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https://www.readbyqxmd.com/read/29927633/imaging-findings-in-essure-related-complications
#1
Hachem Djeffal, Marie Blouet, Anne-Cécile Pizzoferrato, Delphine Vardon, Frederique Belloy, Jean-Pierre Pelage
Tubal sterilization with Essure inserts has become a prevalent alternative to laparoscopic sterilization because of its minimal invasiveness. It is a well-tolerated ambulatory procedure that provides reliable permanent contraception without the risks associated with laparoscopic surgery and general anesthesia. Correct positioning of the Essure device is necessary to achieve the fibrotic reaction induced by the polyethylene terephthalate fibers, subsequently resulting in tubal occlusion usually within 3 months...
June 21, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29926357/preperitoneal-bupivacaine-infiltration-reduces-postoperative-opioid-consumption-acute-pain-and-chronic-postsurgical-pain-after-bariatric-surgery-a-randomized-controlled-trial
#2
Saskia L Boerboom, Ann de Haes, Lianne Vd Wetering, Edo O Aarts, Ignace M C Janssen, Jose W Geurts, Ed T Kamphuis
INTRODUCTION: A multimodal pain treatment including local anesthetics is advised for perioperative analgesia in bariatric surgery. Due to obesity, bariatric surgery patients are at risk of respiratory complications. Opioid consumption is an important risk factor for hypoventilation. Furthermore, acute postoperative pain is an important risk factor for chronic postsurgical pain. In this study, we aimed to evaluate whether preperitoneal anesthesia with bupivacaine would reduce pain and opioid consumption after bariatric surgery...
June 20, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29925316/propofol-attenuates-the-increase-of-sonographic-optic-nerve-sheath-diameter-during-robot-assisted-laparoscopic-prostatectomy-a-randomized-clinical-trial
#3
Jihion Yu, Jun Hyuk Hong, Jun-Young Park, Jai-Hyun Hwang, Seong-Sik Cho, Young-Kug Kim
BACKGROUND: Robot-assisted laparoscopic prostatectomy (RALP) requires pneumoperitoneum and the Trendelenburg position to optimize surgical exposure, which can increase intracranial pressure (ICP). Anesthetic agents also influence ICP. We compared the effects of propofol and sevoflurane on sonographic optic nerve sheath diameter (ONSD) as a surrogate for ICP in prostate cancer patients who underwent RALP. METHODS: Thirty-six patients were randomly allocated to groups receiving propofol (propofol group, n = 18) or sevoflurane (sevoflurane group, n = 18) anesthesia...
June 20, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/29923491/three-trocar-laparoscopic-cholecystectomy-under-spinal-anesthesia-in-a-patient-with-asthma
#4
F Tatulli, A Delcuratolo, A Caraglia, A Notarnicola, F P N Carbone, A Caputi
INTRODUCTION: Laparoscopy is perceived as the state-of-the-art technique for a wide variety of operations but is contraindicated by comorbidities such as respiratory diseases. We present the case of a patient affected by asthma who underwent a successful three-trocar low-pressure pneumoperitoneum under spinal anesthesia. CASE REPORT: A 58 year-old male with symptomatic gallstones had partly-controlled asthma and respiratory allergies. Potential bronchospasm was avoided by a less invasive laparoscopic technique...
May 2018: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29915988/effects-of-preoperative-oral-carbohydrates-on-quality-of-recovery-in-laparoscopic-cholecystectomy-a-randomized-double-blind-placebo-controlled-trial
#5
Jeong Soo Lee, Young Song, Ji Young Kim, Joon Seong Park, Dong Sup Yoon
BACKGROUND: While carbohydrate loading is an important component of enhanced patient recovery after surgery, no study has evaluated the effects of preoperative carbohydrate loading after laparoscopic cholecystectomy (LC) on patient satisfaction and overall recovery. Thus, we aimed to investigate the impact of preoperative oral carbohydrates on scores from the quality of recovery 40-item (QoR-40) questionnaire after LC. METHODS: A total of 153 adults who underwent LC were randomized into three groups...
June 18, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29909567/paravertebral-blocks-reduce-the-risk-of-postoperative-urinary-retention-in-inguinal-hernia-repair
#6
E Bojaxhi, J Lee, S Bowers, R D Frank, S H Pak, A Rosales, S Padron, R A Greengrass
PURPOSE: Inguinal hernia repair and general anesthesia (GA) are known risk factors for urinary retention. Paravertebral blocks (PVBs) have been utilized to facilitate enhanced recovery after surgery. We evaluate the benefit of incorporating PVBs into our anesthetic technique in a large cohort of ambulatory patients undergoing inguinal hernia repair. METHODS: Records of 619 adults scheduled for ambulatory inguinal hernia repair between 2010 and 2015 were reviewed and categorized based on anesthetic and surgical approach [GA and open (GAO), GA and laparoscopic (GAL), PVB and open (PVBO), and GA/PVB and open (GA/PVBO)]...
June 16, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29901585/abdominal-peripheral-nerve-block-as-the-only-anesthetic-technique-for-totally-extraperitoneal-endoscopic-inguinal-hernia-repair-two-case-reports
#7
Woojin Kwon, Seunguk Bang, Hyojung Soh, Won Jun Jeong, Sang Chul Lee, Byung Jo Choi
RATIONALE: Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair is a rapidly evolving, minimally invasive treatment modality for inguinal hernia. Compared with open hernia repair, this method requires a smaller incision, has cosmetic advantages, and facilitates rapid recovery and early return to daily activities because of less postoperative pain. Because general anesthesia is essential for TEP hernia repair, it cannot be performed on patients who have an increased risk of developing complications when placed under general anesthesia...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29897164/emergency-surgery-in-octogenarians-outcomes-and-factors-affecting-mortality-in-the-general-hospital-setting
#8
Jarlath C Bolger, Akif Zaidi, Adrian Fuentes-Bonachera, Michael E Kelly, Aqeel Abbas, Ailin Rogers, Tom McCormack, Brian Waldron, Kevin P Murray
AIM: The Western world has an expanding older population, who are living longer with increasing numbers of comorbidities. In addition, expectations of patients and relatives are increasing. As a general hospital operating in a rural setting, our University Hospital Kerry, Tralee, Ireland, deals with a significant number of emergency presentations to the acute surgical service. The aim of the present study was to examine outcomes for patients in the extremes of age who present requiring emergency surgical procedures...
June 13, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29887036/-comparison-of-endotracheal-tube-cuff-pressure-changes-using-air-versus-nitrous-oxide-in-anesthetic-gases-during-laparoscopic-abdominal-surgeries
#9
Shweta Sarjerao Mogal, Lipika Baliarsing, Raylene Dias, Pinakin Gujjar
BACKGROUND AND OBJECTIVES: The purpose of this study was to compare the endotracheal tube cuff pressure changes during laparoscopic surgeries using air versus nitrous-oxide in anesthetic gas mixture; and to observe the incidences of postoperative sore throat, hoarseness and dysphagia. METHODS: Total 100 patients scheduled for elective laparoscopic abdominal surgery were allocated into two groups. Group A (n=50) received air while Group N (n=50) received nitrous-oxide in anesthetic gas mixture...
June 7, 2018: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/29883964/effect-of-dexmedetomidine-on-intraocular-pressure-in-patients-undergoing-robot-assisted-laparoscopic-radical-prostatectomy-under-total-intravenous-anesthesia-a-randomized-double-blinded-placebo-controlled-clinical-trial
#10
Sakiko Kitamura, Kenichi Takechi, Tasuku Nishihara, Amane Konishi, Yasushi Takasaki, Toshihiro Yorozuya
STUDY OBJECTIVE: To study the effects of intraoperative dexmedetomidine on the intraocular pressure (IOP) in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALRP) under propofol-remifentanil anesthesia. DESIGN: Double-blind, randomized controlled trial. SETTING: Operating room. PATIENTS: Forty consenting male patients aged ≥20 to <80 years with American Society of Anesthesiologists physical status classes I and II...
June 5, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29870299/intraoperative-ventilation-patterns-in-morbidly-obese-patients-undergoing-laparoscopic-bariatric-surgery
#11
Ethan Y Brovman, Colin A Foley, Abra H Shen, Edward E Whang, Richard D Urman
BACKGROUND: The purpose of this study was to examine ventilation patterns, including tidal volume (TV) and positive end-expiratory pressure (PEEP) selection in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy. METHODS: Intraoperative ventilation data, including TV and PEEP, were abstracted from the electronic anesthesia record (Metavision) at Brigham and Women's Hospital. Ideal body weight (IBW) was calculated using the Devine formula, and TV per kg IBW was calculated for each patient...
June 5, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29851688/spinal-anesthesia-for-pediatric-laparoscopic-hernia-repair-a-case-report
#12
Ramón Eizaga Rebollar, María Victoria García Palacios, Javier Morales Guerrero, Luis Miguel Torres Morera
Spinal anesthesia is practical and safe in infants and toddlers and prevents perioperative complications including cardiorespiratory instability and apnea. Other perioperative advantages include reduced time from surgery completion to operating room exit and first feed. This article presents the case of an ex-premature infant who underwent laparoscopic inguinal hernia repair under spinal anesthesia. The infant remained calm and stable throughout the uneventful procedure and postoperative period. Spinal anesthesia may be feasible for laparoscopic herniotomy when pneumoperitoneum pressure and operative time are restricted to 8 mm Hg and 60 minutes, respectively, with sensory level at T10 or higher...
May 29, 2018: A&A practice
https://www.readbyqxmd.com/read/29846461/hemodynamic-evaluation-of-elderly-patients-during-laparoscopic-cholecystectomy
#13
Luiz Paulo Jacomelli Ramos, Rodrigo Barcellos Araújo, Maria DO Carmo Valente Castro, Maria Roberta Meneguetti Seravalli Ramos, José Antonio Cunha-E-Silva, Antonio Carlos Iglesias
OBJECTIVE: to demonstrate hemodynamic changes during laparoscopic cholecystectomy in elderly patients with trans-esophageal echocardiography. METHODS: we studied 31 elderly patients (aged 60 years or older), ASA I or II, who underwent elective laparoscopic cholecystectomy under general, standardized anesthesia, with cardiovascular parameters measured using transesophageal echocardiography at three different times: before the pneumoperitoneum (T1), after CO2 insufflation (T2) and at deflation (T3)...
2018: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/29807496/axillo-axillary-artery-bypass-with-coil-embolization-of-the-innominate-artery-for-a-traumatic-innominate-artery-aneurysm-a-case-report
#14
Ryota Sugisawa, Masaki Sano, Naoto Yamamoto, Kazunori Inuzuka, Hiroki Tanaka, Takaaki Saito, Kazuto Katahashi, Tatsuro Yata, Takafumi Kayama, Yuta Yamanaka, Hiroya Takeuchi, Naoki Unno
BACKGROUND: Innominate artery aneurysm (IAA) is a rare cervical artery aneurysm. Although atherosclerosis is its most common cause, IAAs due to cervical injury are often reported. Operative indications for IAAs include rupture or symptomatic aneurysm, saccular aneurysm, aneurysm with a diameter of 3 cm or greater, and aneurysmal change of the origin of the innominate artery. Although the ligature of the innominate artery or open surgical repair is well described, the usefulness of endovascular repair has also recently been reported...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29804706/long-term-outcomes-of-simultaneous-laparoscopic-versus-open-resection-for-colorectal-cancer-with-synchronous-liver-metastases
#15
Ying-Wei Chen, Ming-Te Huang, Tung-Cheng Chang
BACKGROUND/OBJECTIVE: Because of the advancements in the surgical techniques of liver resection and improvements in anesthesia and postoperative critical care, the simultaneous resection of synchronous colorectal cancer with liver metastasis either by the laparoscopic procedure or by the open resection method has been considered as a safe and acceptable option. However, there is limited information on the comparison of postoperative outcomes between laparoscopic surgery and open surgery...
May 25, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/29796702/-small-renal-cell-carcinoma-active-surveillance-and-ablation
#16
J J Wendler, R Damm, U-B Liehr, T Brunner, M Pech, M Schostak
The incidence of renal cell carcinoma has been rising for years. At the same time there is an increasing prevalence of chronic renal failure with subsequent higher morbidity and shorter life expectancy in those affected. In the last decades the gold standard has thus shifted from radical to partial nephrectomy or tumor enucleation. A treatment alternative can be advantageous for selected patients with high morbidity and an increased risk of complications in anesthesia or surgery. Active surveillance represents a controlled delay in the initiation of treatment with a curative intention...
May 23, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29794942/major-laparoscopic-intraperitoneal-surgery-performed-with-combined-bilateral-subcostal-transversus-abdominal-plane-block-and-celiac-plexus-block-intravenous-sedation-without-tracheal-intubation-a-feasibility-study-of-3-cases
#17
Azeddine Taleb, MʼHamed Boumadani, Paul J Zetlaoui, Dan Benhamou
OBJECTIVES: Major abdominal surgery usually requires general anesthesia with tracheal intubation and may be supplemented with neuraxial anesthesia to provide intraoperative and postoperative pain relief. Attempts at using only neuraxial anesthesia for major abdominal surgery have often been shown to be poorly effective. This report demonstrates that laparoscopic colonic surgical procedures can be performed with ultrasound-guided blocks (bilateral transversus abdominal plane block and celiac plexus block) and intravenous sedation, while avoiding general or neuraxial anesthesia...
May 23, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29791482/impact-of-high-versus-low-dose-neuromuscular-blocking-agent-administration-on-unplanned-30-day-readmission-rates-in-retroperitoneal-laparoscopic-surgery
#18
Martijn Boon, Chris Martini, H Keri Yang, Shuvayu S Sen, Rob Bevers, Michiel Warlé, Leon Aarts, Marieke Niesters, Albert Dahan
Recent data shows that a neuromuscular block (NMB) induced by administration of high doses of rocuronium improves surgical conditions in certain procedures. However, there are limited data on the effect such practices on postoperative outcomes. We performed a retrospective analysis to compare unplanned 30-day readmissions in patients that received high-dose versus low-dose rocuronium administration during general anesthesia for laparoscopic retroperitoneal surgery. This retrospective cohort study was performed in the Netherlands in an academic hospital where routine high-dose rocuronium NMB has been practiced since July 2015...
2018: PloS One
https://www.readbyqxmd.com/read/29787410/the-effect-of-dexmedetomidine-on-propofol-requirements-during-anesthesia-administered-by-bispectral-index-guided-closed-loop-anesthesia-delivery-system-a-randomized-controlled-study
#19
Amitabh Dutta, Nitin Sethi, Jayashree Sood, Bhuwan C Panday, Manish Gupta, Prabhat Choudhary, Goverdhan D Puri
BACKGROUND: Dexmedetomidine, a selective α2-adrenergic agonist currently approved for continuous intensive care unit sedation, is being widely evaluated for its role as a potential anesthetic. The closed-loop anesthesia delivery system (CLADS) is a method to automatically administer propofol total intravenous anesthesia using bi-spectral index (BIS) feedback and attain general anesthesia (GA) steady state with greater consistency. This study assessed whether dexmedetomidine is effective in further lowering the propofol requirements for total intravenous anesthesia facilitated by CLADS...
May 21, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29779036/development-of-a-hemodynamic-model-using-routine-monitoring-parameters-for-nociceptive-responses-evaluation-during-surgery-under-general-anesthesia
#20
Munetaka Hirose, Yoshiko Kobayashi, Shiro Nakamoto, Ryusuke Ueki, Nobutaka Kariya, Tsuneo Tatara
BACKGROUND Routine hemodynamic monitoring parameters under general anesthesia, such as heart rate (HR), systolic blood pressure (SBP), and perfusion index (PI), do not solely reflect intraoperative nociceptive levels. We developed a hemodynamic model combining these 3 parameters for nociceptive responses during general anesthesia, and evaluated nociceptive responses to surgical skin incision. MATERIAL AND METHODS We first retrospectively performed discriminant analysis using 3 values - HR, SBP, and PI - to assess response to skin incision during tympanoplasty, laparoscopic cholecystectomy, and open gastrectomy to determine if combined use of these parameters differentiates nociceptive levels among these 3 surgeries...
May 20, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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