Search results for "postoperative"
showing 10 items of 1034 documents
Spinal anaesthesia in a patient with post-spine surgery dural ectasia.
2013
Dural sac ectasia is a very infrequent anatomical abnormality, usually caused by connective tissue diseases, as Marfan syndrome. Very few cases have been described being a consequence of a previous spine surgical procedure. We describe the case of an elderly patient who should be operated on twice due to sub-occlusive colon disease. Surgery was performed under spinal anaesthesia. A dural sac ectasia was suspected after the first procedure and the abdominal X-ray was reviewed. The characteristics of the anatomical alteration and the course of both anaesthetic procedures were described. X-ray and CT images were provided.
Postoperative Patient Education in Physiotherapy after Hip Arthroplasty : Patients' Perspective
2017
Objective The objective of the present study was to explore postoperative patient education in physiotherapy from total hip arthroplasty (THA) patients' perspectives, which has been a little‐studied area of research. The usefulness of rehabilitation protocols after THA has been debated over the years, and there are no clear guidelines for physiotherapy after THA Methods The data for the present qualitative study were collected from nine patients with THA by using individual interviews at the hospital after surgery. The interviews were audio‐recorded and analysed by using a phenomenographic method Results Four different categories of postoperative patient education in physiotherapy after hip…
Comparison of Postoperative Coronal Leg Alignment in Customized Individually Made and Conventional Total Knee Arthroplasty
2021
Neutral coronal leg alignment is known to be important for postoperative outcome in total knee arthroplasty (TKA). Customized individually made implants (CIM) instrumented with patient-specific cutting guides are an innovation aiming to increase the precision and reliability of implant positioning and reconstruction of leg alignment. We aimed to compare reconstruction of the hip–knee–ankle angle (HKA) of the novel CIM system iTotal™ CR G2 (ConforMIS Inc.) to a matched cohort of the off-the-shelf (OTS) knee replacement system Vanguard™ CR (Zimmer Biomet). Retrospective analysis of postoperative coronal full-leg weight-bearing radiographs of 562 TKA (283 CIM TKA, 279 OTS TKA) was conducted. V…
Protective ventilation with high versus low positive end-expiratory pressure during one-lung ventilation for thoracic surgery (PROTHOR): study protoc…
2019
Background: Postoperative pulmonary complications (PPC) may result in longer duration of in-hospital stay and even mortality. Both thoracic surgery and intraoperative mechanical ventilation settings add considerably to the risk of PPC. It is unclear if one-lung ventilation (OLV) for thoracic surgery with a strategy of intraoperative high positive end-expiratory pressure (PEEP) and recruitment maneuvers (RM) reduces PPC, compared to low PEEP without RM. Methods: PROTHOR is an international, multicenter, randomized, controlled, assessor-blinded, two-arm trial initiated by investigators of the PROtective VEntilation NETwork. In total, 2378 patients will be randomly assigned to one of two diffe…
Safety of hospital discharge before return of bowel function after elective colorectal surgery
2020
Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multiva…
Randomized trial of primary debulking surgery versus neoadjuvant chemotherapy for advanced epithelial ovarian cancer (SCORPION-NCT01461850)
2020
ObjectiveTo investigate whether neoadjuvant chemotherapy followed by interval debulking surgery is superior to primary debulking surgery in terms of perioperative complications and progression-free survival, in advanced epithelial ovarian, fallopian tube or primary peritoneal cancer patients with high tumor load.MethodsPatients with advanced epithelial ovarian, fallopian tube or primary peritoneal cancer (stage IIIC-IV) underwent laparoscopy. Patients with high tumor load assessed by a standardized laparoscopic predictive index were randomly assigned (1:1 ratio) to undergo either primary debulking surgery followed by adjuvant chemotherapy (arm A), or neoadjuvant chemotherapy followed by int…
Botulinum Toxin A for Oral Cavity Cancer Patients: In Microsurgical Patients BTX Injections in Major Salivary Glands Temporarily Reduce Salivary Prod…
2012
Abstract: In patients suffering from oral cavity cancer surgical treatment is complex because it is necessary to remove carcinoma and lymph node metastasis (through a radical unilateral or bilateral neck dissection) and to reconstruct the affected area by means of free flaps. The saliva stagnation in the post-operative period is a risk factor with regard to local complications. Minor complications related to saliva stagnation (such as tissue maceration and wound dehiscence) could become major complications compromising the surgery or the reconstructive outcome. In fact the formation of oro-cutaneous fistula may cause infection, failure of the free flap, or the patient’s death with carotid b…
Pirmreizējas sirds ritma izmaiņas pacientiem pēc atvērtās sirds operācijas
2019
Pēcoperācijas ātriju fibrilācija (POĀF) ir biežākā komplikācija pacientiem, kuriem veikta operācija uz atvērtas sirds. Kā rezultātā tā ietekmē morbiditāti, mortalitāti, kā arī palielina finansiālas izmaksas. Pētījuma mērķis ir uzzināt vai ir korelācija starp veiktiem pirms operācijas standarta izmeklējuma rezultātiem un pēcoperācijas ātriju fibrilāciju. Jo nosakot augsta riska pacientu var uzsākt preventīvu ārstēšanu. Materiāli un metodes: retrospektīvs pētījums, kur tika iekļauti pacienti, kam veikta sirds operācija ar sternotomijas pieeju, kuriem pirms operācijas bija sīnusa ritms n = 111. 39 pacienti netika iekļauti pētījumā, jo pirms operācijas bija ātriju fibrilācija vai anamnēzē ātrij…
La influencia de la técnica quirúrgica en la hemorragia postamigdalectomía
2022
La complicación más frecuente de la amigdalectomía extracapsular (AE) es la hemorragia postamigdalectomía (HPA). Los factores relacionados con esta son diversos, entre los que se encuentra la técnica quirúrgica con la que se lleva a cabo. Se distinguen las técnicas frías y calientes. Entre sus indicaciones se encuentran las infecciones amigdalares de repetición, las complicaciones derivadas de estas amigdalitis y pacientes pediátricos con trastornos respiratorios del sueño (TRS). En este último grupo, una alternativa terapéutica es la amigdalectomía intracapsular (AI). Se distinguen dos tipos de HPA: primaria, que ocurre durante las primeras 24 horas, y secundaria (HPAt), que ocurre tras la…
Infiltrācijas anestēzijas starp paceles artēriju un ceļa mugurējo kapsulu kopā ar adduktoru kanāla blokādi analgēzijas efektivitāte pēc ceļa locītava…
2021
KOPSAVILKUMS Ievads: Pēcoperācijas sāpes samazina pacienta mobilitāti, pagarina hospitalizācijas laiku un palielina komplikāciju risku. Ir pētītas dažādas pēcoperācijas atsāpināšas shēmas pēc ceļa locītavas endoprotezešānas, tomēr problēma saglabājās. Nesen tika ieviesta adduktoru kanāla blokāde (AKB) kā selektīva sensorā fasciālā analgēzijas metode, tomēr ir pierādījumi, ka tā nenodrošina efektīvu analgēziju ceļa mugurējās kapsulas daļā, tādēļ to kombinē ar citām blokādēm. Infiltrācija starp paceles artēriju un ceļa kapsulu (IPACK) nodrošina ceļa mugurējās daļas atsāpināšanu, neradot muskuļu vājumu. Darba mērķis: Noskaidrot IPACK pievienošanas efektivitāti AKB attiecībā uz pēcoperācijas an…