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Total 21313 results found since Jan 2013.
Delayed diagnosis of parathyroid cancer manifested with pubic bone lesions and chronic kidney failure. Tricks and pitfalls of management
CONCLUSION: The timely diagnosis of PTC is a prerequisite for a good outcome. The best preoperative indicators are serum parathyroid hormone > 4 times above the upper limit, serum calcium > 14 mg/dL, a palpable neck mass, and a local invasion found intraoperatively. The only curative treatment is the complete removal of the tumor with a negative margin.KEY WORDS: Delayed diagnosis, Hyperparathyroidism, Parathyroid cancer, Surgery.PMID:37737657
Source: Annali Italiani di Chirurgia - September 22, 2023 Category: Surgery Authors: Georgi Popivanov Ivon Daskalova Borislav Zlatev Elena Piperkova Marina Konaktchieva Stefka Ivanova Mihail Tabakov Kirien Kjosev Ivanka Dimova Ventsislav Mutafchiyski Source Type: research
A Prospective Study of Sensory Changes in Pediatric Patients After Minimally Invasive Repair of Pectus Excavatum With Cryoablation
This study sought to determine the frequency, onset, duration, and location of sensory changes and neuropathic pain after cryoablation.
Source: Journal of Pediatric Surgery - September 22, 2023 Category: Surgery Authors: R. Scott Eldredge, Krista Lai, Brielle Ochoa, Emily Khoury, Kristin Mihalcin, Daniel Ostlie, Justin Lee, Lisa McMahon, Craig Egan, Mark Molitor, Jae-O Bae, David Notrica, Benjamin E. Padilla Source Type: research
Improving the quality of care of Canadians waiting for elective surgery: an important health care priority
Can J Surg. 2023 Sep 21;66(5):E474-E475. doi: 10.1503/cjs.015922. Print 2023 Sep-Oct.ABSTRACTSummaryThe backlog of cases on surgical wait lists is a substantial problem for surgical patients, their families, surgeons, health care systems and governments. There are several approaches governments can take to improve the health, well-being and surgical outcomes of waiting patients. First, provinces should consider patient-centred approaches to triaging that reflect pain, symptoms or functional gain, and approaches using multidisciplinary teams or centralized triage. Second, governments could provide prehabilitation and mental...
Source: Canadian Journal of Surgery - September 21, 2023 Category: Surgery Authors: Sam M Wiseman Jason M Sutherland Source Type: research
Transversus abdominis plane block vs. local wound infiltration for elective minimally invasive cholecystectomy in children: a prospective randomized trial
The objective of this study was to prospectively analyze this in minimally invasive cholecystectomy. We hypothesized that TAP block would be superior to LWI in terms of pain control and post-operative complications.
Source: Journal of Pediatric Surgery - September 21, 2023 Category: Surgery Authors: Sindhu Mannava, Niloufar Hafezi, Farheen Turk, Cameron Colgate, Johanna Askegard-Giesmann, Troy Markel, Nicole Horn, Brian Gray Source Type: research
Proximalization of Inflow With Adjunct Arterial Pressure Measurement for Hemodialysis Access-induced Digital ischemia
Hemodialysis access-induced distal ischemia (HAIDI) is an uncommon, yet potentially devastating complication of hemodialysis access surgery. Symptomatic HAIDI affects about 10% of dialysis patients and can present with mild hand coolness, rest pain, or tissue loss. Volume flow determines the management of HAIDI and may involve banding; revision using distal inflow; proximalization of inflow, distal revascularization; interval ligation; or access ligation. This case report highlights the use of proximalization of inflow with adjunctive intraoperative measurement of distal perfusion to treat severe HAIDI.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Vincent Narvaez, Samuel Paci, Jeffrey Silpe, Gregg Landis, Yana Etkin Tags: Dialysis Access Source Type: research
Robotic Median Arcuate Ligament Release
We present the case of a patient with atypical symptoms found to have MALS and underwent minimally invasive robotic surgical treatment.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Katherine McMackin, Catherine Zhang, Rebecca Platoff, David Shersher Tags: Other Source Type: research
Comparing Pain and Other Patient-reported Outcomes in Carotid Artery Revascularization: Carotid Endarterectomy vs Transcarotid Artery Revascularization
To assess the difference in patient-reported outcomes between carotid endarterectomy (CEA) and transcarotid artery revascularization (TCAR) at a single institution within the first 2 years of TCAR implementation. Primary outcomes studied were patient-reported pain scores and use of postoperative opioid analgesia.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Trevor Dorey, Sara Parmiter, Jamie Sanders, Justin Turcotte, Geetha Jeyabalan Tags: Carotid Artery Interventions Source Type: research
Contemporary Outcomes of Surgical Decompression for Functional Popliteal Entrapment Syndrome
Functional popliteal entrapment syndrome (FPES) is an underrecognized source of leg pain caused by dynamic compression of the popliteal vessels by surrounding musculature in the absence of anatomic abnormality. Late recognition and difficulty capturing this entity across imaging modalities can lead to significant morbidity in an often young and active patient population. Surgical outcomes and optimal diagnostic strategies remain uncertain.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: James J. Fitzgibbon, Patrick Heindel, Bernadette Goudreau, Brittany Aicher, Bryan Dieffenbach, Matthew T. Menard Source Type: research
Digital sedation: A new revolution in the management of superficial venous insufficiency
Thermal endovenous treatments with tumescence for superficial venous insufficiency (SVI) are now recommended in a large majority of indications. Their use under local tumescent anesthesia (LTA) and neuroleptanalgesia (NL) has become common. NL (benzodiazepine/psychotropic/opioid combination) is not devoid of adverse effects, but pure LTA remains difficult for patients to accept. Digital sedation (DS), by means of visual and auditory loops dedicated to a brain disconnection, using the same channels as those conveying pain, could make it possible to do away with NL chemical sedation.
Source: Annals of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Lauranne Matray, Arnaud Salces Y Nedeo, Charles Neveu, Florent Charot Source Type: research
Arterial angioplasty under local anesthesia in everyone without unpleasant surprises: the revolution of digital sedation
Lower extremity revascularization is performed percutaneously. Local anesthesia (LA) with neuroleptanalgesia (NA) or general anesthesia (GA) ensure patient comfort and allows proper procedure completion. However, NA and GA are not devoid of adverse effects in elderly and poly-pathological patients. Digital sedation (DS), through visual and auditory loops dedicated to brain disconnection, saturating the channels carrying the pain, do away with chemical sedation while guaranteeing the comfort of the patients and the smooth running of the procedure.
Source: Annals of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Lauranne Matray, Charles Neveu, Florent Charot, Bertrand Goupil Source Type: research
Local anaesthetic for pain post rubber band ligation of haemorrhoids: a prospective, single-blinded randomised controlled trial
ConclusionsLA to the haemorrhoid pedicle post RBL may significantly reduce early post procedure pain without any increased risk of adverse effects.
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
Comparison of the efficacy and safety of different surgical procedures for patients with hemorrhoids: a network meta-analysis
ConclusionCurrent evidence suggests that L is best at reducing mean operative time and intraoperative bleeding, T-S is best at reducing mean length of stay, TST has the shortest time to first defecation, STARR is best at reducing recurrence rates, PPH is best at reducing postoperative anal stricture, and F is best at reducing postoperative pain after 24 h.
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
Mucosal vs. cutaneous advancement flaps for the treatment of chronic anal fissures: a randomized clinical trial
ConclusionMucosal and cutaneous anal advancement flap techniques are effective and comparable surgical procedures for the treatment of chronic anal fissures with minimal complications, fast healing process, and minimal postoperative pain and complications.Clinical trial IDIRCT20120129008861N4 (www.irct.ir).
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
The HELLP syndrome: clinical issues and surgical management. A Case Experience
CONCLUSION: Short interval between diagnosis and management may enhance the feto-maternal survival rate and prevent further morbidity or mortality. The choice of laparotomy and hepatic packing has proved to be a viable option in patients with unstable vital signs and is feasible even in limited resource settings.KEY WORDS: HELLP syndrome, Liver hematoma rupture, Packing.PMID:37724665
Source: Annali Italiani di Chirurgia - September 19, 2023 Category: Surgery Authors: Giuseppe Massimiliano De Luca Viviana Danese Lucia Franzoso Alessandro De Luca Francesco Luca De Luca Antonella Tromba Miriam Farinelli Paolo Barbieri Alessandro Perrone Giovanni Landolfo Source Type: research
Small bowel obstruction due to congenital adhesion bands in the virgin abdomen. There is more than meets the eye
CONCLUSION: Adhesive SBO due to congenital bands is a rare condition, particularly in adults, with potentially lifethreatening complications. With the aim of prompt diagnosis and treatment, a high index of suspicion and awareness should be maintained even in patients without previous medical or surgical history.KEY WORDS: Small bowel obstruction, Congenital adhesion bands, Virgin abdomen.PMID:37724652
Source: Annali Italiani di Chirurgia - September 19, 2023 Category: Surgery Authors: Athanasia Mitsala Konstantinos Romanidis Michail Pitiakoudis Source Type: research
