130,939 results match your criteria post-operative pain


Association between thoracic epidural block and major complications after pleurectomy/decortication for malignant pleural mesothelioma under general anesthesia.

Reg Anesth Pain Med 2022 May 20. Epub 2022 May 20.

Department of Anesthesiology and Pain Medicine, Hyogo Medical University, School of Medicine, Nishinomiya, Hyogo, Japan

Introduction: A curative-intent surgical procedure, pleurectomy/decortication, for malignant pleural mesothelioma is accompanied by a high incidence of major postoperative complications. Although epidural block, which suppresses nociception during and after surgery, reportedly has both benefits and disadvantages in terms of outcomes after thoracic surgery for other diseases, the effects of epidural block on major complications after pleurectomy/decortication have not been evaluated. The aim of this study was to evaluate the association between epidural block and major postoperative complications following pleurectomy/decortication. Read More

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Microvascular reactivity as a predictor of major adverse events in patients with on-pump cardiac surgery.

Korean J Anesthesiol 2022 May 27. Epub 2022 May 27.

Department of Anesthesia and Pain Medicine, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.

Background: Microcirculatory disturbance occurs most seriously during cardiopulmonary bypass (CPB) in cardiac surgery. If microvascular reactivity compensates for microcirculatory disturbance during CPB, tissue hypoxemia may be minimized. The primary aim of this study was to assess whether microvascular reactivity during CPB can predict major adverse events (MAE) after cardiac surgery. Read More

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Efficacy of dexmedetomidine versus magnesium sulfate as an adjuvant to intraperitoneal bupivacaine in pediatric laparoscopic surgery: a randomized clinical trial.

Braz J Anesthesiol 2022 May 23. Epub 2022 May 23.

Assiut University, Faculty of Medicine, Assiut Urology and Nephrology Hospital, Assiut, Egypt.

Background: We evaluated the efficacy of dexmedetomidine versus magnesium sulfate as an adjuvant to Intraperitoneal (IP) bupivacaine in pediatric laparoscopic inguinal herniorrhaphy.

Methods: Ninety-seven male children, ASA I-II, 1-6 years old, undergoing laparoscopic inguinal herniorrhaphy, were randomized to receive before peritoneal insufflation, IP 2 mg.kg bupivacaine 0. Read More

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Erratum: Myocardial Infarction by Percutaneous Embolization Coil Deployment in a Swine Model.

Authors:

J Vis Exp 2022 May 26(183). Epub 2022 May 26.

An erratum was issued for: Myocardial Infarction by Percutaneous Embolization Coil Deployment in a Swine Model. The Protocol and Discussion sections were updated. Step 3. Read More

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Validation of the rabbit pain behaviour scale (RPBS) to assess acute postoperative pain in rabbits (Oryctolagus cuniculus).

PLoS One 2022 26;17(5):e0268973. Epub 2022 May 26.

School of Natural and Environmental Science, Newcastle University, Newcastle Upon Tyne, United Kingdom.

Considering the widespread use of rabbits in research that potentially causes pain and discomfort and the limited number of pain assessment validated tools in this species, we aimed to develop and validate a scale of acute postoperative pain in rabbits (RPBS). Footage of 58 rabbits from previous studies were used, recorded at 'baseline' (before orthopaedic and soft tissue surgeries), 'pain' (after surgery), 'analgesia' (after analgesic), and '24h post' (24 hours after surgery). The videos were randomised and assessed twice by four evaluators, within one-month interval between evaluations. Read More

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Current Applications of Artificial Intelligence in Bariatric Surgery.

Obes Surg 2022 May 26. Epub 2022 May 26.

Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126, Parma, Italy.

The application of artificial intelligence technologies is growing in several fields of healthcare settings. The aim of this article is to review the current applications of artificial intelligence in bariatric surgery. We performed a review of the literature on Scopus, PubMed and Cochrane databases, screening all relevant studies published until September 2021, and finally including 36 articles. Read More

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MPFL reconstruction results in lower redislocation rates and higher functional outcomes than rehabilitation: a systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc 2022 May 26. Epub 2022 May 26.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Centre, 1200 Main St West, Hamilton, ON, 4E14L8N 3Z5, Canada.

Purpose: To determine the effect of early MPFL reconstruction versus rehabilitation on the rate of recurrent patellar dislocations and functional outcomes in skeletally mature patients with traumatic, first-time patellar dislocation.

Methods: Three online databases MEDLINE, PubMed and EMBASE were searched from database inception (1946, 1966, and 1974, respectively) to August 20th, 2021 for literature addressing the management of patients sustaining acute first-time patellar dislocations. Data on redislocation rates, functional outcomes using the Kujala score, and complication rates were recorded. Read More

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Comparison of Clinical and Functional Outcome of Cold Steel Dissection versus Coblation Technique in Tonsillectomy.

J Nepal Health Res Counc 2022 Mar 13;19(4):820-823. Epub 2022 Mar 13.

Department of Otorhinolaryngology Head and Neck Surgery, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Background: To ameliorate the intra and post-op morbidities associated with newer techniques for tonsillectomy like coblation has been introduced in the recent past. This study was aimed to compare the cold steel dissection with the coblation technique with regards to its effectiveness and safety.

Methods: An observational comparative study was carried out in 90 patients undergoing tonsillectomy between July 2018 to December 2019. Read More

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[Clinical value of ultrasound-guided radiofrequency ablation in the treatment of retroperitoneal tumors].

Zhonghua Zhong Liu Za Zhi 2022 May;44(5):442-445

Department of Ultrasound, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China.

To explore the clinical value of ultrasound-guided radiofrequency ablation in the treatment of retroperitoneal tumors. The clinical data of 13 patients with retroperitoneal tumors treated with ultrasound-guided radiofrequency ablation in the First Affiliated Hospital of Zhengzhou University from January 2018 to January 2020 were analyzed retrospectively. The ablation effect was evaluated and the postoperative complications were observed. Read More

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Outcomes After Repair of Quadriceps Tendon Rupture in Patients Aged 40 Years and Younger.

Orthop J Sports Med 2022 May 18;10(5):23259671221097107. Epub 2022 May 18.

Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Background: Injury to the quadriceps tendon is rare and most commonly occurs in middle-aged men. Few reports are available regarding outcomes after quadriceps tendon rupture in younger patients.

Purpose/hypothesis: To review the clinical outcomes of patients who underwent quadriceps tendon repair at age ≤40 years. Read More

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Simultaneous Treatment of Osteochondral Lesion Does Not Affect the Mid- to Long-Term Outcomes of Ligament Repair for Acute Ankle Sprain: A Retrospective Comparative Study with a 3-11-Year Follow-up.

Front Surg 2022 9;9:816669. Epub 2022 May 9.

Department of Sports Medicine, Peking University Third Hospital, Beijing, China.

Purpose: This study aims to evaluate the mid- to long-term outcome of concurrent arthroscopic treatment of osteochondral lesion (OCL) and open anatomical repair of lateral ankle ligaments for severe acute ankle sprain patients and compare them to the outcome of those without OCL.

Methods: A total of 166 patients with grade III acute lateral ankle ligament injuries underwent concurrent ankle arthroscopy and open anatomic ligament repair. Forty-three patients (group A) with OCL underwent arthroscopic treatment followed by open ligament repair. Read More

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Whether Out-of-Bed Activity Restriction in the Early Postoperative Period of PELD Is Beneficial to Therapeutic Efficacy or Reduce Recurrence.

Front Surg 2022 9;9:860140. Epub 2022 May 9.

Affiliated Hospital of Jining Medical University, Jining, China.

Objective: To detect the influences of postoperative out-of-bed activity restriction on recurrence rate, low back and leg pain, functional rehabilitation after percutaneous endoscopic lumbar discectomy (PELD).

Methods: In this research, 213 patients with lumbar intervertebral disc herniation (LDH) who underwent PELD were divided into the out-of-bed activity restriction group and out-of-bed activity non-restriction group. The visual analog scale (VAS) and Oswestry disability index (ODI) scores were used to evaluate postoperative clinical efficacy at 1 and 3 months after the operation, and to count the recurrence rates. Read More

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Uncommon Cause of Right Upper Quadrant Pain Treated by Laparoscopic Surgery: A Case Report.

Front Surg 2022 9;9:891366. Epub 2022 May 9.

Department of Liver Surgery and Liver Transplantation Centre, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Introduction: Right upper quadrant pain is a very common symptom of cholecystitis. Right upper quadrant pain caused by fish bone perforation of the stomach wall is rare.

Case Presentation: We report a 42-year-old woman who was admitted to our hospital with "1-month history of dull progressive right upper quadrant pain radiating to the back. Read More

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Impact of Asymptomatic Flatfoot on Clinical and Radiographic Outcomes of the Modified Lapidus Procedure in Patients With Hallux Valgus.

Foot Ankle Orthop 2022 Apr 19;7(2):24730114221099922. Epub 2022 May 19.

Hospital for Special Surgery, New York, NY, USA.

Background: Patients with hallux valgus commonly present with concomitant flatfoot deformity. First-ray hypermobility, among other biomechanical factors, has been suggested as a potential link between these deformities. However, not all hallux valgus patients exhibit symptoms associated with flatfoot deformity, and the necessity of correcting the asymptomatic flatfoot at the time of hallux valgus correction is unclear. Read More

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Previously undiagnosed serotonin toxicity: From pre-anaesthetic assessment to postoperative management - a case report.

J Pak Med Assoc 2022 Apr;72(4):758-760

Department of Anesthesiology and Intensive Care, Mures County Emergency Hospital, Targu Mures, Romania.

Serotonin syndrome (SS), also known as serotonin toxicity, is a life-threatening condition induced by certain drugs that affect serotonin metabolism. We report a case of SS, induced by a combination of three drugs encountered in a patient with a previously suspected allergy to metoclopramide and pitofenone discovered as an "anaesthetic incident". In the immediate postoperative period, following the administration of antiemetic and analgesic treatment, the patient presented generalized myoclonus and intense abdominal pain. Read More

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A rare case of acute mesenteric ischaemia and duodenal ulcer perforation together in a single patient in a tertiary care hospital.

J Pak Med Assoc 2022 Apr;72(4):755-757

Department of Surgery, Mayo Hospital, Lahore, Pakistan.

A 57 years old male presented in the emergency department of EAST Surgical Ward, MAYO Hospital Lahore in February 2021 with complaints of abdominal distension, pain and vomiting. He was a chronic smoker and diagnosed hypertensive for the last 14 years but was non-compliant with oral antihypertensive medications. He was a factory worker and took NSAIDs off and on for pain in the knee joint for the last five years. Read More

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Effectiveness of preoperative stretchings on postoperative shoulder function in patients undergoing mastectomy.

J Pak Med Assoc 2022 Apr;72(4):625-628

School of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan.

Objective: To analyse the effects of pre-operative stretchings of shoulder muscles on post-operative shoulder function in patients undergoing mastectomy.

Methods: The comparative study was conducted from January to May 2019 at Allied Hospital, Madinah Teaching Hospital and the District Headquarter Hospital, Faisalabad, Pakistan, and comprised mastectomy patients. The subjects were randomised to treatment and control groups. Read More

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Clinical analysis of subxiphoid single-port thoracoscopic surgery for simultaneous bilateral lung lesion resection.

BMC Surg 2022 May 25;22(1):203. Epub 2022 May 25.

Department of Thoracic Surgery, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, People's Republic of China.

Objective: To investigate the efficacy and safety of simultaneous subxiphoid single-port thoracoscopic resection of bilateral lung lesions.

Methods: This retrospective study analyzed the clinical data of 72 patients who underwent resection of bilateral lung lesions at the Department of Thoracic Surgery in the First Affiliated Hospital of University of Science and Technology of China between August 2020 and January 2022. Surgery-related parameters were compared between patients who underwent subxiphoid single-port thoracoscopy (subxiphoid group, 36 patients) and patients who underwent intercostal single-port thoracoscopy (intercostal group, 36 patients). Read More

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Effects of general anesthesia on behavioral circadian rhythms and clock-gene expression in the suprachiasmatic nucleus in rats.

Histochem Cell Biol 2022 May 25. Epub 2022 May 25.

Department of Anatomy and Neurobiology, Graduate School of Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8602, Japan.

The suprachiasmatic nucleus (SCN) of the hypothalamus is a nucleus that regulates circadian rhythms through the cyclic expression of clock genes. It has been suggested that circadian-rhythm-related, adverse postoperative events, including sleep disturbances and delirium, are partly caused by anesthesia-induced disruption of clock-gene expression. We examined the effects of multiple general anesthetics on the expression cycle of Period2 (Per2), one of the clock genes that regulate circadian rhythms in the SCN, and on the behavioral rhythms of animals. Read More

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Effect of S-ketamine on Postoperative Quality of Recovery in Patients Undergoing Video-Assisted Thoracic Surgery.

J Cardiothorac Vasc Anesth 2022 Apr 26. Epub 2022 Apr 26.

Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China. Electronic address:

Objectives: S-ketamine is associated with effective postoperative analgesia and enhanced quality of recovery (QoR). The study aimed to investigate the effect of perioperative S-ketamine on postoperative quality of recovery in patients undergoing video-assisted thoracic surgery (VATS).

Design: A prospective, randomized, double-blinded, placebo-controlled trial. Read More

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Predictors of Achieving the Maximal Outcome Improvement Threshold for Willingness to Undergo Revision Hip Arthroscopy.

Am J Sports Med 2022 May 25:3635465221096872. Epub 2022 May 25.

American Hip Institute Research Foundation, Chicago, IL, USA.

Background: The maximal outcome improvement threshold for willingness to undergo revision hip arthroscopy (MOWT) has not been defined yet.

Purpose: To determine the percentage MOWT in patients who underwent revision hip arthroscopy and to identify predictors of achieving the MOWT.

Study Design: Case-control study; Level of evidence, 3. Read More

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A Systematic Review of Cartilage Procedures for Unstable Osteochondritis Dissecans.

Phys Sportsmed 2022 May 25. Epub 2022 May 25.

Rothman Orthopaedic Institute, Philadelphia, PA.

Objectives: Osteochondritis dissecans can result in significant limitations in activity, pain, and early osteoarthritis. There are various treatment modalities to address these defects. The purpose of this study was to provide a qualitative summary of the various treatment options for unstable osteochondritis dissecans in the knee. Read More

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Ultrasound Cross-Sectional Area of the Median Nerve Is Not a Predictor of Patient Reported Outcomes After Carpal Tunnel Release.

Hand (N Y) 2022 May 25:15589447221093677. Epub 2022 May 25.

University of Pittsburgh Medical Center, PA, USA.

Background: The purpose of this study was to evaluate the relationship between cross sectional area (CSA) of the median nerve on ultrasound (US) with pre- and postoperative Boston Carpal Tunnel Questionnaire (BCTQ) scores. We hypothesize that there is a positive correlation between CSA and the ΔBCTQ after carpal tunnel release (CTR).

Methods: This was a single center study. Read More

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Adolescent-onset Local Kyphosis with Anterior Column Hypoplasia and Subluxation of the Facet Joints of the Lumbar Spine: A Case Report.

J Orthop Case Rep 2022 Jan;12(1):50-53

Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.

Introduction: Hypoplasia of the anterior portion of the vertebral body is a relatively rare subtype of juvenile vertebral deformity. The common manifestations of this type of deformity are scoliosis and kyphoscoliosis, while kyphosis without scoliosis is rare. Here, we present a very rare case of adolescent-onset local kyphosis with anterior column hypoplasia and subluxation of the facet joints of the lumbar spine, as demonstrated by dynamic lateral radiograms, which was successfully treated by spine-shortening osteotomy. Read More

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January 2022

Extraforaminal Stenosis at L2-L3 Treated with Microendoscopic Surgery: Report of Two Cases.

J Orthop Case Rep 2022 Jan;12(1):71-74

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

Introduction: The many cases of far-out syndrome that have been reported have involved extraforaminal stenosis at L5-S1. We report two cases of extremely rare extraforaminal stenosis at L2-L3.

Case Report 1: A 59-year-old man presented with a 1/2-year history of the right leg pain. Read More

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January 2022

Contrast-enhanced ultrasound manifestations of synchronous combined hepatocellular-cholangiocarcinoma and hepatocellular carcinoma: A case report.

World J Clin Cases 2022 Apr;10(11):3615-3623

Department of Ultrasound, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Synchronous combined hepatocellular-cholangiocarcinoma (CHC) and hepatocellular carcinoma (HCC) is very rare, with few literature reports and poor clinical outcomes associated with the disorder. Surgical resection is the main treatment, which makes the preoperative diagnosis very important. However, due to imaging manifestations overlapping with HCC, diagnosis of this type of synchronous cancer is challenging and it tends to be misdiagnosed as multiple HCC. Read More

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Measuring "pain load" during general anesthesia.

Cereb Cortex Commun 2022 4;3(2):tgac019. Epub 2022 May 4.

Departments of Orthopedics, Harvard Medical School, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, United States.

Introduction: Functional near-infrared spectroscopy (fNIRS) allows for ongoing measures of brain functions during surgery. The ability to evaluate cumulative effects of painful/nociceptive events under general anesthesia remains a challenge. Through observing signal differences and setting boundaries for when observed events are known to produce pain/nociception, a program can trigger when the concentration of oxygenated hemoglobin goes beyond ±0. Read More

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Primary retroperitoneal hydatid cyst with intraperitoneal rupture: a case report.

J Med Case Rep 2022 May 25;16(1):202. Epub 2022 May 25.

Departement of surgery, Habib Bourguiba Hospital, Sfax, Tunisia.

Background: Hydatid disease is endemic in Mediterranean countries and most commonly occurs in the liver followed by the lung. A primary localization in the retroperitoneum is extremely rare.

Case Presentation: We report the case of a 29-year-old Tunisian patient presenting with progressive left flank pain and skin urticaria. Read More

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Impact of self-coiling catheters for continuous popliteal sciatic block on postoperative pain level and dislocation rate: a randomized controlled trial.

BMC Anesthesiol 2022 May 24;22(1):159. Epub 2022 May 24.

Department of Anesthesiology and Critical Care Medicine, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Fetscherstr 74, 01307, Dresden, Germany.

Background: Dislocation of catheters within the tissue is a challenge in continuous regional anesthesia. A novel self-coiling catheter design is available and has demonstrated a lower dislocation rate in a cadaver model. The dislocation rate and effect on postoperative pain of these catheters in vivo has yet to be determined and were the subjects of this investigation. Read More

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Discitis due to late-onset mesh infection 14 years after inguinal hernia repair: a case report.

Surg Case Rep 2022 May 25;8(1):102. Epub 2022 May 25.

Digestive Surgery, Yokohama Asahi Chuo General Hospital, 4-20-1, Wakabadai, Asahi-ku, Yokohama, 241-0801, Japan.

Background: Mesh infection after inguinal hernia repair is a very rare complication. The incidence of late-onset mesh infection is approximately 0.1-0. Read More

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