Excercise surgery

Regular exercise is crucial for regulating metabolic parameters. This retrospective study aimed to evaluate the effects of regular exercise duration on glycaemic and metabolic parameters, insulin resistance, and atherogenic indices in individuals attending a single-family health centre. A total of 403 individuals were divided into three groups based on their exercise status as Group A with no regular exercise, Group B with <150 minutes, and Group C with ≥150 minutes of regular excercise per week. The demographic and clinical data were collected from the subjects' records...

OBJECTIVE: To develop and compare the SimSpine (Indigenously developed, low-cost model) and EasyGo (Karl Storz, Germany) systems for simulation of endoscopic discectomy. METHODS: 12 neurosurgery residents six PGY 1-4 or equivalent (junior) and PGY 5-6 or equivalent (senior) each were randomly allocated (1:1) to either EasyGo or SimSpine endoscopic visualization systems for endoscopic lumbar discectomy simulation on the same physical simulator. After the first excercise, they switched over to the other system and the exercise was repeated...

BACKGROUND: Rehabilitation measures are crucial for maintaining clinical benefits of coronary artery bypass grafting (CABG) surgery. We evaluated the clinical efficacy of a medical centre- and home-based cardiac rehabilitation (CR) for patients after CABG in an out-patient setting. METHODS: The study included 36 male patients 3-8 weeks after CABG that were randomly assigned to either study or control group. Patients from the study group performed a 60 min excercise in controlled setting 3 times a week for 4 months followed by home-based excercise later on, while patients from the control group only received a recommendation to perform the excercise at home in an uncontrolled setting...

OBJECTIVES: Prognosis of patients with anomalous origin of the left coronary artery from pulmonary artery has dramatically improved as a result of both, early diagnosis and improvements in surgical techniques. Post surgical complications are rare and most patients show quick improvement of the left ventricular performance after repair with complete functional recovery within one year after surgery. Exercise-induced electrocardiographic changes have been found in patients postoperatively and scars and perfusion deficits of the left ventricle may not be detected by standard echocardiographic evaluation...

Pediatric CasesSESSION TYPE: Affiliate Case Report SlidePRESENTED ON: Monday, October 27, 2014 at 03:15 PM - 04:15 PMINTRODUCTION: Child with hypoxemia, not caused by hypoventilation, V/Q mismatch, shunting, or diffusion limitation.CASE PRESENTATION: A 4 year old boy presented with fever and exertional dyspnea, without cough or respiratory distress, SpO2 85% in room air, which improved to 92% on 2LPM oxygen. Chest radiograph (CXR) showed bronchial thickening without focal infiltrate; heart size and vascularity were normal...

Treatment options for patients with small upper aerodigestive tracts squamous cell carcinoma (T1, T2) with advanced neck disease (N2, N3) is a topic that generates controversy in terms of thereuptic stratagies. We present the retrospective analysis of 109 patients treated, between 1991 and 2008, by "Neck dissection first approach" for N2, N3 neck node, followed by external beam radiotherapy (RT) with or without chemotherapy for the operated neck and the primary, deemed radiocurable. 94 patients completed the planned treatment and formed the material for this study...

Primary lymphedema can be managed effectively as a form of chronic lymphedema by a sequenced and targeted treatment and management program based around a combination of Decongestive Lymphatic Therapy (DLT) with compression therapy, when the latter is desired as an adjunct to DLT. Treatment in the maintenance phase should include compression garments, self-management, including self-massage, meticulous personal hygiene and skin care, in addition to lymphtransport-promoting excercises and activities, and, if desired, pneumatic compression therapy applied in the home...

UNLABELLED: Palmar dislocation of the metacarpophalangeal (MCP) joint of the long finger represents a rare event. The first case was published by Mc Laughlin in 1965, and only nine other cases have been reported. We present one more case and discuss the mechanisms of these dislocations and treatment. CASE REPORT: A 22-year-old biker presented with complex injuries of his right hand after a road accident.Examination revealed an extensive palmar wound on the ulnar side of his right hand, with another on the MCP joint of the little finger, and shortening of the little and the ring fingers...

INTRODUCTION: Surgical treatment of the injuried flexor tensons is the important part of hand surgery. Tendon adhesions, ruptures, joint contcatures-stifness are only one part of the problem one is faced during the tendon treatment. In spite of improvement in surgical technique and suture material, the end result of sutured flexor tendons still represent a serious problem. THE AIM: To present of operative treatment of flexor pollicis longus injury with Krakow suture technique...

Primary lymphedema can be managed safely as one of the chronic lymphedemas by a proper combination of DLT with compression therapy. Treatment in the maintenance phase should include compression garments, self management including the compression therapy, self massage and meticulous personal hygiene and skin care in addition to lymph-transport promoting excercises. The management of primary lymphedema can be further improved with proper addition of surgical therapy either reconstructive or ablative. These two surgical therapies can be effective only when fully integrated with MLD-based DLT postoperatively...

Background. Since 1980's, shoulder arthroplasty has become more oftenly performed procedure, and for severe comminuted fractures of proximal humerus (fou r- fragmented fractures, according to Neer's classification) has become first - line therapeutic option. At the beginnig of 90's, contemporary prinicples of shoulder arthroplasty were introduced. It is assumed that 4 mechanical parameters, i.e. range of motion, joint stability, strengh and smoothness of prosthesis components contribute to shoulder function, and we sholud reach toward their reconstruction during surgical procedure...

We present a strategy of a complex rehabilitation in children with pffd before and after Van Nes rotationplasty. The rehabilitation proces is divided into tree stages: preoperative, in which general exercises, swimming etc. are used to improve patient's general phisical condition with special care to improve ankle range of motion and to strenghten the muscles: gastrocnemius, quadriceps femoris and glutei on the afected side. Second stage begines whith the cast removal. Gentle ankle manipulations, passive and in about a 0 days after the cast removal, active ankle movements are excercised...

Knee osteoarthritis (OA) is often associated with pain, functional impairment and various degrees of disability. Physiotherapy in combination with both aerobic and strength training exercises have shown positive effects in both the pre-operative and post-operative period. At the initial stages of osteoarthritis, physical therapy and education can improve the functional outcome and the participation of patients in daily activities. In the case of OA progression and when an operation is the only effective treatment, physiotherapy is very useful in enhancing self-esteem and minimising depression and anxiety for the forthcoming surgery...

Report of the hand surgical treatment in two musicians, which enabled them to continue with their occupation. A young cellist was no longer able to play his instrument due to a painful scar at the pulp of his left index finger. The surgical treatment, performed only after a period of hesitation, consisted in scar excision and reconstruction of a normal pulp by a palmar advancement flap. Following a fracture of the distal radius, healed in 35 degrees dorsal angulation, a violinist was not able to flex his wrist maximally as required for playing in high octaves...