keyword
https://read.qxmd.com/read/38532941/central-pancreatectomy-balancing-between-the-favorable-functional-results-and-the-increased-associated-morbidity
#1
Dimitrios Symeonidis, Ismini Paraskeva, Athina A Samara, Labrini Kissa, Alexandros Valaroutsos, Eleana Petsa, Konstantinos Tepetes
Introduction  Central pancreatectomy (CP) represents an organ-preserving type of pancreatic resection. The procedure has been associated with improved long-term functional results, but increased postoperative morbidity rates, compared with the more radical resection types. The purpose of the present study was to present the outcomes of three consecutive CPs performed in our department. Materials and Methods  Between January 2021 and January 2022, three patients (A, B, and C) were submitted to a CP in our department...
January 2024: Surgery Journal
https://read.qxmd.com/read/38530069/adjusting-current-hemoglobin-thresholds-a-way-to-improve-outcome-in-women-undergoing-major-surgery
#2
JOURNAL ARTICLE
Alina Netz, Lotta Hof, Florian Rumpf, Lea Valeska Blum, Vanessa Neef, Anja Kerner, Kai Zacharowski, Patrick Meybohm, Suma Choorapoikayil
Background/Objective: In the perioperative setting, a suboptimal total hemoglobin (Hb) mass puts women and men at an unreasonable disadvantage. Anemia is an independent risk factor for transfusion, postoperative complications, and mortality. The Hb cut-off value for women was set at <12.0 g/dL by the World Health Organization (WHO) and has been rigorously debated for decades. The aim of this study was to elucidate the risk for postoperative complications in female patients with Hb levels < 12...
March 26, 2024: Journal of Women's Health
https://read.qxmd.com/read/38523044/consensus-of-the-brazilian-association-of-hematology-hemotherapy-and-cellular-therapy-on-patient-blood-management-preoperative-phase-preoperative-management-of-the-patient-s-anemia
#3
JOURNAL ARTICLE
Bruno Deltreggia Benites, Flavia Leite, Selma Soriano, Roberto Luiz da Silva, Susankerle de Oliveira Costa Alves, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior
Managing anemia before surgery is extremely important as it is a clinical condition that can significantly increase surgical risk and affect patient outcomes. Anemia is characterized by a reduction in the number of red blood cells or hemoglobin levels leading to a lower oxygen-carrying capacity of the blood. Proper treatment requires a multifaceted approach to ensure patients are in the best possible condition for surgery and to minimize potential complications. The challenge is recognizing anemia early and implementing a timely intervention to correct it...
March 11, 2024: Hematology, Transfusion and Cell Therapy
https://read.qxmd.com/read/38521511/development-and-validation-of-a-novel-score-for-predicting-perioperative-major-adverse-cardiovascular-events-in-patients-with-stable-coronary-artery-disease-undergoing-noncardiac-surgery
#4
JOURNAL ARTICLE
Yunpeng Jin, Liang Shen, Runze Ye, Min Zhou, Xiaogang Guo
BACKGROUND: A model developed specifically for stable coronary artery disease (SCAD) patients to predict perioperative major adverse cardiovascular events (MACE) has not been previously reported. METHODS: The derivation cohort consisted of 5780 patients with SCAD undergoing noncardiac surgery at the First Affiliated Hospital of Zhejiang University School of Medicine, from January 1, 2013 until May 31, 2021. The validation cohort consisted of 2677 similar patients from June 1, 2021 to May 31, 2023...
March 21, 2024: International Journal of Cardiology
https://read.qxmd.com/read/38521460/tranexamic-acid-reduces-perioperative-blood-loss-and-postoperative-hemoglobin-loss-during-total-ankle-arthroplasty-a-systematic-review-and-meta-analysis-of-clinical-comparative-studies
#5
REVIEW
James J Butler, Ragul Rajivan, Kishore Konar, Utkarsh Anil, Mohammad T Azam, Raymond Walls, John G Kennedy
IMPORTANCE: Peri-operative blood loss during joint replacement procedures is a modifiable risk factor that impacts wound complications, hospital stay and total costs. Tranexamic acid (TXA) is an anti-fibrinolytic that has been widely used in orthopedic surgery, but its efficacy in the setting of total ankle arthroplasty (TAA) has not been quantified to date. AIM: The purpose of this systematic review and meta-analysis was to evaluate the efficacy and safety of administering TXA in patients undergoing TAA...
March 21, 2024: Journal of ISAKOS
https://read.qxmd.com/read/38518850/transcatheter-arterial-embolization-outperforms-surgery-in-reducing-blood-transfusions-for-postpartum-vulvovaginal-hematoma
#6
JOURNAL ARTICLE
Tsukasa Takahashi, Hasumi Tomita, Hirotaka Hamada, Mari Tadakawa, Noriyuki Iwama, Masatoshi Saito
BACKGROUND: Postpartum vulvovaginal hematoma is a complication of vaginal delivery that may progress to life-threatening conditions. However, the management of hematomas, including conservative therapy, surgery, and arterial embolization, is yet to be standardized. OBJECTIVE: This study aimed to i) evaluate hematoma features that can be treated conservatively, and ii) determine which is superior in reducing blood transfusion between surgery and transcatheter arterial embolization...
March 20, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38518261/robotic-assisted-total-knee-arthroplasty-results-in-decreased-incidence-of-anterior-femoral-notching-compared-to-posterior-referenced-instrumented-total-knee-arthroplasty
#7
JOURNAL ARTICLE
MingYang Li, YongTao Zhang, ZhenShuai Shao, HaoXiang Zhu
OBJECTIVE: Periprosthetic fracture (PPF) is an uncommon but devastating complication after total knee arthroplasty (TKA). Anterior femoral notching (AFN) is one of a perioperative risk factor for PPF. The main purpose of this study was to compare between the rates of anterior femoral notching (AFN) and supracondylar periprosthetic femoral fracture (sPPF) of manual TKA and robotic arm-assisted TKA (RATKA). Meanwhile, blood loss, transfusion rates, inflammatory responses, complications, early clinical and radiological outcomes were also assessed...
2024: Journal of Orthopaedic Surgery
https://read.qxmd.com/read/38516800/diabetes-in-trauma-patients-a-potential-gateway-to-a-medical-home
#8
JOURNAL ARTICLE
Kaylee Hart, Margaret A Thames, Ashley Caroline Massey, Thomas Capasso, Yannlei L Lee, Maryann Mbaka, Christopher M Kinnard, Andrew C Bright, Ashley Y Williams, Nathan M Polite, Jon D Simmons, C Caleb Butts
BACKGROUND: Diabetes is a major determinant of health outcomes. Trauma patients are disproportionately from lower socioeconomic status, where lack of access to health care prevents timely treatment. Trauma centers could play a role in identifying patients in need of improved glucose management, but the current burden of disease is not known. We assessed the incidence of patients in need of intervention that presented to a level 1 trauma center over a 6-month period. METHODS: A retrospective chart review over 6 months of all trauma patients admitted to a level 1 trauma center was performed...
March 22, 2024: American Surgeon
https://read.qxmd.com/read/38512988/racial-and-ethnic-minority-patients-have-increased-complication-risks-when-undergoing-surgery-while-not-meeting-clinical-guidelines
#9
JOURNAL ARTICLE
Adriana P Liimakka, Troy B Amen, Michael J Weaver, Vivek M Shah, Jeffrey K Lange, Antonia F Chen
BACKGROUND: Clinical guidelines for performing total joint arthroplasty (TJA) have not been uniformly adopted in practice because research has suggested that they may foster inequities in surgical access, potentially disadvantaging minority sociodemographic groups. The aim of this study was to assess whether undergoing TJA without meeting clinical guidelines affects complication risk and leads to disparities in postoperative outcomes. METHODS: This retrospective cohort study evaluated the records of 11,611 adult patients who underwent primary TJA from January 1, 2010, to December 31, 2020, at an academic hospital network...
March 21, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38512861/surgical-site-infection-following-cesarean-section-and-its-predictors-in-ethiopia-a-systematic-review-and-meta-analysis
#10
JOURNAL ARTICLE
Eyob Shitie Lake, Abebaw Alamrew, Wagaye Shumete Belay, Gizachew Yilak, Besfat Berihun Erega, Zinie Abita, Mulat Ayele
INTRODUCTION: Worldwide, surgery related deaths within 30 days of the procedure accounts the third contributor among all causes of deaths, with an estimated 4.2 million people annually and half of these deaths occur in low and middle income countries. OBJECTIVE: To determine the pooled prevalence of surgical site infection following cesarean section and its predictors in Ethiopia. METHODS: A systematic review and meta-analysis were conducted by using PRISMA guideline...
2024: PloS One
https://read.qxmd.com/read/38512644/combination-therapy-of-endoscopic-gastric-remodeling-with-glp-1ra-for-the-treatment-of-masld
#11
JOURNAL ARTICLE
Pichamol Jirapinyo, Aunchalee Jaroenlapnopparat, Stephen D Zucker, Christopher C Thompson
PURPOSE: The mainstay of treatment for metabolic dysfunction-associated steatotic liver disease (MASLD) is weight loss. Endoscopic gastric remodeling (EGR) and glucagon-like peptide-1 receptor agonist (GLP-1RA) are effective weight loss therapies. This study aims to assess the effect of combining EGR with GLP-1RA on liver-related outcomes and weight profile. MATERIALS AND METHODS: This is a retrospective study of a prospectively collected registry of patients with MASLD and compensated advanced chronic liver disease (cACLD) who underwent EGR...
March 21, 2024: Obesity Surgery
https://read.qxmd.com/read/38512532/transurethral-bipolar-enucleation-using-a-tueb-loop-for-large-benign-prostatic-hyperplasia-a-retrospective-cohort-study
#12
JOURNAL ARTICLE
Jun Hagiuda, Tsukasa Masuda, Ryohei Takahashi, Satoshi Tamaki, Ken Nakagawa
PURPOSE: We aimed to assess the efficacy and safety of transurethral enucleation with bipolar system (TUEB) regardless of the prostate size using a specially developed TUEB loop. METHODS: A total of 251 patients who underwent TUEB were categorized into two groups depending on the prostate volume (PV): small-PV (≤ 80 mL) group, 133 patients; large-PV (> 80 mL) group, 118 patients. Comparisons of background information and treatment outcomes were performed between the groups...
March 21, 2024: World Journal of Urology
https://read.qxmd.com/read/38512418/evaluation-of-management-of-ct-scan-proved-solid-organ-injury-in-blunt-injury-abdomen-a-prospective-study
#13
JOURNAL ARTICLE
Sourodip Mukharjee, Dinesh B V, Bharath S V
BACKGROUND: Trauma especially road traffic injury is one of the major health-related issues throughout the world, especially in developing countries like India (Mattox 2022). Solid organ injury is the most common cause of morbidity and mortality in patients with blunt abdominal trauma. The non-operative management (NOM) is being consistently followed for hemodynamically stable patients with respect to solid organ injuries. This study aims to provide an evidence base for management modalities of solid organ injuries in blunt abdominal trauma...
March 21, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38508687/perioperative-evaluation-of-arterial-and-venous-whole-blood-in-the-lamb-ovis-aries-fontan-model
#14
JOURNAL ARTICLE
William E Schwartzman, Jingru Che, Mark A Naguib, Jack Palillo, Michael Jimenez, Mackenzie E Turner, Andrew R Yates, Carmen Arsuaga-Zorrilla, Christopher Breuer, John Kelly
Whole blood analysis can evaluate numerous parameters, including pH, pCO₂, pO₂, HCO₃- , base excess, glucose, electrolytes, lactate, blood urea nitrogen, creatinine, bilirubin, and hemoglobin. This valuable tool enables clinicians to make more informed decisions about patient care. However, the current body of literature describing perioperative whole blood analysis in Dorset sheep ( Ovis aries ) is small, so clinicians lack adequate information to guide their decision-making when evaluating test results...
March 20, 2024: Comparative Medicine
https://read.qxmd.com/read/38503776/development-of-a-predictive-model-for-risk-stratification-of-acute-kidney-injury-in-patients-undergoing-cytoreductive-surgery-with-hyperthermic-intraperitoneal-chemotherapy
#15
JOURNAL ARTICLE
Martin Krause, Soraya Mehdipour, Jula Veerapong, Joel M Baumgartner, Andrew M Lowy, Rodney A Gabriel
Acute kidney injury (AKI) following hyperthermic intraperitoneal chemotherapy (HIPEC) is common. Identifying patients at risk could have implications for surgical and anesthetic management. We aimed to develop a predictive model that could predict AKI based on patients' preoperative characteristics and intraperitoneal chemotherapy regimen. We retrospectively gathered data of adult patients undergoing HIPEC at our health system between November 2013 and April 2022. Next, we developed a model predicting postoperative AKI using multivariable logistic regression and calculated the performance of the model (area under the receiver operating characteristics curve [AUC]) via tenfold cross-validation...
March 19, 2024: Scientific Reports
https://read.qxmd.com/read/38499796/evaluation-study-of-single-anastomosis-duodenal-ileal-bypass-with-sleeve-gastrectomy-in-the-treatment-of-chinese-obese-patients-based-on-efficacy-and-nutrition
#16
JOURNAL ARTICLE
Lifu Hu, Lun Wang, Shixing Li, Yang Liu, Zheng Zhang, Minghao Xiao, Zhenhua Zhang, Zhiqiang Wei, Liang Cui, Tao Jiang
To evaluate the efficacy and nutrition of single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) in Chinese obese patients in the first postoperative year. Clinical data of 66 obese patients who underwent SADI-S surgery at China-Japan Union Hospital of Jilin University from November 2018 to May 2022 were retrospectively collected. The weight, body mass index (BMI), percentage of excess weight loss (%EWL), and percentage of total weight loss (%TWL) were recorded at 3, 6, and 12 months after surgery...
March 19, 2024: Scientific Reports
https://read.qxmd.com/read/38494686/perioperative-nutrition-management-in-patients-with-spinal-tuberculosis-taking-eras-measures
#17
JOURNAL ARTICLE
Jiaojie Ma, Zhuo Li, Yang Chen, Yachao Zhang, Qian Wang, Guangxuan Yan, Weijie Dong, Shanshan Li
BACKGROUND AND OBJECTIVES: To explore the effect of nutrition management under ERAS concept in patients with spinal tuberculosis. METHODS AND STUDY DESIGN: The study was conducted in an orthopedic ward of a tertiary grade A special hospital in Beijing. The patients admitted from January 1, 2021 to June 27, 2023 were screened for inclusion. The qualified patients were randomized into experimental group or control group. The experimental group received perioperative nutrition management under the concept of ERAS while the control group received routine perioperative management in hospital...
March 2024: Asia Pacific Journal of Clinical Nutrition
https://read.qxmd.com/read/38491759/safety-of-continuing-aspirin-use-in-patients-with-coronary-heart-disease-who-undergo-thyroid-surgery-during-the-perioperative-period
#18
JOURNAL ARTICLE
Yuansheng Rao, Jianhong Wang, Fan Yang, Xin Ni
Objective: To investigate the safety of continuing aspirin use in patients with coronary heart disease undergoing thyroid surgery during the perioperative period. Methods: Forty-four patients with coronary heart disease who underwent thyroid surgery in our department from July 2019 to June 2023 were selected as the observation group, and the observation group continued to use aspirin during the perioperative period. Forty-four patients who underwent the same surgery during the same period without coronary heart disease and without anticoagulant or antiplatelet therapy were selected as control group 1...
March 15, 2024: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/38491398/optimizing-the-transfusion-strategy-in-surgical-patients-in-a-lebanese-university-hospital
#19
JOURNAL ARTICLE
Stephanie El Hawat, Rita Saliby, Ghassan Sleilaty, Alain El Asmar, Anthony Ghosn
BACKGROUND AND PURPOSE: Our aim was to analyze factors that influence transfusion requirements in surgical patients in order to achieve a transfusion-saving strategy. METHODS: Data was collected from patient's files at the Notre Dame de Secours-Jbeil University Hospital Center between January 2017 and June 2019. Selection was made for 400 patients who had undergone surgery and required transfusion. The studied variables were age, sex, and type of surgery whether planned or urgent with its expected level of bleeding...
March 15, 2024: Perioperative Medicine
https://read.qxmd.com/read/38490220/is-there-utility-in-preoperative-testing-of-hemoglobin-before-primary-cheiloplasty
#20
JOURNAL ARTICLE
Aryan Shay, Megan Gaffey, Roger Roe, Alexa Robbins, Isabella Zaniletti, Adam Johnson, Larry Hartzell
OBJECTIVE: To examine whether a preoperative hemoglobin of less than 10 g/dL is associated with a higher rate of perioperative complications. DESIGN: Retrospective review. SETTING: Tertiary academic hospital at Arkansas Children's Hospital of Little Rock, Arkansas. PATIENTS: A retrospective chart review evaluated patients undergoing primary cleft lip surgery from 2012 to 2017. INTERVENTIONS: No prospective intervention was performed for this study care...
March 15, 2024: Cleft Palate-craniofacial Journal
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