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Preoperative consult

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https://www.readbyqxmd.com/read/29049777/annals-consult-guys-mythbuster-preoperative-blood-pressure-control
#1
Geno J Merli, Howard H Weitz
No abstract text is available yet for this article.
October 17, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29040369/does-the-supine-position-affect-the-nasal-profile-in-rhinoplasty-patients-a-comparison-of-nasal-anthropometric-measurements-in-different-body-positions
#2
Su Jin Kim, In Yong Ryu, Sung Wan Kim, Kun Hee Lee
Background: Rhinoplasty surgeons are aware that the nasal profile differs according to body position, namely, the erect position in the consultation room vs the supine position on the operating table. It is not clear whether this difference is caused by an optical illusion or skin laxity due to positional change. Objectives: To evaluate anthropometric measurements of the nose with different body positions and determine whether the supine position affects the nasal profile...
September 7, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29030711/the-learning-curve-in-short-stem-tha-influence-of-the-surgeon-s-experience-on-intraoperative-adjustments-due-to-intraoperative-radiography
#3
Lennard Loweg, Karl Philipp Kutzner, Matthias Trost, Marlene Hechtner, Philipp Drees, Joachim Pfeil, Michael Schneider
INTRODUCTION: Short-stem THA has become increasingly popular over the last decade. However, implantation technique differs from conventional THA and thus possibly involves a distinct learning curve. The purpose of this study was to evaluate the value of intraoperative radiography and the influence of the surgeon's experience on intraoperative adjustments in short-stem THA. METHODS: A total of 287 consecutive short-stem THAs, operated by a total of 24 senior consultants, consultants and residents in training, were prospectively included...
October 13, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29026387/the-effect-of-a-preanaesthesia-clinic-consultation-on-adult-patient-anxiety-at-a-tertiary-hospital-in-kenya-a-cohort-study
#4
Anthony Kamau, Vitalis Mung'ayi, Gerald Yonga
BACKGROUND: Preoperative anxiety is a common perioperative complication seen in approximately 11-80% of adults undergoing surgery. One of the goals of the preanaesthesia clinic is to allay anxiety. A preanaesthesia clinic evaluation has been shown to reduce anxiety however current studies on anxiety and the preanaesthesia clinic have not quantified this reduction. OBJECTIVE: To determine the reduction in anxiety in patients evaluated in the clinic versus those evaluated in the ward...
March 2017: African Health Sciences
https://www.readbyqxmd.com/read/29024913/retrospective-study-on-de-novo-postoperative-urinary-incontinence-after-pelvic-organ-prolapse-surgery
#5
Aiste Ugianskiene, Niels Kjærgaard, Anna Sofie Inger Lindquist, Thomas Larsen, Karin Glavind
OBJECTIVE: Reported incidences of de novo urinary incontinence (UI) following pelvic organ prolapse (POP) surgery in preoperatively continent women vary between 2% and 43%. The aim of this study was to investigate the incidence and the types of de novo UI and differences between operations in different compartments. STUDY DESIGN: Retrospective study of 678 women with POP surgery using native tissue repair during a 3-year period. Patients completed three modified prolapse questions from the International Consultation on Incontinence-Vaginal Symptoms (ICIQ-VS) and the International Consultation on Incontinence Questionnaire- Urinary Incontinence Short Form (ICIQ-UI SF) before undergoing surgery and 3 months postoperatively...
October 4, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29022797/surgery-performed-by-supervised-registrars-does-not-adversely-affect-medium-term-functional-outcomes-after-total-knee-replacement
#6
N Beattie, J F Maempel, S Roberts, H B Waterson, G Brown, I J Brenkel, P J Walmsley
Introduction Although total knee arthroplasty (TKA) is an index procedure for orthopaedic registrars, there is a lack of published research as to the effects of surgery when performed by supervised trainees. The aim of this study was to compare functional outcomes up to five years after primary TKA performed by consultants and trainee surgeons. Methods A retrospective analysis was conducted of prospectively collected data for 609 consecutive patients (339 female, 270 male) undergoing TKA. Patients were assessed preoperatively as well as at 18 months, three years and five years postoperatively, and American Knee Society objective knee and functional scores (AKSK and AKSF) were recorded...
September 15, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29016404/hepatobiliary-mucinous-cystic-neoplasms-with-ovarian-type-stroma-so-called-hepatobiliary-cystadenoma-cystadenocarcinoma-clinicopathologic-analysis-of-36-cases-illustrates-rarity-of-carcinomatous-change
#7
Brian Quigley, Michelle D Reid, Burcin Pehlivanoglu, Malcolm H Squires, Shishir Maithel, Yue Xue, Choi Hyejeong, Gizem Akkas, Takashi Muraki, David A Kooby, Juan M Sarmiento, Ken Cardona, Aarti Sekhar, Alyssa Krasinskas, Volkan Adsay
The literature is highly conflicting on hepatobiliary mucinous cystic neoplasms (MCNs), aka "hepatobiliary cystadenoma/cystadenocarcinoma," largely because ovarian stroma (OS) was not a requirement until WHO-2010 and is not widely applied even today. In this study, MCNs (with OS) accounted for 24 of 229 (11%) resected hepatic cysts in one institution. Eight of the 32 (25%) cysts that had been originally designated as hepatobiliary cystadenoma/cystadenocarcinoma at the time of diagnosis proved not to have an OS during this review and were thus re-classified as non-MCN...
October 12, 2017: American Journal of Surgical Pathology
https://www.readbyqxmd.com/read/28988100/-silent-sleep-apnea-in-dentofacial-deformities-and-prevalence-of-daytime-sleepiness-after-orthognathic-and-intranasal-surgery
#8
Jeffrey C Posnick, Anayo Adachie, Neeru Singh, Elbert Choi
PURPOSE: The purposes of this study were to determine the occurrence of undiagnosed "silent" obstructive sleep apnea (OSA) in dentofacial deformity (DFD) patients at initial surgical presentation and to report on the level of daytime sleepiness in DFD patients with OSA and chronic obstructive nasal breathing (CONB) after undergoing bimaxillary, chin, and intranasal surgery. MATERIALS AND METHODS: A retrospective cohort study of patients with a bimaxillary DFD and CONB was implemented...
September 11, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28979631/primary-hydatid-cyst-of-the-pancreas-of-the-child-a-case-report
#9
Achraf El Bakkaly, Nour Merouane, Omar Dalero, Houda Oubeja, Mounir Erraji, Fouad Ettayebi, Hicham Zerhouni
Primary pancreatic hydatid lesions are very rare with an incidence of less than 1% in the adult population. We report an observation of a 5-year-old girl who consulted for isolated abdominal pain occurring for 2 weeks without vomiting, transit disorders or jaundice and evolving in a context of conservation of the general condition and apyrexia. Clinical examination and preoperative imaging have suggested the diagnosis of a choledochal cyst or duodenal duplication rather than a hydatid cyst of the pancreas due to the presence of a cystic hepatic image projecting into the liver hilum...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28971482/effect-of-preoperative-geriatric-evaluation-on-outcomes-after-elective-surgery-a-population-based-study
#10
Daniel I McIsaac, Allen Huang, Coralie A Wong, Duminda N Wijeysundera, Gregory L Bryson, Carl van Walraven
BACKGROUND/OBJECTIVES: Randomized and nonrandomized single-center studies suggest that preoperative geriatric evaluation improves postoperative outcomes in older adults. The generalizability and population-level effect of preoperative geriatric evaluation has not been determined. Our objective was to measure the adjusted association between preoperative geriatric evaluation and postoperative outcomes. DESIGN: Multilevel multivariable regression model analysis of a population-based historical cohort...
October 3, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28969402/day-case-laparoscopic-radical-prostatectomy
#11
Hamid Abboudi, Patrick Doyle, Mathias Winkler
BACKGROUND: To evaluate the feasibility of performing laparoscopic radical prostatectomy (LRP) as a day case procedure while maintaining patient satisfaction and safety. Herein we report our experience, selection criteria, and discharge criteria for day case LRP. METHODS: We performed a prospective study with 32 patients undergoing extraperitoneal LRP. These patients were counselled before the procedure that they would go home the same evening of the procedure. Pain scores and quality of life data were recorded day 1 postoperatively via a telephone consultation...
October 3, 2017: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/28958687/-clinical-analysis-before-surgery-in-facial-and-neck-rejuvenation
#12
M Rouif, P Bogaert
The first step to determine a medical or surgical intervention is the clinical exam. The clinical exam is the paramount step to provide a treatment plan that can be modified and individualized accounting the patient preferences. During the consultation for facial rejuvenation, attention should be paid to understand the patient's motivation and expectations. A thorough understanding of the anatomy and the natural history of ageing will facilitate the analysis of the face. Not only the degree of ptosis but also the degree of volume loss will need to be assessed, as well as the influence of the facial muscles, the skin quality, and the different causes of rythids...
September 25, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/28953710/quality-of-life-and-slip-progression-in-degenerative-spondylolisthesis-treated-non-operatively
#13
Duncan Cushnie, Ryan Johnstone, Jennifer C Urquhart, Kevin R Gurr, Stewart I Bailey, Christopher S Bailey
STUDY DESIGN: Prospective cohort study of consecutive patients. OBJECTIVE: Determination of the quality of life (QoL) and prevalence of slip progression in patients with degenerative lumbar spondylolisthesis managed non-operatively. SUMMARY OF BACKGROUND DATA: Lumbar spinal stenosis secondary to degenerative lumbar spondylolisthesis is a common radiographic diagnosis associated with chronic back pain and radicular symptoms. There is limited evidence as to the clinical course in terms of validated QoL measures, and the extent of slip progression in patients with this condition treated non-operatively...
September 26, 2017: Spine
https://www.readbyqxmd.com/read/28931197/study-of-factors-responsible-for-recidivism-in-allergic-fungal-rhinosinusitis
#14
Bipin Kishore Prasad
Patients with allergic fungal rhinosinusitis (AFRS) are typically atopic and immunocompetent. Despite combined modality treatment based on surgery and immunomodulation, the potential for recidivism is well recognized. A study was conducted in a military hospital in India to identify the factors responsible for recidivism in AFRS and to suggest measures to overcome it. Sixty patients with AFRS (42 new cases and 18 cases that required revision surgery) were managed between January 2009 and July 2013. Patients underwent endoscopic, radiologic, and laboratory evaluation for AFRS followed by functional endoscopic sinus surgery...
September 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28929862/the-accuracy-of-the-computed-tomography-diagnosis-of-acute-appendicitis-does-the-experience-of-the-radiologist-matter
#15
E Lietzén, P Salminen, I Rinta-Kiikka, H Paajanen, T Rautio, P Nordström, M Aarnio, T Rantanen, J Sand, J-P Mecklin, A Jartti, J Virtanen, P Ohtonen, N Ånäs, J M Grönroos
BACKGROUND AND AIMS: To assess the accuracy of computed tomography in diagnosing acute appendicitis with a special reference to radiologist experience. MATERIAL AND METHODS: Data were collected prospectively in our randomized controlled trial comparing surgery and antibiotic treatment for uncomplicated acute appendicitis (APPAC trial, NCT01022567). We evaluated 1065 patients who underwent computed tomography for suspected appendicitis. The on-call radiologist preoperatively analyzed these computed tomography images...
September 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28928575/referrral-systems-development-and-survey-of-perioperative-and-critical-care-referral-to-anesthetists
#16
P L Narendra, Harihar V Hegde, Maroof Ahmad Khan, Dayanand G Talikoti, Samson Nallamilli
INTRODUCTION: Anesthetists come in contact with more than two-third of hospital patients. Timely referral to anesthetists is vital in perioperative and remote site settings. Delayed referrals, improper referrals, and referrals at inappropriate levels can result in inadequate preparation, perioperative complications, and poor outcome. METHODS: The self administered paper survey to delegates attending anesthesia conferences. Questions were asked on how high-risk, emergency surgical cases remote site and critical care patients were referred to anesthetists and presence of rapid response teams...
July 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28927771/-impact-of-a-written-document-for-preoperative-information-on-the-use-of-internet-by-parents
#17
M Landier, T Villemagne, A Le Touze, K Braïk, P Meignan, A R Cook, B Morel, H Lardy, A Binet
INTRODUCTION: Preoperative information is a legal and ethical obligation. Very few studies have evaluated the preoperative information method in pediatrics. Having a child operated on is stressful for parents. The use of Internet to look for data on the pathology and its treatment is frequent, but often unprofitable and sometimes even harmful. This study aimed to measure the impact of a leaflet, which supports spoken information in preoperative consultation, on parents' use of the Internet before surgery...
September 15, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28927455/eight-orthopedic-surgeons-achieved-moderate-to-excellent-reliability-measuring-the-preoperative-posterior-tilt-angle-in-50-garden-i-and-garden-ii-femoral-neck-fractures
#18
Filip C Dolatowski, Sigurd Erik Hoelsbrekken
BACKGROUND: Studies of elderly patients with Garden-I and Garden-II femoral neck fractures (FNFs) suggest that a preoperative posterior tilt of the femoral head of at least 20° increases the risk of fixation failure. A recently published treatment algorithm recommended hemiarthroplasty over internal fixation for elderly patients with Garden-I and Garden-II FNFs and a preoperative posterior tilt of at least 20°. However, the reliability of the method used to measure the posterior tilt has not been assessed according to recommended standards for reliability trials...
September 19, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28923679/inguinal-hernia-containing-urinary-bladder-a-case-report
#19
Milena Taskovska, Jurij Janež
INTRODUCTION: Inguinal bladder hernia is rare condition found in about 1-5% of inguinal hernias. The condition is usually diagnosed intraoperatively. Patients rarely have symptoms regarding urinary tract. The best management is surgical, open surgical technique is preferred over laparoscopic. Possible urinary tract damage during surgery should be recognized and resolved. CASE PRESENTATION: The following paper presents case of inguinal bladder hernia in 82-year old Caucasian male...
September 5, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28922337/role-of-the-internet-as-an-information-resource-before-anaesthesia-consultation-a-french-prospective-multicentre-survey
#20
Bastian Nucci, Pierre-Geraud Claret, Gilles Leclerc, Arnaud Chaumeron, Philippe Grillo, Clément Buleon, Vincent Leprince, Mathieu Raux, Vincent Minville, Emmanuel Futier, Jean-Yves Lefrant, Philippe Cuvillon
BACKGROUND: Use of the internet as an information search tool has increased dramatically. Our study assessed preoperative use of the internet by patients to search for information regarding anaesthesia, surgery, pain or outcomes. OBJECTIVE(S): The aim of this study was to test whether patients used the internet prior to surgery and what kinds of information they looked for (anaesthetic technique, pain, adverse events, outcomes and surgery). Correlation between patient age and information sought about surgery from the internet was also explored...
September 16, 2017: European Journal of Anaesthesiology
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