Search results for "abdominal"
showing 10 items of 886 documents
A woman with a long history of abdominal pain
2004
Pain management in ERAS approach for abdominal surgery: A narrative review
2020
Tra tutte le fasi dell’intervento chirurgico, la fase preoperatoria è generalmente vissuta dal paziente con maggiore ansia. Studi in merito dimostrano che una maggiore percezione dell’ansia o paura nella fase preoperatoria sia scientificamente correlata a un decorso postoperatorio prolungato. Il dolore è annoverato tra le principali cause che recano ansia al paziente. L’obiettivo della presente revisione della letteratura è quello di esaminare la letteratura in merito alla gestione del dolore preoperatorio nei pazienti candidati alla chirurgia addominale, confrontando gli outcome clinici dei pazienti sottoposti a metodologia ERAS® con quelli ottenuti con una gestione perioperatoria tradizio…
The effects of abdominal training in female dancers
2011
Perinatal management of gastroschisis
2014
Gastroschisis is an abdominal wall defect, typically located to the right of the umbilical cord, requiring an early surgical treatment shortly after birth. Affected patients can be identified during intrauterine life with US and should be delivered in referral hospitals where a multisciplinary approach can be provided, involving neonatologists, clinical geneticists, surgeons and other specialists. These patients require a complex management in Neonatal Intensive Care Unit (NICU) and a long term follow-up after discharge. Exceed the acute neonatal condition, gastroschisis has a good prognosis, if there are no overlapping complications, and it should be differentiated from omphalocele, burden…
Estudio de los efectos de pregabalina en el control del dolor postoperatorio tras histerectomía abdominal
2015
El dolor agudo postoperatorio es una causa importante de morbilidad perioperatoria. La pregabalina (PGB), análogo del GABA, interacciona con sub-unidades de los canales de calcio α-2-δ, produciendo una reducción en la liberación de neurotransmisores y una disminución de la hiperexcitabilidad neuronal. En los últimos años se han realizado estudios que demuestran las propiedades analgésicas de la pregabalina administrada en el pre y postoperatorio durante las primeras 24 h de distintos procedimientos quirúrgicos. Nuestro objetivo es evaluar la eficacia analgésica de la PGB asociada a dos tipos de anestesia, general o combinada, en el postoperatorio de histerectomía abdominal. Material y Métod…
Chimney and Periscope Grafts Observed Over 2 Years After Their Use to Revascularize 169 Renovisceral Branches in 77 Patients With Complex Aortic Aneu…
2013
Purpose: To evaluate the performance of periscope and/or chimney grafts (CPGs) in the endovascular treatment of pararenal or thoracoabdominal aneurysms using off-the-shelf devices. Methods: Between February 2002 and August 2012, 77 consecutive patients (62 men; mean age 7369 years) suffering from pararenal aortic (n¼55), thoracoabdominal (n¼16), or arch to visceral artery aneurysms (n¼6) were treated with aortic stent-graft implantation requiring chimney and/or periscope grafts to maintain side branch perfusion. CPGs were planned in advance and were not used as bailout. A standardized follow-up protocol including computed tomographic angiography, laboratory testing, and clinical examination…
Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature
2013
Background Ultrasound is a widely used technique in the diagnosis of acute appendicitis; nevertheless, its utilization still remains controversial. Methods The accuracy of the Ultrasound technique in the diagnosis of acute appendicitis in the adult patient, as shown in the literature, was searched for. Results The gold standard for the diagnosis of appendicitis still remains pathologic confirmation after appendectomy. In the published literature, graded-compression Ultrasound has shown an extremely variable diagnostic accuracy in the diagnosis of acute appendicitis (sensitivity range from 44% to 100%; specificity range from 47% to 99% ). This is due to many reasons, including lack of operat…
The Modified Heidelberg and the AI Appendicitis Score Are Superior to Current Scores in Predicting Appendicitis in Children: A Two-Center Cohort Study
2020
Background: Acute appendicitis represents the most frequent reason for abdominal surgery in children. Since diagnosis can be challenging various scoring systems have been published. The aim of this study was to evaluate and validate (and improve) different appendicitis scores in a very large cohort of children with abdominal pain. Methods: Retrospective analysis of all children that have been hospitalized due to suspected appendicitis at the Pediatric Surgery Department of the Altonaer Children's Hospital and University Medical Center Hamburg-Eppendorf from 01/2018 until 11/2019. Four different appendicitis scores (Heidelberg Appendicitis Score, Alvarado Score, Pediatric Appendicitis Score …
The Metabolic Syndrome and Its Relationship to Hypertensive Target Organ Damage
2007
High blood pressure is often associated with various metabolic abnormalities, including abdominal obesity, dyslipidemia, elevated plasma glucose, and insulin resistance, which are the main features of the metabolic syndrome. The metabolic syndrome is extremely common worldwide. This high prevalence is of considerable concern because several studies suggest that the metabolic syndrome carries an increased risk for cardiovascular events. Several lines of evidence seem to indicate that the metabolic syndrome is associated with an increased prevalence of preclinical cardiovascular and renal changes, such as left ventricular hypertrophy, microalbuminuria, impaired aortic elasticity, and early ca…
Estudio de miRNAs en la formación de aneurismas de aorta abdominal en humanos
2021
Los microRNA (miRNAs/miRs) son pequeñas cadenas de ácido ribonucleico (ARN, del inglés RNA) que regulan diferentes procesos biológicos. El objetivo de este estudio consistió en identificar miRNAs alterados en plasma y tejido de pacientes con aneurismas de aorta abdominal (AAA) y explorar nuevas dianas potencialmente involucradas en su desarrollo. Cincuenta y siete sujetos fueron reclutados para el estudio en plasma (30 pacientes con AAA, 16 voluntarios sanos y 11 paciente con arterioesclerosis). Se testó el nivel de expresión de 179 miRNAs en un subgrupo de las muestras de plasma y, posteriormente, se validaron los miRNAs disregulados en la población completa. Los miRNA alterados también se…