Search results for "Procedures"

showing 10 items of 1678 documents

Comparison of 2 Zero-Profile Implants in the Treatment of Single-Level Cervical Spondylotic Myelopathy: A Preliminary Clinical Study of Cervical Disc…

2016

Objectives Cervical disc arthroplasty (CDA) with Discover prosthesis or anterior cervical discectomy and fusion (ACDF) with Zero-P cage has been widely used in the treatment of cervical spondylotic myelopathy (CSM). However, little is known about the comparison of the 2 zero-profile implants in the treatment of single-level CSM. The aim was to compare the clinical outcomes and radiographic parameters of CDA with Discover prosthesis and ACDF with Zero-P cage for the treatment of single-level CSM. Methods A total of 128 consecutive patients who underwent 1-level CDA with Discover prosthesis or ACDF with Zero-P cage for single-level CSM between September 2009 and December 2012 were included in…

MaleKinematicsPhysiologymedicine.medical_treatmentlcsh:MedicineAnterior cervical discectomy and fusionOssificationProsthesisLaryngology0302 clinical medicineMedicine and Health SciencesMedicine030212 general & internal medicineRange of Motion Articularlcsh:ScienceIntervertebral DiscProstheticsMultidisciplinaryPhysicsClassical MechanicsDysphagiaProstheses and ImplantsMiddle Agedmedicine.anatomical_structureTreatment OutcomeConnective TissueSpinal fusionPhysical SciencesCervical VertebraeFemaleBone RemodelingAnatomyRange of motionCervical vertebraeResearch ArticleBiotechnologyDiskectomyAdultmedicine.medical_specialtySurgical and Invasive Medical ProceduresSpinal Cord DiseasesArthroplasty03 medical and health sciencesMusculoskeletal System ProceduresFunctional spinal unitHumansArthroplasty ReplacementLigamentsbusiness.industrylcsh:RBiology and Life SciencesIntervertebral discArthroplastySurgeryBiological TissueSpinal FusionOtorhinolaryngologylcsh:QMedical Devices and EquipmentSpondylosisbusinessPhysiological Processes030217 neurology & neurosurgeryPLoS ONE
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An easy and safe training method for trunk function improves mobility in total knee arthroplasty patients: A quasi-randomized controlled trial

2018

Objective Total knee arthroplasty (TKA) is aimed mainly at reducing pain and restoring mobility. However, mobility deficits can persist even longer than 1 year. The trunk function and movement velocity of any region have been recently recognized to be critical for determining mobility in older people. Therefore, the main goal of this quasi-randomized trial is to clarify the effectiveness of a novel training method, the seated side tapping (SST) training, for improving mobility by focusing on movement velocity of trunk function in the short term after TKA. Methods SST training consists of side trunk movements repeated as quickly as possible in a seated position. All participants after TKA we…

MaleKnee JointTotal Knee ArthroplastyPhysiologyKneesmedicine.medical_treatmentlcsh:MedicineWalkingKnee JointsTimed Up and Go testlaw.inventionElderly0302 clinical medicineSkeletal JointsRandomized controlled triallawMedicine and Health SciencesPublic and Occupational HealthProspective StudiesRange of Motion ArticularArthroplasty Replacement Kneelcsh:ScienceMusculoskeletal SystemPostural BalanceAged 80 and overMultidisciplinaryRehabilitationMiddle AgedOsteoarthritis KneeSports ScienceTreatment OutcomeTime and Motion StudiesStrength TrainingLegsFemaleAnatomy0305 other medical scienceRange of motionResearch Articlemedicine.medical_specialtyStrength trainingSurgical and Invasive Medical ProceduresArthroplasty03 medical and health sciencesMusculoskeletal System ProceduresPhysical medicine and rehabilitation030502 gerontologymedicineHumansSports and Exercise MedicineExercisePhysical Therapy ModalitiesAgedBiological Locomotionbusiness.industrylcsh:RBiology and Life SciencesPhysical ActivityArthroplastyTrunkWalking SpeedPreferred walking speedAge GroupsPhysical FitnessBody LimbsPeople and PlacesPopulation Groupingslcsh:Qbusiness030217 neurology & neurosurgeryPLOS ONE
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An international multicentre prospective audit of elective rectal cancer surgery; operative approach versus outcome, including transanal total mesore…

2018

Introduction: Transanal total mesorectal excision (TaTME) has rapidly emerged as a novel approach for rectal cancer surgery. Safety profiles are still emerging and more comparative data is urgently needed. This study aimed to compare indications and short-term outcomes of TaTME, open, laparoscopic, and robotic TME internationally. Methods: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients undergoing elective total mesorectal excision (TME) for malignancy between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. Results: Of 2579 included patients, 76.2% (1966/257…

MaleLaparoscopic surgerymedicine.medical_specialtyColorectal cancermedicine.medical_treatmentOperative TimeAnastomosisMalignancyrectal cancer ; laparoscopic surgery ; TME ; transanal TME ; TaTME ; robotic surgery ; randomized clinical-trial ; short-term outcomes ; laparoscopic-assisted resection ; pathological outcomes ; anastomotic leakage ; initial-experience ; riskNO03 medical and health sciencesPostoperative Complications0302 clinical medicineRobotic Surgical Proceduresrobotic surgerytransanal TMEHumansMedicineRobotic surgeryProspective Studieslaparoscopic surgery; Rectal cancer; robotic surgery; TaTME; TME; transanal TME; GastroenterologyRectal cancerAgedTransanal Endoscopic Surgeryta3126Medical AuditUnivariate analysisProctectomyRectal Neoplasmsbusiness.industryRectumGastroenterologyTMEMargins of ExcisionMiddle Agedmedicine.diseaseTotal mesorectal excisionTaTMElaparoscopic surgerySurgeryTreatment OutcomeElective Surgical Procedures030220 oncology & carcinogenesisRectal cancer surgeryFemaleLaparoscopy030211 gastroenterology & hepatologybusiness
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Role and outcomes of laparoscopic cholecystectomy in the elderly.

2014

Abstract Introduction : Laparoscopic cholecystectomy is the standard of treatment for gallstones disease and acute colecystitis. The prevalence of this disease increases with age and the population is aging in industrialized countries. So, in this study we report our experience in the treatment of gallstone disease in elderly patients, particularly analyzing the outcomes of laparoscopic approach. Methods : Between January 2010 and May 2014 we performed a total of 1227 cholecystectomies. In this retrospective study age group was the primary independent variable: 351 patients were 65–79 years of age and 65 were 80 years of age or older. Results : Only 65 patients (5.3%) of all population had …

MaleLaparoscopic surgerymedicine.medical_specialtymedicine.medical_treatmentLaparoscopic cholecystectomy Gallstone disease-elderly Laparoscopy Laparoscopic surgery Geriatric surgeryCholecystitis AcutePopulationComorbidityGallstonesDiseaseLaparoscopic surgeryCohort StudiesLaparoscopic cholecystectomyCholelithiasismedicineGeriatric surgeryHumansCholecystectomyLaparoscopyeducationAgedRetrospective StudiesAged 80 and overeducation.field_of_studymedicine.diagnostic_testbusiness.industryGeneral surgeryRetrospective cohort studyGeneral MedicineGallstonesMiddle Agedmedicine.diseaseConversion to Open SurgeryComorbiditySettore MED/18 - Chirurgia GeneraleTreatment OutcomeCholecystectomy LaparoscopicElective Surgical ProceduresGallstone disease-elderlyFemaleLaparoscopySurgerybusinessDeveloped country
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“Relaparoscopic” management of surgical complications: The experience of an Emergency Center

2015

Background/aim: Laparotomy has been the approach of choice for re-operations in patients with surgical complications. The aim of this retrospective analysis was to evaluate the feasibility and the safety of laparoscopic approach for the management of general abdominal surgery complications. Materials and methods: We report a retrospective review of 75 patients who underwent laparoscopic evaluation for postoperative complications over a 4-year period. Primary outcomes (resolution rate by exclusive laparoscopic approach, conversion rate, further surgery rate) and secondary outcomes (mortality, hospitalization, prolonged ileus, wounds problems and median operative time) were evaluated. Results…

MaleLaparoscopic surgery“Second-look” surgeryDelayed DiagnosisTime Factorsmedicine.medical_treatmentlaw.inventionCohort StudiesPostoperative Complications0302 clinical medicinelawLaparotomyMedicineLaparoscopyDigestive System Surgical ProceduresAged 80 and overmedicine.diagnostic_testMiddle AgedConversion to Open SurgeryIntensive care unitRelaproscopy; Surgical complications; “Redo” surgery; “Second-look” surgery; Surgery030220 oncology & carcinogenesisRelaproscopyFemale030211 gastroenterology & hepatologyAdultReoperationmedicine.medical_specialtyAbdominal AbscessAdolescentIleusOperative TimeYoung Adult03 medical and health sciencesIleusSurgical complication“Redo” surgeryAppendectomyHumansSurgical Wound InfectionCholecystectomyMortalityAgedRetrospective StudiesLaparotomybusiness.industryRetrospective cohort studyLength of Staymedicine.diseaseSurgerySettore MED/18 - Chirurgia GeneraleSecond-Look SurgeryLaparoscopySurgeryCholecystectomybusinessAbdominal surgerySurgical Endoscopy
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Laser treatment of 13 benign oral vascular lesions by three different surgical techniques

2013

Objectives: Benign Oral Vascular Lesions (BOVLs) are a group of vascular diseases characterized by congenital, inflammatory or neoplastic vascular dilations clinically evidenced as more or less wide masses of commonly dark bluish color. If traumatized BOVLs are characterized by a great risk of hemorrhage and their treatment usually requires great caution to prevent massive bleeding. In the last decades lasers have dramatically changed the way of treatment of BOVLs permitting the application of even peculiar techniques that gave interesting advantages in their management reducing hemorrhage risks. The aim of this study was to evaluate the capabilities and disadvan - tages of three laser assi…

MaleLaser surgerymedicine.medical_specialtyLàsers en odontologiamedicine.medical_treatmentOral Surgical ProceduresOdontologíaoral vascular diseases; photocoagulation; laseroral vascular diseasesOral Surgical ProceduresMinimal invasive surgeryMalalties de la bocalaw.inventionYoung AdultOral surgerylawBiopsyHumansMedicineVascular DiseasesGeneral DentistryAgedmedicine.diagnostic_testCirurgia oralbusiness.industryLaser treatmentGold standard (test)Middle Aged:CIENCIAS MÉDICAS [UNESCO]LaserCiencias de la saludlaserSurgeryMouth diseasesOtorhinolaryngologyLasers in dentistryUNESCO::CIENCIAS MÉDICASKtp laserFemaleResearch-ArticleSurgeryLaser TherapyOral SurgeryMouth Diseasesbusinessphotocoagulation
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Total Ischemic Event Reduction With Rivaroxaban After Peripheral Arterial Revascularization in the VOYAGER PAD Trial

2021

Patients with peripheral artery disease (PAD) undergoing lower extremity revascularization (LER) are at high risk of major adverse limb and cardiovascular events. The VOYAGER PAD (Efficacy and Safety of Rivaroxaban in Reducing the Risk of Major Thrombotic Vascular Events in Subjects With Symptomatic Peripheral Artery Disease Undergoing Peripheral Revascularization Procedures of the Lower Extremities) trial demonstrated that rivaroxaban 2.5 mg twice daily reduced first events by 15%. The benefit of rivaroxaban on total (first and subsequent) events in this population is unknown.This study sought to evaluate the total burden of vascular events in patients with PAD after LER and the efficacy o…

MaleLower extremity revascularizationmedicine.medical_specialtyArterial diseasemedicine.medical_treatmentGlobal HealthRevascularizationPeripheral Arterial DiseaseRivaroxabanIschemiaInternal medicineHumansMedicineAgedRivaroxabanDose-Response Relationship Drugbusiness.industryIncidencefood and beveragesMiddle AgedPeripheralbody regionsTreatment OutcomeLower ExtremityArterial revascularizationCardiologyDrug Therapy CombinationCardiology and Cardiovascular MedicinebusinessVascular Surgical ProceduresFactor Xa Inhibitorsmedicine.drugJournal of the American College of Cardiology
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Protective intraoperative ventilation with higher versus lower levels of positive end-expiratory pressure in obese patients (PROBESE): study protocol…

2017

Background Postoperative pulmonary complications (PPCs) increase the morbidity and mortality of surgery in obese patients. High levels of positive end-expiratory pressure (PEEP) with lung recruitment maneuvers may improve intraoperative respiratory function, but they can also compromise hemodynamics, and the effects on PPCs are uncertain. We hypothesized that intraoperative mechanical ventilation using high PEEP with periodic recruitment maneuvers, as compared with low PEEP without recruitment maneuvers, prevents PPCs in obese patients. Methods/design The PRotective Ventilation with Higher versus Lower PEEP during General Anesthesia for Surgery in OBESE Patients (PROBESE) study is a multice…

MaleLung DiseasesTime Factors[SDV]Life Sciences [q-bio]Respiratory Medicine and Allergymedicine.medical_treatmentRESPIRATORY-DISTRESS-SYNDROMEMedicine (miscellaneous)HemodynamicsMechanical ventilation; Obesity; Positive end-expiratory pressure; Postoperative pulmonary complication; Recruitment maneuver; Medicine (miscellaneous); Pharmacology (medical)LAPAROSCOPIC BARIATRIC SURGERYLung DiseaseBody Mass Indexlaw.inventionPositive-Pressure RespirationStudy Protocol0302 clinical medicineMechanical ventilationClinical ProtocolsRandomized controlled trialRisk Factors030202 anesthesiologylawMedicine and Health SciencesClinical endpointAnesthesiaPharmacology (medical)Respiratory function030212 general & internal medicineLungLungmedicin och allergi2. Zero hungerlcsh:R5-920ddc:617Positive end-expiratory pressurerespiratory systemOperative3. Good healthTreatment OutcomeRecruitment maneuverTIDAL VOLUMESResearch DesignMechanical ventilation Positive end-expiratory pressure Recruitment maneuver Obesity Postoperative pulmonary complicationSurgical Procedures OperativeAnesthesiaBreathingFemaleErratumlcsh:Medicine (General)ALVEOLAR RECRUITMENT MANEUVERHumancirculatory and respiratory physiologymedicine.medical_specialtyTime FactorMechanical ventilation ; Obesity ; Positive end-expiratory pressure ; Postoperative pulmonary complication ; Recruitment maneuverAnesthesia GeneralLung injuryMechanical ventilation; Obesity; Positive end-expiratory pressure; Postoperative pulmonary complication; Recruitment maneuver; Body Mass Index; Clinical Protocols; Female; Humans; Intraoperative Care; Lung; Lung Diseases; Male; Obesity; Positive-Pressure Respiration; Protective Factors; Research Design; Risk Factors; Time Factors; Treatment Outcome; Anesthesia General; Surgical Procedures Operative; Medicine (miscellaneous); Pharmacology (medical)NOGENERAL-ANESTHESIADRIVING PRESSURE03 medical and health sciencesmedicineHumansddc:610ObesityClinical ProtocolGeneralProtective FactorPositive end-expiratory pressurePOSTOPERATIVE PULMONARY COMPLICATIONSMechanical ventilationSurgical ProceduresIntraoperative CareINTERNATIONAL CONSENSUSbusiness.industryRisk FactorProtective FactorsSurgeryMechanical ventilation; Obesity; Positive end-expiratory pressure; Postoperative pulmonary complication; Recruitment maneuverrespiratory tract diseasesbusinessPostoperative pulmonary complicationLUNG INJURY
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ST-segment elevation myocardial infarction: Management and association with prognosis during the COVID-19 pandemic in France.

2021

Systems of care have been challenged to control progression of the COVID-19 pandemic. Whether this has been associated with delayed reperfusion and worse outcomes in French patients with ST-segment elevation myocardial infarction (STEMI) is unknown.Aim: To compare the rate of STEMI admissions, treatment delays, and outcomes between the first peak of the COVID-19 pandemic in France and the equivalent period in 2019.Methods: In this nationwide French survey, data from consecutive STEMI patients from 65 centres referred for urgent revascularization between 1 March and 31 May 2020, and between 1 March and 31 May 2019, were analysed. The primary outcome was a composite of in-hospital death or no…

MaleMESH: Hyperlipidemiasmedicine.medical_treatmentMESH: ComorbidityComorbidity030204 cardiovascular system & hematologyMESH: Health Care SurveysMESH: HypertensionMESH: Procedures and Techniques Utilization0302 clinical medicinePatient AdmissionInterquartile rangeMESH: Risk FactorsRisk FactorsST segmentMESH: COVID-19030212 general & internal medicineMyocardial infarctionHospital MortalityMESH: Treatment Outcomeeducation.field_of_studyMESH: Middle AgedCardiogenic shockSmokingMESH: Patient Acceptance of Health CareGeneral MedicineMESH: Heart Rupture Post-InfarctionMiddle AgedPrognosis[SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular systemTreatment OutcomeHypertensionCardiologyFemaleStentsFranceCardiology and Cardiovascular MedicineSCA ST+MESH: Percutaneous Coronary Interventionmedicine.medical_specialtyMESH: PandemicsMESH: SmokingMESH: Diabetes MellitusPopulationComplications mécaniquesHyperlipidemiasRevascularizationMESH: PrognosisTime-to-TreatmentSTEMI03 medical and health sciencesPercutaneous Coronary Intervention[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular systemInternal medicineLockdownmedicineDiabetes MellitusHumansMESH: SARS-CoV-2MESH: Time-to-TreatmentMESH: Hospital MortalityMESH: ST Elevation Myocardial InfarctioneducationPandemicsHeart Rupture Post-InfarctionMESH: Humansbusiness.industryMESH: Patient AdmissionSARS-CoV-2Percutaneous coronary interventionCOVID-19Patient Acceptance of Health Caremedicine.diseaseComorbidityMESH: MaleMESH: FranceMESH: Stents[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologieHealth Care SurveysST Elevation Myocardial Infarction[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologieMechanical complicationsbusinessMESH: FemaleProcedures and Techniques UtilizationConfinementArchives of cardiovascular diseases
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Perioperative goal-directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces posto…

2013

Introduction Several single-center studies and meta-analyses have shown that perioperative goal-directed therapy may significantly improve outcomes in general surgical patients. We hypothesized that using a treatment algorithm based on pulse pressure variation, cardiac index trending by radial artery pulse contour analysis, and mean arterial pressure in a study group (SG), would result in reduced complications, reduced length of hospital stay and quicker return of bowel movement postoperatively in abdominal surgical patients, when compared to a control group (CG). Methods 160 patients undergoing elective major abdominal surgery were randomized to the SG (79 patients) or to the CG (81 patien…

MaleMean arterial pressuremedicine.medical_specialtyCardiac indexBlood PressureCritical Care and Intensive Care MedicinePatient Care PlanningPerioperative CarePostoperative ComplicationsMonitoring Intraoperativemedicine.arterymedicineHumansProspective StudiesRadial arteryAgedAged 80 and overArterial pulse pressurebusiness.industryResearchHemodynamicsPerioperativeMiddle AgedSurgeryPulse pressureBlood pressureElective Surgical ProceduresAnesthesiaRadial ArteryFemalebusinessAbdominal surgeryCritical Care
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