9,878 results match your criteria Preoperative Evaluation and Management


In Vivo Accuracy of Ultrasound for Sizing Salivary Ductal Calculi.

Otolaryngol Head Neck Surg 2020 Jun 30:194599820937676. Epub 2020 Jun 30.

Division of Otolaryngology-Head and Neck Surgery, The George Washington University, Washington DC, USA.

Objectives: The present study was developed to evaluate the accuracy of in vivo ultrasound sizing for parotid and submandibular salivary gland calculi, as compared with ex vivo pathology sizing with a standard plastic ruler after extraction.

Study Design: Retrospective chart review.

Setting: Ultrasound is frequently used to size salivary calculi and make treatment decisions, but the accuracy of measurements from this modality has not been validated. Read More

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http://dx.doi.org/10.1177/0194599820937676DOI Listing

Utility of preoperative Neutrophil / Lymphocyte ratio (NLR) as a new objective prognostic tool in endoscopically treated upper tract urothelial carcinoma. A retrospective evaluation.

J Endourol 2020 Jun 29. Epub 2020 Jun 29.

Spire Roding, Urology, Roding Lane South, London, United Kingdom of Great Britain and Northern Ireland, IG4 5PZ;

Introduction This exploratory retrospective analysis examined any potential prognostic role of pre-operative NLR for progression free survival (PFS) and time to endoscopically verified upper tract or bladder recurrence free survival (RFS), in upper tract urothelial cancer (UTUC) patients selected for endoscopic treatment with subsequent endo-surveillance. Patients and Methods Eligibility criteria were natural orifice endoscopically retrogradely treated low-risk and imperative UTUC patients treated between 2005-2019, with biopsy confirmed diagnosis and 12 months minimum follow-up. For PFS, optimal NLR cut-off value was derived by log-rank test. Read More

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http://dx.doi.org/10.1089/end.2020.0283DOI Listing

Preoperative Osteopathic Manipulative Therapy Improves Postoperative Pain and Reduces Opioid Consumption After Total Knee Arthroplasty: A Prospective Comparative Study.

J Am Osteopath Assoc 2020 Jul;120(7):436-445

Context: Pain is a therapeutic challenge after total knee arthroplasty (TKA), and it could lead to the overuse of opioids. Few methodologically robust clinical studies have been performed to assess the effectiveness of osteopathic manipulative therapy (OMTh; manipulative care performed by non-US-trained osteopaths) for postsurgical pain.

Objective: To evaluate the effectiveness of standardized preoperative OMTh on early postoperative pain and opioid consumption after TKA. Read More

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http://dx.doi.org/10.7556/jaoa.2020.071DOI Listing

Does the Sentinel Lymph Node Sampling Alone Improve Quality of Life in Early Cervical Cancer Management?

Front Surg 2020 12;7:31. Epub 2020 Jun 12.

Service de chirurgie et cancérologie gynécologique et mammaire, Institut Curie, Paris, France.

In this subanalysis of the prospective randomized multicenter SENTICOL 2 study, we compared the quality of life (QoL), in two arms, in association with lower-limb consequences in women with early stage cervical cancer undergoing randomized sentinel lymph node (SLN) sampling alone or SLN sampling and full pelvic lymphadenectomy. 206 patients with an early stage cervical cancer and a negative SLN, were randomized. Every patient had a SLN detection based on a combination of radio-isotope (Nanocis®) and blue dye (Bleu Patenté®) injections. Read More

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http://dx.doi.org/10.3389/fsurg.2020.00031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303263PMC

Low preoperative superior vena cava blood flow predicts bidirectional cavopulmonary shunt failure.

J Thorac Cardiovasc Surg 2020 May 5. Epub 2020 May 5.

Division of Cardiovascular Surgery, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: In this study we sought to determine whether preoperative superior vena cava (SVC) blood flow measured using cardiac magnetic resonance (CMR) predicts physiology and clinical outcome after bidirectional cavopulmonary shunt (BCPS).

Methods: The retrospective single-center study included 65 (2012-2017) patients who underwent BCPS. Preoperative CMR imaging, echocardiography, catheterization, and clinical outcomes were reviewed. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2020.04.098DOI Listing

Tuberculum sellae meningiomas.

Handb Clin Neurol 2020 ;170:13-23

Miami Neuroscience Institute, Baptist Health of South Florida, Miami, FL, United States; Division of Neuroscience, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States.

Tuberculum sellae meningiomas are challenging tumors that can cause significant morbidity for patients because of their proximity to critical neurovascular structures. By studying the anatomy of the tuberculum, the manner in which these tumors grow and cause deficits becomes apparent, as also the challenges associated with surgical removal and management. The necessary preoperative workup and grading scales for preoperative evaluation of tuberculum meningiomas are discussed. Read More

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http://dx.doi.org/10.1016/B978-0-12-822198-3.00024-0DOI Listing
January 2020

Multiple Small Bowel Diverticula Were an Unexpected Finding During Laparoscopic Enterectomy for Crohn's Disease.

Med Arch 2020 Apr;74(2):142-145

Second Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens 11528, Greece.

Introduction: Small bowel diverticulosis (SBD) is a rare entity. Although it is usually an asymptomatic condition, clinical manifestations may vary from non-specific clinical signs to severe and complicated disease. The coexistence of SBD and Crohn's disease (CD) is rarely reported in the current literature. Read More

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http://dx.doi.org/10.5455/medarh.2020.74.142-145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296412PMC

The role of preoperative upper endoscopy in adolescents undergoing laparoscopic vertical sleeve gastrectomy.

Surg Obes Relat Dis 2020 May 13. Epub 2020 May 13.

Department of Surgery, University of Colorado, and Children's Hospital Colorado, Aurora, Colorado; Department of Pediatrics, University of Colorado, and Children's Hospital Colorado, University of Colorado, Aurora, Colorado. Electronic address:

Background: Vertical sleeve gastrectomy (VSG) has been associated with gastroesophageal reflux symptoms and, in adults, with a development of Barrett's esophagus. Adults with Barrett's esophagus identified at baseline before bariatric operation are generally advised against VSG operations. The role of preoperative esophagogastroduodenoscopy (EGD) in adolescents preparing for bariatric surgery is not clearly defined. Read More

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http://dx.doi.org/10.1016/j.soard.2020.04.051DOI Listing

Symptomatic (Hypotensive) Bradycardia During Laparoscopic Living Donor Hepatectomy: Incidence and Risk Factors.

Transplant Proc 2020 Jun 19. Epub 2020 Jun 19.

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address:

Background: The use of a minimally invasive laparoscopic approach in living donor hepatectomy is increasing with the need for enhanced management of living donors. Hypotensive bradycardia often occurs during abdominal surgery and can be fatal without proper management. We conducted a retrospective study to investigate the incidence and risk factors of symptomatic (hypotensive) bradycardia in laparoscopic living donor hepatectomy. Read More

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http://dx.doi.org/10.1016/j.transproceed.2020.01.161DOI Listing

Intracystic papillary carcinoma of the breast in males: Three case reports.

Medicine (Baltimore) 2020 Jun;99(25):e20278

Department of Breast Surgery, Hangzhou Hospital of Traditional Chinese Medicine.

Rationale: Intracystic papillary breast carcinoma is extremely rare in males with a favorable prognosis. Clinical and mammographic manifestations of IPC are not specific, and no consensus has been reached on its management.

Patient Concerns: Three cases of IPC of the breast in male patients who underwent surgery are presented. Read More

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http://dx.doi.org/10.1097/MD.0000000000020278DOI Listing

Multifocal early gastric cancer in a patient with atrophic gastritis and pernicious anemia.

Int J Surg Case Rep 2020 Jun 12;72:433-437. Epub 2020 Jun 12.

Emergency Endoscopy Unit, Borgo Trento Hospital, Verona, Italy.

Introduction: Pernicious anemia (PA) caused by vitamin B12 deficiency is associated with Autoimmune Metaplastic Atrophic Gastritis (AMAG). Patients with AMAG have threefold risk of the development of gastric cancer.

Presentation Of Case: We describe a case of a 66 year old man with a history of PA and atrophic antral-corpus gastritis. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306513PMC

Nutritional impact of bariatric surgery: a comparative study of Roux-en-Y Gastric Bypass and Sleeve gastrectomy between patients from the public and private health systems.

Rev Col Bras Cir 2020 15;47:e20202404. Epub 2020 Jun 15.

Universidade Federal de Pernambuco (UFPE), Department of surgery, Recife, PE, Brasil.

Purpose: To compare the nutritional status follow up of patients who underwent Roux-en-Y gastric bypass (BGYR) and Sleeve gastrectomy (SG) in hospitals of the private and public health systems, in Pernambuco.

Methods: This study included patients who underwent bariatric surgery in the public and private health systems, in Pernambuco, from 2008 to 2016. Anthropometric and biochemical (hemoglobin, B12, iron and ferritin) data were evaluated in the preoperative period and at 3, 6 and 12 months after the operation. Read More

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http://dx.doi.org/10.1590/0100-6991e-20202404DOI Listing

Comparison of Intraoperative Sonography and Histopathologic Evaluation of Tumor Thickness and Depth of Invasion in Oral Tongue Cancer: A Pilot Study.

AJNR Am J Neuroradiol 2020 Jun 18. Epub 2020 Jun 18.

Radiology (H.D.C., A.F.J.)

Background And Purpose: For primary squamous cell carcinoma of the oral tongue, accurate assessment of tumor thickness and depth of invasion is critical for staging and operative management. Currently, typical imaging modalities used for preoperative staging are CT and MR imaging. Intraoperatively, CT or MR imaging cannot provide real-time guidance, and assessment by manual palpation is limited in precision. Read More

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http://dx.doi.org/10.3174/ajnr.A6625DOI Listing

Anesthesia for meningioma surgery.

Handb Clin Neurol 2020 ;169:285-295

Department of Anesthesia & Perioperative Care, University of California San Francisco, San Francisco, CA, United States.

Patients receiving treatment for a meningioma require anesthesia when undergoing open craniotomy and, in some cases, during preoperative tumor embolization and radiosurgery. Adequate anesthesia management is integral to patients' perioperative care, which consists of the three phases of preoperative assessment and optimization, intraoperative care, and postoperative recovery. The preoperative anesthesia evaluation focusses on the cardiorespiratory and neurologic systems, as well as the airway, but also extends to ensure the optimal treatment of significant comorbidities before surgical intervention. Read More

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http://dx.doi.org/10.1016/B978-0-12-804280-9.00019-6DOI Listing
January 2020

Perioperative Anaesthetic Management of Confirmed or Suspected COVID-19 Patients.

Turk J Anaesthesiol Reanim 2020 Jun 1;48(3):180-187. Epub 2019 Jun 1.

Department of Anaesthesiology and Reanimation, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey.

The outbreak of coronavirus disease (COVID-19) that started in Wuhan, China, has spread to 210 countries, infecting 2,726,274 patients and causing 191,075 deaths by April 24, 2020, and has turned into a global threat. Although various measures have been taken to stop human-to-human transmission in many countries, health care workers are in the high-risk zone for transmission as they deliver patient care. It is evident that anaesthesiologists will keep encountering patients with confirmed or suspected COVID-19 infection who will undergo emergency surgeries. Read More

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http://dx.doi.org/10.5152/TJAR.2020.654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279872PMC

Complications of type II supracondylar humerus fractures treated at a specialized paediatric centre.

Paediatr Child Health 2020 Jun 11;25(4):228-234. Epub 2019 Mar 11.

The Hospital for Sick Children, Division of Orthopaedics, Department of Surgery, Toronto, Ontario.

Background: Supracondylar humerus (SCH) fractures are the most common operatively treated paediatric fracture in Canada. Previous literature describing the low-energy (Gartland type II) subtype reports varying complication rates from a variety of practice settings. We sought to examine complications of type II SCH fractures treated at a Canadian specialized paediatric centre. Read More

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http://dx.doi.org/10.1093/pch/pxy167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286725PMC

Association of preoperative spirometry with cardiopulmonary fitness and postoperative outcomes in surgical patients: .

EClinicalMedicine 2020 Jun 6;23:100396. Epub 2020 Jun 6.

Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada.

Background: Preoperative spirometry and cardiopulmonary exercise testing (CPET) may stratify risk for respiratory complications. This secondary analysis of the Measurement of Exercise Tolerance before Surgery (METS) study examined whether CPET performance (i.e. Read More

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http://dx.doi.org/10.1016/j.eclinm.2020.100396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280772PMC

McGill Thyroid Nodule Score in Differentiating Thyroid Nodules in Total Thyroidectomy Cases of Indeterminate Nodules.

Indian J Surg Oncol 2020 Jun 3;11(2):268-273. Epub 2020 Mar 3.

Department of Surgery, Section of Otolaryngology-Head & Neck Surgery, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, P.O. Box 9515, Jeddah, 21423 Saudi Arabia.

Fine-needle aspiration biopsy (FNAB) is the first-line modality in the evaluation of thyroid nodules. However, the results of indeterminate pathology place the thyroid surgeon in difficult management situations. This study evaluates McGill Thyroid Nodule Score (MTNS) to identify thyroid nodules that harbor malignancy in cases of indeterminate FNABs and to guide surgeon about the need and extent of surgery. Read More

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http://dx.doi.org/10.1007/s13193-020-01053-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260307PMC

Video-assisted thoracoscopic sympathectomy versus modified Wittmoser method in surgical management of primary hyperhidrosis.

J Cardiothorac Surg 2020 Jun 10;15(1):133. Epub 2020 Jun 10.

Thoracic Surgery Unit, University of L'Aquila, "G. Mazzini" Hospital, Piazza Italia 1, 64100, Teramo, Italy.

Purposes: We compared two different surgical methods evaluating the effectiveness of procedures and the quality of life (QoL) of patients.

Methods: From January 2010 to November 2017 we carried out 476 biportal video-assisted thoracoscopic surgery (VATS) approaches of sympathetic chain in 238 patients. One hundred and twenty-nine (54%) patients underwent conventional sympathectomy (CS) while 109 (46%) patients underwent sympathicotomy associated with the division of the rami communicantes (MWT). Read More

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http://dx.doi.org/10.1186/s13019-020-01176-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285583PMC

[Application of convolutional neural network to risk evaluation of positive circumferential resection margin of rectal cancer by magnetic resonance imaging].

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Jun;23(6):572-577

Department of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, Shandong 266003, China.

To explore the feasibility of using faster regional convolutional neural network (Faster R-CNN) to evaluate the status of circumferential resection margin (CRM) of rectal cancer in the magnetic resonance imaging (MRI). This study was registered in the Chinese Clinical Trial Registry (ChiCTR-1800017410). Case inclusion criteria: (1) the positive area of CRM was located between the plane of the levator ani, anal canal and peritoneal reflection; (2) rectal malignancy was confirmed by electronic colonoscopy and histopathological examination; (3) positive CRM was confirmed by postoperative pathology or preoperative high-resolution MRI. Read More

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http://dx.doi.org/10.3760/cma.j.cn.441530-20191023-00460DOI Listing

Survival After Surgery for Renal Cell Carcinoma Metastatic to the Spine: Impact of Modern Systemic Therapies on Outcomes.

Neurosurgery 2020 Jun 10. Epub 2020 Jun 10.

Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts.

Background: Modern medical management of metastatic renal cell carcinoma (RCC) includes therapies targeting tyrosine kinases, growth pathways (mammalian target of rapamycin (mTOR)), and immune checkpoints.

Objective: To test our hypothesis that patients with spinal metastases would benefit from postoperative systemic therapy despite presenting with disease that, in many cases, was resistant to prior systemic therapy.

Methods: This is an Institutional Review Board-approved clinical retrospective cohort analysis. Read More

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http://dx.doi.org/10.1093/neuros/nyaa224DOI Listing

Pain after External and Endonasal Septorhinoplasty-A Propensity Score Matching Analysis.

Facial Plast Surg 2020 Jun 8;36(3):290-296. Epub 2020 Jun 8.

Department of ENT, Head and Neck Surgery, Erlangen University Hospital, Erlangen, Germany.

Guidelines for pain management following septorhinoplasty are lacking, leading to a wide range of therapy regimes even including opioid medication. Thus, the presented study strived to investigate and compare postoperative pain intensities after external and endonasal septorhinoplasty and evaluate whether pain perception is potentially related to patient satisfaction with the aesthetic result. In addition, the effectiveness of an escalating pain treatment protocol was evaluated sparing the necessity of opioid medication. Read More

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http://dx.doi.org/10.1055/s-0040-1712474DOI Listing

Guidelines: Anaesthesia in the context of COVID-19 pandemic.

Anaesth Crit Care Pain Med 2020 Jun 5. Epub 2020 Jun 5.

Inserm UMR-S 1152, Epidemiology and Physiopathology of Respiratory Diseases, University of Paris, Paris, France; Department of Anaesthesiology and Critical Care, Saint-Antoine Hospital, DMU DREAM, AP-HP, 6 Sorbonne Université, Paris, France; Sorbonne Université School of Medicine, Paris, France.

Objectives: The world is currently facing an unprecedented healthcare crisis caused by the COVID-19 pandemic. The objective of these guidelines is to produce a framework to facilitate the partial and gradual resumption of intervention activity in the context of the COVID-19 pandemic.

Methods: The group has endeavoured to produce a minimum number of recommendations to highlight the strengths to be retained in the 7 predefined areas: (1) protection of staff and patients; (2) benefit/risk and patient information; (3) preoperative assessment and decision on intervention; (4) modalities of the preanaesthesia consultation; (5) specificity of anaesthesia and analgesia; (6) dedicated circuits and (7) containment exit type of interventions. Read More

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http://dx.doi.org/10.1016/j.accpm.2020.05.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274119PMC

Editorial Commentary: Optimizing Surgical Management of Ankle Fractures: Is Arthroscopy the Answer?

Authors:
Thomas I Sherman

Arthroscopy 2020 06;36(6):1722-1724

Lancaster, Pennsylvania.

The surgical management of ankle fractures can be an unforgiving endeavor. Subtle malreductions in fracture fragments lead to significant deviations in joint reactive forces and, consequently, accelerated arthritis. The diagnosis of associated ligamentous pathology, such as deltoid and syndesmotic injuries, is often difficult and ideal surgical management is debated. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.03.022DOI Listing

Evaluation of Risk Factors for Cerebrospinal Leakage in Pediatric Patients With Cerebral Palsy Treated With Intrathecal Baclofen.

J Pediatr Orthop 2020 Jul;40(6):e522-e526

Department of Orthopaedic Surgery, Alfred I. duPont Hospital for Children, Wilmington, DE.

Background: Insertion of an intrathecal baclofen (ITB) pump can provide significant benefits in patients with cerebral palsy (CP). However, there are little data describing the risk of complications. Specifically, there is a lack of data describing the incidence of cerebrospinal fluid (CSF) leakage and risk factors following ITB placement. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001472DOI Listing

What's New in the Orthopaedic Treatment of Ambulatory Children With Cerebral Palsy Using Gait Analysis.

J Pediatr Orthop 2020 Jul;40(6):e498-e503

Department of Orthopaedics.

Background: Limb deformities in ambulatory children with cerebral palsy (CP) are common. The natural history of lower extremity deformities is variable and the impact on gait is managed with many treatment modalities. Effective interventions must consider the underlying pathophysiology, patient-specific goals, and incorporate objective outcome assessment. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001461DOI Listing

Recommendations for management of diabetic foot ulcers during COVID-19 outbreak.

Int Wound J 2020 Jun 5. Epub 2020 Jun 5.

Department of Plastic Surgery, Bezmialem Vakif University, Istanbul, Turkey.

COVID-19 pandemia began in Wuhan, China, in December 2019. A total of 1 878 489 people were infected and 119 044 people were lost because of the disease and its complications by 15 April. Severe morbidity and mortality complications are mostly seen in elderly and patients having comorbidities. Read More

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http://dx.doi.org/10.1111/iwj.13416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300987PMC

Incidence and Predictive Factors for Additional Opioid Prescription after Endoscopic Skull Base Surgery.

J Neurol Surg B Skull Base 2020 Jun 12;81(3):301-307. Epub 2019 Jun 12.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of California San Diego, San Diego, California, United States.

 Postoperative pain management and opioid use following endoscopic skull base surgery (ESBS) is not well understood. A subset of patients requires additional opioid prescription (AOP) in the postoperative period. The objective of this study is to describe the incidence of AOP, as well as evaluate patient and surgical characteristics that may predict additional pain management requirements following ESBS. Read More

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http://dx.doi.org/10.1055/s-0039-1692473DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253308PMC

Post-Discharge Pain Management After Thoracic Surgery - A Patient-Centered Approach.

Ann Thorac Surg 2020 Jun 1. Epub 2020 Jun 1.

Department of Anesthesiology, University of Colorado, Anschutz Medical Campus, Aurora, CO, U.S.A.; Department of Surgery, University of Colorado, Anschutz Medical Campus, Aurora, CO, U.S.A.. Electronic address:

Background: Postoperative analgesia is paramount to recovery following thoracic surgery, and opioids play an invaluable role in this process. Yet, current one-size-fits-all prescribing practices produce large quantities of unused opioids, increasing the risk of nonmedical use and overdose. Here, we hypothesized that patient and perioperative characteristics, including 24-hour before discharge opioid intake, could inform more appropriate post-discharge prescriptions after thoracic surgery. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.04.048DOI Listing

Operative Results of Mitral Valve Repair and Replacement in Chronic Ischaemic Mitral Valve Regurgitation.

Heart Lung Circ 2020 Apr 9. Epub 2020 Apr 9.

Department of Cardiothoracic Surgery, The Prince of Wales Hospital, Sydney, NSW, Australia.

Background: Ischaemic mitral regurgitation (IMR) carries significant morbidity and mortality. Surgical management includes coronary artery bypass surgery alone or concomitant with mitral valve repair or replacement. There is ongoing debate regarding the appropriate approach to the mitral valve in relation to long-term outcomes. Read More

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http://dx.doi.org/10.1016/j.hlc.2020.03.007DOI Listing

Anesthesia for patients with psychiatric illnesses: a narrative review with emphasis on preoperative assessment and postoperative recovery and pain.

Minerva Anestesiol 2020 May 29. Epub 2020 May 29.

Military Medical Academy, Belgrade, Serbia -

The physical and psychological fragility of patients with psychiatric illness poses critical importance in the preoperative assessment, evaluation, and choice of premedication, which includes regular therapy, as well as concerns about polypharmacy with possible interactions of anesthetics, analgesics, and psychiatric medications. A considerable effort is to reduce risks for exacerbations or relapses of imminent illness in the postoperative period. In this narrative review, the goal was also set towards the use of proper tools for the preoperative assessment of anxiety and management of postoperative pain. Read More

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http://dx.doi.org/10.23736/S0375-9393.20.14259-7DOI Listing

A randomised trial comparing the subjective outcomes following septoplasty with or without inferior turbinoplasty.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 May 29. Epub 2020 May 29.

Department of Otolaryngology, Urmia University of Medical Sciences, Urmia, Iran.

Aims: The surgical management of contralateral inferior turbinate hypertrophy in patients with deviated nasal septum is controversial. In this randomised clinical trial, we aimed to investigate the subjective improvement of nasal symptoms postoperatively in patients undergoing septoplasty with or without inferior turbinoplasty.

Material And Methods: One hundred and thirty-seven patients with nasal obstruction, who had unilateral septal deviation and compensatory contralateral inferior turbinate enlargement, were randomised into either septoplasty alone arm (n=66) or septoplasty combined with turbinoplasty arm (n=71). Read More

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http://dx.doi.org/10.1016/j.anorl.2020.01.024DOI Listing

Preoperative Risk Stratification: Who Needs Medical Consultation?

Spine (Phila Pa 1976) 2020 Jun;45(12):860-861

Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA.

Study Design: Spine update.

Objective: The purpose of this study is to provide a review of preoperative clearance and optimization, before elective spine surgery.

Summary Of Background Data: Patient optimization preceding elective surgery is critical to ensure the best possible outcome. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003437DOI Listing

Effect of the application of the "Patient blood management" programme on the approach to elective hip and knee arthroplasties.

Med Clin (Barc) 2020 May 28. Epub 2020 May 28.

Banco de Sangre y Tejidos de Navarra, Servicio Navarro de Salud, Osasunbidea, Pamplona, España; Grupo de Trabajo de la Sociedad Española de Transfusión Sanguínea «Hemoterapia basada en sentido común», Jaca (Huesca), España; Grupo Español de Rehabilitación Multimodal (GERM). Instituto Aragonés de Ciencias de la Salud, Zaragoza, España; Grupo Multidisciplinar para el Estudio y Manejo de la Anemia del Paciente Quirúrgico (http://www.awge.org), Barcelona, España; Grupo idiPAZ de «Investigación en PBM», Madrid, España. Electronic address:

Background And Objectives: The "Patient Blood Management" (PBM) programmes have demonstrated their value in the continuous improvement of care practice, due to continuous systematic reviewing of results and their dynamic and multidisciplinary updating in accordance with new clinical evidence. Our goal is to demonstrate the effectiveness of simple protocols, applicable in second level hospitals.

Patients And Methods: 702 patients undergoing scheduled arthroplasty from 2011 to 2018 were retrospectively analysed. Read More

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http://dx.doi.org/10.1016/j.medcli.2020.01.037DOI Listing

Evaluation and Management of Preaxial Polydactyly.

Curr Rev Musculoskelet Med 2020 May 29. Epub 2020 May 29.

Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Purpose Of Review: To provide a current review of the embryology, classification, evaluation, surgical management, and clinical outcomes related to preaxial polydactyly.

Recent Findings: Recent studies include a proposed embryologic link between preaxial polydactyly and other congenital abnormalities, an evaluation of long-term postsurgical outcomes, and an examination of important predictors for postsurgical outcomes. Preaxial polydactyly, while relatively uncommon, is a complex congenital hand abnormality that requires careful preoperative classification and proper surgical intervention timing to yield optimal outcomes. Read More

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http://dx.doi.org/10.1007/s12178-020-09644-wDOI Listing

Feasibility and cost effectiveness of ambulatory laparoscopic cholecystectomy. A retrospective cohort study.

Ann Med Surg (Lond) 2020 Jul 12;55:56-61. Epub 2020 May 12.

Department of Surgery, HPB and Transplant Unit, Fondazione PTV, Tor Vergata University of Rome, Italy.

Ambulatory surgery is an efficient, safe and widely performed procedure; this study would shows the advantages of the ambulatory laparoscopic cholecystectomy procedure from the point of view of patients and the Hospital/National Health System. : Single-center retrospective cohort study including 288 patients who underwent laparoscopic-cholecystectomy at **** from January 2016 to July 2018. Ambulatory LC were compared to well-matched inpatient procedures performed in the same study period. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.04.036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240280PMC

Combined ionized calcium and PTH evaluation in the management of post-thyroidectomy hypocalcaemia.

Minerva Chir 2020 May 26. Epub 2020 May 26.

S.C. Chirurgia Generale Ospedale Maria Vittoria, Dipartimento Area Chirurgica, ASL Città di Torino, Turin, Italy.

Background: Aim of our study was to investigate the postoperative course of calcium and parathyroid hormone (PTH) levels after total thyroidectomy to define a proper and low cost protocol.

Methods: We studied 144 patients who underwent total thyroidectomy between 2007 and 2010. Ionized calcium was determined preoperatively and on day 1 (POD1), day 2 (POD2) and day 7 (POD7) postoperatively; PTH preoperatively and on POD7. Read More

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http://dx.doi.org/10.23736/S0026-4733.20.08257-7DOI Listing

Laparoscopic Technique for Discoid Resection of Rectal Endometriotic Nodules.

J Minim Invasive Gynecol 2020 May 23. Epub 2020 May 23.

Endoscopica Malzoni, Center for Advanced Endoscopic Gynecologic Surgery, Avellino, Italy (all authors). Electronic address:

Objective: To show the surgical steps used to perform a rectal disc excision in the context of deep infiltrating endometriosis characterized by contiguity between an intestinal lesion and the retrocervical region.

Design: Step-by-step video demonstration of the technique.

Setting: Although surgical options for the management of rectosigmoid endometriosis have been investigated increasingly, there is no consensus regarding patient eligibility for shaving, discoid resection, or segmental resection. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.05.016DOI Listing

Microsurgery for management of primary and secondary lymphedema: First experience in Israel.

J Vasc Surg Venous Lymphat Disord 2020 May 21. Epub 2020 May 21.

Department of Surgery A, Galilee Medical Center, Nahariya, Israel, Faculty of Medicine of the Galilee, Bar-Ilan University; Medical Corps, Israel Defense Forces, Ramat Gan, Israel. Electronic address:

Objective: To evaluate the efficacy and safety of lymphaticovenular anastomosis in patients with lymphedema.

Methods: Retrospective analysis of 70 patients suffering from primary or secondary extremity lymphedema who underwent lymphaticovenular anastomosis surgery with indocyanine green fluorescent lymphangiography. Postoperative evaluation included qualitative and quantitative volumetric assessment and analysis. Read More

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http://dx.doi.org/10.1016/j.jvsv.2020.04.025DOI Listing

What Is the Role of the Endoscope in the Sinus Preservation Management of Frontal Sinus Fractures?

J Oral Maxillofac Surg 2020 Apr 23. Epub 2020 Apr 23.

Professor, Department of Otolaryngology, Head and Neck Surgery, and Maxillofacial Surgery, Mansoura University, Mansoura, Egypt.

Purpose: The management of frontal sinus fractures has remained controversial. The present study investigated the role of minimally invasive endoscopic surgery in a sinus preservation treatment protocol and described the ideal approach for each frontal sinus fracture type.

Patients And Methods: We performed a prospective cohort study of patients with multiple frontal sinus fracture types. Read More

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http://dx.doi.org/10.1016/j.joms.2020.04.025DOI Listing

Preoperative Evaluation of Craniopagus Twins: Anatomy, Imaging Techniques, and Surgical Management.

AJNR Am J Neuroradiol 2020 Jun 21;41(6):951-959. Epub 2020 May 21.

Departments of Radiology (A.E.G.-Y., J.M.F.).

Craniopagus twins are a rare congenital malformation in which twins are conjoined at the head. Although there is high prenatal and postnatal mortality for craniopagus twins, successful separation has become more common due to advances in neuroimaging, neuroanesthesia, and neurosurgical techniques. Joined brain tissue, shared arteries and veins, and defects in the skull and dura make surgery technically challenging, and neuroimaging plays an important role in preoperative planning. Read More

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http://dx.doi.org/10.3174/ajnr.A6571DOI Listing

How does the COVID-19 pandemic affect the preoperative evaluation and anesthesia applied for urinary stones? EULIS eCORE-IAU multicenter collaborative cohort study.

Urolithiasis 2020 May 20. Epub 2020 May 20.

Department of Urology, School of Medicine, Medicana Bahcelievler Hospital, Biruni University, Istanbul, Turkey.

Stone disease is a unique condition that requires appropriate management in a timely manner as it can result in both emergent conditions and long term effects on kidney functions. In this study it is aimed to identify the up-to-date practice patterns related to preoperative evaluation and anesthesia for stone disease interventions during COVID-19 pandemic. The data of 473 patients from 11 centers in 5 different countries underwent interventions for urinary stones during the Covid-19 pandemic was collected and analyzed retrospectively. Read More

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http://dx.doi.org/10.1007/s00240-020-01193-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239347PMC

Preoperative Assessment and Management of Patients with Pain and Anxiety Disorders.

Curr Anesthesiol Rep 2020 10;10(1):28-34. Epub 2020 Jan 10.

2Department of Anesthesiology, Duke University School of Medicine, Durham, NC USA.

Purpose Of Review: This review summarizes selected recent evidence on issues important for preoperative pain evaluation.

Recent Findings: Opioids, though a mainstay of postoperative pain management, are associated with both short and increasingly recognized long-term risks, including persistent opioid use. Risk factors for high levels of acute postoperative pain as well as chronic postsurgical pain may overlap, including psychological factors such as depression, anxiety, and catastrophizing. Read More

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http://dx.doi.org/10.1007/s40140-020-00367-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222996PMC
January 2020

Awake laparotomy: is locoregional anesthesia a functional option for major abdominal surgeries in the COVID-19 era?

Eur Rev Med Pharmacol Sci 2020 05;24(9):5162-5166

Department of General Surgery, Ospedale Valduce, Como, Italy.

Objective: Over the ongoing pandemic of coronavirus disease 2019 (COVID-19), the demand for critical care beds among medical services has rapidly exceeded its supply. Elective surgery has comprehensively been drastically limited and allocating intensive care beds to emergency cases or to high risk scheduled elective cases has become an even more difficult task. Here we present our experience which could help to handle undelayable surgical procedures during this emergency. Read More

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http://dx.doi.org/10.26355/eurrev_202005_21211DOI Listing

Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review.

Clinics (Sao Paulo) 2020 15;75:e1923. Epub 2020 May 15.

Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.

The coronavirus disease (COVID-19) outbreak started in Wuhan, China, in December 2019, and evolved into a global problem in a short period. The pandemic has led to many social and health-care challenges. In this context, surgery is an area that is facing the need for many adaptations. Read More

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http://dx.doi.org/10.6061/clinics/2020/e1923DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213672PMC

Forecasting the Amount of Blood Ordered in the Obstetrics and Gynaecology Ward with the Data Mining Approach.

Indian J Hematol Blood Transfus 2020 Apr 14;36(2):361-367. Epub 2019 Nov 14.

1Industrial Engineering and Systems Department, Tarbiat Modares University, Tehran, Iran.

Preoperative blood ordering is frequently used in the obstetrics and gynecology ward of university hospitals in Iran, even for surgeries that rarely require blood transfusions. This routine procedure is an inefficient use of resources and rising costs, wasting time and cause shortage for essential patients. So this study was carried out to propose a new optimal system based on data mining techniques for ordering blood. Read More

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http://dx.doi.org/10.1007/s12288-019-01203-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229075PMC

Autologous grafts in the treatment of avascular osteonecrosis of the femoral head.

Acta Biomed 2020 May 11;91(2):342-349. Epub 2020 May 11.

ASL TO5.

Background: Osteonecrosis of the femoral head (ONFH) is a frequent orthopedic disease leading to destruction of the hip joint and disabling arthritis. Several procedures have been developed to treat the joint deterioration in case of osteonecrosis, trying to avoid or delay an intervention of total hip replacement, especially in young patients. The aim of this study was to analyze the use of autologous bone micrografts derived from cancellous bone in the management of avascular ONFH. Read More

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http://dx.doi.org/10.23750/abm.v91i2.8188DOI Listing

Comparison of Trochanteric Slide and Subtrochanteric Shortening Osteotomy in the Treatment of Severe Hip Dysplasia: Mid-Term Clinical Outcomes of Cementless Total Hip Arthroplasty.

J Arthroplasty 2020 Apr 19. Epub 2020 Apr 19.

Medical Faculty, Department of Orthopaedics and Traumatology, Ondokuz Mayıs University, Samsun, Turkey.

Background: The aim of this study is to compare clinical results of Crowe type III-IV developmental dysplasia of the hip (DDH) patients who underwent total hip arthroplasty with either trochanteric slide osteotomy (TSO) or subtrochanteric shortening osteotomy (SSO).

Methods: The patients who underwent cementless total hip arthroplasty with femoral shortening osteotomy due to Crowe type III/IV DDH between 2004 and 2014 and completed at least 5 years of follow-up were retrospectively analyzed. The patients were grouped according to the type of shortening osteotomy as either TSO or SSO. Read More

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http://dx.doi.org/10.1016/j.arth.2020.04.039DOI Listing

Relationship and prognostic significance between preoperative serum albumin to globulin ratio and CT features of non-small cell lung cancer.

Eur J Radiol 2020 Jul 4;128:109039. Epub 2020 May 4.

Key Laboratory of Cancer Research Center Nantong, Nantong Tumor Hospital, Nantong University, Nantong, Jiangsu 226001, PR China. Electronic address:

Purpose: This study was conducted to assess the relationship and prognostic significance between preoperative serum albumin to globulin ratio (AGR) and high-resolution computed tomography (HRCT) features of non-small cell lung cancer (NSCLC).

Materials And Methods: Demographic parameters, laboratory values including AGR and other clinical variables were evaluated in 180 patients with NSCLC, and 72 of these patients had results of radiology parameters detected with HRCT [including emphysema, tumor disappearance rate (TDR), CT values and CT enhanced values of the tumor mass] were assessed for survival analyses. The 72 patients were divided into two groups: normal lung group and emphysema group. Read More

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http://dx.doi.org/10.1016/j.ejrad.2020.109039DOI Listing

Perioperative anesthetic management of reductive glossoplasty in a patient with Beckwith-Wiedemann syndrome.

Rev Esp Anestesiol Reanim 2020 May 13. Epub 2020 May 13.

Servicio de Anestesiología y Reanimación, Hospital Gregorio Marañón, Madrid, España.

Introduction: Postoperative management of patients with the congenital growth disorder Beckwith-Wiedemann syndrome (BWS) can be complicated. The main clinical manifestations of the syndrome are macroglossia - which may hamper airway management -, prematurity, hemihypertrophy, omphalocele, embryonal tumours and episodes of neonatal hypoglycaemia.

Objective: Our main objective is to describe the perioperative management and potential anaesthetic complications in paediatric patients with BWS undergoing glossectomy. Read More

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http://dx.doi.org/10.1016/j.redar.2020.02.009DOI Listing