tahseen Qureshi, Amjad Parvaiz
PURPOSE: Laparoscopic rectal surgery in obese patients is technically challenging. The technological advantages of robotic instruments can help overcome some of those challenges, but whether this translates to superior short-term outcomes is largely unknown. The aim of this study is to compare the short-term surgical outcomes of obese (BMI ≥ 30) robotic and laparoscopic rectal cancer surgery patients. METHODS: All consecutive obese patients receiving laparoscopic and robotic rectal cancer resection surgery from three centres, two from the UK and one from Portugal, between 2006 and 2017 were identified from prospectively collated databases...
March 25, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29574821/versatile-facial-osteotomies
#17
L Lim, A A Heggie
Facial Osteotomy techniques have evolved enormously over the past 20 years providing significant and often life-changing benefits to our dental patients with skeletal malocclusions. Advancements in technology and refined surgical techniques have resulted in improvements in surgical outcomes, a reduction in post-operative complications and a quicker recovery for today's patients undergoing orthognathic surgery. This paper aims to an update on the contemporary approach to the correction of skeletal malocclusions with facial osteotomies...
March 2018: Australian Dental Journal
https://www.readbyqxmd.com/read/29574681/effect-of-goal-directed-haemodynamic-therapy-in-free-flap-reconstruction-for-head-and-neck-cancer
#18
H J Kim, E J Kim, H J Lee, J Y Min, T W Kim, E C Choi, W S Kim, B-N Koo
BACKGROUND: In free flap reconstruction for head and neck cancer, achieving a haemodynamic target using excessive fluid infusion is associated with decreased flap survival rates and extended hospital stays. We hypothesized that goal-directed haemodynamic therapy would improve flap survival rates and shorten hospitalization periods. METHODS: Patients scheduled for free flap reconstruction were randomly assigned to a goal-directed haemodynamic therapy group (n = 31) or a conventional haemodynamic therapy control group (n = 31)...
March 25, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29569824/determining-the-optimal-time-for-radical-cystectomy-following-neoadjuvant-chemotherapy
#19
Chinedu O Mmeje, Cooper R Benson, Graciela M Nogueras-González, Isuru S Jayaratna, Jianjun Gao, Arlene O Siefker-Radtke, Ashish M Kamat, Colin P Dinney, Neema Navai, Jay B Shah
PURPOSE: To determine whether the recovery window (RW) between neoadjuvant chemotherapy (NAC) and radical cystectomy (RC) affects 90-day post-operative morbidity and incidence of lymph node metastasis. METHODS: We reviewed patients treated with NAC and RC from 1995-2013 for ≤ cT4 N0 M0 bladder cancer. The association of the RW with 90-day perioperative morbidity and lymph node metastasis was determined. Generalized linear models were used to determine predictors of each endpoint...
March 23, 2018: BJU International
https://www.readbyqxmd.com/read/29564044/who-class-of-obesity-influences-functional-recovery-post-tka
#20
Rajesh N Maniar, Parul R Maniar, Tushar Singhi, Bharat Kumar Gangaraju
Background: No study in the literature has compared early functional recovery following total knee arthroplasty (TKA) in the obese with the nonobese using World Health Organization (WHO) classes of obesity. Our aim was to compare functional scores and flexion post-TKA in each class of obesity as per WHO classification against a matched control group of nonobese patients. Methods: Records of 885 consecutive primary TKA patients (919 knees) operated by a single surgeon were reviewed...
March 2018: Clinics in Orthopedic Surgery
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