120,728 results match your criteria post-operative pain

Analysis of the Clinical Effect of Natural Orifice Specimen Extraction Surgery Combined with Transanal Endoscopic Operations.

J Laparoendosc Adv Surg Tech A 2021 May 12. Epub 2021 May 12.

Department of Gastrointestinal Surgery, Affiliated Hospital of Chengde Medical University, Chengde, China.

To explore the clinical efficacy of natural orifice specimen extraction surgery (NOSES) combined with transanal endoscopic operations (TEOs) to remove specimens from the anus for laparoscopic radical resection of colorectal cancer. From January 2014 to May 2020, 120 colorectal cancer patients were selected as study samples, including 60 cases who underwent NOSES laparoscopic radical resection of colorectal cancer (experimental group) and 60 cases who underwent traditional laparoscopic radical resection of colorectal cancer (control group). The basic preoperative conditions, operative time, intraoperative blood loss, lymph node dissection, postoperative hospitalization time, postoperative exhaust and defecation time, postoperative anal function, and postoperative complications were analyzed retrospectively. Read More

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Surgical management of endometriosis-associated pain.

Minerva Obstet Gynecol 2021 May 12. Epub 2021 May 12.

Latifa Hospital, Dubai, Unated Arab Emirates.

Endometriosis and pelvic pain are associated. However, only half of the subtle and typical, and not all cystic and deep lesions are painful. The mechanism of the pain is explained by cyclical trauma and repair, an inflammatory reaction, activation of nociceptors up to 2. Read More

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Improvement of Life After PVCR in Complete Paraplegic Patients with Posttraumatic Severe Kyphosis.

Turk Neurosurg 2020 Dec 14. Epub 2020 Dec 14.

Ufuk University, Faculty of Medicine, Department of Orthopedics and Traumatology, Ankara, Turkey.

Aim: To determine the effect of PVCR in patients with paraplegia by using the American Spinal Injury Association Score and Scoliosis Research Society-22 questionnaire.

Material And Methods: Twelve patients with posttraumatic paraplegia and severe angular kyphosis ( 60⁰) had undergone PVCR between 6-24 months after the trauma for severe pain, persistent vertebral instability and difficulty in adherence to rehabilitation. ASIA scores and SRS-22 questionnaire results obtained in the preoperative and postoperative periods and the last control were statistically compared to assess the presence of any change. Read More

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December 2020

Exploring Race Differences in Satisfaction with Rehabilitation Following Total Knee Arthroplasty: a Qualitative Study.

J Gerontol A Biol Sci Med Sci 2021 May 11. Epub 2021 May 11.

Department of Physical Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences; Pittsburgh, PA, USA.

Background: The purpose of this qualitative focus group study was to explore race differences in the rehabilitation experience and satisfaction with rehabilitation following total knee arthroplasty (TKA).

Methods: We conducted a series of qualitative focus group discussions with groups of Non-Hispanic White and Non-Hispanic Black older adults who recently underwent TKA. We used grounded theory approach, which asks the researcher to develop theory from the data that are collected. Read More

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Effects of acupuncture on pain and levels of IL-17 and IL-23 in the treatment of non-thermal endovenous ablation: A randomized clinical trial.

Vascular 2021 May 12:17085381211013980. Epub 2021 May 12.

Department of Medical Pharmacology, Faculty of Medicine, Sivas Cumhuriyet University, Sivas, Turkey.

Objectives: Acupuncture is one of the oldest therapeutic interventions in the world for the treatment of pain, musculoskeletal diseases, and inflammation. This study aimed to investigate the effect of acupuncture on pain and IL-17 and IL-23 levels in the treatment of endovenous ablation.

Methods: The study was a randomized controlled trial. Read More

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Preoperative Fluoroscopically Guided Regional Erector Spinae Plane Blocks Reduce Opioid Use, Increase Mobilization, and Reduce Length of Stay Following Lumbar Spine Fusion.

Global Spine J 2021 May 12:21925682211010740. Epub 2021 May 12.

University of Utah, Salt Lake City, UT, USA.

Study Design: Retrospective review.

Objective: To determine the effectiveness of erector spinae plane (ESP) blocks at improving perioperative pain control and function following lumbar spine fusions.

Methods: A retrospective analysis was performed on patients undergoing 3 level posterolateral lumbar fusions. Read More

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[Treatment of patients with metastatic lesions of the long bones].

Khirurgiia (Mosk) 2021 (5):89-94

Herzen Moscow Research Cancer Institute, Moscow, Russia.

Objective: To optimize orthopedic care in patients with complicated course of metastatic lesions of the long bones.

Material And Methods: There were 201 patients (72 men and 129 women) who underwent orthopedic care for metastatic lesions of the long bones for the period from 2006 to 2019. Breast cancer metastases were diagnosed in 71 (35%) cases, kidney cancer - 56 (28%) patients, prostate cancer - 19 (9%) cases, metastases without a primary identified focus - 15 (8%) patients. Read More

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January 2021

[Effect of morphological state of pancreatic parenchyma on the long-term outcome of surgery for chronic pancreatitis].

Khirurgiia (Mosk) 2021 (5):42-49

Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.

Objective: To determine the effect of baseline morphological state of the pancreas on the long-term outcomes of duodenum-preserving pancreatic head resection (DPPHR).

Material And Methods: The study included 104 patients with chronic pancreatitis (CP), who underwent DPPHR in 2014-2019. Pain syndrome, exocrine and endocrine pancreatic insufficiency and quality of life (QoL) were assessed in long-term postoperative period. Read More

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January 2021

[Intercostal nerve cryoablation in correction of pectus excavatum in adults].

Khirurgiia (Mosk) 2021 (5):14-19

A.V. Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.

Objective: To evaluate an effectiveness of cryoanalgesia in older patients with pectus excavatum and to determine feasibility of further research.

Material And Methods: We have developed an original technique of intercostal nerve cryoablation for correction of pectus excavatum in adults. The results of intercostal nerve cryoablation during correction of pectus excavatum in 10 older patients were analyzed. Read More

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January 2021

Establishment of predicting equation for individual sufentanil dosage postoperatively based on gene polymorphisms.

Pain Pract 2021 May 12. Epub 2021 May 12.

Department of Pharmacy, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, China.

Background: Postoperative analgesia is widely used for patients undergoing major surgeries. Individual differences in genetic polymorphisms may be obstructive factors for accurately anesthetics using. However, the equation for predicting sufentanil dosage postoperatively based on genetic design has been established yet. Read More

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Gamma Knife radiosurgery and refractory glossopharyngeal neuralgia: a single-center series with long-term follow-up.

Neurosurg Rev 2021 May 11. Epub 2021 May 11.

Department of Functional Neurosurgery and Gamma Knife Radiosurgery, Ruber Internacional Hospital, C/ La Masó, 38, CP 28034, Madrid, Spain.

We present our experience with Gamma Knife surgery (GKS) and refractory glossopharyngeal neuralgia (GPN), analyzing its usefulness and safety in patients with or without previous surgeries, another concomitant neuralgia, or retreats. In addition, we study some factors that could condition the outcome of this technique. According to our review, our follow-up is the longest in the literature. Read More

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The fat anchor orchiopexy technique: results and outcomes from 150 cases surgical experience.

Pediatr Surg Int 2021 May 11. Epub 2021 May 11.

Pediatric and Adolescent Surgery Division, Department of Surgical Pathology, Medical, Molecular and Critic Area, University of Pisa, Pisa, Italy.

Purpose: The purpose of the study is to evaluate results and outcomes in a long-time follow-up period, by performing a novel testicular fixation procedure, known as "fat anchor orchidopexy" (FAO), for the treatment of palpable low inguinal undescended testis.

Materials And Methods: We retrospectively reviewed all patients who underwent scrotal orchiopexy technique, from May 2013 to May 2019, at the Pediatric Surgery Division of Department of Surgical Pathology, University of Pisa (Italy). FAO (Spinelli's technique) consists in anchoring the testicles to sub-scrotal fat with a single trans-scrotal incision. Read More

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Impact of Eliminating Local Anesthesia on Immediate Postoperative Analgesia in Pediatric Ambulatory Adenotonsillectomy.

Pediatr Qual Saf 2021 May-Jun;6(3):e405. Epub 2021 May 5.

Department of Otolaryngology - Head and Neck Surgery, University of Washington School of Medicine, Seattle, Wash.

Our goal was to standardize intraoperative analgesic regimens for pediatric ambulatory tonsillectomy by eliminating local anesthetic use and to determine its impact on postoperative pain measures, while controlling for other factors.

Methods: We assembled a quality improvement team at an ambulatory surgery center. They introduced a standardized anesthetic protocol, involving American Society of Anesthesiologists Classification 1 and 2 patients undergoing adenotonsillectomy. Read More

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Intrawound Liposomal Bupivacaine in Pediatric Chiari Decompression: A Retrospective Study.

Pediatr Qual Saf 2021 May-Jun;6(3):e397. Epub 2021 May 5.

Division of Pediatric Neurosurgery, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, Ill.

Intrawound liposomal bupivacaine is a long-acting local anesthetic used to decrease postoperative pain in various procedures. Although it is used in posterior cervical and suboccipital approaches in the adult population, it is currently off-label for pediatrics. This quality improvement (QI) project examines intrawound liposomal bupivacaine for pediatric Chiari decompression and evaluates its role in postoperative opioid consumption. Read More

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Pain therapy to reduce perioperative complications.

Innov Surg Sci 2019 Dec 26;4(4):158-166. Epub 2019 Nov 26.

Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Münster, Germany.

The incidence rates of adverse events secondary to any operation are a well-known problem in any surgical field. One outstanding example of such adverse events is postoperative pain. Thus, the incidence of acute postoperative pain following any surgical procedure and its treatment are central issues for every surgeon. Read More

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December 2019

The role of mirabegron in relieving double-J stent-related discomfort: a randomized controlled clinical trial.

Cent European J Urol 2021 12;74(1):76-80. Epub 2021 Feb 12.

Minia University Hospital, Department of Urology, Minia, Egypt.

Introduction: The aim of this study was to investigate the effect of 50 mg mirabegron once daily in relieving ureteral double-J (DJ) stent-related discomfort after ureteroscopy (URS) or retrograde intrarenal surgery (RIRS).

Material And Methods: A total of 210 patients who underwent DJ ureteral stent insertion after URS or RIRS were randomized 1:1 to receive either no treatment (Group B) or mirabegron 50 mg once daily (Group A) during the stenting period. At time of stent removal, all patients were evaluated for stent-related symptoms using the Arabic translated and validated ureteral stent symptom questionnaire (USSQ). Read More

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February 2021

Effects of Systemic Lidocaine on Postoperative Recovery Quality and Immune Function in Patients Undergoing Laparoscopic Radical Gastrectomy.

Drug Des Devel Ther 2021 3;15:1861-1872. Epub 2021 May 3.

Jiangsu Province Key Laboratory of Anesthesiology, Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.

Objective: This study aimed to explore the effects of lidocaine on postoperative quality of recovery (QoR) and immune function in patients undergoing laparoscopic radical gastrectomy.

Methods: In total, 135 patients were enrolled and were equally randomized to receive low-dose lidocaine (Group LL: 1.5 mg/kg bolus followed by an infusion at 1. Read More

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Postoperative acute kidney injury in adult non-cardiac surgery: joint consensus report of the Acute Disease Quality Initiative and PeriOperative Quality Initiative.

Nat Rev Nephrol 2021 May 11. Epub 2021 May 11.

Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.

Postoperative acute kidney injury (PO-AKI) is a common complication of major surgery that is strongly associated with short-term surgical complications and long-term adverse outcomes, including increased risk of chronic kidney disease, cardiovascular events and death. Risk factors for PO-AKI include older age and comorbid diseases such as chronic kidney disease and diabetes mellitus. PO-AKI is best defined as AKI occurring within 7 days of an operative intervention using the Kidney Disease Improving Global Outcomes (KDIGO) definition of AKI; however, additional prognostic information may be gained from detailed clinical assessment and other diagnostic investigations in the form of a focused kidney health assessment (KHA). Read More

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[Stanford Type A Acute Aortic Dissection with Myasthenia Gravis:Report of a Case].

Kyobu Geka 2021 Feb;74(2):139-141

Department of Cardiovascular Surgery, Otakanomori Hospital, Kashiwa, Japan.

The patient was a 76-year-old man with myasthenia gravis (MG). He suffered from a sudden back pain, and was diagnosed with Stanford type A acute aortic dissection. We performed emergency graft replacement of the ascending aorta under cardiopulmonary bypass with hypothermic circulatory arrest. Read More

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February 2021

Effects of patients' understanding and choice of surgical types on postoperative outcomes of Peyronie's disease: a single-center retrospective study of 108 patients.

Asian J Androl 2021 May 11. Epub 2021 May 11.

Department of Urology and Andrology, Ninth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200011, China.

Surgical correction can be considered for treating patients with a chronic phase of Peyronie's disease (PD) and persistent penile curvature. In clinical practice, some patients pay too much attention to surgical complications and refuse the recommended feasible surgical types. Meanwhile, they require operations according to their preferences. Read More

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Efficacy of perineural versus intravenous dexmedetomidine as a peripheral nerve block adjunct: a systematic review.

Reg Anesth Pain Med 2021 May 11. Epub 2021 May 11.

Anesthesia, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada

Background: Dexmedetomidine is an effective local anesthetic adjunct for peripheral nerve blocks. The intravenous route for administering dexmedetomidine has been suggested to be equally effective to the perineural route; but comparative evidence is conflicting.

Objectives: This evidence-based review evaluated trials comparing the effects of intravenous to perineural dexmedetomidine on peripheral nerve block characteristics in adult surgical patients. Read More

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Testicular ischaemia: one of the most unknown of post-EVAR complications.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Servei d'Angiologia i Cirurgia Vascular, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain.

Testicular ischaemia after endovascular aortic aneurysm repair (EVAR) is a very uncommon complication. There are only a few cases reported in the literature and the pathogenesis remains unclear. We report a case of unilateral testicular ischaemia in the early postoperative period after EVAR. Read More

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Acute appendicitis in pregnancy mimicking leiomyoma pain.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Department of Obstetrics and Gynecology, Seoul Medical Center, Jungnang-gu, Seoul, Republic of Korea.

Acute appendicitis is the most common nonobstetric condition requiring surgery in pregnancy. However, the diagnosis of acute appendicitis during pregnancy is challenging because of obscure clinical manifestations and laboratory findings. Intravenous antibiotic treatment is not preferred over operation because of the poor outcome. Read More

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Perioperative adherence to continuous positive airway pressure and its effect on postoperative nocturnal hypoxemia in obstructive sleep apnea patients: a prospective cohort study.

BMC Anesthesiol 2021 May 11;21(1):142. Epub 2021 May 11.

Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, MCL 2-405, 399 Bathurst St., Toronto, ON, M5T2S8, Canada.

Background: Although continuous positive airway pressure (CPAP) is the first line treatment for obstructive sleep apnea (OSA) patients, the perioperative adherence rate is unclear. The objective of this study was to determine the perioperative adherence rate of patients with OSA with a CPAP prescription and the effect of adherence on nocturnal oxygen saturation.

Methods: This prospective cohort study included adult surgical patients with a diagnosis of OSA with CPAP prescription undergoing elective non-cardiac surgery. Read More

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Long-term survival case of esophageal carcinosarcoma coexisting with alcoholic liver cirrhosis successfully treated by staged operation: A case report.

Int J Surg Case Rep 2021 Apr 30;83:105946. Epub 2021 Apr 30.

Department of Surgery, Ota Memorial Hospital, 455-1 Oshima-cho, Ota, Gunma 373-8585, Japan.

Introduction: Patients with esophageal cancers including carcinosarcoma sometimes have underlying liver cirrhosis because of a history of heavy drinking. It is definitely required to determine the appropriate surgical strategy and to manage the patients promptly when performing esophagectomy for the esophageal carcinosarcoma coexisting with alcoholic liver cirrhosis.

Presentation Of Case: A 56-year-old male patient with a history of chest pain and difficulty swallowing was admitted to our hospital. Read More

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The influence of age on EEG-based anaesthesia indices.

J Clin Anesth 2021 May 8;73:110325. Epub 2021 May 8.

Department of Anesthesiology and Intensive Care Medicine, Technical University of Munich, School of Medicine, Munich, Germany. Electronic address:

Study Objective: In the upcoming years there will be a growing number of elderly patients requiring general anaesthesia. As age is an independent risk factor for postoperative delirium (POD) the incidence of POD will increase concordantly. One approach to reduce the risk of POD would be to avoid excessively high doses of anaesthetics by using neuromonitoring to guide anaesthesia titration. Read More

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Analgesic effects of a 5% lidocaine patch after cesarean section: A randomized placebo-controlled double-blind clinical trial.

J Clin Anesth 2021 May 8;73:110328. Epub 2021 May 8.

Botucatu Medical School, São Paulo State University (UNESP), Av. Prof. Mário Rubens Guimarães Montenegro, s/n 18618687, Botucatu, SP, Brazil. Electronic address:

Study Objective: This study aimed to evaluate the analgesic effects of a 5% lidocaine patch in acute postoperative pain after cesarean section.

Design: This is a prospective, randomized, double-blind study.

Setting: After surgery, active and placebo patches were applied in the operating room, and patients were evaluated during their stay at the postoperative recovery room and at the hospital ward. Read More

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Colorectal Schistosomiasis Infection After Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Recurrent Metastatic Colon Adenocarcinoma: A Case Report.

Am J Case Rep 2021 May 11;22:e930439. Epub 2021 May 11.

Department of Surgery, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

BACKGROUND Colorectal cancer is one of the most common cancers in men and women worldwide. There are several studies showing an association between chronic schistosomiasis infection and colorectal cancer. CASE REPORT A 53-year-old woman presented with recurrent metastatic colon cancer involving the peritoneum and bilateral adnexa. Read More

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Clinically Important Reductions in Physical Function and Quality of Life in Adults with Tumor Prostheses in the Hip and Knee: A Cross-sectional Study.

Clin Orthop Relat Res 2021 May 10. Epub 2021 May 10.

L. Fernandes, M. K. Zebis, Department of Midwifery, Physiotherapy, Occupational Therapy, and Psychomotor Therapy, University College Copenhagen, Copenhagen, Denmark.

Background: Patients with a bone sarcoma who undergo limb-sparing surgery and reconstruction with a tumor prosthesis in the lower extremity have been shown to have reduced self-reported physical function and quality of life (QoL). To provide patients facing these operations with better expectations of future physical function and to better evaluate and improve upon postoperative interventions, data from objectively measured physical function have been suggested.

Questions/purposes: We sought to explore different aspects of physical function, using the International Classification of Functioning, Disability, and Health (ICF) as a framework, by asking: (1) What are the differences between patients 2 to 12 years after a bone resection and reconstruction surgery of the hip and knee following resection of a bone sarcoma or giant cell tumor of bone and age-matched controls without walking limitations in ICF body functions (ROM, muscle strength, pain), ICF activity and participation (walking, getting up from a chair, daily tasks), and QoL? (2) Within the patient group, do ICF body functions and ICF activity and participation outcome scores correlate with QoL?

Methods: Between 2006 and 2016, we treated 72 patients for bone sarcoma or giant cell tumor of bone resulting in bone resection and reconstruction with a tumor prosthesis of the hip or knee. Read More

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Achieving reliable pain change scores for individuals in postoperative phase: carefully choose sampling density, test length, and administration mode.

Pain 2021 May 7. Epub 2021 May 7.

Dornsife Center for Self-Report Science, University of Southern California, Los Angeles, USA Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité - Universitätsmedizin Berlin, Berlin, Germany Department of Psychology, University of Southern California, Los Angeles, USA.

Abstract: Despite tremendous efforts to increase the reliability of pain measures and other self-report instruments, improving or even evaluating the reliability of change scores has been largely neglected. In this study, we investigate the ability of two instruments from the Patient-Reported Outcomes Measurement Information System (PROMIS®), pain interference (6 items) and pain behavior (7 items), to reliably detect individual changes in pain during the postsurgical period of a hernia repair in 98 patients who answered daily diaries over almost 3 weeks following surgery. To identify the most efficient strategy for obtaining sufficiently reliable estimates of change (reliability >. Read More

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