11,191 results match your criteria Preoperative Evaluation and Management


Obstructed hemivagina with ipsilateral renal and urinary tract anomaly presenting as an unusual cause of acute abdomen: a radiologic perspective.

BMJ Case Rep 2022 Jun 27;15(6). Epub 2022 Jun 27.

Department of Radiology, Philippine General Hospital, Manila, Philippines.

Obstructed hemivagina with ipsilateral renal anomaly (OHVIRA) is a rare congenital genitourinary defect with a triad of unilateral vaginal obstruction, uterine anomaly and ipsilateral renal agenesis. This paper reports an unusual presentation of OHVIRA, with our patient experiencing severe abdominal pain from a left tubo-ovarian abscess that is contralateral to the side of the vaginal outflow obstruction. Another reportable finding is our patient's rare association of a trifid ureter that fuses distally before inserting ectopically in her vaginal canal. Read More

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Patient understanding of oral information: Self-assessment versus test/feedback.

Patient Educ Couns 2022 Jun 3. Epub 2022 Jun 3.

University of Lorraine, APEMAC, F-54 000 Nancy, France; CHRU de Nancy, Department of Methodology, Promotion, Investigation, Data Management, Methodology and Statistics Unit, F-54500 Vandoeuvre-lès-Nancy, France. Electronic address:

Objectives: The primary objective of the study was to assess the agreement between the perceived and objectified comprehension levels of oral information received by patients during their preoperative consultation.

Methods: We conducted a prospective study in a surgical consultation service with patients who had scheduled prosthetic surgery. The study included 2 measurement phases, each of which involved an evaluation of the patient's perceived understanding and an evaluation of the understanding by a health professional (i. Read More

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Diagnostic performance of ultrasound in assessing the extension of disease in advanced ovarian cancer.

Am J Obstet Gynecol 2022 Jun 22. Epub 2022 Jun 22.

Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy. Electronic address:

Background: Surgical exploration remains the gold standard to evaluate the extension of disease and predict resectability. A laparoscopy-based scoring model was developed by Fagotti and colleagues in 2006 and updated in 2015, based on the intraoperative presence or absence of some specific cancer features. The model proved an overall accuracy rate of 77-100% and is considered the reference test to assess resectability in our Institution. Read More

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Importance of Incidental Findings in Preoperative Computed Tomography Angiography for Abdominal-Based Free Flap Breast Reconstruction: A Multi-institutional Study.

Plast Reconstr Surg 2022 Jun 24. Epub 2022 Jun 24.

Division of Plastic and Reconstructive Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.

Background: Besides its intended purpose of perforator mapping, CTA can also identify incidental findings that may require further evaluation. In this multi-institutional study, we evaluated the frequency of incidental findings and their significance and impact on treatment course. We also aimed to identify risk factors for detecting such findings. Read More

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Recurrent Cylindroma of the Scalp: A Cytomorphological Evaluation at Fine Needle Aspiration Cytology.

Cureus 2022 May 19;14(5):e25152. Epub 2022 May 19.

Pathology, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, BG Nagara, Mandya, IND.

Specific diagnosis of adnexal tumours at fine needle aspiration cytology (FNAC) is challenging. In a recurrent scalp tumour, a startling array of lesions ranging from benign to malignant tumours fall into differential diagnosis. Accurate preoperative diagnosis is essential for planning management and to improve clinical outcome. Read More

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Isolated Gastric Metastases of Pancreatic Ductal Adenocarcinoma following Radical Resection-Impact of Endosonography-Guided Fine Needle Aspiration Tract Seeding.

Biomedicines 2022 Jun 12;10(6). Epub 2022 Jun 12.

Department of Surgery I, University Hospital Olomouc, I.P. Pavlova 185/6, 77900 Olomouc, Czech Republic.

Background: Endosonography-guided fine needle aspiration biopsy (EUS-FNA)-associated metachronous gastric seeding metastases (GSM) of pancreatic ductal adenocarcinoma (PDAC) represent a serious condition with insufficient evidence.

Methods: Retrospective analysis of PDAC resections with a curative-intent, proven pathological diagnosis of PDAC, preoperative EUS-FNA and post-resection follow-up of at least 60 months. The systematic literature search of published data was used for the GSM growth evaluation using Pearson correlation and the linear regression analyses. Read More

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Traumatic gastric laceration with injury of splenic and celiac vessel following intentional self-harm by crashing of motor vehicle: A case report.

Ann Med Surg (Lond) 2022 Jun 24;78:103827. Epub 2022 May 24.

Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, 45210, Nepal.

Intra-abdominal injury due to blunt trauma accounts for 5-10% of all traumatic cases. It usually occurs secondary to motor vehicle collision, pedestrian injury, and falls. Typically these result in injury to solid abdominal organs-liver and spleen, hollow visceral organs, and rarely the abdominal vasculature. Read More

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Pelviureteric Junction Obstruction Due to Vascular Anomalies in Children - Simple Surgical Options.

J Indian Assoc Pediatr Surg 2022 May-Jun;27(3):297-303. Epub 2022 May 12.

Department of Paediatric Surgery, St. John's Medical College, Bengaluru, Karnataka, India.

Aims: Pelviureteric junction obstruction (PUJO) due to aberrant lower polar artery is conventionally managed with pyeloplasty. We present our experience of managing PUJO due to "vascular" anomalies-aberrant lower polar artery and vascular adhesions with simpler surgical options.

Subjects And Methods: This is a protocol based, retrospective study of PUJO. Read More

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Ten-year single-center experience with treatment of primary diffuse malignant peritoneal mesothelioma (DMPM) by cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC).

Langenbecks Arch Surg 2022 Jun 23. Epub 2022 Jun 23.

Department of General and Visceral Surgery, Hospital Barmherzige Brüder, Regensburg, Germany.

Purpose: This single-center study evaluated cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) for diffuse malignant peritoneal mesothelioma (DMPM).

Methods: Prospectively collected data from a single institution data registry was retrospectively investigated. Eighty-four patients with primary malignant peritoneal mesothelioma underwent CRS and HIPEC with cisplatin and doxorubicin either for 60 min or 90 min of duration from 2011 to 2021. Read More

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Functional Improvement Trajectories After Surgery (FIT After Surgery) study: protocol for a multicentre prospective cohort study to evaluate significant new disability after major surgery in older adults.

BMJ Open 2022 Jun 22;12(6):e062524. Epub 2022 Jun 22.

Department of Anesthesiology and Pain Medicine, Ottawa Hospital, Ottawa, Ontario, Canada.

Introduction: Older adults prioritise surviving surgery, but also preservation of their functional status and quality of life. Current approaches to measure postoperative recovery, which focus on death, complications and length of hospitalisation, may miss key relevant domains. We propose that postoperative disability is an important patient-centred outcome to measure intermediate-to-long recovery after major surgery in older adults. Read More

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Ultrasound Evaluation of Retrocervical and Parametrial Deep Endometriosis on the Basis of Surgical Anatomical Landmarks.

J Minim Invasive Gynecol 2022 Jun 19. Epub 2022 Jun 19.

Endoscopica Malzoni, Center for Advanced Endoscopic Gynecologic Surgery, Avellino, Italy.

Study Objectives: To assess the value of combined transvaginal/transabdominal (TV/TA) ultrasonographic evaluation performed by experienced examiners for deep infiltrating endometriosis (DIE) lesions of the retrocervical (torus uterinus and uterosacral ligaments) and parametrial areas, and summarize the features and anatomical criteria for identification of these lesions and their extent in the above-mentioned pelvic compartments.

Design: Retrospective study.

Setting: A specialized endometriosis center in Avellino, Italy PATIENTS: A retrospective cohort of patients who underwent laparoscopic surgery for clinically suspected DIE between January 1, 2014, and December 31, 2018, with a dedicated ultrasound (US) evaluation performed no more than 1 month before the intervention. Read More

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Ultrasound-guided peripheral nerve blocks for preoperative pain management in hip fractures: a systematic review.

BMC Anesthesiol 2022 Jun 21;22(1):192. Epub 2022 Jun 21.

Department of Anaesthesiology and Intensive Care, Copenhagen University Hospital, Nordsjællands Hospital, Hillerød, Denmark.

Systematic reviews associate peripheral nerve blocks based on anatomic landmarks or nerve stimulation with reduced pain and need for systemic analgesia in hip fracture patients. We aimed to investigate the effect of ultrasound-guided nerve blocks compared to conventional analgesia for preoperative pain management in hip fractures. Five databases were searched until June 2021 to identify randomised controlled trials. Read More

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Bone loss in aseptic revision total knee arthroplasty: management and outcomes.

Knee Surg Relat Res 2022 Jun 20;34(1):30. Epub 2022 Jun 20.

Division of Adult Reconstruction, Department of Orthopedic Surgery, NYU Langone Health, 301 East 17th Street, New York, NY, 10003, USA.

Background: Although several techniques and implants have been developed to address bone loss in revision total knee arthroplasty (rTKA), management of these defects remains challenging. This review article discusses the indications and management options of bone loss following total knee arthroplasty based on preoperative workup and intraoperative findings.

Main Text: Various imaging modalities are available that can be augmented with intraoperative examination to provide a clear classification of a bony defect. Read More

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Telemedicine-based new patient consultations for hernia repair and advanced abdominal wall reconstruction.

Hernia 2022 Jun 20. Epub 2022 Jun 20.

Gastrointestinal & General Surgery, Department of Surgery, Oregon Health & Science University, Mail Code: L 233A, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.

Purpose: Telemedicine has emerged as a viable option to in-person visits for the evaluation and management of surgical patients. Increased integration of telemedicine has allowed for greater access to care for specific patient populations but relative outcomes are unstudied. Given these limitations, we sought to evaluate the efficacy of telemedicine-based new patient preoperative encounters in comparison to in-person encounters. Read More

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Post-Laparoendoscopic Single-Site Donor Nephrectomy Ipsilateral Testicular Pain, Does Operative Technique Matter? A Single Center Experience and Review of Literature.

Minim Invasive Surg 2022 23;2022:3292048. Epub 2022 Mar 23.

Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

Aim: To assess incidence and characteristics of post-laparoendoscopic single-site donor nephrectomy (LESS DN) testicular pain.

Materials And Methods: A prospective comparative study of all male donors post-left LESS DN (group A) vs. postopen nephrectomies (group B) was performed at our center. Read More

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Comparison of Preoperative Imaging Modalities for the Assessment of Malignant Potential of Pancreatic Cystic Lesions: A Network Meta-analysis.

Clin Nucl Med 2022 Jun 18. Epub 2022 Jun 18.

From the Department of Nuclear Medicine, School of Medicine and Chilgok Hospital, Kyungpook National University, Daegu.

Purpose: The aims of this study are to compare the performance of various preoperative imaging modalities for assessing the malignant potential of pancreatic cystic lesions (PCLs) through a network meta-analysis (NMA) and to clarify the role of 18F-FDG PET in the management of patients with PCL.

Methods: PubMed, EMBASE, and Cochrane Library were searched for the studies evaluating the performance of preoperative imaging modalities for identifying malignant PCLs. The NMA was performed for 4 representative categories of various imaging modalities in terms of diagnostic performance for differentiating malignant from benign PCL and intraductal papillary mucinous neoplasms only as a subgroup analysis. Read More

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Are Embrasure Wires Effective and Reliable Method for Intraoperative Maxillomandibular Fixation in Mandibular Fractures?

J Maxillofac Oral Surg 2022 Jun 8;21(2):433-441. Epub 2021 Mar 8.

Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Mall Mandi, GT Road, Amritsar, 143001 India.

Purpose: Maxillomandibular fixation (MMF) is a basic and fundamental principle in the management of the maxillofacial trauma patients. Some fractures require only intraoperative MMF, during open reduction and internal fixation but not in the postoperative period. The present study was aimed to assess and compare the efficacy of embrasure wire with Erich arch bar as methods of intraoperative maxillomandibular fixation in the management of mandibular fractures. Read More

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Patient satisfaction with anaesthesia services in a tertiary care cancer centre. (SAY study).

J Anaesthesiol Clin Pharmacol 2022 Jan-Mar;38(1):111-117. Epub 2022 Jan 12.

Department of Anaesthesia Critical Care and Pain, Tata Memorial Centre, Dr Ernest Borges Road, Parel, Mumbai, India.

Background And Aims: Patient satisfaction is an important measure of quality of health care. Its assessment leads to a balanced evaluation of the structure, process and outcome of service at an institution. The aim of our study was to assess patient satisfaction with perioperative anaesthesia services provided in our institution and identify factors leading to dissatisfaction which could be preventable or addressed to improve patient care and experience. Read More

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January 2022

Evaluation of a Novel Multimodal Opioid-Free Postoperative Pain Management Pathway Following Robotic-Assisted Radical Prostatectomy: A Pilot Series in the Veteran Population.

Clin Genitourin Cancer 2022 May 11. Epub 2022 May 11.

Mayo Clinic, Department of Urology, Jacksonville, FL 32224.

Background: Veterans have disproportionate risk of opioid misuse and abuse compared to the civilian population. Managing acute postoperative pain without opioids is of the utmost importance for the Veteran patient population. This pilot study evaluates a novel multimodal opioid-free pain control regimen by assessing postoperative pain in Veterans undergoing robotic-assisted radical prostatectomy (RARP). Read More

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Preoperative Evaluation in Children.

Am Fam Physician 2022 Jun;105(6):640-649

University of Maryland School of Medicine, Baltimore, MD, USA.

A preoperative evaluation is advised for all children and adolescents having elective surgery with anesthesia. The evaluation assesses medical and psychosocial factors that may affect surgery timing and identifies underlying conditions that may require evaluation or management before surgery. The evaluation also classifies the patient's American Society of Anesthesiologists' risk category. Read More

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Outcomes of Telemedicine-Based Consultation among Rural Patients Referred for Abdominal Wall Reconstruction and Hernia Repair.

J Am Coll Surg 2022 Jul 5;235(1):128-137. Epub 2022 Apr 5.

From the Department of Surgery, Oregon Health and Science University, Portland, OR (Bray, Sutton, Akhter, Orenstein, Nikolian).

Background: Perioperative telemedicine use has increased as a result of the COVID-19 pandemic and may improve access to surgical care. However, studies assessing outcomes in populations at risk for digital-health disparities are lacking. We sought to characterize the pre- and postoperative outcomes for rural patient populations being assessed for hernia repair and abdominal wall reconstruction with telehealth. Read More

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Clinicoradiological Characteristics in the Differential Diagnosis of Follicular-Patterned Lesions of the Thyroid: A Multicenter Cohort Study.

Korean J Radiol 2022 May 31. Epub 2022 May 31.

Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Objective: Preoperative differential diagnosis of follicular-patterned lesions is challenging. This multicenter cohort study investigated the clinicoradiological characteristics relevant to the differential diagnosis of such lesions.

Materials And Methods: From June to September 2015, 4787 thyroid nodules (≥ 1. Read More

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Risk factors and outcomes of bronchopleural fistula after bronchoplasty in patients with non-small cell lung cancer: a retrospective multivariate analysis.

Transl Lung Cancer Res 2022 May;11(5):744-756

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.

Background: Bronchopleural fistula (BPF) is a rare but severe complication following bronchoplasty. Identification of the risk factors for the development of BPF after bronchoplasty may contribute to better perioperative management, thereby further improving the prognosis of these patients. However, few studies have focused on the risk factors for BPF after bronchoplasty. Read More

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Surgical Management of Malignant Glioma in the Elderly.

Front Oncol 2022 26;12:900382. Epub 2022 May 26.

Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.

Background: The median age for diagnosis of glioblastoma is 64 years and the incidence rises with increasing age to a peak at 75-84 years. As the total number of high-grade glioma patients is expected to increase with an aging population, neuro-oncological surgery faces new treatment challenges, especially regarding aggressiveness of the surgical approach and extent of resection. In the elderly, aspects like frailty and functional recovery time have to be taken into account before performing surgery. Read More

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Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline.

J Clin Endocrinol Metab 2022 Jun 12. Epub 2022 Jun 12.

Emory University, School of Medicine, Diabetes & Endocrinology, Atlanta, GA, USA.

Background: Adult patients with diabetes or newly recognized hyperglycemia account for over 30% of noncritically ill hospitalized patients. These patients are at increased risk for adverse clinical outcomes in the absence of defined approaches to glycemic management.

Objective: To review and update the 2012 Management of Hyperglycemia in Hospitalized Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline and to address emerging areas specific to the target population of noncritically ill hospitalized patients with diabetes or newly recognized or stress-induced hyperglycemia. Read More

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A Systematic Review Supporting the Endocrine Society Clinical Practice Guideline for the Management of Hyperglycemia in Adults Hospitalized for Noncritical Illness or Undergoing Elective Surgical Procedures.

J Clin Endocrinol Metab 2022 Jun 12. Epub 2022 Jun 12.

Mayo Clinic Evidence-Based Practice Center, Rochester, MN, USA.

Context: Individuals with diabetes or newly recognized hyperglycemia account for over 30% of noncritically ill hospitalized patients. Management of hyperglycemia in these patients is challenging.

Objective: To support development of the Endocrine Society Clinical Practice Guideline for management of hyperglycemia in adults hospitalized for noncritical illness or undergoing elective surgical procedures. Read More

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Pancreatic Leak After a Laparoscopic Sleeve Gastrectomy.

Obes Surg 2022 Jun 10. Epub 2022 Jun 10.

Department of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Introduction: Severe adhesions in patients with previous abdominal operations may lead to a more challenging subsequent bariatric surgery [1, 2]. In this context, sleeve gastrectomy (SG) is the preferred weight loss surgery since it solely involves stomach resection (without bowel involvement) in one abdominal compartment. Additionally, SG has lower complication rates and a shorter operative time than other bariatric procedures [3, 4]. Read More

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Evaluation of the Molecular Landscape of Pediatric Thyroid Nodules and Use of a Multigene Genomic Classifier in Children.

JAMA Oncol 2022 Jun 9. Epub 2022 Jun 9.

Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee.

Importance: Definitive diagnosis of a thyroid nodule in a child is obtained through diagnostic surgery. This is problematic because pediatric thyroid surgery is associated with higher rates of complications. In adults, preoperative molecular testing improves the management of thyroid nodules, but this has not been validated in children. Read More

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Morbidity analysis of left hepatic trisectionectomy for hepatobiliary disease and live donor.

Hepatobiliary Pancreat Dis Int 2022 May 24. Epub 2022 May 24.

Department of Surgery, Gold Coast University Hospital, Southport, QLD 4215, Australia.

Background: Despite remarkable advances in surgical techniques and perioperative management, left hepatic trisectionectomy (LHT) remains a challenging procedure with a somewhat high postoperative morbidity rate compared with less-extensive resections. This study aimed to analyze the short- and long-term outcomes of LHT and identify factors associated with the postoperative morbidity of this technically demanding surgical procedure.

Methods: The medical records of 53 patients who underwent LHT between June 2005 and October 2019 at a single institution were retrospectively reviewed. Read More

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Clinical diagnosis and treatment of primary thyroid tuberculosis: a retrospective study.

Sao Paulo Med J 2022 Jun 6. Epub 2022 Jun 6.

MD, PhD. Surgeon and Professor, Department of Thyroid Surgery, First Hospital of Jilin University, Jilin Province, China. 0000-0003-3575-5107.

Background: Primary thyroid tuberculosis (PTT) is an uncommon type of extrapulmonary tuberculosis, which is caused by Mycobacterium tuberculosis. It does not have specific clinical manifestations, and most cases are diagnosed through postoperative histopathological examination.

Objective: To evaluate the diagnostic pattern and management strategy among patients with primary thyroid tuberculosis. Read More

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