73,490 results match your criteria Elective Abortion


Neurofilament Light in the Serum and Cerebrospinal Fluid of Hip Fracture Patients with Delirium.

Dement Geriatr Cogn Disord 2018 Dec 6;46(5-6):346-357. Epub 2018 Dec 6.

Oslo Delirium Research Group, Department of Geriatric Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Background: Delirium is associated with new-onset dementia, suggesting that delirium pathophysiology involves neuronal injury. Neurofilament light (NFL) is a sensitive biomarker for neuroaxonal injury.

Methods: NFL was measured in cerebrospinal fluid (CSF) (n = 130), preoperative serum (n = 192), and postoperative serum (n = 280) in hip fracture patients, and in CSF (n = 123) and preoperative serum (n = 134) in cognitively normal older adults undergoing elective surgery. Read More

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December 2018
2 Reads

A novel transnational fresh oocyte donation (TOD) program based on transport of frozen sperm and embryos.

Hum Reprod 2018 Dec 6. Epub 2018 Dec 6.

Clínica EUGIN, Barcelona, Spain.

Study Question: What is the clinical efficacy of an oocyte donation program based on the transportation of frozen semen and embryos between two countries?

Summary Answer: The transnational oocyte donation program is efficient and reliable and it could provide a first-line strategy to overcome the lack of donors in some countries.

What Is Known Already: While there is increasing need for donated oocytes, in many countries the availability of donors is still insufficient to cover the therapeutic demands, and patients are referred abroad for treatment. Since embryo cryopreservation is reliable and efficient, we propose a strategy based on frozen embryos instead of frozen oocytes to satisfy the increasing demand for cross border oocyte donation. Read More

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December 2018

Index Admission Emergency Laparoscopic Cholecystectomy and Common Bile Duct Exploration: Results From a Specialist Center in the United Kingdom.

Surg Laparosc Endosc Percutan Tech 2018 Dec 4. Epub 2018 Dec 4.

Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK.

Background: The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood.

Methods: We analyzed our results for index emergency admission laparoscopic cholecystectomy within a specialist center in the United Kingdom. Read More

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December 2018

Accuracy of Right Upper Quadrant Ultrasound in Estimating Gallbladder Wall Thickness.

Surg Laparosc Endosc Percutan Tech 2018 Dec 4. Epub 2018 Dec 4.

Departments of Surgery.

Objective: Ultrasound (US) evaluation of biliary pathology can be influenced by a variety of factors. This study examines the effect of patient specific factors on the accuracy of sonographic evaluation of gallbladder wall thickness (GBW).

Methods: We performed a retrospective review of all patients who underwent cholecystectomy at a single institution from November 2012 to October 2015. Read More

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December 2018
1 Read

Reply to: fluid therapy for critical haemorrhage during elective noncardiac surgery.

Eur J Anaesthesiol 2019 Jan;36(1):79-80

From the Anaesthesia Department, Hospital Universitari Bellvitge, Universidad de Barcelona (MJC) and Anaesthesia Department, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain (PG).

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January 2019

Reply to: fluid therapy for critical haemorrhage during elective noncardiac surgery.

Eur J Anaesthesiol 2019 Jan;36(1):78-79

From the Department of Anaesthesiology, CHU Brugmann, Brussels, Belgium (PVdL), Department of Anaesthesiology, Surgical Intensive Care and Pain Medicine, St.-Elisabeth-Hospital Straubing, Straubing, Germany (MJ), and Department of Anaesthesia and Intensive Care, Evangelical Hospital Vienna and Sigmund Freud Private University, Vienna, Austria (SK).

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January 2019

Fluid therapy for critical haemorrhage during elective noncardiac surgery.

Eur J Anaesthesiol 2019 Jan;36(1):77-78

From the Department of Anaesthesiology (KCR, NHS) and Centre for Head and Orthopaedic Surgery (TP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

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January 2019

Ketamine-induced anaphylactic shock during elective parotidectomy: A case report.

Eur J Anaesthesiol 2019 Jan;36(1):70-71

From the Department of Anaesthesiology and Intensive Care (QM, JB, PEG), Department of Pulmonology (NP), Department of Otorhinolaryngology, Military Hospital Sainte Anne, Toulon (LV) and French Military Health Service Academy Unit, Ecole du Val-de-Grâce, Paris, France (JB).

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January 2019

High-sensitivity troponin T is a prognostic marker of hemodynamic instability in patients undergoing valve surgery.

Biomark Med 2018 Dec 6. Epub 2018 Dec 6.

Department of Acquired Cardiac Defects, Institute of Cardiology, Warsaw, Poland.

Aim: The usefulness of high-sensitivity troponin T (hs-TnT) as a predictor of perioperative hemodynamic instability is currently unknown.

Methods: A prospective study was conducted on a group of 708 consecutive patients with significant valvular heart disease that underwent elective valve surgery. The primary end point was postoperative hemodynamic instability. Read More

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December 2018

The usefulness of selected biomarkers in patients with valve disease.

Biomark Med 2018 Dec 6. Epub 2018 Dec 6.

Department of Acquired Cardiac Defects, Institute of Cardiology,  Warsaw, Poland.

Aim: The aim of the study was to investigate the prognostic value of selected biomarkers in patients undergoing valve surgery.

Materials & Methods: A prospective study was conducted on a group of consecutive patients with hemodynamically significant valve defects that underwent elective valve repair or replacement surgery. The primary end point was any major adverse event including death within 30 days. Read More

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December 2018
2 Reads

Chronic tubal pregnancy manifesting as a heterogeneous adnexal mass with prominent neovascularization in a woman with a negative serum β-human chorionic gonadotropin level.

J Obstet Gynaecol Res 2018 Dec 6. Epub 2018 Dec 6.

Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Japan.

A 41-year-old woman (gravida 2, para 1) underwent elective termination of pregnancy at approximately 7 weeks of gestation. At 1 month after the elective abortion, she was referred due to abnormal results in a cervical cytological examination. Transvaginal ultrasonography showed a heterogeneous mass of 16 mm in diameter in the left adnexal region. Read More

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December 2018

Initiating patient discussions about oocyte cryopreservation: Attitudes of obstetrics and gynaecology resident physicians.

Reprod Biomed Soc Online 2018 Aug 7;6:72-79. Epub 2018 Nov 7.

Yale University, Fertility Center, New Haven, CT, USA.

This study examined the attitudes of obstetrics and gynaecology (OB/GYN) resident physicians to initiating patient discussions regarding medical and elective oocyte cryopreservation (OC). The study used a cross-sectional online survey of OB/GYN medical residents in the USA, sampled from residency programmes approved by the American Council for Graduate Medical Education. In total, 208 medical residents, distributed evenly between postgraduate years 1-4, participated in the study. Read More

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Costs of outpatient and inpatient MRSA screening and treatment strategies for patients at elective hospital admission - a decision tree analysis.

Antimicrob Resist Infect Control 2018 29;7:147. Epub 2018 Nov 29.

2Institute of Hygiene and Environmental Health, University Medicine of Greifswald, Walther-Rathenau-Straße 49a, 17489 Greifswald, Germany.

Background: Nosocomial infections are among the most common complications in hospitals. A major part is caused by multidrug-resistant organisms (MDRO). MRSA is still the most prominent and frequent MDRO. Read More

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November 2018

Medical students' perception of international health electives in the undergraduate medical curriculum at the College of Medicine, King Saud University.

Adv Med Educ Pract 2018 8;9:811-817. Epub 2018 Nov 8.

Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia,

Background: International health electives prepare medical students during their student years of medical education in choosing, matching, and succeeding in the residency of their choice. They serve as a unique educational experience prior to residency training.

Objective: This study was conducted to explore 4th- and 5th-year medical students' perspective about international health electives and to evaluate their educational effects. Read More

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November 2018

Associations Between Plasma Betatrophin Levels and Coronary and Peripheral Artery Disease.

J Atheroscler Thromb 2018 Dec 4. Epub 2018 Dec 4.

Department of Cardiology, National Hospital Organization Tokyo Medical Center.

Aim: Betatrophin, a recently identified circulating adipokine, affects lipid and glucose metabolism. However, association between plasma betatrophin levels and atherosclerotic diseases, such as coronary artery disease (CAD) and peripheral artery disease (PAD), has not been elucidated.

Methods: We investigated plasma betatrophin levels in 457 patients undergoing elective coronary angiography who also had ankle-brachial index (ABI) test for PAD screening. Read More

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December 2018

Risk of Post-polypectomy Bleeding With Uninterrupted Clopidogrel Therapy in an Industry-independent, Double-blind, Randomized Trial.

Gastroenterology 2018 Oct 25. Epub 2018 Oct 25.

Department of Medicine & Therapeutics, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China (SAR); State Key Laboratory of Digestive Disease, LKS Institute of Health Science, The Chinese University of Hong Kong, Hong Kong, China (SAR).

Background & Aims: Guidelines recommend withholding clopidogrel 7 days before polypectomy to reduce bleeding risk, but these were written based on limited evidence. We investigated whether uninterrupted clopidogrel therapy increases the risk of delayed post-polypectomy bleeding in patients undergoing colonoscopy.

Methods: We identified patients receiving clopidogrel for cardiovascular disease undergoing elective colonoscopies in Hong Kong, from 28 February 2012 through 11 April 2018. Read More

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October 2018
1 Read

Construction and validation of a prediction model to minimize twin rates at preserved high live birth rates after IVF.

Reprod Biomed Online 2018 Nov 14. Epub 2018 Nov 14.

Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, Uppsala S-751 85, Sweden; Carl von Linné Clinic, Uppsala Science Park, Uppsala S-751 83, Sweden; Centre for Reproductive Biology in Uppsala, University of Agricultural Science and Uppsala University, Uppsala S-750 07, Sweden.

Research Question: Elective single-embryo transfer (eSET) at blastocyst stage is widely used to reduce the frequency of multiple pregnancies after IVF. There are, however, concerns about increased risks for the offspring with prolonged embryo culture. Is it possible to select embryos for transfer at the early cleavage stage and still achieve low twin rates at preserved high live birth rates?

Design: A prediction model (PM) was developed to optimize eSET based on variables known 2 days after oocyte retrieval (fresh day 2 embryo transfers; double-embryo transfers 1999-2002 (n=2846) and SET 1999-2003 (n=945); n total=3791). Read More

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November 2018

Machine learning for identification of surgeries with high risks of cancellation.

Health Informatics J 2018 Dec 5:1460458218813602. Epub 2018 Dec 5.

Sichuan University, China.

Surgery cancellations waste scarce operative resources and hinder patients' access to operative services. In this study, the Wilcoxon and chi-square tests were used for predictor selection, and three machine learning models - random forest, support vector machine, and XGBoost - were used for the identification of surgeries with high risks of cancellation. The optimal performances of the identification models were as follows: sensitivity - 0. Read More

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December 2018

Role of perceived stress in postoperative delirium: an investigation among elderly patients.

Aging Ment Health 2018 Dec 6:1-7. Epub 2018 Dec 6.

c Division of Surgical Critical Care and Trauma, Department of Surgery, Maharaj Nakorn Chiang Mai Hospital , Chiang Mai , Thailand.

Objectives: This study examined levels of perceived stress (PS), postoperative delirium (POD) and associated factors among Thai elderly patients undergoing elective noncardiac surgery.

Background And Aims: Preoperative PS and change after operation have not been widely studied. Moreover, psychological factors associated with PS and POD has been poorly investigated. Read More

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December 2018

Automated Text Message Reminders Improve Radiation Therapy Compliance.

Int J Radiat Oncol Biol Phys 2018 Nov 30. Epub 2018 Nov 30.

Department of Radiation Oncology, University of Texas Southwestern Medical Center, 2280 Inwood Rd., Dallas, TX 75390; Department of Biochemistry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390. Electronic address:

Purpose: Protraction of radiation therapy courses can lead to lower cancer control and cancer-specific survival rates. The requirement for daily, consecutive radiation treatments coupled with the complexities of multi-modality cancer care and quality assurance can occasionally lead to missed patient appointments or clinical inefficiency. To determine if an automated text messaging (SMS) platform could improve patient compliance with scheduled radiation therapy delivery we created an automated SMS platform to send daily reminders of radiation therapy appointments. Read More

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November 2018

Circulating Gas6 is associated with reduced human carotid atherosclerotic plaque burden in high risk cardiac patients.

Clin Biochem 2018 Dec 1. Epub 2018 Dec 1.

Department of Medicine, Division of Cardiology, Cardiovascular Imaging Network at Queen's, Queen's University, Kingston, Ontario, Canada; Department of Biomedical and Molecular Science, Queen's University, Kingston, Ontario, Canada. Electronic address:

Objective: Pre-clinical studies suggest that growth arrest-specific protein 6 (Gas6), a member of the vitamin K dependent family of proteins, is implicated in atherosclerosis. A role for Gas6 in stabilizing atherosclerotic plaque has been suggested. Our aim was to determine the association between Gas6 and measures of carotid artery atherosclerosis in humans undergoing elective coronary angiography. Read More

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December 2018

Opioid analgesic use and patient-reported pain outcomes after rhinologic surgery.

Int Forum Allergy Rhinol 2018 Dec 3. Epub 2018 Dec 3.

Department of Otolaryngology-Head and Neck Surgery, Department of Anesthesiology, New York-Presbyterian Hospital-Weill Cornell Medicine, New York, NY.

Background: Opioid-based analgesics are routinely prescribed after elective rhinologic surgery. Balancing appropriate pain management while avoiding overprescription necessitates an evidence-based approach.

Methods: Patients undergoing elective rhinologic surgery, including endoscopic sinus surgery (ESS), septoplasty, or ESS with septoplasty, were prospectively enrolled. Read More

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December 2018
1 Read

Development and Validation of an Electronic Postoperative Morbidity Score.

Anesth Analg 2018 Nov 30. Epub 2018 Nov 30.

From the University Division of Anaesthesia.

Background: Electronic health records are being adopted due to numerous potential benefits. This requires the development of objective metrics to characterize morbidity, comparable to studies performed in centers without an electronic health record. We outline the development of an electronic version of the postoperative morbidity score for integration into our electronic health record. Read More

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November 2018

Intra-operative tachycardia is not associated with a composite of myocardial injury and mortality after noncardiac surgery: A retrospective cohort analysis.

Eur J Anaesthesiol 2018 Nov 30. Epub 2018 Nov 30.

From the Department of Outcomes Research (KR, AT, NMZ, GM, AK, DIS), Department of General Anaesthesiology (KR, AT, AK), Anaesthesiology Institute, Cleveland Clinic, Outcomes Research Consortium, Cleveland, Ohio, USA (HOY, M-HH), Department of Critical Care, Dr. Suat Seren Chest Disease and Thoracic Surgery Education and Research Hospital, Izmir, Turkey (HOY), Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio, USA (NMZ, GM) and Department of Anaesthesiology, National Taiwan University Hospital, Taipei, Taiwan (M-HH).

Background: Myocardial injury after noncardiac surgery (MINS) is a major contributor to peri-operative morbidity and mortality with a reported incidence of about 8%. Tachycardia increases myocardial oxygen demand, and decreases oxygen supply, and is therefore a potential cause of MINS.

Objective: We tested the hypothesis that there is an association between intra-operative area above a heart rate (HR) of 90 bpm and a composite of MINS and in-hospital all-cause mortality. Read More

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November 2018

Neuraxial anesthesia is less harmful to the endothelial glycocalyx during elective joint surgery compared to general anesthesia1,2.

Clin Hemorheol Microcirc 2018 Nov 29. Epub 2018 Nov 29.

Department of Anaesthesiology and Intensive Care, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech Republic.

Background: Damage of the endothelial glycocalyx (EG) has been described during surgery, but the effect of different anesthesia techniques remains unknown. Perfused boundary region (PBR) evaluated by side-stream dark field (SDF) imaging of the sublingual microcirculation enables in vivo EG assessment. PBR values are inversely related to the EG thickness. Read More

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November 2018
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Electrocardiographic and echocardiographic features in patients with major arterial vascular disease assigned to surgical revascularization.

Acta Cardiol 2018 Dec 3:1-7. Epub 2018 Dec 3.

a Dipartimento di Medicina Interna e Scienze Biomediche, Sezione di Cardiologia , Università degli Studi di Parma , Parma , Italy.

Background: We aimed to depict the electrocardiographic and echocardiographic aspects in patients before elective major vascular surgery.

Methods: We evaluated through standard 12 lead electrocardiography and transthoracic echocardiography 469 patients with asymptomatic large abdominal aortic aneurysm (AAA), 334 with critical carotid stenosis (CAS), and 238 with advanced peripheral artery disease (PAD) before surgical revascularization.

Results: Patients with AAA were predominantly males (p < . Read More

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December 2018

Cost-effectiveness of incisional negative pressure wound therapy compared to standard care after caesarean section in obese women: A trial-based economic evaluation.

BJOG 2018 Dec 3. Epub 2018 Dec 3.

Danish Centre for Health Economics (DaCHE), Department of Public Health, University of Southern Denmark, Odense, Denmark.

Objective: To evaluate the cost-effectiveness of incisional Negative Pressure Wound Therapy (iNPWT) in preventing surgical site infection in obese women after caesarean section.

Design: A cost-effectiveness analysis conducted alongside a clinical trial.

Setting: Five obstetric departments in Denmark. Read More

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December 2018

Prediction of Prolonged ICU Stay in Cardiac Surgery Patients as a Useful Method to Identify Nutrition Risk in Cardiac Surgery Patients: A Post Hoc Analysis of a Prospective Observational Study.

JPEN J Parenter Enteral Nutr 2018 Dec 2. Epub 2018 Dec 2.

Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, Ontario, Canada.

Background: Cardiovascular surgery patients with a prolonged intensive care unit (ICU) stay may benefit most from early nutrition support. Using established scoring systems for nutrition assessment and operative risk stratification, we aimed to develop a model to predict a prolonged ICU stay ≥5 days in order to identify patients who will benefit from early nutrition interventions.

Methods: This is a retrospective analysis of a prospective observational study of patients undergoing elective valvular, coronary artery bypass grafting, or combined cardiac surgery. Read More

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December 2018

Uterotonics in elective caesarean delivery: a randomised non-inferiority study comparing carbetocin 20 μg and 100 μg.

Anaesthesia 2018 Dec 1. Epub 2018 Dec 1.

Department of Anaesthesia and Pain Management, Mount Sinai Hospital, University of Toronto, ON, Canada.

Postpartum haemorrhage is the leading cause of maternal mortality worldwide and prophylactic uterotonic drug administration after the delivery of the infant is advised. Carbetocin is recommended as an uterotonic, but the minimum effective dose has not been verified. We compared the efficacy of two doses of intravenous carbetocin (20 μg and 100 μg) in women undergoing elective caesarean delivery. Read More

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December 2018

[Preliminary report on prospective, multicenter, open research of selective surgery after expandable stent combined with neoadjuvant chemotherapy in the treatment of obstructive left hemicolon cancer].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1233-1239

Department of General Surgery, The Fourth Hospital, Hebei Medical University, Shijiazhuang 050011, China.

Objective: To evaluate the safety and feasibility of neoadjuvant chemotherapy prior elective surgery following self-expanding metallic stents (SEMS) for complete obstructive left hemicolon cancer.

Methods: This prospective, multicenter, open-labelled trial was approved by the Ethics Committee of Beijing Chaoyang Hospital, Capital Medical University(2016-ke-161-1) and registered in Clinicaltrials.gov (NCT02972541). Read More

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November 2018

Oral habits and malocclusion in children resident in Ile-Ife Nigeria.

Eur Arch Paediatr Dent 2018 Nov 30. Epub 2018 Nov 30.

Department of Child Dental Health, Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, 220005, Osun State, Nigeria.

Aim: To determine the: prevalence of oral habits in children aged 1-12 years in Ife Central Local Government Area of Osun State Nigeria; association between oral habits and malocclusion in children aged 6-12 years; differences in orthodontic treatment needs of children with and without oral habits and the effect of digit sucking severity on occlusal profile.

Methods: This was a cross-sectional study that collected data through a household survey. Information collected included the age, gender, and oral habits of study participants. Read More

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November 2018

Traumatic lumbar hernia: clinical features and management.

Ann Surg Treat Res 2018 Dec 26;95(6):340-344. Epub 2018 Nov 26.

Department of Trauma, Gachon University Gil Medical Center, Incheon, Korea.

Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias.

Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Read More

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December 2018
1 Read

Acute non-traumatic adrenal haemorrhage-management, pathology and clinical outcomes.

Gland Surg 2018 Oct;7(5):428-432

Endocrine Surgery Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

Background: Acute adrenal haemorrhage is a rare medical emergency. The aim of the series was to study the clinical presentation and management of patients presenting with acute non-traumatic adrenal haemorrhage.

Methods: The records of patients presenting with an acute abdomen secondary to adrenal haemorrhage and treated in a tertiary endocrine surgical unit over a period of 6 years were reviewed. Read More

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October 2018

Identification of Various Perioperative Risk Factors Responsible for Development of Postoperative Hypoxaemia.

Turk J Anaesthesiol Reanim 2018 Dec 1;46(6):416-423. Epub 2018 Mar 1.

Department of Anaesthesiology and Intensive Care, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

Objective: Identification of risk factors that might be responsible for postoperative hypoxaemia, in view of changing profile of surgical patients and better but more complex perioperative care nowadays.

Methods: We conducted a prospective observational study that included patients aged 18-65 years, who underwent elective surgery and required general anaesthesia. Oxygen saturation was monitored before the induction in operating room and continued 72 hours post-surgery. Read More

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December 2018

Success of intraoperative imaging and management of suspected choledocholithiasis without pre-operative bile duct imaging - A case series.

Ann Med Surg (Lond) 2018 Dec 5;36:173-177. Epub 2018 Nov 5.

Consultant Upper GI Surgeon, South Devon NHS Foundation Trust, United Kingdom.

Background: Laparoscopic common bile duct exploration (LCBDE) is gaining popularity over endoscopic retrograde cholangiopancreatography (ERCP) for the management of common bile duct stones. However, its application has been almost exclusively following preoperative stone confirmation via magnetic retrograde cholangiopancreatography (MRCP), endoscopic ultrasound (EUS) or ERCP. We present our series of LCBDE following detection of common bile duct stones with intraoperative imaging (IOI) alone, in consecutive elective and emergency patients with suspected choledocholithiasis. Read More

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December 2018

Abdominal herniation associated with bullhorn injury as a separate entity from traumatic abdominal wall hernias.

J Res Med Sci 2018 26;23:86. Epub 2018 Oct 26.

Department of Anaesthesia, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Bullhorn injury is a rare mechanism causing traumatic abdominal wall hernia (TAWH). Bullhorn injury needs to be discussed as a separate sub-entity among TAWHs as the mechanism of injury is such that the great force is generated at a relatively small area of impact for a short duration of time which may lead to muscle defect without compromising integrity of overlying skin (referred to as sheathed goring) leading to herniation of abdominal viscera. The purpose of this review was to discuss abdominal herniation's associated with bullhorn injury as a separate entity from TAWHs; recognize the common presentations, mechanism of injury, and modalities of treatment currently utilized for this rare condition. Read More

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October 2018

Patients with Atrial Fibrillation and Chronic Kidney Disease More Often Undergo Angioplasty of Left Main Coronary Artery - a 867 Patient Study.

Kidney Blood Press Res 2018 Nov 30;43(6):1796-1805. Epub 2018 Nov 30.

Cardiology Department, Ioannina University Hospital, Ioannina, Greece.

Background/aims: Several studies have implicated atrial fibrillation (AF) as a contributing factor in chronic kidney disease (CKD) and cardiovascular events. The prevalence of coronary artery disease (CAD) in patients with AF varies substantially from 17% to 46.5%. Read More

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November 2018

Outcomes of Extracorporeal Membrane Oxygenation Support for Complex High-Risk Elective Percutaneous Coronary Interventions: A Single-Center Experience and Review of the Literature.

J Invasive Cardiol 2018 Dec;30(12):456-460

Minneapolis Heart Institute, 920 E. 28th Street #300, Minneapolis, MN 55407 USA.

Objectives: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is most commonly used in patients with cardiac arrest and cardiogenic shock. There are limited data on the use of VA-ECMO for elective, high-risk percutaneous coronary intervention (PCI). We examined the in-hospital and mid-term clinical outcomes in patients undergoing complex, high-risk PCI with VA-ECMO support. Read More

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December 2018

Appraisal of a scoring instrument for training and testing neonatal intubation skills.

Arch Dis Child Fetal Neonatal Ed 2018 Dec 1. Epub 2018 Dec 1.

Department of Neonatology, Amalia Children's Hospital, Radboud University Medical Center, Nijmegen, The Netherlands.

Objective: To determine the validity, reliability, feasibility and applicability of a neonatal intubation scoring instrument.

Design: Prospective observational study.

Setting: Simulation-based research and training centre (Center for Advanced Pediatric and Perinatal Education), California, USA. Read More

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December 2018

What Is the Role of Elective Neck Dissection in the Management of Patients With Buccal Squamous Cell Carcinoma and Clinically Negative Neck Findings?

J Oral Maxillofac Surg 2018 Nov 7. Epub 2018 Nov 7.

Associate Professor and Chair, Department of Oral and Maxillofacial Surgery, University of Michigan, Ann Arbor, MI.

Purpose: Buccal squamous cell carcinoma (BSCC) is rare in the United States. Given its location, few anatomic barriers to spread exist and it has been found to have a high locoregional recurrence rate. The role of elective neck dissection (END) in patients with clinically negative neck findings (N0) is not clear. Read More

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November 2018

Disparities in minimally invasive surgery for colorectal cancer in Florida.

Am J Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Surgery, Mayo Clinic, Jacksonville, FL, USA. Electronic address:

Background: The cost of minimally invasive surgery (MIS) raises potential for racial and social disparities. The aim of this study was to identify the racial, socioeconomic and geographic disparities associated with MIS for colorectal cancer (CRC) in Florida.

Methods: Using the Florida Inpatient Discharge Dataset, we examined the clinical data of patients who underwent elective resections for CRC during 2013-2015. Read More

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November 2018

Nodal Oligorecurrent Prostate Cancer: Anatomic Pattern of Possible Treatment Failure in Relation to Elective Surgical and Radiotherapy Treatment Templates.

Eur Urol 2018 Nov 28. Epub 2018 Nov 28.

Department of Radiation Oncology and Experimental Cancer Research, Ghent University, Ghent, Belgium. Electronic address:

Background: Patients with biochemical recurrence following primary prostate cancer (PCa) treatment often experience relapse in the lymph nodes (LNs). Both salvage LN dissection (sLND) and elective nodal radiotherapy (ENRT) are potential treatment options.

Objective: To describe anatomic patterns of nodal oligorecurrent PCa in relation to different surgical and radiotherapy templates. Read More

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November 2018

Referral characteristics and wait times for uveitis consultation at academic tertiary care centres in Toronto.

Can J Ophthalmol 2018 Dec 28;53(6):639-645. Epub 2018 May 28.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ont.; Kensington Vision and Research Centre, Toronto, Ont.; St. Michael's Hospital, Toronto, Ont.. Electronic address:

Objective: To assess the characteristics of referrals to academic uveitis tertiary care centres in Toronto and identify determinants of wait time for consultation.

Design: Retrospective case series.

Methods: Consecutive new uveitis referrals received at 5 University of Toronto-affiliated uveitis tertiary care centres, between February 2016 and November 2016, were included. Read More

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December 2018

Noninvasive Ventilation After Thoracoabdominal Aortic Surgery: A Pilot Randomized Controlled Trial.

J Cardiothorac Vasc Anesth 2018 Nov 2. Epub 2018 Nov 2.

Department of Anesthesia and Intensive Care, Humanitas Clinical and Research Center, Rozzano Milan, Italy.

Objective: To assess the beneficial effects of noninvasive ventilation in treating postoperative pulmonary complications in patients undergoing thoracoabdominal aortic aneurysm (TAAA) open repair surgery.

Design: Randomized controlled trial.

Setting: University tertiary-care hospital. Read More

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November 2018

A prospective Study on Femoral Hernia Repair: Is the Inguinal Better Than The Infrainguinal Approach?

J Surg Res 2019 Jan 19;233:420-425. Epub 2018 Sep 19.

Department of Gastrointestinal Surgery, Hernia Center, West China Hospital, Sichuan University, Chengdu, China. Electronic address:

Background: Femoral hernia repair has various surgical methods. However, controversy still exists regarding the best method for management. This study aimed to compare the infrainguinal with the inguinal approach in the treatment of femoral hernias. Read More

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January 2019

The wound environment, microbial virulence and postoperative infection: Practical lessons for the surgeon.

Authors:
John C Alverdy

Cir Esp 2018 Nov 27. Epub 2018 Nov 27.

Profesor de Cirugía Sarah y Harold Lincoln Thompson, Vicepresidente ejecutivo, Departamento de Cirugía, Universidad de Chicago, Chicago, Illinois, Estados Unidos de América. Electronic address:

For the practicing surgeon, the development of a postoperative wound infection represents a major complication that can be both costly and disabling. As a result, surgeons apply multiple methods of prevention including skin decontamination, use of antibiotics, irrigation with or without antiseptics and meticulous use of technique. In elective surgery, however, most wound infections cannot be predicted. Read More

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November 2018

A Prospective, Randomized, Double-Blinded Controlled Trial Comparing Ibuprofen and Acetaminophen Versus Hydrocodone and Acetaminophen for Soft Tissue Hand Procedures.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopaedic Surgery, Penn State Hershey Medical Center, Hershey, PA.

Purpose: To compare the efficacy of opioid versus nonopioid analgesic regimens after elective, soft tissue hand surgery. We hypothesized that there would be no difference in patient-perceived pain relief between these 2 groups.

Methods: This prospective, randomized, double-blinded controlled trial included patients undergoing elective soft tissue hand procedures (carpal tunnel release, trigger finger release, first dorsal compartment release, or ganglion cyst excision). Read More

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November 2018

Role of Corticosteroids in Reducing Respiratory Morbidity in Neonates Delivered by Elective Cesarean Section before 39 Weeks.

J Coll Physicians Surg Pak 2018 Dec;28(12):906-909

Department of Neonatology, Military Hospital, Rawalpindi, Pakistan.

Objective: To determine the effect of dexamethasone administration to women between 37 to 39 weeks of gestation on neonatal outcome in terms of respiratory morbidity and the need for NICU admission.

Study Design: An experimental study.

Place And Duration Of Study: Department of Obstetrics and Department of Neonatology, Military Hospital, Rawalpindi, Pakistan, from February to July 2017. Read More

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December 2018

Incidence and Risk Factors for Dental Pathology in Patients Planned for Elective Total Hip or Knee Arthroplasty.

Scand J Surg 2018 Dec 2:1457496918816911. Epub 2018 Dec 2.

4 Department of Infectious Diseases, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Background And Aims:: To prevent severe prosthetic joint infections, a dental examination is usually recommended prior to arthroplasty, even sometimes regarded resource- and time-consuming. The aim of this study was to determine whether a risk factor-based algorithm could be created to send only selected patients for dental clearance.

Materials And Methods:: A prospective study of 952 patients scheduled for elective arthroplasty was performed. Read More

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December 2018