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T V Klypa, I O Antonov, A S Vavakin
UNLABELLED: AIM OF RESEARCH: To estimate the cognitive status dynamics ofpatients during the early postoperative period after cardiac interventions and to reveal predictors of cognitive functions deterioration at this category of patients. MATERIALS AND METHODS: 118 cardiac patients were tested of neurocognitive functions one days before operation, and then for the 2-3rd days after operation by means of the MMSE test, the FAB test, Shulte's test, a questionnaire of a depression of CES-D, the BATTERY OF FRONTAL DYSFUNCTION TEST...
January 2016: Anesteziologiia i Reanimatologiia
Zhanqi Wang, Hongliang Cong, Zheng Li, Lanfang Zhang, Fang Zhang, Xiangxin Li
OBJECTIVE: To investigate the safety of implantation permanent pacemaker (PM) at different times in patients with dual antiplatelet (DAPT) therapy after implantation of drug-eluting stent (DES). METHODS: A total of 105 patients who implanted pacemakers with DAPT therapy (clopidogrel and aspirin) after implantation of DES admitted to our hospital from January 2009 to January 2015 were enrolled in the study. The patients were divided into 3 groups: dual antiplatelet therapy (DAP) group: implanting PM within 3 months after coronary stenting, continuous DAPT during perioperative period; low molecular weight heparin (LMWH) bridging group: implanting PM within 3 to 6 months after coronary stenting, DAPT interruption for 5 days replaced with subcutaneous injection of enoxaparin (1 mg/kg), twice per day, enoxaparin was stopped 12 h before operation; asprin group, implanting PM after coronary stenting 6 months, clopidogrel interruption for 5 days...
May 10, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Orhan Saïm Demïrtürk, H Tarik Kiziltan, İsa Coşkun, Hüseyin Ali Tünel, Hatice Göknur Tekin
BACKGROUND: The management of a small aortic root at the time of aortic valve replacement is controversial. In cases in which the aortic root is very small the choice of aortic valve type and of root-enlargement method is difficult. The technical challenge of the small aortic root has instigated the creation of methods for annular enlargement. Severe mismatch as a predictor of overall 30-day mortality or midterm mortality reports about long-term results of aortic valve replacement using autologous pericardial patch are scarce...
2016: Heart Surgery Forum
Xingming Zhang, Pengfei Shen, Qiying He, Xiaoxue Yin, Zhibin Chen, Haojun Gui, Kunpeng Shu, Qidun Tang, Yaojing Yang, Xiuyi Pan, Jia Wang, Ni Chen, Hao Zeng
All available surgical treatments for benign prostatic hyperplasia (BPH) have their individual advantages or disadvantages. However, the lack of head-to-head studies comparing different surgeries makes it unavailable to conduct direct analysis. To compare the efficacy and safety among different lasers and transurethral resection of prostate (TURP) for BPH, randomized controlled trials were searched in MEDLINE, EMBASE, Cochrane library, WHO International Clinical Trial Registration Platform, and Clinical Trial...
2016: Scientific Reports
Jiru Zhang, Zhiqiang Wang, Yong Ji, Hongdi Qian, Nan Dong
OBJECTIVE: To study the risks of cardiovascular events of elderly hypertensive patients with different risk stratification during the perioperative period. METHODS: 126 elderly hypertensive patients without cardiac surgery were selected and divided into following 3 groups: group I (in danger), group II (high-risk), group III (very high-risk), each group with 42 cases. Control group was randomly selected 42 elderly patients without hypertension and other cardiovascular risk factors...
July 28, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Miaozun Zhang, Ren Fang, Yiping Mou, Ronggao Chen, Xiaowu Xu, Renchao Zhang, Jiafei Yan, Weiwei Jin, Harsha Ajoodhea
BACKGROUND: Laparoscopic distal pancreatectomy (LDP) showed advantage of perioperation outcomes for benign and low-grade tumor of the pancreas. The application of LDP for pancreatic ductal adenocarcinoma (PDAC) didn't gain popular acceptance and the number of LDP for PDAC remains low. We designed a case-matched study to analysis the short- and long-term outcomes of the patients undergoing either Laparoscopic distal pancreatectomy or open distal pancreatectomy for PDAC. METHOD: From 2003 to 2013, 17 patients were underwent LDP and 34 patients were underwent ODP for PDAC were matched by tumor size, age and body mass index (BMI)...
2015: BMC Gastroenterology
Seyed Mohammad-Reza Hashemian, Hadi Digaleh
Although percutaneous dilatational tracheostomy (PDT) is more accessible and less time-demanding compared with surgical tracheostomy (ST), it has its own limitations. We introduced a modified PDT technique and brought some surgical knowledge to the bedside to overcome some standard percutaneous dilatational tracheostomy relative contraindications. PDT uses a blind route of tracheal access that usually requires perioperational imaging guidance to protect accidental injuries. Moreover, there are contraindications in certain cases, limiting widespread PDT application...
November 2015: Medicine (Baltimore)
Yong-Na Bian, Jian Shi, Jun-Jun She, Jie Wu, Jian-Min Gao
AIM: To evaluate the medical quality of ophthalmologic perioperative period during 2010-2012 in our hospital. METHODS: The relevant data of perioperative period were collected in our hospital during 2010-2012, and the medical quality of perioperative period was evaluated by using the traditional evaluation indexes and adverse events. Whereby, the traditional indicators include vision changes, improving of intraocular pressure, diagnostic accordance rate before and after operation, cure improvement rate, successful rescue rate, and incidence of surgical complications, etc...
2015: International Journal of Ophthalmology
Qianqian Guo, Qianjun Chen
OBJECTIVE: The aim of this study was to establish the standardization of syndrome differentiation of operative breast cancer treated with Traditional Chinese Medicine (TCM) by the modified Delphi method. METHOD: A literature search for standardization of syndrome differentiation of operative breast cancer was conducted and eligible articles were identified in indexed databases from 1982 to 2013. We carried out two rounds of investigation between March and October 2013 and organized 20 experts who focused on TCM or integrative medicine in breast cancer research...
2015: TheScientificWorldJournal
Jan Gnus, Stanisław Ferenc, Małgorzata Dziewiszek, Lesław Rusiecki, Wojciech Witkiewicz
BACKGROUND: Endovascular abdominal aortic aneurysm repair has become an alternative to open surgical repair of abdominal aortic aneurysm since the early 1990s. The conventional method remains the gold standard in the treatment of Abdominal Aortic Aneurysm (AAA); however, a large percentage of patients do not qualify for this treatment due to the high risk of perioperational death and complications. OBJECTIVES: The objective of this work was to compare AAA surgeries performed by both classical and endovascular methods in years 2002-2011...
May 2015: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
H Fei, P Ke, N Wang, H Shen, J Huang, J Tan, L Liang, X Song
PURPOSE OF INVESTIGATION: To compare the therapeutic and side effects of using Californium252 (252Cf) neutron brachytherapy with neoadjuvant intra-arterial embolism chemotherapy in combination with surgery for treating Stage Ib2-IIb cervical cancers (CCs). MATERIALS AND METHODS: Thirty-two Stage Ib2-IIb CC patients were enrolled and randomly divided into two groups from January 2007 to April 2010 in the present Hospital. Prior to surgery within four weeks, a total of 17 cases were treated with 252Cf neutron brachytherapy (700-800 cGy doses at point A) once a week (Group A), and 15 cases were treated by neoadjuvant intra-arterial embolism chemotherapy using a combination of bleomycin, carboplatin, and cyclophosphamide twice (Group B)...
2015: European Journal of Gynaecological Oncology
Qiuhang Zhang
No abstract text is available yet for this article.
May 2015: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Qiuhang Zhang
No abstract text is available yet for this article.
May 2015: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Li-Wen Zhou, Han-Lin Ding, Ming-Qiang Li, Sheng Jin, Xue-Song Wang, Li-Juan Ji
BACKGROUND: A prospective randomized controlled trial was designed to observe the effect of tramadol on T-lymphocyte subsets, activated T cell and natural killer (NK) cells of patients undergoing gastric cancer surgeries. SUBJECTS AND METHODS: Thirty patients undergoing elective gastric cancer surgeries under general anesthesia were randomly divided into two groups. Before anesthesia induction, Group I did not receive any drugs and Group II received intramuscular tramadol 1 mg/kg...
January 2013: Anesthesia, Essays and Researches
Hongtian Wang, Wen Jiang, Cong Xu, Xin Qiu
OBJECTIVE: To analyses the causes and prevention of systemic complications of functional endoscopic sinus surgery (FESS) in patients with chronic rhinosinusitis. METHOD: Three typical cases were reported including their medical history, preoperative diagnosis, medications during preoperational period, complications and treatment. The causes and preventive measures of systemic complications were analyzed. RESULT: Three patients were all suffered from chronic rhinosinusitis with nasal polyps (CRSwNP)...
October 2014: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Sufang Wang, Fugen Han, Yibing Cheng, Dongjie Zeng
OBJECTIVE: This study aims to analyze the independent risk factors of acute respiratory dysfunction (ARD) in children with airway foreign body and to assess possible prevention and treatment option in the future. METHODS: Clinical data of 456 cases of children with airway foreign body were retrospectively collected and analyzed by cluster sampling, including 246 males and 210 females, who received operation in our hospital between July, 2009 and December, 2012, aged 0...
November 2014: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Guowei Che, Xiuyi Zhi
The close association between chronic obstructive pulmonary disease (COPD) and lung cancer has long been known. New evidence suggests that there is an inverse relationship between the severity of pulmonary function and the risk of surgery in patients with lung cancer, COPD may play a key role in the incidence of postoperative pulmonary complications (PPC) and improving pulmonary function with perioperation airway management has been suggested as a possible preventive PPC. This review describes the current understanding and clinical application of perioperation airway management in lung cancer patients with COPD...
December 2014: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
Peng Dong, Xin-Chun Yang, Su-Yan Bian
In-stent thrombosis after cessation of antiplatelet medications in patients with drug-eluting stents (DES) is a significant problem in medical practice, particularly in the perioperative period. We report a case of an 87-year-old man with a medical history of hypertension, coronary artery disease and chronic atrophic gastritis. Very late thrombosis of a sirolimus-eluting stent occurred 1207 days after implantation, seven months after discontinuation of clopidogrel, and the interruption of aspirin 13 days in preparation of an elective endoscopic gastrointestinal procedure presented with acute myocardial infarction...
September 2014: Journal of Geriatric Cardiology: JGC
Wenguang Xiao, Ke Ma, Lin Peng, Lihua Chen, Jintao He, Qiang Li, Yongtao Han
OBJECTIVE: To compare thoracoscopic esophagectomy with traditional esophagectomy in radical mediastinal lymphadenectomy for esophageal cancer, and to explore the feasibility and safety of thoracoscopic mediastinal lymphadenectomy for esophagectomy. METHODS: Clinical data associated with perioperation and mediastinal lymph nodes clearance of 304 patients undergoing radical operation of esophageal cancer via left neck-right chest-upper abdomen in our department from June 2009 to June 2011 were analyzed retrospectively...
September 2014: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Peiwei Hong, Yao Liu, Hedong Li
OBJECTIVES: The present study performed a meta-analysis to evaluate the efficacy and safety of interspinous process distraction device (IPD) compared with open decompression surgery (ODS) in treating lumbar spinal stenosis. METHODS: Literatures were searched in the databases including Cochrane Library, Pubmed, OvidSP, Sciencedirect, Web of Science, and Springerlin. Published reviews were checked to track missed original research papers. The quality and bias of publications with randomized controlled trial were evaluated using the tool for assessing risk of bias in the Cochrane handbook...
February 2015: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
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