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https://www.readbyqxmd.com/read/29034065/development-of-an-instrument-evaluating-the-impact-of-surgeon-patient-relationship-in-patients-on-sick-leave
#1
Thierry Dubert, Cedric Girault, Alexandre Kilink, Marc Rozenblat, Yves Lebellec, Anne-Lise Vataire, Myriam Vilasco, Gregory Katz
Background: To date, no specific instruments exist to measure the quality of the patient-surgeon relationship despite its potential to influence clinical and economic outcomes in patients undergoing surgery for musculoskeletal disorders (MSDs). Objective: The objective was to develop and validate an instrument to assess the quality of the patient-surgeon relationship, taking into account the return to work after functional restoration surgery. Methods: The instrument development was based on literature review, cognitive interviews and expert examinations...
2017: Journal of Market Access & Health Policy
https://www.readbyqxmd.com/read/29032237/hospital-charges-and-length-of-stay-following-radical-cystectomy-in-the-eras-era
#2
Alice Semerjian, Niv Milbar, Max Kates, Michael A Gorin, Hiten D Patel, Heather J Chalfin, Steven M Frank, Christopher L Wu, William W Yang, Deb Hobson, Lindsay Robertson, Elizabeth Wick, Mark P Schoenberg, Phillip M Pierorazio, Michael H Johnson, C J Stimson, Trinity J Bivalacqua
OBJECTIVE: To report our center's experience with Enhanced Recovery after Surgery (ERAS) pathway for radical cystectomy (RC), specifically evaluating complications, LOS, 30- and 90-day readmissions, and hospital charges. Pathways of this type have been shown to decrease length of stay (LOS) and post-operative ileus. However, concerns persist that ERAS is costly and increases readmissions. To date, limited studies have evaluated these concerns. MATERIALS AND METHODS: Our ERAS protocol was implemented for RC in December 2015...
October 12, 2017: Urology
https://www.readbyqxmd.com/read/29023334/application-of-enhanced-recovery-after-surgery-in-single-incision-laparoscopic-distal-gastrectomy
#3
Junfeng Zhou, Qingliang He, Jiaxing Wang, Qicai Liu, Mi Wang
BACKGROUND: Recently, enhanced recovery after surgery (ERAS) was widely used in the perioperative management of gastric cancer. The study aimed to evaluate the safety and effectiveness of ERAS in single-incision laparoscopic distal gastrectomy (SIDG). MATERIALS AND METHODS: A total of 90 patients who received laparoscopic gastric cancer resection were divided into 3 groups: group A (n=30), underwent traditional multiport laparoscopic distal gastrectomy with conventional perioperative management; group B (n=30) underwent traditional multiport laparoscopic distal gastrectomy with ERAS concept; and group C (n=30), underwent SIDG with ERAS concept...
October 11, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29022790/accelerated-discharge-within-72-hours-of-colorectal-cancer-resection-using-simple-discharge-criteria
#4
A Emmanuel, E Chohda, C Botfield, J Ellul
Introduction Short hospital stays and accelerated discharge within 72 hours following colorectal cancer resections have not been widely achieved. Series reporting on accelerated discharge involve heterogeneous patient populations and exclude important groups. Strict adherence to some discharge requirements may lead to delays in discharge. The aim of this study was to evaluate the safety and feasibility of accelerated discharge within 72 hours of all elective colorectal cancer resections using simple discharge criteria...
September 15, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29019886/a-hospital-to-home-evaluation-of-an-enhanced-recovery-protocol-for-elective-pancreaticoduodenectomy-in-china-a-cohort-study
#5
Wei Su, Fangyan Lu, Xiaoyu Zhang, Guogang Li, Wei Chen, Tao Ma, Shunliang Gao, Jianying Lou, Xueli Bai, Tingbo Liang
Enhanced recovery after surgery (ERAS) programs have been shown to decrease postoperative complications and hospital stay in pancreaticoduodenectomy. However, no studies concerned recovery after discharge except readmission. This study evaluated an ERAS program for pancreaticoduodenectomy from hospital to home.A prospective ERAS cohort undergoing elective pancreaticoduodenectomy was compared with a retrospective control group in terms of postoperative complications and hospital stay, and home recovery after discharge...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29019106/antimicrobial-properties-of-perfusate-fluid-after-cytoreductive-surgery-and-hyperthermic-intraperitoneal-chemotherapy-cs-hipec-with-mitomycin-c
#6
Krystle N Lange, Danielle McKay, Brian G Gentry, Jan Franko
BACKGROUND: Infectious postoperative complications often delay systemic chemotherapy after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CS-HIPEC). Because the authors have empirically observed fewer incisional infectious complications than expected after CS-HIPEC with mitomycin C (MMC), they investigated the antimicrobial properties of HIPEC perfusate fluid. METHODS: This study prospectively measured in vitro bacterial growth inhibition by HIPEC perfusate (n = 18)...
October 10, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29017725/appropriateness-of-a-pediatric-specific-enhanced-recovery-protocol-using-a-modified-delphi-process-and-multidisciplinary-expert-panel
#7
Heather L Short, Natalie Taylor, Kaitlin Piper, Mehul V Raval
PURPOSE: Despite Enhanced Recovery After Surgery (ERAS) protocols demonstrating improved outcomes in a wide variety of adult surgical populations, these protocols are infrequently and inconsistently being used in pediatric surgery. Our purpose was to develop a pediatric-specific ERAS protocol for use in adolescents undergoing elective intestinal procedures. METHODS: A modified Delphi process including extensive literature review, iterative rounds of surveys, and expert panel discussions was used to establish ERAS elements that would be appropriate for children...
September 23, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28994830/surgery-enhanced-recovery-after-cystectomy-cocktails-culture-or-consistency
#8
John S McGrath, Raj S Pruthi
No abstract text is available yet for this article.
October 10, 2017: Nature Reviews. Urology
https://www.readbyqxmd.com/read/28994339/intranasal-drug-delivery-devices-and-interventions-associated-with-post-operative-endoscopic-sinus-surgery
#9
Lari K Dkhar, Jim Bartley, David White, Ali Seyfoddin
This review article highlights the importance and advantages of the drug delivery systems applied via the nasal route after endoscopic sinus surgery (ESS) for patients suffering from chronic rhinosinusitis. After ESS, patients often require ongoing topical and systemic medication. To reduce the incidence of immediate and delayed post-surgical complications, a variety of temporary postoperative nasal interventions are currently used. However, newly developed intranasal drug delivery devices can enhance tissue recovery after endoscopic sinus surgery by releasing therapeutic drugs locally, while providing structural support to reduce tissue adhesion and scaring...
October 10, 2017: Pharmaceutical Development and Technology
https://www.readbyqxmd.com/read/28991280/plasma-rico-en-plaquetas-y-su-efecto-en-la-regeneraci%C3%A3-n-%C3%A3-sea-en-fracturas-mandibulares-ensayo-cl%C3%A3-nico-controlado
#10
Guadalupe Castillo-Cardiel, Víctor Manuel Medina-Quintana, Mario Lomelí-Enríquez, Fabiola Medrano-Muñoz, Celia Guerrero-Velázquez, Carmen Karina Contreras-López, Clotilde Fuentes-Orozco, Leire Irusteta-Jiménez, Luis Rodrigo Michel-Espinoza, Alejandro González-Ojeda
Antecedentes: Actualmente existe interés en el desarrollo de aplicaciones clínicas del plasma rico en plaquetas (PRP) para mejorar la regeneración ósea (RO). Objetivo: Evaluar la RO en fracturas mandibulares con la aplicación de PRP. Métodos: Ensayo clínico controlado. Se incluyeron 20 pacientes con fractura de ángulo mandibular. El grupo de estudio (n = 10) se sometió a reducción de la fractura, fijación interna y aplicación de PRP, y el grupo control (n = 10) al mismo procedimiento sin administración de plasma...
2017: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
https://www.readbyqxmd.com/read/28987454/in-situ-hydrogels-enhancing-postoperative-functional-recovery-by-reducing-iron-overload-after-intracerebral-haemorrhage
#11
Tiantian Luo, Tingwang Guo, Qian Yang, Shilei Hao, Ju Wang, Zhongjun Cheng, Qing Qu, Ye He, Yuhua Gong, Feiyan Gao, Wenfeng Li, Haijian Xia, Bochu Wang
The role of surgery for most patients with spontaneous intracerebral haemorrhage (ICH) remains controversial due to the continuous occurrence of postoperative iron overload induced by low clot clearance rate. In this study, human hair keratose hydrogel (KG) loading with minocycline hydrochloride (MH) were prepared to reduce iron overload for the improvement of the postoperative functional recovery after ICH aspiration surgery. Hemoglobin-induced iron accumulation in rat primary neuronal culture was delayed by the adsorptive capacity of blank KG, while MH-loaded KG displayed a stronger and more thorough cytoprotective effect than blank KG due to the combined effect of absorptive action to iron and sustained release of the iron chelator...
October 5, 2017: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/28985845/postoperative-paralytic-ileus-remains-a-problem-following-surgery-for-advanced-pelvic-cancers
#12
Jonas Amstrup Funder, Rikke Tolstrup, Betina Norman Jepsen, Lene Hjerrild Iversen
BACKGROUND: Paralytic postoperative ileus (POI) is associated with increased morbidity and mortality after abdominal surgery. Despite increased awareness and implementation of various measures, POI remains a problem, perhaps moreso for those patients undergoing extensive oncological surgical treatment. The aim of this study was to describe the extent of POI after advanced cancer surgery in the era of contemporary treatment modalities of POI. METHODS: A retrospective analysis of all patients who underwent either abdominoperineal excision with transpelvic vertical rectus abdominal musculocutaneous (VRAM)-flap after anal cancer or pelvic exenteration at single institution from January 2012 to November 2013 was carried out...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28985778/-implementing-an-eras-protocol
#13
Maélig Le Fur, Marjory Dago
An orthopaedic surgeon at Clinique Saint-Augustin in Nantes has joined the label developed by the Groupe Francophone de Réhabilitation Améliorée après Chirurgie (Francophone Group for Enhanced Recovery After Surgery. The establishment has taken an interest in this approach and is promoting it by applying the recommendations issued by the Haute Autorité de Santé (French National Health Authority) for this new circuit.
October 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28985777/-follow-up-care-at-home-after-outpatient-surgery
#14
Marie-Odile Guillon
Private nurses have an important role to play in the healthcare system, notably within the framework of outpatient surgery. They are often underestimated, but they are on the front lines when it comes to informing patients, reassuring them and caring for them. They must therefore master the processes of outpatient surgery and those of enhanced recovery after surgery. Their skills need to be upgraded.
October 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28985776/-toward-innovative-hospital-care
#15
Rose-Marie Loudcher, Yasmine Tebib-Chibani
For healthcare financing to remain profitable and to continue to function, the care system must be innovative in terms of patient care. Work organisation has changed with the pricing system for medical acts. The system of enhanced recovery after surgery helps to reduce hospitalisation times and to reflect on organisation. Nurses are on the front line.
October 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28985775/-making-patients-actors-in-their-own-care
#16
Geneviève Faugeras, Lionel Cervera, Nadia Ingrosso, Véronique Fouquet
Enhanced recovery after surgery is a caregiving method focusing on the patient. It aims at ensuring faster recovery of the patient's functional abilities after surgery for a rapid return to the everyday environment and activities with total safety.
October 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28985774/-eras-from-concept-to-care
#17
Olivier Raspado, Brigitte Crispin
Enhanced recovery after surgery (ERAS) aims at reducing the length of hospital stays and complications. Everyone has a role to play - healthcare professionals, medical secretaries, administrative staff and patients. A coordinated treatment pathway must be ensured and changes in practices must be accepted.
October 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28980383/incidence-of-venous-thromboembolic-events-in-enhanced-recovery-after-surgery-for-colon-cancer-a-retrospective-population-based-cohort-study
#18
Momo M I Vendler, Tamim A Haidari, Jo E Waage, Jakob Kleif, Bent Kristensen, Ismail Gögenur, Claus A Bertelsen
AIM: Both the Danish and NICE guidelines recommend prolonged thromboprophylaxis (PT) with low-molecular-weight heparin (LMWH) for 28 days postoperatively after elective surgery for colon cancer. The evidence relies on two RCTs that included not only colon cancers but also other abdominal cancers or benign colorectal diseases. Neither of those studies investigated the risk of venous thromboembolism (VTE) under Enhanced Recovery After Surgery (ERAS). We aim to describe the risk of VTE and estimate the cost of preventing one case of VTE by PT under ERAS...
October 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28976345/-impact-of-a-goal-directed-therapy-in-the-implementation-of-an-eras-enhanced-recovery-after-surgery-protocol-in-laparoscopic-radical-cystectomy
#19
Rafael Uña Orejón, Ivan Huercio Martinez, Estrella Mateo Torres, Cristina Jofré Escudero, Juan Gomez Rivas, Jesús Diez Sebastián, Maria Prado Ureta Tolsada
OBJECTIVES: The intraoperative goaldirected fluid therapy (GDT) has become the base of perioperative management in the fast-track protocols. This program using technology to estimate cardiac output, with the aim of minimizing splanchnic hypoperfusion. However, there is insufficient evidence to confirm its application in radical laparoscopic cystectomy. METHODS: In a retrospective study, we have included 52 patients that were scheduled for radical cystectomy. In group A (n=32) patients were treated following GDT...
October 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28968919/nutritional-aspects-of-enhanced-recovery-after-esophagectomy-with-gastric-conduit-reconstruction
#20
REVIEW
B Feike Kingma, Elles Steenhagen, Jelle P Ruurda, Richard van Hillegersberg
Enhanced Recovery After Surgery (ERAS) aims to accelerate recovery by a set of multimodality management strategies. For esophagectomy, several nutritional elements of ERAS can be safely introduced and are advised in routine practice, including preadmission counseling to screen and treat for potential malnutrition, shortened preoperative fasting, and carbohydrate loading. However, the timing of oral intake and the use of routine nasogastric decompression remain matter of debate after esophagectomy. Furthermore, more research is needed on future developments such as perioperative immunonutrition...
October 2, 2017: Journal of Surgical Oncology
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