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showing 10 items of 6213 documents

Clinical and Functional Outcome After Abdominal Wall Incisional Hernia Repair: Evaluation of Quality-of-Life Improvement and Comparison of Assessment…

2019

Background Hernias severely impact patient quality of life (QoL), and 80% of patients need surgical operation. The primary outcome of the study is to assess improvements in balance, posture and deambulation after abdominal hernia repair. Moreover, the study investigated the improvement in the postoperative QoL. Methods Patients operated at the Policlinico “Paolo Giaccone” at Palermo University Hospital between June 2015 and June 2017 were identified in a prospective database. The functional outcome measures and QoL assessment scales used were numeric rating scale for pain, performance-oriented mobility assessment (POMA) scale, Quebec back pain disability scale, center of gravity (barycenter…

AdultMalemedicine.medical_specialtyPsychometricsAbdominal Hernia030230 surgeryAbdominal wall03 medical and health sciences0302 clinical medicineQuality of lifeBack painNumeric Rating ScaleMedicineHumansIncisional HerniaHerniaPostoperative PeriodProspective StudiesProspective cohort studyHerniorrhaphyAgedPain Measurementbusiness.industryAbdominal WallQuebecAbdominal wall incisional hernia repair Qol posture barycenter deambulationRecovery of FunctionMiddle AgedSurgical Meshmedicine.diseaseHealth SurveysHernia Ventralmedicine.anatomical_structureTreatment Outcome030220 oncology & carcinogenesisPhysical therapyQuality of LifeSurgeryFemalemedicine.symptombusinessAbdominal surgeryWorld journal of surgery
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Preoperative factors influencing success in pterygium surgery

2012

Abstract Background To identify preoperative, perioperative and postoperative risk factors that influence the success of pterygium surgery. Methods This is a prospective study of thirty-six patients with primary or recurrent pterygia. A detailed anamnesis and an ophthalmological examination were performed looking for the following factors: age, race, latitude and altitude of the main place of residence, hours of exposure to the sun, use of protective measures against UV-radiation, classification of pterygium, width of the pterygium at limbus, surgical technique (conjunctival autograft plus suturing versus tissue glue), graft alterations (misapposition, granuloma, haemorrhage, oedema, retrac…

AdultMalemedicine.medical_specialtyPterygiumTransplantation AutologousYoung AdultPostoperative Complicationslcsh:OphthalmologyRecurrenceCorneaPrevalenceHumansMedicineProspective StudiesYoung adultProspective cohort studySurvival analysisAgedConjunctival autograftAnamnesisPterygium (conjunctiva)Pterygium surgerybusiness.industryGeneral MedicinePerioperativeMiddle Agedmedicine.diseaseeye diseasesSurgeryTransplantationOphthalmologyTreatment Outcomemedicine.anatomical_structureRisk factorsSpainlcsh:RE1-994Preoperative PeriodFemaleSunlight exposurebusinessConjunctivaResearch ArticleFollow-Up StudiesBMC Ophthalmology
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Cervical Spondylotic Myelopathy: When and Why the Cervical Corpectomy?

2020

Background: Cervical spondylotic myelopathy (CSM) is a degenerative disease that represents the most common spinal cord disorder in adults. The best treatment option has remained controversial. We performed a prospective study to evaluate the clinical, radiographic, and neurophysiologic outcomes for anterior cervical corpectomy in the treatment of CSM. Methods: From January 2011 to January 2017, 60 patients with CSM were prospectively enrolled in the present study. The patients were divided according to the modified Japanese Orthopaedic Association scale (mJOA) score into 2 groups: group A, patients with mild to moderate CSM (mJOA score ≥13); and group B, patients with severe myelopathy (mJ…

AdultMalemedicine.medical_specialtyRadiographymedicine.medical_treatmentSpinal Cord DisorderIntervertebral Disc DegenerationOssification of Posterior Longitudinal LigamentSeverity of Illness IndexMyelopathyYoung AdultDegenerative diseaseSpondylotic myelopathySymptom durationMedicineHumansProspective StudiesCorpectomyProspective cohort studyCervical corpectomy Young Adult Cervical spondylotic myelopathy Degenerative cervical myelopathy Surgical outcomes Adult Aged Cervical Vertebrae Decompression Surgical Functional Status Intervertebral Disc Degeneration Female Intervertebral Disc Displacement Humans Ossification of Posterior Longitudinal Ligament Middle Aged Male Prospective Studies Spinal Cord Compression Severity of Illness Index Treatment Outcome Spinal Fusion SpondylosisAgedbusiness.industryMiddle Agedmedicine.diseaseDecompression SurgicalSurgeryFunctional StatusSpinal FusionTreatment OutcomeCervical VertebraeSurgeryFemaleNeurology (clinical)SpondylosisbusinessSpinal Cord CompressionIntervertebral Disc DisplacementWorld neurosurgery
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Inflammation after sclerocorneal versus clear corneal tunnel phacoemulsification.

2000

Abstract Objective To compare the postoperative inflammation after phacoemulsification followed by intraocular lens (IOL) implantation by means of sclerocorneal versus clear corneal tunnel incision. Design Randomized controlled clinical trial. Participants One hundred eyes of 100 patients were examined at a German University eye hospital. Intervention One hundred eyes with cataract necessitating phacoemulsification with posterior chamber IOL implantation were randomly assigned to receive a temporal sclerocorneal or clear corneal tunnel incision by a single surgeon. Main outcome measures Preoperative and postoperative inflammation was evaluated by measurement of flare using laser flare photo…

AdultMalemedicine.medical_specialtyRandomizationBlood-Aqueous Barriergenetic structuresAnterior Chambermedicine.medical_treatmentEye diseaseVisual AcuityIntraocular lensRefraction OcularFluorophotometryCorneaLens Implantation IntraocularCorneaOphthalmologyMedicineHumansProspective StudiesSclerocorneaIntraocular PressureAgedAged 80 and overPhacoemulsificationbusiness.industryPhacoemulsificationMiddle Agedmedicine.diseaseUveitis Anterioreye diseasesSurgeryOphthalmologymedicine.anatomical_structureFemalesense organsPostoperative inflammationbusinessSurgical incisionScleraOphthalmology
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Patients' experiences of shoulder problems prior to and following intervention.

2011

Health can be viewed from several perspectives. It has been shown that impingement of the shoulder leads to functional inability and decreased life quality. The aim of this study was to investigate the complexity of the effect of shoulder problems and discern and describe what it entails to be a patient suffering from shoulder problems. The study delineated patients' situations prior to and following medical intervention. This study is qualitative, and the data were collected through focus group interviews. Interviews with 26 respondents aged 43-63 (mean age 53) were made in 2005-2007. The sample group consisted of patients with supraspinatus tendinitis receiving either conservative treatme…

AdultMalemedicine.medical_specialtyRehabilitationbusiness.industrymedicine.medical_treatmentMEDLINEPhysical Therapy Sports Therapy and RehabilitationContext (language use)Middle AgedFocus groupInternational Classification of Functioning Disability and HealthShoulder PainIntervention (counseling)Preoperative PeriodTendinopathyPhysical therapyMedicineHumansFemaleMeaning (existential)Postoperative PeriodThematic analysisbusinessPhysiotherapy theory and practice
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A Randomized-Controlled Study of Intrathecal Versus Epidural Thoracic Analgesia in Patients Undergoing Abdominal Cancer Surgery

2008

Background. We sought to determine the effectiveness of continuous intrathecal thoracic analgesia (ITA) in comparison with continuous epidural thoracic analgesia (ETA) for the management of postoperative pain after abdominal cancer surgery in a randomised controlled study. Materials and methods. Catheters were inserted at T8-10 level for both techniques. Sixty patients were randomized to receive ITA providing levobupivacaine 0.25%, at 0.5-0-7 ml/h, associated with a single bolus of morphine 0.15 mg, or ETA with levobupivacaine 0.25% 4-6 ml/h and a single bolus of epidural morphine 2-3 mg. Data were collected before discharging from recovery room to the surgical ward, 1, 2, 3, 8, 12, 24 h, a…

AdultMalemedicine.medical_specialtyResuscitationAdolescentabdominal cancer surgerySettore MED/41 - AnestesiologiaDiuresisHemodynamicsHealth Informaticsepidural analgesiaintrathecal analgesiapostoperative painCritical Care and Intensive Care Medicineintrathecal analgesialaw.inventionYoung AdultRandomized controlled triallawIntensive careAnesthesiologymedicineHumansAnesthetics LocalInjections SpinalAgedPain MeasurementAged 80 and overPain Postoperativebusiness.industryLidocaineepidural analgesiaMiddle AgedSurgeryAnalgesia EpiduralTreatment OutcomeAnesthesiology and Pain MedicineLevobupivacaineAbdominal NeoplasmsAnesthesiaMorphineFemalebusinessmedicine.drugJournal of Clinical Monitoring and Computing
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Low-density lipoproteins generated during an oral fat load in mild hypertriglyceridemic and healthy subjects are smaller, denser, and have an increas…

2005

Triglyceride-rich lipoproteins generated during the postprandial phase are atherogenic. Large very low-density lipoproteins (LDLs) or chylomicrons (CMs) are not as atherogenic as their remnants (Rem). Small and dense LDLs are associated with cardiovascular disease. Low-density lipoprotein size is partly under genetic control and is considered as a relatively stable LDL feature. In this article, we present data on retinyl palmitate kinetics correlated with the modification of LDL features in terms of size, density, and in vitro receptor binding affinity after an oral fat load. Six nondiabetic, hypertriglyceridemic (HTG) patients and 6 healthy controls were examined. Low-density lipoprotein s…

AdultMalemedicine.medical_specialtyRetinyl EstersSettore MED/09 - Medicina InternaEndocrinology Diabetes and MetabolismBinding CompetitiveModels Biologicalchemistry.chemical_compoundEndocrinologyInternal medicineRetinyl palmitateCell Line TumorChylomicronsmedicineHumansReceptorVitamin AHypertriglyceridemiaLow-density lipoproteins hypertriglyceridemia Fasting and postprandial LDLsTriglycerideCatabolismChemistryFastingFibroblastsPostprandial PeriodDietary FatsLipidsLipoproteins LDLKineticsEndocrinologyPostprandialReceptors LDLlipids (amino acids peptides and proteins)Density gradient ultracentrifugationElectrophoresis Polyacrylamide GelFemaleDiterpenesUltracentrifugationLipoproteinChylomicronMetabolism: clinical and experimental
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Long term follow up after percutaneous closure of PFO in 357 patients with paradoxical embolism: Difference in occlusion systems and influence of atr…

2009

Abstract Background Percutaneous transcatheter closure of patent foramen ovale (PFO) in cryptogenic stroke or TIA is an alternative to medical therapy especially in patients with atrial septal aneurysm (ASA). The differences in time to complete occlusion for various closure devices in PFO alone and PFO plus ASA are of natural interest. Methods and results Between January, 1st 1998 and November, 30th 2006 percutaneous PFO closure was performed in 357 patients with a history of ≥1 paradoxical embolism using three different devices: Amplatzer PFO-( n =199), Starflex-( n =48) and Helex Occluder ( n =110). All patients were assigned to a post-interventional protocol with contrast-enhanced transe…

AdultMalemedicine.medical_specialtyRight-to-left shuntForamen secundumForamen Ovale PatentProsthesis ImplantationPostoperative ComplicationsParadoxical embolismInternal medicinemedicine.arteryOcclusionHeart SeptummedicineHumansProspective StudiesHeart AneurysmAgedbusiness.industryProstheses and ImplantsMiddle Agedmedicine.diseaseHeart septumSurgeryTreatment Outcomemedicine.anatomical_structureEmbolismEchocardiographyPatent foramen ovaleCardiologyFemaleCardiology and Cardiovascular MedicinebusinessEmbolism ParadoxicalFollow-Up StudiesInteratrial septumInternational Journal of Cardiology
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Robotic pancreatic surgery: old concerns, new perspectives.

2018

Background: Described for the first time in 2003, the robotic pancreatic surgery shows interesting results. The evaluation of post-operative outcomes is necessary once we describe an innovative surgical approach. Methods: We have performed a retrospective analysis of a prospectively maintained database on robotic pancreatic surgery including malignant and benign indications for surgery. Results: A total of 50 consecutive patients underwent robotic pancreatic surgery (26 pancreatico duodenectomy and 24 distal pancreatectomy) between January 2012 and July 2015 in a single centre. The overall operative time was 425 (390–620) min. In a subgroup of highly selected malignant tumours, we were able…

AdultMalemedicine.medical_specialtyRobotic Surgical Proceduremedicine.medical_treatmentRobotic pancreatic surgeryOperative Time030230 surgeryPancreatic surgeryPancreaticoduodenectomy03 medical and health sciences0302 clinical medicinepancreatic fistulaPancreatectomyPostoperative ComplicationsRobotic Surgical ProceduresRetrospective StudieMedicineHumansdistal pancreatectomypostoperative complicationAgedRetrospective Studiesbusiness.industryGeneral surgeryPancreatic DiseasesGeneral MedicineMiddle Agedmedicine.diseasePancreaticoduodenectomySurvival RateTreatment OutcomePancreatic fistula030220 oncology & carcinogenesisSurgeryFemalePancreatic DiseasebusinessDistal pancreatectomyHumanActa chirurgica Belgica
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Clinical verification of a unilateral otolith test.

1992

Abstract In a previous study13 we reported promising results for a new test to differentiate in vivo unilateral otolith functions. That study pointed to a need for further validation on known pathological cases. In this presentation we will detail the results gathered on a group of clinically verified vestibular defectives (verum) and a normal (control) group. The subjects in the verum group were former patients of the ENT clinic of the university hospital. These subjects had usually suffered from neurinoma of the VIIth cranial nerve or inner ear infections. All had required surgical intervention including removal of the vestibular system. The patients were contacted usually two or more yea…

AdultMalemedicine.medical_specialtyRotationAerospace EngineeringVestibular lossOtolithic MembraneTask Performance and Analysisotorhinolaryngologic diseasesmedicineHumansPathologicalOtolithAgedVestibular systembusiness.industryMiddle AgedVestibular Function TestsUniversity hospitalProprioceptionTest (assessment)Surgerymedicine.anatomical_structurePostoperative diagnosisEar InnerMedical trainingFemalesense organsDisease SusceptibilitySpace Motion SicknessbusinessActa astronautica
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