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Preoperative assesment

Raisa S Pompe, Marco Bandini, Felix Preisser, Michele Marchioni, Emanuele Zaffuto, Zhe Tian, Georg Salomon, Thorsten Schlomm, Hartwig Huland, Markus Graefen, Derya Tilki, Shahrokh F Shariat, Pierre I Karakiewicz
BACKGROUND: Early biochemical recurrence (eBCR) after radical prostatectomy (RP) heralds poor oncological outcomes and may be prevented with adjuvant radiation (aRT). METHODS: We developed a contemporary eBCR nomogram in 13 797 RP patients from Hamburg (2005-2016) and externally validated it in 5952 RP patients from Vienna. Receiver operating characteristics-derived area under the curve (AUC), Heagerty's C-index, and decision curve analysis (DCA) were used to quantify model accuracy and to compare the current tool with the Walz nomogram, the online Memorial Sloan Kettering Cancer Center (MSKCC) nomogram and the post-surgical Cancer of the Prostate Risk Assesment (CAPRA-S)...
February 27, 2018: Prostate Cancer and Prostatic Diseases
Kasım Kilicarslan, Nadir Yalcin, Vedat Bicici, Elif Ozdemir, Izzet Bingol, Seyda Turkolmez
OBJECTIVE: To evaluate the viability and integrity of fresh frozen bulk femoral head allografts obtained from the institutional bone bank that were used to reconstruct severe acetabular defects and to validate the SPECT/CT method which gives both anatomical and functional data for this purpose. METHODS: We retrospectively reviewed 9 patients (6 female, 3 male; mean age 63.6 years). Preoperative and postoperative leg lengths, existence of the Trendelenburg sign, range of motion of the hip, visual analogue score (VAS), Harris Hip Score (HHS) and any complication were assesed at each follow-up...
November 21, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Erman Ceyhan, Onder Murat Delialioglu, Kenan Bayrakci, Bulent Daglar, Alper Deveci, Ugur Gunel
AIM: The aim of the study was to develop new equipment for the assessment of the flexibility of the spine with different forces. This new system should provide a different perspective to adolescent idiopathic scoliosis (AIS) for the selection of fusion levels and surgical success. MATERIAL AND METHODS: Eighteen patients suffering from AIS who were scheduled to undergo posterior instrumented spinal fusion in our clinic were recruited in this study. The Electronic Traction Table (ETT) that was designed in our clinic was used to evaluate the radiogical and clinical parameters of the spine...
2017: Turkish Neurosurgery
Marco Casaccia, Simona Macina, Rosario Fornaro, Marco Frascio, Tommaso Testa, Cesare Stabilini, Ezio Gianetta
INTRODUCTION: Isolated splenic abscess is a rare clinical condition and remains a diagnostic dilemma. Clinical presentation is non-specific and the diagnosis is often delayed. Ultrasonography and CT scan are the gold standard. The treatment is still controversial: antibiotic therapy, percutaneous drainage (PCD) or splenectomy. CASE PRESENTATION: We present the clinical case of a patient, admitted to our Department because of abdominal pain, without fever. The preoperative radiological assesment showed three intrasplenic liquid collections, whose differential diagnosis was made between hematic collection and abscess...
2016: International Journal of Surgery Case Reports
M U Karacaoglu, E S Ozyurek, S Mutlu, E Odacilar
UNLABELLED: Genital prolapse is one of the most significant problems which lowers the quality of life measures of middle and older aged women. A continuously growing number of women are being operated due to this indication. OBJECTIVE: This study intends to asses the clinical outcome and the impact on quality of life of uterine sacrospinous ligament fixation (USLF) conducted with a mesh stabilizing anchor set in the present clinic following vaginal hysterectomy...
2016: Clinical and Experimental Obstetrics & Gynecology
Igor Hartmann, Michal Grepl, Ales Vidlar, Oldrich Smakal, Jan Vaclavik, Zdenek Frysak, Martin Dolezel, Vladimir Student
INTRODUCTION: Primary hyperaldosteronism is a common cause of secondary hypertension. In patients with proven unilateral overproduction of aldosterone adrenalectomy can cure hyperaldosteronism with high probability and a positive effect on hypertension. The aim of the study was to determine the effects of unilateral adrenalectomy on blood pressure and laboratory parameters. The secondary objective was to identify parameters that would allow the prediction of hypertension cure. METHODS: We performed a cross-sectional analysis of the data of patients who underwent unilateral adrenalectomy for primary aldosteronism at the Department of Urology of University Hospital Olomouc in the years 2000-2011...
December 2014: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
Vinícius José da Silva Nina, Maria Iracema de Amorim Rocha, Rayssa Fiterman Rodrigues, Vanessa Carvalho de Oliveira, João Lívio Linhares Teixeira, Eduardo Durans Figueredo, Rachel Vilela de Abreu Haickel Nina, Carlos Antonio Coimbra Sousa
INTRODUCTION: Neurological dysfunction is a feared postoperative morbidity of cardiac surgery, an important cause of death and increased spending in hospitals. Its prediction, however, is still uncertain. OBJECTIVE: To assess the applicability of a preoperative score as a predictor of neurological dysfunction after coronary artery bypass grafting (CABG) under cardiopulmonary bypass (CPB). METHODS: Prospective study that evaluated 77 patients who underwent CABG from February to October 2011...
July 2012: Revista Brasileira de Cirurgia Cardiovascular
Fábio Rodrigues Kerbauy, Leonardo Raul Morelli, Cláudia Toledo de Andrade, Luis Fernando Lisboa, Miguel Cendoroglo Neto, Nelson Hamerschlak
OBJECTIVE: To evaluate whether the Pretransplantion Assesment of Mortality risk score is associated to transplant costs and can be used not only to predict mortality but also as a cost management tool. METHODS: We evaluated consecutively patients submitted to allogeneic (n = 27) and autologous (n = 89) hematopoietic stem cell-transplantation from 2004 to 2006 at Hospital Israelita Albert Einstein (SP), Brazil. Participants mean age at hematopoietic stem cell-transplantation was 42 (range 1 to 72) years; there were 69 males and 47 females; 30 patients had multiple myeloma; 41 had non-Hodgkin and Hodgkin's lymphomas; 22 had acute leukemia; 6 had chronic leukemia; and 17 had non-malignant disease...
January 2012: Einstein
Fahri Yetişir, A Ebru Salman, Doğukan Durak, Mehmet Kiliç
BACKGROUND: Laparoscopic Nissen Fundoplication has become the gold standard surgical procedure for management of gastroesophageal reflux disease. Nissen fundoplication provides an effective barrier against reflux. The aim of this study was to evaluate early postoperative outcomes of a different surgical technique, laparoscopic fundoplication with double sided posterior gastropexy. METHODS: Data of 46 patients who underwent laparoscopic fundoplication with double sided posterior gastropexy between February 2010 and December 2011 were collected...
2012: International Journal of Surgery
Slavica Knezević-Usaj, Zivka Eri, Milana Panjković, Istvan Klem, Tomislav Petrović, Tatjana Ivković-Kapicl, Aleksandra Karapandzić, Jasmina Jelić
BACKGROUND/AIM: Fine needle aspiration cytology (FNAC) of the thyroid gland has been used as an initial investigative procedure of thyroid nodule(s) in the Department of Pathology at the Institute of Oncology of Vojvodina for more than 20 years. This procedure is rapid, inexpensive and technologically simple, yet it has found only limited, albeit increasing acceptance in medical practice in Serbia. The aim of the study was to evaluate our FNAC findings by correlating cytological results with histological diagnosis and to define the sensitivity, diagnostic accuracy and positive predictive value of FNAC...
July 2012: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Vojislava Nesković
In some surgical patients immunosuppression is easily apparent and directly caused by known underlying disease or treatment. In others, although induced by the underlying disease, immunosuppression may be less obvious. Perioperative management of immunocompromised patient is mostly directed by the fact that immunosuppression itself does not cause pathology, but does leave the patient prone to infection. Immunodeficiency can be broadly characterized as congenital (primary) or acquired (secondary). The majority of immune deficiencies that are of interest to the anaesthetist are acquired...
2011: Acta Chirurgica Iugoslavica
Leire Arbea, Juan A Díaz-González, Jose Carlos Subtil, Josu Sola, Jose Luis Hernandez-Lizoain, Rafael Martínez-Monge, Marta Moreno, Javier Aristu
PURPOSE: The main goals of preoperative chemoradiotherapy (CHRT) in rectal cancer are to achieve pathological response and to ensure tumor control with functional surgery when possible. Assessment of the concordance between clinical and pathological responses is necessary to make decisions regarding alternative conservative procedures. The present study evaluates the patterns of response after a preoperative CHRT regimen, and the value of endoscopic ultrasound (EUS) in assessing response...
October 1, 2011: International Journal of Radiation Oncology, Biology, Physics
N M Popović, A R Karamarković, Z B Blagojević, B V Terzić, V T Nikolić, P B Gregorić, J Djoković, Dj D Bajec
Nonsteroidal antiinflamatory drugs (NSAIDs) lead to satisfactory acute and chronic pain relief. Besides that, they exert potent antiinflamatory effect. Their analgesic potency is dose related and limited. Orthopedic patients are often on these medications preoperatively and experience opioid-sparing effect in the postoperative period. Chronic NSAIDs use is related to higher rate of sistemic adverse effects, but even short time exposure in the postoperative period is not risk-free. Although Coxibs reduce GIT bleeding incidence due to prolonged use of NSAIDs, there has to be judicious decision considering their cardiovascular adverse effects...
2010: Acta Chirurgica Iugoslavica
Khashayar Farsad, Alexander C Mamourian, Clifford J Eskey, Jonathan A Friedman
OBJECTIVES: Computerized tomographic angiography (CTA) has emerged as a valuable diagnostic tool for the management of patients with cerebrovascular disease. The use of CTA in lieu of, or as an adjunct to, conventional cerebral angiography in the management of cerebral aneurysms awaits further experience. In this study, we evaluated the role of CTA specifically for the pre-operative assessment and planning of cerebral aneurysm surgery. PATIENTS AND METHODS: We reviewed the relevant neuroimaging of all patients treated at Dartmouth Hitchcock Medical Center between January, 2001 and December, 2004 with a diagnosis of cerebral aneurysm and diagnostic evaluation with both CTA and conventional digital subtraction angiography (DSA) using standard imaging protocols...
2009: Open Neurology Journal
Yüksel Ozkan, Alpaslan Oztürk, Recai Ozdemir, Serkan Aykut, Nazan Yalçin
BACKGROUND: Freiberg's infraction is an osteochondrosis of a lesser metatarsal head resulting in joint degeneration. There is no consensus regarding the management of these lesions. Here, we describe an interpositional arthroplasty using extensor digitorum brevis tendon as a solution for Freiberg's disease. MATERIALS AND METHODS: Between 2003 and 2006, 6 women and 4 men with Freiberg's disease unresponsive to conservative treatment were operated with interpositional arthroplasty with extensor digitorum brevis tendon...
May 2008: Foot & Ankle International
Andrzej Górecki, Sławomir Struzik
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...
February 28, 2003: Ortopedia, Traumatologia, Rehabilitacja
Anthony David Neil Murray, Jane Orpen, Carolyn Calcutt
BACKGROUND: Most studies of infantile esotropia concern patients diagnosed in infancy and treated throughout childhood. This prospective study addresses changes in the functional binocular status of older children and adults with previously untreated infantile esotropia, following late surgical realignment. SUBJECTS AND METHODS: Seventeen patients aged 8 years or more with a history of untreated esotropia occurring within the first 6 months of life were included in this study...
April 2007: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
X Altuna Mariezkurrena, F Gorostiaga Aznar, A Zulueta Lizaur, J Algaba Guimerá
The treatment ofparotid masses is generally surgery. The presurgical assesment is made by clinical examination, radiology and fine needle aspiration (FNA). FNA has been applied for the last decades and has been the subject of many reviews. It is a safe, rapid and economic procedure that can be made as an ambulatory procedure. In this study we have reviewed the parotidectomies performed in our institution during the years 1998 - 2003 where a preoperative FNA was available. The sensitivity of FNA in our hands is 40% and specifity 96...
2006: Anales Otorrinolaringológicos Ibero-americanos
Minoru Fukuda, Yoshito Takagi
BACKGROUND: There is no widespread, well-accepted preoperative risk evaluation system for cardiac operative patients in Japan. We evaluated a scoring system for the prediction of postoperative morbidity and mortality in Japanese cardiac surgical patients. METHODS: Between August 1, 2002 and July 31, 2003 154 patients undergoing heart surgery with cardiopulmonary bypass were scored according to EuroSCORE (European system for cardiac operative risk evaluation). All patients were divided into three risk groups, low risk group (score 0-2), medium risk group (score 3-5), and high risk group (score 6 plus)...
October 2004: Masui. the Japanese Journal of Anesthesiology
Yoshihito Morita, Masaki Senami, Hirotaka Maruya, Tomoko Urushibara, Maiko Yasuda
BACKGROUND: Following anticholinergic premedication and preoperative fasting, preoperative patients with a potential xerostomia have complaints associated with oral dryness. Xerostomia may lead to risk of mucosal burning and secondary infection. The purpose of this prospective study was to assess the effect of oral balance gel on dryness of the mouth in preoperative patients. METHODS: Thirty nine patients scheduled for elective surgery were randomly assigned to either of the group with or without using the oral balance gel...
July 2004: Masui. the Japanese Journal of Anesthesiology
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